Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0130 CAPTAIN ELLIS LANE
t .� e ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION : 7017AM OF R 'Si'ABLE Map Parcel Application.# Health Division ' ,E#� ( . j Date Issued � 1`�. l Conservation Division Application Fee t Planning Dept. Permit Fee DIVISITI, 44 Date Definitive Plan Approved by Planning Board Historic -.OKH _ Preservation/ Hyannis CM.AML S EV'i" 1 Project Street Address I a &o& F I I•3 1 ,.,_ Village )11 r•.., Owner ► Address 57,r Telephone_ 3XV Permit Request /u b." Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `' _ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ 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 0 Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number Address PO Box 52 License # West • .) MA 02670 Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS`PROJECT WILL BE TAKEN TO fA. SIGNATURE DATE /.;!o& L FOR OFFICIAL USE ONLY f t APPLICATION # DATE ISSUED n MAP/PARCEL NO. ADDRESS VILLAGE -' OWNER Y >' DATE OF INSPECTION: ' FOUNDATION 1 FRAME .e INSULATION 'z s ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f " r P-10 j lI Gr<,-w/ ,508 7 7 Town of Barnstable Regulatory Services suR Ricbard V.Scali.,Director Building Division loin ferry,,Building Conunissioncr 200 Main Sheet,)Tr�annis,:VcA 02601 wNvw.townbarnst:ablc.ma.us Office: 508-862-4038 Pax: 508-790-6230 Propegt r Owner Must Complete and Sign This Scction. If Usina aAABtWder r, N'lwidas Owner of the subject prnpc ny hereby autho&2 . 0h to act cn niybeha)f, in L matters relative to work authorized by this building permit applicat7on'for: i.: 0 Ca � � li �E 111 Ca n , A n I .� t - _ (Address of lohi)... ,`Pool fences and alarms are the responsffilL=of the applicant;. fools are not to be filled or utili ed lie-tire fence i�installed an all final inspections are performed and accepted. Snature of OwNer Silo titre of Applicant . Z'xint N:�me _ Print�Narz- T ba Q,FORMS;O\\-\TF.,RPERT.i]SSIONP00LS L\> } . f up -Office of Consumer Affairs andBusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cctor Registration Registration: 169393 Type: Individual Expiration: 6/16/2017 - Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY b r - P.O. BOX 52 — WEST DENNIS, MA 02670 �1 2 $ Update Address and return card.Mark reason for change. SCA1 Co 20M-05/11 _ ` Address Renewal Employment Lost Card ,tom �e gpa�nvnw.eusea�l a�C�/��aac�uaeG� , Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,; 11'69393 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration -6�i6l2017 Individual , MICHAEL MCCARTHY ' Boston MA 02116 f I MICHAEL MCCARTHYt� / 6 RANGLEY LN. �`; SOUTH DENNIS,MA 0266D` Undersecretary Not lid with/signature Massachusetts Department of Public Safety 3 Board of Building Regulations and Standards License: CS-058633 Construction Supervisor .10 1 MICHAEL J MCCARTHY P.O.BOX 52 WEST DENNIS MA, 02670« t" 4 Expiration: Commissioner 04/10/2018 3 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration ` Registration: 169393 Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY. MICHAEL MCCARTHY - P.O. BOX 52 J. WEST DENNIS, MA 02670 - 1 Update Address and return card.Mark reason for change. SCA 1 020M-osm Address ❑ Renewal !'.Employment Lost Card djx6R%78471G//ICC'CLlC77• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only gHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 169393 Type: Office of Consumer Affairs and Business Regulation Expiration :6/1fi12017 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCARTHY , MICHAEL MCCARTHY 6 RANGLEY LN. SOUTH DENNIS,MA 02660 r Undersecretary Not id with t signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC.AR - * PO BOX 52 W DENNIS MA 0267 Expiration Commissioner 04110/2016 The Commonwealth of Massachusetts _ Department oflntlitstrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia 1lrorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. . TO BE FILED'WITH THE PERMITTING AUTHORITY. ApplicantInformation Please Print Le ib1Y Name (Business/Organization/Individual): Mike McCarthy COnstrtueti011 po OX 52 Address: West Dennis, MA 02670 City/State/Zip: Cell 08)#280-6964 69393, Are you an employer?Check the appropriate box: F7. 0 project(required): l.�am a employer With 5— employees(full and/or part-lime). ew construction 2.❑1 am a sole proprietor or partnership and have no employees working for me emodeling any capacity_[No workers'comp,insurance required:] . 3.❑I am a homeowner doing all work myself.fNo workers'comp.insurance required.]t Demolition 4.❑I am a homeowner and will behiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'com ensalion insurance or are sole p s I 11:❑Electrical repairs or additions proprietors with no employees. ` 12. Plumbingrepairs or additions p 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees end ve workers'comp.lnsurancef1 13. Roo f repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 1✓C.f 152,§1(4),and we have no 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. iConlractors that check Ibis box must attached an additional sheet showing the name of the sub-eontractors•and stale whether or not those entities have employees. If the sub-contractors have employees,they must provide their,workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. M Insurance Company Name: AJ Policy#or Self-ins.Lic.#: V�✓L—)� -(�G t 7(a�(, -a�I+SA Expiration Date: )2 �ts ll 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 MGL e 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. , I do hereby certify under 1 a' s enalties oj'perjury that the information provided above is true and correct Si nature:_ Date: Phone M (Sc�i abc 6 f C r, Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:' Phone#: CERTIFICATE OF LIABILITY INSURANCE DATE(MM`DD"YYY) 12/07/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)`must be endorsed:'If SUBROGATION IS WAIVED,-subject to` the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). O�rp�T PRODUCER 01962-001 NAME: Bryden 8r Sullivan Ins Agcy of Dennis Inco,Ezt: (508)398-6060 1 ,No,:, (508)394-2267 PO Box 1497 MISS: So Dennis,MA 02660 INSURER(S)AFFORDING VERA NAIC# INSURER A: A.I.M.Mutual Insurance Company 33758 INSURED INSURER B: Michael McCarthy Construction Inc INSURER P 0 Box 52 IN R D: West Dennis, MA 02670 INSURER E: INSURER IF- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE TOM POLICY NUMBER ARA W6 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PRE I E a ne CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ ; EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OLICY EC OC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY N c' t ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED P80PERT DAMAGE $ AUTOS $ r accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE. AGGREGATE $ RED RETENTION $ $ �'r�d� �iP�cFi9 tPs�C R4f4 x I TAN Ids I 10M, _ A AONYIPROPRIETOWPARj(y�f (ECUTNE Y� NIA VWC-100-6017656-2015A 12115/2015 12/15/2016 E.L.EACH ACCIDENT $ 1,000,000.00 FFFF Cdato/MMEE NH) EXCLu Cu E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 (Mandatory in N�nH�)sr ��`SC IP N OF OPERATIONS bebw E.L DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,B more space Is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact - PO Box 427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED 1N ACCORDANCE WITH THE POLICY.PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ZJ v Parcel ` Application # Health Division Date Issued "l ' Conservation Division Application Fee Planning Dept. ..,Permit Fee �> Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation / Hyannis Project Street:Address 1 3® CAW- L. S -- Village Owner FS`Z'1L bf�c.��yT Address 13 ��3 C. .- Telephone SOY-7-1 Permit Request (-4" erX i' rA^ nn BeJV/u0.,N wI-TO ey Lu ma VA-re + F."yl cA b!l � i�r�l�l`��� �Vy1 WES.,� �aA'Li��-Crv►� I , Square feet: 1 st floor: existing Oproposed J L Y 2nd floor: 'existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation cf M Construction Type Lot Size 14 71LGrandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes kNo On Old King's Highway: ❑Yes two Basement Type: KFull XCrawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Q Basement Unfinished Area (sq.ft) ;r2,0 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing 6 new First Floor Room Count Heat Type and Fuel: 96as ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes Lb6o Fireplaces: Existing New Existing w@Dd/coal stM: LE'es kNo Detached garage: ❑existing ❑ new size Pool: ❑existing ❑ new size _ Barnexisting ] new size:_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other::^' Na Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ NO Commercial ❑Yes ❑ No If yes, site plan review # I-D rn Current Use Proposed Use APPLICANT INFORMATION T (BUILDER OR HOMEOWNER) Name a Telephone Number Address D- yei License# CS 0(7 p� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO :&Mtom. SIGNATURE DATE LS FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR/PARCEL NO. f . ADDRESS VILLAGE '4 OWNER DATE OF INSPECTION: t ° .:FOUNDATION.