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0484 CEDAR STREET
I }l I� i I r fi r, .c i' lo-.)�O.!��jo N 0. 15 2 i 3.0 R A 10% i i w qy W W' yV Tn y � 91Z-ij f1R ` T r ,. dsr Application number. ` Date Issued............1. ...... ..J................................ MA Building Inspectors Initials........ .. .....:. ................. � MA't JUL 19 2018 Map/Parcel.......................+...®.............................. TRIA] O1 �AFiIVST/�Bl� TOWN OF BARNSTABLE .� �5• �� EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: !!2 west ,rJ5 r�lal NUMBER STREET VILLAGE Owner's Name: Pe�&- Ne Phone Number Email Address: Cell Phone Number Project cost $ 3 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding 0 Windows ( change)header chan ) t�'e # Insulation/Weatherization 0 Doors (no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name &d e w D 1Lrr i3 Home Improvement Contractors Registration(if applicable) # 63907 (attach copy) Construction Supervisor's License# 4 S' 165-4 7 (attach copy) Email of Contractor �f�� .1���K( J(�1��1�1��CPhone number 77Y—,3113`Y460 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. L APPLICATION NUMBER............................................................ *For Tents Only* Date Tent (s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each'tent .If food is being served at your event please obtain a Health Department approval between the hours . of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE i Signature Date ` All permit applications are subject to a building official's approval prior to issuance. :.; Permit Authorization mass Save' Form Site ID: 3398593 Customer: Peter Ginnetty J.pD r � � owner of the r, V�l e property located at: (Owners Name,printed) 484 Cedar Street West Barnstable, MA 02668 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to p rform i ulation and/or weatherization work on my property. ' Otiwnees Signature: Date: e— FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Name: RISE Engineering Phone: 401-784-3700 Email: For Otte Use Onty Rev.102015 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / L Please Print Legibly Name (Business/Organization/Individual): M p R 62e L Address: LG [3vX /��/ 3 City/State/Zip: F e ` L Gz 3&,2 Phone#: Are you an employer? heck the appropriate box: Type of project(required): 1.E3lflm a employer with / 0 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' Comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �- Insurance Company Name: 0)7 � Policy#or Self-ins.Lic.#: V W 6 )(xo 166/� 7SZ Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enalties of perjury that the information provided abov is tru and correct Signature: ` Date: Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL i City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: l CERTIFICATE OF LIABILITY INSURANCE 04TE(MMf(SDiYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT',FtCATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($);AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poticy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the£erp4s anal condWon5 of the policy,certain policies may require an endorsement, A statement on this,certificate daes'noftomer ri hts to the � certificate holder in lieu of such endorsement(s,)_ t'COr�7 AC}' FRrJQUrEra I @.{a?t^I..._..__. Cl1rISt0pI1e¢,Ioi-CIar1 FPuLAE Professional insurance&Risk Brokerage,LLC i�wc tr,"�tl l78?)826_7475 FAX r484 r L- dan Irbinsurance.com " 31 Schoosett St.Suite 309 a slR�ss:..._c1-br P_. �° .. Pembroke PIRA 02359 i s __,_ILL$aarusl ar coRETING co!��RdGE.. ---....__.. -.NAIL u _ _._.,_. ......... IN;I1g�R.e Al MUTUAL_. 33758..w.. INSURED I INS RER-6:•The Main Street America Groi ^ _ . 14788 MOH Construction,"lne. ; RC_rzt;RCF i,Y►tl�Cd.'te�tsrcif3'ere C3 .. _.__..__._._. . .. ._.._7 .. 8 a PO.Rox 64.11 Insurance Co 41297 Pi�miouth MA 02362 }afiilz R t rr•:SuRFR F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: II-its tS TO CE.RTIFFY THAT"HE rP~~,sLiC1ES OF fNSU RANCE LFS T ED 8Ei,CArV riK'sG?iEcN IS'�UED`s0 Tr r ttitStlRFL� r GRED�n5;t:rE:FL�r t �i C? + .Y'?Est?O 3 INDICATED. NOTVWITHSTA.NDING ANY RFOUIRC:MENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT14 R SPEC T TO t''1HIChi 1-HIS CERTIFICATE MAY BE.ISSUED OR MAY PERI AIN THE tNSURANZ.,E AI K)RDE[J BY"THE P,r.-,LiCiES IDESCRISEG t-!EREtN IS SUBJECT TO ALL THE TERMS XO USIONS AND WNDIIEVOt t-OF S''i-b°:14 POLICtE S LIMITS SHOINN MAY tP.VF SEEN REDUCED?Y PAID CLAIiV1S. P6UCY EFr POiiCI'EXP S. I LT TYPE LzF!idSUP.C�''-E :^a •r: POLICY4U?RAt'P�_-,,,�_•," 1NtA1Dfl.WYY1.;FB�fiDn!°!?rY�1_ LIMIT X ;COMMERCIAL GENERAL LIAAILITY EACk'C CL'RRE;:CE ,1,000,000 i � ,,z It• 9fJ€t-LtOiI X X ISO FORM CG0001 X X PAV0168733 05/15118 05115119 X Contractual Liability of r3r_.s nV 1 000 400 6tiM 1_ iRc Gnr !,+t ttY 11P 't_4 y e,L's v£d r2A F:U cc F:f L _">2.000,000 ..__ 7C3Li:'•v �( Rt� PRa]OLt`:"TS-CrJ?AP;QP.A,-f _g 2,000,000-...._. y nDTeMeR E LIAE ITY G t „ U:YWNFU X� :iL',ii`�?Uk.�C�� X X M3F0206P 06118118 06118/19 .....I}'..ZIIl k1i •?.1 �" . .,� ,:..�, .:... ._... •1 U.01" .. 4 ` . i,:.iYn:.:'AK.'.:; Au" __...._.__..__.-.. 6JC167-MV1:Cw Yfd;F T •3 eF �L'iAEaL7lit X ISOCA0001 X UMBRELLA LIAR X Ci t EEC,!+CI' 1,000,000 D ExccssLlAB X X XBS0099982 05/15118 05/15119 �;.f1iFGhrc a1. ,000 _.... r1 t, X •-_-'_'La}L1WEcC r n_q.P,I'SATI0I11 .._._...-._...._.._...... - i h _ . AND EMPLOVERS LIAHILFTY y t, s t z4'- t ZEP - S500 000 A tTrtrr,7 tl.. nitxt.,c..,�.Fa' �i �+ X �i�JCiuuo0953752u1 A G9i�iJi77 fo9tt34ii�f •ih7aPdatorY in i3iiy .. E_ '� �; ° 'L :rl UY?�t s 500 OOO ' t'.'3Ai.;ir CYi�;.KA`'tti'lS". :mac: !�L I:!Iit.Alu P:OL., LI'I I' s.500,000 Comprehensive Ded $500 B Auto-Physical Damage M3F0206P 06118118 05118119 Collision Deductible $500 DESCRIPTION 057.0PERATIONS,L0CATIOt35!VEHICLES tACORD'101:AdOitional Remarks Schedule,may to attachca It more Waco is wquir'od) I CERTIFICATE HOLDER CANCELLATION SHOULD,ANY.OS- THE AE'2L. 3ESCRI E-Z POLICIES aE.C-kN rE+.±'E0 55FOR (, Tt(E EXPIRATION OAYE THEREvr, NOTICE WIL SE OELIVEAED IN � A Hy'•Ooni M7E t iffm TN.E OWSY$tR4V3S!ly�iS. AUTHURQED REPRESENTATtVii "', <DA> 9,'f988-2.014 ACORD CORPORATION. AD:rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation prte Ashb► rtw,Place- Sulte-1'301 Bbstmlbss9chusetts 02108',_ Home Improvement-ontractor Registration _ Typec Corporation Registration: 183807 MOH CONSTRUCTION INC. Expiration: 11/15/2019 PO BOX 6413 PLYMOUTH,MA.02302 -• Update Address and Return Card. %16 20W&"7 &7w W.rx+rrttu+IPwa�n•Y�crJJ4a�liJe%Ct ---- �_�.__—__.. .______.�._._..__.--•----.. .__.a. • Qffice-of Consumer Affairs&Business Regulation ;��► betora tfte vddrr'date. ►ffbundre(Um to: Reo' 4io i r Yr�don` ' Office of Consumer Affairs and Susin�Regulation 189897 _ x�11/15120i9 10 Park Pima-Suite 5170 ':..7. ,. Boston.MA 02116 MDH CONSTRU�'C(QfAJNC�? ;� . MATTHEW FiARRi�'-� /� -N 9i3AESTAAO...'.....'�, - � .' PLYMOUTH IViA o2 '`'' Not v0lud w�tF��u##)o" ,+'r8 .�tzc !f vz�T'�'"�s. x�,pt'k. t"t� '�p.Fd�'"�..-�r..�i"1�>v'��'�i r'F".Y -.� _. � tr.- .• - . i ti yt r•° uLr•+�c,.3. ,v+i.6t�)...14� 'C s�K- �,.s '� M' s. Goan�eoriaue�di;aa.nf•iHassaciwseli� ^I "Division of-PtOtessiGnar Ucensure Board of Bu0t hng,ftg9fatioax and Standards tr Cons f o�13`dpKvEsor CS-105879 gy.ires: 11/0712019 ,e m New y PLYMOUTH MA .1311N { Commissioner. �""� oFWE� Town of Barnstable *Permit#4�"/ --3S Expires 6 atunibs front issue date Regulatory Services Fee :- �$ MAbb.11A ,0$ Richard V.Scali,Director '�/® s �FDN1P�� Building Division. �.. Tom Perry,CBO,Building Commissioner OCT 112017 200 Main Street,Hyannis,MAV6Nwww.town.bamstable.ma.uW OF BARNS�ARi F Office: 508-862-4038 Fax:'SD�=790-6230 EXPRESS PERMIT APPLICATION - RE' SIDE'NTIAL ONLY Not Valid tvitltout Red X-Press Impriut Map/parcel Number Property Address H 8 y Ce 4dL S+ residential Value of Work$3 1, 2 vlinimum fee of$35.00 for work under$6000.00 Owner's Name&Address t e4er n,e 6y $ CP�OLr S4 Wesf /�z1rn sf,6le m A eaa6� Contractor's Name r, /A / /I t:59l1 Telephone Number qo t 2- Home Improvement Contractor License#(if applicable) / 7- 2 Z Email: Construction Supervisor's License#(if applicable) 7 D ml"kman's Compensation Insurance Check one: ❑ I am a sole proprietor jjoffi the Homeowner ve Worker's Compensation Insurance Insurance Company Name F't r P�'r e n.0 J_nsi j ra,1 r. C2 Workman's Comp.Policy# W C A 3 158 7 2—9 - 2-0 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ side Replacement Windows/doors/sliders.U-Value Z (maximum.32)#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 weer must sign Property Owner Letter of Permission. A copy thLHome mprovement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decdllik\AppData\LocaN\licrosoft\Windows\Temporary Internet Files\Content.0utlook\2P101 DHR\EXPRESS.doc Revised 040215 V Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Peter&Lindsay Ginnetty Legal Name:Southern New England Windows,LLC 484 Cedar Street �WLi RI #36079, MA#173245,CT#0634555, Lead Firm#1237 West Barnstable,MA 02668 WINDOW NE U...ENr 10 Reservoir Rd I Smithfield,RI 02917 H:(774)836-8256 Phone:866-563-22351 Fax:401-633-6602 1 sales@renewalsne.com Buyer(s)Name: Peter & Lindsay Ginnetty Contract Date: 09/14/17 Buyer(s) Street Address: 484 Cedar Street, West Barnstable, MA 02668 Primary Telephone Number: (774)836-8256 Secondary Telephone Number: Primary Email: peter.ginnetty@gmail.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $31,153 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: $31,153 Estimated Start: Estimated Completion: Amount Financed: 6-9 weeks 6-9 weeks $31,153 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: 50%DEP 50% ON COMP TXS PD WEST BARNSTABLE MASS Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/18/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba-Renew y Andersen of Southern New England Buyer(s) Signature of Sales Person Signature Signature Eric Woods Peter Ginnetty Lindsay Ginnetty Print Name of Sales Person Print Name Print Name i UPDATED: 09/14/17 Page 2 / 16 zr gai.s �:�d Basinp—ss Reg7ilation O1siie of col S�.�n� - 10 Park Plaza - Suite 5170 Boston, MassachusCtts 02116 Horne In; roven nt Contractor RecFist=ation Registration: 173245 Type: Supplement Card Expiration: 9119/2018 SOUTHERN NEW ENGLAND WINDOWS__LL- BRIAN DENNISON 26 ALBION RD LINCOLN, R! 02$05 Update Address and return Gard.Mark reason for change. Address — Renewal - Employment = Lost Card any ce of Consumer Maus&Business Repalatiou Registration valid for individual use only before the _ expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR office of Consumer Affairs and Business Regulation Registration: 172215 Type: to Park Plaza-Suite 5170 Expiration: gi19�201 B Supplement Card Boston )vlA m'_i15 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDER.SON � J ;,,: --- BRIAN DENNISON 26 ALBION RD Not valid without sicnature LINCOLN. RI 02865 �.Zdersecreta-n' Massachusetts Departme fa d Standards Board of Building Regulations License: CS-095707 BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01607 Expiration: Commissioner 09,10812018 51-1 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/din Workers' Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED R'ITH THE PERNIITTING AUTHORITY'. Applicant Information Please Print Legribiv 1 lame (Business/Organizatic)rAndividual): e i Address: ,Z��t, pro JJ City/Slate/Zip: N Phone 4: Are you an employer?Check the appropriate boa Type of project(required): 1 am z employer uviih ZO temployees(full and/or par-time).' 7. New construction 2.[]1 am a sole proprietor or parmershir and have no employees working for me ir, S. Remodeling ante capacity.p4o workers'comp.insurance required] 9. Demolition -.M 1 am a homeowner doing all work myself.(Nq workers'comp.insurance required.) 10 Building addition y.[:]l am a homeowne-and wil,be hiring contractors to conduct all work or:my property. I will urance 71 ❑Electrical repairs or additions ensue that aL'contractors either have workers'compensation or are sole ins proprietors witt nc employees. li.❑P1uIDbInP repairs O7 additions-5 f.7 I am a generti contractor and I have hired the sub-contractors listed on the attached sheet 1-'.[]R f repairs I These sub-contractors have empla'ees and have worker ur 'comp.insance.= 14 Other n E.❑we are a corporation and it<officers have exercised their right or exemption.per MGL c. i 5L .1(k).and we have ne employees.[No workers'comp.insurance required.i I iv 'Any applicant that checks box :mts also fill out the section below showing then workers competuznoc policy informatior,. Homeowners who submit this affidavit indicating they are do all work:and then hire outside contractors must submit a new affidavit indicating suck :Contactors that check this box must attached ar additional sheet showing the name of the sub-contractors and state whether or not those etrtiti�have employees. Lithe sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the polio and job site information. Insurance Company Dame: f 6f me Police#or Self-ins.Lic.t: W CA v 66e7 Z,g _ Expiration Date: d City/Statelzip: Job Site Address: y�� �2�� the policy number and eapir flop dale). Attach a copy of the workers' compensation policy declaration page(showing Failure to secure coverage as required under MGL c. 152,§25A is a criminal violaiior.punishable by a fine up to g1,500.00 ORDER and a fine of up to S50-00 and/or one-year imprisonment as well s chr may i etrt be forwarded to the Officeenaffi ,in the form of a STOPr o IInnvestigationno the DIA for insLurance a day against the violator.A copy of this coverage verification. I do hereby, certif}'under �►�andPenaIties ofperjun°that the information provided above is true and correct Si ature: Phone : f- ZZ. Official use only. Do not write in this area,to be completed by citV or town official City or Town: Permit/License a Issuing Authority(circle one 1.Board of Health 2.Building Department 3.Citv/ToRn Clerk 4.Electrical Inspector S.Plumbing inspector 6.other Phone#: Contact Person: 1 • ESLERCO-01 SANDERSO DATE(HO MMIDDIYYYY) �► �' CERTIFICATE OF LIABILITY INSURANCE 06/07/2017 i NO RIGHTS UPON THE CERTIFICATE HOLDER-THIS FR-nw CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ND OR EL TER THE COVERAGE AFFORDED BTE Y THE POLICIIS ES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, e endorsed. . THIS CERTIFICATE-OF OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),Provisions orAUTHORIZED ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. st have TA GATION IS WAIVED, subject o the terms ad cnditions of the policyL INSURED,the ,certain policieslmay requTIONAL Nre an endorseendorsed- ment A SURED provisions or statement on mu ROertificate does not conO'fifer rights to the certificate holder in lieu of such endorsements. COMPACT R PHONE 303 988-0446 Fwc,No):(303)98"804 surance,Inc.-CO (AIC,No,Eat:( )wrence St,Ste.1200 E-RL s..COMaiI cob¢insurance.com CO 80202 NAIL 9 INSURERS AFFORDING COVERAGE INSURER A:Acadia Insurance Com an 31325 INSURER B:Firemen.Insurance Com an of WA D.C. 21784 INSURED lus Insurance Southern New England Windows,LLC.dba Renewal by INSURER c:Libe Su 10725 Andersen of Southern New England INSURER D: 26 Albion Road,Suite 1 INSURERE: Lincoln,RI 02865 INSURER F REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: S OF INSURANCE BELOW HAVE ED To THE INSURED ED CY PERIOD INI'SDICATED IS NOTWITHTHAT AN THE D NG ANY REQUIREMENT, TERM OR DCONDITION OF ANY CONTRACT O OTHER DOCUMENT ABOVE WITH RESPECT TOLIWHICH THIS CERTIFICATE MAY rT 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 RE REDUCED Y E P PAID LIMITS ADDL SUBR POLICY NUMBER D MMn3D 1,ODD,000 INSRI 7yp-OF INSURANCE NSD EACH OCCURRENCE $ A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 300,000 CLAIMS-MADE ❑X OCCUR CPA3158728 01/0112017 01/01/2018 PREMI E Ea ocairrence 5,0001 HIED EXF An•one erson c- 1,000,0001 PERSONAL b ADV INJURY S �---I I � z,000,000) � GENERAL AGGREGATE 2,000,000 '`GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OF A S X POLICY D pRa F LOC I EBL AGGREGATE S - 2,000,000 OTHER: COMBINED SINGLE LIMIT S 1,00D;000 A AUTOMOBILE LIABILITY 5 X ANY AU 01101/2017 01/01/2018 BODILY INJURY Per erson TO CPA3158728 r OWNED SCHRULEG BODILY INJURY(Per accident S r AUTOS ONLY AUTOS I PROPERTY DAMAGE c NON-OWNED Per acGtlent i HIRED AUTOS ONLY AUTOS ONLY I I 5 1,000,000I X OCCUR EACH OCCURRENCE I A X UMBRELLA LIAB CPA3158728 01/01/2017 01/01/2018 AGGREGATE EXCESS LAB CLAIMS-MADE Aggregate is 1,000,000 DED X RETENTIONS 0 X gTA7 I ERA I B WORKERS COMPENSATION I 1,000,000 AND EMPLOYERS'LIABILITY YIN WCA3158729-20 0110112017 01/0112018 E.L.EA ACCIDENT is 1,000,000 AApNFF FICE Y PROPRIETOR/PARTNERIEXECUTIVE NIA EL.DISEASE-EA EMPLO 'S 01RIMEin Nt1R EXCLUDED? 1,000,000 mandatory it yes,describe under EL DISEASE-POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS below CA3158730-20 01/01/2017 01/0112018 B Worker's Compensatio 1,000,000 117 01/01/2017 011D112018 VEHICLES(ACORD 101, mar Additional Remarks Schedule,may be attached it more space is required) DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE ACCORDANCE WITH THE OTHERELICY PROVISIONS- AUTHORIZEDNOTICE WILL BE DELIVERED IN I , i REPRESENTATNE I iFOR n I P ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Ft►+E rqs, Town of Barnstable Regulatory Services B"n'MASS.Mass. ' Thomas F. Geiler,Director 9�'°rEn Mn � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us A Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Z0/So 8A7- Owner: Map/Parcel: Project Address y89' �xp*e St. �� Builder: SAME The following items were noted on reviewing: ��Qtc.�RE/ll.�i►�TS• SoNOTu/3ES - �o5ra- FRRa1F �uusT AF Af *ewfb wrr A���to v� Hoxbk,*A - fie&NIAtk AVb SN&#rf M6- NaW A4, ef,16*8 c F �E�uIREdtt�iut� OF TjJf WOPb 7441-MLC 00A0,-e1gU1-- --0A1 Z S7 Reviewed by: Date: ZZI <<( Q:Forms:Plnrvw a 1W Town of Barnstable Old King's Highway Historic District Committee 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date I Z.- Z• I Address of Proposed work, Assessor's Map and lot# /D 0 House# _Street (�F-0 Fie, �Si QEE-T Village: YV f S i TI-►a 6jF_ This application is.for an exemption of the proposed construction on the grounds that work ( Will not be visible from any way or public place ❑., Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other QQ ' Description of Proposed Work: I O X I S '7U meco N ADOI T Ip A f t,t LT' ON TN E . F�c15-c►rah (��� ��r . Agent or contractor(please print): TeL no. Address �7 Owner(please print): E \06CRZ 1 A. O 014 ezvy Tel no.jf 0 • �P9 A 40r-) Owners mailing address: L4944 (AP-OA2 7 _'1 Signed,Owner/Contractor/Agent. For Committee Use O D This Certificate is hereby Approved(Denied Date: P Committee Members Signatures: P� DE� 0 9 2�1 a Ie �0W Kn09 s NA 9e sy pId Gomm"ne Any conditions of approval: C lDocuments and SemngsldwollikV ocal Settings►Temporary lniond FilesiOLKIIOKHEremption Form 07.doc Town of Barnstable Geographic Information System December 3,2015 IN 109047 ^"1 tososo 0672 A IN #65#ss #18' 109048 109030 0558 1 fli 062 109029 109022 109052 #49 #50 109049 # 132007 #642 080 x gym, 6109029 15, 109064 3 1osozl 0551 034 ow Fla 109051` 70 SNE15 p MEAD #610 O 132047 109085 #279 #27 109083 I ' #631 109019 #16 109020 #20 109082* 109067 #615 132001 #18 109018 ® #0 484 109061 109089 0501 #�8 109068 �#1 108016 #460 #47i# s 108028 030 Q�� ® 131058 V #430 �V 108016 108014 A131061 108025 #455 410 #48 108017 A �rs46# 108013 131007001 #1 0436 #390 108024 #6 108018 108019 { ((�� #77 #93 108007002 + 108012 0 Fee 108022 0415 #62 DISCLAIMERS:This map Is for planning purposes only.It Is not adequate for legal Map:109 Parcel:018 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.DOHERTY,KEARA ANNE& Total Assessed Value:$384900 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel fines on this map w E are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner:GRIER,E SHAYNE Acreage:0.81 acres Abutters boundaries and do not represent accurate relationships to physical features on the map vacation:484 CEDAR STREET such as building locations. Buffer .lr 4 Town of Barnstable Geographic Information System December 3,2015 #i s 109021 D 70i)061 #610 132001 #0 109019 109020 #20 109082 c y' JL.