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HomeMy WebLinkAbout0126 MARSTON AVENUE r �. ,, � a �� �90 ., �� �?� ', �o ~� � � °� .tea � � i e� y {� r ,I WA) � Printed 6n:111'312020 `-oF��Er �� Complai t Ca11,Rep�oit ` 141a1s. � sNwsrna�.e. p 1f26 MARSTON A�/ENU=E, H BAN N IS � � t ,. 'cm ZO 15 =:ff..,��, ,�'"�a*,Jx�pawm��a Case#: C-20-15 Address: 126 MARSTON AVENUE, Date: 1/13/2020 HYANNIS Owner Info: Property Info: KILEY, DANIEL J &DONAHUE, MBL: - ELIZABETH T 126 MARSTON AVENUE 288-101-001' HYANNIS PORT MA 02647 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Signs Low Priority Dept Referral Complaint Summary: Lawn sign appears to be posted on pub;ic property at corner near street sign. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: bowerse Filed by: andersor Comments: Comment Date Commenter Comment w as;ak ^_ -.: ' " To of Barnstable Dates�1113202Q i. ^v I x `a. a � � �� Pnnted On.1�122/202© x OF 1HE►� o v Com IaintCa11R eportBAMSTARM , �� 126 MARST��NiAV NfU= 'E, YAN IIS ' w r; Case Case#: C-20-15 Address: 126 MARSTON AVENUE, Date: 1/13/2020 HYANNIS Owner Info: Property Info: KILEY, DANIEL J & DONAHUE, MBL ELIZABETH T 126 MARSTON AVENUE 288-101-001 HYANNIS PORT MA 02647 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Signs, Low Priority Dept Referral Complaint Summary: Lawn sign appears to be posted on pub;ic property at corner near street sign. Action History: h. Action Taken Date Description Fee Inspector Close Case 1/14/2020 Builder sign on private $0.00 bowerse property typically allowed Complaint should be closed Re-Open Case 1/14/2020 $0.00 bowerse Close Case 1/22/2020 sign removed $0.00 bowerse Inspector Assigned to Complaint: bowerse Filed by: andersor Comments: Comment Date Commenter Comment 1/14/2020 bowerse Builder sign on private property typically allowed 1/14/2020 bowerse Contacted Scott Crosby to remove sign if work is done 508-428-9090 r Town of BarnstableBuilding ;Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and.this Card Must be Kept MAS& IPosted Until Final Inspection Has Been Made..., '~ . ��� �� 059v .� Where a Certificate of Occupancy isRequired,such Building shall Not be Occupied until a,Final Inspection has been made ' ` ` ,.-.,.......a+ +..r+- +r-......�..`...x.,v.....vM A...Sw.+..a*.,,...�... 'Permit-No. B-19-3376 Applicant Name: Scott Crosby Approvals Date Issued: 10/21/2019 Current Use: Structure Permit Type: Building Siding/Windows/Roof/Doors •Expiration Date: 04/21/2020 Foundation: Location: 126 MARSTON AVENUE, HYANNIS Map/Lot. :288-101-001 Zoning'District: RB Sheathing: Owner on Record: KILEY,DANIELJ&DONAHUE, ELIZABETH T Contractor.Name: SCOTT E CROSBY Framing: 1 Address: 126 MARSTON AVENUE Contractor.License:-CS-043556 2 HYANNIS PORT, MA 02647 A °Est. Project Cost: $ 20,000.00 Chimney: Description: replace sidewall/roof R Permit Fee: $ 102.00 Insulation: Project Review Req: Fee Paid`.` $ 102.00 'Date 10/21/2019 Final: Plumbing/Gas 1. Rough.Plumbing: Y a: ,Building Official Final Plumbing: 6 This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within-six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which'this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or:road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ° 9 -�-- -�---- - .° Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit., Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing A ` 2.Sheathing Inspection _ - Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installedP 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per c ting with unregistered contractors do not have access to the guaranty fund".(as set forth in MGL c.142A). T1111-I— Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� Application # 0�d 33 S Health Division Date Issued ��11 11S Conservation Division Application Fee Planning Dept. Permit Fee �S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village fl, .