{' FRAME FRAME ��41 L t, INSULATION.' 7 t FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GASH E`_�' ROUGH -, FINAL; M _ k O;WRINAL BUILDING;'_ :•, -.;._ 4 - c #t;JDAT.E CLOSED OUT ASSOCIATION SOC ON PLAN NO..L + 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 LeFribly Name(Business/Orgarizahon/Individual): ) Address: 170 80 rd— City/State/Zip: * ffj6vA 5 4v, Phone.#: Are you an employer? Check the appropriate boz: Type of pi'oject(required): 1.®-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.El am a•sole proprietor or partner- listed on the attached sheet 7. .®Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9ElBuilding addition [No workers' comp.-msuranr_.e comp.insurance.t required] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their -11.0 Plumbing repairs or additions myselL[No workers' comp. right 6f 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.] 'Amy applicant that checks box#1 must also fjU out the section below showing their workers'corr9mmtion policy infprrmtim- t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit anew affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-conhactan and.state whether or not those entities have" employes. If the sub-cont wtwr.have employees,thry must provide their workers'comp.policy nrnnbcr. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address I3 ��Q� I��S City/State/Zip: 1 0-6-o �+ Q policy number an expiration date Attach a copy of the workers' compensation policy declaration page(showing the p y ap ) Failure to socure 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 a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. -- I do hereby ce under the ins-and penalties of perjury that the information provided above is true and correct Si ahre: �. - Date: Phone Official use only.:Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# _ Issuing Authority(circle one). 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other ' Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: , Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the a 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 in the commonwealth for any applicant who has not,produeed•acceptable evidence of compliance with the insurance coverage required." AdditionaRy,MGL chapter 152, §25C(7)states`Neither the commonwealth nor-any ofits--political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the in--urance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),addresses)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 tbat the application for the permit or license is being requested.,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,.please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the a$dayit that has been officially stamped or marked by the city or town may be provided to the applicanvas proof that a•valid affidavit is on file for future permits or licenses.' A new affidavit'mtst 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 (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call . The Department's address, telephone-and fax number. �;; _ The C&MmonweaM of Massachusetts_ Department of Industrial Accidents Office of Investigations 600 Washinaton Street Boston, MA 02111 TO. # 617-727-49-00 ext 4-06 Qr 1-977-MASSAFF Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE. DATE(MM(DDN""?) j� 04/10/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION jlackstkStOn2 Insurance THIS AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' P.0, Box 3144 HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Worcester, MA 01613 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURER A Travelers InsuranceRolfe Construction, Inc. INSURER a Chards Insurance . 176 Bog Road INSURER C: Marston Mills, MA 02648 INSURER D: INSURER E: i. 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. LTR INSRD TYPE OF INSURANCE POLICY NUMBER DA E M r Y LIMITS GENERAL LIABIL(T1f 1,000,09 EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILMf OAI�IA E) 300,00 PREMISES Eao ro $ CLAIMS MADE � OCCUR MED EXP(Any one person) $ 5,00� j A 680-6696X21 B-ACJ-12 03/06/2012 03/08/2013 PERSONAL&ADV INJURY $ 1,000,001 GENERAL AGGREGATE $ 1,00D,DDI GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP(OP AGG $ 2,000,001 i POLICY f7PROJECT IOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - $ (EFI eccidant) . ALL OWNED AUTOS S SCHEDULED AUTOS. BODILY INJURY(Per person) HIRED AUTOS g NON-OWNED AUTOS BODILY INJURY (Par accident) PROPERTY DAMAGE S (Per occident) OARApELIABILITY AUTO ONLY-EA ACCIDENT 6 ( ANY AUTO I OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXOESSIUMBRELLA UAMUTY EACH OCCURRENCE S OCCUR CLAIMS MADE AOOREGATE: $ i DEDUCTIBLE i RETENTION S WORKERS COMPENSATION ANDUIK , E1IAPLOY AS'UABWTY - TDRY LIMfF3? ER "i B ANY PROPRIETOR(PARTNERIEXECUTIVE. WC006881273 12/10/2011 12/10/2012 E.L EACH ACCIDENT 100,000 oFFICER(MEMBER EXCLUDED? 100,000 I(yss desalbeUnder EL016EME EAEM?LO>'EE S „p I SPEG`IAL PROVISIONS below ' 500,OD0 E.L.DISEASE P,gLICY LIM $ OTHER —10 i CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Building Department DATE THEREOF,THE ISSUING INSURERNDLLENDEAVOR TO MAIL 15 DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE UWT,BUT FAILURE TO OO SO SHALL i Hyannis. MA 02601 IM POSQ NO ORUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUTHOR D REPREBENTATNE ACORD 25(2001108). '. ®ACORD CORPORATION 1988 Office of Cons mer'�f�t�a rs&'f3o'siness�fegulatzC�o License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: : Office of Consumer Affairs and Business Regulation Registration: ,..�128174 Type: g Expiration 3%4/2013 DBA 10 Park Plaza-Suite 5170 z Boston,MA 02116 M EL C. RODE { ;i MICHAEL' ROLFE 176 BOG RD r MARSTON MILLS MA 02F48 'Undersecretary Not valid without signature i. � I - _ --- .------- ...V.,. ... _..._. Massachusetts - Departrnehtof Public Safety. Board,of Building Regulations and Standards I Construction Supers isor .: - License: CS-068855 NIICHAEL RQL)FE 176 BOG RDA MARSTON NMLIS MA 02648 111F10 Expiration Commissioner 04/29/2014 AFVC Grride to GVood Corlstr•trctiorr in High *Whirl Areas: 110 rnph Wirid Zorze Massachusetts Checklist for Compliance (78o CNIR 5301:2.1.1)' Check Compliance 1.1 SCOPE WindSpeed(3-sec. gust).................................................. ................................................ 110 mph WindExposure Category...........................................:::................:... .............................:......:........................B Wind Exposure Category............::..Engineering:Required For Entire Project::.. ....... .....: ..._......C- 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stoni s <—2 stories RoofPitch ..............................:............................................(Fig 2) ..........................................1.41, /_<12:12 _ Mean Roof Height ........:..................................... (Fig 2)..................................................I , ft _<33' �i Building Width,W ...............................................................(Fig 3).................................. ft 5 80, Building Length, L .............................:..........I........................(Fig 3)..................................:....:......... ft._<80' Building Aspect Ratio(L/W) ................................................(Fig 4)........................................... <_3:1 Nominal Height of.Tallest Opening2 ...................................(Fig 4)................................................ F <6,8° 1.3 FRAMING CONNECTIONS /. General compliance with framing connections......:.............(Table 2)............................................ .................. y 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.....................::..:..:............................:...:..-..:............................................. .......... ConcreteMasonry..........::........................... ........................... .........:....:................................................ 