HomeMy WebLinkAbout0110 QUAIL LANE //0 Cy�a:l �,anP
Town of BarnstableBuilding
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Permit P�<her
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Permit NO. B-19-190 Applicant Name: RICHARD ANDREW PRCHLIK Approvals ,1
Date Issued: 01/25/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/25/2019 Foundation:
Residential Map/Lot: 288-215 Zoning District: RF-1 Sheathing:
nk
Location: 110 QUAIL LANE, HYANNIS
Contractor Name" RICHARD A PRCHLIK Framing:
Owner on Record: FAGIN, ROBERT A � F
Contractor License CS-080591
2
Address: PO BOX 413 ,
Est Protect Cost: $20,000.00 Chimney:
HYANNIS PORT, MA 02647 - � Permit Fee: ` $ 152.00 �� 5
Description: RENOVATE MASTER BATH
Insulation s /
, Fee Paid ' $ 152.00
Project Review Req: Tempered Glazing May be Required in Shower, Toilet Room Date 1/25/2019
Final:
' Q
requires a ventilation fan per code. zr -
Plumbing/Gas
Rough Plumbing:
Building Official Final Plumbing:
Rough Gas:
This permit shall be deemed abandoned and invalid unless the work autho lair zed by this permit is commenced within six mon hs after issuance. Final Gas:
All work authorized by this permit shall conform to the approved appl itatide and thapproved construction documentsfor hick this permit has been granted.
All construction,alterations and.changes of use of any building and structures shall be in compliance with the local zoning bylaws'and codes. Electrical
This permit shall be displayed in a location clearly visible from access street oriroad and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Service:
M � z
The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials are provided on this permit. Rough:
Minimum of five Call Inspections Required for All Construction Work:`
1.Foundation or Footing Final:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final:
6.Insulation
7.Final Inspection before Occupancy Health
Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department
VeK—o—ns—c—ortracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
O�TMF gay,
ii
Application Number.... .............
MASS. Permit Fee.......................................Other Fee........................
163
0 Total Fee Paid............................................................... ......
TOWN OF BAAlRRNN,,, LE' , Permit Approval by....A/0 .......
-r am\W
BUELDINGTERAHT 11
Map............ :............. ..Parcel. .....(3... ...............
APPLICATION
Section 1 — Owner's Information and Project Location
Project Address Village
Owners Name--���-
Owners Legal Address
City (W 14 State 1444 zip
�-4
Owners Cell#.... vn &P1 E-mail
Section 2 -Use of Structure
Use Group_ F-1 Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,00*0 cubic feet
0--9�M`gle Two Family Dwelling
Sect-ion 3-Type of Permit
❑ New Construction E] Move/Relocate E] Accessory Structure E] Chang'e of use
❑ Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm
Rebuild ❑ Deck Apartment Sprinkler System
Fj Addition ❑ Retaining wall ❑ Solar
enovation ❑ Pool 0 Insulation
Other-Specify.
Section 4 - Work Description
e.
Last updated. 11/15/2018
Application Number.................................................... 1
Section 5—Detail
Cost of Proposed Construction s Q� Q Square Footage of Project
Age of Structure Dig Safe Number i
# Of Bedrooms Existing Total#Of Bedrooms (proposed)
i
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Y �
1
Section 6—Project Specifics
Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
�bing ❑ Gas Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply Public ❑ Private
Sewage Disposal ❑ Municipal On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facili ty: I am usin a crane Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed "
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated: 11/15/2018
Robert and Andrea Fagin
110 Quail Lane
Hyannis,MA 02601
December 18,2018
Town of Barnstable
200 Main Street
Hyannis,Ma 0201
RE:Owners Authorization Form
To whom it may concern:
We,Robert and Andrea Fagin,are the owners of 110 Quail Lane,Hyannis,Ma.02601.
We would like to give Andrew Prehlik authorization to act as our owner's agent for all
permit requirements,design submittals and decisions for our property located at 110
Quail Lane.
If there are any questions,we can be contacted at 413-786-1886.
V
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a l0l� ��
B
ert and Am'drea Fagin
i
1
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3
Commonwealth of Massachusetts
y Division of Professional Licensure
Board of Building Regulations and Standards
I y
. Constrq t ri Sil.p�rvisor
V
CS-080591 Lpires: 06128/2019
���� '� �,�Imo`•
RICHARD A PRCHLIK
68 PILOTS W44j(
j WEST BARNSTABL'E.MA OY668).� '
Commissioner
r
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Pleast Print Le6blv
Naive(Business/Organizatim/Individual):
Address: 1,6F (-�a
City/State/Zip v�i lti� Phone#:
Are y as employer?Check the appropriate box: Type of project(required):
1.LJ I am a employer with 1zi 4. ❑ I am a general contractor and I 6 ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling'
shipand have no-employees -These sub-contractors have g.
❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp.insurance comp.insurance.:
required.] . 5. ❑ We are a corporation and its 10.❑Electrical repair or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required]t c. 152;§1(4),and we have no
employees. [No workers' 13.[1 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractor;must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their worker;'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: lkm (,Ajkz)b
Policy#or Self-ins.Lie.#: (AD) 000 �`�. Expiration Date: �' I'l-a
Job Site Address: U�Tt� N 16 (�(�01 City/State/Zip:
Attach a copy of the workers'compensation poficy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DV for insurance coverage verification;
I do hereby certi, u the pains and penalties of perjury that the information provided above is true and correct;
Signafore: Date:
Phone#: -
OjjtcW 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#:
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 iri the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to 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 produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn 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 Commonwealth of Massachusetts
Department of Industrial Aecidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel.#617-727-4900 W 406 or 1-877-MASSAM
Fax#617-727-7749
Revised 4-24-07 www.maw.gov/dia
f
A Worker's Compensation and Employer's Liability Policy
AmGUARD Insurance Company - A Stock Co.