— Owner Y)c n Vo Ifs Address _S_r.,c Telephone Co s, Nti Permit Request V✓e` , �s�__ - V15 4 ,+44 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 0-1 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 ❑ 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 PO Box 52 Address West Dennis, MA 02670 License # . Cell (508) 280-6964 CS11,-4863-3 141CA 69393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J L � SIGNATURE DATE �- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Q-1 6�1 cjc� � 1~own of Barnstable Regulatory Services. KASS • Richard V.Scab,Director & .Building Division Tom Perry,Bi lding Commissioner 200 Mau Street;Hyanais,'NIA 02601 www.towu.barnsta:ble.ma.us - Office: 508-862-4038 Fax: 508- 90-6230 Property Owh6,r Mus t Co nplete,and,.Sign: ' 'his Section < 1 ', : w r as C? �1er Of t1.ie subject propor y� hcrabyauthcirize. ... ' ve, to act on my behalf, in all matters relative to work authorized by this bu ddino,pernut application for; IlA( so Wdress OFjoVi "*Pool fences and alarms ail the responsi,Ityof the applicant. PooLl are not to be filled or utilized before fence ji-sl instated and all i'iiW iospecloons are performed and accepted, a DanielJDaniel Ki�Dl%I Signature of Owner Signature:of Applicant' Print Name Print Narnc Me Q FORMS;OXVT'FRpF-WISSIOKIPWLI; " Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC�kR �• V PO BOX 52 s W DENNIS MA 0267� l Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration = = Registration: 169393 - Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY � P.O. BOX 52 — WEST DENNIS, MA 02670 `Y G Update Address and return card.Mark reason for change. Address Renewal I Employment ❑ Lost Card 20M-05/11 . The Commonwealth of Massach ilsetts Department of lntlustrialAccitlents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gpvIf itr Workers'Compensation Insurance Affidavit:Builders/Contractors/El ectricians/Phi tubers. TO BE FILED WITI-I TiTG PERMITTING AUTHORITY. A licant information Please Print Le ibl Name(Business/Organization/individual): Mike.McCarthy Construction PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: Cell (508) 280- 6964 rc>t -�� #:_SIC-169393 Are yor an employer?Check the a propriate box: Type of project(required): 1. 1 am a employer with F employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in $, ❑Remodel Ing any capacity.[No workers'comp.insurance required.) 3. i am a homeowner doing all work myself t 9• ❑Demolition ❑ g y [No workers'comp.insurance required.] 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I LEJ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.igsmmnce.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.00ther , 152,§1(4),and we have no employees.[No workers'comp.,insurance required.] •Any applicant that checks box 41 must also fill out thesection below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mush submit a new affidavit indicating such. lContractors that check this box must attached hn additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.,policy number. I am an employer that is provitling)porkers'compensation insurance for my employees. Below Is fire policy andjob site Information. �[ M Insurance Company Name: Ar/ r / IJ4J,I Trs). Policy#or Self-ins.Lie.#: Expiration Date: ).)L )IV- k. Job Site Address: City/State/Zip: Attach a copy of the orkers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.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 un tl` al s and allies rjury that thei:information provider!above is trite and correct. Signature: Date- l Phone#: Official itse 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 Ilealth 2.Building Department 3.City/Town Cleric 4.1lectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORM 'PAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 800 876-2765 NCCI NO 26158 POLICY NO. I VWC-100-6017656-20146 PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P 0 Box 52 FEIN:*****3862 West Dennis,MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location. 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here:. MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000:each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease. $ 500,000 each employee C: Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information_required below is subject to verification and change by audit. Classifications Premium Basis Rates -Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 0712979 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy, including all endorsements,is hereby countersigned by 12/15/2014 Authorized Signature Date Service Office: Bryden &Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 Burlington MA 01803 So Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation:Insurance, \ v� used with its permission. V I,f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map lD f Parcel 06 Application #c� Q Z y Health Division Date Issued Conservation Division Application Fee �5 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village S Owner I t ( ddress Telephone ,1, Permit Request 4,01MAllye14 J sit �OvlS 4V1,e r rrn asv� gmjrt o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To"Eafne Zoning District Flood Plain Groundwater Overlay .