2.2 ANCHORAGE TO FOUNDATION1'3, 5/8"Anchor Bolts-imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4).....................................: ......:. in. Bolt Spacings from endrjoint of plate ................: . (Fig 5). ....:...:...:.:.... �in.s 6 —12 Bolt Embedment—concrete:.. (Fig 5). ............... _ Bolt Embed in._7" Embedment-masonry.... ........................... .(Fig 5). ......... in.>_ 15" Plate Washer..*...........:......................:..........................(Fig 5)...............................................>3°x 3"x'/�" ... 3.1 FLOORS Floor framing member spans checked....... .........(per 780 CMR Chapter 55)...:. :........ ........... Maximum Floor Opening Dimension.................'....... ....:....(Fig 6 ft<_12' ���- P 9 . ( g )................ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)...................:.........:..:...... Maximum Floor Joist Setbacks '. Supporting�Load bearing Wails or Shearwall..........::....(Fig 7)................... ................................ ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall (Fig 8)............................................................. ft s d "'* ioor-Bracing at Endwalls.................................. (Fig 9).............. ...... . JA4R✓� ` Floor Sheathing Type ............ (per 780 CMR Chapter 55)......................../.' ..... Floor Sheathing Thickness ..................................:.. .......: (per 780 CMR Chapter 55).................. in. Floor Sheathing Fastening...................................... ......... .(Table 2)..�d nails at_(o in edge/ n field 4.1 WALLS Wall Height Loadbearin walls .:...:'. ............ . .....(Fig 10 and Table 5 ........ l ft <_10' g g ) ........ • Non-Loadbearin walls ............................(Fig 10 and Table 5)................... � ft 5 20' Wall Stud Spacing .........................................................(Fig 10 and Table 5)...................1 in.5 24°o.c. Wall Story Offsets (Figs 7&8).............................. < — 4.2 EXTERIOR WALLS3 ,,J Wood Studs 2x"� - ft in. Loadbearing walls..;..... ..... (Table 5)............................... Non-Loadbearing walls .._ .... .............. .(Table 5) ........................2XT in. ✓� Gable End Wall Bracing' Full Height Endwall Studs .......(Fig 10). ............................................ . .. ✓. WSPAttic Floor Length`........................... (Fig 11). ..................................... ft zW/3 Gypsum Ceiling.Length(if WSP not used)........ .........(Fig 11). ........ �>0 9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)........... .... ..:.....:....... ........: .........:.. � or 1 x 3 ceiling furring strips @ 16 spacing min.with 2 x 4 blocking @ 4 ft. spacing in end'joist or truss bays Double Top Plate Splice Length ...... .....:...........(Fig 13 and Table 6)............. �.., ft Splice Connection (no.of 16d common nails)..............(Table 6).....................:........................: ......... A FVC Guide to Wood Cotrstrractioif iir. High 6Vind Areas: 110 tltph t•Vind Zone , Massachusetts Checklist for Compliance (780 CNIF2 5301.2.1.1)' Loadbearing Wall Connections J r/ Lateral(no.of 16d common nails)................................(Tables 7)....................................... ............ 1 Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ........... .........................................(Table 9).................................. `L' ft in.5111 SillPlate Spans ........................................................(Table 9)..................................� I ft in.5 11' Full Height Studs (no. of studs)................:...................(Table 9)........................................................ (2- Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) V HeaderSpans.............................................................(Table 9)....................._.......:....�ft�in._< 12' Sill Plate Spans.... ..................:......:.............................(Table 9)..................................... ft in. <_ 12" .✓, Full Height Studs (no. of studs)....................................(Table 9).......................................................4— Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal'Height of Tallest Opening2 .....................................:...........:........................... . <6'8" ✓/ SheathingType.... .........................................(note 4)...................................................• r ✓ Edge Nail Spacing..........................7..............(Table 10 or note 4 if less)........................ in. / Field Nail Spacing..........................................(Table 10).................................................(_in. Shear Connection(no.of 16d common nails)(Table 10)...................................... ................. Percent Full-Height Sheathing.......................(Table 10).....................................................�0% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest O enin z (� " ✓' Sheathing Type..............................................(note 4)....................................................i-Crix Edge Nail Spacing Table 11 or note 4 if less ........................ in. Field Nail Spacing.......................................:..(Table 11).................................................C�in. Shear Connection (no. of 16d common nails)(Table 11).........:..............................................= �l Percent Full-Height Sheathing Table 11 ...................................................... 5%Additional Sheathing for Wall with'Opening> 6'8"(Design Concepts).................:.. ✓ Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) .............$��I X 5 smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).............................................U= If _ Lateral .............................................(Table 12)............................................L=_j3_z_pIf Shear............................:..................(Table 12)............................................S=--6k.plf . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf 7WA Gable Rake Ougooker..........................................(Figure 20) ............._ft 5 smaller of 2'or U2 1 N Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ` Uplift................................................(Table 14)............................................U= `�b. Lateral(no.of 16d common nails)...(Table 14)......................... .. L= lb. Roof Sheathing Type.....:........:.:..................................(per 780 CMR Chapters 58 an 59) .l�v e. , K Roof Sheathing Thickness.....................................:.............. t vin._>7/16'WS �j Roof Sheathing Fastening............................................(Table 2)............................. ............... 4� Notes: 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft. shall be permitted when 5%° is added to the percent full-height sheathing requireni"ents shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. J "THEr To n. of Barnstable o� Regulatory'Services BA U(SSABL.L, v MAsa $ Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862 4038 y Fax: 508-790-6230 Property Owier'Must Complete and Sign This Section If Using ABuilder as Owner of the subject.property hereby authorize I&V w to act on my behalf, 44 is all matters relative to work authorized by:this building permit application for. ' ' . (Address of Job) ��- Z 4S' n ature of er ''Date of Print Name K If Property Owner is applying for-pern lt:please complete the -Homeowners License Exemption Form on the reverse side. { Q:FORMS:O WNERPEP.MISSION 1�r Town of Barnstable 0 Regulatory Services , a�xxsrxst E Thomas F. Geiler,Director suss 059 All Building Division Prfa µay Tom Perry,Building Commissioner 200 Main.Street, Hyannis, MA.02601, yr wfv.town.barnstable.ma.us Office: 508-862-403 8 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 supervisor. DEMMON OF HOMEOWNER Persons) 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 constrgcts more'than one home in a two-year period"shall not b. considered a bomeov er. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and 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 T`hr Code states that: "Any horncowncr performing work for which a building pcmvt is required shall be exempt from the provisions of this scction.(,Scction 109,1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work, that such HOmeOwnQ shall act as supuvisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(set 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 responnbilitics,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the msponsrbilitics 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:forrrms:h om ecx cmp t r _ ,���. `►,fR • � �•t, =' 1.s�• � y .tea-r�. --w:"`S '4'. — �.Y.r�r,+�� - _ .y__ a'�.ra ;si',��}v'.