HomeMy WebLinkAbout0161 SEA STREET -
f � ACTIVE
Mckechnie, Robert
From: Mckechnie; Robert
Sent: Friday, November 09, 2018 10:38 AM
To: 'Terence M. McDonough`-
Subject: RE: 161 Sea St Hyannis
- f
Good Morning Mr. McDonough,
First, Thank You for your service.
Second, I only received one email so no concern there.
Now to address the issues that you outlined:
1.) Your shed is fine in its new location. ,We feel that you have moved it off the neighboring lot and no further
action will be required.
2.) 1 understand your concern regarding the fence and comparing it to your shed. However, these are separate -
issues. The fence was a building code issue and the shed was a zoning issue. We addressed the fence issue with
your neighbor and he satisfied the Building Code requirements by applying for and receiving two building
permits. We did not pursue action against you because of your shed being on the neighboring lot. You made
the decision to move it onto your property by the time the initial complaint was received from you regarding the
fence.
3.) 1 will discuss the renting of#167 with the Health Department Rental Inspectors to follow up on your concerns.
4.) As for property lines and property. It is always a good idea to obtain a stamped property survey when a
property is purchased. If you purchased this property with the assistance of a realtor there should have been
discussion related to this. And if there is a dispute about the location of property lines,you would have to
pursue it as a civil issue and may have to hire a surveyor and have the area(s) surveyed. But that would only be
the starting point. Further action would be between you and your neighbor by way of the legal system.
Thank you for your concerns. And again,thank you for your Service.
Regards,
Robert McKechnie
Local Inspector.
Building Department
Town of Barnstable
200 Main Street
Hyannis, MA 02601
508-862-403.3
From: Terence M. McDonough [mai Ito:svdusaf@aol.com]
Sent: Sunday, November 04, 2018 4:57 PM
To: Mckechnie, Robert
Subject: Fwd: 161 Sea St Hyannis
` 1
Mr. McKechnie,
I apologize if I have sent this already.
Terence M. McDonough
-----Original Message-----
From: Terence M. McDonough <svdusaf(o)-aol.com>
To: svdusaf<svdusaf cr.aol.com>
Sent: Fri, Nov 2, 2018 8:13 pm
I am contacting you once more with regard to the Hyannis property
dispute involving 161 Sea St, my property, 15 Woodbury Ave which
borders my property on the west and is now owned by Jason Ethier, and a
new problem 'involving 167 Sea St which is also owned by Jason Ethier
and borders my property on the south.
It seems that both the western and southern borders of my property, 167
Sea St. are two feet closer in than I was led to believe when I purchased
my property in 2016.
I have moved my shed off of Mr. Ethier's property as he demanded.
However there is a very large tree in the way which makes it impossible
for me to move it more than 7 feet from the west boundary.without pulling
it further north and eliminating a good portion of my driveway. I do not
wish to destroy this tree . It is not right. This situation is further
complicated by the contention of Mr. Ethier that my southern property line
is 2 feet North of where I was told when I purchased the property.
I am trying to be a good citizen and comply with the zoning regulations.
Mr. Ethier, on the other hand erected an 8 foot fence without_a permit
which he was required to obtain. This was.not an oversight. He and his
family own numerous rental properties in Barnstable and I am sure they
are familiar with the zoning requirements. He is presently renting 167 Sea
St to several boarders without a permit. I have. confirmed this with your
board of health. I suspect he is doing this with other properties as well.
2
In spite of this, it seems that all he has to do now is ask and he will be
granted a waiver. It also seems that there is no waiver for me.as there is
for him. I do not understand why he can do something contrary to the
zoning regulations and be given permission retroactively whereas the
same consideration is not offered to me.
Mr. Ethier is not harmed in any way if my shed is one or two feet closer to
his property line.. There is still a six or 8 foot buffer.
I am an 83 year old 100% disabled.veteran. I served five years in the
Army and twenty in the Air Force. I went to Vietnam two times. I served
in Operation Desert Shield and participated in Operation Broken Claw, to
rescue The American Hostages in Iran in 1980.
When I retired from the Service.I worked for the VA helping veterans
with PTSD, Homelessness, and substance abuse problems.
