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Home My WebLink About0358 SEA STREET % I I. l \, i 1 f I l FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: (wilding Commissioner or Inspector of Buildings wl olly ? O Board of Health or Board of Selectmen OFire Department ment JVAV 0 9 Z � Z� T*/VOFgAR T. TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: LASELVA, Frederick&Sylvia Property Address: 358 Sea Street Hyannis, MA 02601 Policy Number: 12HO19312 Type of Loss: Lightning Date of Loss: 5/18/2020 File#: 133660 Claim has been made involving loss, damage or destruction of the above captioned property,which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail B.VALENTINI Adjuster 5/20/2020 16I Idly,-7 � > Town of Barnstable *Permit# 8-/?- 3Sf S G Expires 6 montiu rom issue date Regulatory Services Fee HAR.1'StABM 9eb�639. a�� Richard V.Scali,Director ® &� Building Division Tom Perry,CBO,Building Commi 11 Z®�� 200 Main Street,Hyannis,MA 02� Ier www.town.bastable.ma.usk 0/j rn f? Office: 508-862-4038 ��ftk-&0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �� 1 O �O� Property Address 315 O o". ��Residential Value of Work$ (7�. '✓um fee of$35.00 for work under$6000.00 [�t[[[0Owner's Name&Address cc � �Jg JCL ' Contractor's Name a �S 'ke Telephone Number \50 " s� Home Improvement Contractor Qense#(if applicable) Cj� Email: iy1 C_C U 1 . Construction Supervisor's License#(if applicable) c—,S I [�1]Workman's Compensation Insurance ( � Check one: ❑ I am a sole proprietor ❑ lam the Homeo er I have Worker's dmpensation Insurance Insurance Company Name 5 (lt C2 0 Workman s Comp.Policy# LLXjL Copy of Insurance Compliance Certificate must accompany each permit. Permit R que check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 a Home Improve ent C tractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft indows\Temporary Intemet Files\Content.0utiook\2PIOIDHR\EXPRESS.doc Revised 040215 r nle CO)niilonevealth of Massochuse is Deparhnetit of Lrdustriel Accidents office of Investigations 600 Washington Street Boston,.M4 02111 R yt,"V.ntass:govfdia Workers' Compensation Insurance Affidavit:Buil&rs/Coutractws/ElectlicianMumbers licant In Please Print Le gibApik . Name(BosinessiO gauizati'nnrindavil Addr�sx: City/State/Zip: Cam'S �� Phone#: ?2.El ro an employer?Check the appropriate boa: Type of:(!' ject(required): C I ant a employer with 4. ❑ 1 am a general contractor and I 6. Nonsnttction employees(full andlar partrb=)_* havehired the gib-contractors listed on the attached sheet 7. Reinode I am a sole proprietor or partner- These sub-contractors have g (�Demolition ship and have no employees ship and for rote is any capacity. employees and Itase woalcers` 9. Building addition wor[No workers'camp.insurance insurance.1 5. ❑ W VJe are a corporation and its 10•❑Electrical repairs or additions required] officers have exercised their I I.0 Plumbing repairs or additions 3.❑ 1 am a homeourner doing all work right of tion er MGL myself[No workers'comp- P p 12.❑Roofrepasrs 13 insurance requited.]i c. 152,§I(4),and we leave rEo employees.(No workers' comp.insurance required.] *Any app➢itmt thst checics time#1 malt also fill oW the seeeion below sboaring their mMAets'contpensatiau palicg infotmatim. 1 Foments wbD submit this sffidairit in amung theY am doing all wok sad then lsire outside contmcmrs mmst submit a new affedwit Indic such- =Contracmrs that check Ibis b=most attached an additiomgl sheet showing the umne oi'the sub-co=ctars and stele wbethea m not those entities hale employees. If the sub<cmhactors hate empiagrees,they tmw paovide&W markets'dump.policY member. I cant an einpWer that is pros idkg&.•orkers'compensatcort insaeramc�e for m employees. el W is thepeu y and job Sao information. Insurance Company Dame: 4 'fir a C[7/4"l Expiration Date: � � Policy#or Self-ins.Lic. ]�Q Job Site Address: ��" CityiStatelZip: C, v Attach a copy of the workers'compensation policy declaration page(showing thee 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 tine up to$1,500.00 and/or one-year imprisonmertR,as wen as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day the vialator.11e advipd that a.copy of this stateumt maybe forwarded to the Office of Investigations of the for+nwwraanze c e Lion. I do hereby c fy-n ¢r t/ae s itry tPiet the inf brnaeadon pm ided abin a is trace,and correct Date: Phone# O tcia[ease aniti. Dar not write in this area,era be caarapleted by city or tarvrt ociaL City or Tome: PermitgAcense# Issuing Authority(circle one): ' 1.Board of Health 2.Betiding Department 3.Cityt'I'own Clerk 4.Electrical Inspector cv.Plumbing Inspector ti.Other Contact.Person: Phone#: Client#: 16665 2MEAGHERCO ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD"YYY) 6/22/2017 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(les)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 NAM ; Dowling 8r O'Neil Dowling&O'Neil Insurance Agency ac"o Ext:508 7T5-1620 973 lyannough Rd,PO Box 1990 E MAR A/c No): 5087781218 Hyannis,MA 02601 ADDRESS: coi@doins.com INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:NGM Insurance Company 14788 INSURED Meagher Construction Inc. INSURER 8:Asg«lared Employers Insurance company 11104 Timothy Meagher INSURER C: 776 Main Street INSURER D: Osterville,MA 02655 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 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPT125OG 0/16/2016 10116/2017 EACH OCCURRENCE $1 DOO OOO X COMMERCIAL GENERAL LIABILITY DAMN T RENTED PREMISHS Eaoccurrence s5000OO CLAIMS-MADE a OCCUR {'. MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO-- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ) HIRED AUTOS NON OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ } $ B AND EMPL COMPENSATION WCC50050054422017A 6/23/2017 06/23/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N t E.L.EACH ACCIDENT $100 000 OFFICE(Mandatory In NNR EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $1 OO 000 (Mandatory in NH) If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 e DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements.' Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVES G. ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S192660/M192659 CBD Massachusetts Department of Public Safety lug Board of Building Regulations and Standards License: CS-102260 ., f Construction Supervisor Construction Supervisor Restricted to: Unrestricted-,Buildings of any use group which contain, MICHAEL S MEAGHER JR less than 35,600 cubic.feet(991 cubic meters)of 97 EMERALD LANES .� enclosed space. MARSTONS MILLS MA 02648 y r,j..Cn CA__ Expiration: Commissioner 11/05/2018 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS C,%!(.P.�Ct7�L1I2472r�{e[Xl��C+��rQJ2Gf1,ciJC�l3 — Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration f16293i3 04/26/2019 Registration valid for individual use only MEAGHER CONSTRUCTION7.1h�C: before the expiration date. If found return to: s Office of Consumer Affairs and Business Regulation -- "7 10 Park Pla -Suite 5170 MICHAEL MEAGHERJR r `} ��r�(,,, y�_ Boston, 02116 .776 MAIN STREET , OSTERVILLE,MA 02655 Undersecretary of valid without signature H 1 _ $ Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section -If Using A Builder I, Kam' as Owner of the subject property hereby authorize Ca to.act on my behalf, . in all matters relative to work authorized by this building permit application for: �S N�� (Address of Job) r �� i7 Signature of Owner0 ate 1-6 ' e l.Cr a Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0utlook\2PI01DHMEXPRESS.doc Revised 040215 5718 asy 3p —Ile wt f y4 x' z +J jrr r 4 i uire a permit from the Fire Department having jurisdiction 08/11!98 15:06 BAF<NSTABLE WATER COMPANY U facsimi TRANSMITTAL a TO: Ln i s NELSON COMPANY: . FAX NUMBER: 771-0878 FROM; RENT: DOUGLAS - BARNSTABLE WATER COMPANY RE; YOUR FROPERTY AT -63 SEA STREFT t DATE: 8/11/98 PAGES: 6 including cover sheet. _— L• YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL, 508- 75-0063, PLL-LSE DELIVER AS SOONAS POSSIBLE. COMMENTS: I HOPE THE ENCLOSED INFORMATION IS;OF HELP -TO YOU I AM ALSO SENDING THE HARD CQPIES TO YOU 1N TODAY MATT, FOR YOUR RECORDS. PLEASE NOTE: THE PRINT OF YOUR BILLING 1NFORMATION FOR YOU AT THIS TIME S1tc.