`+r� •'vY x •�..Yy�y�`i':�y� t�:' �: �.�� -��. i' :i�-1 ;=P;:'^��a. 4.-' �--.., •� •-.—, •'�•`• , •�L~` 9 R!'.•yi1:};f.7+�'��'�.sii i�l•�.''..--P_w`iy.•/, -y�;• `ps./,w�f,� .y.t„-ii•- t, .�_ • ' i 4:''"' � 'S.. `.'. n '' S :�C +t }..•..s s r �•W: td;:f .i• •''r�� -.i�-^i•. .r_.. 'f:.�?-! :'..]11 _ ;:•:C•..'' • -.Yl.e._�.• r •_ iz` ':i•a.S..�. f•1 i''�)Ai r /y. ,i,••4 - - 'r�r "/''+ +r:.=:^:Lz!'�ji.'t-j- : •�:'� ;i'.'Y�:'i,j.�'_ .. •:v_-1:" = :,'� - ve'_ y:'•:•# ,;: j�-f ,.p• a-. ,�i•.3•C„ ••'�. :�+� vim: r` :��.� ::z,.. 9'nrlF:. l :{.:::• y..'~ #� :x .j. .!T t.�_2r'J'�,�...JJJ...F�.�•1� j ••'a• :b• a� _ 'a► •i�• �� r. .. .� r•�'• � _.JC��''r.ti y .'s. ��7.tty(f M '•+ �•'Y�P~• _./+'_I �'f ��T. !y1'!�' `Yrh pa..I ^l� `.M... � .y ./ }:•s '�aj•A9 •a •�:: ji:.,�. �Y'' :�/ .f. •ice- '�'' �17 .i. j� �`= Z1Z,.y'Y 4•.'�.M:•- .. •L. -=� .•1_.v... 't. .+. '• y! ^ :�'., i � :r"s.�o;.Jj• •� '•a-, �Z''4• ;r• c:'-`+-•!°'i,. •'t'•:'�.-..:.�L.... _ :'.Xis •.••fir: '• a sc.�i:.e�.w :�q ��� S=-�;'�rt ,'y 1•;: - �j::;�:.. a�i ,,,•� r, .i ..ti.,,f:�, = .:..� '� fir. ... R•,,�y`L - t. ' .: •_ _ •,r r`i'-•.�. ; a' -1,r:- i -. _ . :.r- ,;;,�y,�,y.. -: 3',:'cr: :`:+y. •..t;R' _s::_``I•n:. .. t- K ���Irc'-= '.a:?*•'-rjX^" .�F•i�-ta; ^�':,_`•Z,-.. -.�� _�_-:•w!'•t C. .t:�:'+aG•+���'ri:.-Y ••s �l� _` !-�� _r•••rt:^ :- .��a�:. x� .i; ,��.. S�•i - - _ - _ i",i- �-.•.:=:y 2r,= :!:. J•�-:=r'�it'✓..: ��,".-__��.•i{��=:�•�;.�R "t�t� �4;a•_z•w _ J,:`,r' r_ .c 1-..F S_. •��`� e' '�`• �: /'t •�:i E-• '2.e- •'t_ .,._>;ii Lisa:; _ v:_�. _J•,.,�.'%"' _..� _ '!"* ♦ "•t"• - 'y'• a'1'_ � •(�•-'!•Y.�,• is -_ /:y.••• ___ :�- .C„ s y',�J-�?- .c %E--� .�'.�`j`f_'�c�i-4... �«, 1 _ •'s. K• ter.. - .�;._t. ^z•�:. r�' t'�Sl,�'• -�.-�.�1!r.-ir••ar� y+ ,1 � le •fin ..rt!.•i.'••t`• - 1: Tr 5..:••. r`t�:C 14Q. Q �.e... ',+�•" ,a `Z.,�:i' s;:•!;y• •i.r,..•:• •ice �'�z--'• _`:�. ,�.-�,,.•FL'. •,'•f;`-C_�_���r:�-�-r _`-:�i-�`.'rt` `:� _ 3 - -�EJ -J .ly - - _ � - _ , 765. :i ' "1_ .!. 'syy, .�'"yyE. - 3y.,4 •y,,,:,.}!I ems.f `..�^'.;ii."<: 'a'�� •r•- �:''`." .•�L" i __{�,, ..r} �.3,'�"• 45:2" '.f.�,: .�.. _ `�;,! ^.a••«`.,'-w.tt ..1 ,�r�w r'�a t -7 ilr. .. .. ate -:�,a+�:d'.,._, '•j• _y { r..'!:r.' �Jt. - -4�'- -•.'iti. ty - '1. qo L _ • ,��-''CCPT-�•., -;��:). _ :r:�7[:_ r^�'� y-`. •. ;' _ _ ar .Kij. .•,r t-•� �'ac �� is' _ \:.::y.:.; _ . . .�•' , 3r .t..•� -i•.: + -.,-;�- 'y"' -7..,'41• •y.:.i.`'�:'"s:::�=••�.�=; - �" ._ v - -=:raj _.'. Q `. �i' 24.9 8 —�' OMAS E. KEL'LEY.CO. -4� `-•� - :may '.:- ' -: _ - :' LAND SURVEYORS -;trF. °: : -�i:_ _ �'? ^��•xst.,�:.: _ j. 6 LONG., _POND DRIVE i •. : �fk ;>,.�_. ':;'. — _ -- - SOUTH Y_ARMOUTH. TiAB! 02664 r.•ry wi-.!.%r:�;. =+7;+' q� -3 7`.ri���`•�.'n�_"tYY,' '�-a��•-_ate-.j�� '' .' �,_. _�..- �., - - -- .. - CERTIFIED' ; , .PLOT PLAN Gc�iC RET"E -Focl,�•D�?.T-►6, LOCATION .F�AR,11.�T.p b r, C = /V�A S.S. . ,IS <<.ant� �LI=vA7io,J �3 'r2c:•.E er G1?nCE _ SCALE •Y . 3.Q:�. DATE APIZI�. < .^.+r STEE .. : PLAN REFERENii CE_•`..{. u'��b1.�,t.IS.}:: 1�:.. . opt �!1NSS F.G`r2: .�Ekl�lric M WE-4,'T -L ' .Ja <'.} a fl:!A,lb 1.1 ScA! cr}a1 r . O �A_ 2. ,cam•R ` ti ocIST s�R�E+°Q - I CERTIFY THAT'THE F Qi�bA-"TiCN. SHOWN ON. THIS PLAN IS LOCATED ON THE GROUND - " = AS SHOWN HEREON AND THAT IT GONFORMS TO _ ..." • 'VE-Ta 21>--N O 2cTAE 5 THE ZONING -LAWS OF THE TOWN OF ST/-.''S L FS- ewage =+. -ter ; "`��"iray a t�V f"'_TYW'i''y '�5' -.r'..°i w Assessor's map and lot number .. ...: l....Cl..........Permit number ....... ... .�...... .......... ..:.................. T"Er°�° TOWN OF BARNSTABLE o BABH3TADLE. r !JC ��t ;L,c :•�t'4^�. �, p�"6 o`' `BUILDING INSPECTOR -- O'EO MPY APPLICATION FOR PERMIT TO ................... �."�. �. ......................... .................................................... �? r�l TYPE OF CONSTRUCTION .�.........................................: .................................. ....................................................... r j �.........�.......................i 9.7 TO THE INSPECTOR OF BUILDINGS: The, undersigned hereby applies for a permit according/,to the'�follbwing information: Location ...................LAT...#. .. ..........:. -. ���............ :.. J.5.........�:.�&1= f7 t ....1�J 1� ............ ..... .. . Proposed Use �tt�T[ { +�� � ` J ..................... ..... ................................................................................................................r.......................... Zoning District ........ .-........... Fire D .,..1. Name of Owner ........:....... .... ..................A..............T..........Address ........,-..... ............ Name of Builder .A.s�f .........Address /13ARAl .................................. .................................................................................... Y Nameof Architect .............................................................:....Address .................................................................................... Number of Rooms U '....'.................. ..........................................Foundation ..............a../ .?............Uh:.......... Ex1e for .............M iii !q......5. 1!�t: .............................Roofing ................��.f�1?/y/��r ....... ........................................................... Floors ......................................................................... ............Interior ...........................................................................:........ ti Heating r3.. t/ll�..:...L;€,../x;d:��.................Plumbing ......................................................_............................ .. ...................................... Fireplace ..................................................................................Approximate Cost A i m l(i a ...... ........... ... ...................... Definitive Plan Approved by Planning Board ---------------------_----------19________ . Area F f! Oks ................... Diagram of Lot and Building with Dimensions Fee '"�� ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH a � . . . . r x., rf 5 j7",-,q 5 e 4 1 t I� L; I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t'Name .:.. .... ._ }} A Vetorino Brothers, Inc. A=250-119 Z/ No ..177.62". Permit for remodel dwelling .................................... (moved from Route 28) ............................................................................... .................................................... Location Capt. Ellis Lane ......................Hyannis .........i................................... Owner .........Veto.r.ino...Bro.th.ers.,...Inc......... ........ . . .... . .... ... ...... . ...... . Type of Construction ......../,.f r.ame.......................... ...... .......................................................................... Plot 1........................... Lot ............J24 .................... Permit Granted .....A..,.J.-une—.1 9�................19 75 1 Date of Inspection ...................................19 Date Completed .......................k.'.......19 PERMIT REFUSED ..........................................I.................. 19 ....................................... .................................... ................................................................................ ............................................................................... It ..........................................V) .............. Cl� Approved ...... ....... ............................... 19 ............................................................................... ....................................... ....................................... 7 IN, ss esstr% map and lot. number STA�LIW I j .:W6TH AR .li lANC�L '? SMIT ..Sewage Permit numEer ..... � �Q�oFT"ETo�°o ` TOWN OF BAR:NSTABLE_ � i BARNSTABLE, i 1639. D y ae�� BUILDING INS ECTOR p . E vp� C APPLICATION FOR PERMIT TO ........... ........�...................................................................................................... TYPE OF CONSTRUCTION ........................ !.1. .E..................................................................................... ;I— .��....................19..�.�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .o.T # G �T .6L L 7S t! /f/ zU/ ............. .................. ..... _ ...... ..................................................................................®. ............ ProposedUse .............. Lt,..CL L j!1/C?..................... ................ ................................................................................... Zoning District .............Fire District .j yAh�ti�3 Name of Owner ........ E T.(?-Al..Ai/0.......ORRA........K/f Address ........N..L l� jri ............................ Name of Builder 5pMG...................................Address �ArAl�r4.� F ............................ ......................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....Foundation s G O/...�/./=T/= Exterior W 0 0,0 ' S HlAI6.4 ��/ / , /I.............................................. ........ ....................... .............................Roofing .. L1- .............................. Floors ...............................................................Interior ................................................................... Heating ............ > ^ HOT wATF_I? Plumbing .............. .................................................................................. Fireplace ..................................................................................Approximate Cost .... ......���..�.®a..,a.�... ....................:... N .......... Definitive Plan Approved by Planning Board ________________________________19________ . Area .....4... . . �-��...�...� . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH L OT O-7-4 3s oN `: e+ G f1��5 TI nosN, 0 l� 0 , k I hereby agree o. conform to all the Rules and Regulations of, the Town of Barnstable regarding the above construction. r. Name ..!:.:. 1 `..�.. .... .�' ..... Vetorino Brothers, Inc 17762 Permit for ......remodel...dwelling .. .......... . .... . . ... . .....(moved from Route 28) ........................................................................ LocatJ o Capt. Ellis Lane ............................................................. ..........HYAIRIR i S.................................... Owner ..........Vetorino Brothers,.. ...... ...................................... Type of Construction .............f.Ff!!R.................. ................................................................................ #24 Plot ............................. Lot ................................ Permit Granted ....... June 19 75 ........................A ....19 .......Date of lnspection .q- ./.3/z�/..MA0L Date Completed ......... ............1976 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ........................................................................ .4Approv-ed ................................................ 19 ................................................................................ Fl ay 1 / r L O T z rj J � ' j/ _ l I - 14p, c� b • / L cT 'z 4 93 c4 N + i OMAS E. KELLEY,CO. �^ LAND SURVEYORS 3++46 LONG POND DRIVE SdUTH YARMOUTH, MASS. 4� I 02664 ..._. .. .,. _ _....r,y:.sa 4_ ,�' „-w�='�.�.... � w�•@a�t. rn°-:h.r..-.>.. •'s`- --T r.. .ss: 'r. ... a.: - - - _ - - - CERTIFIED PLOT PLAN 1VoTF: TaP c�F p�u2ED 6.cNc•Re-re F.L)AjtDAT)cs&I LOCATION SCALE .,l = :3.Q . . DATE 1?! EI- ZS,t .t9?S IS Ss+,M� EY;EV.�t►4N �5 .I�ct:-bhi �,ss�nDE '.- PLAN REFERENCE- .5(j F3 C)t.L'•IS.I�lam'. . T�e THo� MA�� . F.� . .JEAu)VJc. M l t.CAI.rzel �GISTE� QQ� a suR�� I CERTIFY THAT THE FovNa�e-rE�.N. SHOWN ON 'THIS PLAN IS LOCATED ON THE GROUND - AS'SHOWN HEREON AND THAT IT CONFORMS TO �ETo 21'(U o IZOTHEf-S THE ZONING -LAWS OF THE TOWN OF A Q-A. `I"FAw 1.f:.r.r W E JR f3.�RN5T� B� DATE . `.Z�:7� YETITIONER: _ - {i ' R G. LAND SURVE Assessor's offioe Ost floor); pFTNETO Assessor's map and lot number .....�5. . ...........f.j...:(.... �� TIC SIPSTENI ���'( � Q� �o Board of Health (3rd floor): QlaTALLE® IN COMPLIARI � �. Sewage Permit number .... .......................................... . t BaSa9T11DLE, S j Engineering Department (3rd.floor): WITH TITLE 5 YAea / House number V .......13..0 (.�. y � CIVIOHEI�IT/�L C®®E A 163q. \0� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REGULATION TOWN OF BAR.NSTABLE BUILDING IMOSPECTOR APPLICATION FOR PERMIT TO ....... An.......r 6....... XIS 1 N� 1 L L C...�. �L am. ,,nn y TYPE OF CONSTRUCTION .......... . ......1....1?.t.1.! ..K................................................................................ ffi.h.y.............I....... 19.1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: KT Location ......L....(.........C.�:.P..T.....�.(L 15.......1-:�.N.�....1......... ..�!1..iv.'U....�......... � dT ! ........ ProposedUse .......J...l C-.��T I�� ` \� m.................... .......................................................................I......................... Zoning District ..........................................Fire District ......................... .............................................. Name of Owner teSx ! WN.�Y....�.�. wf� lAddress ....1�.�...4:.. . .1�...�C� �.5....�.��!)�y! ..I..!.Y!.J.� 1S . .. Name of Builder ........... .. AEl— L Address �.. YY�nS�eC D6L) �1�9fS�o�tS s 1C.1.�1..................O.-r..F......Y.... ... ................................. .............. . .................... Name of Architect J.A►1 cs Sit ri-14 . Addr s . —PO3�X 3 +.':..1.SI 610keff �� c,..., d.d nns ............. .......... ...... . . _ ...... . ..................... Esr n�S7- U Number,of Rooms ..................)................................................Foundation ........................ ...... ...... ... Exlerior .......W ... ...........................................................=...Roofing .............. ......... . , ....V, �O........................................... Floors ......................................�:...........}..Interior Heating .......��...... .. ...........................Pl,umbing ...... Fireplace .................................................................................Approximate Cost ........ i�4 ................. Definitive Plan Approved by Planning Board ____________________19________ . Area ..... ................ Diagram of Lot and Building with Dimensions Fee W r SUBJECT TO APPROVAL OF BOARD OF HEALTH � u�(l � v i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... j� ............................ Construction Supervisor's License o,.t � .............. - P}fI0NEY/ I^ES]CEIl. & N4NCY -------- - - . 30779 BoiI�� Addditioz� No -----.� Pen6i� for ------------ � Si��Ie Ir�mi�y D�eIIi�g `� ^ ' ------------------------.. � -__ . � Location Z'ot #24� I30 Cant. lIIIio I,aoe '. . �. --------- ------'~---' B �oio - -------.����-------------_--. � ^ Lester 6 DJauo Plzio�e � O,'ne, ---_----------c�,. Type of Construction ..........................................� � ~ . .. — �------------------------. � plot —.-------' Lot ----------' . Granted � .......DAL ay...2.5�':............TV 87 C . ^ rr ' � Date of |n»pecion lV ~ . ' . -----------�.� ' Dote Completed ......................................l0 - ~" . ' � , " ~ ' - / �� _ - �@ , #,I L _ ' - " -~. ~ �JO 3H1 30 SIAV VNINOZ 3H.1 S H1 (^r C� (V f� 01�� Ol SN80-IN0011 IVHl ONIV N0383H NMOHS SV Z1 ONno89 3H1 NO 031VOOl SI NVld SIHl NO NMOHS '(�i�i Ly4nnb� 3H1 !VHl �l3ila�'J l o�nans phi is 1 A Rl r — �'�saylg��-a��• 'ry' �e'gfYb':•',.4 'a� ; �l'FsT� Y ,r'. ,V rSr'i� r,Q`ti may^ _-•30N3a333a Nt1-ld SZb' � 11'ac�� 31Va �.;0 -' �' 31V0S SSti�! r'a-, (vi5r-�j vg NOl1V:)Ol 9e, �drjo NVId 10ld Q31j11a33. .. 499Z0 f '96VII 'Hif)OW2it�JC HLf)OS 3AING QNOd ONO-! 9 t SHOA3A3f1S_aNyl I :_ -OD A3'I"13N '3 S7W0 i�3 C -t7Z r Z Z l o'_'j S b O y r C. !� - i y ACI r 1 � a - ♦f`(`� � . ::r,•s ..Tr S � �. r r b -ri "-°� .I a � � f 5 f�'!• _ p .• r: t •��- C ( /-. - art=f 't ;.� ...� y ' D♦ a b �+ ,j r Y@ f 1 •� t �„ 4 F S / { 7 i A. s++•tt�i--�+}�,. 4 f .s, 4 r - 9 w ; .+.i t t p t. ♦ l•,._,- '9 �.d .'r )�M.)•'iY ; c :�Y. r'r�.d r -.) .3 �'� ;` P.F 'c. +�-, •^1. Y '�..{ ,4 'Or. -,�%,i .` / .�` l.' ��-�1,.. w. -•v �hA �'�r`y) ..�.j:j I! ��r r .i Fr�' Pk�/`�<:� r1�.�.A 7�'°r,{'N'K, ��,1 'S. ,. , 9', y S r j •e ) �.r'1 !. •`. .! �- c ,• *r? ar` ��� .°:.1, t ;��`s ..t�i r-r , • � .`! .y,,�:ay, y �}- K _a a i ✓! r zr. L + - : • .. + Tw t:; �;�. .{r t->a..ti,�_�`y ti, .� s.• � � L i't>y i '� �. r .t ,( r �.. �r � Yf �� �� ,y. t r'•L..'t. _ is �✓ .: ;: � �: ! .�7 r'..' �, •r 1..�r.:° .c ,4. `�r .. .*�"����c-Tg�r ?'.:C� '�`�- r'`aa't`� �*'''9'"L --��-+`�V.'�.i....�2:.�-_+._.-x..i.. `•;4_— 4__�-3.r.s"+��.��+f� f`„',�f� � S `I.�tiN a,al�Y. fl,�A-r+y�,�eX •r.'