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0075 MAPLE STREET
i 'f o ti II I .I o f 4 4 0 �3 e F s No _ co a avi Ol U nz t; �4. f j 'a �t r Town of Barnstable Building Department - 200 Main Street ABARNST BLE, * Hyannis, MA 02601 9�A 6 A,��' (508) 862-4038 TFO MA'S Certificate of Occupancy Application Number: 20060710 CO Number: 20080332 Parcel ID: 132026001 CO Issue Date: 06105/09 Location: 75 MAPLE STREET Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE Building Ipplication Ref: 20060710 * BARNSTABLE, Date: 06/30/06 - Plermit '. , 9 MASS r �ArFG 3�A�� Applicant: WRENN,PRISCILLA J TR Permit Number:•B ,20060547 Proposed Use: DEVELOPABLE LAND Expiration Date: 12/28/06 Location 75 MAPLE STREET Zoning District RF Permit Type: NEW SINGLE FAMILY HOME Map Parcel 132026001 Permit Fee$ 832.75 Contractor ROBERT P DUNPHY Village WEST BARNSTABLE App Fee$ 100.00 License Num Est Construction Cost$ 189,696 Remarks APPROVED PLANS MUST BE RETAII" )ON JOB AND NEW SF 4 BEDROOM HOME THIS CARD MUST BE KEPT POSTFr. UNTIL FINAL INSPECTION HAS BEEN MADE. .✓HERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WRENN, PRISCILLA I TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 101 MAPLE ST } , INSPECTION HAS BEEN MADE. W BARNSTABLE, MA 02668 Application Entered by: DB Building Permit Issued By: I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR AN ART THE F,EITHER TFMPORA 1LY Olt PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING(-. E,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THEYERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). p BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL'INSPECTION APPROVALS 1 p 1 1 2 b2 2 2 i 3 � � ©3 � 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of He lth O - I Town of Barnstable . 1 /j o 5r-LAZI_. �TME' Regulatory Services Richard V. Scali,Director evl`�//�G O g Building Division ��C EpT. Paul Roma,Building Commissioner 19 200 Main Street, Hyannis,MA 02601 rOvVN op E 2416 www.town.barnstable.ma.us 9/vsr etF Office: 508-862-403 8 Fax: 508-790-6230 PERMIT# �— I D�0 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(ad_dress,)J- Village /Property owner's'name---) Telephone number '1-- x I�� I.�a 0a � -001 Size of Shed .Map/Parcel# 1y ature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign-off hours for Conservation 8:00=9:30;&'3:30-4:30 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-shedmg REV:06/20/16 J�''•"""I / " ��� � Q �v I Town of Barnstable Geographic Information System July 14, 2016 156057 #651 132013002 132026003 #32 #49 132012 0111 132015 132020 . �38 I v 132026001 Z ® �\ #75 O 132016 028 130 1 y� # 01 !a 132021003 132018 #27 132021002 #70 132027 040 132021001 #86 132022 r 0 49"Peet 1#56 #56 Ma 132 Parcel:DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal p� Selected Parcel w e- boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:ALBRECHT,JAMES S Total Assessed Value:$496700 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:1.24 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:75 MAPLE STREET such as building locations. Buffer Town of Barnstable . Old King's Highway Historic District Committee REGEMD 200.Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 ILIN 2.4 Mb CERTIFICATE OF EXEMPTION GROWTH MANAGtMENT 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: DatqT& ��( Address of Proposed work, Assessor's Map and lot# House# Street Village: �� 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 Description of Proposed Work: I•Z S� Ski" Agent or contractor(please print): 6� Loo Tel.no. Address Owner(please print): Ate_ �- n Tel no.5 Bg•3-7s:b6U3 Owners mailing address: Signed,Owner/Contractor/Agent VT For Committee Use Only This Certificate is hereby Approved/Denied Date: ®` ' Committee Members Signatures: P?� v ,IUN 13 ZQ16: . t ,014th9 ��t�!Fn1it Any conditions of approval: C.-Documenis and SettingsldecolliklLocal SettingsWemporary Internet Files10LK110KHExemption Form 07.doc C Town of B arnstable �Y �o BARNSTABLE. Regulatory Services G MASS. t619.0,�0 - Building Division , CEO MPy 200 Main Street,Hyannis,MA 02601 Office 508-862-4038 Fax: a 508-790-6230' Inspection Correction Notice `Yr Type of Inspection7`f Location -7� �°` 6 6-V Perm!? umber o20a701.� 7 Owner Builder One notice to remain on job site, one notice on file in Building Department. - The following items need correcting: Cc lv6 kil— C'A-tom 41 �' r-r.Ns 7-p'j ICI-Dox- 66 (je-zo-ri" 7o v c n. v#r • 033 Please call: 508-862-4W for re-inspection. I; j Inspected by Date LI i .. _..,............ _.. T 4t i V� .• o� I . t 1 J.. .....:_� Z + NGlSllrfCl _. 4 LA ID `?y O I � I ' �v 7d --�.--- x ------------------- . � , j i. j • •p,s_ � L I STI710 O ' „ I I -- - Nl ce - �^ rri AWL ! i i irs; IT 1 , Not --77..j:' 7 Tm AN I ' R ' ``'• J• I �. It I In v v M \ r:.l . r It i ti '• 1 i 1 74. TT lit • .� LL 004.1 _. . 4�u IL1 (i ' � 1 V. 0 i i I I TO NAA-reo gktb'r. Jz"- PL'%I w' D ea / So�nTf --------------- NOTE [ y HT 41 m ' 1 15A} 61reAvr. " I tr1E.L 'tep 8y CL IR 2- 2x 1 p D A4oNti1 I Soj-1 D .. zX I Z J 0 -L�g-T�Lti a G► G- f �2"o/�� �w�►D �' fl S I � 771 vz i, ay�t . -= �A W PIT64 GoY GONG a . - God 0 5 t r sA N.D"�� A... ..... ._ V0.019L t.NN E Fz a dot 5T �LT V,�T 3 �► ... . � l�. �►Dt-Tji _AG� 0 � G, ..:TO . MX)APT l K Cc... �OV.6.� 6h N D R7. A Ll_ ChM }N Z ZZLOW 'T H.t NOT ; C.-RE LSlq,0(4 .Wt'fH ..abttfhlV� _� NtO L.f N.G, O'T.reu c,'ru R . ' VT 10 N n � , i . ,9 1 n ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Ono � '� �1X��0`710 Map 0a Parcel Application Health Division Date Issued- 0 0 LP Conservation Division Application Tax Collector Permit Fee Gl t _rs Treasurer y- 08 Planning Dept. + Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 75 Maple Street ' West Barnstable Village Walden Corp/Robert Dunphy 541 Main St . Ha wichola.;P2645 Owner Address Telephone 508-430-4700 Cell# 781-718-0881 - Permit Request CL. C' 7 -a (5 <I. Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total nTw 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 King's Highway: ❑Yes 0 No 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:0 existing 0 new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:0 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 BUILDER INFORMATION Name Robert B. Dunphy Telephone Number430-4700 Address 218 Blue Rock Rd . , S . Yarmouth,M8Cense# 069294 Home Improvement Contractor# Traveler ' s 6KUB7855A 70 1 06 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C a s e l l a Waste/Sandwich SIGNATUR DATE O 9 FOR OFFICIAL USE ONLY' APPLICATION# y � DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER-_ DATE OF:INSPECTION: FOUNDATION FRAME — Ob-•O S" INSULATION —/ 7 —OS ' FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL Y GAS: ROUGH FINAL FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. s t Town of Barnstable Regulatory Services y�1q.si'E Thomas F.Geiler,Director s6 `m�' ArE039 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, , owner of property located at hereby certify that , is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# e2 00 >O `f , issued on ® 200� I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PERTY O DATE q/forms/newcontr reference R-5 780 CMR rev:080102 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 Please Print Legibly Name(Business/organization/Individual):. Dublin Construct•ion , Inc . Address: 541 Main Street City/State/Zip: Phone.#: Harwich,Ma . 02645 508-430-4700 • Ar ou an employer?Check the appropria a X: :Type of project(required):. 4, I am a general contractor and I am a employer with �' _ 6. ❑New construction . remployees(full and/or part-time).* • have hired the sub-contractors listed on the attached sheet. 7. Remodeling listed am a'sole proprietor or partner- These sub-contractors have g, Q Demolitionhip and have no employees employees and have workers' *orking for me in any capacity. #. 9. ❑Building addition [No workers' comp.insurance comp. insurance. 5 10.❑Blectrical repairs or additions . We are a corporation and its required.] officers have exercised their 11.0 Plumbing repairs or additions ' '3.❑ I am a homeowner doing all•work . . myself.[No workers'comp. right of exemption per MGL 12,[]Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' ' 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. lam an employer that isprovidiq workers'compensation insurance for my employees. Below is.thepolicy and job site information. Traveler ' s Insurance Company Name: 6Kub7855A70 1 06 7/08 - Policy#or Self-ins.Lie.#: Expiration Date: 75 Maple .Street • W. Barnstable ,Ma. 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP.WORK,ORDER and aline of up to$250.00 a day against the violator. Be advised that a copy of this.statement maybe forwarded to the Office of Investi ations of the DU for insurance covera a verification. I do hereby ertify u der the pains•a penal a perjury that the 'formation provided above is true and correct. Si afore: . Date: — Phone#: Official use only. Do not write in this area, tb be completed by.city or town off ciaG 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#: r i I P a s ";.. . � ✓/�Po:m�noo>.uiralN n�.