�w/'Berkshire Hathaway Policy Number MAWC071562
�� Insurance Renewal of MAWC978955
GUARD Companies NCCI No. [21873]
Policy Information Page
[1]Named Insured and Mailing Address Agency
Main Street Building LLC AUTOMATIC DATA PROCESSING INSURANCE AGENCY,
68.Pilots Way INC.
West Barnstable, MA 02668 1 ADP Boulevard
Roseland, NJ 07068
Agency Code: NJADPII.1
Federal Employer's ID 51-0535154 Insured is 'Limited Liability Co. (LLC)
[2] Policy Period
From February 6, 2019 to February 6, 2020, 12:01 AM, standard time at the insured's mailing address.
[3] Coverage
A. Workers' Compensation Insurance- Part One of this policy applies to the Workers' Compensation
Law of the following states: Massachusetts
B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed
in item [3]A. The limits of our liability under Part Two are:
Bodily Injury by Accident - each accident $100,000
Bodily Injury by Disease each employee $100,000
Bodily Injury by Disease - policy limit $500,000
C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in
item [3]A. and the states of North Dakota, Ohio, Washington, and Wyoming.
D. This policy includes these endorsements and schedules:
See Extension of Information Page - Schedule of Forms
O
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[4] Premium
The Premium Basis'and, therefore, the premium will be determined by our Manual of Rules,
Classifications, Rates,and Rating Plans. All required information is subject to verification and change by
audit. (Continued on another page)
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Total Estimated Policy Premium $ 7,822 "
Total Surcharges/Assessments $ 300.00
Total Estimated Cost 8,122.00
INTERNAL USE xx Page - 1 Information Page
MGA : MAWC071562 WC 000001A
Date : 01/02/2019
MANOTE
Issuing Office: P.O. Box A-H, 16 S. River Street,Wilkes-Barre, PA 18703-0020 • www.guard.com
Office of Consumer Affairs& Business Regulation- Mass.Gov Page 1 of 2
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Registration # '135897
Registrant RICHARD ANDREW PRCHLIK
Name RICHARD PRCHLIK
Address 68 PILOTS WAY
__. . a
City, State Zip W. BARNSTABLE, MA 02668
Expiration Date 05/16/2020
Complaints Details
.. ..... .. .. .
No complaints found for this registrant.
You can also view arbitration and Guarantv Fund history.
Back To Search
Site Policies Contact Us
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TOWN OF BARNSTABLE
PERMIT CHECKLIST
Sign off hours for Health and Conservation are 8-9s30 a.m. and 3:304:30 p.m.
A complete permit application includes, fling all sections 1-13
1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS
❑ Site Plan showing setbacks of proposed and existing structures
❑ Commercial—One complete set of full sized plans one reduced 11"x 17"(plans may require a stamp by
an architect or engineer).
El Residential- 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked
❑ Worker's Comp. Affidavit and policy(if required)
❑ Res Check or COM check from the 2015 International Energy Cod Council (IECC)
❑Letter of financial Interest for new houses only(not required for rebuild after teardown)
❑ Performance bond made out for$4.00/foot of road frontage(new
construction only)
2. DEMOLTION OF A BUILDING (NOT PARITIAL)
❑ Everything above plus shut off letters from following utility companies:
Gas
❑ Electrical
❑ Water
El Sewer(if required)
3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS
❑ Site Plan showing proposed location
❑ Construction plans showing framing detail(if new framing),
El Pools=Barrier details,pool specs(engineers design)
❑ Workman's Comp Affidavit and policy(if required)
FAMILY APARTMENTS
❑ Section 1 Plus:
❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed,
notarized and recorded at the Registry of Deeds and returned to the Building Department.
Application Number............................................
Section 9- Construction Supervisor
i
Name :&,�4L*L- ,Telephone Number
Address L��}-y City Mate ,/I Zip
License Number -0)" License Type G r S Expiration Date 6•2-p •j�
Contractors Email 6VIFAJI��',a�2 WC. GO! Cell# oy -2ea"6294--
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation r quir by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10-Home Improvement Contractor
Name - Telephone Number
Address (p�i Fi Wr4 A City S lam' State elrf Zip
Registration Number -O ? Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation require by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature -- Date /•1 7-/q
Section 11 -Home Owners License Exemption
Home Owners Name:
Telephone Number Cell or Work Number
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature Date
APPLICANT SIGNATURE
Signature Date L
Print Name Telephone Number 47)�1.Z�o• 6129�-
E-mail permit to: ( Ui L b @ 1M� &0)44
Last updated: 11/15/2018
Section 12—Department Sign-Offs
Health Department ❑ Zoning Board(if required)
❑ Site Plan Review if required) ❑
Historic District ( q )
Fire Department ❑
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 —Owner's Authorization
as Owner of the subject property hereby
authorize to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job)
Signature of Owner date
Print Name
Last updated: 11/152018
CAPE COD
INSULATION 11 24"
R�®�
FIBERGLASS BEAM ASS SPRAYFOAM SUSPENDED -
RA"S "Um.
INSULATION CIIILINOf _
1-800-696-6611 � ''�-f- a
Town of Barnstable
Regulatory Services v
Building Division
200 Main St y: o
Hyannis, MA 02601
r.�
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed&
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements.
Property Owner Property Address Village
t/l C Df2li9 Ao-ge5rtl ///
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings ( ) ( ) ( ) ( ) ( )
Slopes ( ) ( ) ( ) ( ) ( )
Floors ( ) ( ) ( ) ( ) ( )
Walls ( )^ ( ) ( ) ( ) ( )
Sincerely
4 E assi y Jr, President
Cape Cod Insulation Inc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 0 Parcel �✓` Application #ax o
Health Division Date Issued ,
Conservation.Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 6, �aAe"Pp y'
Village
oZ�
Owner 23,d/dY �,�ll� Address /D % e
Telephone , ZY 17.P a?,f;9 > ,
Permit Request t9l a /�
1-2
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation b Construction Type 11.1f�i�op//,:Ow
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U,--' 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 _ Barns❑ existing mew size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: m?
s.;
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 Telephone Number
Address O-J 'T ov �� .��� /�i License # Ao,6 9 ey
Home Improvement Contractor#
Worker's Compensation #JGL,MD eZ
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
DATE
SIGNATURE /02
FOR OFFICIAL USE ONLY
_APPLICATION#
f 7
,,. 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,, t
DATE CLOSED OUT '
j ASSOCIATION PLAN NO.