-.. _ D Project Valuation Construction Type y Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sopporting''docuu entation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structur Historic House: ❑Yes [1No On Old King'Highway ❑` 'p Basement Type: ull ❑ Crawl ❑Walkout ❑ Other -y Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing C2 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 Uat iI ❑ Electric ❑ Other Central Air: ❑Yes U'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: V'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes UNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) c Name GOA &Jb Telephone Number Address l L b,2, License # Home Improvement Contractor# Email l . �� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT \SSOCIATION PLAN NO. Mapt Page 1 of I Town of Barnstable Geographic Information System New sear Parcel Custom Ma Abutters Map size G zoom out l 1 i 1811111n Viewer r 0• O ' 3 lfQ � F Turn map layers on/off by selecting check boxes below Town Boundaries i ❑ Road Names ❑ Voter Precincts F. ,, •x • ! "' -�` ❑ Multiple Address House Numbers ❑ Map&Parcel Numbers AE 0 Parcels ' 4 - ,..;..A ,..... © FEMA Flood Zones �.. - Effective July 16,2014 0 VE-Velocity Zone Q. AQ Feet, ° l3 AE-100 year flood ®AO-100 year flood 17 6.2%Annual Chance Flood Ne Open Water Set Scale V=48 Aeri I Photos v MAP DISCLMER AI - ❑ Neighboring Towns Copyright 200552010 Town of Barnstable,.MA Al rights reserved.Send questions or comments to GI © Water . BamstableMA V1.2.5494[Production] - Streams © Jetties ® Edge of Water 0 Marsh l� © Drainage Ditches 0 Water Bodies ❑ Transportation 0 Major Road Centerlines Road Centerlines ❑ Edge of Road Unpaved http://maps.townofbarristable.us/arcims/appgeoapp/map.aspx?propertyID=288101001&ma... .3/12/2015 AA.. i t.♦ ::� ��._ hSlT 53 a.� - .. `a. y i i • c,: _; t` _-art$' c _ - ..... �:���-__ - - u... - ,ram •+.h y r..., __ ...._ .Y ^ � 1 a ' 4 � z r r t 1 n ♦n A F - Lama Y „r, 02/27/2015 17:13 6176302317 PAGE 02 . . ; Town of Barnstable Regulatory Services '�'Dlowos�.�e1i�r,Dicredo; Suildang Division Tom lorry,CB0 Buddiot Comml on a' Zoo Main street, Hyamis,MA 02601 www.tawo.bmksfable =-us offtce' 508462-4039 Fang 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A Builder as uwam of the rabjecdtFxopefty ��l1A ,wg- . ,to sct on my behalf, bQCF1p A11t�107�Ze 7- In all u►atters relatire to rovoA authod2ed by this building permit Oppli.Wion foss. r (Addxess ofJub) 1114 au=e of Ovm ate l'AMt Name f AC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°D/YYYY) V `� 02/11/2015 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 Germani Insurance Agency PHONE FAX 908 Main Street 508 428-9194 A/c No): 508 428-3068 E-MAIL Osterville MA 02655 ADDRESS:certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:SAFETY INS CO INSURED INSURERB:SAFETY IND INS CO Scott E.Crosby Builder,Inc. INSURERC:SAFETY INS CO 1112 Main St.Unit 7 Osterville,MA 02655 INSURER D:Hartford INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS - A X COMMERCIAL GENERAL LIABILITY BMA0022636 10/12/2014 10/12/2015 EACH OCCURRENCE $ 1,000,000 DAMAGETO RENT CLAIMS-MADE ❑X OCCUR PREMISES Ea occurreED nce $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG' $ 1000,000 OTHER: $ B AUTOMOBILE LIABILITY 3953278 9/7/2014 9/7/2015 COMBINED SINGLE LIMIT $ 1;000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS X AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (PROP P accident $ C UMBRELLA LIAB OCCUR CM00001805 110/12/2014 10/12/2015 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ $ D WORKERS COMPENSATION 6S60UB-4727P23-8-13 6/23/2014 6/23/2015 PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED?' (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott E.Crosby Builder,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1112 Main St.Unit 7 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA 02655 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I Massachusetts Qepartment of Public Safety i Board of Building Regulatic„s and Standards ConstruCiion Supervisor , - `Y License: CS-043556 SCOTT E CROSB)" 62 CROSBY C1R LIG'LJ = . OSTERVELLE Aa PJ � Expiration . Commissioner 12/13/2016 c - C�/6e�an2rraa�zcuealG/a�� %`tc;rercc�careltr• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 1 E1882 Type: Office of Consumer Affairs and Business Regulation xpiration 7/13/2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SCOTT E CROSBBY BUILDER INC SCOTT CROSBY 1112 MAIN ST UNIT#7 OSTERVILLE,MA 02655 Undersecretar Y Not valid without signature Cfs\ The Conan on.speal'th o,f Massadjusetts Deparhnevt of Industrial Accidents QTwe of Investigations 600 Washington Street Boston,M54 02111 wwo niass govl'dia Workers' Compensation Insurance Affidavit.Builders/Contractors Electricians]Plumbers Applicant Information Please Print Le ib Name gk4tieworganizationandividnal)_ (D5b 0 Id Q..f �IVC - p� r a .Address: t I l Z kin 'l:'r+p�,�f�8�_ t �1 Y City/State/Zip: 1 1�"`A 606. Phone 4 � 4b-S-77 A�ri an employer?Checkth appropriate box.: T of ro ect(required): 4- I am a. eneral contractor and I 3Ie p J ( eq = i_ I am a employer with ❑ g employees{full and�or part ime}.* ha-4T hired the sub-contractors 6. XemocZastruction 2.❑ I am a sole W.prietoi or partner listed on the attached sheet ]. ship and have no employees `these sub-contractors,have 8. Q Demolition orkrng for me.many w capacity employees and have workers' Y � tY- 2 9. El Building addition. [No workers'camp.iflsueance comp_insurance. required.] 5..❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers!lave exercised their 11.0 Plumbing repairs or additions myself o workers'co right of exemption per MGL insurance required.]I c.152,§1(4),and we ha-u no 1.2-❑I�oofrepair3 is�s employees.[No workers' IIEI{Other comp.insurance required.] *Any apptimW that checks box#1 mast also fill out the section below showing their worke&compeusatiou policy information. t Koateoivners*ho submit this afii(bMt indicating they are doing all woA and then Lire outside contractors imist subm a a new affadava indicating such. tContractors that check,this box must attached,an additional sheet shows g thepame of the sub-coutrartors and state swhEther or not those entities have employees. If the subcontractors have Employees,they mast pxmride their w orkusI camp.policy number. I ant an ertiployar titat is prm i&ng tiwrkers'cor W.usatioii iumrance for aiv enip[oyees Below is the policy and job sits infortuadon. a Insurance Company Name d/I f L -Ara Policy#or Self-ins.Lie.#: "i�r� .P3.-�: ! Expiration Date: . �. o� Job Site Address:���, ��� CitylState/Zip: Attach a copy of the aeorkers'compensation policy declaration page(showing the goficy pub r and expiration date). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-yeas imprisonmenk as well as chril penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a insurance again,the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o IA for+ r'e coverage verification. I do hereby a under aria paiars at parr hies petJrary brat the informW Won prad&d aboire is true.anrt correct Signature: Date: Phone#: . . Q,UW61 use only. Do jrot urke in this area,In be completed by city or union offiiczrai City or Town: Permit/License.# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4..Electrical Inspector 5.Plumbing Inspector t 6.[Other Contact Person: Phone#: 6 - - - P Q �3 -71 NEW DECK W Q Z • _ - W (L N z m J_ ry x EXISTING HOUSE - ``'' � a PFOI2GT - lu • R2NSf9� NEW DECK f 6 1 FIRST BOOR PV�N DN .. ` 1st FLOOR PLAN R—1 1 SCALE:va• . ro• 1 oJ1 m q ME y 3 ® ® ® ® ® EDE, ® ® W .� e• FRONT ELEVATION - - W W d a z TP W ry = • � rnc8cr a 1a vATi 03/Ob/15 - - ELEJAT10N6 LEFT ELEVATION ' w $GALE:1/4' 1'-0' ' A-2 ® ® 0 ®® ®®------------- lR ® ® ® ® ® ul 1 z �� rx ' REAR ELEVATION . scALe va• ra - - - W - z > d Q Z z - r T rnc.�cre tan • ... ELEVATIONS • - RIGHT ELEVATION SCALE:1/a• 1'4' A-3 -r • �mrtansa min snnoG �epoiror'.b Mu,e.nve � � d F • 2 DETAIL 02X8 DECK TYP. .oiro 1 DETAIL®2X10 DECK HI tu LL IF li -, : .r,moar ryve•cY.wane II I T Z W < y LLI • I ,I ��,� ���I r� I I � Ili II � � �li Q � o I II :I is :IIl 'I i Ij II W ~ N JL1-� I _ FIRST FLOOR �I I, • .��• rLrtuDY + ` • 1.4 tg 4 FIRST FLOOR FRAMING w�uvve.le oc.m. meo:,onm SCAB -1/4' . 1'-0• Town of Barnstable iC Zoning Board of Appeals Variance Decision and Notice ----------------------------------------------------------------- Appeal No : 1991-34 Applicant : Jane Smith At a regularly scheduled hearing •of the Barnstable Zoning Board of Appeals , held on June 27 and cont.inued to July 11 , 1991 , notice of which was duly published in the Barnstable Patriot and forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts (MGL) , • the applicant Jean Smith , represented by Attorney John Alger appealed. to the Board for a Variance to Section 3- 1 . 