HomeMy WebLinkAbout0051 COVENTRY LANE v
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No 53LOR
HASTINGS. ION
Town of Barnstable *Permit
Expires 6 months from issue date
Regulatory Services Fee , a
Thomas F.Geiler,Director
Building Division 6
7
Tom Perry,CBO, Building Commissioner 7
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 1-� lJ 6(D�'�. ')(S
c �� U .
Property D ��,� f Address c`7 l q
residential Value of Work -1 fD r� t�y Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
�l C6OE--
Contractor's Name kNu C y_ �����7� Telephone Number 6e D 4 '0
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
[DW-'orkman's Compensation Insurance
Check one: X-PRESS PERMIT
❑ I am a sole proprietor
❑ I am the Homeowner J U N 2 6 2007
[]I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
Insurance Company Name �r;�
Workman's Comp.Policy# �D l(D � L' b V&,Dt)
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) I
[3--Re-roof(stripping old shingles) All construction debris will be taken to C65
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 1 c fS
A�()l.51
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic, onservafPon eT
***Note: Property O er m sign o rty Owner Letter of Permission.
A py of e Ho e v ent Contractors License is required. ?,C :C4r1V
SIGNATURE:
Q:Forms:expmtrg
Revise061306
.� 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 ,/ 1 Please Print Le 'bl
Name(Business/Orgauization/Individual): WI��kL, C�1eb
Address:
City/State/Zip: ���`� Pr Phone.#: jl��b'`�o� (� 66 c� i
Are you an employer? Check the appropriate bog: Type of project(required):.
1.01fam a employer with 4. ❑ I am a general contractor and I
6. ❑New construction .
. employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in anycapacity. employees and have workers'
#. 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
required.] - 5. We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their 11. Plumbing'3.❑ I am a homeowner doing all work ❑ g repairs or additions
myself [No workers' camp. right of exemption per MGL 12.[• oof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' . 13.0 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.
1Contractors that check this box must attached an additional sheet sbowing 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. 1
Insurance Company Name: tom//��\\Uift A��V
Policy#or Self-ins.Lic.#: �� b `� b a Ba Expiration Date:
Job Site Address: CB�G'�`�e`j `� 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. B dvise that a copy of thus statement may be forwarded to the Office of
Investigations of the DIA for insura ce cov a cation.
I do hereby certify and e pa'�:ai al i perj ry that the information provided above
-is true
and correct
Si afore: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town offciaL
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#:
Informnation and Instructions Y
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two.or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the•
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer."
MCL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for.the performance of public work until acceptable evidence of compliance with the inrance
requirements of this chapter have been presented'to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it
necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should
be returned to the city or town that the application for the-permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate-line.
City or Town Officials
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure.to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
bo Commonwealth of Massachusetts
Department of Industrial Aceidents
Office of Investigations
600 Washin8ton'Street
Boston, MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax 4 617-727-7749
Revised 11-22-06
v<<ww.mass.gov/dia
4
M CERTIFICATE OF INSURANCE 03UE DATE(MM/DD,YY)
3/16/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Leonard Insurance Agency Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P O Box 494 POLICIES BELOW.
Osterville, MA 02655 COMPANIES AFFORDING COVERAGE
INSURED
Mark Herbst COMPANY A.I.M. Mutual Insurance Co
35 Peep Toad Road LETTER A
Centerville, MA 02632
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $
LAIMSMADE[:::3CCUR PERSONAL&ADV.INJURY $
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
MBRELLA FORM AGGREGATE $
THER THAN UMBRELLA FORM
WC STATU- OTH-
WORKER'S COMPENSATION AND X .