. r
Th.e•Cornmonwealth of Massachusetts '
Department"of Xndustrial Accidents
Office of lnvestigatiorss
600 Washington Street
t Boston, MA 02111 <_
yy www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciani/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): CA 5y ( a 'f' ) U1 _D) �
Address: r
Ci /State/Zi
h' P: A 13 Phone #: VQ 0 G
Are you an employer?Check th appropriate box: Type of project(required):
1.(� I am a employer with a• ❑ 1 am a general contractor and I
--�— 6.`❑ New construction
mp eloyees(full and/of'part-time).* have hired the sub-contractors . .
2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• ❑ Demolition
working for me in any capacity. employees and have workers'
9. ❑'Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner.doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] t C. 152, §1(4),and we have no 13.❑ Other
employees. [No workers' . �U�R lq !Ott
comp.insurance required.]
*Any applicant that checks box#) 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 tben hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing'the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have cmployces,they must provide their workers'comp.policy.number.
I am an employer that is providing workers' compensation,insurance for my employees. Below is the policy and job site
information. 1 t
Insurance Company Name:
Policy#or Self-ins. Lic.#: (&), Expiration Date:
Job Site Address: _Jz6 �j, 1f� 1,/ City/State/Zip
. T
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
find up to$1;,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ldo hereby certify tt e pa' and penalties of perjury that the information provided above is trice and correct.
Si nature: Date:
Phone#: O
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 Clerlc 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
xogers r« cray ins. rage: uuz
�.. Client#:4597 - CCINSUL
ACbRDTN CERTIFICATE.-OF LIABILITY INSURANCE DATE(MWDDlYYYY)
7/01/2011
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 WANED,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 I CONTACT Margaret Young
Rogers 8 Gray Ins.So.Dennis PHONE 434 Route 134 - A� No E, 508-760-4602 A/c,Noy): 508-258-2102
P.O.Box 1601 ADDRESS: Youngma@rogersgray.com
South Dennis,MA 02660-1601 CUSTOMERID#:
INSURED
INSURER(S)AFFORDING COVERAGE NAIC#
Cape Cod Insulation Inc INSURER A:Peerless Insurance 18333
455 Yarmouth Road INSURERS:Ohio Casualty Insurance Company
Hyannis,MA 02601 INSURER C:Atlantic Charter Insurance
INSURERD:Commerce Insurance Company 34754
INSURER E: - -
INSURERF:
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 CONTRACTOR 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.
Will
LTR TYPE OF INSURANCE NSR POLICY NUMBER MM/DD EFF I�yM/DD EXP LIMITS
A GENERAL LIABILITY CBP8263063
/01/2011 04/01/2012 EACH OCCURRENCE $1 000 00Q
X COMMERCIAL GENERAL LIABILITY
PREMISES a occurrence $1001000
CLAIMS-MADE r X,OCCUR
• MED EXP(Any one person) $5,000
I
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: ,. PRODUCTS•COMPlOP AGG $2,000,000
POLCY PRO- LOC
D AUTOMOBILELIABLLnY 11MMBCKVMK 4/01/2011 04/01/2012 COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS " r BODILY INJURY(Per person) $
X SCHEDULED AUTOS BODILY INJURY(Per accident) $
X HIRED AUTOS PROPERTY DAMAGE
(Per accident) $. .
X NON-OWNED AUTOS
$
B UMBRELLA LIAR X $
occuR 0001254514645 04/01/201.1 04/01/201 EACH OCCURRENCE $1 OOO 000
EXCESS LIAR CLAIMS-MADE
DEDUCTIBLE AGGREGATE $1000,000
X RETENTION 10000 $
C WORKERS COMPE;w1ON WCA00525902 $
AND EMPLOYERS'LIABILITY Y/N - 6/30/2011 06/30/201 X WC yTATT� OR- .
ANY PROPRIETOR/PARTNERIEXECUTNE
OFFICERIMEMBER EXCLUDED? FN� WA E.L.EACH ACCIDENT $rj00 O(}O
and
If yes,describe under
(Mandatory in E.L.DISEASE-EA EMPLOYEE $500,000
- ,
DESCRIPTION OF OPERATIONS below
E.L.DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Scheduled more space is required) -
workers Comp Information Included Officers or Proprietors -
(See Attached Descriptions) {
CERTIFICATE HOLDER _ CAN 10 Days for Non-Pa merit 5-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
- _ AUTHORIZED REPRESENTATIVE -
ACORD.25 2009/09 9registered1988-2009 ACORD CORPORATION. e
( ) 1 of 2 The ACORD name and logo are marks of ACORD All rights reservd.
#368575/M68179 -
MEY.
OWNER AUTHORIZATION FORM
(Owner's Name) J
owner of the�property located at
i
(Property Address)
(Property Address)
hereby
e y authorize �1 ,
(Subcontractor)
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property.
' O ne_s Sig at re
Date
D
AUG 1 7 .2011
. .. !�
10 Park Plaza- Suite 5170
�I On Boston, Massachusetts 0211.6
Home Improvement Cogtractor Registration
Registration: 153567 • '
Type: Private Corporation
Expiration: 1115/2012 Tr# 206433
71
CAPE COD INSULATION, INC '
HENRY CASSIDY - -
455 YARMOUTH RD.
HYANNIS, MA 02601
,..Update Address and return card.Mark reason for change.