Several of the veterans whom I helped to rehabilitate are now employees
of the town of Barnstable.
Mr Ethier has never served a day in his life.
Terence M. Mc Donou h
g
3
Mckechnie, Robert
From: Terence M. McDonough <svdusaf@aol.com>
Sent: Sunday, November 04, 2018 4:57 PM
To: Mckechnie, Robert
Subject: Fwd: 161 Sea St Hyannis
Mr. McKechnie,
I apologize if I have sent this already.
Cm
<
Terence M. McDonough
z
w
-----Original Message-----
From: Terence M.-McDonough <svdusaf(a�aol.com> ao
To: svdusaf<svdusaf(@aol.com> o m
Sent: Fri, Nov 2, 2018 8:13 pm
I am contacting you once more with regard to the Hyannis property
dispute involving 161 Sea St, my property, 15 Woodbury Ave which
borders my property on the west and is now owned by Jason Ethier, and a
new problem involving 167 Sea St which is also .owned by Jason Ethier
and borders my property on the south.
It seems that both the western and southern borders of my property, 167
Sea St. are two feet closer in than I was led to believe when I purchased
my property in 2016.
I have moved my shed off of Mr. Ethier's property as he demanded.
However there is a very large tree in the way which makes it impossible
for me to move it more than,7 feet from the west boundary without pulling
it further north and eliminating a good portion of my driveway. I do not .
wish to destroy this tree.. It is not right. This situation is further
complicated by the contention.of Mr. Ethier that my southern property line
is 2 feet North of where I was told when I purchased the property.
1
I
r r
I am trying to be a good citizen and comply with the zoning regulations.
Mr. Ethier, on the other hand erected.an 8 foot fence without a permit
which he was required to obtain. This was not an oversight. He and his
family own numerous rental properties in Barnstable and I am sure they
are familiar with the zoning requirements. He is presently renting 1'67 Sea
St to several boarders without a permit. I have confirmed this with.your
board of health. I suspect he is doing this with other properties as well.
In spite of this, it seems that all he has to do now is ask and he will be
granted a waiver. It also seems that there is no waiver for me as there is
for him. I do not understand why he can do something contrary to the
zoning regulations and be given permission retroactively whereas the
same consideration is not offered to me.
Mr.. Ethier is not harmed in any way if my shed is one or two feet closer to
his property line.. There is still a six or 8 foot buffer.
I am an 83- year old 100% disabled veteran. I served five years in the
Army and twenty in the Air Force. I went to Vietnam two times. I served
in Operation Desert Shield and participated in Operation Broken Claw, to
rescue The American Hostages in Iran in 1980.
When I retired from the Service I worked for the VA helping veterans
with PTSD, Homelessness, and substance abuse problems.
Several of the veterans whom I helped to rehabilitate are now employees
of the town of Barnstable.
Mr Ethier has never served a day in his life.
Terence M. Mc Donough
z
Oct. 11. 2018 11 : 32AM No. 3185 P. 2
From:Terence M_McDonough<svdusaf ao1.Cam
`•r.
To: svdusaf<svdusafQao1.com>
Subject, 15 Woodbury Ave, Hyannis MA
Date: Thu, Oct 11,2016 10:13 am
Town Manager, Hyannis, MA 10/11/2018
Dear Sir,
I own the property at 161 Sea Street in Hyannis.
The person who has recently purchased the land a 15 Woodbury
Ave, Hyannis
(Jason Ethier, 167 Sea St, Hyannis) has erected an eight foot high
fence which looks like it belongs in an industrial park, not in our
neighborhood. When I inquired at the town hall, I was told that he
did not have a permit to erect this fence.
In addition he put the fence exactly on his property line which
reaches out into the lane for which all off the lane residents have an
easement. He has made it very difficult for me to get into and out of
my driveway, and possibly for snowplows in the winter. The
cement which he poured to erect the fence is partly on my property
under the surface.