%�aooa�ivaeka":, $BOARD OF BUILDING REGULATIONS- j ,,(ic0rse rCONSTRUCTION SUPER,SOR i , .� Number,�CS 069294 OIL * rExp9/t 33050' ' ,Restrkted ` r ROBERT B DUNPH' 1 RD�218 BLUE ROCK �, ry SO:YARIWOUTH; MA 02..6 •.� Commfssl'"o`ne�. . � t:; i i Town of Barnstable r a Regulatory Services vBA BI'E� Thomas F.Geiler,Director QED 59. 6.� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, lP O�ier o the sect property hereby authorize U/� to act on my behalf, in all matters relative to work authorized by this building permit application for: 0 fi,6�� (Address of ob) ll Sig ature of Owner /E�ati P � PriAt Name * If Property Owner is applying for permit please complete the i Homeowners License Exemption Form on the reverse side. QTORM&OWNERPERMISSION i Town of Barnstable �pF SHE Tp�� Regulatory Services sattrrszAet,e. Thomas F.Geiler,Director y MASS. 1659• .• Building Division lED MA't A 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: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: 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 su eQ rvisor. 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 be/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 requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.,. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fom✓certification for use in your community. Q:forms:homeexempt Bk 22465 Ps236 64912 1 1-09-2007 Q 02 m 44p QUITCLAIM DEED I, DANIEL R. ADAMS, for consideration of Four Hundred Thousand ($400,000.00) Dollars paid, grant to WALDEN CORPORATION, a corporation duly organized and existing under the laws of the Commonwealth of Massachusetts, having a principal place of business at.541 Main Street, Harwich, MA 02645 with QUITCLAIM COVENANTS, the land with buildings thereon situated at 75 Maple Street, West Barnstable, Barnstable County, Massachusetts, bounded and described as follows: SOUTHEASTERLY by Maple Street, three hundred twenty-one and 69/100(321.69) feet; SOUTHWESTERLY by LOT 6, one hundred ninety-seven and 17/100 (197.17) feet; NORTHWESTERLY by land now or formerly of Elizabeth F. Cole, two hundred seven and 84/100 (207.84) feet; NORTHEASTERLY by land now or formerly of Elizabeth F. Cole, seventy- six and 06/I00 (76.06) feet; NORTHWESTERLY by land now or formerly of Elizabeth F. Cole, twenty- seven and 86/100 (27.86) feet; and NORTHWESTERLY by LOT 4, one hundred forty-one and 30/100 (141.30) feet. Shown as LOT'5 on a plan of land entitled "Plan of Land in West Barnstable, Mass. Prepared for: L.LYNCH REALTY TRUST Scale 1" = 40' April 26, 1995 Eagle Surveying & Engineering, Inc. 10 Seaboard Lane, Hyannis, MA 02601" and recorded at the Barnstable County Registry of Deeds in Plan Book 513, Page 34. Being the same premises conveyed by deed of Priscilla J. Wren, Trustee to Daniel R. Adams, dated February 18; 2005, recorded in Book 19567, Page 170. WITNESS MY HAND AND SEAL THIS 9 DAY OF NOVEMBER, 2007. aniel R. Adams COMMONWEALTH OF MASSACHUSETTS Barnstable County On this day of November 2007, before me, the undersigned Notary Public, personally appeared Daniel R. Adams, proved to me through satisfactory evidence of identification, which was 1IMS.S. DR)Vle—R S A i C C AS 6 to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. Albert J. Sch6d, Notary Pu lic My commission expires August 11, 2011 AM J.Schulz s� Noti y PuNic My Commi%*n Eupirea Aug.11,M11 -n�v�oco Inn ow u MM fO ••'Cn cn •■ ••V1 A . ►s►+r+�W W(~11►+�C NUI i rr • NOrnrn O•NC myN G N O W CD n Q.Cz O CDC y -�-C ' Vl kn wp rrnm . ev.vernicxr a.0 • h-1 N win rn N� M x G n .*cn cn ff�y1Y`.�1-v m A V!c7 -0.yh Iti-4 M O to O 70 ttl oa oat -sn� a� ax G N O N m rnrn C C BARNSTABLE REGISTRY OF DEEDS �' JAN 0? 2008 2: 15PM LEBLANC INSURANCE 781 741 5750 P. 1 L ' AaORD,r CERTIFICATE OF LIABILITY INSURANCE 01 02 T2006 ! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEBLANC INSURANCE AGENCY (781) 741-.:757 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 160 OLD DERBY STREET ALTER THE COVERAGE AFFORDED BY THE POURS BELOW. SVITB 264 INSURERS AFFORDING COVERAGE KINdH MA 02043-4064_ INSURED FIN:;URERA.ST PAUL TRAYSLERS DUBLIN CONSTPUCTION, INC. I INSURER B: 541 bMIN STREET IN.LURERC: NSUREF 0: gARW-ICX MA 02645- INSUREF.E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE LV`BRED NA HIED ABOVE FOR TFE POLICY PERIOD iNDICATED.NOTWITHS1:4NDING ANY REOJ'REAdENT,TERM OR CONDITION OF AN"COPJ'TRA:T OR.)T HER OOCl1M=NT WITH.RESPECT TO WHICH THIS CERTIFICA.T=MAY 3E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE,N IS S-:3JECT' TO ALL THE TERMS, EXCLUSIONS AND CONDiT!ONS OF SUCH POLICIES. 4G3REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE POL'CY NUMBER i P LIo CY EFFECTIVE POLICY E%°IRATION LIMITS ATE NNJDDN DATEX D j GENERALLI0.BILITY EACH OCCURRENCE $ _ F COfdMERCIAL GENERAL UABILITY FIRE IAMAGE(Any one fire) tAIfAS MPlJE S F OCCUR_ MED EXP^ An one person/ i C I / I - PERSONAL&ADV INJURY $ 'IENERAL AGGREGATE . —Y _J GEOLACGREOATE LIMIT APPLIES PER: 'ROCIJCTS-COMPJCPAGG S ?OLX Y PRO. 0 AU70MOSILE LIABILITY / COMBINED SING'E LIMIT ANY AUTO / (Ea axidcrl) I$ ALLOWNECIAUroS / r BODILYINJUP.Y SCHEOULF.DAUTO3 (Per per&-)_ 5 HIR ED AUTOS / / / / BODILY INJURY NON-OWNED AUTOS we-amIdent) $ P.40PERT'i DAMAG4 Per atci lent) S " GARAGELLABILrTY i - AUTO ONLY-EAACC;DEN'r 5 ANY AUTO / OTHER THAN EAAC 5 AUTO ONLY: AGO S EX EBB LIABILITY_ / i fl / EACH OCCURRENCE $ OCCUR 7 CLAIMS MACE ! AGGREGATE B 1 3 DEDUCTIBLE RETENTION S 4t S A IOR`)RRSGOMPENSATION AND (6RTJB-7655A70-1-07) '07/13/2007 07/13/2008 8 vRS RS E.L.EACH ACCIDENT 5 10D,00D E.L.DISEASE-EA EMPLOYEll S 50D,ODD i E.L.IIS°ASE-POLICY UMIT $ 100,000 OTHER DESCRIPTION OF OPERATIONSA-OCATIONSNEHICLESIEXCLUS+ONS ADCED BY ENDORSEME'41 SPECIALP'ROV15IONS 75 MAPLE ST. BARNSTABLE, MA CERTIFICATE HOLDER ADdTtonAL INSURED;INSURER LETTER CANCELLATION TOWN OF BARNSTABLE Sh0UL0 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THU 200 XAIN STREXT EXPIRATION DATE THEREOF, THE ISSUING I\SU MAN _VAX. WILL ENDEAVOR TO _ VAX. 508-432-4701 30 DAYS WRITTEN NOTICE TO THE CERTIFlCA;9UR 0LD£R NAM60 TO THE LEFT,BUT XAjIB MA 02601- FAILURE TO 00 SO SHALL IMPOSE NO 00k1 ~ ION OR LIABILITY ttY KIN UPON THE NSURER ITS AGENTS OR REPR SEOT+ EB. AU-HORIZEO REPRSSENTA ACORD 2S.S(7197) -- - �lb�ACORD�CORPOFR�ATION 1988 �Tapap,;f 2 INS0266(8910) ELECTRONIC LASER FORMS,INC •(SOD)327-0545 01/03/¢008 10:57 50858719140 LYNCH AND CONBOY INE PAGE 01 ATE CERTIFICATE �F LlA�ILI�Y I[��URANC � /37w0t'01YY1^/) �Cl7f� ,. 1/ 2008 PRODUCER (508)941-5711 PAX- (508)567-1914 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION L cb and Combo Inffiurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE YHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 31 Plain. Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O.Sax 3489 Brockton HA 02304 INSURERS AFFORDING COVERAGE NAIC iB INSURED INSURER A:Hartford FSr9 InSuraace _ x J Getdh1611 Xac INSURER S: S25 wAT3hingtou ST INSURERC: INSURER 0: Wliifi are : MA 02382 INSURERE; THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THIS CERTIFIC.M 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. G E 1 1I-i.&SH_OW_&V, ' HA B N R C BY PAtD C I INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION N LIM TYPE OF INSURANCE POUCY NUMBER DATE MOI/DOIY� DATE IXM OD1YY GENERAL LIABILITY ! S '. •. IF COMMERCIAL GENERAL-LIABILITY _. ..... ENT j` .. L cLAIAitS MnDE 'OCCu t n r $ e]••.1;".. �.;:•.r• l:4':"I:;i.S•,' TLF.!:r.I, - .. GENERAL�A •�. 7 :; A, ill ItENL AOOREORTE LIMIT APPLIES PER: 0 ' a 0X PbLICY. 7 PRO• .. 9UT064061LE LIABILITY MEIN-0 SINGLE LIMB "' { CO $...'.._........ .dal ANVA�JTO ,f'• ( ).. i Y '-C ACCCIXNCLTAUTOS BJtlILY INJURY (Fm p4'x.7n) •:�� er) rISC,FiEDLTi,EO RUYCS ., HIRED ALTOS BODILY INJURY . II N'ON-OWNED AUTOS _ PRO PERrYDAMAGE -...,.,_.., Ji".,)GARXGELIA®1UTY AUTOOfILY-I:AACCIDENT- $.'..::•�::':: ..'.I'-::I:C:. ANY AUTO a AUTO OI ILY; EXCESSIUMBRELLA LIABILITY ^•..a OCCUR, MADE AOREC'ATE ' S'.. A' ,koRiT FMtb1!JPE1g9A%N AI3D' EMPLOYERS'LIABILITY w• E!-EACiACCIDENT 4• •lADTD.O. ' ANV PROP�tIETOFtIF'ARTA'ER7'eXE(.UTNE _ OFF.IOEF71vt6MeEREXCLWDED7 08WFm1442T 11/21/2007 1-1/21/2008',E.L DISEASE•CAEM')LOYF.E$ 10.0.E_0.00 ,Iiyn.:eese OsunCer — 4P '.P ON"6eIC1v ;)I FASP- MIT. 0•-._ ._50A.,Q•Q•0 'OTHER'•':. n.d.:r '`<>L• A _.. ... 4 OPERATIONSILOCA770NSNENICLESIEXCLUSIONS ADDED SY ENDORSEMENTIBPECIAL PROVISIONS DESCRIP`f1�TJt••L - - - !GdkTIFICATLIJOLDER CANCELLATION SHOULD ANY OF THE ABOVE 085CRIBED POLICIe.S BE CANCELLED::BEFOft -THE Db'litA C�r7ii&trilCtlOII EXPIRATION DATE THEREOF, THE ISSUING,.INSURER'.WILL ENDEAVOR' TC:-MAILI-:: 5d], tlQai'a. fit' 10 DAYS WRITTEN NOTICE TO THE CERni"ICATE 1401 E6'NA�ED HE TO T 'LEM"u x�5rv�? ,ccfi, MA 02645 -- v . . ,1 FJULURC TO 00 80 SHALL IMPOSE•N10 OBUGA:r6 OR Lit..