Address ❑ Renewal (-I Employment U Lost Card
Ll
.,
S-GA1 0 5OM-04104-G101216 '
Office o mer Affairs as'ne ReguI uon License or registration valid for irdividu!use only_
HOME ` before the expiration date. If-found return to:
Registration: 153567 Type: Office of Consumer Affairs and Business Regulation `
Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
D INSULAT1OX"Nin.;
HENRY CASSID`.'-. r
455 YARMOUTH F _
HYANNIS,MA 0260A : tY Undersecretary t alid ith t si tore
71
'.Z'• 'NlassachusC'Us- Department pit'Public Safety
Boars! trt$uildinp, Re<,u lilt i0ns and ltandard,
Construction Supervisor' License
License: cS 100988
Restricted to: 00
HENRY CASSIDY �r
B,:�SHED ROWl_
WELT YARMOUTH, MA 02673 �
Gam`•'--•_.�:.�' s •
Expiration: I i/11/2011
- ( uua�i..iKicr Tr#: 100988
I
pFT1KffElp<f, own o arns a le *Permit
Expires 6 To the from i e date
"7 Regulatory Services Fee
r
sAatvsrasce, ess Thomas F.Geiler,Director
MASS.
-:Buildng DI<v><sn
ED MA'1 Ep
—
T 6 2008 Tom Perr._y,CBO, Building Commissioner
0�1J� 200 Mvfiri Street,Hyannis,MA.02601
BARN3Tgg�E �wvw•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
Property Address 110 qj tL 1Ag11m)0- 101
Residential Value of Work j j')50 .00 Minimum fee of$25.00 for work under$6000.00
Owner's Name& Address Rolb,Cr 6m,\wk 1XNCAL
Contractor's Nam 'u �: t i is Telephone Number
77[1� ni dZo
Home Improvement Contractor License#(if applicable) -
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
[�I have Worker's Compensation Insurance
Insurance Company Name L-1 fAqctj l-vz-- Stn- L, 1 ri-swL,fF o oC co
Workman's Comp. Policy# WC Sr�a��3
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris willbe taken to
❑ Re-roof.(not stripping. Going over existing layers of roof)
❑ Re-side
i
ErReplacement Windo �s liders. U-Value o (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
'
SIGNATURE:
Q:Forms:bu ildingpermits/express
Revisel12807
4
/�ie Voonmw�zurea a� Standards
. Board of Building Regulations and Standards before the expiration date. If found for d return to vidul use*only
be Regulations and Standards
HOME IMPROVEMENT CONTRACTOR Board of Building Reg
Registration 150297 One Ashburton Place Rm 1301
Expikatwn 3123/2010 TO 263437
Boston,Ma;02108 '
+rsType Ltd
'Liability Corpor
COASTAL CUSTOM WOO19--y- S LLC .
THEODORE POMEROYl
j"
2 OCEAN PINES DR`� Not valid without signature
/
SAGAMORE BEACH,MA 02562 Administrator
r
t
f .
�05/29/2014o 05:45uip Ted Pameray 9001/001
1-SOA-988-2921 P_ l
Town of Barnstable
Regulatory Services
Thomas X Geller,Director
Buildilig Division
'rem Perry,Building Commissioner
200 Main St e@%Hyannis,MA 02601
W W W_town.bsrosts ble.ma.us
Officer 508-862-4038 FBX: 508-790-6230
Pro Owner
pe�y Must
Complete and Sign This Section
If Us in ABuildeas r
z �Z�
Owner of the subject properly
hereby authorize to act on-my behalf,
in all matters mktive to a o17rgd b�rthLs pezmit appjimtwn for.
LOW L
1
S. a ate
1�rinc Nart�e �
i
If EWRgIV OBMer is applying for pernmit please complete the
Homeowners License Exemption Form on the reverse side.
j
QToRMS:OWNERPMMisSiON I
i
'iZx The Commonwealth of Massachusetts
Department of Industriat accidents
Office of Investigations
600 Washington Street
Boston,MA 02111 '
wrdw.mass.gov/dia
Workers'Compensation Insurgnce Affiddvit: Builders/Contractors/Electricians/Plumbers
_Applicant Information Please Print Legibly
Name(Business/Organization/individual): C:iDPi�.-V(O- CS_Pm LU0CdLL0Q1C,,,, L,L(-
-
Address: Z COC•irAlJ ihlt✓� �iZ��l��
City/StatelZip Phone.#:�Og•--)_7
Are you an employer?Check the appropriate bog: :Type of project(required:,
4. I am a general contractor and I
1.❑ am a employer with 0 6. ❑New construction .
mployees(full and/or part time).*• have hired the sub contractors .
2. am a'sole proprietor or partner-
ship and have no employees These sub-contractors have 8. Demolition
ivorkin for me in an capacity. employees and have workers'
g Y P tY• 9. ❑Building addition
[NO wOrk0I8 comp.Msurance
comp.insurance.$
required.] 5. We are a corporation and its 10.❑Electrical repairs or additions
'3.❑ I am a homeowner doing a'll•work . officers have exercised their 11.❑Plumbing repairs or additions '
myself[No workers' comp. right bf exemption per MGL 12.❑Ro f repairs
insurance.required]f c. 152, §1(4),and we have no 13.[ then
employees. [No workers' P �d�OrZ .
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing then workers'compensation policy information..
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
tr_mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employees. If the sub-contractors have employees,they must providb their workers'..comp,pofidy number.
I ani an employer that is proyiding workers'compensation insurance for my employees. Below isthe policy and job site
information.
Insurance Company Name: 12i b4 ITC— :S'TT0rr&
Policy#or Self-ins.Lic. c 5_S6 Expiration Date:
t L�
Job Site Address:llU CU�vL �t9N �?F,tY1^��iZ\ City/State/Zip: M� 647 .
Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK,ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-Office of
Investigations of the DIA for insurance coverage verification —_
I do hereby certify der th�ains and penalties of perjury that the information provided above is true and correct
Si tore: 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):
J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector
6.Other
Contact Person: Phone#: .
PROJECT I�
NAME: D Te-l—m ? S
ADDRESS: I LcC�I
r—
PERMIT#
PERMIT DATE:
M/P: R 9 8
LARGE PLANS ARE FILED IN:
BANKERS BOX
FILED ALPHABETICALY BY STREET
INFORMATION SHEET FILED IN STREET FILE
q/wpfiles/forms/archive/BANKERSBOX
O�THE�. TOWN OF BARNSTABLE Permit No.?MP .....