I wish to file a complaint for his erecting an eight foot fence
without a permit
Thank You,
Terence M. Mc Donough
Mailing Address: 80 Robbins St. Osterville MA 02655
781-974-5845 ,}
Terence A Mc Donough
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel v f> -2 - 00 Permit# �(-o Cn 3
Health Division _ 01L� 1 - 1.— ) Date Issued A O
Conservation Division b ® Fee (Ni
Tax Collector :� �- I�Dl�ol ul
Treasurer YoLodut
APPLICANNTMUSTOBTAIlV
ASEWE
CONNECTION PERMIT FROM THE
Planning Dept. Al ENGINEERING DIVLSION PRIOR TO
Date Definitive Plan Approved by Planning Board }— p CONSTRUCTION,
Historic-OKH Preservation/Hyannis
Project Street Address MI lea ����T�,�� ice' Ey /l2
Village �!l a v► n t S
Owner f'� dress 16/ S-tfa :�Ta y��'c�� ,
Telephone qs7,
Permit Request C'�"Ykl a e- Uy. 7 ®fs 01 f` L
Square feetJst floor: existing proposed 2nd floor: existingx3t,60roposed Total new
cn
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Valuation ✓4®®' Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family 31"" Two Family ❑ Multi-Family(#units)
Age of Existing Structure 15�2 )! S, Historic House: ❑Yes Ulo On Old King's Highway: ❑Yes VlTo
Basement Type: 0 Full I Crawl ❑Walkout ❑Other •/?,a ef42,7
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 6 new First Floor Room Count
Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes Nd"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes rd No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing 0 new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial ❑Yes- ❑ No —If yes;site plan review
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
A le
SIGNATURE DATE <2
3 FOR OFFICIAL USE ONLY
4� PERMIT, O.
r
DATE ISSUED ! ��
MAP/PARCEL NO: >
ADDRESS r VILLAGE
OWNER !l"'
DATE OF INSPECTION:
FOUNDATION
FRAME.
INSULATION %
FIREPLACE
ELECTRICAL: ROUGH FINAL y
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
f
FINAL BUILDING
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DATE CLOSED OUT
ASSOCIATION PLAN•NO.
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The Commonwealth of Massachusetts
Department of Industrial Accidents
,� =--•- , .== Ol�lce al/aYesugatloos
600 Washington Street
Boston,Mass. 02111
Workers' Co m ensation Insurance Affidavit
name ��-.[,
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city
hone#
I am a homeowner performing all work myself;
❑ I am a sole 'etar and have no one worldng in any capacity
workers, ensation for my employees:worldng on this job.;
I am as employer
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Faflm a to secure coverage as required under Section 25A of MGI.15Z can lead to the imposition of criminal penalties of a line up to 51,500.00 and/ort
one yam,imprisonment as well as dvfl penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification.
1 do hdeby a fy the p ' perarhm ofpalary Ott�m fonnatronprovided above u trw mid correct
Signature t Date
on
Print e ��
Phone#
of&w use only do not write in this area to be completed by city or town ofadal
city or town: pernwfflcense# ❑Building Department
Licensing Board
❑
❑selectmen's Office
❑dtecklf immediate response is required ❑Health Department
r
phone#;
_Qpther
contact person:
UrAwa 9195 PUU
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers'of another sunder any w for enmc
ir
employees. As quoted from the"law", an employee is defined as every person m the serve
of hire, express or implied, oral or written.
An emplover is defined as an individual, partnership, association, corporation or other legal ' or any two or more of
or the receiver
joint enterprise,. and including the legal representatives of a deceasedemployer,in a ,
ed rP
foregoing engaged � e owner of a
the � However th
g owev
employees.ees. H
or other le errtztt, employing P Y
trustee of an individual,partnership, association g� _
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 c
` building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renev
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h:
the
not produced acceptable evidence of compliance with the insurance coverage theperformance Additionally,
f 1publiictwork until.
commonwealth nor any of its political subdivisions shall enter into any contract p
acceptable evidence of compliance with the insurance requirements of this.chapter have been presented to the contracting
authority.