«� � i�rr;-("�c�-ly' �"�.. s � ; . f . t FOR f DATE p7` O l/ TIME � .3C5 M m OF PH€ D 0 ❑FAX NE . PHONE ❑MOBILE _ 7-2 l- - Yf1Ut�CAI z i AREA CODE NUMBER EXTENSION a MESSAGE o CALi ! tRd 72 SIGNS �; FORM 4003 ' .L .. �� THE Town of Barnstable *Permit 0, p Expires,6 mo thsjrom issue date Regulatory Services Fee • snaxsTesi.E, MAss' Thomas F.Geiler,Director AlED MA'I a Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �Q I Property Address 1 3 Q ( Ag %4/#y / .J R 4 NAli d V [Residential . Value of Work You Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L e d-r?V ply!am t;y Contractor's Name �C�I '�: -/a��Jb'►I:I iC! Telephone Number jV61 � j�u J Ch izzi i4erne l�lP'%1"/i/?UJ--1 NAo Cel-clit MA C?Z4 3 Home Improvement Contractor License#(if applicable) / Ey(e:3 Construction Supervisor's License#(if applicable) C, 15 4 [;Vorkman's Compensation Insurance _X.-PRESS, PERMIT Check one: ❑ I am a sole proprietor �p P 4. ❑ I am the Homeowner V1 have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name CA CZ ?V d -f� 4- CA i0 a Lr � y Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going.over existing layers of roof) ❑ Re-side / Atvdtot/0 Aljl7 4 f Ff 49 6 1-4 01J #of doors 1 i1/ ,�d Fa/t'M C-f f [Replacement Window door sliders.U-Value G 3 1 {maximum.35)#of windows '4 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 1 ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home provement tractors License&Construction Supervisors License is eq SIGNATURE: C:\Users\decoLlik\A ta\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\FMRESS.doc Revised 072110 The,Common wealth of Massachusetts . : . Department of Industrial Accidents Vj Office of Investigations 600 Washington Street Boston;MA 02111 wwM massgov/dicr Workers' Compensation Insurance Affidavit.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibi �1 Name(Business/0%anization/Individuaq_ TC 1-7— Address: 4�5` Alen -I-�+�u;-1 1� City/State/Zip: C 0 � q J�Ptloite#: �.Y�� q�1? Are you an employer?Check the appropriate box: Type of project(required): 1.lVaai a employer with 40 '� 4 ❑ 1 am a general contractor and I employees(ull and/or part-time). have hired the sub-contractors 6• ❑New construction 2.Q I am a soie proprietor orpartner listed on the attached sheet, 7. Q Remodeling; ship and have no employees These sub-contractors have g, [J Demolition working for ine in any capacity. employees and have workers' 9, Building[No workers'comp,insurance comp.instuanceJ d g addition required] 5. ❑ We are a corporation and its id.❑Electrical repairs or additions 3.❑ [am a homeowaerdoing all work officers have exercised their 11. Plumb' 0 mg repairs or additions myself.[No workers'comp, right of exemption per MGL 12.[]Roof repairs insurance required.]t c.152,§1(4),and we have no employees.[No workers' 131 then �®Q _ comp.insurance required.f a tAtiy applicant that checks box Of must also fill out the sectba below showing their watkers'comp°�sah'on policy information Flomeownets who submit tT is affidavit indicating they are doing all work and then hire outside conttacton must submit a new affidavit indicating such �Ca-Cr-tom that check this box mwt attached an additional sheet showing the name of the sub-eonmdo�s and state wb or not those cuines have.. P Y they roust vide their workem. COMP.policy tnrmiset: employers: If the sub canhactDrs have to ees th_ pro I am as employer that u pro viding workers'contpexsatiort fnsurarece far my employees Below cs the policy and job site inforinadolG: Insurance Company Name: - C t 'vt3 Pe tt y 14,0 A S'Z14 L4 y Policy#or Self-ins.Lic #: Al W C C..145 9 11 3 z0 11 Expiration Date: i �- I d2.S 2(3y Job Site Address 0: �rJ /7 j'.: 'r llij: CitylStatrJZip: .t1A' 9� B'M �" a'LG 01 Attach a copy of the workers'compensation policy declaration page(showing the policy aua:ber stad expiration date). Failure to secure coverage zs required under.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or.one-year imprisonment;as well as civil penalties in the form of a STEP WORK OFtF3ER anti a&n of up_to$250.Ot}a day against the violator: Be advised that a copy of this statement may he forwarded.to the Office of Investigations of the DIA€or in coverage werificatiou . 116 hereby' under=arras and penalti f perjury that the information provided above is true and correct Siatnse: Phone#: Official use only. Do not write in this area,to be completed by city or tErwn.acral d . City or Town: u Permit/License# Issltit g.Aathority(circle one) I.Board of Health 2.Building Department_3.City/Towa Clerk 4.Electrical Inspector 5.Plumbing Inspector, 6.Other: Contact Person: Phone#. Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE r 6/0212011 D TE(MMDDNWY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT AME, Karen Walther Rogers 8 Gray Ins.-So.Dennis PHONE 508-760-4630 FAX 508-258-2230 AIC No Ext: A/C,No 434 Route 601 ADDRESS: waltherka@rogersgray.com P.O.BOX 1601 PRODUCER CUSTOMER ID#: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A:National Grange Insurance Co. Capizzi Home Improvement,Inc. INSURER e:ACE Property&.Casualty Ins.Co Capizzi Enterprises,Inc. 1645 Newtown Road ` ' INSURER.0: " Cotuit,MA 02635' IN D: - - - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSR ADDLSUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR 6WD -POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPB1075H 06/08/2011 06/08/2012 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY - - - - DAMAGE TO RENTED PREMISES Ea occurrence $500,000 CLAIMS-MADE. a OCCUR - MED EXP(Any one person) $10,000 i PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 ` GEN'LAGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $?,000,000 POLICY PRO-JECT LOC. - $ A AUTOMOBILE LIABILITY M1 M28O44 O6/O8/2011 06/08/201 COMBINED SINGLE LIMIT u+ tr- (Ea accident) $5 00°J00 ANY AUTO - _ BODILY INJURY(Per person) ALL OWNED AUTOS $ BODILY INJURY(Per accident) $ - •• ', _ X SCHEDULED AUTOS. PROPERTY DAMAGE X HIRED AUTOS - - (Per accident) $ X NON-OWNED AUTOS $ _ X Drive Other Car $ A UMBRELLA LIAB X OCCUR CUB1076H 06/08/2011 06/08/2012 EACH OCCURRENCE $5 OOO OOO EXCESS LIAB CLAIMS-MADE .. - AGGREGATE .. s5,000,000 - DEDUCTIBLE $ X RETENTION 10000� $ - B WORKERS COMPENSATION NWCC45843208 12/25/2010 12/25/2011 X We srAru- JOTH- AND.EMPLOYERS'LIABILITY YIN - FIR E.L.EACH ANY PROPRIETOR/PARTNER/EXECUTIVE CHACCIDENT $1,000,000 � - OFFICER/MEMBER EXCLUDED? NIA - (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE1$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS b I I E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 161,Additional Remarks Schedule,if more space.is required) - Additional insured status is provided under the general liability when required by a written contract with the certificate holder CERTIFICATE HOLDER CANCELLATION 10 Days-for Non-Pa ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOwn'of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - 0 198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 1. The ACORD name and logo are registered marks of ACORD #S67537/M67480 a MEE '. r z Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS - 1 17 ...` LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT l 7 C l 5 -IN C(�'jGi��i� MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR. A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. - I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN CORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. i SIGNATURE OF OWNER: M OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: '. APPLICANT'S SIGNATURE: r APPLICANT'S ADDRESS: ` 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518' RESPONSIBLE OFFICER: ' RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I. � EMEN CONTRACTOR NOME IMPROVT before the expiration date •If found return to:y r Office of Consumer Affairs and. lsinese.Regulation c Registration%','100740 Type:`' i0 Park Plaza_-Suite 5170 , Expiration::6/23%2012 Su lenient Card PP Boston,MA 02116. CAPIZZI HOME IMPRgVEMENT;'INC. L ' JACK STRUNSKI 1645 Newton Rd. Cotuit, MA 02635 Undersecretary Not valid without signature i4Iassachusetts=Department of Public Safetc. -' Board of Building Re!,Iufatio'ns.:ind Standards C01Tstruetiorr Supervisor. License -tieense: CS' 64817 _JOHN T -T. UMSKhif .."Po'•7OAX7^8L61-w S, A R.NfA 02532 ,. 