BUILDING DEPARTMENT
H°8d91 TOWN OFFICE BUILDING Cash :...........
"dour► HYANNIS,MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Phillip C. & Katherine Bateman
Address ;,ot #221A 110 Ouilil Isanp
1 Ilvanni-soort,. Ivlas
USE GROUP FIRE GRADING ' OCCUPANCY LOAD
THIS PERMIT .WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
+ SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. J
Yam"
September 8, / ......
.................... 19...... ...... � .-...
uildi g Inspector
(�. ........
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
= asaaSr 'riva TOWN OFFICE BUILDING
t639. �� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $k... , l c ". ........................................................................................................................._.............................
I issued to ..............1�/�/���� rJ........la�•„��.,�...................
Please release the performance bond.
77 "' ' 'w. .t,,;. -Ai- vey.,•r--" s•,r.;^.. y .„4 .! ..:s e' ,-y- •s.
ul
J LwR) fxSti /-t �. _ yY *. _.(.
ja
��TOWN OF`BARNSTABLE, MASSACHUSETTS " PE M t,.- '
r r' J0'B WEATH'ER�'CAR0
sl
" Yg qq.�, •�� nn pp�,�qq',,,.��.�,���,,� DATE a; 1. 19 �i.__; rr.,,.P.ERMIT NO. �j �+�R ry
y b' i rA...T,J.}.�C iaQLi�rtte Jf w "i:FS. P A �. s Y� 1.HiN
M 3 ; APPLICANT ' ADDRESS �^' � ' a
(NO ) (STREETJ'
.":y - .t t,•� �.7' _ > .. (CONTR'S LICENSE).
i 1;y ::PERMIT TO Lori d.( i t3SKj ( STORY I•aT�-j-le '� Fi:�i�� ,I .�.Sa:T:=f NUMBER OF
{«,t DWELLING UNITS V
�A.s .(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) - -
v Lot
/r�'� �ry,��� yy^^ r }..
t��'tk♦* aJ✓4 ..�+�' �V yLtNJ.�.1, d.C3SH.?p AA�,YG:13:iF.�,.. •r,{, '•W+ �:.. ZONING '
U y AT (LOCATION) A i
DISTRICT
k✓c.4''•- 1N0.) (STREET)
�•
s`"r4 BETWEEN s- AND t c s i
.. (CROSS STREET) L•' (CROSS STREET)
, `:-;,,SUBDIVI'SION LOT j #t BLOCK SO E .
co
BUILDING IS.TO BE FT. WIDE BY FT. LONG'BY 4 FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI
t•rsy TO TYPE - - USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
' a REMARKS:
VOLUME' ESTIMATED
.F �2Q ft
3• u E OST $ FEE
(CUBIC/SOMIT
•: } DAR E'FE ET) /Y
Philip C. & Katbox
s� 1 OWNER
��. Groton, 1++1'1 BUILDING DE PT
1 ADDRESS` , BY
.,THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY`'O IDEWALK OR ANY PARx �THERFyOF, EITHER TEMPORARILY
,, h k PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFMALLY�QERMI.TTED UND:K•R THE 'BUILDING CODE, MUST BE i
'PROVED BY THE-
JURISDICTIONaSTREET OR.-ALLEY GRADES AS WELL AS DEPT,�LAND LOCATION OF PUBLIC SEWERS.MAY BE OBTAIN
'FROM THE DEPARTMENT OF"PUBLIC,WORKS. THE ISSUAN.CE',OF THIS PERMIT.DOE NOT RELEASE THE APPLICANT'FROM THE CONDITIC
'OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,.,
•.MINIMUM OF .THREE CALL
{ "INSPECTIONS REQUIRED FOR, - APPROVED PLANS MUST BE RETAINED-ON JOB.AND THIS WHERE APPLILAB•LE SEPARATE
` : CARD.KEPT POSTED UNT'I;L FINAL INSPECTION HAS BEEN PERMITS ARE: REQUIRED -FORALL CONSTRUCTION WORK:.; _ ELECTRICAL;-PLUMBING'
- AND
FOUNDATIONS OR FOOTINGS., MADE: WHERE A CERTIFICATE, OF OCCUPANCY IS RE MECHANICAL INSTALLATIONS.
7 2.-PRIOR TO COVERING-STRUCTURAL'
>tx •' MEMBERS(READY TO LATH): QUIRED,SUCH BUILDING'SHALL NOT BE OCCUPIED UNTIL .•,,t
y h 9. FINAL INSPECTION BEFORE- FINAL"INSPECTION HAS BEEN MADE.
OCCUPANCY. .:* .,.:..-a•. „
POST TINS `CARD SO IT IS . YU LE FROM STREET
w
;` .t-. BUILDING INSPECTION APPROVALS " 'PLUMBING INSPECTION-APPROVALS ELECTRICAL INSP;ECTIQ4� APP
AN
HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVAL!
p"+ OTHER. - 2 - -
. '. 2
1161
Yet Ccn� s ��s' /b -7.
a x
x + SWORK SHALL NOT PROCEED UNTLL jHE P-ERMIT WIL ¢gE QME NULL,IfND:Y..DID IF CONSTRUCTION INSPECTIONS iND ATED ON THiS C
4 r E ``NSPECTOR HAS APPROVED THE VARIOUS, WORK IS NOT bT RTED WITHIN SIX MONTHS OF DATE THE CAN. BE ARRANGED FOR BY TELEPHt
STAGES OF CONSTRUCTION. PERMIT IS ISSUBD(AS NOTED ABOVE. OR WRITTEN NOTIFICATION:
9 _,
;OWN CLERK
. � d4RNSTgBLE. ►,IQS,s
'83 FFg TOWN OF BARNSTABLE
-9 - PH 334
Zoning. Board of Appeals
Rr,hard H. Dodge Deed duly recorded in the
Property Owner
County Registry of Deeds in Book
Richard H. Dodge Page Registry
Petitioner
District of the Land Court Certificate No.