Applicants
letcl by checking the box that applies to your situation and
Please fill in the workers compensation affidat comp Y�with a certificate of insurance as all affidavits may be
suppler company names,address and phone iimimbers along
submitted to the Department of Industrial Accidents fin on Of hwwauc=coverage. Also be sure to sign and
or town that the application for the permit or license is
date the affidavit. The affidavit should be returned to the city have any questions regarding the"law"or if ye
being requested,not the Department of Industrial Accidents. Should you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please besure that the affidavit is complete and printed legibly. The Department� tment has provided a space at the bottom of tl-
�re the applica�. Please
affidavit for you to fill out in the event the Office of.Investigations has to contact y garb be rearmed t�
be sure to fill in the permit cense number which will be used as a reference number. The affidavits may
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
VDepartment's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Ofnce of Imlesugadens
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 7274900 eat. 406, 409 or 375
vF IME Tp�
The Town of Barnstable
i . •
v �. SWILL • '
9 MAS& g Regulatory Services
`bArE1 59. Thomas F. Geiler, Director,
Building Division
Peter F. DiMatteo, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
4
Permit no. `
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work 4ti"�, LzLa'4 Estimated Cost Q "
Address of Work: '
Owner's Name: ri
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
❑Job Under$1,000
[]Building not owner-occupied
Wwner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME
MPROEMENT OR GUARANTYWORK DO NOT FUND UNDER MGL cE.142A.
ACCESS TO'THE ARBITRATION PROGRAM
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
t
Date Contractor Name. Registration No.
OR
Date Owner's am
q:forms:Affidav:rev-070601.
°p SHE
The Town of Barnstable
9 g"P ',,, M g Regulatory Services
�A 059- �.� Thomas F. Geiler, Director
rE0 MP'1
Building Division
Peter F. DiMl atteo, Building-Commissioner
367 Main.Street,Hyannis MA 02601
Fax: 508-790-6230
Office: 508-862-4038
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 1
ea t
10B LOCATION: village
street
number
a S O D— 66`l
"HOMEOWNER": me phone# work phone#
name C
CURRENT MAILING ADDRESS:
city/town
state up code
ings Of six units or
The current exemption for"homeowners"was extended to include� does not possess a liclense,a ov d that
less and to allow homeowners to engage an individual for
.tie owner acts as supervisor.
DEFINITION OF HOMEOWNER
or is
Person(s)who owns a parcel of land on which he/sheor detached strucesides or intends ttures accessory to such use o reside,on which there •and/or
intended to be,a one or two-family dwelling,attachedperiod shall not be considered
farm structures. A person who constructs more than one home in a two-year p
a homeowner. Such"homeowner'shall submit for all such wing ok cialPerfo n a und the acceptable ildio the
etmit.
Building Official,that he/she shall be responsible
(Section 109.1.1)
ility for compliance with the State Building Code and
The undersigned"homeowner'assumes responsib
other applicable codes,bylaws,rules and regulations.
ng
The undersigned"homeowner"certifies that he/she understands the
d that he/she
a 11 ompButld h said
Department minimum inspection procedures and requirements
pr ur and requ' ents.
,
ignature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubicn Coo larger will be required to comply
with the State Building Code Section 127.0 Constructio
HOMEOWNER'S EXMAPTION PC is required shall be exempt from the
The Code states that "Any homeowner performing work for which a building p q
provisions T this section(Section 109.i.1-Licensing of construction Supervisors):provided that if the homeowner engages a
person(s)for hire to do such work.that such Homeowner shall act as supervisor."
the responsibilities of a supervisor(see
Many homeowners who use this exemption are unaware that they are assuming p
�ainst the
Appendix Q,Rules&Regulatiwhenns othe homeowner hires unlicensed persons- Inr Licensing Construction supervisors. othis case.o his lac Board can of p oceed ack of awareness often esulcs inserious
problems,particularly
communities require..
part of the permit
unlicensed person as it�would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many oe of this issue is a
application.that the homeowner certify that he/she understands the responsibilities of aSupervisor. use
the last pa,
form currentiv used by several towns. You may care t amend and adopt such a form/certification for use in your cortununuy•
Q:FORMS:EXEMPTN
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NOTE- PRE-EXISTING NONCONFORA(ING
" " MORTGAGE INSPECTION'.Plan Is For FLOOD ZONE. 'C"
RES. ZONE. RB - Tries .