� 109081 } ► �. 050 ti.i f wa� 109089 #� 468 40- k__. 1 109017 108015 #� �476 131088 100028 #430 #30 108018 # 108014 #455 DISCLAIMERS:This map is for planning purposes only. It Is not adequate for too Map:109 Parcel:018 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Val00'may not meet established map accuracy standards. The parcel lines on this map Owner:DOHERTY,KEARA ANNE& Total Assessed Value:$384900 .} are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner.GRIER,E SHAYNE Acreage:0.81 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:464 CEDAR STREET such as building locations. Buffer Aerial Photos Taken July 10,2009 Page 1 of 1 V I ,r POW 3 � i 1 p % - APPROVED DEC 0 9 2015 Town of Barnstable Old King's Highway committee file:t/iswsions/images/00/12/05/95 jpg 12/2/2015 _ DEC'091015 Torm offtnsrabs --- -- - - - Old K'uV Si lerray 1 :TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION +' ' f " Map J V� Parcel D PP A lication # �� U Health Division Date Issued Conservation Division — A*q Application Fee_ !�O ' D Planning Dept. Permit Fee Ito l�Ils' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 481 CE-OAR STREET - Village WE5T I&ARNSTA&Z- Owner"MRERT I ViEA RJA ()0 HERTYI Address LIBL4 (�E 0 A R STREET Telephone 4�4 . 3 30 • Z 18 — Permit Request FINISH OFF SHEEiRa__ IN A Ei IEN i HE 6A5ENENT VAS �tN(SNEb BEFORE WE PQRC_-LASED 71AE: VAc)"E &T THERE WAS A FL_OoO Awo THE 6A14-- RE 10\lE 0 THE 5kzETROCIL QL�o AN IA X 1 B 5u N 0o" Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin Highway*"?-:Highway? ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other P Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) M: Ln N i;! Number of Baths: Full: existing new ;• Half: existing new fm a rn Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I`\aERT a pOkAE��' Telephone Number _5OMO- 14 (P5 Address 41�H �,EWR 6_(BEET License # WEST 9Q9_K6-TA 6L.t , wA • Home Improvement Contractor# Email bobbLA jQ boqASikd P...c 6 n Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING OM HIS PROJECT WILL BE TAKEN.TO SIGNATURE DATE FOR OFFICIAL U.SE,ONLY - -A`PPLICATION# i DATE ISSUED - MAP/PARCEL NO. 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OBO SF. w -------� _-�� --- --- —wiw w • w 2G' ,� p�PF>jn/.q�L EF�SF/t IE-.V 7- 24 m 322.58 S B2'20 '51 "W e PLOT PLAN OF L A ND "TO THE BEST OF MY KNOWLEDGE, THE BUILDING LOCH TED IN �, �� LAN IS AS IT ACTUALLY EXISTS AND BAF�NSTABLE - MASS. H TPi M PREPARED FOR S TO THE TOWN OF BARNST GOr���tl� `' �� --- ` REGULATIONS, REGARDING- YARD SETBACKS JPENE PEAL T Y TRUST DA E.' SEPT. 22, 1997 � G�?t1 f�u� CALE.' 1 �/� n c� �SAtUf�: :'I� ( ! DATE-SEPT.SEPT.22. 1997 CAPE 6 ISLANDS ENGINEERING FLOOD ZONE C (NON-HAZARD) MA SHPEE - MASS. y D-61 3AC \ AL LAN �r Town of Barnstable Old King's Highway Historic District Committee A 200 Main Street,Hyannis,Massachusetts 02601 _(50.8) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date j Z_Z. 15 Address of Proposed work, Assessor's Map and lot# House Street ( 1"0AR St aa_717 Village: WE.S i �jAQN A Pi This application is.for an exemption of the proposed construction on the grounds that work Will not be visible from any way or public place — El., Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission i ❑ Other Description of Proposed work 1 (D ',')0 m oo yA A001 T I O R &,t( 1 ON E•rC15Tt N�( �f�L'L J7F�r Agent or contractor(please print): Tel.no. Address Owner(please print): i�C�jF Z i (�0 FI FAY Tel no. b 6F • FMCS •q 4(0-] Owners mailing address: -T 'I Signed,Owner/Contractor/Agent. For Committee Use Only This Certificate is hereby Approve&Denied Date: _V E Committee Members Signatures: PRw AP • t Barnstable Old .rig s H,ghw Y Gomm'nee Any conditions of approval: C:IDoc=ents and SemngsldecollikV ocal SemplTemporwy Internet FilerIOLK110KX Bsemption Form 07.doc I Town of Barnstable Geographic Information System December 3,2015 109047 109053 109080 #672 ® #65 0 16' - 109048 109030 At 668 ti t1 #52 109028 109022 109052 049 '#50 109049 #3 132007 . #542 #60 X 109029 109064 1094 #551 ® #34 109061' �° SNEEP 119FA�ow 00 ' #s10 132047 #279 109 7 #27 19 109063� #631 109019 #16 109020 ® 020 109062 109067 #616 m 132001 #16 109018 ® #0 4484 109061 109089 #501 #488 *1091368 #' 109017 108016 #460 #476# s 108028 0 131056 #30 V #430 �V 108016 108014 131081 108026 #4 #410 #48 I I ® 1 108017 10801� 131007001 46* #390 #435 6 108018 108019 1 Fee #77 993 108007002 10012 108022 0416 DISCLAIMERS:This map Is for planning purposes only.It is not adequate for le Map:109 Parcel:018 a. boundary determination or regulatory interpretation. nlargements beyond a scale of Owner.DOHERTY,KEARA ANNE& Total Assessed Value:$384900 Selected Parcel N 1-=100'may not meet established map accuracy stardlards. The parcel lines on this map are only graphic representations of Assessors tax parcels.They are not true property Co-Owner:GRIER,E SHAYNE Acreage:0.81 acres Abutters E boundaries and do not represent accurate relationships to physical features on the map Location:484 CEDAR STREET + ' such as building locations. Buffer +, rR Town of Barnstable Geographic Information System December 3,2015 t 1D9o2s <; #34 1a, 109%1 #510 132001 #0 108082 Q. 108018yk an #601 108089T #468 a(d� S L 109017 108015 #460 #475 131068 108020 #430 #30 108018 # 108014 #465 DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:109 Parcel:018 Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale or Owner:DOHERTY,KEARA ANNE& Total Assessed Value:$384900 1'=100'may not meet established map accuracy standards. The parcel lines on this m are only graphic representations of Assessor's tax parcels. They are not true property Co-owner:DRIER,E SHAYNE Acreage:0.81 acres Abutters _ w E boundaries and do not represent accurate relationships to physical features on the map Location:484 CEDAR STREET such as building locations. Buffer Aerial Photos Taken July 10,2009 Page 1 of 1 k s A r �uw.w�.ev+•eaw. a+a�•.s a 1�,aRii6rfY,'t+ g30�[.T+!L1:4�PS'Jri•..� t POW" :ra � e elrt ! •�j 7�`r.h 4.is y(.. .�+5...f (j'�jH 'S, r+�/�� ,Md - _ _ }'INV "l i )kppROVED DEC 0 9 2015 Town of Barnstable OIL Ghwa ommmee f le://isvisions/images/00/12/05/95.jpg 12/2/2015 APPROVED _ DEC 0-9 2015 - -- - _ Town of Bamstable Old K"ing H way 1 Town of Barnstable Regulatory Services B"M tie ' Thomas F. Geiler,Director �'ArEoA`e� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW 420/50 8-2 7-2 Owner: a y F�r� Map/Parcel: Project Address y89' desAw Sr., AM Builder: SAAW The following items were noted on reviewing: M INIT7061 Su Ito h oiiyz 0abe aouaE/-mr-Aj YoA>O Posra- FaomE musT fey-�rciN� AvA S'Nr��cr� /l�us,- 4 Emu/REktri� OF :&f£ Wyapb A4AME 0468*2 4-6-O ✓ 4f#3V u.a-L2. A Pc-)ernt-r/1013 'rbaztraria fap. AL,& WMIC n : ' �*A* 1 7' Cs 12 A/ Reviewed by: l Date: 1Zl � t ' ti r Q:Forms:Plnrvw M Fc F copy 1.OWU 01-,tsarnstable Regulatory Services - `oF'WE�y,L Richard V.Scali,Director Building Division BARNSTABI ` Tom Perry,Building Commissioner MASS .�� 200 Main Street; Hyannis,MA 02601 wwwtown.barnstable.ma us Office: 568-862-4038 Fax: 508-790-6230 HOMEMMER LICENSE EXEMPTION DATE: JOBLOCATIorI: Ceorkg .fT?,EET , WEST QARfA5TA6LF- , Pkk OZ(o(-oA number Street village HolvlEowNER": &GJkI A• Oo�IE2 i .3 3 0. Z l8 l 50 3.3 A name ,'1 home phone# work phone# t CURRENT MAILING ADDRESS: LA 84 �ED A R 5TizEET -- - - ------- - --- EST gta(LR5TA LE - - � --- --- C) (0(n -- — -- ---- -- - - city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned".homeowner"assumes responsibility for compliance with the State,Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeown es that he/she understands the Town ofBarnstable Building Department minimum inspection p ures d r and he/she will comply with said procedures and requirements. of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. ElOMEOWI4ERIS EXMKMON The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:1wPFILEMRNM1buflding pumit lmmsUDa%ESS.doc Revised 061313 n �V Town of Barnstable , .. Regulatory Services MAMg Richard V.Scali,Director &es¢ Nua� Building Division Tom Perry,Building Commissioner _- ........_._.__.....—.---._.._...._._ . .. .._.._._..... _--._...__.. 200 Main Street;Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owne , Must Complete and Sign his Section If Using A Blunder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized this building permit application for. (Ad ss of Job) " "Pool fences and alarms the responsibility of the applicant. Pools are not to be filled or ' ' d before fence is installed and all final inspections are perfo d and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FoxMs:owrrERPERMIssmr>Poors ' rA Deparfmivt oflndurtdalAccidwts , Office oflmesfigaiions 600 Wirshbvton Street Bostm4 MA 02M . www.mussgov/dia ' Workers' Compensation Insurance Af ffidavii:Em'lders/Contra. brsMect icians/Pltmabers Applicant Information Please Print LeeblE' Name EGZT 06 PU711V Address: 0 City/statdzip: WE5%- Phone#: Are you an employer?Check the appropriate box: Type of project(req>m ; 1.❑ I am a e oploper with 4. I am a general contractor and I employees(fnII EMd/ar part time). * have hired the sub-contractors 6. ❑New camshwthm 2.❑ I am a sole proprietor or pares listed m the attached sheet 7. ❑Remodeling ship and have no employees These sob-� bane 8. Dmnol`ion worm for me in any capacity employees and have workers' o workers'comp.rasa ance comp.fimmance t 9• ❑'building addition 5. We are a corporation and its ID.❑Flectricalrapairs or additions 3. I am a homeowner doing all work officers bane exercised their 11.❑Phaabing repass or additions myself [No worioxs'cam. right of exemption per MGI. 12.❑Roof repairs insurance regtmrd.j t a 152,§1(4),and we have no employees.[No WMkers' I3.0 Otter camp•msarim=required_] *Any applicant that chcc a box#1 mast also fill ovttbe section btlow showing ties worker;'eompeasKtion policy intnmratiaa t Homeovmcm who submit this fdavit indicting they are do4 all wmic and then biiz ort ddo coDftachm Mut submit anew affidavit indicafmg suc1. tContrecftxs that cbcck&b box must attached=nAAitianal sheetshowingthe same of the sab-cosh=tors and sh tt whethaor not those entities bave emqploy=L If the sib-ors bave craploy=s,&y m?d Puv&&=wo i=,camp-Policy=nbm I am rue employer thud is pravhFaW workers'conpwsadion iruz m=e for my employees Below is the polity and job site information. Insmanm Company Name: Policy#or Self-ins.Lic.#: irationDafe: Job Site Address: city/staf& : Attach a copy of the Workers'compensation po'ficy declaration page(showing the policy number and expiration date). FaU=to scarce coverage as requaed ender Section 25A of MGL c.152 can lead to the imposition of czhnmal penalties of a fiM up to$1,500.00 and/or one-year i ro risanmeat;as well as civil penalties in the fora of a STOP WORK ORDER and a Ere of up to$250.00 a day against the violater. Be advised that a copy of this statm=nt may be fimwarded to the Office of Investigations of the DIA for insurance co cation. I do hereby under p ' ofperfmy that the informat an provided above it true and correct S' - I z z, P_hone#: 5 oR oq • GCE � . [[70117dd use only. Do not write in this areaq to be corrrpkied by city or fawn oglciaL Town: # Issnmag Authority(circle one): L Board of Health I Building Department 3.Chy/Town Clerk 4.Elec timl Inspector 5.Plumbing Inspector 6 Other Contact Person: Phone# Y ' Information and Instructions . . Masswi setts Geheral Laws chapter 152 regains all employers to provide wow'compensation for their eaipIoy=. Pm saantin this statute,as employee is defined as"...every person is the service of another under say contract of liirr., expr=or implied,oral or writt cu" An eTr.ploye r is definad as"aa individual,partnership,association,coiporafion or other legal entity,or any two or mare of the Foregoing erigaged in a joint mutrpcise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individn4 partnership,association or oilier legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides themm,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work an such dwelling house or on the grounds or building appu>zten;mt thereto shall not because of such employment be deemed to be an employer." MOL chapter 152,§25C(6)also Status that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MUZ chapter 152, §25C(7)slates`Neither the commga vealth nor any of its political subdivisions shall ~ enter into any contract for the performance ofpnblic wmc until acceptable evidence of compliam ce with the insurance._ requirements of this chapter have been presented to the contracting authority." Applicants Please fill out fhe workers'compensation affidavit completely,by checidng the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone mnnber(s) along with their certificate(s)of i insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not required to carry workers'compensation insarmce. If an LLC or LLP does have j employees,apolioy is required. Be advised that this affidavit maybe submitt:d to the Department of Industrial Accidents for confnmation ofinsrn ance coverage. Also be sire to sign and date the affidavit The affidavit should be r&nned 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 entry their self-insurance license number on the appropriate line. City or Town Officials t 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 pent license number which will be used as a reference number. In addition,an applicant that must submit multiple pmmitllicense applications in any given year,need only submit one affidavit indicating c mre t policy hTiou ation(if necessary)and under"Job Site Address"the applicant should write"all locations in - (city or town).".A-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 frrtme perme wits or licenses A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you is 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 mmmber. i . Th6 C0MMCMWWIth of M&-, acltu3eM IIepad meat of ludn>tW AOCZe nts Mice of Xnvesuptio= 6W VlaWngton Sites Boston,MA 02111 Ta#617 727-49W cxt 406 Qr I-M-MASrtAFF Fax#617-727 7749 Revised 42407 .MaS54,MWf a ' f Mckechnie, Robert To: Perry, Tom Subject: Foreclosure Bonds and checks Tom, The Treasurers Office has informed me that your approval is required to release the bonds or refund the checks on the following previously foreclosed properties: 1.) 55 Brentwood Lane, Centerville, m:168 p:122- Foreclosure cancelled-- Bond 2.) 241 Plum Street, West Barnstable, m:196 p:034-Sold to new owner---Bond 3.) 484 Cedar Street, West Barnstable, m:109 p:018-Sold to new owner---Bond 4.) 48 North Precinct Road, Centerville, m:148 p:123-Sold to new owner---Bond 5.) 54 Furlong Way, Cotuit, m:022 p:085- Foreclosure cancelled--Check 6.) 301 West Main Street, Unit1 Bldg 2, Hyannis, m:269 p:095-OOM-Sold to Fannie Mae (Federal National Mortgage Association)--- Bond 7.) 54 Barberry Lane, Marstons Mills, m:102 p:159-002-Sold to new owner--Check They have said that your approval can be sent either via email or letter, the choice is yours. I have documented the change in status of the properties and this request in our department street files. Thanks, Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 TRAVELERS. Travelers Casualty and Surety Company of America Hartford,CT 06183 Date:February 20,2015 TOWN OF BARNSTABLE,BUILDING _ Office at: 1000 Windward Concourse,Suite 100, DEPARTMENT ALPHARETTA,GA 30005 367 MAIN STREET HYANNIS,MA 02061 CANCELLATION NOTICE License No. RE: WELLS FARGO BANK,NA 484 CEDAR ST. - W BARNSTABLE,MA 02668 Bond No. 106044110 Former Bond No. Type of Bond/Policy: License or Permit Bond-Definite Term You are hereby notified that this Company elects to cancel the above captioned bond required by the TOWN OF BARNSTABLE,BUILDING DEPARTMENT This cancellation is to take effect on 3/27/2015 , in accordance with the terms of said Bond or Policy. Travelers Casualty and Surety Company of America Robert L. Raney, Senior Vice President F-129-P(8/00) Rev.2/05 'j SENDER: COMPLE THIS SECTION COMPLETE,THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign ure item 4 if Restricted Delivery is desired. — — ,• O Agent. ■ Print your name and address on the reverse ee so that we can return the card to you. B. Received..by(Printed Name) ■ Attach this card to the back of.the mailpiece, p or on the front if space permits. ja D. Is delivery address different 1? ❑1"ies 1; Article Addressed.to: If YES,enter delivery address b of ,PNo rt..' t Y n �o J 1 Ir G 3: ervice Type 4Q �L ZCertified Mail Express Mail L 0 Registered J Return Receipt for Merchandise. ❑Insured Mail ❑C.O.D. ,) 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Num1.ber' ail l � �i t i 1 i ii7O14 1200 �001' 0358 1885 � (Transfer from sery/ce labeo PS Form 3811,February 2004. . . Domestic Return Receipt 102595-02-M-154o :.�i):i��yi is`���?t.•T'�.�`��,�1F tY .:�!'3 `.:l;Y k; ;�.' e?v,;,,�v',„.,,.�, �_1• ..:...a. _ ��...•�.,.::ft n.: UNITED STATES PCOSTAL JERVICE ..:� 7.'r �7:�di� :?,.•::sa3 •)'� +f:^;' '� ��4'1r:,M w,xitt::�'^ 'U.SJ`ps."`,.,%„` 'Sender: Please print your name, address, and.ZIP+4 in this box • I I TOWN OF BARNSTABLB BUILDING DIVISION 200 MAIN S'T. 13 HYANNIS, IAA 02601 I I i I I jiil III,I"willii''llii11i10 il'1'III' I U.S. Postal ServiceTM CER IFIED M�AILm. RECEIPT (Domestic m it Only;No Insurance Coverage,Provided) ' lFor;deIiveriInfo►mation,v1sit 6urawebsite at www.usps:como� ■ e - - I PS Form 3800,August 2006 See_Reverse for,lnstructions f Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY bed mbluem,with First-Class Mails or Priority Mails. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted-Delivery. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT-Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable oFTME regulatory Services Richard V. Scali, Director + swxxsrnsLE « Building Division BARNSTABLE Mass. g, ». scc ��� IS v� 1639. ,0 Thomas Perry, CBO 1639-2014 �ED'AAr Building Commissioner 573 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 January 2, 2015 NOTICE OF WORK WITHOUT PERMIT r Keara Anne Doherty Robert Arthur Doherty E. Shayne Grier 484 Cedar Street West Barnstable, MA 02668 Keara Anne Doherty, Robert Arthur Doherty, and E. Shayne Grier, Work was performed on your property without the proper permits or paperwork and your property is currently in violation of the Massachusetts State Building Code 780 CMR and the Massachusetts General Laws Chapter 143. You must contact this office within 14 business days to begin the process to bring your property into compliance. Failure to comply will result in a Stop Work Order, fines and additional fees. Sincerely, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 robert.mckechnie@town.barnstable.ma.us _ �I Wells Fargo Home Mortgage •11200 West Parkland Avenue MAC: X9400-022 Milwaukee,WI 53224 Ph:414-214-9270 Fax: 866-359-9265 April 8, 2014 Town of Barnstable Building Department n 367 Main Street Hyannis, MA 02601 A0Nn 17 h h Z A+d g7OV1SIUVO dO NPA01 NMFL# 14013 04/04 I TRAVELERS T BOND (License or Permit- Definite Term) Bond No. 106044110 KNOW ALL MEN BY THESE PRESENTS: THAT WE, Wells Fargo Bank,NA as. Principal, and Travelers Casualty and Surety Company,of America' , a corporation duly incorporated under the laws of the State of Connecticut and authorized to do business in the state of Connecticut , as Surety, are held and firmly bound unto Town of Barnstable as Obligee, in the penal sum of 'ten Thousand Dollars and 00/100 ( 510,000.00 ) Dollars, for the payment of which we hereby bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. WHEREAS, the Principal has obtained or is about to obtain a license or permit for Loan No 708-0408345148.484 Cedar Street Barnstable,MA 02668 NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully comply with all applicable laws, statutes, ordinances, rules or regulations, pertaining to the license or permit issued, then this obligation shall be null and void; otherwise to remain in full force and effect. This bond is for a definite term beginning 3/25/2014 , and ending 3/25/2015 , and may be continued at the option of the Surety by Continuation Certificate. PROVIDED, that regardless of the number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount, In the aggregate, than the penal sum listed above. PROVIDED FURTHER, that the Surety may terminate its liability hereunder as to future acts of the Principal at any time by giving thirty (30) days written notice of such termination to the Obligee. SIGNED, SEALED AND DATED this 3/25/2014 _Wells Fargo Bank NA By: Principal Trav ers Casualty an#*urety Company of America By: a. a ay r Attorney-in-Fact S-2151 B(6/10) i WARNING:THIS POWER OF ATTORNEY 1S INVALID WITHOUTTHE RED BORDER TRAVELERS POWER OF ATTORNEY Farmington Casualty Company St.Paid Mercury Insurance Company i Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America I St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company I St.Paul Guardian Insurance Company j i Attorney-In Fact No. 225809 Certificate No. 005268332 KNOW ALL MEN BY THESE PRESENTS:That Farmington Casualty Company,St.Paul Fire and Marine Insurance Company,St. Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and'Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,Is a corporation duly organized under the taws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Scott Davis,Tina Kennedy,Dawn T.Kirkland, Steven L.Swords,Carol Philyaw,Cheryl Boozer,Annette Wisong, Janice W.Brickner,Joseph W.Hamilton,III,Joseph R.Williams,Cindy A.Thibodaux,Tracy.Wallace,Julia Taylor, and Michelle Kelley of the City of Atlanta ,State of Georgia ,their true and lawful Attomey(s)-in-Facttt each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their 4usiness of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or-ptoccedings allowed by law. IN WITNESSWW REOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 13th day of November 2012 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Companty Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company otAinerlca St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company ga1.�1'f AI✓Ae Iy�iCy�� �p1WnPDPe.`9�� aaa������� hj �• b' ����? dyd nN, �0 �F ��s. �d>....✓yp'� �'•�.�D 'Oar P h'i }e r .'a •�AHt� NNr State of Connecticut By: 'dU City of Hartford ss. Robert L.Raney, enior Vice President On this the 13t1i day of November 2012 before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farrington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Maui Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behatf of the corporations by himself as a duly authorized officer. tp,TET In NUtuess Whereof,I hereunto set my hand and official seal. 0 T*Ar C . My Commission expires the 30th day of June,2016. p�L1p y} Marie C.Tetreavit,Notary Pobilc �s 58440-8-12 Punted In U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER i ARNING:THIS PO ER OF ATTORNEY IS INVA D W!T O 7 7HE RED BORDER This Power ofAttomey is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,tho.Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for mid on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory!it the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given hint or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kevin E.Hughes,the undersigned,Assistant Secretary,of Farrington Casualty Company,Fidelity and Guaranty.Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St,Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company ofAmerica,and United States Fidelity,and Guaranty Companry do hereby certify that the above and foregoing is a true and correct copy of the Power ofAttomey executed by said Comlianies,which is in full force mid effect and has not been revoked. unto set m hand and affixed the seals of said Coni hnies this day of "' h ,20 IN TESTIMONY 1VH);RE0F,I have here y . . P Y Kevin E.Hughes,Assistant SeciFtary GA6U�� �"�1(I J�'rl 6 O�Jx'"'M`rG9 Jait^'-�.9q °J,,atV SOB oc � .. y� �, � �. card lS.:n,N f9 •.T� 1 ..� T� �AKt To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at vvwwAnivelersbond,com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. I , WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT-THE RED BORDER i RAI Request for Surety Bond i SEND COMPLETED FORMS TO: Wells Fargo Insurance Services USA,Inc. DATE REQUESTED: WFIS.BondRequest@WeIlsFargo.com If you require assistance In completing the form or DATE BOND REQUIRED; have questions,please contact: REQUESTOR'S ACCOUNT NUMBER: 1-877-WFC-RISK"option 5" Preparer's Information Name: JONATHAN M MOSIER Phone#: 414-214-9270 ® Legacy Wells Fargo (First) (Middle) (Last) ❑ Legacy Wachovia Entity: WFHM Email: 3onathan.mosier@welisfargo.com MAC#: X9400-022 Manager contact info., Nancy.nowakowskl@wellsfargo.com ❑US Mailing ®Overnight address: Billing Information(if bond exceeds$1,000,000): 11200 W. Parkland Ave Company code: Milwaukee,WI 53224 AU#: N/A GL#: Principal (Company name and complete mailing address to be listed on bond) Company name: Wells Fargo Bank,NA Mailing address: 484 CEDAR ST BARNSTABLE MA 02668 Obligee/party requiring bond(Company name and complete mailing address) Company name: Town of Barnstable Mailing address: Building Department 367 Main Street Hyannis MA 02601 Bond details(Please provide speciflc Information requested below and attach any supporting documentation) ❑ Lost Instrument Date discovered missing Copies of bond required Value of stock/bond at date of loss ❑ Replevin/Court Name/location of court Attorney name/address/phone# ❑ License&permit ❑ Contract bond Percentage of contract value -_ ® Other (Describe)—Vacant Building 484 CEDAR ST BARNSTABLE MA 02668 LOAN#708-0408345148 Bond form attached? ❑ Yes ❑ No Effective date of bond: Bond amount: $10,000 Description of Other notes/ obligation: special Instructions: Handling instructions ®Please OVERNIGHT completed bond to Preparer at OVERNIGHT address above (Check all that apply), ❑Please EMAIL completed bond to Preparer at EMAIL address above ❑Please MAIL completed bond to Preparer at US MAIL address above * Premium payment: For each bond with a penalty(limit) under$1,000,000,the premium will be billed to and paid by Risk& Insurance Management. For any bond with a penalty(limit)of$1,000,000 or more,the business line requesting the bond will be billed directly for the premium. 11wFStADMNSF21kC}1TGVC_UmslU2549$0\My Documents\deddop stuffk8arnstatde,MA Wunt 8u3ft Surety Bond Request FormAoc Revised 6.14.2011 REPORTING FORM ' i ATTACH THIS SLIP TO THE COPY OF THE BOND,AND SEND Bond Number 166044110 TO TRAVELERS INSURANCE COMPANIES 1000 Windward Concourse,#100,Alpharetta, GA 30005 Customer Number i i Wells Fargo Bank,NA- 484 Cedar Name and Address of Principal St.,Barnstable,MA 02668 Effective Date 3/25/2014 Expiration Date 3/25/2015 Town of Barnstable,Building Department- 367 Main Street, Name and Address of Obligee Hyannis,MA 02061 Amount of Bond $10,000.00 N/A ('Type),N/A (County),N/A Naive of Court(if applicable) (City),Massachuetts (State) Description of Bond License&Permit Premium Charged $ 100.00 Loan No.708-0408345148 - 484 Cedar Street, Barnstable,MA 02668 Agency Name Wells Fargo Insurance Services USA,Inc. Agency Code 27180 Agency Address 3475 Piedmont Road, Suite 800,Atlanta, GA 30305 S. Bond Processed by: ® Julia Taylor ❑Michelle Kelley ❑ Recorded on Log by: ❑ Julia Taylor ❑ Michelle Kelley ❑ Invoiced by: ❑Julia Taylor ❑Michelle Kelley ❑ Delivered to Principal by: ❑Federal Express ❑U.S.Mail Date: i ..•• p { / µow ?t�iq Pi�R.31 "�'� �' 25 REGISTRATION AND CERTIFICATION`FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of BarnstabI C:, %:w.:'haP ter 224 lv a.. sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its ,. records: - 1 Section 1 =Property Information Property Address:484 CEDAR ST BARNSTABLE MA 02668 Assessors Map#: Parcel #: 109-018 Land area and description RESIDENTIAL Building(s) description and contents Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Y Date: 09/01/2013 Anticipated Length of Vacancy: UNTIL SOLD Last occupant(s) )(if borrowers so state and include name(s)) REILLY SILVIA Phone: email: other: Has possession been taken NO If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) WELLS FARGO HOME- MORTGAGE Foreclosure Case Court: Docket# I L. I Date filed: 11/03/2011 Current Status: REO Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): David Holt Company (if different from foreclosing party): Today Real Estate Address: 1533 Falmouth Rd., Centerville, MA 02632 Phone: (508) 568-8133 email: david_hoit@todayreaiestate.com other: i If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do'not complete contact information (i. e. "none" or"see above")). Name, title, other: NONE Company (if different from foreclosing party): Address: Phone(s): email(s): other: Name,title, other: Company (if different from foreclosing party): P Address: Phone: email: other: Attorney representing foreclosing party Firm name (if.different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town.of Barnstable. jonathan.mosier@wellsfDigilelly signed°� onathan.nnosier ellstargo.com 03/24/2014 ar o.com L..DN:,cn=jonathan.mosier@wellsfargo.com Date: 9 Date:2014.03.24 17:15:38.05'00' 1J Name: Title: I I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable I I MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure-if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection'2244(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property (1) Registration date: If not registered, please complete the registration form and state date of filing or anticipated filing 3/24/2014 (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief (4)Method(s) and date(s) all windows and door openings secured (or will be secured) The building is secured; all doors and windows are locked. If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property DAVID HOLT 1533 Falmouth Rd., Centerville, MA 02632, (508) 568-8133 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property 09/01/2013 (6)Name(s), address(es) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance.with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances DAVID HOLT 1533 Falmouth Rd., Centerville, MA 02632, (508) 568-8133 (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval ; Date(s) electricity turned off on if applicable ; Date(s) water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town-of Barnstable General Ordinances DAVID HOLT 1533 Falmouth Rd.,Centerville,MA 02632,(508)581-8133 (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner DAVID HOLT 1533 Falmouth Rd.,Centerville,MA 02632,(508)581-8133,codeviolations@wellsfargo.com (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner (11)Date(s) cash or surety bond of at least$1.0,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 3/24/2014 (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13)Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither, please explain 10/31/2011 I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. jOnathan.mOSier@WellSfargo oignmysigned by pnsmen.mose®wensre go.mm ,QN:mgonathan.mosier@"Us1wgosom Corn ooto:so,a.oaza 17:17:57-05 W Date: 3/24/201.4 Name: JONATHAN MOSIER Title: LOAN SERVICING SPECIALIST I o' I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable I I I oF1HE r Town of Barnstable '►% Regulatory Services Thomas F. Geiler, Director w BARNSTABLE, y� MASS. Building Division 039. �0 'OtFDMp`lp Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January26, 2011 Ms. Amy Knox Ms. Reilly Silvia 484 Cedar Street West Barnstable, Ma Re: Inspection Dear Ms. Knox: Thank you for meeting us today. As a result of our inspection, please find items listed below that require.addressing. 0 Plumbing, electrical and building permits (applied retroactively and inspected accordingly) 0 A carbon monoxide detector to be installed in the daycare area(or swap one smoke detector with a combination unit) • A landing to be located inside of the daycare entry with a proper step. This work can be added to the required building permit for the conversion of the garage to living space. In addition, please be advised that I checked with Old King's Highway and found that you in fact obtained an exemption for the play area and fence. I inserted a copy in our street file for future reference. This should serve to prevent a misunderstanding in the event that a new complaint surfaces. At this juncture, I must also request that you identify the ages of all children in attendance to insure that no other provision or accommodation must be made in order to satisfy the building code before the permitting process commences. Your attention to this matter is greatly appreciated. Sincerely, r Tom Perry Building Commissioner JA484 Cedar St WB follow up letter 0126201 I.DOC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (j TO'fN 4 A,RI-I'STAF,LE D� c�0 03� Map -. Parcel -Application # Health Division 2013 NOV13 PIN 1: 51 Date Issued Conservation Division Application Fee n z) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board L Historic - OKH Preservation / Hyannis i/ l Project Street Address `�D C,edGr SAM\— Village �yq\56\q_ Owner %k�q Address Telephone Permit Request o '-h dgrn 6!FD , k;a Sin I ems 1^i'Gv 0 vikc_wd Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new '.Zoning District Flood Plain Groundwater Overlay Project Valuation IfbD. -Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation,\ Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) `. Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No - I Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION ,. (BIDER OR HOMEOWNER) Name Zn450A/ R , F10\r-:r--rA S Telephone Number Address 38 CRA rTS -. ST License NE W=ON 4 0 Home Improvement Contractor# 16 16,� 3 8 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t E rt FOR OFFICIAL USE ONLY APPLICATION# rJ `{ 3 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ,r x D7�TE OF INSPECTION: ' rFQUNDATION. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING c r; F • DATE CLOSED OUT ASSOCIATION PLAN NO. s r I TOWN OF BARM TABLE BUILDING PERMIT APPLICATION Map" Parcel Application# Health Division - Date Issued Conservation Diidsion Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address a � CQaa`r Sil`�R,aC Village, YJ�S6,o� Owner �a � Address Telephone Permit Request o 1-h d&m/16f7L> Square feet:1 st floor:existing_;proposed 2nd floor:existing . proposed Total new Zoning District Flood Plain Groundwater Overlay' Project Valuation hl �---Construction Type Lot Size Grandfatherpd; ❑Yes ❑No : If yes,attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes O No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other I Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing ne Number of Bedrooms: existing_new Total Room Count(not including bath,):existing new First Floor Room Count Heat Type and Fuel: ❑Gas O Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing. ❑new size—Pool:❑existing U new size _ Barn:O existing ❑new size_ Attached garage:❑existing ❑new size_Shed:❑existing ❑new size— Other: Zoning Board of Appeals Authorization ❑ Appeal#_ Recorded O I Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use APPLICANT INrORMA'f(ON ' (BUILDER OR HOMEOWNER) Name --l-Asw & r-7--7JA'S Telephone Number Jo/7 Address 38 C R A F�1-s S-r,/gyp License#� NE Wj 0- Ni 1X4 ®a7�0 Home Improvement Contractor# 161 y.38 Worker's Compensation it A)N1 ,-8"0-9) 6AJ�8A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Dlcm��►�CR vos-3A SA). P. SIGNATURE DATE �t I r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/Org2nization/Individual): Address:-3 r� C MA8 t 1-r City/State/Zip: G✓�t'1 a ys Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ 1 am a general contractor and I ❑ employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, �Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.t r�] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I ream qu a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL c. 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 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AT M rn(J yV, t/ + 1:OS r</YQ YI t'Yi _ Policy#or Self-ins.Lic.#-41AJg &M`OIX0 6ol/3-d 0,04 Expiration Date: Job Site Address: YD y n&-, -54 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the fora 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 corage verification. I do hereby certi nd a ns o perjury that the information provided above is true and correct. SienatureY Date: �3 Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i ARSSE-1 OP ID: SH CERTIFICATE OF LIABILITY INSURANCE DA111062013n � 11/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER Phone:781-247-7800 CNAOME c Rodman Insurance Agency,Inc. Fax:781�44-0090 PHONEFAX 145 Rosemary St., Bldg.A C No E AIC No): Needham,MA 02494-3238 EMAIL Evan Tobasky ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Beacon Mutual Insurance INSURED A.R.S.Services, Inc. INSURER B:A.I.M.Mutual dba A.R.S. Restoration Specialists INSURER C: 38 Crafts St INSURER D: Newton,MA 02456 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�7R TYPE OF INSURANCE PO FF PO P INS POLICY NUMBER MMlDD MMIDDIYYYY LIMITS GENERAL LIABILITY EACH-OCCURRENCE $ t MERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE 1-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- C LOC $ AUTOMOBILE LIABILITY Ea COMBINcciden ED LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY x I A ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N 64630 09/24/2013 09/24/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N I A B (Mandatory in NH) WPAZ80080062932913AMAJNH 09/24/2013 09/24/2014 E.L.DISEASE-EA EMPLOYEE $ 1,000,00 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CT Work Comp w/The Hartford #6S60UB9972M31013 9/24/13-14 lmil/lmil/imil CERTIFICATE HOLDER CANCELLATION BARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Bldg Div 200 Main St AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 �a ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Town of Ba* Die a �J on �P - r ffiI�. Tom 2'eiry',Ming COXa11 udoner 200 U112 SMA�,MA.02601 w'wttaw&bar=tafiie ma u3 Office: 50$-8624038 Pax: 508-790-62 ft - Property Owner Must Complete and.Sign This Section u Own.et of the snb ject property hesebp autbottize ARS RF57 o 1�A.7'/O to act an snp beb I im al:matt=meladve to SvoA au o6zed by this binding pexxnit (Address of Job) Po01 fences and. alamas ate the responsxbiHty of the applicant. Pools Bed e not to he or udbzed before fence is installed.and aft final ns ections are per rmed and acceptecL t e.of Qwn' Signatax Applicant v - . ^. UA sow �fz.�i r� 5 Pssnt Name ����Q'. �o Q��nl�so�„ P.tiat.Naxoe i SU-PDX+lISotti t 6�15) 3Z-4---Z505 .Data Q:FURbb�:t}�;'NFBPEitMiSSIDIA'DOL•9 62DI2 s of any use group wWch Un restricted-Building Tess tl►an 35,000 cubic feet(9911n )of "*'Board Massachusetts:Department of Public Safety COI1t3tt1 6 Board of Building Regulations�ind:Standards enclosed spaCe. Co�#truction Supervisor Yicense:CS-103111 <+ JASON R FRE'IT ` 5 MC INTOSHD"— ossess a cur-eht edition of the Massachusetts TAUNTON MA.#3980 ,�`( Failure to p • 4AAtt State Building code is causefor revocation ofthisl tense. Y. • informationvisit W M'sSs.Gov/DPS ;Expiration 4, For DPS U&nsing Commissioner 05/1312M 4 aN uiAon � ,per " License of registration valid for mdrvtdu}nseponly Ofi�ce of Consumer Affair's $asiuess Reg ONIE IMPROVE ENT CONTRACTOR �} before i expiration date. If;found retnrn4o i -.Type O cc o Consumer Affairs•and Business Regnlation ,. Registration �06438 Supplement,' , 110ParkPlaza-Suite51.70. fl EXprtton. °712312d9 ard1 Boston,MA02116 I A R S SERUICES,INC }1 `; JAY FREIT*S OI 38 CRAFT ST ON MA02458 Undersecretary E . ' -NEWT ., i' alid wi hout si n'a - g tui;e I I View-With Dimensions BASEMENTT 31' 8" _ T 31' 141211 7 11 t to rs ( ) �o �t^ Rooml I � - 00 C4 N 1 111211 ." 