Book Page
Appeal No. _19.$2_8B___ _ �763��.ry 7 1983
PACTS and DECISION
Petitioner Ri rhard H_ nodgp filed petition onDecember .27 19 82
requesting a variance-permit for premises at _Quail._Lane in the village
(street)
of --KX.anuisF-prt adjoining premises of (see attached list)
Locus under consideration: Barnstable Assessor's Map no. _._288 lot no.s- 214 6 215
Petition for Special Permit: 0
Application for Variance: ® made under Sec. _Q _.24c). of the Town of Barnstable
Zoning by-laws and Sec. _..b_of Chapter 40A., Mass. Gen. Laws
for the purpose of variance relief from frontage__x.eqiHrPmpnr of 79 ft imnn4pri
haat.Cr_AQA,.. . Mass Gtn. Laws.
Locus is presently zoned in—RaS.3.de-mr-e
Notice of this hearing was given by mail, posts.-e prepaid, to all persons deemed affected and
by publishing in Barnstable Patriot newsimper published in Town of Barnstable a copy of
which is attached to the record of these proceedings filed with Town Clerk.
A public hearing by the I3oard of Appeals of the Town of Barnstable was lield at the Town
Office Building, Hyannis, Mass., at 8:30 XPP.Q4. P.M. 20 1983 ,
upon said petition under zoning by-laws.
Present at the hearing were the following members:
" I
Luke P. Lally Richard L. Boy Frank P. Congdon
Chairman
z tr r
-
nclusion of the hearing, the Board took said petition under advisement. A view of the
de by the Board.
1982-88 Page 2 of
On January 20 19 83 , The Board of Appeals found
Attorney Michael Princi represented the petitioner who- is the owner of two lots
on Quail Lane, Hyannisport in a residence F-1 zoning district which requires
a minimum lot size of one acre and twenty feet of frontage: These would be
buildable lots under the provisions of Chapter 106, of the Acts of 1979, Sec. 6
of the M.G.L. except for- the lack of 75 ft. of frontage as required. The
petitioner's lots front on a cul-de-sac. arrangement and then fan out and contain
in excess of the minimum 7500 ft. of area required under Sec. 6 of Chapter 40A.1
M.G.L. . Lot 214 has approximately 50 ft. of frontage on .the cul-de-sac and lot 215
has 45 ft. of frontage. Variance conditions are met by the shape of these two lots
and -their location in a residence F-1 zoning district which has a frontage require-
went of only 20 ft. with a width requirement at the building line. These two lots
are equal in size and. in many cases larger than lots in this- area and there would be
no detriment to the neighborhood ror derogation of the spirit and intent of the zoning
by-laws if variance relief is granted allowing- buildable lots.
No one spoke in favor of the petition and speaking. in objection was Mr. O'Rourke
of 60 Quail Lane who felt that zoning as now required in this area should be
maintained. Ms. Scotty Power spoke in objection for the Franhams who could not
attend the-meeting, Mr. Elihu Stone spoke in objection and said the petition was
filed during the winter months so that summers. residents would not be provided with
an opportunity to speak in objection to the petition.
In rebuttal, Mr. Princi said that the petition was before the Board since it
had been two years since the first petition for variance relief on this land had
been denied. They are now asking that two lots with insufficient frontage be
allowed as buildable lots.
The matter was taken under advisement and the hearing closed..
The Board voted unanimously to grant the petitioner a variance under the provisions
of Chapter 106, Acts of 1979, Sec. 6 of Chapter 40A. , Mass. Gen. Laws which requires
that a lot have not less than 7500 sq. ft. in area and 75 ft. of frontage for
exemption from current zoning requirements. The petitioner's lots front on a
cul-de-sac and although they do not conform to the 75 ft. frontage requirement, they
(Continued on page 3
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 board of Appeals
Applicant Town of Barnstable
Persons interested
Building.Inspector
Public Inf ormation __Ry �1
Board of Appeals Mairrngn
ZONING BOARD OF. APPEALS
-Pape 3 of 3
p, eal No. 1982-88
ft. of area. required under the exemp
tive
required 750.0 sq.- Mass. Gen. Laws. Hardship to the land
far exceed the req 6 of Chapter 40A. 9 zoning
provisions of Sec- frontage on a .cul-de-sac f fills its lthetrequirements of Sec.
exists due to its shape -of these two lots ful of a variance and the
district. The P to the granting
10 of Chapter 40A. , M.G.L. necessary as Separate buildable lots would
lots 214 and 215 derogation of the spirit and
Board found that allowing neighborhood nor
Variance relief is granted in accordance with
neither cause detriment law she neig
intent of the zoning y- follows:
the plan submitted and cited as - annisport) Mass-
,plan of Land for Alex Kourafas, Barnstable (hy
1" = 20' C-891 - Cape Cod Survey Consultants-
Scale
zone shall be complied with.
All setback requirements imposed in the RF-1
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FROM THE OFFICEOF.
GILL—BROOK REALTY
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WEST HYANNISPORTgMA.
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File No.: 37973
Client: Attorney John C. Creney Registration Book: Page:
Owner. Katherine M. Bateman Plan No.: 19844-1 Lot(s): 22
Applicant: Katherine M. Bateman Cert, of Title: 93201
Census Tract No: None Available Assessor's Plan: Lot(s):
MORTGAGE INSPECTION PLAN
< IN
B A R N S T A B L E �, +
:� it
N/F Allen
�� ..� .
249 .81 ' 1 � '
cb
Lot 22 ,
co
ct � , Lot 23
Lot 21
Bul head
Deck
2,Story
Dwelling
No. 110 10,
L
45 67 t
Q U A I L Date: 7/5/88
L A f`I E Scale:
THIS IS THE RESULT OF TAPE MEASUREMENTS, NOT THE RESULT OF AN INSTRUMENT
SURVEY .