Bank Use Only "
TQWN: . '19N1Y1. - - '_ - - REGISTRY' OWNER: ROBERT C FITZGERALD
DEED REF: _d994/4� - _BUYER: 1'111 uaY_0- &- A &IL LrHITf, - - - -
-DATE: 4�1�1 _ - - - -, _ - PLAN REF: - - - - - - - - - - - SCALE: I = - 6 -=-FT. ;
I HEREBY CERTIFY TO_
___THAT THE BUILDING '�s`'k OfYANKEE -SURVEY
�
SHOWN. ON .THIS PLAN IS LOCATED ON THE GROUND AS p"L .CONSULTANTS
SHOWN AND THAT ITS POSITION• DOES _ CONFORM A. • z 40B (SUITE 1)
TO THE ZONING .LAW SETBACK REQUIREMENTS OF THE WVITPeW
TOArN OF B.� L�'�rZ I AND THAT No. 32098 INDUSTRY ROAD
IT -DOES_ NOT _ LIE .11,7HIN THE .SPECIAL FLOOD HAZARD '? 1`CISTllk +`` MARSTONS MILLS, MA. O 6-11(i
AREA SHOWN ON THE H.U D. MAP DATE D_�f_ _�/_? d s�Q TEL: 4 28-000
Cn , :t e.I `'` ?j !7003 D � u'�° FAN: -I`0—�55::1
THIS PLAN NOT M DE FROM AN INSTRUMENT
,� 23518 CB
T, �I�. - IEP,?Tf 4, L_ SiJRYEY NOT TO BE USED FOR FENCES. ETC.
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Assessor's office(1st Floor):
Assessor's map acid lot number 4 ®� o / w T /sue „T of Twc to
Board of Health 3rd floor : �7 SEWER e
Sewage Permit number v20 r !
G Z DAHd9TADLL is
Engineering Department(3rd floor):
House number i i °o +ayo• ��''
Definitive Plan'•Approved by Planning Board s A19 �`o r►r s�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1400-2:00 P.M.only
` TOWN . OF : BARNSTABLE
EBUILDING INSPECTOR
APPLICATION FOR PERMIT TO ill►•,OLAT46 Y
TYPE OF CONSTRUCTION
r j 19
f
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location /6; 5 'i3 5� ` l/YA�v+.�� S i`1rH
Proposed Use �rt Ur t)�t1P f
Zoning District Fire District 44GVM1
Name of Owner F A o S r rj Address 'Q 13 D X kF Z l `Z pr
Name of Builder S(t-7C Address
• Name of Architect 0 N Address
Number of Rooms Foundation /V
IT
Exterior Roofing ft
j/&I
Floors ' Interior
Heating of Plumbing
Fireplace Approximate Cost
Area
Diagram of Lot and Building with Dimensions Fee sit
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rdi ng the above nstruction.
Name
Construction Supervisor's License
FITZGERALD, ROBERT & AL
34082 - Renovate Exist. Dwelling
s No 3 Permit For
t 'Single Family Dwelling `
Location' 161 Sea Street '
u Hyannis
x=- Robert, & Al Fitzgerald
Owner '
y
s- r, -Frame -� �. v _ , .-n ,
'- Type of Construction , F' ? v ,
Plot r Lot
s
November 28 ' 90
19 x 1 i t 111 4 r
Permit Granted ,p ►
Date of Inspection %,19cr, IT
! �+
Da ompleted• , . . ; !}19 n�
ci
t ! t
tr
}
? TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
o � ` C G�
Map Parcel `application #
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 141 ,fea S ret-� finis ? i,4. U y/
Village �a��� ✓�-C.
OwnerT 4-h 4Aol 0wf-e It w Address SkAh �
Telephone
5Z0 - 40(1-t2ily) vim/
l
Permit Request d&h bilAr,244b,
CIO s 1ce,14c,,16rsc s - 3 4r�4kal s7b _
S uare feet: 1 st floor: existing proposed d floor: existing propose Tr,I ;
Zoning District Flood Plain Groundwater Overlay`
Project Valuation/lc�s.a '
� Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting d%umer ation
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
a � i
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: rY"'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);
Nameos� 7r1�2'� Telephone Number q 7 g'%fr q3
Address �. x 3-3 License # [-- 02ff /,5_
7f-Gx'D MA- oZ446 Home Improvement Contractor#
Worker's Compensation # liZVO
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C)&&
aZ�z �i5 vs�
SIGNATURE DATE
Hl
:r
FOR OFFICIAL USE ONLY
APPLICATION#
4
DATE ISSUED
MAP/PARCEL NO.
x
't ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
--FOUNDATION:
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
I FINAL BUILDING
k
DATE CLOSED OUT
ASSOCIATION PLAN NO.