14' 1" 10' 10" Room2 (2) 'D Room3 (3) N M "' 5 Basement 484CEDARSTBARNSTABLE 11/12/2013 Page: 3 View'-With Dimensions MAINLEVEL `Ia 31'9" 23' 1.0" 21'6" 9'5" 231411 Bathroom °` Kitchen 00 �n �Io ' 131811 I, 1 `'A 13' 8 — � T 1 � 3 HW "v 19' 1" a, Day care Rm v , N` 4' 8" 13' 8 I i Lbrary HW1 Fire Place Rm - a Basement 41'2" 484CEDARSTBARNSTABLE 11/12/2013 Page: 1. View-With Dimensions 2NDFLOOR .s I 37' 10" 22'4" 151911 8' 6" 121311 - 22' Bath Rml Bath Rm _ Blue Rm �O 241711 Hallway 17'4" Open en Rm M 3�—�4' O° °�° 13' 8" 3' 16' 6" r., ---Entertainment Rm -- _ — - ---Yellow Rm N _ Basement 1 , 1414" 16' 10" 484CEDARSTBARNSTABLE 11/12/2013 Page: 2 Town of Barnstable ` `jNE'O"'tio Regulatory Services 1 c?) 3-0 • Thomas F.Geiler,Director &AMSTABM v� 16 M `0$ Building Division 30 � 'O�Ec►�'�° Tom Perry,Building Commissioner 3 / 200 Main Street, Hyannis,MA 02601 // 7 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623( PERMIT#%T d f U ` -f FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village e� 11 S�lvia- 5b? 5 -U90 , Property o er's name Telephone number 8x Iy Size of Shed Map/Parcel Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9.30&3:30-4:30 r PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE,ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 i L r X oFtHE Tpy, Town of Barnstable Department of Health,Safety,and Environmental Services �AxtvsrAsi.e, Conservation Division i63q:. �0 Argo�,t A 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION P-k SOS 3J5 -9990 Property Owner Telephone number 4 '1 Mailing address Project location Map/Parcel# Project description The following minor activities will be reviewed,under Art. 27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes,as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq. feet. -sedimentation and erosion controls are used during construction * Stonewalls(this does not include stonewalls for retaining wall purposes,grading and/or fill) Signature ate e7 Revi ed by Dat _GIS Plan Attac ed(fee charged for plan) Q/WPFiles/Form/MinorAct i 10,01 090 0 #16 ! X 80. 5 # 0 2\ c VAC C r C 1 O i {� C CC 109018 C` J ~/ #484 c •� \ C \ X 69.1 cc / c 69c9 Cc` / \ i ccC c c C: oo� cc 0000 0p000 c c 00 oi �4 0 N 108015S� 0 u n 09017 0 4.60•— NOTE:PARCEL LINES MAY NOT BE ACCURATE. The DISCLAIMER:This map is for planning purposes only. It j !� parcel lines on this map are only graphic representations of may not be adequate for legal boundary determinadon'or \, Assessofs tax parcels. They are not true regulatory rp p j 0 10 20 40 Feet property regulato Interpretation.This ma does rot represent an boCndaries and do not represent accurate relationships to on-the-ground survey. 7U physical objects:n the map such as building locations. \ 1 Inch equals 40 feet L APPlication to. Id Kings Highway Regional ft.t cic District Committee in the Town of Barnstable for a CERTIFICATION.OF. EXEMPTION Application is hereby rnide, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves o1 Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanyingthzi application. . TYPE OR PR f NT,LEGIBLY DATE 11'2- ADDRESS OF PROPOSED WORK Ce4W'J1"�'Qe/ ASSESSORS MAP NO. OWNER , el ASSESSORS LOT NO. 3A HOME ADD R ESS qff I • TEL. NO. S& AGENTOR CONTRACTOR �jn� l �b�►.- ADDRESS 3 °?� �4� �a rn�QE1ni S All+ &2(4nL TEL. N0. SD8' 171-9-:01 . This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if addition is involved, sow. ing location of existing building. an show'. ,g A shed �ye, SIGNED Space below line for Committee use. . Owner-Can tr for-Agent Received by H.D.C. The Certificate is hereby 01-10 I�e if ' [R JR R. ' 2 2007 JUN. y Date T0V1N GAF ABLE .. . The categories of work entitled to exemption are listed on vec�... Disapproved 0 the back of this form. KS Ai see 00 66 71 9p 54"E ry•�• S eB•4p ' E p 5.Op 41" Q { � t Z � cn - 5 l \ Ll sLf ��1 �57, w • \ xA °° g LOT 3A 35, 080 SF. m 322.58 S 82'20 '51 "W PLOT PLAN OF LAND "TO THE BEST OF MY KNOWLEDGE, THE BUILDING L OCA TED IN CCI LAN IS AS IT ACTUALLY EXISTS AND BARNS TABLE — MASS. �. rNAT di MS TO THE TOWN OF BARNS T &Nl G X. ,: PREPARED FOR REGULA TIONS, REGARDING YARD SETBACKS - r A.V!D IRENE REALTY TRUS T DA E: SEPT. 22, 1997 t"k n I" Sitl•4i(';•l DATE. SEPT.22. 1997 SCALE.- 1 "=40 FT. FLOOD .ZONE C (NON-HAZARD) \;';�F��SI E��fie j;• CAPE 6 ISLANDS ENGINEERING D-61 3AC , t�y��i a.�u MA SHPEE — MASS. r . FINER WOOD `.P`RaD:UC`TS its arl dbout:the:wood A ' A COTUI T CLASSIC SHED - 8' x (Elevations - Scale: 114" = 1) LEFT REAR • r UULULLLL . la/1z FLOOR FRAMING SPECIFICATIONS FRONT ® - �� (2 x 8 Pressure Treated @ 16 o.c.) RIGHT IL 9 -TAE�ABPI4ALT SHMGLEB 12D ss t r-° • . I >2 24XU iw%24 24X2424,2 T4X 4 � i 0 0 24X24 24� DC4/"CORNER BRAS, UZK6 61DING FRONT ELEVAj: D SCALE S/16" = T-0" `15 4;)69 J lg wrnqrrTIM / BU DER.- IRENE TRUST JOB NAME: LOT 3A (484 ) CEDAR STREET 2E SATE REVISION DRAWN BY WEST BARNSTABLE MASS. 24X36 COL. W�'2 CAR GARAGE �_20_97 # JIB (saeJss OM MASS,03% t I 3 TAB ASPHALT SHINGLES 24x16 24X* 24X24 D(S/Dc4 CORNER 6RDS. _W/G SHINGLES g 1 DCASEMENT 24x16 Em LLD . K4 REAR ELEVATION SCALE S/16" = 1'-0" ESuiLDER: IRENE TRUST JOB NAME: LOT 3A (484) CEDAR STREET P DATE REVISION DRAWN BY 24X36 COL. W 2 CAR GARAGE FRummrnMA",Oz% WEST BARNSTABLE MASS. � os-2o-s� # JB ,o� 1 24X24 24X24 W/G 8HMGLEB El 12 8 � uXu-2 uX24 10/G SHINCs LEB NUNS RAKE BRDS. 4 RIGHT ELEVATION Q 9'XI'BR08C0 TRANSOM 9'XI'BR08CO TRANSOM Fn— E 98 Jim 9'X7 95C1' k !p i! LEFT ELEVATION SCALE 5/16" = 1'—O" uB ILDER: IRENE TRUST JOB NAME: LOT 3A (484) CEDAR STREET 51 N' � REVISION DRAWN BY 24X36 COL. W f 2 CAR GARAGE kO TNFALMOUIH MA88.O*% WEST BARNSTABLE MASS. -20-97 # JB cso• — I I h , 4'js' S'-414• 14'-9jIOX12 EXT, i ----- b4X12WMPLY I L5 1 1 I I _ _ :p DOOR HEADER. � �-�-- � � �-- � -X- ---- I 4 o i 5/0 FIRE CODE SHEETROCK I 1 ON THIS WALL i CELING , ' BREAKFAST Q ' '---------- KITCHEN . \/ 1 1 — I , 4'CONC.SLAB I ----------------- 4 4 :p NALL - m 3'ia' `^ b'b' 4PCS.1-3/4X°J-I/1 LYL BEAMS _________ -------i ABOVE FLUSH W/CEILII*- a e v , vmvvvva.v...v.ev..s....ave .. � I n 2 CAR GARAGE 1 1 14'-0' 3'-1041' I � I ��JCEtLR1G L 4 DINING ROOM - ;; LIVING ROOM ----------------i Qii HALF WALL III 7 FOYER 11 CATHEDRAL 4 6'1• V-0' 10'-0' 6'-0' 4'-0' b'-0' S'-0' S'-O' PORCH STEP FIRST FLOOR PLAN SCALE 5/16" = 1'-0 n BUILDER: IRENE TRUST J05 NAME: LOT 3A (484) CEDAR STREET 1 DATE REV1S1oN DRAWN BY 24X36 COL. W` 2 CAR GARAGE os-2o—s� # THFALMouTHMASs.oas� WEST BARNSTABLE MASS. JB �� I 39'-4' t-4' 1-0' ' 1 ' CLOSET \/ 110 b ' � I , r ; ; BATH BATH 1 BEDROOM #3 9 _ - /'� 7d' 7�' 7d J-7d Q I UNFINISHED ARE ' V-0 t-4' 6'-4' b'-0' B'-4' 10%6V HALF WALL �! Y cE1LM,uNE IL MASTER BEDROO[jr 4 BEDROOM 02 4 - b W.00 lip Y ---------------------------------------------------- r FOYER BELOW , , i4'-0' 4'-0' 4'-0' 4'-0' 4'-0' b'-0' �� 4'-0' 14'C' r ' ---------------------------------------------------------------------- ' ------------------------------------------------------------------------- -' SECOND FLOOR PLAN J� DLos/�'j�Jc SCALE 5/16" = 1'-0° �JJ BUILDER; IRENE TRUST JOB NAME: LOT 3A (484) CEDAR STREET DESIGN: DATE R Ito DRAWN BY 2036 COL. W. 2 CAR GARAGE ao n+F'aLr,ourHnAsa.o�a WEST BARNSTABLE MASS. 06-20-97 # JB � - 22'•e' r ------------ 1 I 1 1 1 1 • -----------------------------------------1 1 I I '• I I �__1 .. 1 1 .. �---- ------- ------------------------------------------------------- 1 1 I _ ----------------—————————————————————————————————— ------------ -----1 .• , ' � O 1 FULL BASEMENT , i1 i •� i � , I , I Q ' Q 2 CAR GARAGE —J--------- ' —1---------Ss— =1---=F— —�---------- —1------ --- - --- - - aaaa����-�aamaP I I mevsvna's a3an'oavn-vvga sGi---------- '-'-- � � •' � r.a• � _I �• i �3 YXIY GIRDER •• 1 � I 30'k30°X2'7H1C.GONG.FTG.FOR I I - i 34/2 RD.CONC.FUMLALLYCOL '' ---- I 1 i i i .. i O � •� i 1 I I v I 4'CONC.SLAB I ' , .• L--------------------------------------------------1 1 I 1 1 .. ----- --------------------------------------� ---1 , �• I cc% -------------------- I I 1 n i 1 Q r B'DIA.CONC.FILLED SONG TUBE ON 24'XZ4'X2'FTG. OR EQUAL , F 7-0' 8'-0° 2' V-0■ 36'-0• 58 FOUNDATICE TLAN SCALE 5 16" = 1'-O» BUILDER: IRENE TRUST JOB NAME: LOT 3A (484) CEDAR STREET Dig oarE REYIgION DRAWN BY WEST BARNSTABLE MASS. 24X36 COL. W, 2 CAR GARAGE 06-20_97 # J8 (5W)�03"'� x; I RIDGE VENT 2XIO RIDGE t DO RAF?ERS 9 16'OG. V%OSB SHEATHING 50 ASPI4ALT PAPER ASPHALT SHINGLES I 12 s 2X4 COLLAR TIES 2X8 C.J.9 16 O C. R30 INSUL DO STRAPPING 112 DRYWALL V2 DRYWALL 2X4 9*'O.C. ._ RIIINSUL. = VI6 OSB SHEATHING BEDROOM r TrVE-K WRAP OR EQUAL WIC SHINGLES, r DW RAFTERS 9 16 Or— V*08B SHEATHING 3/4 T/G PLYWOOD 60 ASPHALT PAPER GLUED 4 NAILED ASPHALT SHINGLES 2XIO ENG.LUMBER 9 IV O:C. 2-2XIO'S W/ Dt3 STRAPPING V2 PLY.CASED ��YY��1R DRYWALL KITS���-��� Vb.� x 3/4 T/G PLYWOOD r GLUED t NAILED 2X8 P T.9 16 OL. 2XIO ENG.LUMBER 9T3Z'O.C. 2-2(8 P.T. RIS TNSUL 6'X6'ALUM POST SUPPOR 3-2X12 GIRDER l i 3-in'CONC.FiLLm COL Rd� FNT 4'CONC.SLAB MAIN CROSS SECTION SCALE 5 16" = 1'-0" `10 ')esgll,5 PWRILD : IRENE TRUST JOB NAME: LOT 3A (484) CEDAR STREET SI N' DATE REVISION DRAWN BY to flox MAC o� WEST BARNSTABLE MASS. 24X36 COL. W/2 CAR GARAGE 06-20-97 # JB � - ASPHALT SHINGLES i 150 ASPHALT PAPER l/lb OSB SHEATHING l — — 1 W/C SHINGLES TYVEK OR EQUAL 1/Ib OSB SHEATHING VENTED DRIP EDGE 5" ALUM.GUTTER r 1X8 FACIA 1X8 SOFFIT W/C SHINGLES STARTER M/2 BED MLD.ON IXS FREIZE COARSE 2Xb P.T.SILL. 0 M- -b SILL SEALER 5/8X8" ANCHOR BOLTS 0 � SCALE WT. SCALE IFT, 8" CONCRETE WALL DAMP-PROOFING CSA APPROVED. 2" X 4" KEY 4" POURED CONC.SLAB i S" X Ib" CONc.FtG. D FOOTING DETAILS CONCRETE UJAL.L F j� SCALE = l'-0° BUILDER: IRENE TRUST Jo B NAME: LOT 3A (484) CEDAR STREET 0E'SIGN DATE REVISION DRAWN BY Kc TMFaLnour►�nnea.oas�c WEST BARNSTABLE MASS. 24X36 COL. W}/2 AR GARAGE 16_20_97 # JIB c � - TOWN OF BARNSTABLE CERTIFICATW OF OCCUPANCY , PARCEL ID. 109�N018 GEOBASE ID 5310 ADDRESS 1;84 `CEDAR STREET PHONE W BARNSTABLE ZIP — LOT 3A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT'WB PERMIT 31162 DESCRIPTION SINGLE FAMILY DWELLING (.PMT:#24833) PERMIT TYPE BCOO.� TITLE CERTIFICATE' OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: IME `j BOND $.00 CONSTRUCTION. COSTS $.00 756 CERTIFICATE OF OCCUPANCY, * NSTABLE. 16� E�MA'S ' BUILDINACIDIVIS BYAw too- DATE ISSUED 05/26/1998 EXPIRATION DATE TOWN OF B� ARNSTABLE � ' BUILDING .PERMIT PARCEL ID 109 018 GEOBASE IDa '5310 "ADDRESS 484 CEDAR STREET. PHONE W BARNSTABLE ZIP' - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PIRMIT 24833 DESCRIPTION 2STORY' COLONIAL/2CAR ATTACHED(SEW097-397) P RMIT TYPE BUILD TITLE, NEW RESIDENTIAL BLDG PMT CONTRACTORS: PRI ESTY, DONALD H. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEESz, $333. 16 j BOND $.00 O�TMIE � r CONSTRUCTION .COSTS ; $107,470..00 101 SINGLE FA.M HOME DETACHED I. PRIVATE P ? ; * BARNS EIM • MASS. g QWNER GARNICK, GERALD S TR 1639. �0 f r^04-"IJ_IEW RLTY TRUSS' EDM1 A ! '- 1X__397 BUILDING DIVISION BY -- ,997 EXPIRATION DATE - I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR- 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. -3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS I VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS u�19- 9� 18Roc� - 9-i9- 9 7 1 BLiP It 30-9.7 � I 00 �✓ wt G . BEs�,e - Io - �--9 7 I I 2 9-i�-9ry 2 .�5 /( - 13 -97 ® 2)k or-a b - �-zz-9 . I 3 1 HEATING INSPEC ON APPROVALS ENGINEERING DEPARTMENT i 2 ` BOARD Of HEAL TH I 3 C. OTHER: R R At LA SITE PREVIEW APPROVAL - Uc va WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � I I I ! ' I ' I .. I. I I I I I I • I I � . I I I I I � I I � I I I I� I I I I 1 I 1 9 ti S es•40•qJ pE �o `_ R S.CO c 1 a � � CP • t Cd7 ' Z . 00 of p�•°°in LOT 3A ��• 35, OBO SF. m i 322.58 S B2*20'51 ON I PLOT PLAN OF LAND "TO THE BEST OF MY KNOWLEDGE, THE BUILDING LOCA TED IN SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND BARNS TABLE - MASS. THAT IT CONFORMS TO -THE TOWN OF BARNST3 G REGULATIONS, REGARDING YARD SETBACKS" `' a '�'d PREPARED FQR IRENE REAL T Y TRUST DA E.• SEPT. 22, 1997 CI'AHi KI DATE:SEPT.22. 1997 SCALE. 1'-40 FT. \ R.L. S. ;! FLOOD ZONE C (NON—HAZARD) �fI iSTEjt�`§ CAPE 6 ISLANDS ENGINEERING D-61 3AC RL LaNO MASHPEE — MASS. V( Town of Barnstable Regulatory Services �FtNE'T .o Thomas F.Geller,Director j � snarrsri►ste. wilding Division -- - v Mn . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: �?s Qe Permit#: 7, HOME OCCUPATION REGISTRATION Date: 2 c� q Name: Amu 11 I)d X Phone#:_5ca J 7�- I a 1 o Address �� �I � -P ' v`1 e�� Village: ►/ ��n Zi6 le_ Name of Business: 5-C Y�\ Ty pe of Business: C `,1 l(A COS] Q_ Map/Lot: /)9 �l INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building'Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. s The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. - • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There is no commercial vehicles related to the Customary Home Occupation,other than one van or ore pick-up trick not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home'occupation I am registering. Applicant: Date: o2 Homeoc.doc Rev.5/30/03 i ,30 -� YOU WISH TO OPEN A BUSINESS? I For Your Information: Business certificates (cost$30.00 for 4-years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not.give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1s` FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: W EM EN in Fill in please: f & APPLICANT'S YOUR NAME: YY1u Kim BUSINESS YOUR HQE4E AD RES :qE o- 526 315-'V90 m s, " PM TELEPHONE # Home Telephone Number Fs - C� NAME OF NEW BUSINESS Svn S TYPE OF BUSINESS h i IS THIS A HOME OCCUPATION? YES NO... Have you been giv f ion NO ADDRESS OF BUSINESS 4BqCC� e lsod &,rnS i�e r'nA ZP�MAP/PARCEL NUMBER /D 5 . /9 When starting a new business'there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist-you-in obtaining the-information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate yburbifsiness in this town. 1. BUILDING ',OM NER'S OFFICE �. This individ a*hen-hf d of any permit requirements that pertain to this type of business. rize Sig ature* COM ENTS: — 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS ICENSING AUTHORIT This individual ha b: i for , f the lic in6r ements that pertain to this type of business. ' �.(C. -� thor¢ed S' pature ** / COMMENTS: rl � 1 A'Ckt 1I >_ ., Regulatory Services Thomas F. Geiler,Director Building Division it � R�RNc1'1^.Y F Tom Perry,Building Commissioner ° t k 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m&us Office: 508-862-4038 Fax: 508-790-6230 Approved: t Fee: Permit#: HOME OCCUPATION REGISTRATION Date: U QC /16 Name �fle'lG �J/ ( 'f/ Phone Address: `f I J Village: (/� - �I��/}j� � Q,- � �Y Name of Business: Ck Type of Business VOu) Map/Lot: — IIVZ ENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation gathin single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance;provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary p p right su c? dingmiry home occupation shall be ermined as of �e�ct to the ev � folloRang conditions: 2 p • The activity is carried.on by the permanent resident of a single family residential dwelling unit ed within O that dwelling unit. CD _ • Such use occupies no more than 400 square feet of space. •� • There are no external alterations to the dwelling-vvluch are not customary in residential buildings,and there:is ,ZE no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other partic ilar matter.= M odors,electrical disturbance,heat,glare,hunudity'or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of. normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. . • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles.related to the Customary Home Occupation,'odner than one van or one pick-up truck not to exceed one ton capacity,and one'trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. • If the Customary-Home Occupation is listed or advertised as a business, the street address shall not be included. • No person shall be employed in the Custo Heme-Occupation ivho is not a permanent resident of the dwelling unit. I, the undersigned,have and ve strictions for my home occupation I am registering. . Applicant: Date: Homeoc.doc Rm%0113/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st. FI., 367 Main St., Hyannis, MA 0260; (Town Hall) and get the Business Certificate that is required by law. i DATE/Q Fill ir}p a$e: APPLICANT'S YOUR NAME/S: BUSINE S YOUR HOME ADDRESS uy : . (( TELEPHONE # Home Telephone Number NAME OF CORPORATION NAME OF NEW BUSLNESS ' a TYPE OF BUSINESS 1S THIS A HOME OCCUPATION? E , NO: * x /�/t Odd ADDRESS-OF BUSINESS ; MAP/ ARCEL NUMBER .. — (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFF .E This individ al h' s en i e o�hert re uirements that pertain to this type of business. CYO. Au.harmed n ter MUST COMPLY WITH HOME OCCUPATION OMMENT ' ��� RULES 2. BOARD OF HEALTH This individual Tbeen.-V a d of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSIW AUTHORITY) This individual has flen inf icensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Town of Barnstable Old King's Highway Historic District Committee • BAA7:3U LL • .. - - - -200 Main Street, Hyannis-, Massachusetts 02601 — - —� (508) 862-4787 Fax (508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below.and on plans,drawings,or photographs accompanying this application: Date Address of Proposed work, Assessor's Map and lot# 109 0` House# W Street _ Ce jAr- A-ee 1 Village: W/4 IRQ inn S+(�bLe This application is for an exemption of the proposed construction on the grounds that work: ❑ Will not be visible from anyway or public place IJ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: ;�lA�l h d U D 2 3(o 2+ !�l C�Ce 4nC e, fDr nI area, wyl o w�;� Y n eel h[G1,OI YIe t!pl'e55U17'-TY �Crl�l tt7e��C(n l l�n -�PYIc Jt . 4V IY- 0�_,;hk . LOVizbz r cis ec Q,Ire i h k�'i l b2, a i x ' J Agent or contractor(please print): Tel.no. Address Owner(please print): "Re-M1j -,T S,\V�ck. 16w U k( o X Tel no. 501 7 y N7 y Owners mailing address: Signed,Owner/Contractor/Agent 14f>lim For Committee Use Only This Certificate is hereby .. rO)V enied Date: 1O 1 -371p Committee Members Signatures: APV�E . pCT 13 2014 �• Town of Barnstable- PP Committee Any conditions of approval: C:[Documents and Settings[decollik4cal Settings Temporary Internet Files IOLK110KHExemption Form 07.doc f � f i i Ifn7.,f PP OCT 13 2010 Town of Barnstat� Old King's Highway Committee `i Llu T O �L N N 15 �' s Bg•21 , mNE A05 0 00 R C) 22 00 10. .B m O „ ooZx 8733 l �y o 1 � \ S1 \ 24.00 S`i COY 2,ST. u� LOT 3A w -- ------ _- _-__ 35, OBO SF. w N T- 20 w EN _ 322.5B S B2•20 '51 "'y �"TO. THE��BES T OF M Y KNOh�L EDGE, THE BUILDING PLOT PLAN OF L A ND C, LAN IS AS IT ACTUALLY EXISTS AND LOCH TED IN �. H'`�T�i VOWCUMS TO THE TOTOWN TB BARNS T BA RNS TA BL E - MA SS. R,EGULA TIONS, REGARDING. YARD SETBACKS" ` t.�0�(�NG P �•- __ �� PREPA RED FOR =ACE. SEPT. 22. 1997CPAV IRENE ►�- ._ _ _ . R. L . s. f s;�ia,c:k;; PE A Y TRUS T mJB� DA TE.'SEF'T.22�.1-997���FL OOD ZONE C �0-40 FT. (NON-HAZARD) �� IS 1[� ` ' "t D-61 3AC \�` r,�_. _ r' CAPE .6 ISLANDS ENGINEERING MA SHPEE - MASS. Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Thursday, January 20, 2011 2:30 PM To: 'Commissioners.Office@massmail.state.ma.us' Subject: Large Family Daycare Good Afternoon, I have been attempting to arrange an inspection at a licensed large family daycare located at 484 Cedar Street, West Barnstable under the name of Knox. I have received a complaint regarding this property from a neighbor involving traffic, noise and failure to obtain historic approval of the outdoor equipment (playground and fencing). When I arrived at the subject location, it was apparent that the garage has been converted to living space in order to accommodate the child care use. This work has been done without the benefit of building, plumbing and electrical permits or the corresponding required inspections as dictated by the Mass.State Building code. I have notified Ms Knox in writing as well as Nancy J. Stillson of CC Child Development regarding our concern with the failure to properly execute the work and insure that all safety provisions have been provided per the applicable codes. Ms Knox was not cooperative and imposed unreasonable time restrictions when discussing a convenient time for inspection. She expected staff to arrive before 7AM or after 5:30 PM in order to inspect the premises. Because the information we have regarding the ages and number of children, toddlers, infants and staff members is very limited, we are reaching out to you for assistance with this matter. Please advise or direct me accordingly. Thank you. gZp6in Anderson Robin C. Anderson Zoning Enforcement Officer 'awn of Barnstable 200 Main Street Hyannis, NA 026oi 5o8-862-4027 1/20/2011 UNITED STATES POSTAL SERVICE First-Clasat Postage`�FA .Paid *'Sender: Please print your name, address,and ZIP+4 in this bc� • i " TOWN OF BARNSTABLB .!I 13UILDING DIVISION 200 MAIN 8T. �.v ANN��,MA 02�ot •: :-. Q� i 1 y EEtt j�`� j.