-A ITY ORANY KIND UW3h`,fik.::' .,y_... .:.:.�t.7 ... ..._, _. WSURa ITSACENTSORREP1i88ENT'ATIVES JiLti : AUTHORVF_DREPRESENTATWC - -e� martin ConbOy La', ACO d 25( 1J�0 08)'. -- — ;..�...._._. r; C ACOR6 CORPORATION"I ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 1-15-2007 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 210705 P: (8 7 7) 2 8 7-1312 F: (8 7 7) 5 3 8-4 3 6 4 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE INSURED INSURER A:TWln City Fire Ins Co INSURER B: lHULTEN INC INSURER C: 2 MAGNOLIA RD. # B INSURER D: YARMOUTH PORT MA 02675 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER PATE MM/DD/YY DATE MMIDD/YY LIMITS I GENERAL LIABILITY LEACH OCCURRENCE I $ COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE(Any one fire) I $ CLAIMS MADE � OCCUR L MED EXP(Any one person) $ PERSONAL&ADV INJURY I $ GENERAL AGGREGATE I $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG I $ POLICY I I PRO- JECT I I LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) I $ HIRED AUTOS I BODILY INJURY NON-OWNED AUTOS IPer accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITYI AUTO ONLY-EA ACCIDENT I $ ANY AUTOO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY_ I EACH OCCURRENCE I $ OCCUR u CLAIMS MADE I AGGREGATE I $ Is DEDUCTIBLE I I S RETENTION $ S WORKERS COMPENSATION AND X I WOCy TALIM'U• OTH- A EMPLOYERs LIABILITY7 6 WEG KR 8 9 9 2 0 2/21/0 7 0 2/21/0 8 E.L.EACH ACCIDENT $10 0, 0 0 0 E.L.DISEASE-EA EMPLOYEE $10 0, 0 0 0 OTHER E.L.DISEASE-POLICY LIMIT s 5 0 0, 0 0 0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual* to the Insured' s Operations. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE(10 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE DUBLIN CONSTRUCTION HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 541 MAIN ST. REPRESENTATIVES. HARWICH, MA 02645 A O�RESENJ ATI 24'/07 12 : 01 : 04 PM 4166 1Z 03103 —y f�/'Y/�Pl �TAT/R E(NR1rLD/Y�IYY) �'4CORD, CERTIFICATE OF LIABILITY INSURANCE —D P/a4/20D7 ?RODUCER (508)540-2400 FAY: (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services, Inc. ONLY AND COWERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bourne — MA 02532 INSURERS AFFORDING COVERAGE NAIC 9 INSURED Y NSUREPA Charter Oak Fire 25615 CAPE COD D&CHANICAL SYSTEKS INC. FRUEAN WhY NsU:�EFaTravelers Indemnity 25658 8 FRUEAYQ Vmy N-SURS;c.AIO NSUP n D. SOUTH YAKAOUTH MA 02664 rnSUk'6;E Y C-OvgRAGES [THE POLICIES OF INSURANCE LISTED BELOVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTSMTHSTANDING.ANY REQUIREMENT,TERM OR CONDITION OF ANY CONT?ACT OR OTHER DOCi:MENT WITH RESPECT TO WHICH THIS CERTIFICATE 61AY BE ISSUE--OR ArIAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POIICIES. AGGREGATE LIMITS_SHOWN MAY HAVE BEEN REDU--ED BY PAIC CLANS. iNSP. DDT. POLICY EFFECTIVE POLICY EXPIRATION --�����• TYPE OF INSURANCE POL)CYNUMBER DATE MMIDDIYY LATE AMAD�W LIMITS GENERAL LIABILIT! I pcL H,�r,; REr;C it 1,000,000 X cowL�aER_:aLCEr_RAlua�n_rY au•IA�=TCPEdrEc 30J,000 P-Ea1Y-•c�.Ea oo.�rancej A CLA!MS"A'-- x cc !F I6806937B396 3/1212C07 3/12/2008 VIED=)Z�A-iv);; ,ren 1 ~�-5,000 P'RSy NA-&ADV w.URY `_— 1,000,000 -FNEF;,L ArL1rGA-E { 2,000,000 0�!•:L.ab2?.EGATE;J:diT:,PPUESDER I a:-.•nr•cc.,-n,�.•C•p�^r s� 2,000.000 X r�L;ri Ft: Lr,� AUTOMOBILE LIABILITY �t P.15 C?::IN?i E�.PAI f I� ?,000.000 %J•1Y AL-T.'.) (ta B I ALL I SA-13338747-01-SKL 3/12/2C07 3/12/2.008 g,)D;_Y i0l"UP" =X. I lipqiIelsor.) Y _--W I :{ I H�REG wJT�iS r 5JGI_r Ll,p NriC.N.0', •:EDALITJ. =erscuc•;:: -- I F•RC•PERTY 0;,W kG=---- ,I — Per acu isrt: GARAGE LIABILITY I !�°T'Otad;:'-;AAC_CE`JT _— A,1Y.Nj 7C OTi-ER TF.46 EXCESSMM8RELLALIABILITY •'n.-:i�%C"P'-<rc 1_ 1,000,000 ,C%C'u 17 CLAIM">v 4DE A�6nE5 A-E _ 1,040,000 1? i,ED'ICT19Lk I COP0657Y3783ND07 3/12/2{:07 3/12/2.008 X PE-ELATION t10,3110 ! �— C WORKERS COMPENSATION AND _�C Sty E.P. E-MPLOY-RS'LIABILIn' P� n••rrPSroR�t,R;Far-.TtdE=r_;FrE,i:•'E E.L.Ev;HAC_:LEW 1 500,000 !IFFL^..Eir,_niBERF.xCLU��Ei: T�Cbe33171 3/12/2007 3/12/20CE EL;,;;�ngc. o• 500,0001 ram;0esr-csv:!car _ _ E F.'d�!<:iE_{ _ � PPO' .:•:F1C'-,;an I E„I_.DI;•.-:;iSE•P.LIClL114i @ 5CO.000 OTHER OESCRIPTION OF OPERATi!tlVSf.MATIOH5NEHICLES:FY.C.LUSICNS.AODEOBT ENOJRSEMENTfSPECIAL PRUY{SIDtGS 1 CERTIFICATE HOLDER CANCELLATION I(508� )432-4701 SHOULC ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BFFFOKE T}•E Dublin Construction EXPRATION DATE T4 EREOF, THE SSUNG-INSURER HALL ENDEAVOR TO MAIL 541 Main $treat 10 DAYS WRITTEN NOTICE TO.THE mR-nr iCA1-E HOLLER KA.AX TO THE LE`7.ELT Harwl b, 1% 02645 , FAILURE TO DO 60 SHALL MWOSB NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ' !NSURER ITS AGENTS OR R:PRESENTATIVES. AUTHORIZED P.EPRESEt•1TATIVE Gugl_r:= �'Iac_o-:i:lrii TAD .. �•� I ACORD 25(2001108) - __ �ACORD CORPORATION 1 6337 r——Jan. 3. 2008-- 4:544--Love! ette lnsurence Agency No. i021— P. 1%2 ACOI�De CERTIFICATE OF LIABILITY INSURANCE 0110312 08 i I PRODUCER (608)775-4559 FAX (508)775-4577 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marshal I K Lovel et t e I ns. Agcy. , I nc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I 396 hf�i n 9t reet ALTER THE COVERAGE AFFORDED_BY THE POLICIES_BELOW. -_� ! P. Q BDx 836 Vbst YarmDuth, M4 02673 INSURERS AFFORDING COVERAGE NAIC INSURED Ri chard Ser pone — I irisuREP A: Providence Nit ual Ins Oo j 183 Pine Street 1.NSURER B: j Yar rout hport, NA 02675 INSURER C: ��- m INSURER D. j INSURER E' i - COVERAGES j THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING I ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA•Y BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INISR 'Q ----- — ----------•-- TPOLICY EFFECTIVE POLIC`!EXPIRATION IIJSR DD'l _ TYPE OF INSURANCE + POLICY NUMBER _ I 11p7F LIMITS _LIR (ME91DDt10L>_ GATE.ltE1s7IDOlYYJ.-`----.-.__-.-.---- .-------•--•---- I I cEERaLuaesuty __....._.._._L CPP006469301 i 11127/2007 1 11/27/2008 i_F-''r',�_C_'=UR<ENCE s 1, 000, 00 0 — T £ 50, OOOi )Cl( COMIAERCIAL CEVERAL JABILPY I ; DAA;AGETU'rtdI:Ei1 - - rpFA11 i�C ira nr.•.rnyy_- ! X,OCCUR; MET E"Lc'(An;0-'.e person) i £ 5 000•�i•LAJMSMADE 1 � , A I i ! ! S 1, 000, OOd� RER$f�tJA�is AGV YJ_UR'f GEh.ERAI AGGREGA—C j o 2, O00_DO I rBJ'L.AGGP°G-7_!.!rAl i A'P IES PFk:I I i DRCDOCTS-coil). !CP AGS 2, QQQ, QQO F'riL;CY L :ECT I LO: i1 i --- -— AUTOMOBILE UAB!LITY ( I r ! I i tu1oIM-DSi�e%ALE�iM!T j S �— !Ea a:citlent! 'NY A0710 ALL O'a'A'cr.ALrpc j I , I BO_;LY If,'.'I.:FY I£ i I H:RED AUTO,; I I I 16'701L'i!NJIJP.7 £ (Per LCCICCG:) -� ----I i NGP:• ''t.,.`iEC.aJTOs' PRC I l IZ R arlt)AMAGE i £ j GARAGE LIABILITY i - - -- - -i f UTO PLY-EA ACCIDENT ii £-_— ---) r ! ' I ANY AUTO i OfHCP.T.-!AN EA ACC S I AUTO 01•.LY: I I EXCESSIUMBRELiAL1ABILRI ..ACHOCCUR?ENCE S --- I I i -:C`JP I CLAIMS MADE ; i I .l A'GREL' TF S —'---I I ~RE"TEM?ICI_- I WORKERS COMPENSATION AND �— — - --j T C STA7u-V( i H i ORY!;MIT' EP EMPLOYERS'LIABILITY I ( I ! i f I E L.E CH P.CCIDEI!' ! £ A.rl1'FP.GFEIET9R;rARTMEF9��ECUTIYE i I �•--- -�� � OFFICERIME61BEG EXCLUDED, I E L Dl,;EASE• -CA EMFLO'r Ed. £ i ltya[•oes:ribo u idar .I '1 SPECIAL PROVIS!CNS bakes I _ E L.DIJEASE-POLICY Lu6IT.Lb --- - - '--! DTHER j � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES!EXCLUSIONS ACDEDBY ENDORSEMENT SPECIAL PRO VISICNS El ect r i ci an j I j I • I .CE$IlFICATE HOLDER—_ —. —__--- -,NCELLATION _... -----•----_----......__--_� i SHOULD ANY OF THE ABOVc,F sCR1BE0 POLICIES BE CANCELLED BEFORE THE j j EXPIRATION DATETH'eRECI THE ISSUING INSURER WILL ENDEAVOR TO NAIL DAYe WRITTEN NO;CE THE CERTIFICATE HOLDER NAMED TO THE LEFT, Dub1 I n Const r UCt 1 On BUT FAILURE TO MAIL SUCH JC• i. SMALL IMPOSE NO OBLIGATION OR LIABILITY 541 M9{ n St ANY KIND UPON THE INSLI<:- ,TS AGENTS OR REPRESENTATIVES. 1"iarvai ch, NR 02645 AUTHORIZED REFRESENrATIVE John M;Sherai JCHN ACOR0 25(2001108) FAX: (508)432-4701 MACORD CORPORATION 1998 JAN-03-2008 10:12 NOLAN I143URANCE 508 746 6521 P.001i001 ACOA©,- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDM-M PRooutxR I/3/09 THIS COMFOATE 1S:SSUED AS A MAT-rEROF INFORMATION Nolan Insurance Agency, Inc. ONLYAND CONFERS NORIGNI�p UPON TNECERTIFICATE 79 Samoset Street HOLOM THIS CE7TIRCATEDOi3NOT AM END,EXTEMOR Plymouth, MA 02360 ALTER THE COVERAGE AFFORDED BY THEPOUCIeS B&OW. -- ---_-_-, _ INSURERS AFFORDINGCOVMCIE _ —EC-0 _ I NAIL INSURIS) NSURERA:AM6RICAN HC_M ASSURJ.Hc.E CO --- Candu Enterprises Inc. INSURER B V! 9 Rear Sunrise Ave �----0 -- Plymouth; MA 02360 INSURER :INSURER : INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IVSURED NAMED ABOVE FOR THE POLICY PERIOD;IND CATED.NOTWITHSTANDING ANY REOWREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DC'CUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEF.MS.EXCLUSIC ;Sr AD CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLF.IMS. 1 IN R yCY ._ —� EFRTIVE DIM UCY R/GLTN -. - T PCLICY NUMBER -- LIMITS GENERAL LIABILITY ;EACH OCCUPRENCE S _ �COMMERCIAL 13ENERAL LIABILITY 7pp ME'TOT;,9R71ZF PREMISES Ma•x xtffen CLAMSMADE f-1 OCCUR MEDEXP(Any?