If
t
j
F
i
OWNER AUTHORIZAT�ON FORM
(Owner's Name)
owner of the property located at
(Property Address)
(Property Address) '
hereby authorize l� I p yl C
(Subcontractor) '
an authorized subcontractor for RISE. Engineering, to act on my behalf to obtain a building
permit and to perform work on my property.
Ownera Signature
Date
�03�/31/2014 03:53 9787778415 PAGE 01
•4 ORl.� OATE(t WWNYYY)
CERTIFICATE OF LIABILITY INSURANCE 3/31/2014
THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MONTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT ACFIRMATtYELY OR RMATIVELY AMEND, 0 TSND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU'THOMD
REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.
IMPORTANT: V dN tern ;m Bolder is an ADDffWNA1.INSURED.Om pollgps)must be endamec M SUBROGATION IS WAIVED,sub)ea to
the twins and eortdwwo of go PONW,Cwton polmn may►QUbs m1 endorsement. A SW*nent on this oerD cm doss not corder HMIs to the
coMfleft heldsr In Hsu of sue8 endoae s).
PRDDUCE-R .
COUNTY INSURANCE AGENCY INC PHM (978)774-2463, Ar Na-(978)777-gals
.123 Sylvan St O
Danvers, MR02923
eauflsltle/Asrarmarn mYEeuZE [coca
MURERA:CQ=QrCQ Ine. CO.
INSURED Building Parformanan Contracting, LLC u6uRtat a:Zsmez Ins. Co.
Z�Dkitlantic Charter
P.0. sox 633 INSURER 0:1RB Josses
Truro, Ma 02666 Es
F
COVERAGES CERTIFICATE NUMBER- REVISION NUMBER:
T1496 1$TO CE nFY TMAT TFIE POLICIES OF INSUgAKCE LISTED SCLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE MR 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 FMA1N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONSAND GONDITIDNS OF SUCH POLICIES.LIMITS SHOWN MAYFIAVE BEEN REDUCED BY PAID CLARA.
trna - TVPE OF INSURANCE "M wvn POLICY NUMBER 6EMID POLICY EXP UNITS .
oerrwu. iweam EACH OMMWEENCE $ 1.000A00
7C co>wMERaA�v At LIA9wnY PREbI1.9ES WA owareew s 50,000
(SNAISMADE [�)0CM111 AAEDDw ens arson f 1,000
13 31DR9441 11/19/1311/19/14 PERSOmL&AOVMdURV s 1,000 000
GENERAL AGGRWATE s 2,00D 000
GEN1 AGGRMTE LINT APPLIES PEIt PRMCTS-COMPIOP AM S 1,000,000
POLICY JL-GT�- Inc S
AVT9MOBILEL►A9tUlY i Ee atEidenl 1,000,000
ANYAUI'O BODILY ImjuRY(Per Person) $
alL.�ow:D sc�+ o BGDOGK 2/2/14 /2/15
A AUTOS; x AUTOS BODILYINJURY(Patacddem) t
NDNADWNED _
H1FtDAVT'AS AUT03 Pet ecddent
x UMsardtA.I" OCCUR b
D OWEN LM9 �( CVB1iIP3904112 5/1/13 5/1/14 EACH OCCURRENI� s 2,000,000
AGGREGATE s 2,000,000
DED RETENr10Ns s
OMIRRS COMPENSATION
C o Fl �Y ■,. z1/z31z3 z�/z311. F-4 EACH At ACCIDENT s 500,0D0
punch-p k,w" Tr�Cv00939900 E.L_DISEOM-EA EAW1.0YE s 500 000
DESCR pnobf OF OPMATIONS beta"' EL a0eme•PoucY UMrr s 500,000
000
DESCRIPTION OF OPRPATIONS I LOCATIONS 1 VEHICLES(AMeM ACORO 101.Ad6aanel ReaWM SdMdWe,it mare apew is required)
CERTIFICATE HOLDER CANCELLATION
'roan of Barnstable
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE 02MSRSO IN
ACCOFiQANC.E WITH THE POLICY PROVISIONS.