0, r ��. ?? ExPlAti0n: 611k012 _ C urni�siuriet e Tr7 i'. i e oF�HE ro,,, Town of Barnstable *Permit# � Expires 6 niontlis from issue date Regulatory Services Fee « BMMMBLE, " — v� 039. � Thomas F.Geiler,Director Building Division �/ Tom Perry;.Building Commissioner. X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 JUN 1 1 2002 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIALT;;WhWF BARNSTAKE Not Valid fvithout Red X-Press Impritrt Map/parcel Number Property Address rQjA&jj1 4D/ItsS esidential Value of Work Owner's Name&Address /30 M Contractor's Name i Telephone Number Home Improvement Contractor License#(if applicable) `��3 � C) Construction Supervisor's License#(if applicable) orkman's Compensation Insurance t:a Check one: < w co ❑ I am a sole proprietor cn )> ❑ .c I am the Homeowner have Worker's Compensation Insurance Insurance Company Name _-T w /� rn Workman's Comp.Policy# CAOC, Permit Request(check box) roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) Other(specify) / Z, *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature aA Q�40A� A Q:Forms:expmtrg Revised121901 ! Assessor's office(1st Floor): Assessor's map and lot number C � / i PAC tN E 0`1 Conservation Board of Health(3rd floor): { Sewage Permit number sA"3T na ! � ru• Engineering Department(3rd floor): '°•�i639' House number o NO Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN - OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ S 11h_4 19 9� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use c Zoning District Fire District Name of Owner Address /30L1Ja�tg � Name of Builder A' Z !� v�ri✓' Address e:�'o �!� 2G a? Name of Architect Address Number of Rooms I �` Foundation Exterior ! Roofing ! ' Floors Interior Heating Plumbing Fireplace Approximate Cost l Old Area Diagram of Lot and Building with Dimensions Feed D OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ab ve construction. Name Construction Supervisor's License 10 ��/B PHINNEY, LESTER M. & M. No 35774 Permit For RE—ROOF Single .`Family Dwelling Location 130 Captain Ellis Lane Hyannis Owner M. & M. Lester Phinney Type of Construction Frame Plot Lot ' r Permit Granted April 14 , ` 19 9 � a t Date of Inspection 19 ! Date Completed 3� 19' o - f ' c i a r rJi [ ]. [R250 119 . ] LOC10130 CAPTAIN ELLIS LANE CTY107 TDS] 400 HY KEY] 160355 ----MAILING ADDRESS------- PCA11011 PCS100 YR100 PARENT] 0 HARVEY, PAIGE, TRUSTEE MAP] AREA150AC JV] MTG12001 130 CAPTAIN ELLIS LANE SP1] SP21 SP31 UT11 UT21 . 38 SQ FT] 2199 HYANNIS MA 02601 AYB11910 EYB11980 OBS] CONST] 0000 LAND 27700 IMP 84900 OTHER 800 ----LEGAL DESCRIPTION---- TRUE MKT 113400 REA CLASSIFIED #LAND 1 27, 700 ASD LND 27700 ASD IMP 84900 ASD OTH 800 #BLDG (S) -CARD-1 1 84, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 800 TAX EXEMPT #PL 130 CAPT ELLIS LANE HY RESIDENT' L 113400 113400 113400 #DL LOT 24 OPEN SPACE #RR 0238 0125 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE110/93 PRICE] 1 ORB18860/021 AFD] I A LAST ACTIVITY] 01/31/94 PCR] Y R250 119 . A P P R A I S A L D A T A KEY 160355 HARVEY, PAIGE, TRUSTEE LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC- 1 27, 700 800 84, 900 1 A-COST 113 , 400 B-MKT 81, 300 BY 00/ BY ML 5/90 C-INCOME PCA=1011 PCS=00 SIZE= 2199 JUST-VAL 113, 400 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 50AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 277001 102000 LAND-MEAN -730 1134001 75048 IMPROVED-MEAN +130-. 250-o ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] % t�. R250 119 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 160355 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B30779] [05] [87] [AD] A 250001 [LK] [01] [88] [100] [NEW ] [HY ADD'N ] [B35774] [04] [93] [AD] A 14001 [LK] [01] [94] [100] [NEW ] [HY REROOF ] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] Assessor's offioe (1st floor): o� O�TME � Assessor's map and lot number .....:A 7;.... ..... r. .. .. t ♦f Board of Health (3rd floor): WQ o Sewage Permit number . i B9S3STADLE. 1 .... ....... .......................... Engineering Department (3rd floor): 1b 9- 0� House number �54- J' 1. 0 3 `0 D ypY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only s TOWN `OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... �'b-b .....1-b........!-a. l ST l N� �!V......................................... .. ........... TYPE OF CONSTRUCTION ...........� ..Q .... 1�.!1.!.'.'. ................................................................................ ...... ......AY............1..............19 3.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin information: (✓ Location ' 3 6 �A PT �.l C �5 �A N �. �' �n � (V �S L- 0� � �....... ..................... ............. ....................................... ............................................................. Proposed Use ...........................................................J. �C- �.�......................................................................................... . ......... Zoning District ..........................................Fire District .......... Z STAR IV IV�.Y71��Wjddress130 C r ELLIS �:AVE ��f�N�� Name of Owner .................................................................. ....... ..... Name of Builder .... I.C. AE�-.. V.r..I' L Y............Address � m`S4+c... "F-SfO05 PULS ....................... y Name of Architect .`�.FYIYIES SAl IT-14 po 13(A 3 1 1 1 S t CH 0 k C H ST. Addre s s ...... .. . .�7 pG...e6� i92C'WiTC- TUR 1:��"DES� N (,oJEST nUS�-A13 .. ... ................. Number of Rooms .................�................................................Foundation ................. C, Exterior .......!�P....L...............................................................Roofing ............... .............:� ...................................... 1 Floors !�.:....... .......................................................Interior ...... ..!(t................................................................. Heating !... . f I I}... `� C ......:...........................Plumbing .................................................................. Fireplace .............................................Approximate Cost ........ -?�. {!, Definitive Plan Approved by Planning Board -------------------------------19_______ . Area ...... ! .......:.................. Diagram of Lot and Building with Dimensions Fee r SUBJECT TO APPROVAL OF BOARD OF HEALTH f c OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rutles and Regulations of.'the Town of Barnstable regarding the above construction. ,... -- - .� o• tis ut . Name ........ ........................... •` ..... `�g3 Construction Supervisor's License ........ ........................ PHINNEY, LESTER &- NAN A=250-119 ohs i� No 30779 Permit for .....Build Addition Single Family, Dwelling............. ..... ... �n Location ....L9t...C 4.,...... Lane ...................Hyanni s.......................................... Owner ...�ster...4...Nancy,,,Ph Type of Construction ........FX'AMe..................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ..........May...`6,............19 87 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's ma and lot number Sewage Permit number .....................' BAHdSTADLE i House number ....... .. 1 �LC_;4:, r� r ........................................: .:a.:�j .. 7�0s�rb 9 �F0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ .. "jC .j `� .................................... .................................................................... TYPE OF CONSTRUCTION .....................e. " '.'�..... {� A ................... ....................................... rfY 1":" t .............................19........ 1• TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies forsa per mitfaccord ng to the:•following information: ! Location .......... .. .................................. ....i.....!r.... ' :1. ::.................................................. ................................... - Proposed Use ..........{v. ............................................................................ . ..................................................... Zoning District. .................... ................Fire District .............��"` ��.......... .................................... .... .... .. �s ''��(( Name of Owner ..�.li��.y.....Ot... }i :.i/ ( �jc Address r� E l �s •............::11�r...tJ.t'/��. + .......... Name of Builder .!..l.t t;F f La,.;1�1f........... . ....................Address •��'•...........4;...f....`......!�:.. ........#.... ���....... ....... Nameof Architect ..................................................................Address ................................................/................................... Number of Rooms ........... .....................................................Foundation ...r2/1 nc. r`�:.........�:•.:,��-�'t/��............... `.) � ,� Exterior .....f!"I .. .-� ...Roofing ..................................................................... FloorsilYh'::t .........................................Interior .......... `���fr'•1' i4•� :.............................................. ...... Heating ..................................................................................Plumbing .............. ...................................................... st> ..:........