*person) S _ PERSONAL&APVINJURV S GENERALAOO;<EGATE GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS.CvM POP AGG 5 I POLICY JECT [--�LOC AWTOMOBaLBLbU11LJTY ANYAUTO COMBINED SINGLE UMIT )1 (Ea eoadaK) A;LONNEOAUTOS BODILYINJURY S SCHEUULED AUTOS (Par wsaN L HIREDAUTOS ODILY INJURY y NON•OYlNEO A11705 FPer WeldeM) S -... --- -- PROPERTYDAMAGE L (Per B=dVd) GAR AGE I - ;UTO ONLY.EAACCIDENT IANYAUTO Y:E KHAN— EAACC S I A�vI o�ILv: AGO I S EXCESS'UMBRBLLALWBXITY EACH OCCURRENCE b OCCUR CI.tiMbMADE I I AGGREG.'TE - f —_-- IRETENTION a S A IWORKFJ YUMRS y�R�__ EUVIPLOYERSERSCOMP'LUUBLrrriSRrIONAND IF1C8977792 12/29/07 12/29/08 tl ANY FROFRIETOAJPARTNERIB(ECUTIbE EL EACH ACCIDENT = 1,000,000 OFFFMERAIEMBER FXCUJOE07 E.L.DISEASE-EA EMLUi N E E 1,000,000 SPECIALP OVIS1CNSbebw X E.LDLSEASE-POUCYUM•T i 11000,000 OTHER I -- D EECRIPTIONOF OPERATIONS I LOCATIONS 1 YEN C LES/EXCL USIONS ADDED BY END CRSEFJEiNT/SPECIAL PROVISIONS 508-432-4701 CERTIRCATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI RED POLICIES RE CA"CELLED BEFORE THE OMRATION OATS THERBDF,TNBISSUWG INSURER WILL ENDEAVOR TO MAIL 30 DAAS W RITTRN DUBLIN CONSTRUCTION NOTICETOT4ECEiRTIFICATE HOLDER NAMED TOTHELEPT,BUT FAILURE TODO80SHALL 541 MAIN ST IMP08ENOOBLIGAMOWORWBILITYOFANYMJND UPON'NEMBURER,ITS AGENTS OA HARWICH, MA 02645 REPRESENTA WEB. AUTHOR IXED REPRESERTATN'E BRIAN J NOLAN ACORD 26(2001108) C,ACORDCORPORATION ISea T07AL P.001 Parcel Detail Page 1 of 4 GE.i- 4 p� 7 t SX lfSf µt�l� � a., �v •a. Logged In As: Parcel Detail Monday, Ma Parcel Lookup Parcellnfo er Parcel ID l 132-026-001 I Develop Lot .LOT 5 Location;75 MAPLE STREET _ I Pri Frontage;261 Sec Road -- - - - — -— --- I Sec - - Frontage village WEST BARNSTABLE I Fire District 'W BARNSTABLE Sewer Acct I Road Index 0967 ^ Interactive ` Map Owner Info _Owner WALDEN CORPORATION i� I Co-owner - Streetl '541 MAIN STREET I Street2 — City IHARWICH I State zip 02645— Country US Land Info Acres 11.24 Use(Single Fam MDL-01 zoning iRF YV — Nghbd ;0106- Topography+ ---- - ---- ----- -- -- -- -I Road � Utilities 'Y I Location Construction Info Building 1 of 1 Year 2006 T I Roof Gable/Hip —I Ext Wood Shingle Built' Struct Wall Effect I2151 I Root(Asph/F GIs/Cmp I AC None Area Cover Type Style icolonial �I Wali Plastered �) Rooms Bedrooms Int Bath Model jResidential Floor�— I Rooms 3 FullHi Total I I Grade iAverage I Type lHot Air I Roomseat J http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8376 3/2/2009 �l Parcel Detail Page 2 of 4 K; ti . WDK Heat Found- p,.• t ? to� Stories( I IGas ; Fuel � ation BAT, lA f 1 Permit History Issue Date Purpose Permit# Amount Insp Date Comments 03/20/2007 Addition 200701378 $15,000 05/09/2008 ADD PORCH, FII 00:00:00 BM I 06/05/2006 Dwelling 20060710 $140,000 02/07/2007 00:00:00 Visit History Date Who Purpose 08/25/2008 00:00:00 John Greene Permit/Hold as NewGrth 07/28/2008 00:00:00 John Greene In Office Review 05/09/2008 00:00:00 Mike Keating Meas/Est 03/21/2008 00:00:00 Paul Talbot Call Back Next 01/11/2008 00:00:00 Tony Podlesney In Office Review 04/20/2007 00:00:00 John Greene New Construction 02/08/2007 00:00:00 Martin Flynn Call Back Next 12/08/2003 00:00:00 Paul Talbot Vacant Lot Sales History Line Sale Date Owner Book/Page Sale P 1 11/09/2007 WALDEN CORPORATION 22465/236 2 02/28/2005 ADAMS., DANIEL R 19567/170 3 05/27/2004 WRENN, PRISCILLA J TR 18646/320 4 01/27/2003 WRENN, PRISCILLA JANE 16302/069 5 03/15/1990 LYNCH, WILLIAM H & LAURA S 7101/275 6 12/15/1982 LYNCH, LAURA TR 3643/170 - Assessment History _ Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $230,100 $3,000 $0 $206,400 2 2008 $244,100 $3,000 $0 $221,000 4 2007 $0 $0 $0 $221,000 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8376 3/2/2009 ay Parcel Detail Page 3 of 4 5 2006 $0 $0 $0 $197,200 6 2005 $0 $0 $0 $179,200 7 2004 $0 $0 $0 $116,900 8 2003 $0 $0 $0 $83,700 9 2002 $0 $0 $0 $83,700 10 2001 $0 $0 $0 $83,700 11 2000 $0 $0 $0 $61,600 12 1999 $0 $0 $0 $61,600 13 1998 $0 $0 $0 $61,600 14 1997 $0 $0 $0 $45,000 15 1996 $0 $0 $0 $40,400 16 1995 $0 $0 $0 $40,400 17 1994 $0 $0 $0 $50,000 18 1993 $0 $0 $0 $50,100 19 1992 $0 $0 $0 $55,600 20 1991 $0 $0 $0 $90,900 21 1990 $0 $0 $0 $90,900 22 1989 $0 $0 $0 $90,900 23 1988 $0 $0 $0 $34,800 Photos Iwo Is Js r Imo'•Ma.Ii bYj, �� r r•y Ts'h w.+... �_t'.�..ar^k —« �.` http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8376 3/2/2009 a Parcel Detail Page 4 of 4 17 `;",F II Sys. � . �"�T ,t• .; + +r �'' " I. �\�. � 1 1 i t f�' .����_ yr � � � � may`� a. Y �t�r�- 'r •.a r\�i`� µ t n. ..p Yf� ��'(`4 ^T�!*Ly ���..i o i.:i�{ sjtfr �1' �r� '{a�'y — ;•„?, z VON i It3 Al ZIA te It ' L Y G http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8376 3/2/2009 _ ` '**"_r( VF'N'C BARNSTABLE BUILDING PERMIT APPLICATION y� Map f 32 Parcel Application# 60'-7 01 1 g Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee (o Date Definitive Plan Approved by Planning Board Historic-OKH 7'Ayr, r Pie e vation/Hyannis Project Street Address 5 Maple, S-Ev-ee4- Village (JCtrVIS�'0.�IQ Owner D&nfd Adams Address t of � 4&_S+Ye6 U��Sf• �zt,�K��y(� Telephone Permit Request d 3c✓etvicd RoYck 4v exis4i' q (yuSe:,. /TIvUSh `b- L seryue,14—/ SpaccN .c u r ndows Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay I ti Project Valuation $ IS 000 Construction Type I Lot Size 1 ' 24 �a Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. '7 _ C C•v C Dwelling Type: Single Family J Two Family ❑ Multi-Family(#units) Age of Existing Structure MW Historic House: ❑Yes ❑No On Old Kin 's i hwa : • Yes:- ❑No 9 9 9 9 Y�C Basement Type: XFull ❑Crawl ❑Walkout ❑Other m Basement Finished Area(sq.ft.) 46O Basement Unfinished Area(sq.ft) 't 4 Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new 7 First Floor Room Count Heat Type and Fuel: )4Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing , New ' Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing 0 new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes VNo If yes, site plan review# Current Use Proposed Use Ye yid 2n�1� I BUILDER INFORMATION Name wYlg Telephone Number 131 —HDQe Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE PrU C 3�,2 t0 7 —-- r f i FOR OFFICIAL USE`ONLY 1 PERMIT NO. t,ngATE ISSUED , MAP/PARCEL NO. , rig ?,ADDRESS `r� - VILLAGE, i I OWNER DATE OF INSPECTION: ' �� �7 FOUNDATION FRAME • INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL - T FINAL BUILDING Sil DATE CLOSED OUT ASSOCIATION PLAN NO. i - The Commonwealth ofMizssachusetts —�' Department oflndi striaj Accidents Office of.Investigations a ' ' - 600 Washington Street . Boston,M 02111' wrvw.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'blv Name(Business/Organiiation/Individual); 'C'M i d Av( vyLs, Address: 2Q City/State/Zip a r(1S 1� e =�Pn # � 1 Are you an employer? Check the appropriate box: :Type of project(required);, l.❑ I am a employer with 4• ❑ I am a general contractor and I 6, ❑New construction . employees(full and/or part-time).* • have hired the stab-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 g, ❑Demolition; ayorking for me in any capacity. employees and have workers' [No workers' comp,insurance comp, insurance,$' 9. ❑Building addition . required] 5: ❑ We are a corporation and its 10.❑Blectrical repass or additions I am a homeowner doin a71•work officers have exercised their g 11.❑Plumbing repairs or additions yself.[No workers' comp, right df exemption per MGL 12,❑Roof repairs . . insurance.required.]t c. 152, §1(4),and we have no employees, [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below sbowing their workers'compensation policy information. t Homeowners•who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide then worker;'comp.policy number. , lam an employer_that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic,#: 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 tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up tb$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 maybe forwarded to the.Office of Investigations of IA f insure cov a verification, ' I r y certify de .the a' a enalties of perjury that the information provided above is true and correct. Si tur Date: 3 !2(� Phone#: � Offcctal use only. Do not write in this area, to be completed by,clty or town officiaL City or Town: ' Permit/License# Issuing Authority(circle one) A.Board of Health 2,Building Department 3, City/Town Clerk 4,Electrical Inspector 5,1?1umbing Inspector 6.Other Contact Person: Phone#: 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 toted-of an individual,partnership,association or other legal entity,employing employees, However the owner of a dwelling house having not mole than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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!a the commonwealth for any applicant who has not pro.duced•acceptable evidence of compliance with the insurance coverage required." . Additiomany,MGL ehapter.152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of pubUa work until acceptable evidEnse oi'compl%a�zce ithtlie insurance requirements of this chapter have been presented•to the contracting authority,." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti-actor(s)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-End. 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense 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 atff davit 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. Th4 commonwwlh of Maumrhwotts D artment of Ta.dustdal Accidents of rice of Inhvest ga'dons 600 Washingtoli St€eet B4ton,MA G2111 . TO. 617-727-4 cxt 406 or 1477-MASSAFE Fax#617-727-770 Revised 11-22-06. • W .maSS.86V/dia . Application to (90 Ringo kigbhiap 3.Egionait biotoric �Digtdrt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby.made,with four complete sets,-for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, .drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New OAddition Alteration Indicate type of build' KHouse ❑ Garage • ❑ Commercial ❑ Other 2. Exterior Painting: pJ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign . ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE Il�5Io7 ADDRESS OF PROPOSED WORK e16 �tafle. 5fk424— ASSESSOR'S MAP go. 13L OWNER do`e�S ASSESSOR'S LOT NO. O � I HOME ADDRESS Io 1 � ne2�", W-Puivy4w�, YA TELEPHONE NO. FULL NAMES AND ADDRESSES OF A1307ING OWNERS, including those of adjacent property owners.acroWny. public street or way. (Attach additional sheet if necessary.) m =fir aALQ,hed N 0 AGENT OR CONTRACTOR � ►ti+�1 TELEPHONE NO. °-M `5 3 ADDRESS ' IOU l) Ilm Ryzef V• &eA-4- e, V64, 0;�6(,8, DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. u,4 J Si9 ned Owner-Co tractor-Agent For Committee Use Only. �p This Certificate is hereby t E C E V E. Ap ve /Denied , A JAN 2 5 2006 Committee Members' Signatures. Rq� TOWN OF BARNSTABLE HI - ORIC PRESERVATION M Town of Barnstable . Old King's Highway Historic District Committee SPEC SHEET FOUNDATION ceeh+— SIDING TYPE "`�" COLOR CHIMNEY TYPE �l< COLOR ROOF MATERIAL 3hir�(es COLOR PITCH WINDOWS � VYh 'NV COLOR kl SIZE dGt v I DJS TRIM COLORI} DOORS vOGv COLORS MidJA���}-��1� ' SHUTTERS W0001 COLORS I'✓I�GWtI}���- GUTTERS a Iww� COLORS DECKS U)DV� MATERIALS rK aj" GARAGE DOORS h �a COLORS SKYLIGHTS V'LL'a SIZE COLORS SIGNS COLORS E " E FENCE V1h COLOR D LJA 2 5 200NOTES: Fill out completely, including measurements and materials/colors to be u ad. rcc form are required for submittal of an application, along with Four copies thwy14n jil R �a plan and elevation plans, when applicable. HISTORIC PR S SPECSHT "1^ Revised 11/98 f - �pF THE 7, � ,Town of Barnstable y� Regulatory Services " Thomas F.Geiler, sAxNsrasLe, + ,Director MASS. �A 1639• ,0� Building Division rEo �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,.MA 02601 www.town.barnst1ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I'r/2/�� JOB LOCATION: s number street village "HOMEOWNER!': Dawe( AdrwK5 5bts -17/-o,?i l �� Z�SU-3v name home phone# work phone# CURRENT MAMING ADDRESS: q 0' 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 resRonsible 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. gcunstalrl —-- - - inspe tion proced and requirements and that he/she will comply with said procedures and requ emen Si a of eo er 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 bire 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 I /TME L V TV to V1 JL+6aa iJL).j Regulatory Services y �ranz.$ Thomas F.Geller,Director ���Fc► '1� . Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyarxnis,MA 02601 wwW.town.b arnstabl e.ma.us Fice: 508-862-4038 Fax: 508-790-6230 Permit no, Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequites that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement;removal, demolition,or construction of an additiovto any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to strictures which"are adjacent to such residence or building be done by registered contractors,with certaia exceptions,along with other requirements. VY �'JLA1((,.ScA,-e_e1ed�.!O 6 � Ne—LOIn ated Cost Type of Work- �l �y Address of Work:— Owner's Name: Date of App lication: 3 [3(01 • . I hereby certify that: RegistratiQn is not required for the following reason(s):, []Work excluded by law []Job Under S 1,000 ding not owner-occupied Owner pulling own permit Notice is hereby given that, OWNERS PULLING TEEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE ROME IMPROVEMENT FORK 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 Signs RegistrationNo. OR Date Owner's pature Q:wpfiles.forrtss:homeaffidav Rev: 060606 1 x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 132- Parcel �6 Permit# ,)o (0 Health Division —�—,V ' Date Issued cx ��._ Conservation Division Fee Tax Collector Treasurer Planning Dept. ' Checked in By Date Definitive Plan 'n y Planning Board Approved By Historic-OKH Preservation/Hyannis �2 j r p"2 pea,- 2 Project Street Address 7, M A9L- L 07- s� Village I�t9F_'ST 63iARlvS�/A>�J�� Owner Nov rEi, ADA4145 Address /0/ s7l w•&VI11S C=R Telephone Permit Request L(2 1,C2 YA l Cc,I Square feet: 1st floor: existing proposed-9 2nd floor: existing proposed Total new Zg Valuation yoio C90 Zoning District Flood Plain Groundwater Overlay Construction Type FrAA04j;_ Lot Size I• �-� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes O No On Old King's Highway:>(Yes O No Basement Type: .Full.: ❑Crawl O Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ��y Number of Baths: Full: existing new Z' Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new 7 First Floor Room Count Heat Type and Fuel: P(Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:D existing O new size Pool: O existing ❑new size Barn:O existing O new size Attached garage:O existing O new size Shed:O existing O new size Other: t Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes )4No If yes, site plan review# , _ Current Use Proposed Use e BUILDN INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 6 D G . FOR OFFICIAL USE ONLY PERMIT NO. r , DATE ISSUED . MAP/PARCEL NO. ADDRESS VILLAGE ems' ,i y OWNER y; DATE OF INSPECTIONN: FOUNDATION 1 C �� G ..'. I`�.� �/�wo p a✓/1 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL"• :d GAS: ROUGH FINAL: FINAL BUILDING • Fr DATE CLOSED OUT ASSOCIATION PLAN NO. c - F �k -19567 P9170 —_12654 - 102-25-2005' •a 1 1 = 49oa ` QUITCLAIM DEED I;PRISCILLA J.WRENN,as trustee of 161 MAPLE STREET TRUST,u/d/t June y; ' 27,2001 and filed herewith,(Barnstable),Barnstable County,Massachusetts, for consideration paid and in full consideration of ONE and 00/100 Dollar,(US$1.00) 8=Kibi87 PM -A �11 Grant to DA14L R.ADAMS,of 101 Maple Street,West Barnstable,Massachusetts,02668, " a With QUITCLAIM COVENANTS,the land with buildings thereon situated.in Barnstable('West). 1 in the County of Barnstable and Commonwealth of Massachusetts,bounded and described as follows: SOUTHEASTERLY' By Maple Street,three hundred twenty-one and 69/100(321.69)feet; SOUTHWESTERLY By LOT 6,one hundred ninety-seven and 17/100(197.17)feet; ` NORTHWESTERLY By land now or formerly.of Elizabeth F.Cole,two hundred seven and 84/100(207.94)feet; NORTHEASTERLY By land now or formerly of Elizabeth F.Cole,Seventy-six and 06/100. (76.06)feet; NORTHWESTERLY By land now or formerly of Elizabeth F.Cole,Twenty-seven and 86/100(27.86)feet;and NORTHWESTERLY By LOT 4.,one hundred forty-one and 30/100(141.30)feet. " Shown as LOT 5 on a plan of land entitled"Plan of Land in West Barnstable,Mass.Prepared ` for:L.LYNCH REALTY TRUST Scale 1"=40'April 26, 1995 Eagle Surveying&Enginee6ng, Inc. 10 Seaboard Lane,Hyannis,MA 0260 V and recorded at the Barnstable County Registry of. Deeds in Plan Book 513,Page 34. r Property Address:75 Maple Street,West Barnstable,MA 02668 For my title see deed recorded at the Barnstable Registry'of Deeds Book 17997,Page 129. WITNESS MY HAND AND SEAL TIES /43 DAY OF FEBRUARY,2005. COMMONWEALTH OF MASSACHUSETTS a Barnstable,ss. February ,2005 sK Then appeared the above-named Priscilla J.Wrenn,and declared the forgoing instrument to be her free act and deed,before me. Not :1 My Commission Expires: ` WUi; Communv;.:at;ii o:Vassachisetts �: 4 MY�:c BARNSTABLE REGISTRY OF DEEDS nimi:: , r + 'lit y w 2a +t y TNXlllhrr sv It r! *�,�{'�. L � — -� �� �,r• try a •. �"R"" EE �.ki•l.tY►� rx•�iWr�.._.d✓„ ..ut.. ^�ii,�-/'* .'.wt.. +1 _ r 4 � ij� .r.:�_ � L• "a..7� ~a `k�e.'r +�r�'A.� .� ♦y�,,��` wii4 �T�r ' • . k- 11 1 •a 11• 1 Page 1 of 1 Ir 4�Y v r M r� �+ 4a i� �3{ 't t�`(fer��, : z .'Tf. r r t.�♦y�` �a�r}��}��T�.�.,^�,,���`-y� s a e.•..: c• ti r a file://\\isvisions\images\00\01\81\52.jpg 3/2/2009 �` i/�Y VVI/•//-V/-II�..M-�/- � r.