}wS 363 SEA STREET AS SERVICE- # 83. PLEA5L•' ALSO NOTF. FOR REFERENCE ON THE 104 RECUfiDS THIS 1'S ALSO S`EKv10E #83. S_:RVICE'.V DO NOT CHANCE ON PROPERTY ALMUS"P LIKE A MAP & PARCEL -WUU3.D NOT CHANGE. UNI.,Y THE NAMES OF OWNERS WOULD CHANCE." . w Barnstable'Water Camp'any 47 Old Yarmouth Road ?.0--1Box 326 Hyannis,'MA 02.601_ Telephone: 508-775-0063 Fay 508-790- 1313 Oe/I1/98 15:07 BARNSTABLE WATER COMPANY 002 f Barnstable 47 Old Yarmouth Road „ �1T R P.O. Rax.;i2s . ii h 01-0326 608l775 0063 flf Uo {� �? ht p ,^ Hya s, Massac , ens 02� , August 11 , 1998 t Ms, Lvis, Nelson" , . 358 Sea Street Hyannis, Ma. 02601 Dear Ms. Nelson: In reference to your inquiry for your property at 363 Se-, ,Street, I have ellclosed Znformativts Prom our records dating back. to 1934. Thetie are 'Copies of actual- billing £roilu- our ledger' cards which _at the 1.Cltzle' Showed' the. 'uuml)er of Hxture.s in the. home or property. This pa'rticilar property shows 'Lbat. the water setviec went in, around 1934 and that this property wciM tIc t .in'g,le family dwelling a5 it had , .what we would determine to he, (2) two .kitchen. faucets, (4) lour additional faucets, br_iiig generolly bathr.uom sink", (3) three showers and ear' bathtubs, and (3) toilets. This property a.lsa tlas (3) three additivuul faucets,-.for the clutside. " Any additional information of uwuers basically is, lost as the property Is sold.: At this. time, .and ttiucu 198' this property har. beet, metered, When a property :iti metered for water uso'we' no . lodger maintain what changes mayor may .not have been, made` as your _ water at that sift goes thuough one main meter. If you have any.'further quest.�ons, please do not'hesitate. to contact. F ne Douiylr�ti / uarnsteble .Welter Company d •e 4 • .A ! i _ � t=1c`� E E::F<,;�.:;f ir,It::l? !�. t.l �= �h•.1(:;E 1J:f� ' " } )(:(-:01.11 1 { {'d1_Ir-lE'{::.P 3 r 61* 044*4-= CONS1.31-1F..F? S P•lWIE .ti AUDRESS e r; LOIN, [I NELSON WI III Ef IE AG MA 02601. 1+.:0 f-WA NIS 02601 0000 -I I I :, .f.•� it 1F'f_I: x --fib _ BILLING RATE` R2 ROUTE 12 F.ES. i �:'f- 'F of; T.t11 I- ft..�,; �'.. - t FRVIt:E LINE: SIZE t s i.,, 1 :,f' ��;i f F• r t��'� I F: 1It.`.::,1 r�t_`__f_D 00 , 00 0000 T PF• �a `L ' E in!. TO S€:11EF f' RT:l L SEASONAL . WA'{EFT UF'•f T w 11, i FJ1I'SI.'f_I 31,r_ c MAP I.: ITE.F'11_IT1F.. c.31z ::: s!E3 '- PAY Tusq'l_3=E`C'. C:/ c,�<:;, J `:rr" . WET 06 09 1907 -I._01_':l7TC?N RN--REAf? F p i i..or t I It. v .1.1L.1f7o .E' {T_)HU,E=f? .420 .1.004, 011:CK, METER 0 OUT OF l7M)E{ n1 00 � 0 0 � r ?c '.�I-�.!_IF:.t_1;Y f:�Ff"�Sj T z T •IX f iE:=:;l' FlAw i•'_I 14_F.." 00, OOP , st+ ..l.f ;[:: )i. I' RA 17N.:; L' {,0T F:: RECEIVED ? _i:,_ 1 F +'+ 1111.1.. 1 t c". `f f.I ' i}T.E� I r . Q_":: P NXT/iTf?Ev PF-8=C;1-IrrNGE9,, PF14nPIN SCRN, . ^F1.7 LOWTER OD > , A n s _ t � .. .�. •• r .. a ^• _ . ., . tafe 41h.20 Bornsbble 1Koter Service No k .:A W is $3 alto. � 5`ery ce N�. Mrs. Eva Caris_on fr !ke 363 Sea sis:.,: •- t;o �3 $Bt► $ti,,>$�►stmie'` So.h Add e; cuiw+.cr.d 6 i# Go mscfed --- -- $1AV IWTE 114MV119 fLAT'RATF FIXTURE off _ . 1QnF fr11p1 2S t,Trbs iri# Faucet Q Add'1 Closets 2 On . feucs d Ado'1 twrcel Clei►+e Wass, Id 't l - -Tubs4 --- s' 4 sm OR itkl Betb Tub: � Mlb rub Hose I' 014 Week" On � on Add9 Hn t Sl11eec! 4E8 2' 6 i s 2 digoss 2 3 oar f _ F - rst Close fhst Clogt Add'1 S<1 Co LL_ 1 I cocR � - 2 - P" On Oe Aod7Ctosat 31 Z �- ;TSlal �l O;sco++nt i� Yearly Rates Summer Yearly Ch toal 70. McCort�'207oari 0.stes 56,*80 Seemer 1�er C W e an p. Charge Rev. Credo Dete Nd Hot mom-Op., Rev. Goon Dab PaW Malt au lee • Ljj ca g/v/s� fit / - 30r,A, Ro . / l 1 } Y IN 7t Y#A 0, 1 -ate CAa�• gei'o� _ Kate _ tveme r� ..� � 1 •aC0 Groot .DO*►.id Nat ialaiea N� Nem-Op. ' Credit Date paid Naf'Bel4nts. �fl f ri i kk zo- AINO *20 lit LL jo gh .40 6)60 i L�2�� 1 •I�fNi•a q ` �� t �1--.+,G�, 11 ii.;...a'•. ..- �( .y�r�"E,t� ,`T I -q.i. ��• .'��:RrR tt + I "�!�il�e+�"nl:i•J.t� �. �k:Qd'_'. �i'�r'Tf'..• r 1 y r ;�.!I�r•�r�1�,,��MN•t! t '� W�!«X " r }j' � '�.1',J1�� q. •��(m µ j�N 1g.`•r fY ...��qY•• •P,��t�1NM1.1. .. �:�!_K . .�';'..Y.��`+M1i�• �r'�/s+ll�/��•i al�:h .iiuyi �t4.L�i1 'T raj"k,, t° _!� � �s ti � � q „�Pi x4 J�✓rr;!.^t. J t '4Td� i!V•� �A•r} . t ,K 'a �w w'� 1 �'. '.�"��t,�1�vl'w -r}� +t�+�`f 16�:A�,r 18�. :�Y.L•; •I r��a..��y .'I ""Y.`I �.'., F f•R''�:,. f,.!. rci'M l"r^{'r •'�L�'y Ml51R .4?,;L..1,1f ,l'.._ :.;i,,6�.c $�@1��,,.X -1„y,�..?t�'..Y�,� • ', i' ��FIFI♦,i' IY;C! ,�: ,A � ;LAQ "��q.. " .`�'e^•'� � ;far r wfl°1N:�1'«�`�tr��Zra�c'L`ar-�rtil°"d'+.rRn-*•f•••.• rl--'—��" �� }+.,fk ,t-r.T� ,;t YA T`ai Y.eat A,pq�a-jiY °y. 1p•V7�yq. J bf.',' ' i A •f'4, ' �; t. ji.. .J.1. W'W M. �...MIi.+'.W 14W''411•� .i'4'��'4'�/♦ IIY 1 '"1• ��1� /'' h+ �r•' ,•n ::.G .�♦'.-.,•'W, 1r* T:;"`o. 1 :^ - PV..f1.• Fir `..uilf,° 1e' 04. { S.hL y gNtJt ♦ :.�.� �.�1..��1-., *:1'f y�yY...., .� ,�� t.; ij i , 14 f'. L..+q.��kti�,.• �,r 1,(:�'`r.r jr_ :l�r 1 �" yy}, L ,, a .. ��'• �e�i:��'14'. 'i4,r�.ai,.�::z�'a.! +F��ji�.�tie1 '1 ��'�I,Nt°' F. -.; t .`t;,'• :.{� k'!f It ,a,pN' !'R{,yi, .f 'Y A •< I AFFIDAVIT I, SALLY A. NORRIS, on oath depose and state as follows: I was born in 1926 and lived at 385 Sea Street, Hyannis, Massachusetts, until 1975. 1 now reside at 57 Snows Creek Drive in Hyannis. In approximately 1941, the property located at 363`Sea Street, Hyannis, was owned by Florence Rogers, a divorcee who survived by running it as a lodging house until the late 1940's. else. It has ALWAYS to this date been a guest house. It has never been anything Signed this b dayof August,9ust 1998. Sally A. Nor is COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. August l 1998 Then personally appeared the aboved-named SALLY A. NORRIS and acknowledged the foregoing instrument to be her free act and deed, before me, otary P lic My comma ion expires.- Betty J. McCarthy NOTARY PUBUC My commlwon e0m Mar.30,2001 I AFFIDAVIT 1, DAVID C. PEAK, on oath depose and state as follows: I was born in 1922 and have lived in Hyannis, Massachusetts since I was two months old. I now reside at #38 Lighthouse Lane in Hyannis. As a young boy I knew the house at 363 Sea Street, Hyannis, as a rooming house. It was owned by Florence Rogers in the 1940's and has been a guest house to the present time. At some time in the early 1950's it became the Red Door. In the 1970's it was the Sea Witch guest house and is presently The Inn on Sea Street. Signed this 7th day of August, 1998. David 6. Peak COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. August 7. 1998 Then personally appeared the aboved-named DAVID C. PEAK and acknowledged the foregoing instrument to be his free act and deed, before me, Notary blic My comma ion expires: Betty J. McCarthy,, NOTARY PUBLIC my commmbn ep m Mar,30,2(bl • ® 4 e � r 7 R12F�. yd:r � R tj.+y3�� :�iy r � a �'�r�yi gl✓.r 111RL. 7�'.:/.f IT ��Ij7f l+Ql •l s71 !4 .mil. a �_ + . • � _ 1+rr t. y ra I ` r}.r /r "7'�.rl !m Rh`°i i'- � r�..��c7?• '� u'.�s r: ..l.1 t.� r� � M '- � y�+r-:Fl� ^' 1.. k a!� ;.a1T•' K,{,! d+t J 'E�•4` ! _ ! r .- ,•,:.^.�i' �' <L to� J•'1e� F I (x�i r, �r � . . ,.' .. r71j,L' .C'f r, sir` '^iA rz„?�}.. ti:, •,^ t .. �}r" r +-fi 7t'�gi r � _ 7 ' 4r _ wxN /( i v rrs Y S 1 1 1 1 1 1 1 J 1 11PRORM . - _ M-M,00-�W,�A IN / PI rW, Sri ., r.: EM MI-FREPIAMMA F-'- m Al ® � - . - 11 t i NOTES .r r ��n F Massachusetts Bed and Breakfast, Hyannis MA, Cape Cod lodging accommodations, The ... Pagel of 3 Enjoy vibrant.upbeat Hyannis,home of The Inn on Sea Street(the first Tied&Breakfast in Hyannis).gourinel food and beautiful antique furnishings.A honeymoon favorite.B.B.B.Inn,Inns,tourism,vacations,reservations,beach,beaches,shore,bed and breakfasts,coast,coastal PE d 9 €� as 01 3' nn On *-ca 4"ed I ' A Victorian Bed& Breakfast on Cape Cod 358 Sea Street Hyannis, Cape C® , MA 02601 Sylvia & Fred Laselva - Innkeepers Elegance in a convenient location A favorite with honeymooners One night stays welcome Come to Cape Cod and enjoy vibrant, upbeat Hyannis and the town's first :Bed & Breakfast, The Inn on Sea Street. Picturesque beaches, the Kennedy Compound, ferries to Nantucket and Martha's Vineyard, golfing, shopping, and Summer Theater are all local attractions to this uniquely furnished.Bed & Breakfast. f� You will discover amid the antiques, oriental rugs y and classical music, a relaxed, casual tone which young couples consider the perfect romantic retreat. The l.nn can. Sea Street has nine deli fitful g rooms and a white wicker cottage, affering the ''' a. ultimate in comfort. 