, I CERTIFY TO ATTORNEY JOHN C. CRENEY, FIRST NATIONAL BANK OF BOSTON , AND THE
TITLE INSURANCE COMPANY, THAT THERE. ARE NO EASEMENTS OR ENCROACHMENTS WITH
RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN AND THAT THIS PLAN
WAS PREPARED UNDER MY IMMEDIATE SUPERVISION ,
THE LOCATION OF THE DWELLING AS SHOWN
HEREON=- I S IN COMPLIANCE WITH THE LOCAL DES LAURIERS&ASSO IAiS, INC.
Z 0 PI I Id G BY-LAWS IN EFFECT WHEN
1256 Park street. Suite 20Z Stoughtori MA o20�..(61n .8028
'CONSTRUCTED WITH RESPECT TO HORIZONTAL P.O.Box s41,630 Maln St.,+3,Sturakige,MA 01518.0541 ,34. 213
D 1MEIJS I ONAL REQUIREMENTS ,,,, ®00-5536555 'firi
�►` �; of ai.i- i
THE DWELLING SHOWN HEREON DOES NOT
n+AM0
FALL WITHIN A SPECIAL FLOOD HAZARD '' ' ' �
?, .
ZONE AS SHOWN ON A MAP OF COMMUNITY
NUMBER 250001c DATED 8/19/85 BY THE `s;
rl
� 7
t p u. 19841 �
�,
5u" , is
GENERAL NOTES1(1)The declarations made above are on the basis of my knowledge,Informal Ion,and belief es the result of
a mottcago plot plea topo ou`voy Indpoation rmodo to the ricirmell Iton(larel of cafo Of reglstarO, lamd ourveyw prootlaing Ih
Massachusetts.(2)Declarations are made to the above named client only as of this date.(3)This plan was not made for
recording purposes,for use In preparing deed descriptions or for constructions.(4)Verifications of property line dimensions,
building offsets,fences,or lot configuration may be accomplished only by an accurate Instrument survey.
_ /.�
•Assessor's map'r and lot number:`........... ..:..
,� of ro
.,
Sewage Permit number. s./ . . :... �
3 TALL .D
�ouse number ':..........�, C ..... .................................... 4� :arvQ�� :obDARB a L ,
• ° ry E i
Er NV
v TOWN, OF BARNSTABL&wwoo
€ €.�bfa 3SFs-3 318VISNUVa
l "s' :_-:�±:Jtl Dl 1D7f€lDs
BUILDMG .INSPECTOR
� � I
APPLICATION FOR PERMIT TO .....'. ...rY!:'S CC _................ . ,...............na.�r Q:.�.......r......
TYPE OF CONSTRUCTION .. ...... .!'1 `C.�........... . ...................................... ..............
r .. .................. ..............19
�. TO' THE INSPECTOR OF BUILDINGS:
The undersigned hereby .applies forp permit according to the following information:
' ......Location ......... ...... . ... ....... .............. . .. .
Proposed' Use ......... .. . Y— : r !--?.!J. 4.:1 ...............................
Zoning District .1.. : �? -::.... ...:�.. ......... ....Fire District i . .................................... ..
J Name of'Owner , !Ntl .�t�. `.!rn�- .... 4�. �....... . ? �CI�.�.1.!.l S3 ..
.. .... �?..:.)...! .:. Address ,..
Name of Builder ...... ...!. � ,.....Address ...........��10�.�4............................:.............................
Name of Architect .:............5 -..............................:.Address .......................................................fin4'f ............................
m.
Number,of Rooms ..........Q.......................................... Foundation .... ....a....cQ1..j( �I�C��'
Exterior ......... -c 15�............,...... .........................:Roofing .........."`:.>l�'..u'-!r!............................ . .................
Floor's ..... ��.(Js?. ..................... ..........................Interior. .......v�!.��. D,s ,..�..! 1 :......
�I ...........:Plumbin b !
Heating .... .��.!..!. .......................... ......... :. �V� �...�-� f?. ..
Fireplace .... .' �., ........................... .......................Approximate..Cost .................`. f.�ffSJ......................
Definitive Plan Approved' by Planning Board _____________________________l9________. Area ... ...................'.�.........
Diagram of Lot and Building'with. Dimensions 0) 'Fee 1..,�.���
. . ................ . ....................
SUBJECT TO APP V L OF BOARD OF HEALTH
• 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. .
Y I �ome .....� .................... �+
40 7�. - Construction Supervisor's License ..... .... ..V. ... ... ....."
BATFrA-,I:PFffLIP_C:"-a�
One 1 2 Sto No ................. Permit for .........Y2....t r ....... ,
Single FamilX Dwelling
I ...... ........ ................ y 1 4
.;, Locationt..22 c.....110 Quail Lane' .........
%. ...........r...:HvanniS OYt.........................
Owner ..Phillip C. & Katherine Bateman: - -n
.......... .. ... ... .............. ............. -
-S TYPe� Construction' ....Frame.. � .... ? ........ �' �.� .,. '. '�` �.y f�
.............................................
... ..............•.............. ............................... 4. t'... - •�- �.l 1 {t r _ ' .
Lot ... .... ..Plot ...... ........................
84
'Permit Granted AuCJUSt..................10. .......19
Date of Inspecti .. ..�L�.....1.9��
t
ss �jg
Date Completed I�..../..�.......G��,�j,...1:982�
15�Assessor's map and lot number........ :.............................. ' D o THE o
5kLLSewage Permit number .......:........... ! ............................
9AH39TADLE, i
f,,,e':Housd number / 9�o M639 c�.............> .......................... I
`�cyaY a`
PZ&-ram
TOWN OF . BARNSTABLE ,
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....`�:R:�:�r:.....W�:r.�...— ,..... v v.r�:4lc ►�•?1.......••••.•••
.......`........ ......
.TYPE= OF CONSTRUCTION'. ..:.' .............................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies ,for a permit
according to the following information:
Location ...............!--.0 #� .4 ..... -Q••&.............................................
01 .Proposed Use ..........��' 5✓...� �` ` .N ... 1 �..�.!-r1. `..1.......
ZoningDistrict ........ .. ...:1...:...................................................Fire District ............ .................... .........................................