`} Fig ii.ii(( ( }} jj i,IIitIItill{1ltltlllttti1II111i11tt11'llllt11111lIEI€ItIlil•1ll COMPLETE •N COMPLETE THIS SECTION ON DELIVERY ■ Complete Items 1,2,and 3.Also complete A Signature Item 4 If Restricted Delivery Is desired. ❑Agent ' ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. ved b (Pri C. Date of Delivery ■ Attach this card to the back of the mail piece, or on the frgnt if space permits. D.Is delive dress different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No LiC8�H ,w. w. a/�.f✓►S�ab�2 i 0 1 01 1p• t � 3. Se rn^ � Tpe LErCertfledM ail C] i/Mail ❑Registered �etum Rcel pt for Merchandise v ❑Insured Mall ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number }0'002 (Transfer from service labeq r r 7008 3230 ,5178 2015 PS Form 38111 Febniar 2004 i i i i 1+ Domestic Return Receipt 102595-02-M-1540 i Ln �. • S. o . rl Postage $ Ln fU Certified Fee ��Jv tl�, O Return Receipt Fee Postmark M (Endorsement Required) �F A Here O Restricted Delivery Fee r 9 N O (Endorsement Required) ( ? C) m O O RI Total Postage&Fees. $ t n Sent;_ 0 Apt N. O Box No. .�2j), ---------...........................................:................ State,Z/F44 �JH-�ns�a�ol� ✓►�l� o aco�L Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery. ■ If a postmark on the Certified Mail receipt is desired,please present the a cle at the post office for postmarking. If a postmark on the Certified receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an i PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 FTHE Town of Barnstable o Regulatory Services t Thomas F. Geiler,Director = ELAMS ABLE. y� MASS. Building Division 1639. iD�E 1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508=790-6230 December 28, 2010 Ms Amy Knox 484 Cedar Street W Barnstable, MA 02668 .Re: Family Daycare Dear Ms Knox, Please make immediate arrangements for an inspection of the daycare area currently occupying the former garage attached to your home. As this work occurred without the benefit of permits, it is.imperative that an inspector examine the layout and determine it to be in accordance with the Massachusetts State Building Code. You should also be prepared to retroactively obtain all necessary permits in order to legitimize this conversion. The courtesy of a response is required by Jan. 11, 2011. Staff is available at 508-862- 4038 to schedule the aforementioned inspection at a mutually convenient date. Your cooperation is anticipated and we look forward to working with you in order to rectify the situation to the satisfaction of all. Sincerely, Tom Perry. Building Commissioner cc:Nancy J.Stillson,CC Child Development,83 Pearl St,Hyannis,Ma 02601 FPO Capt.David Paananen,WB Fire,2160 Meetinghouse Way,02668 - JA484 Cedar St Knox daycare letter.DOC - tl7 Lf7 u7 O ® Q O ru ru fl.l MITIVITIVI � � I CO CO ,I L U , [l- P- ® rI rI Postage $ ul Lrl i Lrl ru _ o fU ru Certified Fee Q _= O O Return Receipt Fee Postmark O O '(Endorsement Required) Here l O O ;O Restricted Delivery Fee O* O 'O (Endorsement Required) m - m m f U f U RJ Total Postage&Fees, m m m CO CO Sent To O O O O O O Street, r. r. M1 or PO Box No. '' City,State,ZlP+4 :rr rr. 00 _ CO CD N O N � r N C � � ` CU CU 00 f. r M (0 - tn O r v% ' C Cape Cod TOIL"!'J O- FA7'7 STAOLE Child Development F 1 2: 4 83 Pearl Street Hyannis,MA 02601-3937 Tel: (508) 775-6240 (800) 974-8860 � Fax: (508) 790-4298 www.cccdp.org Tom Perry Building Commissioner 200 Main St. Hyannis, MA 02601 Dec. 15, 2010 Dear Commissioner Perry, Amy Knox, 484 Cedar St., W. Barnstable is a licensed Family Child Care Provider contracting with our FCC System. She received a letter from your'office saying that daycare use of 6 or more children does not fall under the home daycare.exemption. I am enclosing a copy of Chapter 40A section 3 effective Aug. 1, 2010 and chapter 15D section 1A. I believe that these documents indicate that her daycare does fall under this exemption. I have underlined the applicable parts. I hope this helps inform your decision in this matter. Sincerely, Nancy J. Stillson FCC Coordinator Caring for Children and Families in Our Community -.-. —Prin PART I ADMINISTRATION OF THE GOVERNMENT (Chapters 1 through 182) TITLE VII CITIES, TOWNS AND DISTRICTS CHAPTER 4OA ZONING Section 3 Subjects which zoning may not regulate; exemptions; public hearings; temporary manufactured home residences! [First paragraph effective until August 1, 2010. For text effective August 1, 2010, see below.] Section 3. No zoning ordinance or by-law shall regulate or restrict the use of materials, or methods of construction of structures regulated by the state building code, nor shall any such ordinance or by-law prohibit, unreasonably regulate, or require a special permit for the use of land for the primary purpose of commercial agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture, nor prohibit, unreasonably regulate or require a special permit for the use, expansion, reconstruction or construction of structures thereon for the primar purpose of commercial agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture, including those facilities for the sale of produce, wine and dairy products, provided that either during the months of June, July, August and September of each year or during the harvest season of the primary crop raised on land of the owner or lessee, 25 per cent of such products for sale, based on either gross sales dollars or volume, have been produced by the owner or lessee of the land on which the facility is located, or at least 25 per cent of such products for sale, based on either gross annual sales or annual volume, have been produced by the owner or lessee of the land on which the facility is located and at least an additional 50 per cent of such products for sale, based upon either gross annual sales or annual volume, have been produced in Massachusetts on land other than that on which the facility is located, used for the primary purpose of commercial agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture, whether by the owner or lessee of the land on which the facility is located or by another, except that all such activities may be limited to parcels of 5 acres or more in area not zoned for agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture. For such purposes, land divided by a public or private way or a waterway shall be construed as 1 parcel. No zoning ordinance or by-law shall exempt land or structures from flood plain or wetlands regulations established pursuant to the General Laws. For the purposes of this section, the term "agriculture" shall be as defined in section 1A of chapter 128, and the term horticulture shall include the growing and keeping of nursery stock and the sale thereof. Said nursery stock shall be considered to be produced by the owner or lessee of the land if it is nourished, maintained and managed while on the premises. [First paragraph as amended by 2010, 240, Sec. 79 effective August 1, 2010. See 2010, 240, Sec. 206. For text effective until August 1, 2010, see above.] No zoning ordinance or by-law shall regulate or restrict the use of materials, or methods of construction of structures regulated by the state building code, nor shall any such ordinance or by-law prohibit, unreasonably regulate, or require a special permit for the use of land for the primary purpose of commercial agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture, nor prohibit, unreasonably regulate or require a special permit for the use, expansion, reconstruction or construction of structures thereon for the primar purpose of commercial agriculture,aquaculture, silviculture, horticulture, floriculture or viticulture, including those facilities for the sale of produce, wine and dairy products, provided that either during the months of June,July, August and September of each year or during the harvest season of the primary crop raised on land of the owner or lessee, 25 per cent of such products for sale, based on either gross sales dollars or volume, have been produced by the owner or lessee of the land on which the facility is located, or at least 25 per cent of such products for sale, based on either gross annual sales or annual volume, have been produced by the owner or lessee of the land on which the facility is located and at least an additional 50 per cent of such products for sale, based upon either gross annual sales or annual volume, have been produced in Massachusetts on land other than that on which the facility is located, used for the primary purpose of commercial agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture, whether by the owner or lessee of the land on which the facility is located or by another, except that all such activities may be limited to parcels of 5 acres or more or to parcels 2 acres or more if the sale of products produced from the agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture use on the parcel annually generates at least $1,000 per acre based on gross sales dollars in area not zoned for agriculture, aquaculture, silviculture, horticulture, floriculture or viticulture. For such purposes, land divided by a public or private way or a waterway shall be construed as 1 parcel. No zoning ordinance or by-law shall exempt land or structures from flood plain or wetlands regulations established pursuant to the General Laws. For the purposes of this section, the term "agriculture" shall be as defined in section 1A of chapter 128, and the term horticulture shall include the growing and keeping of nursery stock and the sale thereof. Said nursery stock shall be considered to be produced by the owner or Jesse( of the land if it is nourished, maintained and managed while on the premises. No zoning ordinance or by-law shall regulate or restrict the interior area of a single family residential building nor shall any such ordinance or by-law prohibit, regulate or restrict the use of land or structures for religious purposes or for educational purposes on land owned or leased by the commonwealth or any of its agencies, subdivisions or bodies politic or by a religious sect or denomination, or by a nonprofit educational corporation; provided, however, that such land or structures may be subject to reasonable regulations concerning the bulk and height of structures and determining yard sizes, lot area, setbacks, open space, parking and building coverage requirements. Lands or i structures used, or to be used by a public service corporation may be exempted in particular respects from the operation of a zoning ordinance or by-law if, upon petition of the corporation, the department of telecommunications and cable or the department of public utilities shall, after notice given pursuant to section eleven and public hearing in the town or city, determine the exemptions required and find that the present or proposed use of the land or structure is reasonably necessary for the convenience or welfare of the public; provided however, that if lands or structures used or to be used by a public service corporation are located in more than one municipality such lands or structures may be exempted in particular respects from the operation of any zoning ordinance or by-law if, upon petition of the corporation, the department of telecommunications and cable or the department of public utilities shall after notice to all affected communities and public hearing in one of said municipalities, determine the exemptions required and find that the present or proposed use of the land or structure is reasonably necessary for the convenience or welfare of the public. For the purpose of this section, the petition of E public service corporation relating to siting of a communications or cable television facility shall be filed with the department of telecommunications and cable. All other petitions shall be filed with the department of public utilities. No zoning ordinance or bylaw in any city or town shall prohibit, or require a special permit for, the use of land or structures, or the expansion of existing structures, for the primary, accessory or incidental purpose of operating a child care facility; provided, however, that such land or structures may be subject to reasonable regulations concerning the bulk and height of structures and determining yard sizes, lot area, setbacks, open space, parking and building coverage requirements. As used in this paragraph, the term "child care facility" shall mean a child care center or a school-aged child care program, as defined in section 1A of chapter 15D. Notwithstanding any general or special law to the contrary, local land use and health and safety laws, regulations, practices, ordinances, by-laws and decisions of a city or town shall not discriminate against a disabled person. Imposition of health and safety laws or land-use requirements on congregate living arrangements among non-related persons with disabilities that are not imposed on families and groups of similar size or other unrelated persons shall constitute discrimination. The provisions of this paragraph shall apply to every city or town, including, but not limited to the city of Boston and the city of Cambridge. Family child care home and large family child care homes as defined in section lA of chapter 15D, shall be an allowable use unless a city of -------------- town prohibits or specifically regulates such use in its zoning ordinances or by-laws. No provision of a zoning ordinance or by-law shall be valid which sets apart districts by any boundary line which may be changed without adoption of an amendment to the zoning ordinance or by-law. No zoning ordinance or by-law shall prohibit the owner and occupier of a residence which has been destroyed by fire or other natural holocaust from placing a manufactured home on the site of such residence and residing in such home for a period not to exceed twelve months while the residence is being rebuilt. Any such manufactured home shall be subject to the provisions of the state sanitary code. No dimensional lot requirement of a zoning ordinance or by-law, including but not limited to, set back, front yard, side yard, rear yard and open space shall apply to handicapped access ramps on private property used solely for the purpose of facilitating ingress or egress of a physically handicapped person, as defined in section thirteen A of chapter twenty-two. No zoning ordinance or by-law shall prohibit or unreasonably regulate the installation of solar energy systems or the building of structures that facilitate the collection of solar energy, except where necessary to protect the public health, safety or welfare. No zoning ordinance or by-law shall prohibit the construction or use of an antenna structure by a federally licensed amateur radio operator Zoning ordinances and by-laws may reasonably regulate the location and height of such antenna structures for the purposes of health, safety, or aesthetics; provided, however, that such ordinances and by-laws reasonably allow for sufficient height of such antenna structures so as to effectively accommodate amateur radio communications by federally licensed amateur radio operators and constitute the minimum practicable regulation necessary to accomplish the legitimate purposes of the city or town enacting such ordinance or by-law. ,- -- r Prin PART I ADMINISTRATION OF THE GOVERNMENT (Chapters 1 through 182) TITLE II EXECUTIVE AND ADMINISTRATIVE OFFICERS OF THE COMMONWEALTH CHAPTER 1SD DEPARTMENT OF EARLY EDUCATION AND CARE Section 1A Definitions Section IA. As used in this chapter, the following words shall, unless the context requires otherwise, have the following meanings:— "Adoption", the establishment of the legal relationship of parent and child pursuant to chapter 210. "Board", the board of early education and care. "Child", any person under the age of 18 or under the age of 22 if that person is a child with special needs. "Child with special needs", a child who, because of temporary or permanent disabilities arising from intellectual, sensory, emotional, physical, or environmental factors, or other specific learning disabilities, is or would be unable to progress effectively in a regular school program. "Child care center", a facility operated on a regular basis whether known as a child nursery, nursery school, kindergarten, child play school, progressive school, child development center, or preschool, or known under any other name, which receives children not of common parentage under 7 years of age, or under 16 years of age if those children have special needs, for nonresidential custody and care during part or all of the day separate from their parents. Child care center shall not include: any part of a public school system; any part of a private, organized educational system, unless the services of that system are primarily limited to kindergarten, nursery or related preschool services; a Sunday school conducted by a religious institution; a facility operated by a religious organization in which children are cared for during short periods of time while persons responsible for the children are attending religious services; a family child care home; an informa cooperative arrangement among neighbors or relatives; or the occasional care of children with or without compensation. "Child of working parents", a child of a 2-parent family in which both parents work either full-time or part-time, or a child of a single-parent family in which the parent works either full-time or part-time. "Commissioner", the commissioner of early education and care. "Curriculum frameworks", curriculum frameworks established under section lE of chapter 69. "Department", the department of early education and care. "Early education and care program", a public or privately sponsored non-residential program, which provides for the care and education of school-aged children when not attending school, or infants, toddlers, or preschool children by someone other than members of the child's. family, and which involves and supports the child's parents or guardians and is appropriate to the development of the child, including: in- home care, homemaker services, family child care homes, group child care homes, large family child care homes, full-day child care centers part-day preschool programs and nursery schools, private kindergartens, mental health consultation and intervention programs, or temporary shelter care programs and programs which offer night care. "Family child care home", a private residence which, on a regular basis, receives for temporary custody and care during part or all of the day, children under 7 years of age, or children under 16 years of age if those children have special needs, and receives for temporary custody and care for a limited number of hours children of school age under regulations adopted by the board. The total number of children under 16 in a family child care home shall not exceed 6, including participating children living in the residence. Family child care home shall not mean a private residence used for an informal cooperative arrangement among neighbors or relatives, or the occasional care of children with or without