'The Inn boasts generous common areas in the two historic Victorian homes ✓' in. a setting of one and one half acres of manicured lawns. http://www.innonseastreet.com/ 7/31/2002 Massachusetts Bed and Breakfast, Hyannis MA, Cape Cod lodging accommodations, The ... Page 2 of 3 In the morning, you will awake to they t aroma of home baked delights served """ at individual lace covered tables set with sterling silver, crystal, china, and fresh cut flowers in the formal dining Q room or the sparkling sun.porch. We delight in the fact that our recipes have been featured in many best-selling ., cookbooks. In addition to a large selection of brochures, your hosts Sylvia & Fred are available to assist you with your daily activity planning. Or, perhaps you refer a ' YP g � p P' Y P f � relaxing afternoon reading in one of the parlors. The guest's comment restaurant book and basket of menus will tell you more than.you'll ever want to know about f. local eateries. A warm summer evening is the time for an unforgettable sunset sail on Nantucket Sound aboard the famous Catboat. x � 3 v r yr n�W . r It's a quick walk to the beach and a little longer to stroll to Main Street for the shops and restaurants. Hyannis, being the Cape's geographic hub is the ideal location from which to tour the far reaches of fabulous Cape Cod. ROOMS - RATES -INFO A phone call will provide even more details of our many rooms and amenities. http://www.innonseastreet.com/ 7/31/2002 M Massachusetts Bed and Breakfast, Hyannis MA, Cape Cod lodging accommodations, The ... Page 3 of 3 We'd love to hear from you! T he Inn on Sea Street 358 Sea Street Hyannis, Cabe Cod, MA 02601 Tel. (508) 775-8030 Fax (508) 771-0878 Email: infoginnonseastreet.com (Please include name and phone number when emailing and.we'll be happy to call you.) Website: www.innonseastreet.com Website design, hosting& promotion by Blizzard B&B Internet Marketing, Inc. � r LinksToYou f hq://www.innonseastreet.com/ 7/31/2002 Massachusetts Bed and Breakfast, Hyannis, MA, Cape Cod, lodging, accommodations, M,... Page 1 of 5 01 4t 3nn On 0-ca *trett R - RATES - INFO All rooms include a complete breakfast for two, and transportation from the Hyannis airport, train, or bus stations. We pamper you with attention to your every need. Goose down pillows , Comfortable beds Cable TV Air Conditioning Claw foot bath tubs a Beach Chairs and Towels 6 rya �I 358 Sea Street --- Main Douse: ROOM .1 .. 5110.00/night Private bath with antique double bed, air conditioning, and your own private porch ROOM 2 .. $95.00/might Shared bath with canopied Queen bed ROOM 3 .. $85.00/night Shared bath with antique double bed http://www.innonseastreet.com/rooms—rates—info.htm 7/31/2002 J �- -�� F s �� ' b h t r r Massachusetts Bed and Breakfast, Hyannis, MA, Cape Cod, lodging, accommodations, M:... Page 2 of 5 ROOM 4 .. $110.00/night Private bath.with single and double bed. Air conditioned (Third person in this room is $20.00 extra) ROOM 5 .. $130.00/night Private bath with claw foot tub and shower, canopy Queen bed, air conditioning, and your own private yard with lawn furniture 363 Sea Street --- Across Street: ROOM 6 .. $$130.00 /night Private bath with Queen canopied bed, air conditioning, cable TV, and your own private porch with white wicker furniture - first floor ROOM 7 .. $125.00/night Private bath with canopied Queen bed, air conditioning, and cable TV - first ROOM 8 .. $125.00/night Large private bath with claw foot tub, showers, cable TV, air conditioning, and Queen canopied bed ROOM 9 .. $1.25.00 /night Same as#8 The Cottage: A romantic three room cottage located.'in the pine grove. It has a Queen size bed, it's $1.50.00/night own private bath, a living room, and kitchen Policies: o Rates are for two persons and include breakfast e $20.00 charge for each additional guest in.rooms ® 9.7% Mass. lodging tax will.be added http://www.innonseastreet.com/rooms_rates_info.htm 7/31/2002 r Massachusetts Bed and Breakfast, Hyannis, MA, Cape Cod, lodging, accommodations, M,... Page 3 of 5 • Deposit required with reservation • Visa; MasterCard, Discover and American Express accepted • Children 16 years and older are welcome • No pets, please • Check in time: 2 p.m. - 7 p.m. • Check out time: by 11 a.m. • Breakfast served 8 - 9:30 a.m. • Deposit refunds made only if rooms can be re-rented Directions: Route 6 to Route 132 exit. Turn right at bottom of exit ramp. At second set of traffic lights, bear right. At lights, go straight, and at second "Y" in road(Kennedy Skating Rink) bear right. Go straight through traffic lights to the end. Turn right on main street and follow to next traffic light. Turn left onto Sea Street, and proceed 1/2 mile. The Inn is on the left. Golf Packages: PIZEMIUM GOLF PACKAGE .. $199.00/night for two :Includes one night lodging in a room.with a private bath, and two rounds of golf, with free use of two pull carts on a wonderful. Cape Cod golf course nearby the inn. Also includes use of outdoor pool, health club, and a full breakfast. DELUXE GOLF PACKAGE .. $250.00/night for two includes one night's lodging in our private cottage with breakfast for two, two rounds of golf, a gas golf cart, and use of our pool and health club (preferred times). A trip to the feeding grounds of the playful humpback whale is an. expedition not to be missed.. Renting a bike is another way to explore the man-made trails through woods and cranberry bogs. In the evening you may choose to attend the Melody Tent in Hyannis or one of the many historic playhouses around Cape Cod for live theatre. Whatever you decide, it's always pleasant to return to the Inn's wrap-around porch and enjoy the cool evening sea breeze. http://www.innonseastreet.com/rooms—rates—info.htm 7/31/2002 Massachusetts Bed and Breakfast, Hyannis, MA, Cape Cod, lodging, accommodations, M,... Page 4 of 5 r 3" / Links of Interest: Hyannis Chamber of Commerce Cape Cod Links Massachusetts.com Steamship Authority Cape Cod Central Railroad Hy-Line Cruises Nantucket Airlines Hyannis Whale Watcher Cruises Bike Maps Transportation from Logan Airport MAo stalev4de 'rravef into HOME e Inn on Sea Street 358 Sea Street Hyannis, Cape Cod, MA 02601 Tel. (508) 775-8030 Fax(508) 771-0878 Email: info k innonseastreet.com (.Please include name and phone number when emailing and we'll be happy to call you..) http://www.innonseastreet.com/rooms—rates—info.htm 7/31/2002 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Cf-1 V Application # Health Division } �} I Date Issued Conservation Division Application Fee Planning Dept. Permit Fee WjL Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village 1 ti Owne ' Address Telephone F)O S®9 ns- S_40 Permit Request 7E,r-_ ois-r, NX—x i 10 a5 S C e&A/0 (-2 15-r d0f -P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 00 Project Valuation (1215 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) . X 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 bath:,,): 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)--- - - -- - -- - - --- -- - _ Nam Telephone Number � 1 Address- License # 048 , l � 161 —� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTIN ROM T IS PROJECT WILL BETAKEN TOWei, T SIGNATURE A DATE /C� l r FOR OFFICIAL USE ONLY APPI=ICATION# DATE ISSUED r,r MAP/PARCEL NO. - ADDRESS VILLAGE i OWNER i is x DATE OF INSPECTION: _FOUNDATION; FRAME INSULATION d FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I t DATE CLOSED OUT i ASSOCIATION PLAN NO. � i he Lommonwe-au t qj massacnusen s Department oflndusftia[Accidents - Office of Invesdgadons 00 W-ashi�gton,S'&eet Boston,MI 02111 www mass gov/dia Workers' Compensation h surance Affidavit:Bulders/Contractors/Llectricians/Plumbers Applicant Information PIease Print I - ana ay Name(Bnsmess/Oro nizationa ividuai): iA4 t Address: .City/Stafe/�ip: , , 'U . on an em Io er?Ch the ro ate box: - Y p Y app �P Type of (required): -. I am a general contractor andl. - _._ -___ 1. . I am a employer with 6. ❑New constru&aon employees(oll and/or part time). have hired the sub-contractors - 2_[]_I am a sole,proprietor or partner- ��on the attached sheet. 