3 ( 5 ) , Bulk Regulations of' the Zoning Ordinance to permit a the division of a parcel containing. 1 . 64 acres. into two lots . The applicant proposes Lot #1, to contain 36 , 756 square feet and ' . Lot #2 to contain 36 , 756 square feet . Lot #1 , is to be buildable for a single family detached dwelling and presently developed with an accessory garage structure . . Lot #2 will contain the existing reside ntial ,.dwelling . The petitioner has submitted a plan titled "Plan o'f.. Land , in ' Barnstable (Hyannisport ) for Charles and Jane Smith!' ,, .dateds,2/9/89 , prepared by , Baxter & Nye , Inc . , Registered Land Surveyor to the Board . The a p p l i c'a n t '-s property :is shown on Assessor ' s tM a-p-�a-n-d—Pa'rcc Number-288/101- --and,, i.s more commonly addressed as 11226 Marstons Avenue , (Hyann.isport.-, _.MA. The property is zoned RB, Residential B ion Ing ,District . The applicant ' s request was heard by the following Board members : Gail Nightingale , , Ron Jansson , Dexter . Bliss and Acting Chairman , Richard Boy . } Summary. of Evidence: The appeal was- initially heard at` the meeting of June 27 , '1991 and continued to July 11 , 1991 to allow the Board to visit the. site under 'consi-deration . Attorney , John Alger represented the #' applicant at both meetings , presenting the plans for division of the lot and documenting the existing site and lot conditions of size , shape , topography , and use . He noted the size of this parcel. in comparison to surrounding lofs in the neighborhood : the public was asked to speak , and an abutter to the site , Marilyn Mace ,. noted that she had no objections to the division of the ' lot but would request that a twenty ( 20 ) or fifteen ( 15 ) foot buffer - of natural vegetat"ion be preserved along the property Iines abutting neighboring lots . The Board questioned Attorney Alger on the potential to create a vegetative buffer along the interior property lines of the lot and he was acceptable to the idea of such a restriction on the lot . Findings of Facts: � t the meeting of July 11 , 1991 , the Zoning Boardlof Appeals made the following finding related to Appeal #1991 -34 . The findings . were made by Nightingale and seconded by Bliss . 1 . It would present a financial hardship to the owner of the property by preventing the subject lot (Assessor ' s Map/Parcel Number 288/ 101 ). from being divided , given it ' s size of 1 . 64 acres and the Board ' s estimate that it is approximately six ( 6 ) times larger than most surrounding lots . 2 . The lot , a corner lot , is shaped in such a manner that it provides frontage on two streets , Marstons and Greenwood Avenues . The lot extended a distance of 245 feetin depth and meeting the requirements of MGL Chapter 40 A Section 10 requirements as per granting of a variance .- 3 . The topography of the lot , although not extreme , . slants . in a manner which does create a topographic difference within in the lot and its •us-abi l i ty as one lot di ff i.cul't,. The vote on the findings was as . follows : f. . Aays : JANSSON ,• NIGHTINGALE, BLISS , BOY Nays None . Decision Based ` upon the',.fi6dings a. motion was made by Nightingale , amended by Jansson and seconded by Bliss to grant the Variance sought , subject to `.-the- following terms and conditions :. 1 . That there be a fifteen ( 15 ) foot natural buffer zone on, the northl.y and west,er4ly s,id.elines of the proposed lot ; ' ; 2 . The ' lot be divided pursuant to the plan submitted and titled , "Plan of Land , in Barnstable (Hyannisport ) , Mass . for Charles and Jane Smith" , dated 2/9/89 , and prepared by Baxter & •,-Nye , Inc . , Registered Land Surveyor ; and w 3 . Neither of the .lots shall be further divided . The vote was . a follows : . AYES : BLISS , JANSSON , -BOY , NIGHTINGALE NAYS . None Variance #1991-34 is granted as requested and subject to • the terms and conditions enumerated within . " Any person aggrieved by this.,decision may appeal' to the Barnstable Supeiior Court, as described-in Section 17 of Chapter .40A of the General Laws of the Commonwealth of Massachusetts by bringing:.an action within twenty days after the decision has been 'filed in the office of the