EMPLOYERS'LIABILITY TORY LIMITS
7016215012007 01/10/2007 01/10/2005 ID- ' $
A THE PROPRIETOR/ INCL EL DISEASE—POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE $ 100 000
OFFICERS ARE: X EXCL EL DISEASE—EA EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEIIICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
i
'\ Board aCBuilding Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to:
� Board of Building Regulations and Standards
Registration_d26480 One Ashburton Place Rm 1301
-
.Ezp rat on fi1842008 Boston Ala.02108
�a -,Type�_Indrvidual
MARK HERBST
MARK HERBST
35 PEEP TOAD --
CENTERVILLE,MA 02632 Peputy Administrator Not valid witho t nature
r 1 MARK HERBST
t 35 PEEP TOAD ROAD
CENTERVILLE MA 02632
OMMM01
508-420-6216 CELL PHONE 774-238-2938
i
PRO O ITTED TO: WORK PERFORMED AT:
David
51 Coventry Lane SAME
W Barnstable MA 02668
508-362-2208
We herby propose to furnish the materials and perform the labor necessary for the completion of the
following;
New Roo
c Remove 1 laver ofexistin_a shingle
t Install ice&water shield at edge
Install151b eltpaper
Install certainteed Myr. architectural shingles
Replace plumbing boots
�. Cut ridge&install cobra vent
Storm nail all shingles
j All debris cleaned daily
Price includes material, labor&dump fees
Just right side addition with bow'wtndow -t- 5CI es' 1 900.00
1
*Please check&initial choice above, Thank y0zt*ZJ AMW Mt IG t6Ox%)
All material is guaranteed to be as specified.The above work will be performed in accorandance with
3- the specifications submitted and completed in a substantial workman-like manner for the sum of; r.
T As specified above&verified w/your initials
dollars( )with payments as follows;full amount due upon completion
l *Any alteration(s)from above proposal involving extra costs will be added under a separate written
agreement and become an extra harge.
RESPECTFUL SUB T
05/30/07
4.
p Mark Herbst
•1
ACCEPTANCE OF PROPOSAL
The above pri sp ific lions and conditions are satisfactory. We herby accept this proposal. You
are authorized t do he ork and payments will be as specified above.
Signature
`This ro osa be w thdra n said company if not accepted within 30 days
P P Y P Y p Y
• • 1
Sod f�a 6�� ague L ela 7_PM, e•fc. e��us�. c='Y/Sfirtt
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�IT.[�� TOWN OF BARNSTABLE Permit No. ..... 36852
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash ................
9'�tnor " HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to AMEK HOLDINGS OF CAPE COD, INC.
Address 51. Coventry Lane, West Barnstable
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
September 9 94
.. ... . .. .... .. ... ..... 19................. ........ .. .f y ...•. :. ...........
BuildinyInspector ;
dr
Assessor's office(1st Floor):
Assessor's map and of number � cS tw[to
6),-SEPTIC SYSTEM MUST BE
Conservation '`'— "`' ��— -r ��ore•CC ppAi ®tig pp��¢¢����((��((��Ap RRo,� ��' e
t 1 i��T L ® AAA 'ln7�+0�3A6�6a�d�IICI,:1�y' w
Board of Health_(3rd floor): ��' u {
Sewage Permit number T y" 3 10 Vt) 3&,a ' 5 2isai�r�nc
Engineering Department(3rd floor): U,—� ENVIRONMENTAL CODE, AND �°o o639.
House number
Definitive Plan Approved by Planning Board — �Y1'g
APPLICATIONS PROCESSED 8:30-9:30 A.M.,and.1:00-2-00 P.M.only
TOWN OF ; BAR ABLE
TOWN
BUILDING 4N)SPECTOR
APPLICATION FOR PERMIT TO •I%7GQ`� "
TYPE OF CONSTRUCTION
19 q4-
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applierrs��for a permit according to the following information:
Location "" �
Proposed Use � �
Zoning District Fire District
Name of Owner HPI hlIV S Grn 1" QUArMOdress IV,0 `xi wbei D&�Ivi.S
Name of Builder 2 'IN, - MAddress �r `!%�O, N/ -DO/V� S P?/'$
Name of Architect Address
�• �
Number-of Foundations��d *49P WITTY A&WWc S
Exterior WiK�i4&Z i Roofing h'50f&r nOr
Floors 5�� //•Xite �/G �j Interior Y� � �i ,A'/�--� �Cl�'t' pu+ rr./2...