7. Q Remodeling emp yees These sub-contractors have 8. Demolition ship and have no worlang for me in anycapacity. employees andhave workers' 9. Building addition [No workers' comp.insurance _ comp.-msurance_ requ. 5..❑ We are a corporation and.its 10.�Electrical repairs or additions- ed-] _ - offices have exercised their 3.[I'I am a homeowner doing all work 1I.[]Plumbing repairs or-additions myself{No workers'comp. right of exemption per MGL OR oof m repairs cnrance required.]t c.152,§1(4),and we have no r. employees,[No workers' 13. Other comp.insurance required-] !Any applicant that chocIm box#1 must also fill out the section below showing their workers'compensation policy inft n ation. Homeowners who submit this affidavit indicatingthey are doing all work and then hire outside conttacw must submit anew affidavit indicating inch 7Con;lay-tots&atcheck this box must atWched an additional sheet showingthe name of the and state wheel=or not those entities have employees. If the sub-cots have employees,they must provide their workers'comp-policy number. I am an employer thai is providing orkers'comp Msafionrsurance for my qgployees. Below is the policy and job site information. TnsLrrance Company Name: Policy#or Set ins_Lic. I' 1 C`/n_ Expiration Daxe:_.//C Job Sim Address: 55- 9n (Ar City/State/Zip: L JA P() rVVIC 0 960 Attach a copy of workers'c mpensationpolicy declaration page(Shuwi�rg the policyn rand ezpirafion date):_Failure to s ro as a- d under Section 25A of MGL c. 152 can lead to le hWosition of criminal.penalties of a .tine up to$I.- 0.00 or one-year imprisonment;as well as civs7penalties in flit,foam of a STOP WORK ORDIIt and a.fine of up to$250 0 a day agai ast the violator. Be advised that a copy of this statement may be forwarded to the Office of. Investigate of the IbIA for insumnce ooverage veaficaiiom Ido hereby t thepams dp ofpefjury 6&a jormatianprovided above is true and correct Si�nat>ae Date- �v Phone — os1R Do notwrzte in this area,to be completed by city or town off daZ City or Town: _ PermitlUceuse Lss�g Authority(circle one): 1.Board of Health ?BuRc1mgDepatjient 3.City/Town Clerk 4.Electrical hisgector 5.Plumbing Irtspec#or 6.Other contact Persow. Phone#: 1.1/26/2014 01:36 9787776415 PAGE 07 '��R& CERTIFICATE F °"�NAWD^'r O LIABILITY INSURANCE a/26/zola THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATff HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE Or INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 133UING INSURER(S),.ALITHORIZED REPRESENTATIVE OR PRODUCER,AND 714E CERTIFICATE HOLDER. IMPORTANT: If the CeQiflcets holder Is an ADDITIONAL INSURED,the pollcypes)must be endorsod. If SUBROGATIpN 18 WAIVED,subject to the terms and ol Conn IWU of the Polley,certain po11CISS may r0qulrs an endorsement. A statement'00 IRIS cerdilcato does not Confer rights to the ceRlfleate holder In Ilea Of such andonemen s). PRODUCER COUNTY INSURANCE AGENCY INC PHONAON 123 Sylvan St NE r- 9�78)774-2463 ,E (978)777-8415 Danvers, MA 01923 ADDREs $MRSNIII)AFFORDING-COVERROE ypKe f INSURER A;Commerce' ins. Co. INSURED Building Performance Contracting, LLC INSURERS-Mesa Underwriters dba Nauset Insulation INSURER C:AtlantiC Charter P.O. Box 633 INSURER D:RD Jones Truro, Ma 02696 INSURERE' INSURER F COVERAGES CERTIFICATE NUMBER! REVISION NUMBER THIS 1$ 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE 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 T14E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR' - TYPE OF INSURANCE R POLICY NUMBER LAE&K 1IM749ILDW) LUIhT3 GENERAL IJABllnlr EACH OCCURRENCE e 1,000,000 X. COMMERCIAL GENERAL LIABILITY P MISER-(Es oaewrerlee 3 50,000 CLAeaSJYIADE OCCUR - MEDEXP one san -e 1 000 B MP002600200004-1 5/1/1a 5/1/15 PERSONAL$ADVINJURY 111,000,000. GENERAL AOGREa1TE 9 2 000 000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 9 1 000,000 POLICY. PRO• LOC 6 AUTOMOBILE LIABILITY Emccids,,, _ e 1,000,0 ANYAUTO BODILY INJURY(Per WWII) 3 ALL OWNED SCHEDULED BGDDGK 2/2/14 2/2/15 A AVTO8- x_ AUTOS BODILY INJURY(PW W_cldw) 9 HIRED AUTOS ON-ON8WNED 3 Pw 8000m) � f I .UMBRELLA LIAB OCCUR EACH OCCURRENCE 9 2,000,000 D EXCE98 LIAB CLAIMS-MADE �' CU89i3904112' 5/1/14 5/1/15 AGGREGATE 3 2,000,000 D RETENTION3 y WORKERS COMPENSATION W :AND EMPLOYRRS'L"ILITY YIN - - T RY IM T ANY PW*tET0FPARnveRP_w4—.VnvE OFFICE E1fC\VOtDf E,L.EACH ACCIDENT 8 SOO 0OO ,wn.Maq In N) C "to UK) NIA 11/23/14. 11/23/1 5❑ WCV00939900 E.L.DISEASE--EA EWLOVEI 8 500,000 �► PS DESCRIPTION OF OPERATIONS ue[&* E.L.DISEASE-POLICY LIMIT 3 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aeadl ACORD 101,Add Cc m)Ramwks Schedule.a More spen is requima) CERTIFICATE HOLDER CANCELIATiON Tot+trn. of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable, Ma THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AVT"1111 ORE YATAIE 01988-2010 ACORD CORPORATION. All rights reserved. -ACORD25(2010f05) The ACORD name and logo are registered marks of ACORD _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only :_f;"—,HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 174235 Type: Office of Consumer Affairs and Business Regulatio _ Expiration: 1/15/2m LLC 10 Park Plaza-Suite 5170 ' Boston,MA 02116 BUILDING PERFORMANCE CONTRACTING,LLC. JOSH EDMOND / 8 KINNIKINNICK RD TRURO,MA 02666 -- ✓�'f, Undersecretary of valid without signature 51.OZ/SZ160 BUILDING PERFORMANCE INSTITUTE, IN-' :- -�_ 5-� i07 he�mes Road.Suite 11C Malta.NY 12020 (877)274-12� 9Q9Z0 dW otn-11 !,�:rw.bpi.^•g ££9 XOR Od r vows HSOC - Josh Emond .•,.-..t-�11n% e�•u�n.tnu�� - P SC_eC r__ ^ :c - y _e 5 baC G �c C o:ea ® BPI ID#:5008437 - A :k of 1) PRO F.. SION AL (SEE REVERSE SIDE FOR ESIGNAiIDNS AND EXPIRATION DATES).. 4 �C sumffairs/�/z•,siness Regulation License or registration valid for individul use only Office of Consumer Affairs&Business diegulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 180816 Type; g Registration Office of Consumer Affairs and Business Regulation Expiration: 1%13%2017 LLC 10 Park Plaza-Suite 5170 ✓' Boston,MA 02116 BU L ING PERFO MACE CONTRACTING- NAUSET INSULATION"-,LLC f JOSH EMOND 8 KINNIKINNICK RV. TRUTO,MA 02666 — - -`— Undersecretary . Not valid without-signature o r s 'Town of Rarnstabfe °4 Regulatory Services aenvsrestr. 9� MAS g Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street;I yannis,Ma 02601 AiYw.town.barnstable_ma us Office: 508-862-4035 fax: 508-790-6230 Property Owner Must C omplete and Sign TWIS Section If Usincy A�Builder I, A-M CK as 0,wnerof the subject propr,.n:y hcrCby autliarize _ i ►1c-Q to act on behalf, in all matters relative to work aut orized by-Aiis.bJding pernut application for 35 � Std S01LG� .(Address of Job) " "Pool fences and alarms.are the responsibIty.Of Ie applicant. Pools are not to he filled or utilized before.fence is installed and all fuial inspections are performed and accepted_ .eeol lJ,rse��a tred taselva(Jan 7.2015) Signature of Owner Signature of Applicant Print Name � Print Name Date Q:FoitMS:Oyv��RPIt1.AtsstoNe(x)Lls ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel '-wZ Application # 6 ® _3` Health Division Date Issued -Z?' Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street AddressI71t°4 gnneS MA-, Pad Village WUan i---, Owner Y chef C- �G.SC�IVcL- Address 35_8 Yea Z��i�/�!� Telephone Permit Request 3 C,�h • l�csv Lr� -mil l i�,-f e�-3/ (�16S5 1 (e/lac R— 1 a ,2 Vas QLen �As4d rz, "l am- 2 lc 6�bsy,/;(-, z`( quare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio7 Fes'& Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood%c©al stove,:�J❑Yew❑ No Detached garage: ❑existing ❑ new size_Pool: 0 existing ❑ new size _ Barn: L existing 0-new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ;T Commercial ❑Yes ❑ No If yes, site plan review # ,ter Current Use � A&I, Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) n v��- - Name 'l �t�-�. —!