�wrrwr.--.rr--r• ` Department oflndustrid Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ' www.massgov/dia' Workers' Compensation Insurance Affidavit; Butiders/ContractorsXlecti idans/Plumbers Ap-plicant information Please Print Le�ibIy. Name easiness/orvnizadmnadividuQ: PAP I X; Address: MA-OLT' S`T City/StateMp: 07" WX1573—A61,E- tYk©� Phone M 509 Are you an employer? Check the'appropriate boa; Type of project(regained): 1,❑ I mn a employer with 4. ❑ I am a general contractor and I 6, ❑New eons traction employees (fan and/or part-time).* have hired the sub-contractors 7. Remodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ ❑ g ship and have no employees These sub-contractors have Sa ❑ Demolition workbag for me in any capacity. workers' comp.msnranee, 9. ❑ Building addition rimo workers' comp.insurance• S. ElWe Eire a corporation and its ed,] officers have eXereised their 10.❑ Electrical repairs or additions 3.M.,I am a homeowner doing all work right of exemption per MGL 11.❑ Phimbing repairs C r additions myself.[No workers' comp. c. 152,§1(4),and we have no 1,2,❑Roof repairs ' lance required:]t : employees.(No workers' 13.❑ Oflier camp,insurance required.] *Any a Hunat that checks box#1 mnat also fill out the section below ahowkg their workccs'o=penm*m polieyinfarmatic t Homeowner,who submit this affidavit indicating they are doing en work aadtheu lire outside contractors roast submit anew affidavit Indicating such ;con b aches that check this boa must attached as additional aheet ahawing the name of the aub.contractors and their workers'comp,policy iafozmatien. I am an employer that Is providing workers'compensation insurance for.my employes Below Is the polley and.fob aitc. Tnformatton. Iasnranco Company Name: •per,nor��a.Lac.� Pry I2a�c: . Job Site Address: city/state/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and eapiraUon date). Fa:qure to secure-coverage as required undei Section 25A of MGL c. 152 sari lead to$ie imposition of criminal pcnalties of a fine up to$1,500,.00 and/or one-year iaPrisa==n as well as civil penalties is the.form oa'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. u er the paths a Ides of pei jury that the information provided ove t9 true and correct l do hereby cerfi,fy Si tore: Date: �p 6 Phone Metal gR erg. Be nof t M ft uma;,to k .by 04.or tMoffmid City or Town; PermltUrense# I,Qsuing Autborlty(4ircle one); 1.Board of Health 2.Building Department 3.Cityl—lown Clerk a.Electrical inspector 5.Plumbing Inspector 16. Other Contact P ersow Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers" compensativnfor-t w 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,.&21 or written." An employer is defined as."an individual,partnership,association;corporation dr other legal entity,or any two or more of the f=going 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. Howevrr 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 ep3ploys persons to do maintenance, construction er.repafr work on snrh dwelling house Oran the grounds or building appurtenant thereto shall not because of such employment be deemedtobe an employer." MGL chapter 152, §25C(6)also states that"every state or.local licensing agency shall wltbhold 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 coYerage required." Additionally,MGL chapter 152, 125C( )states'Neither 1he commonwealth nor any of its political subdivisions shall enter into any contract for tie performance of public work until acceptable evidence of comayliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicaub Please fill old the workers'compensation affidavit completely,by checldag the boxes That apply to your aituation and, if necessary,supply sub-contmutor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or-L ari Liability Partnerships(LLP)with no employees other than the members or paztners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that tlris 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 Deparbnent of Indwbial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensationpolicy,-please call the Department at the member Bstecl.below. Self-insured companies nfier 3heir self insurance license number on.the appropriate line. City or Town Offldab . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. off far iron to fill ortt is the event the Office of Iuvcs bus to contact you regarding-te applicant - Please be sure to fill in the pemritffieeme number Which wit be used as a refm race amber. In addition,'an appliccamt ihatnmst submitmaltiple permit/license applications in any given year,need.only submit one affidavit indicating current -policy information(if necessary)and under"Job.S*Address"flee applica It abould write"all locations in__(city or town),"A copy of the affidavit That has been officially stamped or marked by the city or town maybe provided to the applicantas proof ihat•a valid a0davit is on file for futme permits or licenses. Anew affidavit mustbe filled out each year.Where a�&me owner or citizen is obtaining a license or permit natrelated to any business or commercial vent re (it a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would At 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 rmber: Ile C=onweal& of A usach efts Depwhnmt of Industrial Accidemts . 600 Washington Street Boston,MA 02111 ro Tel. #617-727-4900 ezti-t 406 oir 1 077 MASSAFE Fa_.#617-727-7749 Revised 5-26-05 WWWMass.govldia of�►,E r� Town of Barnstable o Regulatory Services snetvsznsLe, : Thomas F.Geiler,Director 9 MASS. �p 1639• ,0 Building Division 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: 6 � G 6 JOB LOCATION: S NI �" �_ / l-J �7 {GY4/����r r✓L number street village •HOMEOWNER': �*vjxL S SDS— T 7/—O?/i �f D$' 1-8V— 30 name home phone# work phone# CURRENT MAILING ADDRESS: �' >x 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 inspection /o ocectwes and requirements and that he/she will comply with said procedures and r u a ents. .16,Ttare of H eowner 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 • Application to (91b Ring"I 3ftbb $p 3kEainal T�i,4'totkc -Aligtrid (Committee In the Town of Barnstable CERTIFICATE, OF APPROPRIATENESS Application is hereby made,with four complete sets,for the issuance of.a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. cHi=r,K.CATEG®ROES THAT APPLY: -r,, C0 ► . Cn .. 1. Exterior building construction: New ❑ Addition ❑ Alteration V =?-a Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other MrX 2: Exterior Painting: ❑ "'M. M.3. Signs ❑ El or Billboards: New Sign Existing Sign Repainting Existing Sign � 4. Structure: ❑ Fence ❑ wall. ❑ Flagpole ❑ Other OW TYPE O.R PRINT LEGIBLY: DATE 7 W SST ADDRESS OF PROPOSED WORK 75 5Wt ASSESSOR'S MAP NO. f 3 Z OWNER �j�1U 1 L /4 4 AA S ASSESSOR'S LOT NO. � - �� nn HOME ADDRESS 10 /t�-'Lr � �91 1 �1€�` Z TELEPHONE NO. 77/-0 71 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) Dw 157L ADAf I /O - J19e'�OLVV -TI— (.W�;V m k Uz 66g ai►'J 5 s ND i �VF(�► zS FGowi�vG- e�� C ���� .�57 v��`- o7-6 wis AGENT OR CONTRACTOR ,j 1�L ADDS TELEPHONE NO. Ste-��� 0-2/' If6w 10.I66 gADDRESS / DESCRIPTION OF PROPOSED WORK: Give particulars of work tp be done, including materials to be used. Please include locations of proposed signs. Signed ic DEC B U Owner-Contractor-Agent Z This Certificate is hereby &Date _.�t!/off TOWN. F'BARNSTABLE Ap a enied HISTORI PRESER!,�!;f,&j Committee Members' Signatures: i Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING.TYPE G�� S�`� L� COLOR � �� CHIMNEY TYPE -COLOR ROOF MATERIAL S 1-ii��`7-- /��-)T��Y -,OR G�/ �q PITCH WINDOWS N0 &i5,- f4W OLOR 4�1 SIZE TRIM COLOR . DOORS COLORS SHUTTERS G(J66 - COLORS 8.L-Ac GUTTERS 4 LUM L R7 V/� COLORS DECKS ��� MATERIALS GARAGE DOORSUj jfilpfV COLORS SKYLIGHTS No I1E�_ SIZE COLORS.• SIGNS COLORS , FENCE Sc �/V l NCH- COLOR NOTES: Till out completely, including measurements and matarials/colors to be used. Sour copies of this form are required for submittal of an application, along with Faun copies of the plot plan, landscape w ..1,.. A elo..ation nlaa8, whoa applicable. f Town of Barnstable UAWM• i ABM ,0 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M� Wayne Miller,M.D. August 29, 2003 Mr. Darren M. Meyer, R.S.. 43 Vine Street r Duxbury, MA 02332 RE: 75 Maple Street, West Barnstable A=132-026-001 Dear Mr. Meyer, You are granted a conditional variance on behalf of your client, Nancy Wrenn, to construct an onsite sewage disposal system at 75 Maple Street, West Barnstable. The variance granted is as follows: PART XII: The soil absorption system will be located only 104 feet away from.the . neighbor's private well, in lieu of the 150 feet minimum separation distance required. This variance is granted with the following conditions: (1,) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed. by " the owner of the'property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. j . MeyerWrenn i (3) The septic system shall be installed .in strict accordance. with the engineered plans dated July 10, 2003, signed by the designing engineer in red ink dated July 31, 2003. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated July 10, 2003, signed by the designing, engineer July 31, 2003. This variance is granted because the physical constraints at the site severely restrict the location of the soil .absorption system due to the proximity of a wetland on the property and neighbor's wells. Since Ily your Wayn filler, M.D. Chairna n • r MeyerWrenn Table JS=b(continued) Prescriptive Packages for One and Two-F=4 Residential Buildings Heated with Fossil Fuck Prescriptive • MA)dMUM MIN IIVI[TM wall Floor .Btseme & Slab HeatinglCooliag Glazing Glaxiag Ceiling wall Faimeter Equipment E %acavq Area'(�•) U-valuc= R-valuj R value R values package R-vatuei R values $701 to 6500 HeMtiog Degree Da ys° Normal Q 12% 0.40 38 13 19 10 6 19 19 IO 6 Normal R 12% 0•52 30 6 iS,AftdE S t2'/. 040 38 13 19 t0 NIA N=19 _— T_ __�5%_.._036__._ 38 13 25 N-A — —Nomtal— --- 15'/• 0.46 38 19 19 10 - — . N/A 85:AFU$ :. V. ..:.,. :.,.15% 0.44:••. 38 13 2S N/A 85 AFUE w ISY. O.Sl. 30 19 l9 10 6 NIA Normal. X 18% 0,32-' 38 13'' 25 NIA Nonnel Y l8•/. ' 0.42 38 19 25 NIA NIA Z 18•/. 0.42 38 13 19 10 6 90 AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE 1.-ADDRESS OF PROPERTY: ' • 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE'FOOTAGE•OF ALL'(3LAZING: - •• 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: N0: I q•factns-®80303a 780 CMR Appendix J ' Footnotes to Table J4.2.1b: lass doors, skylights, and ' Glazing area is the ratio of the area of the glazing assemblies ('Including sliding-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building ented by the manufacturer with 300 if of ina cordance with 1 Ater January 1, 1999, glazing U-values must be tested and �' the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3A. U-values are for whole units: center-of-glass U-values cannot be used. ' The.ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves-the full _ insulation thickness over the exterior walls without compression, R 30 Insulation may:be substituted for R 38 insulation znz�R 3B insuiftron may bie iubk tilted`for-R=49 insulation. Ceiling R-xal�ios tepresent ttre sum�►f cavity— ••--• insulation plus insulating sheathing(if used)-.For ventilated ceilings, insulating shearing muat_be:placed between . the conditioned space and the ventilated portion of the roof. (if use-d Wall R-values represent the sum.of the wall cavity insulation plus linsulating9sh athliag airement could'be met Eo not mITHER exterior siding, structural sheathing,.and interior drywall.For example, .req q . by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Will to meats apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not 1 to metal-frama constriction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces;basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall-with an average depth less than 50%below de must of conditioned. meet the same RRvalue requirement'as above-grade walls. Windows and sliding glass , basements must be included with the other glazing: Basement doors'must meet.the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes el4etric resistance heating use compliance of cooling eu plan to'bastall more quipment, the equi'oprri nt with lowest one than one piece of heating equipment or more than piece efficiency must meet.or exceed the efficiency required by the selected package.•. 'For Heating Degree Day requirements of the closest city or town see Table J5.Z.1 a NOTES: a)Glazing areas and•U-values are maximum acceptableInleiude structural P nes a e minimum acceptable•levels. R value requirements are for insulation only and b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the ur windows and use the opaque door U-value to determine compliance of the door. glass area of the door with yo one door may be excluded from this requirement(i.e.,may 1 space walllco ponentater mfncludes two or more areas with c)If a ceiling,wall,floor,basement wall,slab-edge,of cry' mponent complies if _ value Is to different•insulation levels,the co Glazing o the components comply if the area-weight d average ater th9n or lU- the R-value requirement for that component. equal to the U-value requirement(0.35 for doors). yalue of all windows or doors is Iess than or 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE q �j � 1 _7 6 square feet x$96/sq.foot= U O k.0041= � -t 7 S plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1500 sf-Same as-new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck.... ... :_ x$30.00= (number) l/ Fireplace/Chimney . x$25.00= 7 (number) - Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Pmjcost Rev:063004 Affidavit of Substantial Financial Interest of !a I .MAP`E Sr., W- &AOW i on oath depose and state as follows:. an applicant for a building permit for the property located at Map Parcel 1. I am PP rr� --� �. The address of the property is 7 5' AMP 2. 1 have !a'© % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. i o 3. Within in the last twelve months from today's date, which is �3 , the following individuals or entities have had a 1% or greater legal or equitable interest in i the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is 7- 23 6L I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address e-r VA-' S 3ro 97FV OM-5 760 �A� 57-' ll'�°^'a`S 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest.. g. Within the last ten days, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted 0 building permit applications for property in which I have a 1% legal or equitable interest. g. Within this month, I have received O building permits for property in which I have � a 1% legal or equitable interest. this eday of 200� Signed under the pains and penalties of per' , i���� 1 2001-0050/affin .,,, nrr=PY/AFFIDAVIT "1'03/28/2005 10:29 15084309979 FAGS 02/04 03/2412SQI5 1b:�u t�4rxa►.aa�+7i� . .._.- -- .- M:1CHAE.L•D.FORD ATTORNEY AT LA IA" 72 10,V- N STRUT,P.O.BOX 665 WEST HA1.2WICH,MA 02671. TEL,(•508'A30.1900 FAX(508)430-99?9 EM.�ILtuditsq 1 Zverizoni.net Much 24,20os Tom Perr} Building cornin65igner Town Hall 36 7 Main Street i Hyarmis,DIA 02601 Rt, 15 Maple Strut, ',\lot Barnstable, NTA-,&W5easor.S Map 132,Lot 26-1 . Dear Commissiotler Pr)•ry: Please be adviser that(his oftiee rcpreseats:Jan Adam: of 101 Maple Street, Barnstab le,MA,mlio is the owte.c of a parcel of land located at 75 Maple Street, West 0arastable, lvlA. 1 write to get forth material facts by which the parcel in quaatiort is buildable tmder the provisiort.s of the Bamstable Zoning Ordinaar-e. Th4 lot in question is shown as let S on a plats of lurad in West Barnstable,MA prepared for L.Lynch Realty Trust,scale "'-40', dated April 26, 1995,Eagle Surveying and,Engiucering, which titian endorsed by the Plauuing Soewd on NNU-y 9, 199:5 and,recorded at the Bewtabla,County of Deeds in plait i oolc 51:3,Page 34(c(>Py attached hereto as Exhibit A). The lot,as showx) on the aforementioned plan,contains 53,877 aq. ft. of which 50,950 sq.ft is upland. TIe lot further contains 321.69 feet of linear fromofe,along Maple Street. The proptey is located in an"Zoning District, which has a minimum lot size of 43,560 sq.f3. and a Minluium frontage requirenztat of 150 feet. The lot exceeds both of these requirements and$omfore meets the requi:emems m a bWIdablt lot raider,the RF Zoning Dishilet The lot is also located in a Resource Prolec6oa Overlay District (RPOD). The minirnuuii lot area in the"013 is 87,127 sq.ft. .However,the Ordinance pmvides at Section 240-91('r 1)(a),!teat a tot that existed at the time of the adoption of.the"OD (04tober 26,2000)whicr.confoarned to the applicable bulk requim eats o:the Zoning Ordinanm im.nnediately prior to the effect of date of fhe Ordinance, is protected troth(Ile increased lot area requirement imposed by the RPOD The subject lot met all of the, applicable r4quirements of the RF Zoning Dienct, irrnediately prior to the efkecttvc date of the"OD havztig bie4m 4xoated in 1.995 and accoTdingly,meets the exemption provisions of Section 240.91G(1)(a). 40 3Jdd 0EZ90618H16 GE:00 566T/L0/TQ `03/28/2005 10:29 15084309979 PAGE 33/04 03/24/2009 1.5:20 15684305979 �M%3r_ uvcw Therefore, it is my opinion alter the. lot meets the Applicabte requimme►tts of the Zoning Ordina►ce for building ptuposks 1 n1s Opinion relates only to the lots abi:ity to ►nett the niulitmutn requirclucatj of the Zoning Ordinance and na opuaion is expinssed p.1 to the lot°s buildabillty with respect to any Other. OYdiaatur Rul&.R.eBulaiion et By-Law. I %vould ask thAt if*yvu agree �Litlz tile coxac..iuyions co�ltied het+ein,itlsafar as they pertain to the lot's bulldability under the Zoning Ord ce,you ttpk»nwieclge:inme by countersignitag a copy of this.etter and rettanIng it to me. M 4ways, 14prreeiate your cooperation and assistance. very truly youzs, ' Michael D. Ford S11)P1gfm Cc' Dan Adants Comas ery-,Building Coe_MUks CO hE:00 9651/L0/10 93/28/2005 10:29 15084309979 PAGE 04/04 b.9f'[q/ (YiYi'1 l t: to jhMMa iy b M g/ 'HtSt rJ4!tlti fA '� wc'�r ��t►..Yrnrrae AAaiw. I..iT ,. YAO.2r J.