AUTHO ATI
988.2010 A RD CORPORATION. All rights reserved.
ACOR025(2010/OS) The ACORD name and logo are m9lstered marks of ACORD
` Y The Commonwealth of Massachusens Prii c Farm:"
Department of Industrial Accidents
Office oflnvesdowdons ,
1 Congress Street;Suite 100 `
Boston,AM 0271I4-27017'
www mass.-ovA a,
Workers' Compensation Insurance Affidavit: Builders/Contractors/E_lectricians/Piumbers �-
A licant Information Please Print Ledblv
Name;(Business/oraanization/Individual): Uhl
Address: V J L 03
City/State/Zip: Phone##:
Are ou an employer?Ch k the appropriate boss Type of project(required):
1. I am a employer with ,1-, , 4. (] I am a general contmcfor and.1,
employees(fall and/or part-tune):
have hired the sill-contractors 6: Q New construction
2.❑ I-ahi a sole proprietor-or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have • 8. Demolition
working for me mi .any capacity. employees and have workers' `
9.
(Ne workers'Comp.msuranCe comp.insurance. 0 Buildwg,additiOII
required] S. Q We area corporation and its 10.0 8ectiical repairs or additions
3.❑ I.am a homeowner doing,all work officers have exercised their- 11.0 Plumbing repairs or additions
myself. o workers-' right of exemption per MGL
3's . � comp. f iepaus '
insurance required]t' c_132,§1(4),and we have no l-
CM
ployees.(No workers-'
- comp-insurance Iegtnie�1
-Any applicant that checks box#1 must also tiU out the section below showing their workers'compensation policy information.
t E[omeowmers who submit this affidavit indieating.they are doing all work and then hire aumide conttactors must submit-a new affidavit indicating such.,
tContractors'that check this box must attached an additional sheet showing the name or the sub-contractors and state whether or not those endde_s__:have
employees If the sub-conhactors have employees,they must provide their worim'comp.policy number.
I am an employer dwis providing workers'compensation umrancefor my enW1vyea& Below is diepahcy andjob site
information.
Insurance CotupanyName: �!//17?� �Ctf�f
Policy#or Self-ins.Lic.#: t,�C.yf�09 R l Expiration Date: t dV .201
Job Site Address: City/stamaip:
Attach a copy of the workers'compensation policy'declaration page(showing the policy number and expiration date).
`Failure to`secure coverage as required under Section 25A of MGL c. 152_can lead to the imposition of criminal penalties of a
fine up to-$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up,to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification_
I do hereby certrfy under the pam and enaltw ofpeMary that the in ormation provided above is true and correct
Si tore: _. . . . _--- - - Date
l.
Phone#:
Official use only. Do not write in this-area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authorrty(pgcle one):
L' Board of Heal It '.Budder Department 3.City/Town Clerk 4.Electrical Dupertmr 5.Plunshing inspector
6.Other m
a
t •
Massachusetts-Department-of Public Safety
Board of Building Regulations and Standards
Construction Supen-isor
License:-CS-078815
JOSH EMON_D Y.
PO BO -6.33 e F s
-Truro MA 0266fi7-
Expiration
Commissioner 03/25/2015
wdeff4 _
License or registration valid for individul use only
Office of Consumer Affairs&Business Regulation
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistrati R ,�MENT Type: Office of Consumer Affairs and Business Regulatio
10 Park Plaza-Suite 5170
xpiration: E1512t}1 LLC _ Boston,MA 02116
BUILDING PERFOR SMAU CONTRACTING,LLC.
JOSH EDMOND a VN._„ -
8 KINNIKINNICK RD
TRURO,MA 02666 Undersecretary of valid without signature.
- r
5