__` - : - � Telephone Number p e<7� (j- 9,54 Address ��D4 1c Y:2� License# Home Improvement Contractor# Worker's Compensation # (AC yC6 3 �6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � iPCi61 SIGNATURE DATE �lt FOR OFFICIAL USE ONLY .;APPLICATION# f: L` DATE ISSUED MAP/PARCEL NO. G. ADDRESS VILLAGE OWNER 3 DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL- ROUGH _ _ _. FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT G t ASSOCIATION PLAN NO. 118356 OWNER AUTHORIZATION FORM (Owner's Name) owner°of the property located:at (Property Address)- MA � ( (Property Address) t hereby authorize I'l,,CJ- aV . (Subcontractor) an authorized subcontractor for RISE Engineering,, to act on my behalf.to obtain a:building permit and to perform work:on my'property. p. Own is Sign.a _e Date f SSz The Commonwealth of Massachusens P*inc Form Department of Industrial Accidents ' Office of Investigadons. I Congress Streets Suite 100 . ., Boston,AM 021I4-2017 www.massaov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/E_tectricians&iumbers - Ap licant Information Please Print Le 'blv 9 ' Name;(Business/o aganization/Individual): t ] Address: D J 03 City/State/Zip: �((,(.i� 4 �� Phone##: Are/6 an employer?Ch k the appropriate box: Type of project(required): . I am a eneral contmefor and.I 1. I am a employer with 4 I�!e� ❑ g = 6. []New construction, employees(full.and/or part-time)* have hired the sub-contractors 2.❑ Ida 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 in any capacity. employees and have:workers' -insurance insurance [Ng,workers'comp. 9: Q Budding addition . required:] S. ❑ We area'corporation and its 4 IOTTF leetrieal repairs or additions 3.❑ I.am a homeowner doing,all work officers have exercised their. 11.Q Plumbing repairs or additions myself.(No workers-'comp. right of exemption per MGL 12: f repairs insurance required.] - . 7. c_I52,§l(4),and we have no employees. o workers' 13. er �� P LN comp_insurance required_] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating-they are doing aII work and then hire outside contractors must submit_a.new affidavit indicating such. -Contractors check this box must attached an additional sheet meowing the naive or the sub-c awktors and state whether or not thma entities.have employees. if the sub-contractors bave employees,they must provide their workers'comp policy number. lam an employer that is providing workers'compensation hmurancefor my tmwployee& Below is the policy and job site information. /J// 1A Insurance*CompanyName. �TTI c Marj- e � Policy#or self-ins.Lic.1 : r)GI/ooge5_22ID6_ Expiration Date. n o Job Site Address: S(?a.`�7-6 64— City/Stam0p: 1 �W eIz�J. J Attach a copy of the workers'compensation policy declaration page(showing the policy n er 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. . Ida hereby c under the pains and enadt7ies ofperjw y that the in armation provided above is true.true and correct Si _.__. .- - ——- -- - . I �Z Phone#: J Official use only. Do not write in this area,.to be completed by city or town official City or Town: PermWUcense# Lssuing Authority.(car rple one): L Board of Healilr Building Department. 3 Cit-ggwn Clerk 4.Electrical;[usperter 5.Plnhtb�Inspector 6.Othex Massachusetts Department-of Public Safety Board of Building Regulations-and Standards Construction Supervisor License:iCS-078815 . JOSH LMOND' = �,: '� •� POBOX&V r Truro MA 0 ^- li-I41 i - Expiration Cossioner, 03/25J2015 �,� wlea/lc o� aclu�e a License or registration valid for individul use onV - OlSee of Conmmer Affairs&Business Regulation _ before the expiration date. Mound return to: IRMOYE We ROVWENT CONTRACTOR Office of Consumer Affairs and Susine�Regulatio 'on: :174235 + - 10 Park Plaza-Suite 5170 iration: t1C Boston,MA 02116 BUILDING PERFO _ G IlC_ CT71 JOSH EDMOND 8 KINNIKINNICK RD TRURO,MA 028� --" r Undowerer ry of vsiid mahout sigaatore. - I • 06/18/2014 22:59 9787778415 PAGE 03 co�' CERTIFICATE OF LIABILITY 'INSURANCE16/19/2014 THIS CERTIFICATE a ISSUED AB A MATTER OF INFORBIATION ONLY AND CONFERS NO RIt M UPON THE CERTIFWAW HOLDER.THIS CERTIFICATE DOER NOT AFFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. ?NO CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT WTWEEN THE ISSUING INSURER(B). A11MORIM REPRESENTATIVE OR PRODUCIM AND THE CERTIFICA7E HOLDER. IMPORTANT: d the cm0ceee holder V an ADDITIONAL INSURED,th*PON CY(Ni)MM Oe fnftf d. If SUBROGATION la WAIVED,SUb)M 1e the lmne and condWoea of MS POAcy.cw Wn mores my rsauin an sndassnronL A etsm1mi nt on thin eeANleab dos fist can w rWft 111 th/ csAlllcsU holder In Ilea of such endase PRODUCER y COUNTY INSURANCE AGENCY INC (979)774-2463 A1C No t978)7T>•-8di5 123 Sylvan 9t Danvers, Nh 01923 ADORE Irltlxnhsp AAeapMn DOraese� NA1Ce INSURER A:Commerce Ins. Co. INSURED BUildinq PerrOXM8ftOQ Contracting, LLC INSURER e,Mela Und"writ"D dba lNamset ILnsul&tion' INsuRER c:Atlantic Charter P.O. Box 633 INSURER D•RB Jones Truro, Ma 02666 INSURER E: I 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. LTR-n TYPE 1NSL)RANCE POLICY NUMBER 0=9A u01R6 GENERAL WARM EACH OCCURRENCE i 14000,000 7C COMMERCIAL pENEq/1L LM90.R1/ Pimmi e EIbNER s ED SO 000 CUIMS•MAOE Q OCCUR MED FLIP(AIWOM PM-) s 1 000 B NP0020002000041 . 5/1/14 5/1/15 pmemnsmytNiURY S 1,000 000 7 GENERAL AGGREGATE B 2,000,000' GEWL AGGREGATE LIMIT APPLIES PER i PRODUCTS-COMPIOPAGO s 1,000,000 POLICY FRO-wm LOC o.,. s AUTOMOBILE LIABILITY (GO.craev 1,000,000 ALL OWNEDSC4EDULM BQDDGK - 2/2/14 /2/15 509ILTBODILY NAMJURY IPWo.f•o+q S A ALIT Au s AUTOSKON OYVNED BOOBY NAM(PW eoudera) i FROPERTIF WOW MIRED AUTOS AUTOS fa«ar+I i a UMBRELLA LIAR HOCCUR EAc" OCCURRENCE i 2 000 000 ' D ExCEse LIB C[7BW3904112 5/1/14 5/1/15 CLANSMADE AGGREGATE 1< 2 000 000 ED rTE WORKERS COMPENSATION AND EMPLOYERS'LIABILITY VIM uw FROFFIXTOWARTMINVmrunVE E.L.EACH ACCIDENT • 500 000. C 0FNcEk fl7lCwI3lD1 MIA f 11/23/13 11/23/la hyLyee�ee.Kon in Mho_ WCV00939900 E.L.DISEASE-EA EMPLOYES 500,000 OESCRf�YTWN OF OPERA ONS belowEL DISEASE-POLICY Vmrr f 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARactl ACORD 101.AOW WM0 RanWks Bdwftft 0 mae Now Is mWkwl) CERTIFICATE HOLDER CANCELLATION Toms OP Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable_ , Ma, • THE EXPIRATION DATE_ THEREOF. NOTICE NULL BE DELIVERED IN ACCORDANCE WITH TH LICY PROVISIONS. *ARMOR= REPRESS Gi9W20iOACOROCONPORATION. All rights rslll w d. ACORD25(201=5) The ACORD name and logo are registered marks of ACORD r P w�,� s � �v� 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel �" Application Health Division ' Date Issued Conservation Division Application Fee S� Planning Dept. `:; Permit Fee O� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Stree Address 2 ea- J ree Village tA KtS / Owner ��Q L.A-<P- I cc. Addresses Telephone sok q6 06 R , Permit Re uest 2 lA dd'+ v-&n w 6 Square feet: 1 st floor: existingzproposed -197 2nd floor: existing proposed ZZ4 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -ile b0 onstruction Type Lot Size Z 0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Mu2es�LJ ily(# units) Age of Existing Structur r- Historic House: ; No On Old Kin 's Highway: ❑Yes Wlo g Basement Type: Full Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) --0— Basement Unfinished Area (sq.ft) .� / Number of Baths: Full: existing new Half: existing new l Number of Bedrooms: existing-C/new Total Room Count not including baths): existing _ new First Floor Room Count 116 Heat Type and Fue.: ff Gas ❑ Oil ❑ Electric ❑Other Central Air: CYes ❑ No Fireplaces: i ep aces Existing New Existing wood/coal stove: ❑Yes W<0 D si _ sizp, _ Ell - _ 4 Attached garage: existing ❑L'� new si existing ❑ new size _ :•_T, -�° o� •-re Zoning Board of Appeals Authorization ❑ _Appeal # Recorded ❑ r Commercial ❑Yes ❑ No If yes, site plan review # i Current Use Proposed Use co APPLICANT INFORMATION (BUILDER OR HOMEOWNER)--- x -Name �� .n ��/rG`- Telephone Number ��,y � ! A66ress 1�71>6 M 1AD 1�e, License # Home Improvement Contractor# Worker's Compensation # ALL CONS UCTIO DE RIS R ULTI G F T SOJE ILL BETAKEIy T �G / ► f)✓► SIGNATURE DATE l� L� FOR OFFICIAL USE ONLY APC,LICATION# DATE ISSUED MAP/PARCEL NO. , " ADDRESS VILLAGE` - OWNER DATE OF INSPECTION: — FOUNDATION E FRAME INSULATION - FIREPLACE - ELECTRICAL: ROUGH 'FINAL ti PLUMBING: ROUGH FINAL Y � i GAS: ROUGH FINAL - a FINAL BUILDING — DATE CLOSED OUT . ASSOCIATION PLAN NO. *� The Commonwealth ofMassachusetts .Department of Inditstrial Accidents Office of nvestigations 600 Washington Street t /1 Boston, MA 02I11 www.mass.gov/dia Workers' Compensation lRsi'rance ffidayit: Builders/Contractors/Electricians/Plumbers A Iicant Information (�l`li'1 e Ir6y Please Print Ise ibl Name (Business/Organization/individual): (7 {7 C /rl✓`-� Address: �b ,96 7-0 City/State/Zip: ✓IS � �-S Pho ne #: �d Are you an employer? Check the appropriate box: Type of project(required): l.