Heatingh W OU�/L - W lNSLOW �GGI{'17/3(/1/Il, Plumbing 16,
FireplaceSS�GG rG�lG �[�►��� Approximate Cost c�o�
Area O S •
Diagram of Lot and Building with Dimensions Fee
e
I
i
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl ar ing the above construction.
Name
—%oo
Construction Supervisor's License
EK. HOLD NGS OF CAPE COD, INC
Ar '
JNc/ 36852 Permit For BUILD DWELLING
Locate n .Coventry Lane,
West Barnstable
Owner_Amek Holdings of Cape Cod, Inc.
Type of Construction -
Plot Lot #4
;
Permit Granted July 6 . 19 94
Date of Inspection � 19
Date Completed =r 19
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Application to
6 2
89-4 - 0
Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
11 Exterior Building Construction: M(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: Q Fence ❑ Wall Flagpole ❑.Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK ASSESSORS MAP NO.
OWNER co, ��i� 11� �� ASSESSORS LOT NO.
HOME ADDRESS :09TEL. NO. _,?9�1—,5D 92)
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
YT,12,2 c2/74
AGENT OR CONTRACTOR TEL. NO. S-W—,2091
ADDRESS
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side). including
1*t�-;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).
0 Oct
Signed
_ -owner•Contractor•A t
Space Wow line for Committee use.
Received by H.D.C.
at rtifi• to is hereb Date "d/. 9 y
e MAY
s
iyyu —
B
TOWN OF BARNSTABLE `
11,�i�iNG S �RWAY IMPORTANT It Certificate is approved, approval is subject to the 10 day appeal period
provided In the Act.
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).
I. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street.
way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or.alteration which does not touch the ground.
2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that i
visihle from a public street, way or public place. Color samples must be attached to.these applications. An application is no
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 th
following exceptions:
a. Existing signs or billboards on November 27. 1974 shall have until November 27, 1977 to secure an approved Certificat
of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they at
removed within three days of the event. Certain other temporary signs that the Committee feels does not detract fror
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
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 t
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 of
dortlbination of materials other than a building, sign or billboard,but including stone walls, flagpoles, hedges, gates, fences, e,
GENERAL REQUIREMENTS
S. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the To,
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
amended application filed with the Committee.
_ .
1
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:"foundati
chimney, siding, roofing, roof pitch, sash and doors. window and door frames, trim, gutters —leaders, roofing and paint cc
9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted ul�
Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall.
I;
bL,O K LNG:'S H I GHWAY H I STOR I C D I:VTR I CT'
FOUNOATION ou2E rz,
Da 2 �P
SIDING; TYPE
CHIMNEY TYPE`_+ - . -
ROOF MATERIAL.
P I TCH �
W I N D 0 W S . .V0o ])Gu pv-.,g-
TR I M COLOR P1_e
� V
000RS
COLOR. 5?_et tc
SHUTTERS__:___._._.
GUTTERS SE ZZLrS� Avk
DECK
GARAGE QQORS
111'
M ws�►N 1Mr� COLOR;L.CY s,
Note ` i11 out completdly. Intludln.g, masureme'rit: 2nq
mate-ri A,S,/so 1 ors to tqe. used...
'Thr=ed i op i es of this form are. r-equ i:red for swtrh i t to I
of an app I i cation.. a 1 ong w i t.h three- .copies .each of
the plot plate. landsC3pe' plan ang elevett9n plans .
when app 1 1 Cap I a„ _
"Plot niecs not be "CeriFi"ep" but shoUih ..ncN
all Stryctures on the lot to s cal e .
SKETCH PLAN N
PREPARED FOR:
REEF REALTY
C0V ENTRY
LOCATION : L_0_T. 4 LAN
COVE.NTRY LANE WEST BARNS_TAB_LE
E
REFERENCE : PLAN- BOOK 454 PACE- 96
SCALE, : 1 �. 501
DATE : MAY 4.', 1994
I.