compensation. "Family child care system", a person who, through contractual arrangement, provides to family child care homes, which have been approvec as members of that system, central administrative functions including, but not limited to: training of operators of family child care homes; technical assistance and consultation to operators of family child care homes; inspection, supervision, monitoring and evaluation of family child care homes; referral of children to available family child care homes; and referral of children to available health and social services. Family child care system shall not mean a placement agency or a child care center. "Family foster care", substitute parental care in a family given in a private residence for up to 6 children under 18 years of age on a regular, 24-hour-a-day, residential basis by anyone other than a relative by blood or marriage, but the care may be provided for more than 6 children, provided that such placement is approved by the commissioner of the department of children and families, in order to place siblings in the same residence. "Group care facility", a facility which provides care and custody for 1 or more children under 18 years of age, on a regular, 24-hour-a-day, residential basis by anyone other than a relative by blood or marriage, notwithstanding that the care may include educational instruction. Private schools shall be considered group care facilities only if the schools provide special services to children with special needs. Group care facility shall not mean family foster care, a hospital, ward or comprehensive center licensed under section 19 of chapter 19, a hospital, ward or comprehensive center operated by the commonwealth or any subdivision thereof, a hospital, institution for unwed mothers, convalescent or nursing home, rest home, or infirmary licensed under chapter 111, or any facility operated under chapter 123. Group care facility shall not be limited to a facility defined as a group residence under the state building code. (f, "Large family child c' ome", a private residence which, on a regular basis, receives for temporary custody and care during part, or all of the day, children under 7 years of age, or children under 16 years of age if such children have special needs, and receives for temporary J custody and care for a limited number of hours children of school age under regulations promulgated by the board, but the number of children under the age of 16 in a large family child care home shall not exceed 10, including participating children living in the residence. A large family child care home shall have at least 1 approved assistant when the total number of children participating in child care exceeds 6. Large family child care home shall not mean a private residence used for an informal cooperative arrangement among neighbors or relatives, or the occasional care of children with or without compensation. ---------------- "Local early education and care council", a locally directed council approved under guidelines adopted by the board and comprised of local representatives from public and non-public schools, community based providers of early education and care programs and services, families being served locally by the department, and other persons with experience in the care and education of young children or in the administration and support of early education and care programs and services. "Massachusetts universal pre-kindergarten program", the program of voluntary, universally accessible early education and care programs and services for preschool-aged children, established in section 13. "Mixed system", any person providing early education and care including, but not limited to, public, private, non-profit and for-profit preschools, child care centers, nursery schools, preschools operating within public and private schools, Head Start programs and independent and system affiliated family child care homes. "Person", an individual, partnership, corporation, association, organization or trust or any department, agency or institution of the federal government or of the commonwealth or any political subdivision thereof. "Placement agency", a department, agency or institution of the commonwealth, or any political subdivision thereof, or any organization incorporated under the laws of the commonwealth, 1 of whose principal purposes is providing custodial care and social services to children, which receives by agreement with a parent or guardian, by contract with a state agency or as a result of referral by a court of competent jurisdiction, any child under 18 years of age for placement in family foster care or a group care facility, except that for the purposes of adoption placement, a"placement agency"shall be a department, agency or institution of the commonwealth, or any political subdivision thereof, or any organization incorporated under chapter 180, 1 of whose principal purposes is providing custodial care and social services to children, which receives by agreement with a parent or guardian, by contract with a state agency or as a result of referral by a court of competent jurisdiction, any child under the age of 18 years of age for placement in adoption. "Preschool-aged", a person between the age of 2 years and 9 months and the age the person becomes eligible for kindergarten in the city of town wherein such person resides. "Public preschool programs", early education and care programs and services provided to preschool-aged children by public school districts organized under chapters 15, 69 and 71. "Regional child care resource and referral agency", a regionally-based organization which provides a range of services to promote access to high-quality early education and care for families and children. "School-aged child care program", a program or facility operated on a regular basis which provides supervised group care for children not of common parentage who are enrolled in kindergarten and are of sufficient age to enter first grade the following year, or an older child who is not more than 14 years of age, or not more than 16 years of age if the child has special needs. Such a program may operate before and after school and may also operate during school vacation and holidays. It shall provide a planned daily program of activities that is attended by children for specifically identified blocks of time during the week, usually over a period of weeks or months. A school-aged child care program shall not include: a program operated,by a public school system; a part of a private, organized educational system, unless the services of that system are primarily limited to a school-aged child care program; a Sunday school or classes for religious instruction conducted by a religious organization where the children are cared for during short periods of time while persons responsible for those children are attending religious services; a family child care home, except as provided under large family child care home; an informal cooperative arrangement among neighbors or relatives; or the occasional care of children with or without compensation. "Services", developmental, preventative, protective, recreational, or rehabilitative services for children including, but not limited to, services to children with special needs, services to assist parents in child nurturing and family living, and information and referral services.These services may be delivered through public or privately funded non-residential programs. "Temporary shelter facility", a facility which operates to receive children under 18 years of age for temporary shelter during the day or night when those children request shelter, or when children are placed there by a placement agency, a law enforcement agency or a court with authority to make such placement. Temporary shelter facility shall not mean family foster care or a group care facility, a police station or a town lockup. I oFe t Town of Barnstable c Regulatory Services Thomas F. Geiler, Director BAIMSTABM v MASS. * Building Division � 039. 'OrEDMp`la,� Tom Perry, Building Commissioner 200 Main'Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 23, 2010 Ms Amy Knox 484 Cedar Street W Barnstable, MA 02668 Re: Family Daycare Dear Ms Knox, Enclosed, please find a copy of your business certificate established in 2006. Be advised that a daycare use consisting of 6 or more children on site does not fall under the home daycare exemption as defined in the Massachusetts State Building Code. Additionally, it is apparent that you have reconfigured, remodeled or otherwise changed the use of an existing space in order to accommodate the current daycare use. Our files indicate that you did not obtain a building permit for this work and as a result none of the required municipal inspections have occurred. I am also compelled to point out that the number of children on site as well as the corresponding ages may trigger additional safety requirements under the building code including fire sprinklers. I, therefore, respectfully request that you contact this office. immediately in order to arrange for a proper inspection. Subsequently, you will be informed of all remedies available to you in order to comply with both the State Building Code and our local zoning code. Your full cooperation is anticipated. Sincerely. Tom Perry Building Commissioner JA484 Cedar St Knox daycare Ietter.DOC P, 1 Communication Result Report ( Dec, 16. 2010 3: 05PM ) 2) Date/Time : Dec. 16. 2010 3: 04PM File Page No. Mode D e s t i n a t ion Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 3470 Memory TX 95087904298 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for .error E. 1) Hang up or l i n e f a i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size Town of Barnstable Regulatory Services TTOmae➢.Geller q'¢br. Building Division Teem..rem,can.amens eemm..meer no Men 5.e Iy.M'MA 0060t . mrw.m.en.turMeMamwve Off'-:5034Q4039 Fie 50-1906230 PLEASE FORWARD THE ATTACHED PAGES)TO: FAxl4D: 5a8--2-7o -/.79F. FROM DATE: Z I/Ip/J40 FAGE(S}:„� (InCLUDINGCOVEFtsi urn I ` �oFTT � Town of Barnstable Regulatory Services BARNSTABL& Thomas F.Geiler,Director MASS. Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLEASE FORWARD THE ATTACHED PAGE(S)TO: ATTN: —n FAX NO: 56 47' d RE: FROM: 6M DATE: PAGE(S): —Q, (INCLUDING COVER SHEET) \ 12 Rev:121901 I s. p� o F2 -�- CL w o � $ ' . a n •c Ot �e N c n a IF Cl C rt a to IWO Citizen Web Request Page 1 of 1 Citizen Request Management - Internal Use Request ID: 32519 Created: 10/26/2010 11:46:46 AM Status: Assigned To Staff Assigned To: Mckechnie, Robert Building Dept Anonymous: No Category: Code/Ordinance- Misc. E.C. Date: 11/9/2010 Created By: Shea, Sally Citations: Building Dept Time Worked: 0 Response Time: 0 -Requestor Details: william arthur 187 KET LEHOLE ROAD West Barnstable Ma 02668 508-776-1946 -Email: Request Location: 484 CEDAR STREET West Barnstable, Ma 02668 Parcel Number: Map: 109 Block: 018 Lot: 000 Request: CALLER REPORTS AN ILLEGAL DAY CARE THERE ARE 7 OR 8 KIDS.THERE IS A NEW ELABORATE FENCE AND THIS HE DOES NOT BELIEVE WENT THROUGH OKH.THERE ARE MORE AND MORE CHILDREN THERE AND HAS BEEN A RECENT CONVERSION OF GARAGE TO LIVING SPACE WITHIN THE YEAR. -Request Work History: -Internal Note History: System entry on 10/26/2010 11:46:46 AM: Related Request 32518 System entry on 10/26/2010 11:46:46 AM: Assigned to Mckechnie, Robert http://issgl2/InternalWRS/WRequestPrint.aspx?ID=32519 10/26/2010 Town of Barnstable Geographic Information System October 26,2010 E ry i -a 0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:109 Parcel:018 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:SILVIA,REILLY J 8 KNOX,AMYL Total Assessed Value:$387400 1"=100'may not meet established map accuracy standards. The parcel lines on this map � E are only graphic representations of Assessor's tax parcels. They are not true property Co-owner: Acreage:0.81 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:484 CEDAR STREET such as building locations. Buffer Aerial Photos Taken April 19,2008 P,rcel Detail Page 1 of 3 VARMT.iUi-C_rI• -� �. y. I r y`r!�'y.•••r"�wMww:r+k�+ ,yi iii� \ c - . . evl e' ead. Logged In As: Parcel Detail Tuesday,October 26 2010 Parcel Lookup Parcel Info er Parcel ID 109-018 I DeveloLot LOT 3A Location 484 CEDAR STREET Pri Frontage 122 Sec Sec Road KETTLEHOLE ROAD Frontage 32 I village WEST BARNSTABLE I Fire District W BARNSTABLE Sewer Acct I Road Index 0260 Interactive r _ Map - < .+ Owner Info owner SILVIA, REILLY J& KNOX,AMY L I Co-owner Streets 484 CEDAR ST Street2 City W BARNSTABLE I State MA zip 02668 Country Land Info Acres 0.81 use Single Fam MDL-01 I zoning RF Nghbd 0106 Topography Level I Road Paved utilities Gas,Well,Septic I Location I Construction Info Building 1 of 1 Year 1997 I Roof Gable/Hip I Ext Clapboard Built Struct Wall Living 1905 I oveRoor AC Asph/F GIs/Cmp I Type None I 8,, a Area Cover Type WD[C+ 7 Bed Style Colonial I wall Drywall I Rooms 3 Bedrooms I a >z4 Int Bath Model Residential I Floor Hardwood I Rooms 2 Full+ 1 H Heat Total GA BA 2 Grade Average Plus I Type Hot Water I Rooms Heat Found- 14 14 Stories 2 Stories ( Fuel Gas I ation I 4 9 4` Gross 4 Area246 Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6181 10/26/2010 Parcel Detail Page 2 of 3 I08/17/2004 Wood Deck 78625 08/05/1997 I New Dwelling 124833 1$1(70470 103/26/1998 00:00:00 I DWELL - Visit History Date Who Purpose 07/26/2006 00:00:00 Paul Talbot Meas/Est 04/07/2005 00:00:00 Martin Flynn Bldg Permit Completed 08/28/2003 00:00:00 Paul Talbot Meas/Est 03/11/2000 00:00:00 Paul Talbot Meas/Listed-Interior Access 03/26/1998 00:00:00 Lloyd Kurtz Sales History Line Sale Date Owner Book/Page Sale Price 1 12/27/2005 SILVIA, REILLY J & KNOX,AMY L 20606/283 $0 2 12/04/2001 SILVIA, REILLY J 14525/303 $299,000 3 11/26/2001 EVANS, MARY E 14482/283 $1 4 11/30/1999 EVANS, MARY E&TOM 12691/137 $1 5 05/27/1998 EVANS, MARY E 11456/052 $204,900 6 08/11/1997 PRIESTLY, DONALD H TR 10893/110 $50,000 7 06/15/1983 1 GARNICK, GERALD S TR 3779/289 1 $10,00011 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $226,400 $6,500 $0 $154,500 $387,400 2 2009 $240,600 $5,000 $0 $174,100 $419,700 3 2008 $246,800 $5,000 $0 $186,500 $438,300 5 2007 $246,100 $5,000 $0 $186,500 $437,600 6 2006 $232,700 $5,000 $0 $203,800 $441,500 7. 2005 $204,800 $5,000 $0 $163,000 $372,800 8 2004 $166,900 $5,000 $0 $138,600 $310,500 9 2003 $154,800 $5,000 $0 $54,300 $214,100 10 2002 $154,800 $5,000 $0 $54,300 $214,100 11 2001 $154,800 $5,600 $0 $54,300 $214,700 12 2000 $124,400 $3,600 $0 $36,300 $164,300 13 1999 $77,000 $3,600 $0 $36,300 $116,900 14 1998 $0 $0 $0 $36,300 $36,300 15 1997 $0 $0 $0 $31,800 $31,800 16 1996 $0 $0 $0 $31,800 $31,800 17 1995 $0 $0 $0 $31,800 $31,800 18 1994 $0 $0 $0 $36,700 $36,700 19 . 1993 $0 $0 $0 $36,700 $36,700 20 1992 $0 $0 $0 $40,800 $40,800 21 1991 $0 $0 $0 $63,500 $63,500 22 1990 $0 $0 $0 $63,500 $63,500 23 1989 $0 $0 $0 $63,500 $63,500 24 1988 $0 $0 $0 $21,000 $21,000 25 1987 $0 $0 $0 $21,000 $21,000 26 1 1986 1 $0 $0 $0 $21,000 1 $21,000 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6181 10/26/2010 i Parcel Detail Page 3 of 3 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6181 10/26/2010 Fun,Nurturing Family Day.Care/Pre-school Page 1 of 1 email this posting to a friend cape cod crai slist> community > childcare please flag with care: f?� miscate orized prohibited spam/overpost best of crai_s" list Fun, Nurturing Family Day Care/Pre-school (West Barnstable) Date: 2010-10-27, 5:24PM EDT Reply to: comm-pjvfm-2029077457Qcrai slist.org [Errors when replying to ads?l Small Scholars anticipates a couple of openings soon as a family is re-locating. Full-time or part-time. We offer breakfast, lunch, afternoon snack as well as milk &juice. The children enjoy: Music Dance Arts/Crafts Learning Time Reading Time Circle Time Even Nature Time Plus much more! We have a reliable staff with enough employees so no worries of closing for sick days, etc. If you would like to come view our facility as well as meet our staff, we would welcome you! We are a licensed daycare and our staff is certified in cpr/first aid. Please either email us or call us at: 508-744-7489 and ask for Amy or Lisa We would love to meet you and your little one(s)! - Location: West Barnstable - it's NOT ok to contact this poster with services or other commercial interests http://capecod.craigslist.org/kid/2029077457.html 11/18/2010 ? 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division BARNSTABLE, y MAss Tom Perry,Building Commissioner �''°iEo �►�� no Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Permit#: HOME OCCUPATION REGISTRATION Date: C,;? Name:. �/��1,1 Sl/V I Gl Phone#: .��t�' 3 a - 9-Address: 'Lk`1 � F=6 6 t2 S l Village: (A-' ��2 P1 S 7—/q e, Name of Business: �Qp�K1211Z;I Type of Business: (/LE1 r 2� t�� apLt: INTENT: It is the.intent of this section to allow the residents.of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space: • There are no extemal alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does pot involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects, a There is no-storage`oruse of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be mei.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • .There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up t3ueli•not to•exeeed•one tomcapacity,and one trailer not to exceed 20 feet in length and not to _ ... _-- ex=.d 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occiipatibn. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit . I,the undersigned,have r. d and agree with the above restrictions for my home occupation I am registering. Applicant' Date: le YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1' FI., 367 Main St.,.Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required.by law. DATE: 7 /" ' O 9 arks H xy Fill in please: ;;; APPLICANT'S YOUR NAME:h , r y ,� C BUSINESS YOUR HOME ADDRESS: . 12 (D TELEPHONE # Ho Telephone Number: NAME OF NEW BUSINESS I TYPE OF BUSINESS. IS THIS A HOME OCCUPATION? ES NO Have you been given approval from t building division? Y S NO ADDRESS OF BUSINESS njakkuyMAP/PARCEL NUMBER YKV When starting a new business there are several things you musto in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist.you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required, to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OF E This individual has been in d of any mit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION onzed Si ture** RULES ANC? REGULA`�ION& FAILURE TO COMMENTS: COMPLY-MAY 012-8LILLkEIISILS- o 2. BOARD OF HEALTH This individual hash- nform f t e permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORI This individual hai2� ngd6u��ents that pertain to this type of business. Authorized Signature** COMMENTS: re TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# C -S Health Division 1 Date Issued l7 Conservation Division �� Application Fee Tax Collector Permit Feed (S?� Treasurer Planning Dept. SEPTIC SYSTEM MUST BE Date Definitive Plan Approved by Planning Board INSTALLED IN COMPLIANCE WITH TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE AND TOWN REGULATIONS Project Street Address g7LI Ce&y- Sk_rec.t_ Village W06k �?)OXNS�rm. c y . \0- Owner 'V Address MM CJAaX S6 eJ Telephone __ 508' :515 '�la�l0 — su, Permit Request A l k Y M Square feet: 1 st floor: existing WO proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay . Project Valuation ' ,006. Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family R Two Family ❑ Multi-Family(#units) Age of Existing Structure tits Historic House: ❑Yes 66 No On Old King's Highway: IdYes Cl No Basement Type: l(Full ❑Crawl ❑Walkout ❑Other rrL Basement Finished Area(sq.ft.) r y0 t4 Sk Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 1 new Number of Bedrooms: existing new Total Room Count(not including baths): existing 'l new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 63/No Fireplaces: Existing l New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _ _ Proposed Use BUILDER INFORMATION Name ' A m Tel a umber 5Dk 3�s"`�2�10 ter :Address Y 4 C ct✓ License# �4r/Is OZ(o Home Improvement Contractor# S. • orker's Compensation# . " ALL CONSTRUCTION DEBRIS SULTING FROM,THIS PROJECT WILL BE TO SIGNATUREdMiL�(" V DATE < FOR°OFFICIAL USE ONLY s PERMIT NO. �. DATE ISSUED `- MAP/PARCEL NO. ADDRESS, VILLAGE OWNER DATE OF INSPECTION: FOUNDATION �° B D Q `.44 3, 0' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL rr, N GAS: ROUGH ' O FINAL'" FINAL BUILDING n!r rTT /�1ra c� fj mOP <:D - � crr. ro0 �= DATE CLOSED OUT N -' 0 cc s d N ASSOCIATION PLAN NO. m i oFt raf, Town of Barnstable Regulatory Services r r IARNSrABLE. " Thomas F.Geiler,Director MAM 9`bplE 039. a``� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: UU Estimated Cost .3� Address of Work: C,eQYf�i'� W �'l��e� ►r 1� OZ( Owner's Name: Q1�1V� T S',\V10.+ Date of Application: Sum, 07.`1. 2`7 I hereby certify that: Registration is not required for the following reason(s): FWork excluded by law ❑Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. • OR 0Y ate Owner's Name Q:forms:homeaffidav Die Commonwealth of Massachusetts _ — Department of Industrial Accidents• 660 Washington Street 'Boston,Mass. 02111 . Workers' Com ensation.Insurance Affidavit-General Businesses aib�rii //////////////%%%/%///////////%/////// ///% %%//%/%//////%%%/////////////////%///%�/�%%/�////%////%%/O/%G/%�/ A. �-�•.b w�. � e.i.iwec• 1 � t si,;�;.a �L►�'�S 1P•'tj�►. stare , + I zip: �Z{Gb0 . phone# —3 I•� 92q0 or site 1 tiozi full address I am.a sole proprietor and have no one Business Type: El Retail❑Restaurant%BaAating'Establishment working in any capacity. ElOffice❑ Sales(mcluding.Real Estate,Autos etc.)" ❑I am an employer with eta to es(full& art timed ❑Other //% //////%//////10///////G%//%//%/ %%% workers' compen �I am an employer providing sation for my employees working on this job. 'y ..S,;,t}•'�.{ •v.t• _ •�•t,:':. �:?ii t.i�'nT. '- sd$re nsurance.co'' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ': ."�,,�•.. ' :r' •};= `°' ii• :V•:•, t�' d.,aj'�' i•Yty;'�.:+h,:v", :•r �+`_-":; com an 'nay �l.r,: �.:: r .].• , , "y .: 1. .tom.Y:a.:y':, :. .r cl -:,: .1, :•?l.,i i^:v{,' r�1 r •%~',y a`` 'r•'1,.:,:: '' •t.• -n., t�M1:;• - .a.,.• J�r' :3%.>;. ?'r�'•�r;•N•. .e' .?;Ss�,;;%,:•,•..' \� -i' rU�11C :#.�' t7�';Y+:,:�Y• �>'::`f�'+.:(� I surance co. 11%%/%%%/11OWN• _ ;•r Ylu .4. 'Ct• ',i.n `M'�^. 'a'i :t.` Ari: •}'"�:: i ,.r,;' ;a....:'i.:r'w!'.:�. :i:� j•.'• address: Cl'• _ ,i.'{ •..r. �'t.•• r.:�.•^•� •t;.>K.�:• ,•x:.' .:'ys•..a: i\.•:.. �;t'�,S'•:�•..t;. 10to ce�cb:'!: y'olic':secure coverage e9 required under Section 25A of MGL 152 ean.lead to the impoon of criminal penalties of a fin�Irt� , andloryears'Impronmentwellas civilpenaltifaofO FV0 ORDERand fine o100.00dayagainstmderstand that copy o IL f this statement may be forwarded to the Office of Inveatigatiom of the DIA for coverage verification. I do hereby c i unde ai s and penalties of perjury that the information provided above is fr e a correct Sig�aature ( Date Print name l 1 V Phone# official use only do not write in this area to be completed by city or town official city or town: permit/iicense# ❑Building Department . _ ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑$ealth Departmeni contact person: phone#; ❑Other (}cursed Sept 2�03) a Information and Instructions. Massachusetts General Laws cha pter�152 section 25,requires all employers to provide workers' compensation for their. employees: As quoted from the 'law", an employee is.defined as every person in the service of another under any contract of hire; express or implied; oral or written. • : r { ' i ` ' . ar'bers , association, corporationr- or other legal entity, or an two or re of An employer is defined as an individual,p hipgY ,. mR 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 work on such dwelling house 6r on the grounds or bl�g appurtenant thereto shall not because of such employment.be deemed to be an employer. :. MGL chapter 152 section 25 also'states that every state or local licensing agency shall withhold the issuance or 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,neither the comm onw,alth nor.any.of its political subdivisions shall enter into any contract for the performance of public work un til acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill in the workers sation affidavit completely,by checking the box that applies to your situation..-Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents-for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding`the"'law"or if you are. required to obtain&:workers.'•compensationpolicy,please call the Department at the number EsteA below. City or Towns . Please be sure that the affidavit is complete and.printed legibly. The Departrrient 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 hich will be used as a reference number. The.affidavits may.be.returned to be sure to 0-in the permit/hcens.e number.w the Departmentbyrnail or FAX.uuless other'ari m angements have been ade. The Office of Investigations would 111e to thank you in advance for you cooperation and should you have any questions, Please do not hesitate to giveus a-call.- 4 . The Department's.address,telephone and fax number: , The Commonwealth Of Massachusetts Department of Industrial Accidents 8111cce of Wesnpfions 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 r > Town of Barnstable o�i� Regulatory Services vsRne Thomas F.Geiler,Director a �.� Building Division jEc �p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: IWO L,pl- JOB LOCATION: 7D number street village Q v eillaage q "HOMEOWNER": Rgill,I �Y I y�'Q. .� 1 /2�� 5-- name J home phone# work phone# CURRENT MAIIING ADDRESS: "�15 ✓ S Q la city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re . ements. S�L- W",M caner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that:."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt • - 1 c N LA • �r z I .. x c r � r FT1 S (� + O (p t8' - o� ¢ At A Ml a2.0 J9S a 3p"F z 4g � o m 'm in 0 \ ZA•°° LOT 3A cr". 35, 080 SF. ww 7` m 322.58 S 82'20 '51 "W PLOT PLAN OF LAND "TO THE BEST OF MY KNOWLEDGE, THE BUILDING LOCA TED IN SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND BARNS TABLE - MASS. THA T IT CONFORMS TO THE TOWN OF BARNST `" OI'VVG PREPARED FOR REGULA TIONS, REGARDING YARD SETBACKS IRENE REAL T Y TRUS T - D�A/�E.' SEPT. 22, -- �'� R. L . S. DATE.' SEPT.22. 1997 SCALE. 1 "-40 FT. FL OOD ZONE C (NON-HAZARD) \\ �Fr►S1 E��f�N j��' CAPE 6 ISLANDS ENGINEERING D-61 3ACRt ia.�o MASHPEE — MASS. f Town of Barnstable Old King's Highway Historic District Summary of Public Hearing S July 28,2004 To all persons deemed interested or affected by the Town of Barnstable's Old King's Highway Historic District Act under Section 9 of Chapter 470,Acts of 1973 as amended. You are hereby notified that a hearing will be held on the following applications for Certificate of Appropriateness and other types of applications or requests, if so named. Continued Business: West Parrish Congregational, 2049 Meetinghouse Way& 15 Cedar Street,W. Barnstable, MA, Map 130 Parcel 017&019 New parking lot with lighting. "**CONTINUED THE CERTIFICATE OFAPPROPR/ATENESS TO AUGUST 11,2004'"'* New Business: Clifton, Russell and Constantino, Stephen,38 George Street, Barnstable, MA, Map 319, Parcel 077 New fencing. *`*APPROVED THE CERTIFICATE OFAPPROPR/ATENESS AS MODIFIED*** Silvia, Reilly,484 Cedar Street,West Barnstable, MA, Map 109, Parcel 018 New deck to replace deck already removed. **"APPROVED THE CERTIFICATE OF APPROPRIATENESS AS SUBMITTED— Rees, Linda,3565 Main Street, Barnstable, MA,.Map 317, Parcel 044 Vinyl replacement windows. ***CONTINUED THE CERTIFICATE OF APPROPRIATENESS TO AUGUST 11,2004*** Lamb,Albert and Nancy,43 Scudder Lane, Barnstable, MA, Map 258, Parcel 012 Alterations to existing dwelling. "'APPROVED THE CERTIFICATE OF APPROPRIATENESS AS STIPULATED FOR THE REAR ELEVATION AND CONTINUED THE CERTIFICATE OF APPROPRIATENESS FOR THE FRONT ELEVATION Circo,James,60 Meadow Lane,West Barnstable, MA, Map 133, Parcel 021 Additions/alterations to existing dwelling. New wall. fa': o ***APPROVED THE CERTIFICATE OFAPPROPR/ATENESS AS SUBMITTED*** Grady, Brian and Cathy, 88 Old Jail Lane, Barnstable, MA, Map 278, Parcel 060 �-- New garage.Amendment to garage originally approved August 4, 1999. rn -- ***APPROVED THE CERTIFICATE OF APPROPRIATENESS AS SUBMITTED*** �:� o Goldstein,Jeff and Bea,269 Old Jail Lane, Barnstable, MA, Map 278, Parcel 054 New screened porch. ***APPROVED THE CERTIFICATE OFAPPROPR/ATENESS AS SUBMITTED*** �.i. r: These hearings will be held in the Community Building, 2377 Meetinghouse Way(Route 149),West Barnstable, MA, at 7:00 PM on Wednesday,July 28,2004. All applications and plans may be reviewed at the Town of Barnstable, Planning Division, Office of Old King's Highway Historic District,Town Offices, 200 Main Street, Hyannis, MA. Barnstable Patriot Jeffrey Wilson, Chairman July 16,2004 rill � r Application to ® Riny'o 9bigbWap Regional Wi.4tDrit Aliotrif ��L��I . D �fl In the Town of Barnstable JUL 0 8 2004 CE5TIFICATE OF APPROPRIATENE S TOWN OF BARNS?AELE HISTORIC PRESERVATIOfU Application is hereby made,with fodr complete sets, for the issuance of a Certificate of Appropriateness under Section. 6 of Chapter 470, Acts and ResoiVes of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: 1 New ❑ Addition ❑ Alteration Indicate type of building: El House El Garage ❑ Commercial 0 Other 2. Exterior Painting: 3. Signs or Billboards: El New SfD [I ExistingSign ❑ Repajnting Existing Sign 4. Structure: El Fence _ _ta'7 Wall El Flagpole Ll Other ex SNO TYPE OR PRINT LEGII!I Y:-M- DATE ADDRESS OF PROPOSED�WORK 'ibLl CedarY'tL ASSESSOR'S MAP NO. 0 -O Ig OWNER R�, .. 1V1•o.. ASSESSOR'S LOT NO. 109" BIZ HOME ADDRESS 4 %�G¢ TELEPHONE NO. 50 ' 515''92g0 FULL NAMES AND ADDRESSES OF"ABUTTING OWNERS, including those of adjacent property owners across any public street orway. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR TELEPHONE NO. ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. t)4& �.��� •Qk�b�i ,k _ Signed 11b ;. wner-Contractor-Agent For Committee Use Only This Certificate is hereby Date Approved/ enied C"ittee s' Signatures: I ECE� E Town of Barnstable J U L 0 8 Old King's Highway Historic District Committee ;;04 TOWN OF BARNSTABLE SPEC SHEET HISTORIC PRESERVATION FOUNDATION SIDING TYPE _ COLOR 1 CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH ' WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS - COLORS GUTTERS COLORS DECKS igxay MATERIALS paA GARAGE DOORS COLORS ' SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT A-Ir4jSPA il/99 r LA N •t� y • r z 1! x c *a:\.- 37 r � pECE E JUL 0 8 2004 TOWN OF BARNSTABLE HISTOR►�FRESERVATION Cli S (� �I � (l . �� � l � ��, � � .. � �� � s �� �� . - ! i , � . . i Western S.U'rety A Subsidiary of CNA Surety Corporation June 10, 1999 Agent Code: 20 00425 Building Inspector Town of Barnstable Town Hall Hyannis, MA 02601 Re: Bond #22197277 - Irene Trust P.O. Box 599 Mashpee, MA 02649 $500 - Street Permit - Town of Barnstable Location of Project: Lot 3A, #484 Cedar Street, West Barnstable We have received a request to cancel or nonrenew this bond. We wish to comply with the principal's request by taking advantage of the cancellation provision pertaining to this bond. You are hereby notified that this bond is cancelled and voided as of July 19, 1999, or the earliest time permitted by applicable law, whichever is later. Thank you for your attention to this matter. J cc: A. A. Dority Company, Inc. Irene Trust • SINCE 1900 - 1-800-331-6053 P.0.Box 5077 FAX 1-605-335-0357 Sioux Falls,South Dakota 57117-5077 hUp://www.westernsurety.com I 9 V see 2t '54"E 00 66 mot.gp u � S 40 , p41 A 5 Q Q A Ml sl 8a ° _ •�9s 9 Sp 4E t Z 0 v kocNv \ �z a � �� o ► a us \ $A °° LOT 3A �. 35, 080 SF. 2(:; �' U.F,njA1,47 6-- 7- m 322.58 S 82,20'51 "W PLOT PLAN OF LAND "TO THE BEST OF MY KNOWLEDGE, THE BUILDING L OCA TED IN SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND BAPNSTABLE — MASS. THA T IT CONFORMS TO THE TOWN OF BARNS T6P'�� CNTNG PREPARED FOR REGULATIONS, REGARDING YARD SETBACKS" ` == ` ?" ;�j J �? = IPENE PEAL T Y TPUS T DA E.• SEPT. 22, 1997 ?' G�'.A `.l S,1h�ic:r;� -;• DATE: SEPT.22. 1997 SCALE. 1 "=40 FT. FLOOD ZONE C (NON—HAZARD) CS "' '� CAPE 6 ISLANDS ENGINEERING QA, D-61 3AC ��i. �O,MI1 MASHPEE — MASS. s �JGS.tii��a Application to d J yrPN)i'HN11lP.NAG� Old Kings Highway Regional Historic District Committee in the Town of Barnstable.for a 199 7 147- CERTI FICATE OF APPROPRIATENESS Application Is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, fJr proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ® New Building ❑ Addition ❑ Alteration Indicate type of building: ® House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). . TYPE OR PRINT LEGIBLY DATE 07/01/97 ADDRESS OF PROPOSED WORK Lot 3A(484) Cedar Street ASSESSORS MAP NO. 109 OWNER Patrick M Princi , Trustee of Trailview Realty TruiSESSORS LOT NO. 18 HOME ADDRESS 310 Barnstable Rd, Hyannis, MA 02601 TEL. NO. ( 508 ) 775-3665 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Please see attached - list . AGENT OR CONTRACTOR Donald H Priestly, Trustee of TEL. NO. ( 508 ) 477-0023 The Irene Trust ADDRESS 13 Steeple St, Suite 202 , P.O. Box 599, Mashpee, MA 02649 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). See attached spec sheet . Signed Owner- ontra or-Agent Space below lineJor,Committeeuse. Donald H. Priestly, Trustee R�-17Date a Certificate is her Date Y kl;: �� �----'.. Y -v, iTABLE Vr y.. Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. 1 ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations.., Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does nbt touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be.erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERALREOUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the.original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under. heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will,not6e accdpted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. T , 1338 Bower 83/4 Pineapple Cream x SW1668 •White SW2123 i aF Town of Barnstable r ' Old King's Highway Historic District Committee SPEC SHEET FOUNDATION CONCRETE FRONT SIDE & REAR SIDING TYPE CLAPBOARD / SHINGLES COLOR PINEAPPLE CREAM SW1668 CHIMNEY TYPE BRICK COLOR RED BRICK ARCHITECTURAL STYLE ROOF MATERIAL ASPHALT SHINGLES COLOR WEATHER WOOD PITCH 8 PITCH 6"x12" WINDOW WOOD MASTER TILT with 8/8 GRILLSSIZE 24 x 24 TRIM COLOR WHITE SW2123 DOORS 3 ' 0" 2—LITE STEEL DOOR COLOR LEAFY BOWER 1338 SHUTTERS VINYL BOX PANEL SHUTTERS COLOR LEAFY BOWER 1338 PON GUTTERS WHITE (ALUMINUM) E ✓i DECK 10 x 12 PRESSUREE TREATED AND/OR MAHOGANY GARAGE .DOORS 9 'X7 ' FLUSH DOORS COLOR PINEAPPLE CREAM SW1668 SIGNS N/A COLORS N/A ' FENCE N/A COLOR N/A NOTES: Fill out completely, including--mossur.ements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plane, when applicable. Site plan should show all structures on the lot to scale. SPECSHT ABUTTING OWNERS FOR MAP. / LOT _ (Note : Mailing address may not . be abutti.hg lot address . ). MAP LOT ABUTTER r3vx .3�l HyRN vi s MAP LOT 0/ -ABUTTER M4NUE L_ -4- oLi vj+ LL D4 COs-TA 501 C�FDw< 6TrLt�-r wE51- 6012Ns7-4-,6 Cr�__ CQ-616 . MAP ,2L� LOT _ ABUTTER aft J b4li p t DF ggjjG- M at)tjP QUf �{EM ccb� sir i,uti5i ►� 5Tl9-13�� MAP 1 LOT ABUTTER' E, A-SlfLLY A-5+E �v0cro 5S CE�►4R ST(L fc.E-t� W Q3 i1 P,N s-f.46,( ei3 ty MAP Ok'7J' LOT.V ABUTTER I�1�"rt}FR�Nt ICJ �E I � N MAP �? ' LOT ABUTTER M,9-5 K�DSO/y uT-01. w E I 20 S}fEEP Me60ovy LA-NIE W. f3p,,o_n► S 7*6Lt b MAP LOT ABUTTER MAP LOT ABUTTER MAP LOT ABUTTER I .�c i� 1�►nt�s�A-� �7��" a�/ i / 2. Z000 f Sow 3s 08'0.$,r C. ILt uCcµ GVAL /NuLe.i1- l peal I poR6 14 The Commonwealth of Massachusetts Depar'trnent of Industrial Accidents .-_: � O111CeoI/mresb9alie�rts 600 Washington Street Boston,Mass. 02111 Workers' Compensation insurance Affidavit me: ►pcalinn• h cit i am a homeowner performing all work ni3ielf. I am a sole proprietor and liave no one working in any capacity ® compensation for my employees working on this job. I 8tti an employer providing workers' an n The' Irene'• Trust;.:nonald H. Priestl ; Trustee a"s9in • 13 Steeple S.tr.eet,• S:u .te•:2:0:2.. P:0•$ox . 599.,•. Hashpee. MA 02649 (508) 47770023 Mutual :Iii•suance' .. one N WC2'=31S-2220g0�017 ce Liberty . I=a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: :Iddrm- �anitaAtn Ia9lrfaIICaC ..; •.,.. ••... ..• tion of to Failure to secure coverage as reciaired l pen id Section asefuormMf o'S OP WORK ORDER and a tine of$100 00 a day aalCaia,t ma T oderst0and flint a nee years'Imprisontacat its well as civil peathe cnpy or this statement may be forwarded to the Ulfie:of IovesdRadnae Of lbe DU for coverage verification. der the p ' d ptrnn! of ury the ir{formarion providrd above it true and correct• I do perehv cerrijy atc Signature 508 ) 477-0023 Print numc Donald H. Priestly Phcncit In official use only do not wnte in dils arts to be compacted by city or town umcial P1BuildinC Departtnenl permllAtecasc tl �1,kentliox Board city or town: �Cdectnea's Office O chtck if Immediate responge is rttlotred �Heslth Department _�Other�_— phone p; " contaetpetsons ,� (IMjMI AM PIA) . I I S M U'I N G OFFICE 181 LIBERTY Workers Compensation and INFORMATION PAGE MUTUAL Employers Liability Policy ACCOUNT NO. SUB ACCT NO. Liberty Mutual Insurance Group/Boston 22 20 90 10002 LIBERTY MUTUAL FIRE INSURANCE COMPANY 16586 POLICY NO. TDJCD SALES OFFICE CODE SALES REPRESENTATIVE CODE N/R 1ST YEAR C2-31S-222090-01798/0WESTWOOD 1101 ASSIGNED 3000 2 93 Item 1. Name of DONALD H . PRIESTLY Insured P O BOX 599 MASHPEE, MA 02649 FEIN 206328861 Address Status INDIVIDUAL Other workplaces not shown above: MASHPEE : 13 STEEPLE STREET, SUITE 202, 02649 Mo. Day Year Mo. Day Year Item 2.Policy Period: From 03 25 97 to 03 25 98 12: 0 1 AM standard time at the address of the insured as stated herein. Item 3.Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 10 0 , 0 0 0 each accident Bodily Injury by Disease $ 5 0 0 , 0 0 0 policy limit Bodily Injury by Disease $ 10 0 ,0 0 0 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE Item 4. Premium—The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rates LINE 110 Estimated Per s100 Estimated Code 'total Annual of Re- Annual Classifications No. Remuneration muneration Premiums SEE EXTENSION OF INFORMATION PAGE MA ASSESSMENT S 17 Minimum Premium $ 5 0 0- (MA) Total Estimated Annual Premium $ 500 Interim adjustment of premium shall be made: ANNUALLY Deposit Premium $ 500 *N*9N00* ARC 45 This policy, including all endorsements issued therewith, is hereby countersigned Authorize Representative Date 01/29/97 THIS PROPOSED RENEWAL POLICY WILL NOT TAKE EFFECT UNLESS THE POLICY PREMIUM IS PAID BY 03/25/97 Loc Cod Term.Oper. BC Audit Basis Periodic Payment Rating Buis Pol.H.G. Home State Dividend RENEWAL OF 1 1/29/97 1 1 1 NR I MA I IWC2-31S-222090-016 GPO 4033 RI WC 00 00 01 A Copyright 1987 National Council on Compensation Insurance � r . �'• � •-- V�// Q" �:::.:���"rye' ..::.,./.,� ,»..__/._..._/./, . . V/tPi T�OmLJ�uYILU�G(.l.NI4 6�✓I�GQb62GKLOEG[O I . ' Restricted To: 00 16479 DEPARTMENT OF PUBLIC SAYSTY CONSTRUCTION SUPERVISOR LICENSE 00 - None Rude il - Expires: 1G - I & 2 Fairly Hoees I ;: AesLicfeio,i "'00 Failure to possess a current edition of the Massachusetts State Buiilding Code - 'F'= DOBALD H PRIESTLY is cause for revocation of this license. PO'BOX 599 KASPER, MA 02649 i r ✓fie -Cammm� o���e HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and StandardsI One Ashburton Place — Room 1301 I Boston ; Massachusetts 021:08 I HOME IMPROVEMENT CONTRACTOR -}---- ------- -------------"------------ � I - Registration 107263 - - Expiration 07/30/98 I OL Type — INDIVIDUAL HOME IMPROVEMENT CONTRACTOR I Registration 107263 Type - INDIVIDUAL DONALD="4H PRIESTLY '. Expiration 07/30/98 PO Box599 ,:-. 