❑ I a employer with 4. ❑ 1 am a general contractor and 1 6. ❑ New construction ployees (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 ship and have no employees These sub-contractors have g. ❑ Demolition working for mein any capacity. employees and have workers' 9 uilding addition [No workers' comp. insurance comp. insurance.$ li 5. [] We are a corporation and its required.] 10.❑ Electrical repairs or additi 3.❑ I a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additi 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.❑ Other comp. insurance required,] Any applicant that checks box#I must also fill out the section below showing[heir workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: .t' City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of fine up to $1-,500.00 aod/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a 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 fo suranct:coverage verification. I do hereby certify de t e p iris a d penalties of perjury that the information provided ove/s trite and correct Si nature: i � Date: Phone.#: Offc use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # r Issuing Authority(circle one): - 1. Board of Health.2.Building Department 3. City/Town Clerk 4, Electrical Inspector S. Plumbing Inspector, 6. Other Contact Person: _ Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the employees, However the or other le al enti employing recewer or trustee of an individual, partnership, association g ty, . owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the work on such dwelling house o s persons to do maintenance,construction or repair dwelling house of another who employs g 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 skate 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 number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be.-submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. 'Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-,insured companies should enter their self-insurance license number on the appropriate 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 future permits or licenses. A new affidavit must be filled.out each year. Where a homeowner 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 Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia IKE rD To on' of B arras 4ab-fe. t Regulatory Services Thomas .K Geiler, Director Building Divisioa Tom Perry, Building Commissioner 200 Main Strcet, Hyannis, Na 02601 rvww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-7 Property bier Must Complete and Sign This Section If Us if R Builder I, G;] L-A .S e--I oJ\ , as Owner of the subject.property herebY authorize ��,: 01 -<-Z J" to act ou my behalf, La all matters relative to work authotized by this building permit application for. c' Se S 2 c elf' ��13• b � .�c (Address of job) - a e of Owner ate Lix � Print Name If Pro crtyy Owner is,applying for permit please complete the Homeowners License.Exemption Form on the reverse side: Town of Banastable N� 0 R.egu atory Se.rvzces Thomas F. Geiler,Director � MARS. Building Division absq �a PrED Tom Perry, Building Commissioner 200 Maiti•Stree H annis, MA 02601 1 t pt�'cY,'tofsn-barnstable.ma.us - ' r Office: S08-862-4038 Fax: 508-790-6230 ETO1I:EOWNER LICENSE EXEMPTION Please Print DATE: zJQB LOCATION: village number strmt -_—HOMHOWNER": worlL- one# name home phone# l� CURRENT MAILING ADDRESS: city/town stag np code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and owidcd that the owner acts to allow hQmr-owners to engage an individual for hire who does not possess a license,pr as supervisor. DEFINITION OF EOM EO'SVNFR Persons)who owns a'parccl of land on which be/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or faun structures, A person who constructs:more than ,home in a two-year period shall not be considered a homeov ner. Such "homeowner"shall submit to the building Official on a form acceptable to the Building Official, that be/she shall bt responsible for all such workperformed under the building permit. (Section 109.1.1) The undcrsigned•"homeowner"assumes responsibility for compliance with the State Building Codc and other applicable codes, bylaws,nilcs and regulations. The undersigned"homEowncr"certifies that_he/shc understands the Town of Barnstable Building DcpartrRcnt minimum inspection procedures and requirements and that be/sbo will comply with said procedures and rcquixcmcnts, r i Signature of Homeowner Approval of Building Official' Notc: T'hrce-fa-uly dwellings containing 35,000 cubic feet or larger will be rcquircd to,eomply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEKFT—ION Ilrc Codc states that "Any homeowner performing work for which a building perrrrit is required shall be exempt from the provisions of this seetion•(Scetion 109.1.1 -Licensing of construction Supervisors);provided that if the homcozyrtcr rngages a persons)for hire to do such work, that such Homeowner shall act as supa)is°r. Many homeowners who use this exemption arc unaware that they arc assu ng the responnbilities of a supervisor(sec Appendix Q. Rules&Regulations for Licensing Constriction 5upayisorI section 2.1.5) This lack of awareness bflen results in serious problems,particularly when the homeowner hires unlicatscd perons. In this case,our Board cannot proceed against the unlicensed person as it H ould with a licensed Supvisar. Thehomconcxactirigassupervisoris'ultimetclyresponstblc. cr . w To ensure that the homcownci s fully aware of hisAcr responnbilidcs,many communities require,as part of the permit application, bilities of a Superosor. On the last page of this issue is a.form currently used by that the homeowner certify that hrlshe understands the resptmn several towns. 'You may care t amrnd and adopt such a forrnkervfication for use in your community. ,ur.�.. .�.vb.. �.o-u,ra•,w.:�u,>.�,,,�„;w»�.,wa.r«;a;,�;�,ow�.,wwi �uu[��.v:�;='-,;:.s:_ •-iaks w'rt'ti.' ., ..w+wra. +xlu ywWhna,{ .,m x*;n':.Fr'olwis dryYMia.rx ";s, r w Iw.w'•4zv V,r.Eauk/hrv4js++ u're ".. S• - iViacsachuictts- Department nt t'uhii� .tfct� rt� ry�ae &'n.-e a Board of Buildin!, :Rrtuiati(mti and•Standard-s Office of Consumer Affairs&Business Regulation U(ahtY(at"s'rira Supervisor License HOME IMPROVEMENT CONTRACTOR z License CS 42651 Registration 114381 Expiration 9/3/2011 Tr# 288426 Restricted to 00 Type. 4 rindivitlual JOHN C VIEIRA JOHN'C.VIEIRA 32 COLUMBIA AVE ; JOHN VIEIRA VA RSTON MILLS MA 02648 32 COLUMBIA AVE. MARSTON MILLS"' 'MAp2648 ..: Undersecretary Expiration: .121212011 ('umo�i ?iwii Tr#: 11016 r REScheck Software Version 4.3.0 VX Compliance Certificate Project Title: ADDITION TO THE LASELVA RESIDENCE Energy Code: 2007 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. 358 SEA STREET HYANNIS,MA Compliance: Maximum UA:35 Your UA:35 Ceiling 1:Flat Ceiling or Scissor Truss 128 38.0 0.0 4 Ceiling 2:Cathedral Ceiling(no attic) 98 30.0 0.0 3 Wall 1:Wood Frame,16"o.c. 287 19.0 0.0 15 Window 1:Vinyl Frame:Double Pane with Low-E 38 0.350 13 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2007 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirem is Ii d' the REScheck Inspection Checklist. Name-Title gnature 16, Dale k � o No. 10563 BARNSTABLE, u~i oy MASS. �Jy 0 g4TN OF MpSgP 9 a Project Title:ADDITION TO THE LASELVA RESIDENCE Report date: 12/22/09 Data filename: H:\_Current Projects\Residential\LASELVA\laselva.rck Page 1 of 3 I REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments- Above-Grade Walls: ❑ Walll:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments- Windows: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor.•0.3b0 For windows without labeled U-factors,describe features: #Panes Frame'TYpe Thermal'Break?' 