�rwr.n0 A J'M6IA'/fJr'+JJ�<✓ �ttrt•a�'il`r'w. � J`._..�i. •r•. .. �aaaA .ar ar L-c.� -� b9 3Jdd 0EL906009% PEW S66T/L®/t0 i A-teT o¢tto¢m� at 1'aw 407 4=-Vo4tfi cstwzt �e�efs�zoree c 6annls, -Aassadzwztts 02601 �aesuni�e �50&� 775 7339 (508) 778-6866 March 18, 2003 Mr. Torn Perry, Building Commissioner Barnstable Town Hall- 367 Main Street Hyannis, MA 02601 Re: 75 Maple Street, West Barnstable, Massachusetts Assessors Map 132, Lot 26-1 Dear Mr. Perry: Please be advised that I represent Priscilla Jane Wrenn, the owner of the property at 75 Maple Street, West Barnstable, shown as Lot 26-1 on Assessors Map 132. My client is looking to.obtain a building permit for said lot. The lot contains 1.24 acres (1.17 acres of upland). The current zoning in that district requires two acres. I am informed by the Town Clerk's office that the two-acre zoning went into effect in November of 2000. Massachusetts General Law 40A, Section 6, states as follows: Any increase in area, frontage, width, yard or dept requirement of a zoning ordinance or by-law shall not apply for a period of five years from its effective date to a lot for single and two family residential use, provided the plan for such lot was recorded or endorsed and such lot was "held in common ownership with any adjoining land and conformed to the existing zoning requirements as of January first, nineteen hundred and seventy-six, and has less area,frontage, width, yard or depth requirements than the newly effective zoning requirements but contained at least seven thousand five hundred square feet of area and seventy-five. feet of frontage, and provided that this sentence shall not apply to more than three of such adjoining lots held in common ownership. i Tom Perry, Building Commissioner March 18, 2003 Page Two The lot in question is abutted by three lots. Lot 13-2 on Assessors Map 132 is owned by Thomas Every and Sandie Every and has been owned by them since 1997 (copy of Deed enclosed). Lot 26-3 on Assessors Map 132 is owned and has been owned by M. Jane Murray since June 4, 1999 (copy of Deed enclosed). Lot 29 on Assessors Map 132 was deeded by Laura S. Lynch and William H. Lynch to Priscilla J. Wrenn individually on February 27, 2001 (copy of Deed attached).,,,. On June 28, 2001 Priscilla J. Wrenn deeded Lot 29, Assessors Map 132 to the 101 Maple Street under Declaration of Trust dated June 27,2001. That Trust still owns the property as of this date. Copies of both of these Deeds are enclosed. The Plan creating Lot 26-1 on Assessors Map 132 was endorsed by the Planning Board on May 8, 1995 and recorded in the Barnstable County Registry of Deeds in Plan Book 513, Page 34. Given the aforementioned information, it seems clear that 75 Maple Street, being Lot 26-1 on Assessors Map 132, is grandfathered in accordance with MGL, Chapter 40 A, Section 6 and is a buildable lot: Very truly yours, Peter L. O' fe PLOK/sh Enclosures AGi P14 A i,T L E�6 T O /'Ali xet4 ¢Vl t 64� _._ ........ 1�tUT� C. �[ t11; � �• I?� a 1 i 1 • Zx'1... ru®� s? . � •. -' �. '��• ICI � . • � f o W..M: R-1 # fi �2_ 2x. to Dj.A•C-oNr�A.' 1gAC. kGptt4� IZ"D.c,� 1Z . � £.�A.rs J v ♦ 'C� M- ► �i 41 ja --. _.A.........---_-----fi�C..G��#.,�...., t.NM�:�"^-�a"�.��`�. ..�O15'�.. . � Np...... �V..._ 1�-'� • W. ..13`�.. .:. ����..'�....�.v.L-T.•.ii .... .. _ Ee u R S ._.0 I l�444 ...W 'T H ...Ab.N`e,,�1V.t O 7-1 NOZ.006N .. N;f4•tLJ r(:l-� Mi. -. .. Cl i2A.G,1 N 4n . lad. . $ m I LOT 5 53,878f S F. 1.24f AC. Map 132 Parcel 26 102.4' 213.6' f 0• ��. 65*51 S z 0 Ex is t. Fdn. 33.0' T F=90.2 JJ 55.0' S 59 5 5�2 STREET ADDRRESS• #75 MAPLE STREET ►1) TOWN 0 BARNSTA LE ASSESSORS' MAP 132 PARCEL 026-001 OWNER. DAN ADAMS ZONING BY-LAW DEED REF.: BK. 19567 PG. 170 ZONE R PLAN REF.: PL. BK. 513 PG. 34 LOT 5 SETBACKS FRONT =SIDI CERTIFY THAT TO THE BEST OF MY PROFESSIONAL REA R = 15' KNOWLEDGE, INFORMATION AND BELIEF THE FOUNDATION REA = 15' SHOWN HEREON CONFORMS TO THE HORIZONTAL SE78ACKS PROPERTY LINES SHOWN HEREON OF THE ZONING BY-LAW FOR THE TOWN OF BARNSTABLE. WERE COMPILED FR M AVAILABLE PLANS OF RECORD AND DO NOTSNOP REPRESENT AN ACTUAL SURVEY TERRY ON THE GROUND. ANN "A S-BOIL T" WARNER THE FOUNDATION DEPICTED ON THIS No.38721 PLOT PLAN PLAN WAS LOCATE ON THE GROUND @ IN BY SURVEY ON AUG. 4, 2006 AND EXISTS AS SHOWN AS OF THE DATE BARNSTABLE, MASS. OF LOCATION. f0 /n SCALE.• 1"=40' AUG. 9, 2006 THIS PLAN IS FOR LOT PLAN TERRY A. WARNER, P.L.S. PURPOSES ONL Y. 22 LONG ROAD HARWICH, MA. 02645 (508) 432-8309 THIS PLAN IS VOID IF NOT STAMPED AND SIGN D IN RED. 0 20 40 80 PROJECT NO. 03-188AS t i 17 i �s;� oa�v Do/ Zo�E , SETgA ASSESSORS MAPS (32 R E' ,. TEST HELE LOGS NOTES: PARCEL OU-Wil a o tlt tk Sir. C Tg-Ieorl0 SIDE IS v � cl FLOOD ZONE Ulf e,JS E Cl) SOIL EVALUATOR D:! ,�y� 5, ''II 1. VERTICAL DATUM �15SUV� � f� �AZh (�P �� RGr�� : I S ' �rzr(• BD ar- � Fl� f - WITNESS A'A 'In1N I?r , 2. MUNICIPAL WATER IS b AVAILABLE. pp-,,A-T& OF-LU PkOPO��. REFERENCE:�Ij- 5i3 n _�T ' Cl) DATE: M 2 ' Z4X)3 S '�y 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT SYSTEM UNLESS tqw Ff2$ujt,wF,c, PERCOLATION RATE: �M►NI�GN OTHERWISE NOTED, t� Z{,'iGl Cote I.;GASS I Soil Li1�2- oOY PI/4 4. ALL PRECAST UNITS TO C❑NFC7"2M WITH AASHT❑: lUkZ�U S -78 F�z"UtNO w 3i� Ave* ,� r TH=2 ,laS 5. PIPE PITCH - 1/4' PER FOOT` UNLESS OTHERWISE_ NOTED. - _ M Sa+�v T LUA y _ A y y 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA. ENVIRONMENTAL �F Sfl�> IUI?-.q{j3 ;1 LvA-M I R '3 S' CODE (TITLE V)' AND LOCAL REGULATI❑NS. LOCATION MAP ►�1-T•S,l IZ �4,47 6 ( l '�2 ISCONSTRUCTION. Y�I T>=1Qtpr LSE (,oltnn ;, �� SILT 7. CONTRACTOR Tfl VERIFY LOCATIONS OF ALL UTILITIES PRIOR T❑ -Mhr' I �3 Y 2- �+ � ,� ��'�� 32 L.OT'ciis,o 2- ,1 SAn)ID y Lut�►� y BS.gg VAlZ-JAd&ie �ye, NO Pk4vhl�Weu- w1rrJ I5o1or- PRr�f�p 32 < N �PnL S STD w ,►J' �e-D1UN1 C� ��NE 2 Syy/ �- N(.P, 'PiWM BvPrcz✓� ��� tF��VT]t ISD'of PU?OSED vjl a. � ,�t, 5 N �c16� F l VATl` t-v EUA, V T�v �� 0 i, i�ta4\4- , wE�L-L.- lvl pket.t 5-f. VS Pf-avle'e►) ISO'. / lie, No (.w. C SEPTIC SYSTEM DESIGN Lot 5 A,f br° 6�\. 53.8781 ST. �`�� ,+ ��. moo` 1241 AC. FLOW ESTIMATE ho .> LaN MJ4P 3ZLoT02ls,=Cn3 BEDROOMS AT GAL/DAY/BEDROOM y�I %NCB aq j MAPL.F- S%. 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NO. 381-011 A- 3 3P1 /R�t L MI / 11 CONTINUOUS CONTINUOUS QDC� 1 3/4" X 9 I /4" 1 3/4" X 9 114" N RI M BOARD RIM BOARD <C CONTINUOUS J PARALLAM - 5 114" X 9 114" BEAM OLd 2/0 X 3/0 N 5 114 X 9 1 /4 c� BSMT SASH (TYP) _ DBL rDE3L PA AL A J O 1 STS JO1s T�, 3 12 LALLY COLS. czC ry Q G'-4" ON CENTER ON o X _. 30 30XI0 W m _ I.L CONCRETE FTG - _ . �. o ' W CONTI N. SOLID CONTI N. SOLID I BRIDGING BRIDGING ! CO1`.JT INUOUS I — CONTIN000S ►— � TRUSJOIST TJI 230 TRUSJOIST TJI. 230 Q W 6" O.C. 16" O.C. — Q 8" REINF. CONC. 0 PO UNDATION WALL U L� ON 1011 X 20' CONCRETE FTG FOUNDATION 5ECOND ffLOOR Scale• FIR5T ffLOOK RAMING PLAN 11411—ffKAMING PLAN Date:2 25 / 06 Rev. G/2 31OG I CONT. RIDGE VENT 1 2 e - ��\ H.Ricy rFo sib � 3 Z w ARCHITECTURAL 7 a � O No. 101 ASPHALT SHINGLES ----- CL ; 1 U Q RM. T, BATH ASS. " OOD BATH WALK,-IN 5# ROOFING FELT ice= TRUSSES CLOSET ` 5/8" PLYWOOD BEDROOM - �--R30 I NSU L 0/0 X 1 3/8 O PVC TRIM 1 /2" GYP. BD CLG PEKF.VINYL SOFFIT co DN 4 1 /2" EXPOSURE O MASTER CEDAR CLAPBOARDS STORAGE LIN r BEDROOM W FRONT ELEV. ONLY 1 210 X 1 7/4 + 4- 3/4" PLYWD DECK ( _ CL /2" GYP. � Q � � 2X G- I G" O.C. 1 /2" GYP. - BD CLG 1 /2" GYP. BEDROOM O 1 /2" PLYWD SHEATHING 1 1 /0 X 1 5/0 j Z O `cJ BUILDING WRAP R 19 INSLIL m BEARING WALL W f � < _V O � � NI _ QD CZ co 3/4" PLYWD DECK DECK SEAT i U Q � � R 19 INSUL -_ R/ ~ Ln BEAM W � J GRADE (VARIES) N LLJ SECOND FLOOR 8" CONC. FDN WALL Ln Q -0 Q C J 3 112" CONC. SLAB --� 0"X 20" CONC. FTG VAPOR BARRIER OVER 8" GRAVEL _ SECTION _ I DECK 38'-0" -- �o 77DW N BREAKFAST KITCHEN DINING ROOM I �9 9/0 X 10/0 9/0 X 1 3/0 9/0 X 1 3/G Q o �0 Q Q � LLJ --� z REF � Q m LAUNDRY Q Z ° _LL R z O F - - O LAV z�� L L IO Q L I FP j l__l 11 co L1J l Ln CL (s) K LIVING ROOM ! > - — 12/0 X 1 5/9 O - FDKOOM w Z Z ___—1-- 1 0/0 X 1 3/4 r UP Q U P w Q� — R/ ry OW O OQ Sca l e 1 /4II_ 1 1-011 BAHM ENT FIRST ff LOOK Date: 2 / 1 / OG Rev. G/2 3/0 G I No. 10149 v our Q s " CONTINUOUS h Q-• Pgts RIDGE VENT ARCH ITECTRAL ASFHALT SH I NGLF _i— U / IE R Q Ln .......... EE I �C < o C) cl/ -- CEDAR z = Q 5h I NGLES O N -- � o �, UQn --- -- W � � _ ' [L7 IL-L-J CLAPBOARDS LEFT FRONT !0. co z - <C CD- CEDAR f Q - SHINGLES f O Q �� LLJ cn ! I u J L�7 _ — - F== fill I {LLf LI. - —�— — . - - fir � II I -r O Jw J BACK RIGHT O Q � Scale: -011 Date: 21 1 1 0G Rev. G12 31OG