Town Clerk. Chairman I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that 'twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition .and that no appeal. of , said- decision has, been filed in the office of the Town Clerk, Signed and Sealed this' " . .,. day of 19- under the pains, and penalties of perjury._ ` Distribution: - Property Owner :. Town Clerk ` Town Clerk P N Applicant Persons Interested .Building In spect-or, r Public Information Board of Appeals . # Town of Barnstable` rr11 Zoning Board of Appeal's Variance Decision and Notice 1 SUL 2 Appeal No : 1991-34 Applicant : Jane Smith At a regularly scheduled h-ea•ring of`' the Bar'nstable.' Zoning 'Board of Appeals , held on June 27.:, and-icon t i hued to July 1 1;; 1991 : ;'. notice of which was duly published. in- the , Barnstable Patriot. and forwarded to all inter,,ested parties, pursuant' to Chapter 40A of the General Laws .of Massachusetts {M(3t) ,, th'e applicant : Jean Smith , represented by Attorney John Alger appealed to the IBoard fora Variance to Section 3-1 . 3 ( 5 )`, Bulk Regulations rof 'the Zoning Ordinance to p.e.rmit a the division of a parce'I containing. 1 . 64 acres into. two. lots . The applicant proposes Loot #1 to `contain 36 , 756 square feet and Lot #2 to contain 36 , 756 square feet . Lot #1�L, is to be buildable for a single family detached 'dwel 'I ing 'and presently developed with an accessory garage s,tructure . ' Lot #2 will�' con.tai".n the existing residential dwelling . ` The petit"i•oner` has submitted a . plan titled "Plan of Land in Barnstable (Hyannispor`t ) for Charles and Jane Smith" , , dated 2/9J89 ,- pre"pa.red bya Baxter' & Nye , Inc . Registered Land Surveyor: to the Board . . The applicant' s p r o p e'r t y' i s` s h own: on Ass e s s_orr 'Ts-M.a-p-a-n_dP a r_c_eab Number-2881,Yuj.,, and is more commonlxy addressed as 1 1t�a_r_stons Avenue , H .anni_s_par t,;MA" 'The proper. ty i s zoned RB, Res i dent i a 1 B Zoning District . The applicant ' s . request was heard, by- t'he f.oI lowing .Boa,rd members : Gail Nighti`ngaIe., Ron Jansson , Dexter BI ss and Acting Chairman Richard , Boy ' , Summary - of Evidence:: The appeal ,wase iniyt'ia1 .1y heard at � the meeting of.yJune 27 , 1991.E and . cont i-Hued 16 �Ju l y. 11a; 1991 to 'a`1 I ow the Board to v i s i t the i ,to° un'der';; c,on'sid�e'ration'. Attorney ,'' John Alger-- represented the appI icant1.at ;both meeti.ngs , presenting the' plans for division, of . the,.%�1ot and documenting •_the existing site . and I o t conditions of sizesha pe 'to-pography, and use . He noted `the s i ze-`:of th i,s ` ;parcels in =compari'so"n .to surround ing lots yin °the .ne-igh_bo.r hood' . The pu.b l i c was ,asked to speak; and an ?abut ter, J6 the s i t'e , Mar Iyn Mace " noted t.ha.t she had .no 0bjections,r'to.: th6' ,d'i-vision of the I.o;t "but would,� requ`est` that'' a twenty { 20+), or fifteen '{ 15 ) foot. I . buffer of, natural vegeta„tion .be preserved along ,the prope,rty `. ines�-abutting neig'hbor''ing . 1,0ts . ' } The Board questioned Attorney Alger on• the potential to create a vegetative buffer along the interior property lines of the lot and he was acceptable to the ide.a of such' a restriction on the lot . Findings of Facts : At the meeting of July 11 , 1991 , the Zoning Board of Appeals made the following finding related to Appeal #1991-34 : The findings were made by Nightingale and seconded by Bliss . ti 1 . It would present a financial hardship to the owner of the property by preventing the subject lot (Assessor ' s Map/Parcel` Number 288/ 101 ) from - being divided , given it ' s size of 1 . 64 acres and the Board ' s estimate that it is approximately six (6 ) times larger than most surrounding lots . 2 . The lot , a corner lot , is shaped in such a manner that it provides frontage on two streets , Marstons and Greenwood Avenues . The lot extended a distance of 245 feetin depth and meeting the requirements of MGL Chapter 40' A Sectyion 10 requirements as per granting of a variance . 