'Yes No Comments: Note:Up to 15 sq.fL of glazed fenestration per dwelling is exempt from U-factoi and.SHGC requirements. Air Leakage: ❑ Joints,attic access openings,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights.in the.building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed " to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum -skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: Q A minimum of Class 11(1.0 perm)vapor retarder is installed on the interior side of above-grade framed walls or it has been determined that moisture or its freezing will not damage the materials. Exceptions: Class.11l(10 perm or less)vapor retarder is permitted for vented cladding over OSB,plywood,fiberboard,gypsum,or for sheathing over 2x4 framing having insulation of R-5 or better,or for sheathing over 2x6 framing having insulation of R-7.5 or better. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction: Project Title:ADDITION TO THE LASELVA RESIDENCE Report date: 12/22/09 Data filename: H:1_Current ProjectslResidential\LASELVAIIaselva.rck Page 2 of 3 Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mbchanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. ❑ Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.' For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2006 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. 0 Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not,in use.' • Certificate: 0 .. A permanent:certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;:window U=factors,type and efficiency of space-conditioning and water heating equipment:The certificate does not cover or obstnict the visibility, of the circuit-directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only)' Project Title:ADDITION TO THE LASELVA RESIDENCE Report date: 12/22/09 Data filename:H:\—Current ProjectslResidentiallLASELVAMaselva.rck Page 3 of 3 r 2007 IECC Energy Efficiency Certificate Ceiling/Roof 38.00 . LVJ Wall 19.00 Floor I Foundation 0.00, Ductwork(unconditioned spaces): Window 0.35 Door Water Heater: Name: Date: Comments: vim. p [IT 4fl4 � s 3 � 1 office Ex�taq ' p8 orGCIO IMPORTANT- UPGRADE REQUIRED STATE BUILDING CODE REQUIRES-THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN . 1;; ,"p ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. power& NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL a PERMIT DOES NOT SATISFY THIS REQUIREMENT. r ) ® padry CD ^C7 CARBON MONOXIDE ALARMS ; MMO�n AMA OF MNOVAIM MUST BE INSTALLED PER . MASSACHUSETTS:BUILDING CODE. = parch nrNewa�' J CD r n SMOKE-DETECTORS REVIEWED BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DA E KiWm TH SIGNATURES ARE REQUIRED FOR PERMIJ TING Oa , 5wom p LNhlgGgn V FWI`05E1715T E1,00t PLAN f ' , i 1A Or y 5 41MV, 1103 S4 rCUOR WA # V IPA tt� FIN ]l,f'0) ^^.�,,iJi �-1t1 jANHTTA'f�' f a:(rtr ;4tr; Tt�Qia� /i�S 1'' !Tfij..!tix#T}�col w,l;t" 1131 F`..� ili`3 rYl F1/"1 `ii4,1A3-0 J., 1 S 4•A.G''�rti� 1.lrY•�'t i��YSJ �`• y nI ++I r Poor New Mcem i a New Master Bath rL— co 6C, bath lle-1 CI Nall Ball Q edroom Loft ppOP05rn 2Nn FL P,PLAN r - NV IJ�001I '; I!9NL XI �aFe� um.im5 0 woa4quq�5 G do Fem�nuq umoJ�ulu�q ip�od i O O wig Jr `� ear abeam ` o } w4 b IrAll abex bur}six� wo�gxa�bu"xl �Up bugz�x� Ud I WlJ d00'I�QNZ!9NI RI 1W1 I7 IPH IPH I� Z umy�afl 4wfl ILI� -------------- t herb anaf abeam z � � c0 Q � O CD O z � x � � - � z � O V z � � �o z O � v NVIJ 1NIW15V4 axeanj posy juawa5e4 a--TM jo� 0 f9'ar g AriJe// S 86=35=00'W pale I 57-00 wT eele owK' 299.75 (\ ; \ 1 1 243 24 1 .26.775 >54.F.= �-,' / T. � 5 r^ � 21it v Nag •.N sl.....p. iti...P. Y�.a 296.28 O I 25.150LIJ •sG.F.• N ... N 88=32=25 E Anslem L. Bacon - /36.7/ _s a 2 • sss u N88=32_25•E Im SUBDIVISION OF LAN D. \ Ans/em L. Bacon IN 3,635'4-Cerf.�3488 " HYANNIS- BARNSTABLE-MASS.- . As SveyrD FO LZ . HOBART H. & ROSE V. MOWER5. - - Scale: l in-20 9 - Apri l -19,,19d8. , DAI.i51'AFLB - - BEAR$E d: KELLOGG. CIVIL ENQIN EER$. HiiO1STRY.UP DLC�US APPROVAL NOT REQUIRED UNDER - 3�!"a'ky C E NTERV I L L E - >iEP' THE SU?C''VISION CONTROL LAW.' DATUM-M.5.L. 0.00' ,� TOWN OF BARNSTABLE.. nso _!�a...4:..T.K•\T SEP 19 NNIN KD rwxs4 . . Norc: 7 'VAT _ Sl d/:ne s subfa�/b `sen"t4 ' - - de F.nr hon by Nae Cc�urV. - l858 DP - J � r No.1 5`3 # EARNS . 0 . G U d ' - - .. �z 1 GARAGE O e BATH w o O c n LU as w � z c vi O o O g I00 n } o , w L _ LU EX-DINING" .. - - ry -EX.BEDRROM. 1 - - PRE: FLOOR PLANS . . _ .. .. - EXISTING . -- - CONDITIONS EX_ EX. FAMILY RM - al . . - - - IMAM FIRST FLOOR PLAN-EXISTING 0ZEGOND FLOOR PLAN-EXISTING (( SCALE�I/5'•I'-0' - � � SCJLLE�I/4'-I'-0' OMWN BY � ?S7 PROJEI#: PfiO.ECI NO. DMWNG NO.: jp EX] rn , rn ® ®® ` - - D IM ®® J 0 " n a D --� ro ®® o� m O Z ON >m - o� ®® . . rn Fr z mom o0 �owwoa k mm �w. F 9 9 PROPOSED ADDITION&RENOVA11ONS ® z O BROWN LINDQUIST FENUCCIO ~ER�z O T T s m m TO ��ARCHITECTS.INC. y D p X q N!> THE LASELVA RESIDENCE g 0 358 SEA STREET sf ' HYANNIS,MA. .au 'STAMP: - I wI E 4l o� AAA yT,bF U o� o . 'BEDROOM • ... �� GARAGE iB TO—IN z z ' LU LLJ C 0 Lu Q a-6 w .. 1 .. I.__--_--.. I • . - � Q Q W z 41BLEE D uALL • - WILL FIN SHE i 1. i F J N Z EXIST- 1-1 .. - - .. j - - • - 9� W Q •T 11 1. i - C7 ��O �l LLBELREnWEDMURESTO - 1 RFEbvERDOF t LiN4' 1—STING .. O W - AGED JOISTS N H CL III �I FLUETO PE BE IRELDCATED - .. i i. D BALER 4. . BE PIPE LOCATED CL RfJEivu�NET EZISTING . �� _- ___` RErnWE N4 I DOOR E OREBON IG SITE IL E p E L �TNCS TnE TIRE: AS E . —E - NSW RE IEW WALL. UL _ u Ll BE LDCwTEO "1 45 PORCH it . --- DEMOLITION OW$LOPE PORGN PLANS X DININ- EX.BEDRROM- iO RELTUN - .. ROOF SHINGLES - - IBWfEAT RNF TO RE-1. .. .. ONE ma cD: 12/1 B/D9 ASIM OHS: KLT r BATH BEDBtl C_____ IND—TES IALLS,[IDRS,WMDDWS, - ETC.--BE REED '} - DRAWN BY: 6D �1FIRST FLOOR PLAN-DEMOLTION PRAWNGN.: No. i suLE�v<_I o SEC FLOOR PLAN-DEMOLITION wuv4N�No.: SC LE.li4'-'-0' 3 �` DI SCAMP PLUMBING FIXTURE SCHEDULE WINDOW SCHEDULE SSEkEy;F=i NO. �ESORIPIION MAT REMAM MARK M wD ME SIZENOtES INTERIOR DOOR SCHEDULE JE< ��ap . - wmwR.o. HEIGIRR.o. - N DOOR SIZE o.10563o PEDASTAL SINK T.B.O. A HARVEY OR EQUAL 3 DOu9LE WING ]'-p'- - OVER a GRILLES NIAABBi STILE MotleJ NO1E5 - 1 fl4RNS7 B W TOILETT.B.D. B RVEY DR-EQUAL y_p•- 2 LITf GRILLES WIDRI HBGHf - - py y _ DI - Gn�TCH IXIwWiNGO 4(H O Nnx uP .B.D. - _ .. „.. ., RELO—EED .uiui`Exlsa'TiNjD r TT s Nes T.S.D. u�F<. : w i INLET PATTERNS -ELEVATIONS CH MS TING D3 TOO 2 c � O' m T T.S.D. B' -s TLE P APPLIED INTERIOR t EXTERIOR W/NO H .. . SUWfR VALVE /ACfRS E - 5,_D• EL DOWS ARE R STANDARD EQUAL:COLOR wu TE R WOOD T 8 G 9 DWS TO E(J-ST D SASH EEPER WWif - .� D H—TINGO � $j - (ly-CONY ARY SA5H wulTf FNISu - - PANEL D ]_ I�uTCH IXS�T'NGD D F . wI CONTRACTOR TO I IE OF EXISTING DOU E MOWS �PAN4 TBD r G' 'y W t PL�unBER TO VE IFi SELECT TO COrnENCING ROUGH - - _ 4 PANEL,WOOD TO. - unBNG K. - MAZVEWINOWS TO of E Ss sRE EnPERED GLASS STD w I ..ON LOWER SASH E - - '—TING _ _ LL ! INT J ROOM FINISH SCHEDULE c B ROOM FLOOR BASE -. WALLS CEILING REMARKS :.Ea E7L �G v ANTRT Piuf FLOORING N EX VENEER hA •�¢ BEDROOM VENEER P ON¢e _ CN�'BL ASTER PINE FLOOR TCH IX. VENEER PLASTER ON)•SLDEBD•PASTER VENEER PLASTER ON�'BLVEBD—5TER - �( .I/Ito D Y CER T E CM f% VENEER PLASTER ON�'BLUEBD.t PLASTERENEER M f'BLUFB.—AFTER POW PER Rn. TILE MATCW IX. VENEER PLASTER ON BLUEBD t PLASTER VENEER PLASTER f BLUESO.—ASTER 'z PATu LfR TILE TCH EK VENEER PLASTER W�'BLUEBO.t PLaSTER VENEER PIASTER ON)'BLUEBDIPLASTER j•WR—0 TILE LO-TIONS O ' CERAMIC TILE<SUWER F NEW n BE PNE FLOORING CN IX. VENEER PLASTER ON 4'BLVEBD t MS VENEER PLASTER W j'BLUEBD/PLASTER a'o . IT OF WORK AREA z z c. o w Q EX o 65 w CAB L.T BATH C - .-y ItvT.OF W AREA z O C N NTERiw WORK E ] --_ - - • NG TDER Q W z _-_ EL. 1 I")RE OOn- I O unl I - - 1 LLJ FOLK Ep"111 A I BOILER -- LAUNDRY ROD _ INEW M BEDROOMLIT LE Dn+ f5 w AREA .I I fELO 4 ABP/E' I I .CLOSET I. IU CLG.- . SHELVES O ,,,/Su I ROD - ' PRE: D FIRST&SECOND - NEW .. - FLOOR PLANS SE NOLE oe ufaN OI FI. BATH r_t. m w 5u�. S_AIS w TO REOnAFL—N oaw POD ON i 0 A I - . .. _. FX. DINING j ALL I I u Iw I 1 1 12118I09 . S MALL L .1- W SH.,wmop. REVLLONS: wtGL 95 . E. E IG _ . UP _ ____ .. OJEWIND OCUBIE THICK WALL _____________ BEHWD LAuuD LE FOR I u PING t w RING TILL`5NOWER ___ u ROD IX. in rt - EX wtNfCLW OR EK, _-- Y d IX.EX. EX. FAYIII Y Rh - _ �E1L IX. NFW SH t ROD _ DRAWN BY. ED Bwiu EK, �QBLL ° DOB [� 'DI—WALLS TO REI'IAIN A •PROJECT NO. MERIOR WALL INDICATOR I.—TES NEW WALL ASSEMBLY DRAWING NO.: i < ' p FIRST FLOOR PLAN-PROPOSED SECOND FLOOR PLAN-PROPOSED Al BCALEN/A'•I'-O' STAMP. 29e .• .. .. .HDwnF.TuI.IX nNc MINGLEH E .. - ACH rFCTua..i swlicLfs - - o �No. 5639 :j ...-. ` `.. 