LOT 5
LOT 4
16 30,615 + S.F.
(0.70 ± AC.)
C�.
A
PROPOSED DECK
DM
DEMAREST—McLELLAN ENGINEERINC
24 SCHOOL STREET. P.O. BOX 46.3
WEST DENNIS, MA. 02670
OLD RING'S HIGHWAY HISTORIC •DISTRICT COM XSSION
MINUTES MEETING MAY 18, 1994 CONTINUED
Amek Holdings, Lot 2 Coventry Lane W. Barnstable New House/Garage
Everett Boyd agent of Reef Realty came before the Committee. The Committee
asked if the lots were close to Highway 6. E., Boyd said no. The closest
public way is a railroad easement the runs behind the subdivision and there's
a 50' butler between the subdivision and the easement; it basically two cul-
de-sacs that come off of Bodfish Farms. The rears of the house face out too
an open bog. E. Boyd said Lots 2 & 3 are long panhandles and off the cul-de-
sac. The Committee reviewed and discussed the plans.
A MOTION was duly made by D. Martin and seconded by D. Babbitt that the OKH
Commission Approve the plans as submitted. All members voted to APPROVE.
Amek Holdings, Lot 3 Coventry Lane W. Barnstable New House/Garage
Again represented by Everett Boyd. This house is a Cape style house and will
be visible from the train because there is about a 15' to 20' embankment and a
vegetated berm. The Committee reviewed and discussed the plans.
A MOTION was duly made by D. Babbitt and seconded by P. Shoemaker that the OKH
Commission Approve the plans as submitted. All members voted to APPROVE.
Amek Holdings, Lot 4 Coventry Lane W.-Barnstable New House/Garage
Mr. Boyd presented new modified plans for lot 4. He stated they added dormers
and shutters on the side of the building. The question was raised about
previous issues on third story dormers. E. Boyd said the house has a
traditional A roof with a couple of Dogshed dormers on the roof to give the
appearance of two different looks. The Committee reviewed and discussed the
new plans.
A MOTION was duly made by D. Babbitt and seconded by D. Martin that the OKE
'Commission Approve the plans as modified (now plans). All members voted to
APPROVE.
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY g • •'%'r' :i��
•• t:c^aacerr6pt
OF ONE ASHBORTON PLACE = ^Lcit;..,•,.
MASSACHUSETTS BOSTON,AAA 02108 rt i :,;Uc.yccoFcr rc voc«ton ,
LICENSE CAUTION
EXPIRATION DATE C G I S T It. S LLP ER V I S 0 R
0 3/1 1/1 9 9 6 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
RESTRICTIONS THEFT,PUT RIGHT THUMB
3 NONE a `)6/30/1993 032804 o PRINT IN APPROPRIATE }
BOX ON LICENSE. `
61055, o F'1EF'FTT a BOY JR g l
z H 0 X Fib �, BLASTING OPERATORS
w DENNIS MA 02670 € MUST INCLUDE PHOTO.
PHOTO(BLASTING OPR ONLY) FEE:100.00
(� /1 - .
? - �• _p % NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY +� ' '
�`` HEIGHT: sT PED-OR•SI ID
GNATURE OF THE COMMISSIONER
ji.
JUG 9 1993
�l-•::.;.•iriii�.; `.^ THIS DOCUMENT MUST BE II SIGN NAME W WLL ABOVE SIGNATURE LINE
I}M1j�:" (r E CARRiEDON THE PERSON OF TORE OF LICENSEE
I"
((
'!1.
� t u u THE HOLDER WHEN EN-
.., ,. �.. P.S.
GAGEOINTNIS,KCUPATION. LSSIONER _
l 44
` COMMONWEALTH OF MASSACHUSETTS
P DEFAR:MENT OF INDUSTRIAL ACCIDENTS -
600 WASHINGTON STREET
jarr►es. Carnooel BOSTON, MASSACHUSETTS 02111
�o�r+ss�one WORKERS' COMPENSATION INSURANCE AFFIDAVIT
j, Everett W. Boy,-Jr.