13 Steeple St .Suite 202 Mashpee MA 62649 I DONALD H. PRIESTLY I � Box 599, 13 Steeple St.Sui I G���-o� ��shpee MA 02,649 JI ADMINISTRATOR { I QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 24833 PARCEL ID 109 018 PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT DESCRIPTION 2STORY COLONIAL/2CAR ATTACHED (SEW#97-397) MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BCHM 09/11/1997 09/11/1997 09/11/1997 A RSTE BCHM2 BFIN 05/19/1998 A AMAR BFOD 08/22/1997 08/22/1997 08/22/1997 A RSTE BFOD2 BFRM 10/02/1997 10/02/1997 10/02/1997 A RSTE BINSU PRESS ESCAPE TO END DISPLAY .,y p. <5 s' 1 QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25593 PARCEL ID 109 018 PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 13 FIXS MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BPFIN BPROU 09/19/1997 A EJEN BPROUl BPROU2 BPROU3 PRESS ESCAPE TO END DISPLAY QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25594 PARCEL ID 109 018 PERMIT TYPE BGAS GAS PERMIT - NEW METER DESCRIPTION 4 UNITS MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BGASM BGFIN BGROU 11/13/1997 A EJEN BGROUl PRESS ESCAPE TO END DISPLAY QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25898 PARCEL ID 109 018 PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION WIRE NEW HOME MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BEFIN 05/11/1998 A RWES BEREIN BEROU 09/30/1997 SC RWES BESER 10/22/1997 A RWES PRESS ESCAPE TO END DISPLAY I QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 30825 PARCEL ID 125 027 1252 OSTERVILLE-W.BARNS PERMIT TYPE BROOF BUILDING PERMIT ROOFING `7�f/yyl DESCRIPTION STRIP&REROOF EXISTING HOME SEWPT#84-447 CONTRACTOR PERMIT FEE 25 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 750 GROUP TYPE 1 APPLICATION 05/11/1998 EXPIRATION VALUATION 4100 . 00 DATE ISSUED 05/11/1998 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 24833 PARCEL ID 109 018 484 CEDAR STREET PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT DESCRIPTION 2STORY COLONIAL/2CAR ATTACHED (SEW#97-397) CONTRACTOR PERMIT FEE 333 . 16 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 101 GROUP TYPE 1 APPLICATION 08/05/1997 EXPIRATION VALUATION 107470 . 00 DATE ISSUED 08/05/1997 COMPLETED 05/19/1998 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- w . (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT i QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25593 PARCEL ID 109 018 484 CEDAR STREET PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 13 FIXS CONTRACTOR PERMIT FEE 140 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 09/11/1997 EXPIRATION VALUATION 0 . 00 DATE ISSUED 09/11/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT QUERY PERMITS : QUERY END . QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25594 PARCEL ID 109 018 484 CEDAR STREET PERMIT TYPE BGAS GAS PERMIT - NEW METER DESCRIPTION 4 UNITS CONTRACTOR PERMIT FEE 50 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 09/11/199,7 EXPIRATION VALUATION 0 . 00 DATE ISSUED 09/11/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/26/98 PERMIT NUMBER 25898 PARCEL ID 109 018 484 CEDAR STREET PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION WIRE NEW HOME CONTRACTOR PERMIT FEE 60 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 09/25/1997 EXPIRATION VALUATION 0 . 00 DATE ISSUED 09/25/1997 COMPLETED 05/11/1998 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT _ Nc 0-97 01 -.45P P.01 Georgia-Pacific GEORGIA-PACIFIC CORPORATION ATIX NE ENGINEERED LUMBER 2300 WINDY RIDGE PARKWAY TM FLUOR A•1•LAN•i•A, GEORGIA 30339 PHONE: (800)423-2408 FAX: (770)221-8109 FAX COVER (Including Cover Sheet) ;ter::.F -�'--'�---------_�....---....:--'—'-:`'-._.___—r_-r=s��, __=�c.r-^'�'i�::�:•- .''- :.:, ,'�:_i y.. r.•y;6'-ti„ yV:77.`a'•,�l °..v6•"•a1,1!'!YuS' !~i _ C.HRIS STAU}3 �V �r� -:-ter?_:___:=_-r = _ FNGTNFF.RF.n LUMRFR # .a.� ...,.- - ;, ,.... a ,z,'r,•�•,.r-�S�.• .Het. � Gy. :: � . �•n_.i:-•ti�:'tii.T:iwi�+ - _r-ili'-_�—__ _ _ �:.�:.i- __ .•5..'.i _ `'f•ei,"uti'SL� ";�i d a.y�aisi%?Md}'4p��.+t"!1 4'i„dr 4 '.... .x!s w a..¢ ve N ,e ti ,.•1 ,{ . x .,..i,q y4,r+._w,�ya.r P••• a4R ACwf 4 WM a '. �YiM1 l4E. hY t/Y1t1 - - i; .., a r,� •� st R #^-c<a.1�,• y. -.P Lit b.4 t K, :}�, ! �t _ "`' �,.KL+r :a+;v""5-,+r'� X 4.y..; °.'!h; a�t9t3 x�� ,IJwN: /,y /G R.r�,"O `� '6°I' •+i r ./ . . /�,. / /�• /., K7, a ':,} t•"�vr,ta1}� £ .,, 'YfA •6 •''x: `Y'< e-k�7//�.�ii�:iYt3@i� /V_,,.K/y.G ti^�• 1',%` ° •F"•�,`.dtY'IY.y tr '�.ii:K .9•�! , y�, a i,et a. i= � ih. �, '�di r. �,� .;,.- ;, w7r a = � �amiss - _� v f.aS O 4 ♦t x ...� ;Y.":,.a v�'�-�, t.�.. �._.t..��r....-.. ky�.w;�.�f3' 1��1�'' �cJy .t�a•:�S 5 � _1. _. ,..... --.. .,.,_ «.,;'. � .�.., � rx lee.�""'1.er+�:� 'a�°e���' t•a r ~ S.. IF YOU DO NOT RECEIVE ALL TIIF, PAGES,PLEASE.CALL(800)423-2408 ♦ aFi x gay Y�'t? :� .. . .i,. aarLx,.:Jf."i�-5#r�?.Id••?y+.S s1� � «.. ,.Ti, gi Bering Dept. (3rd floor) Map �d Gr Parcel �13 � Permit# House# 4 S q �-� Date Issued'77: —S" J Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation-Office(4th floor)(8:30- 9:30/1:00-2:00) ' 13 Planning Dept.(1st floor/School Admin. Bldg.) ofISE Definitive Plan Aiwoved by Planning Board �/ I)L —j ; 19 S n` EPTM �� � NSA S TOWN OF BARNSTABLFENVIRONME +�onE�AND Building Permit Application TOWN REGULAT11ON Prol treetAddress LOT 3A(484) CEDAR STREET, W. BARNSTABEE, MA Village W. BARNSTABLE Owner THE IRENE TRUST, DONALD PRIESTLY,TTXddress. P.O. BOX 599, MASHPEE, MA 02649 Telephone (5 0 8 ) 4 7 7-0 0 2 3 - Permit Request TO CONSTRUCT A NETI SINGLE FAMILY DWELLING. First Floor 880 square feet Second Floor 882 square feet Construction Type RESIDENTIAL. . .WOOD FRAME, CONCRETE FOUNDATION Estimated Project Cost $ 107,470 Zoning District RESIDENTIAL Flood Plain C Water Protection NO Lot Size 35,080 s.f. Grandfathered ❑Yes M No Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure N/A Historic House ❑Yes %lo On Old King's Highway MYes ❑No Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) N/A l Basement Unfinished Area(sq.ft) 880 s , f Number of Baths: Full: Existing 0 New 2 XkXX Half: Existing 0 New z No. of Bedrooms: Existing 0 New Total Room Count(not including baths): Existing 0 New 7 First Floor Room Count 4 FHW BY: Heat Type and Fuel: W Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes M No Fireplaces: Existing 0 New 1 Existing wood/coal stove ❑Yes gkNo - Garage: ❑Detached(size) N/A Other Detached Structures: ❑Pool(size) N/A ®Attached(size) 22 X 24 ❑Barn(size) N/A ❑None ❑Shed(size) N/A - =Other(size)DECK 10 x 12 ) (PORCH 6 x 36 ) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®No If yes, site plan review# - Current Use RAw T.ANn / VA ANT LANs Proposed Use RESIDENCE Builder Information THE IREENE TRUST Name DONALD H. PRIESTLY, TRUSTEE Telephone Number ( 508) 477-0023 Address P.O. BOX 599 License# 001023 MA S H P E E, MA 02649 Home Improvement Contractor# 10 7 2 6 3 Worker's Compensation#WC 2-31 S-2 2 2 0 9 0-017 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 09/o y/9 7 BUILDING PERMIT DENIED FOyqHE FOLL WING REASON(S) &Ey- _ FOR OFFICIAL USE ONLY Q PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER c �' r � y- DATE-O F INSPECTION: FOUNDATION y (/ FRAME Y. INSULATION ��`�� o.� FIREPLACE ELECTRICAL: ' ROUGH FINAL PLUMBING: j RO-U" FINAL ce GAS: i-d RJ FINAL FINAL.BUILDING 15 y DATE CLOSED OUT` . ' ASSOCIATION PLALMb �; ' � =fq1&-Pacfc Co . Distnbution Division 4 00 w�dwood Parkrva Atlanta,M. wehnei O.E. FASTBeafr@ En i Y. GA.30339-8401 20 Nov 1997 10:07 anf gnee►r Mal s®19961997 Geo ia-Pacific orsti(on 0)Z Ve?slon:Z.0(95/NT) Build: 2.0.0.0 n rma on: Usage Beam(Floor)) Repetitive: Nosc: Max Den: LL=U480 7L.=L1240 Composite Action: No Spacing(in.): 0.0 ---- +V2 +3+4 +5 3.5".425 psi 3.5", 425 psi 1=aa 12- 0" O ;LADS ' =3�, " Alva+Doad Ldln LIw Lau tAF Locatfon• Start End S arne Starts 40 Strut End 16 Ends Additional Info 100% 0 0'cr wall mabatned Apn AIR and : O 0 0 it or Sep s.a-veiling r M�IIn is 0,otherwise•fhom 164 eyed of the specfied r Poidryt» c`f�an . Loo1Y vwdth V the C.Faca 2 Point �'•p 3 fi i OD'T. r �'1 f S2T9 I 100% Z` V allowed+lRft'lba) -M(Rdbs) Addlllonal lt�p�Talion 3 point 0 ..;�, ila1.Ir 4980 10015 1334.0 .0.0 MmtGrouD(+)a21(-�O 5 `y, Point 4 .�'�x point p ,S Y 1" �703 1Q�p7%, i889.0 0.0 �Group(+p21(_po . 946d.0 0.0'D/starrp to aeMard/ ,nressiKW ROm 2852 when 100%rs C 12823.0 0.0 OQroup()�f�:)� o►he►wiss,fiorrr reft end oI the specyfisd r1 Max Rn 3 � „� 5504 Max 100% 5504 3600 O i 1R00% 1904.. 1 W4 DL Rn 36W1904 `; 3800 Wn sry(In.) : 180a p,�l) 42�' 1.55 .leased On bearing stress below) ur�%Iv�; 42S via") value Span x LN1�) r 4644 1'16512 . 0 11- 21"p 1120� 1 Ratio 6504 0 6 0' 21 2r 100% 0 3T 70, 21 10a12 100% 0.64 I.I.Mo(RtftM�In)) 0 i7 0" 21 10412 100% 0.53 TLDefl(In.) 0.44 1 t10' 21 0.30 0.53 U497 0.60 V325 USE. GPLAM ZOE 1.75x 9.SO-4 Plus CORP. G►sdb.0OPla•Plies se/eoted by t/se► NOTES: 2 �fj wit" NfNo»al Des/ Speclllesdanr fbr opPwt at the bNrin line Wbod ConM'ctfen and appllcabla Approvals or Resevch Reports. J.pesfpn"Wd for�,we"y 9 on n��h end of the member.Condnuoua►alas/au 4. reg hnQtr based on PPort rvquired 1 for comp�pn fie, s. TA/s erVnewvd fanrbw �rr►atertal: mmWW c+paclty WWI be WOW lbr camnt rclal pr�dtrCt has been sfTld fa►ruldentlal user A concentn[iM toad eh f� Val drat lined is �.Pw the boildYng coda must be performed 1.Company,d P proms of V2Or ' ly f bm wa$ dries. rrsrrtes �dan�ana�err��t4-de _aflftOni:f0 c� 2Q■ QrMde_�,�el'b R GrO+rP LOird Combdnatlan Ntanbart *1�77N? 1�.p 20 ;m ;m?ar'13ti �'D ��fM 70 * a 0 loft.125%,so ffo.O+Com f f009L 1 f Bsem dits/on sp,�wss oAalnafly f7''lonpt�Co roe a e. ...r� a ^•Land patMn f for LL 0 for DLJ. t7!t'+s ed on the r/oht side so that the des/ g, span sno te Papw 'I of � 4 • I Q 1 � S lA8 dDPNALT Q EHMGLE6 i . . I I III r I I I Q 24X34 24X24 RD.OYER— 24XU 74X242 TFFI I I oo I I � III 21M, I"I u ^C4AXS CORNEERRBRDe. 24)CI4 , I OSDING Mull 1111111111111111!11111111111111111111 p I i ► ii i ��i i p f� ERONT ELEVATION f Lo i 3 C� . q �er✓Q�. �` STre. �� e 1 3 TAB ASPHALT SHINGLES ZIXIL 24XYr 24JQ4 DG/D(4 CORNER BROS. SHMGLES DCABEMENT 24X)6 K4 REAR F1 -%/ATION Z c i 3 0-1s q� C(-- Ju 6- S Tr 12 8� ux" a D0C3/D(8 RAKE BRDB. 4 10/G 6NRIGlFb 9kf BROSCO TRANSOM 9)d BROBGO TRAM50H 9.� 9Xi I FFT Q EVATION � O UX24 72=W uuc sNW.LEe TFFI Fflj xAQ.{7 RICsNT ELEVATION Z-0 -3 ce.. �� �� STreLfi 9'i• 3'-Y 5•-'fit• a'i• 5'-!�S• 41'-3- I X12 C T 6'-0• rx i I ----------------- I:Dca W/W PIT; ; L5 'c[ q DOOR HEADER -- M `-- -'� ----- ' �E :i 41 j S/ , s FlRE LADE SNEETROCK' � ON THIS WALL I CEUNG , KITCHEN BREAKFAST 4 ------------'4'WW-HLAD G ----------------- Nd� j�• m - lPCB.F3LU5W LL!LVL BEAMS NG- - AEOVE FLU9W W/CEZ.ING. � •. .=:::a-000aaaa.=...=.oc::-- , , 2CAR GARAGE i µ'.O• 3'-O�1' µ'QM• 4 , , • ,, '�CERlNG :To:: 'UNE a 9 PINING ROOM Y;: LIVING ROCM g , Q;; HALF UALL F-OY=R 4 CATHEDRAL >r 4 PORCH 4 b'-0• IO'O' 6'-0• !'O' 6-0• 8-0• 8 O' b !O' STEP a•-0• 36-0' FIRST FLOOR PLAN Z cv 1 7 J C ,o-,a - ,c•,n ,a•z I -----------------Il I ,o-A I LL ca 4fl I 9 ' s ; I I I I I A!•t ,11 , I I I ' 4 A,t•t G ' i Q ' ? � 1 4� m ' I- 9 t ' A � � u r Q I ZA��9B 9 I I 7 ' ® 1 I i 9 , I i I 9 \9► !t 9 0 ,, Q I N3NIl -1 Y :-I 5, I 0 , s ; I I . I Y I I I I I I I I �rJ I I I I I I I I I I I I I I I I I I I I I I I I rn L Ce I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I � I I I I I I I I I I I I ,o-A ,P,A ,o-,►t b x ,o-,tt Z� 0 p W W ,o-y ,00-,e ,r,a ,e-,f oc m�o ------------ , 1 1 I 1 - ---------------- I ---------------- --- ------- --------- 1 I III 1 I ' 1 111 '01'„ 1 ' ' 1 III , •, 1 �p 1 1 IT I 1 r III I 111 1 1 � 1 CI 'Oro.91 9 00a -��II tl 1 •' 1 1 111 1 1 , III 1 1 I 1- ; I 1 ' I I I IIf 1 •• 1 1 1 .• ; Q .9p iif -Oro.91 B Ova '• 1 ' I n 111 I to Ix -- ' ,D III Vi• ' ' I a 1 , 1 111 O , • I I • , (� III 9 I 1 •. , 1 IN L--------------- ' •Y 111 ! 1 1 III .VQ 1 1 4L , L -----1 L------------------------------------------- •, I I-----I , I 1 , 1 ----------------------------------------------------^ r-j! '• rl I I ' I .. IIO',Z ,�al•1 1 I , K' 1 1 I , , ' I 1 • , J I , 1 1• 1 I ., 1 ' 1 Q I i , I •' I I .� 1 I I L ------------- ' -----------------------• .� --------------- 1 •o-.n I RIDGE VENT 2XIO RIDGE ' I I DW RAFTERS A 16'OC. V16 065 6NEATNING E#AW9ALT PAPER A6PNALT 814I14GLES 12 6 2X4 COLLAR M25 D(H CJ.6 I6 Or. R30 W6UL _ DO STRAPPING IR DRYWALL V2 DRYWALL 2X4 6 IL'OL. R 8 Ik81II... VK 058 SHEATNWG BEDROOM Meru mEK WRAP OR EQUAL 2XH RAFTERS Q 16 OG. - r WIC 6HWGLE6 V%068 6NEATMNG AOPNAL SNT T E PAPER I GI[VG PLY'JOOD GLUED!NA6.ED MO ENG.WMBER 6 M;'OZ. 2-Dc'0'6 W/ V2 PLT.CASED DO STRAPPNG V]DRYWALL IF70YER IK TCNEN PORTCN S 3/4 T/G PLYWOOD r GLUED R NAILED I-D(H P.T. IM P.T.6 16 O.C. 2X10 ENG•LUM15ER 613Y OZ. 6'X6'ALUM R18 1"1 6u- P06T SUPPOR 3.=GIRDER U ~ Wl'CONC"FILLED Gcl. BASEMENT � r 4'Cow-SLAB -77 MAIN GROSS SECTION Z- GE: C a W/C SHINGLES ITTVEK OR EQUAL l/Ib 058 SHEATHING ASPHALT SHINGLES W/C SHINGLES STARTER 15�ASPHALT PAPER COARSE l/Ib OSB SHEATHING ; 2Xb P.T.SILL 5/8X8"ANCHCR BOLTS � I I 0 VENTED DRIP EDGE o n I 5'ALUM.GUTTER I"FACIA IX8 SOFFIT 1-1/2 BED MLD.ON IXb F9REIZE C SCALE •IFT. 8'CONCRETE WALL DAMP-PROOFING CSA APPROVED. 2' X 4'KEY 4'POURED CONC.SLAB 8"X lb'CONC.FTG. D FOOTING DETAIL 8° CONCRETE W,4LL F S YS TEM PROFIL E NOT TO SCALE k TOP FNON. FINISH GRADE V EL . 3- FINISH GRADE ''Z• FINISH GRADE OVER DINT. BOX 7 0,FINISH GRADE O VER OVER TRENCHES °•a SEPTIC TANK 7/, o O' o�a D0 o'o Q°Ao 12" MAX. �' 7/777 v o:4.a, �. •+' a,•a.a�;�::a.e'o 'a•o:i•Pti+ao.•.� . ti•. b • oo'P. p o z 5' OUTLET PIPE LEVEL TOTAL L1�NGTH OF TRENCH ° d FOR 2 FT. MIN. $ - _ 0:�Q ''p 9 w O O Oi .t• o. .w .D •e ':d• :b' .. •e .e• b oO� .o �' 1 gyp• . 6` DID se•��0 G7 /3r 0 - de �'rae•:e:. :b':�:e.: I 40 :'•��.: Ap C. I. OR PVC TEES ��90 G. �z co e:• de .ro 1500 GALLON b: ro ' 91S TRIBUTION BOX BSMT FL. a ":o. - --- - -- -- ----- — --- EL. . INSTALL ON LEVEL BASE u�- it a .�00 GALLON DRYWELL S PRECA S T. CONCRETE :.. a. H= 0- REINFORCED o: 4lo'abd,:bo.bp� n'¢;:b+.:nliO4►a opp0 �Po'O..•o °: .s.�i.•p.o. .o. .pr• R.s:. . .t .�•ProC .q•Y•�•�p: , _ SEPTIC TANK TRENCH SECTION INSTALL ON LEVEL BASE cse OR �o _ NOTE.' EXCA VA TE TO ELEV. • .. , L OMER TO REMOVE ALL IMPERVIOUS h // 4" DIAM. 12" MIN. G w REPLACE EXCA VA TEDT MA TERIAL jWI TH EA .. .. 3" OF 1/9"-1/2" CL EAN, CLA Y FREE SAND . �.•o..:o.' a •WASHED PEASTONE 3/4" - 1-1/2" WASHED , • Ly Z o 1 : CRUSHED STONE GENERAL NOTES c s� A,4� , , - TRENCH WrD TH s y ? 1. ALL ELEVA TIOA� -SHOWN ARE BASED ON ASSUMED TRENCHES 1 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON NUMBER OF DRY EL L S 2 @ OR SCHEDULE kG PVC. OBSER VA T�.1.'ON PIT i o_ •, 3. T OF 11EAL TH MUST BE NOTIFI�"D - n HE- BOARD - � s WHEN CONSTRUCTION IS COMPLETE PRIOR P 1766 TO BACKFIL L ING COLA TIO RATE., k 4. ANY CHANGES I <2 MIN./IN. N THIS PLAN MUST BE APPROVED ___._._._ .�_ �r�-y- __.Z'-o t /, -��• 1✓I TNESSED B Y.• BY THE BOARD .9F HEAL TH AND CAPE C ISLANDS N SURVEYING CO., INC. ✓OHN tJACOBI � � �2 - r2� N ''� - 5. MATERIALS AND INSTALLATION SHALL BE IN . �1 2 cq. o COMPLIANCE WITH THE STATE TE SANITARY BARNS BRO. OF HEAL TH DESIGN DA TA ---- Z, � i r�o �e o 3; �_-�- -- 1,383 CODE - TITLE V AND LOCAL APPLICABLE DA TE.•MARCH - — se-- r! =m i o c`. ,. a� z, f RULES AND REG�JLA TIONS o --- o NUMBER OF BEDROOMS 3 .. _ l G 6. NORTH ARRON 1.3 FROM RECORD PLANS AND fo e, J/ -1<<- NO GARBAGE DISPOSAL ZyZ /ice , IS NOT TO BE USED FOR SOLAR PURPOSES A ��te,i s GAL . _ // e 7. FLOOD HAZARD ?ONE C (NON-HAZARD) DAILY FL OW 330 .� �// �- � /.B. WATER SUPPLY. PRIVA TE WELL '� a SEPTIC TANK PEG 'D. 1500 GAL L - =3' SEPTIC TANK- PROVIDED 1500 GAL . LEA CHING REQUIRED 330 GPD. LeT 3A _/_17isn he /c � 3.5 0 8 0 .S•� / Cr. "y 6c rrr A - c s= c � ' 1,-r/.�M o r s SIDEWALL AREA = 152 S.F. s �2a_ � % 30 ?52 S.F.X 0. 74 G/S.F. = 112 GPD. >�A� BOTTOM AREA = 329 S.F. w L EGEND 329 S.F.X 0. 7�F. = 243 GPD 7 y \ w ro LEACHING PROVIDED 355 GPD E/. ?3. 2 •' l.v W lv PROPOSED EL EVA TION w • -- 7z -- EXISTING CONTOUR SINtiLE FA MIL Y RESIDENCE C iso ' R�� ® OVSERVA TION PI T ❑ DISTRIBUTION BOX s�� �f �,.fix -i ALL -A- 6 -B- UNSUITABLE MATERI RtCHARD PROPOSED SEPIA GE DISPOSAL SYSTEM MITHIN 5 FT. OF THE LEACHING FA C LITY IS TO �, 6�R7I�P.ND BE REMOVED AND REPLACED WTH CLEA SAND . A 29E34 �� PREPARED FOR • "�j ; 9fciSTEAE� °�� 0 o SEPTIC TANK �l *s/QkAI \, f� THE IRENE TRUST —.— LOT 3A (HSE 484). CEDAR STREET . I_._i RESERVE AREA ���1N �f Mgssy4�. J'1`E�i T BARNSTABLE -- MASS PIPE INVERT ELEVATION •� ? DAVID \� CHAHI KI ��1 DA TE.' CAPE 6 ISLANDS ENGINEERING 2 i z SANICKI H� — PLOT PLAN 926085 0 , SCALE AS NOTED 133 FALMOUTH ROAD SUITE 2E - SCALE: 1 "_ -moo' /,7 9 i 8 .3�9 -v�y fc/ST PLAN NO. s 7 MA.SHPF M A.c.S _ MAP SEC_ PCl_ LOT DATAPRINT N020533 ` 5 Ys TEM PROFILENow ----- NOT TO SCALE_ P FNDN. FII+.ISH GRADE OVER FINISH GRADE OVER TRENCHES 3' FINISH GRADE 7 2• o Fi NISH GRADE OVER DI.9 T. BOX e.'4 o SEPTIC TANK 71, o - o�a{v0 ' 7117 12" MAX. 11, 40 f :oU•°�•a� ap'::4•'j�p'°.oa pp� 0'' ' ti•O••.� D a'o:o•. 3 _a• 14, OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH z FOR 2 FT. MIN. :P.O�v •� ,� :j O O °Sol• •°.. • .0,. .D .o d• :b' ... .o p. b6r �� '•��Q G 7 G7 /.5r C �: •:o:'a:e:. •;b::!:a,i0 I 0° pp qQ ,p .0 41 eo0 eob C. I. OR PVC TEES eP ��:511] GG. GZ GG -%� d G 2O �oR ; o C] o 0 0 o qa"�.-' oDeG , D I c • •4 ISMT FL . 1500 GALLON DIS�'RIBUTIDN BOX '�' • �-� ,0 4 0 9d INSTALL ON LEVEL BASE 11500 GALLON ORYWELL S It PRECA S T CONCRETE H-- ,/0 REINFORCED ° oj a �s •o v;°c�.bd��a b::b:b•:v.: 4�•�.���ri oa�'Q•°4�•�r�4: S P TIC TANK TRENCH SECTION ld .T NS TAL L ON LEVEL BASE G�;a ' �o NOTE: EXCAVATE TE TO ELEV. OR LOWER TO REMOVE ALL IMPERVIOUS MA TERIA L BENEA TH THE L EA CHING AREA 4" DIAM. 12" MIN. / REPLACE EXCAVATED MATERIAL' WITH ,a••a•.a '•o o,Qop� V ,p':e;� •Af:�► --3' OF 1/B'-1/2" CLEAN, CLAY FREE SAND b ..p WASHED PEA STONE 3140 1 1/2' WASHED 06 ' CRUSHED STONE i GENERA L NO TES 'c s�`�7z` _ TRENCH WID TH \ 1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER_OF TRENCHES 1 2. ALL PIPES IN THE :SYSTEM MUST BE CAST IRON NUMBER OF DRYWEL L S 2 OR SCHEDULE 40 P'/C. 0BSER VA TION PIT -7 2,z 1 y \ 3. THE BOARD OF HEALTH MUST BE NOTIFIED RHEN CONSTRUCTIOd IS COMPLETE PRIOR P-1766 C Z TO 5A Cr.�Iti L ING PERCOLA TION RA TE•• . _ ._-------- -- _ -- -�, •. - n _ _ 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED w \ <2 MIN./IN. �� BY THE BOARD OF HEAL TH AND CAPE 6 ISLANDS WITNESSED BY: i SURVEYING CO., INC �I . o MA TERIALS AND INS TION SHALL BE IN OHN JACOBI 5. COMPLIANCE #I TH THE STA TE SA NI TARY BARNS BAD. OF HEAL TH DESIGN DA TA CODE — TITLE V — AND LOCAL APPLICABLE DA 7-E.-MARCH 30 198.E RULES AND REGULATIONS 3 F � NUMBER OF BEDROOMS �'•°i u `. `�� 6. NORTH ARROW IS FROM RECORD PLANS AND C' e J 71 �� NO L `i�� - .� v-- ' 2- IS NOT TO BE USED FOR SOLAR PURPOSES ,y f GARBAGE DISPOSAL AV _ __ . 0 7. FLOOD HAZARD Z011E C (NON—HAZARD) s� '� "� DAILY FLOW 330 GAL . / 8. WATER SUPPLY PRIVATE WELL a SEPTIC TANK REG 'D. 1500 GAL . /� , -5, s / _ SEPTIC TANK PROVIDED ?500 GAL LEACHING REQUIRED 330 GPD. Lc •r' 3 A R. a � -I 0 8 0 .51p SIDEI✓ALL AREA 152 S.F. - 9.o S .. �2zI �� � '-�o, r 152 S.F.X 0. 74 G/S.F. — 112 GPD. ��i1 1 20 ^ W v .s•r � �-� r/•v r/ I 329 OM F. REAX2. 7 3� S.F.243 LEGEND S.F.X GIS.F. - GPD �w w L EACHING PROVIDED — 355 GPD s t w 72 PROPOSED EL EVA TION • -- �2 -- EXISTING CONTOUR OB ERVATION PIT SINGLE FAMILY RESIDENCE C R� ® • s o ❑ Dr TRIBUTION BOX a� �T PROPOSED SEWAGE DISPOSAL SYSTEM ALL •A- 6 -B- UNSUITABLE MATERI �;C����� ' NI THIN 5 FT. OF THE LEACHING FA C LITY IS TO �i� BE'EF M AfND � z BE REMOVED AND REPLACED MITH CLEAN SAND i` 22, E3'. PREPARED FOR ' o o sEPrrc TANK '`��ii �,�oNA t ����`; ` THE IRENE TRUS T LOT 3A (HSE 484) CEDAR S TREE T RESERVE AREA -or XES T BARNS TABL — MASS PIPE INVERT EL EVA TION 4 CHAHLES �"n DA TE.•-�uc_ G ���7 PLOT PLAN 1 " ANIC I CAPE C ISLANDS ENGINEERING 2 i 2 SCALE AS NOTED 133 FALMOUTH ROAD - SUITE 2E SCAL E.• l"! �o' is 9 i 8 3A 's'�'y \'� '�£c/ST RHO ;�; . .� . .,, ,,., , ..•� �►�� ~ n o ,- PLAN NO. z o G 2 e' 97 MASHPEE, MASS.