`..................................1...............Fireplace ............. Approximate Cd Definitive Plan Approved by Planning Board ---------------__-----------19_______. Area .....:>= ':........................... Diagram of Lot and Building with Dimensions Fee ........��'?.j-0. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH s � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..............................................I::.F.,;....... .............. 7Construction Supervisor's License .. .C� < ' PHINNEY, NANCY M. HARVEY A=250-119 25581 ADDITION No ................. Permit for ..................I................. --Single Family Dwelling ............................................................................... Loc,ation ......... Q4j;).t..... Lane ................Hy rM.U;Ls............................................. Owner ... Type of ..Construction Frame . ........................................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .-.Sept. 26, 19 83 Date of Inspection. ....................................19 Date Completed ......................................19 )e-2-7Z) Lrz� 5 ..1!9�•k Assessor's maps and lot number .!,;,..' .....zsJ0 . .. ....... .... Cf THE TO 7y- 9 Sewage. Permit number .......:.... ....:...... .. .................. : 3� ' Z 8 9TOIILE, i House 'number ..:....J............... tLLIS .. I 3 , rasa ...... ................................. OA 2639. `0 TOWN. OF -BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO D� . TYPE OF CONSTRUCTION .Q ....d—i t a . . ....................................... R ::.z ...................V TO THE INSPECTOR OF BUILDINGS: The undersigned her y applies fora r it c r g to th Ilowing information: Location ......'.. ...... ...... ..°LY............ ... .... .. . .. :..... ...sl :............................................................................... . .. ProposedUse ...... ..... .. ..........................................................:................ Zoning District ...... ........:I�� ........I......... ................Fire District ........... ............................ .. ..... .. .. . .. .. 11 ..... ................. Name of Owner .. .C/ .1. � Ey ��►���N )Address 3D I� u�Sl�f �/y f�lS Name of Builder J�;If{i'EC. IJU f`t `f ........Address � �� � .�LL�.S.`.... . 1... ....... ................... . ............... . ................ ...:.. Nameof Architect ..................................................................Address ............................................ .... ...............,............................ Number of Rooms I ......................Foundation ....0 v. tRa..�.!'..?......... J_4A) ............... ....................... Exterior S�-J I I�C..LE5 ...Roofing /i" ............................................ ..... .. .. . Floors 1 Interior t,� Lf� ...................... ........................................... .......... ... .. . ..... .... .................. _ Heating. ....... ................. ...................................`..........Plumbing .......q............:.................................... Fireplace ..................................................................................Approximate. ...>......................................... ................ Definitive Plan Approved by Planning Board -----------__—___-----------19_______. Area ...................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .!` C... ............ qq . Construction Supervisor's License .......:.. [INNEY, NANCY M. HARVEYrr 25581 ADDITION lNo ................ Permit for .................................... Single Family Dwelling . ............................................................................... Lot 24, 130 Capt. Ellis Lane Locotion ................................................................ Hyannis ........................................................................... Nancy M. Harvey Phinney Owner . , ...................................................... ........... Type"of Construction ...Frame....................................... " ' y `' ' , '; _ -, .................... ..................................... ........... Plot ....................... .... Lot ................................ Sept. 26 , 83 Peimit-�Grantecl ........................ ............... 1,9 Date of,ln`spection .;...................................1,9 Date Completed ...... ... .... ......... ... 1 9 It j, Q - .i""T'11` N'r_ �7�av,-A .`tVIT :•'_k�--�'-n �:._ 7 _ „K. �, L �� i •(':� F, ,� ,�, ��. .��, ram• .i LOT / V! Y L.vd` .•+ - L ' D • -T . OMAS E., KELLEY,CO. LAND SURVEYORS 5 LONG-2'UND--i v -- ° S rUTH YARMOUTH, MASS ;. 02664 • •, - •.'-F�" v, ."-,...:.=ate::. _ �k CERTIFIED PLOT PLAN . �1cT� TcF? GF P c QED C.clj�.r2ETE �c�TI''D�.71c�A1 LOCATION .AP-tiI.STp��G.:� ./0A S.S �LFt rlT+olJ AS .�c E.rr �t?s.c�. SCALE :,7 3Q ° : DATE .jt„ y /7,7 PLAN REFERENCE _ {uF—InI .iSaC, !J. aFA.ki J ti. .�A�.L14T�g E� TMOM A`S� F.L ►z .lEti u!c �✓1 LL'E1.7,' . E �- En A do suR`4'� i C€ATIFY THAT 'TkE SHOWN 0}N--THIS .PLAN'`IS LOCATED ON.THE.GROUND - — .A.S�SH_O_V1N_HEfEON AND THAT IT CONFORhCS TO . R i J �! _! --+— 1. �3 cA PT S LeL i 5 LR_��.�.--N�.A.Na�I�� r M SCALE: DRAWN BY [5.'��+c/ t�Oi� APPROVED BY: Q t 6rr� -f v } LATEF y MpDRAr H Ennis RYJONE6=HENRY DESIGNER. � CJ F T O } i 1 rol _ V Li y : L- .C.t. R t �1 — SCALE: �t= I ��� APPROVED BY: DRAWN BY .. t ,.. DATE: 4 k—w.4 aa<1 ` HyMarinis,MA DRAWING NUMBER BARRYJONES=HENRY DESIGNER 2 OF 10 9 i ' r s f f 5 A-6 . fit - V-D�. -- T-c P. SCALE: - _ �'0 APPROVED BY. � — DRAWN BY �4T[J�y I A s 5 DATE' FL�13.�7� `1�• eQsl HyAnnis MA DRAWING NUMBER O F 10 BARRYJONES=HENRY DESIGNER T ' f t : - F " L; t " e ffi2 \+ . Z J x „ 5--[Ta-L&& Dt2Y A ff-tQ N -- _- ......... SCALE:all r �Ou APPROVED BY: DRAWN BY LAI_IViy DATE: f zzo - HyAnnis, DRAWING NUMBER BARRYJONES-HENRY DESIGNER "� OF 10 ` \ _ - 0� f lye au wsrr� watL - 1 -t�l) DRY D D--L T- -1-N FA SCALE: H t off APPROVED BY:. DRAWN BY DA Hyannis, FG�3.�.7, in d81 & n i DRAWING NUMBER BARRIYJONFS HENRY O F..1 C� DESIGNER ¢_ ;P AI 7 • � i Is, D _. 1. 3 0_.GA PT 1-�t 1 S LA_I = �3AI 5, MA I'I T =15- �$1 SCALE: 't Ou APPROVED BY: � = � DRAWN BY �7 DATE: III' f - dC'8 n Hyannis,MA DRAWING NUMBER ' BARRYJONES=HENRY DESIGNER 6 OF 10 . i _ � Y 1Z _fit G .13 ®s rZ - - - - - s = GbX PL v�0 o D i _ {V CotaT• SD• F t'[ - SpJ: . _. u 1, u c Np cV f . t f ,: (If —. OD ' i E 5 tom'.-a.L. i i p tC _-. . - o p-.T �1 F.. ::.- : APPROVED BY: DRAWN BYSCALE: FO ._. t•� -y DATE: • _ n H}rdt]T]IS,IVIA DRAWING NUMBER BiMYJONES=HENRY DESIGNER = F - � , • { ro 2-1.�4 biA&s k ... A F. i , • 1 3 0 ALL .�-E'= _ SCALE: �a_ �O��A APPROVED BY: DRAWN BY'34 �4jCJP�y DATE• F����ry 1 DRAWING NUMBER i Hyannis.MA OFJ BPMYJONES=HENRY DESIGNER' 8 VA i i i C t5 G 2 x 8 5tC1> pL, a. 6 - ts : 2 LlJr c . o © R— � Ta_' yl DATA-L.AUND m--AD21-_I Q N A.PT. -S-LL! S LR _ _ ' SCALE: p" APPROVED BY: DRAWN BY . Y = r -{ y DATE: FErJ.�/i de(gi n Hy81]tIIS,MA DRAWING NUMBER BARRYJONES=HENRY DESIGNER- d F 0 , t`t l �1_.1r 4 t + . , "L c t—t I a R D t9-4 --- - - - Ll w i - -- - -� ` • � � g_ � � _.ems. _ r " IL �5r P SCALE: � ' =� APPROVED BY: DRAWN BY fi0 T � I O-t9 -�----- _. s._ _�. 4 DAT de�E: F�t3,�7i •�.�- , 1 n 4 ---------------- DRAWING NUMBER H finnis MA io OF 7o BARRYJONES=HENRY DESIGNER i 1 { i F I + - 1 1 i M , 1 I I f? V - II , - i -------------- f I + I ILL _� i L__1__!1_ - --� 1. + I F f 4 I, I: h I E E N i �: 41 N f I � 1 � � 1 { }i I• , t �� ; � � t f r k � i3a Los LPIN &NIs SCALE: II ''' APPRdVED BY DRAWN BY L, DATE , ._.^DRAWING NUMBER � �"=J—_ CHARRETTE PRO-FORM O'4OPF PRINTED ON 920H CHARPRINT VELLUM - _ _ -.: .. �. �.... :: .. a...� ...,vr.. _..,,,..na_. ..a,. - .Y„w: - a'.._....-...-. ._ e.._ .--...11F.-, .,.__.e,.-._�.�_,.-_.. ..._,_.._...—.._}_.__.. ,.__W.a__<_„__..__ _- _ _.r._.s..a- .J.-. -,_ •...�.. .�. .._.. . ,1 4 t r -- prl ` •�`�� clp� � � __. ,� � � ' ii �r �ti.— � �� ` r �' . �� "� � + i ° "� i i pi 7tH 3-4 �t-•�..�--� w i G � n�,� �(�—� ��..)N I r-.�,,- �� � i , .I;i(� ,�-t'-�` 1' I ,.. ' „�-� � - �..}.,,C,';GX��` ;� i 'f` ,1% •C'1�'�' �{�..�,-ir s t` M1�I 6i l�''-' i T- ✓14e1- .L..__ ' --- -��- ' . _ f� - � i ; � r _! � 'I � fi.f-fit:,✓-iT��:. ►�%_ 12► 'g l ztr C ��� '� r t 1 s ,— — — I `� _ _ _ 'Y �G.��¢���a �_�IG''o�� �y �li �•fit. i �a�u — I prl A lo�l ! ( 1 li �l ,�1 (.r ss � ! ,�1! ,� ► Zi G'�t � . r��-1�r.�� �.:-r,—?C� �'-ic%T •r `U-- t 11 it is i Y, r i ty7i i? R • K__ SCALE: �� �) 4-�'�t APPROVED BY DRAWN BY DATE: I L -L} `l'� `i 3:.I 17 t 1 DRAWING NUMBER ;. �� CHARR£TTE PRO-FORM 920PF PRINTED ON 920H CHARPRINT VELLUM