(licensee/perminee)
with a principal place of business/residence at:
24 School-Street, P.O. Box 186 West Dennis Massachusetts 02670
(Gry/State/Zip)
do hereby.certify, under the pains and penalties of perjury, that:
1 am an employer providing the following workers' compensation coverage for my employees working on this
job.
Aetna WC# 006-C-23219584CAA
Insurance Company Policy Number
( j I am a sole proprietor and have no one working for me.
[ ] I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insurance policies:
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
0 1 am a homeowner performing all the work myself.
NOTE: Please be awue that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally
considered to be employers under the Workers'Compensation Act(GL C. 152,sec. 1(5)),application by a homeowner for a license
or permit may evidence the legal status of an employer under the Workers'Compensation Act
1 understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152.can lead to the imposition of criminal penalties-
consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and'civd penalties in the form of a Stop Work Order and a
fine o 100.0 day against me.
(l
Sig ne his day of t� fit am— 19
fi/it
---
N CO VENTAY
LANE
9js op
• so
66
11�
LOT 5
�o
c,?
�x
a o� tK
LOT 4
30, 615 ± S. F.
(0. 70 ± AC. ) x,
9
16•
03 113• 6a
JOB # 93-022
CERTIFIED PL 0 T PLAN
PREPARED FOR
LOCATION :ASES MAP 1 10 PAR 4-5 COVENTRY LN. WEST BARNSTABLE
SCALE 1' = So' REEF REAL T Y
REFERENCE : LOT 4 PLAN BOOK 454 PACE 96
OF MASs9
I HEREBY CERTIFY THAT TIC' STRUCTURE y�� JOHN o�
SHOWN ON THIS PLAN IS LOCATED ON THE o Z. GN
CROUND AS SHOWN HEREON. QEMAREST,JR.
o No.36859 �
v �
su
LWEST
EST - McLELLAN ENGINEERING
HOOL STREET P. 0. BOX 463 JULY 6, 1994
DENNIS, MA 02670
398-7710 DATE OF SIGNAL LAND 46VEYOR
r;:•:'xs`&r^'-�„�4+,at,.�'+fi�4Y
BARNSTAR,11E', MAS-25 jiCHUSET-is. BUILD G :~
.-.
(NO.) (STREET) .__._._.... ____..__...____..� --
Ctiei
l l ul lY CAVJI'11111-1 NUMBER OF
PERMIT TO ( ) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ,
Lot 44 cov,,il t,Yl' barllS ajD e ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET) ._.
RF
r
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Sewage #94-31U
(TYPE)
REMARKS:
AREA OR 1301) `q. ft.. (Reef Realty Ldd) $160.00
VOLUME - ESTIMATED COST $ 100,000 FEE
$
(CUBIC/SQUARE FEET)
Aji-tek t101Ciiil(� O ct�;i? Cod, inc. 1
OWNER - _
ADDRESS BUILDING DEPT, J /
BY �l��r-���✓/��
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3- FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 I 2 . 2
HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
o X rlQ� � �m T-9-��
` C�fi/ IBOARD OF HEALTH
OTHER SITE PLAN REVIEW APPROVAL
I
WORK SHAL O ROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE-THE ARRANGED FOR BY TELEPHONE OR WRITTEN
"TInN
CEP IT r IC Cam•;':\
I I NOTED ABOVE.
I
>
,*TMf TOWN OF BARNSTABLE permit No. ......36852
BUILDING DEPARTMENT
I } TOWN OFFICE BUILDING Cash X
a,v
HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
r
Issued to AMEK HOLDINGS OF CAPE COD, INC.
Address 51 Coventry Lane, West Barnstable
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING'SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY `COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
.� BUILDING CODE.
September 9 19• 94
� Buildingdlnspector
I