3 . The topography - of the lot , although not extreme, slants in a manner which does -create a topographic difference within in the lot and its usability as one lot difficult . The vote on the findings was' as follows : Aays : JANSSON', NIGHTINGALE , BLISS , BOY . Nays None � Decision: , i -Based upon the findings , a motion was made by Nightingale , amended by Jansson and seconded by Bliss to grant the Variance sought, subject to the following terms and conditions : 1 That there be ,a jl fteen ( 15 ) foot natural "buffer zone on the northly and westerly sidelines of the proposed lot ; 2 . The lot be divided . pursuant to .the plan submitted and titled , "Pian .of Land "in . Barnstable (H.yannisport ) , Mass : for Charles and Jane Smith dated 2/9/89 , and prepared by Baxter & Nye , Inc ' Regis,tered Land. Surveyor ; and - w 3 . Neither of the lots shall be further divided . The .vote was a f o I lows : AYES : BLISS JANSSON , BOY , NIGHTINGALE ` NAYS . None ; Vari,ance;- #1991-34 is granted as requested and subject• to the terms andtc;ondi;tions. enumerated within . - Any person aggrieved by .this, decision may appeal to the Barnstable Superior Court,-as described' in Section 17 of Chapter 40A .of the - General Laws 'of the Commonwealth of Massachusetts by bringing:.an . action within twenty days after the decision has been ,filed in the office of the Town Clerk. Chairman I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed _since•�the Board, of Appeals rendered 'its decision in the,. above entitled.petition .and that no appeal of said decision has been filed in the office`'of the Town Clerk. ' e Signed and. Sealed this day of 19 under:.the pains and penalties of perjury. Distribution: Property Owner Town Clerk Town Clerk Applicant : w_ Persons Interested Building<inspecror Public-Information Board of :Appeals s r ; E e Q� ,*THErO�♦ TOWN OF BARNSTABLE Z BAHISTAMLB, i o pYa�e� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ........ .'�® 6Z ..... ..................... ........................................... TYPEOF CONSTRUCTION ...... IM14n ................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby /.�.G herebyy applies for a permit accorrdding to the following"information: Location .....4-6...... O./f9.T . ...:...... /,q OF................ ! ................................................... ProposedUse ....5 .. .........................................................................�................:........................................... Zoning District .........� ... .... .......................................Fire District ............................................. Name of Owner Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ........Q............................................................................ Numberof Rooms ............../.................................................Foundation P..�. ........eo ................................ Exterior ....W../ ....... �j/��..��'.�. .�....................Roofing ./��e � � l Al.a. . F �....................... .............................. .. Floors ......o.0.4............................................................Interior ....M®/(�i .............................................................. Heating ..../4P®�.�.............................................................Plumbing ...e.A�Ke........................................................... Fireplace .....Pew.Q.,!fzr-. ...........................................................Approximate Cost .. ®d.. ........................................... Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions �� fSO, O to 0 Uj LU LW 00 ® jcd <r / 00 0 0 Ct 60AI F- LU v? Ljj :a LIJ LIJ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Name .. .. ........................................ ' Smith, Charles G.. . ����^ �� � ���� x�x�wv^ � vw'° � / ��� �.~-^ garage ' No ................. Permit for .................................... .----,--------.-----.—~----- � 126 Marston Ave. / Location ................................................................ ' Hyannis \ � —.--~------.--.—.----------- ( Charles G. Smith Owner .................................................................. i ' } �reooe ' Type ofConstruction —.------------. yc� z ----'—^-----'---^------'—^---'' Pkz ----_---_. Lot ----------.. ` 24 7I V Permit Granted --���������--.--.lP � Dote of Inspection .................. ----l9 ' � ����� Date Completed —.�r��—. ------]g � ° = �, � PER8�T REFUSED I�� ' ..' ' ----.,-.-----.,.----.---- lQ '-------'-^—'---~^-------''—''r'' / | � '._----.—.,—...--.-----.—.—.--.. . ! ................................................_—.—~----... '----.--...—.---.----.~.—..-.—.—... � } ' ' Approved .............................................. 19 / \ � -------------~~~...—~..—~.—.— � . --------.-----------~~.....,... \ � |