` �-� �..��QL. *� ��t C..L. a�Emn• U 111Efi 1. 2t3� i 1GLSS
Name of Owner yy ..n.. �...
Name of Builder .k .L. .. ..:.!.��d.' .Y�1 4......Address ............SO ...................:....................................
Name of Architect JrC'11 ................................Address .......... �,a fY�i�.......................................................
Number of Rooms ..........r .....Foundation T G"� nC-12 ...................
Exierior �. S .-r,.•... ........Roofin ................................................
Floors ` ......... •�)C}..�...........................................................Interior �.. J..G G. ..S..' t •, ..................................
• e
�`` g .V , 1 C G t� t.
Heating .........r.!V.A..........................................................Plumbin .........................r.........r-.. ...... .........................:.!.!.
Fireplace . .....................................................Approximate. Cost ...........�(e4..d�..0 .........
Definitive Plan Approved by Planning Board -----------____---------------19--------. Area .......................................... j
Diagram of Lot and Building with Dimensions ;-J/A Fee.................................................
SUBJECT TO APPROVAL,.OF BOARD OF HEALTH
V F
'M
1 -
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 ....... .eL...
�
Construction Supervisor's License..... . ,
77j
BATFIVIA'V, PHILIWC. & KATHERINE A=288-215
v2j98 a21 6� ,
No :26830..... Permit for One...1/2..Story. ....
'
. ...... .. ........
Sin"le Farr4 Dwelling -
i
Location .....Tot.:22 r.... 110..Quail. Lane
r _
.........:......Hyannis.Po .................................... _ 4 '
Owner ... 1?Phili C......&..Katherine Bateman
........... ,:... .. ................4...................
Type of Construction ... '
Plot ............................ Lot ................................
1
Permit Granted ................
frAu t..l0.................19 84 '
Date of Inspection ....................................19
Date Completed ..'...................................19
Y
Assesso'r's office(1 st Floor): p �j
Assessor's map and lot number�CJ cT ��.� Lo7_
;M.aj '
Board of Health(3rd floor): DMTALL��.�Y���r��,1�1 p±
Sewage Permit number 7°) MT
„P,
g �� ��1�T�.� Z BASJ9TADLL i
Engineering Departr�jr (3,{d floo�): 1 ane " '<,O ' E A�.C 7r� M��'�� +a rasa ,�
House number II UU tjUd1 �z O 1639• ®m
Definitive Plan Approved by Planning Board n d I r ����ULAT INZO �o Ypr a�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-.2:00 P.M.only
APPRO Vrr'D®WN OF BARNSTABLE
I$8qqtable nservation CowiN I L D.I N G I N S P E C T O R /
''�''-2 The East Bay Company, Inc /74, d fZ6
nrn
geed Data
TYPE OF CONSTRUCTION Wood frame-res i dPnt i a 1 and )001
Nayenihar 04, 19 RQ
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
110 Quail Lane, Hyannisport, MA
Proposed Use MatterQhPdrnnm` addition With in-ground—Pool 16 v 32
Zoning District ^� —/ Fire District iu ^J `Jy S
Name of Owner .Katherine M. RatPman Address 110 Quail Lane, Hyannisport, MA
Name of Builder The East Bay Co. , Inc. Address PO Box 247, Ostervi l le, MA
Name of Architect same Address
Number of Rooms 1 Foundation 40 Poured
Exterior wood r____r l anhnards Roofing wood
Floors wood Interior p 7a Ste
fha . PVC and copper
Heating Plumbing pp
Fireplace rio Approximate Cost 130,000
Area 74T9T 720,It1
00
Diagram of Lot and Building with Dimensions Fee
i
fDJ
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.
� C (�
ame
Construction Supervisor's License 030673
BATEMAN, KATHERINE M.
Feed 33373 Permit For WILD, ADDITION & POOL
A �
c Single Family D�velli+�g
Location 110 Quail- Lane
Hyannisport
Owner Katherine: M Ba}iteman
w
Type of Construction Frame -
f' Plot Lot
µ
Permit Granted November 21 , 19 89
Dal,,,of Inspection 19 z
D j Completed ID`b" '� 19
►.c Hai
S.
f`
Ay
a
r
Assessor's office'(1 st Floor):
Assessor's map and lot numberC�ll'A %�_� LoT X of'THE to
Board of Health(3rd floor):
Sewage Permit number a q-
Z
BAH39TALLL
Engineering Department(3rd floor): V MM&
House number 110 Quail lane °° 1e39• \0�'
Definitive Plan Approved by Planning Board n a 19 to mix a•
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTO
East Bay Company, Inc %�6 4 �LC1��
APPLICATION FOR PERMIT TO ,✓�„
TYPE OF CONSTRUCTION Wood frame-roG i runt i a 1 and pool
►Inv Ar,t,�r. 41, 19 on
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 110 Quail Lane, Hyannisport, MA
Proposed Use Ma¢tpr hpdrnom Additinn w1th in-n
rouPd GA1 16
6
(p,, Zoning District ~f Fire District �A7is V / S
Name of Owner Katherine M_ Ratpman Address 110 Quail Lane, Hyannisport, MA
` t
Name of Builder The East Bay Co. , Inc. Address PO Box 247, -Ostervi l le, MA
Name of Architect saute Address
Number of Rooms 1 Foundation 94 N10 pr%IIrnr�l r n.-rntn
Exterior wand rl5pboards Roofing WOOd
Floors wnnd Interior
Heating fha Plumbing PVC and copper
Fireplace no Approximate Cost won�OnQ
Area
Diagram of Lot and Building with Dimensions FeeO�d
�y
-2 0
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-�2
Construction Supervisor's License 030673
BATEMAN, KATHERINE M.
A=288-215 '
No 33373 Permit For Build Addition & Pool
Single Family Dwelling
Location 110 Quail Lane
Hyannisport
Owner Katherine M. Bateman
Type of Construction Frame
Plot Lot
ci
Permit Granted November 21 , 19 8
Date of Inspection 19
Date Completed 19
d
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