6 sTNG WAIN—BE .. .. s BARN . E E T ___ ADDITION ITION .. y/hFgT r SSP4S a s. LOOK :.. � 1 - -_____________ . RO.M 1' I PEun&--Tl-CONTRACON IHT of N 0 .. • - E%5 NG E F NCLUDING 1 I NOTEFLUE L PPE w THLp R RE 0 F RI E LL NA FASCIw,SOF T - KL TR .ROOF SH NGLES,CLAPBO D. - E2E TO REn : ; SID NG,ETC.TO HATCH IXSTING - - - LOCA�ONf OPENING W -1 A TNI A NG CPA E I AT AREA G RE ACT TS.E.DING EnOVE IX C -SIDING alZ ® ® I CLw BO R05,IXPd311 T PBOAROS f%eOsuREET CN 1 READ'FLASHING TTP. 1 .e z o w E%.DOOR TO REnAIN IDWS.TO REIMIN .wB s.TO REILU 'IAIH Z Z ARIGHT SIDE ELEVATION-FACING DRIVEWAY SIDE ELEVATION 66 SGwLEU/41-I'D' - G 2 - w . _ OOQ wz Ln , RA-TOP AFTER TO�OPNfN� 9O (%j L� EXISTING RAFTERBirEK.L LT EAES� w %lA D n. . RIDGE.VfuT � /1•C_ LYWD. O ��:LNF&S- 0ER5 R I O w/ d ED . BO%WT RACE N2.s CL PS O . - 12 RIDO C� BAFFLES NSUL. ENT•.D.C. Ly - ROOF—CON RACTOR - LASHING •IG TO RE ; EPLAC G EOF nIX SrTI IONS wE E P9OR 0TCiNG BOILER1.FA9C A BO95 dl ? j T�5 D EN BEIOw IXI5rTI 50 T T TcSOo °pA ra TO f%IST F PROPOSED ELEVATIONS w CLAPBOARD rvECHOUSEWRAPN n.G d V2'CD%P YwOODE%STING,PAIRTED .G .[. FACED FBERGU BATT . I7 BLUNE BOARD u✓VEN. DATE ISSUED: . PVC XRSE TO RWF PLASTER(S TH) g •. + 121JEW NEW raNrea �r Plm RA TOR T REPLACE RENSIONS: G ED t NAILED OVER AN,II G Bl TION 1 Ic'O.G. F BfRG 5 SEC DICATES I RI BATT INBUL. - �5Y g ED BY THIS wORC- // G.3 STRAPPING AT Ic•O.< GATT INSUL. RUCTURf ��FBMR�DrowH SC IKOAT �EX.FIRST FLOOR - .. E%STING'.FIBERGLAss WAJECT R:PR6kCT NO: - N,S TO RETUIN . . DMWING NO.: �. WREAK ELEVATION - E%ISTINGSTaE REMIN T SCALE�V9'•I'-O' C A—E EN CE� �2 BgSEnENT O �} CEGTION L .70 'A. _ O rn CD r. rn D � c • aN f'IATCHEXISTING S il� i El 00 - I � O _ - e . . F . i - - • . . . 1. .. " .. .. i. .i qr Elv� i 3 9 PROPOSED ADDITION&RENOVATIONS .�..eRowwuwoeusiEENucao& Dg TO MCHFIECrS.INC. W THE LASELVA RESIDENCE N o 0 358 SEA STREET § . HYANNIS,MA. . • ]ND FLOOR TO R- m --- —-—-— — —-— --- — -� o — -- ------- ---------- x — — — — — -----------I 2.. —IT—] . - RNF TO RE 1. r mo 3 II II IIII I a z m € LLB I-"LI_-,J LJ. . ROOF .. - { - �g , 970 - - 3 N Fri m a — - • - - D L i '(F-- �R ep FL o� igo �pwwoa o N m PROPOSED ADDITION&RENOVATIONS '�eaowNUNoaNs FENucaoa w N S R' �" TO m� MCHIIECiS.INC. N,9C m W •. g o P o THE LASELVA RESIDENCE s N 5 g 358 SEA STREET HYANNIS,MA. ELECTRICAL NOTES , ELECTRICAL SYMBOLS . - Mrsv,wExsD E rcExD,em<M:w�REu DFE x�RR.DeDEx„wa Rx'•yD.RuR DE•wr nm RERaoC E'cDE„rF RWwxms.x DN>nrmi oEMx�R n+x,cxot�,o.mrc wu o,uxxR�D,[mRww x.Mn w,mEDEw�E�ow xe.p_E RF n,D,wa xxr�xo.uE R�u r�vrcDx. AA• �f DR oWHER Sur ' aao pDyxx D E c._. >�aR� ¢bryk`kP'4. t. E ELECTRICAL FIXTURE SCHEDULE No.105 6 R aDD D o 1.E SYM. LOCATION TYPE MANUFACTURER'S UNIT, REMARKS Ss c . - xd>.cuw,,DpMw w x sx�,u�w,x xoc vureoucoxrzx,D•.,ci,. rx wmc xv� u uxE orfx rovuu,o s ,c�n�rs:.wo -t � .... - •0a�.,•r: m,rEµ„��.x.rEEEx Dw,.,w�m�uD x.a r • - - BLAlRH SOQI A L NE ME 6 M. DE0 ED DwE./ ER B REEEssD G:BR40/1W F C ko s ao: v sEl.— W—..N.D au--DE 53 ;� — Qw -- ----- ----- ------------- - - - Cd-6 ' cn S z � Lu Bj b IL mtE:ELECTRICAL Sol PLANS DAIERLD: 17ll9QQN9 _ AS DRAWN BY. FIRST FLOOR PLAN-PROPOSED . scALEv<••r-d /1SECOND FLOOR PLAN-PROPOSED PRDJECTe�allo DRAWING ND.:. Town of Barnstable Assessors Division Page 1 of 3 V2�, 10 Your Location : Home : Town Departments : Administrative Services : Assessors Division : Property Results <<Back -Forward» Wednesday,July 31, 2002 FF Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales History Land and Building Description <<Search Again Construction Details Out Buildings& Extra Features Building Sketch r---,�P-3 3 SEA STREET Map/ Parcel/ Parcel Extension: Mailing Address: 306/109/002 LASELVA, FREDERICK R JR Owner of Record: LASELVA, FREDERICK R JR 358 SEA ST Property Location: HYANNIS, MA 02601 358 SEA STREET Parcel ID:306109002 Map Fiscal Year 2002 Assessed Values 'Top Appraised Value Assessed Value Building Value: $ 144,500 $ 144,500 Extra Features: $2,300 $2,300 Outbuildings: $ 1,000 $ 1,000 Land Value: $ 53,700 $ 53,700 Totals: $201,500 $201,500 Tax Information ^Top Town Tax $ 1,865.89 Tax Rates (per$1,000 of valuation) HYANNIS FD TAX $511.81 Town .9.26 Fire District Rates Land Bank Tax $ 55.98 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $ 2,433.68 Hyannis 2.54 W. Barn. 1.54 Total does not include special assessments- Other Rates http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_S ervices/Finan... 7/31/2002 Town of Barnstable Assessors Division Page 2 of 3 Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: NELSON, LOIS M &WHITEHEAD, 11/15/1993 8869/250 $ 100 CLARENCE NELSON, LOIS M 11/15/1992 8314/350 $ 140,817 WHITEHEAD, CLARENCE J B 4/15/1984 4079/074 $ 110,000 MARTIN, FAY H & IRMADEAN S 2825/312 $0 LASELVA, FREDERICK R JR 7/31/1998 11609/ 186 $395,000 Land and Building Description ^Top Land Building Lot Size(Acres): 0.58 Year Built: 1855 Appraised Value:$53,700 Living Area: 2328 Assessed Value: $53,700 Replacement Cost: $ 192,607 Depreciation: 25 Building Value: $ 144,500 Construction Details ^Top Style: Inn/B+B Interior Walls: Typical Model: Residential Interior Floors: Typical Grade: Custom Grade Heat Fuel: Gas Stories: 2 Sty w/UAT Heat Type: Typical Exterior Walls Wood Shingle AC Type: None Roof Structure: Gable/Hip Bedrooms: 4 Bedrooms Roof Cover: Asph/F GIs/Cmp Bathrooms: 2 Bathrooms Total Rooms: 10 Rooms Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value FPL2 Fireplace 1 $2,300 $2,300 SHED Shed 432 $ 1,000 $ 1,000 Building Sketch ^Top http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 7/31/2002 ' Town of Barnstable Assessors Division Page 3 of 3 as 3z l Ma Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Uni FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story (Finished) Back-Forward Home I Departments I Town Information I Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000 DISCLAIMER: Although we strive to provide accurate information,we are only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 20010 Town of Barnstable. All Rights Reserved. http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_S ervices/Finan... 7/31/2002 ;�.. 7 �, � � � A � ,. i z 4�� 39 t ��i. � � -, ,;, 0,� � ,, � ,: ,., �. �y 003 62 �� 062 � � �� 4 � ��, 06275 .�-� �� ,,� iFrj. ,; _ , �, �� a i i, x. , ,,. a. .., ;, ,� �- � � � � �� ,: � , .r �.. 1 ;� � � �, ,.. s� � � � ��. f ' �V ,.,>, .. .x�% d 1BL[PMON 775-Si ' Bri/SirS Conaiuioett 1120 BXT. lot TOWN OF sAONSTABLt, BUILDING INSpIECTOR TOWN 0FP(1r_'L* BUILDING HYANNIS. MASS. 02601 Mai ch 5, 1984 Mn. F. H. Ma)ttin 358 Sea St4eet Hyanni4, MA 02601 Rei 358 Sea StAee-t, Hywmi,e Dean Mt$ MaAtin kea,6e be cu!vused fit'the dweUin located at 358 Sea StAee,t, 4o4met.ty known " .the '"Ho.f iday glcpa-601 Z6 a to at non-� eon6onming todg-ing home. A.6 zueh, fie ten�ae oj let 1.0) hoomb .to not mote .than twemty (20) todgen,6'by a Au dent in .the dwelling " wou-M be peAm.itted under ,the_ Town o$ BcrJt►z t ble .Zoning By-taw. A Lodging Noube Beene could be i4zued by the Board of Selectmen, Peace, o.6eph D. D u Bu-i ed.ing CoMi 4ionvc JDD/gt -13- NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS $30.00 ...........Town................... of ........B.arnstabl e----...•....................................... HOUSE LICENSE `. f This is to Certify;that a Lodging:House License'is.hereby,granted to'...... ........... . ............ 4 L sbii/s•.B-....49hitehead----.d/h/a.....Thp-..Inn---On--Sea---Stx-ee-t-- - at ....................................358 Sea S-E ....Hv nis,..MA .. : • ..... ......... ...... ......... :.. .`in said ......Town .............. .. .. and at that place only and expires December thirty-first'19.-84.- '� unless sooner 'suspended or` revoked for violation of the laws of the Commonwealth of Massachusetts relating to the licensing of Lodging Houses: This license is issued in conformity with the authority granted to the licensing authorities under section twenty-three, of chapter.one hundred and forty, of the General Laws, and is, _ subject to the provisions of sections twenty-two to thirty-one inclusive of said chapter. In Testimony Whereof, the undersigned have hereto-affixed their official signatures, this............2nd............. day.of.::.. ..............z1-y---........................... 'A:D. 19 $4' . F Non-conforming,-use .......................-- ......... -- .... ----------••--- Licensing 15 people,approved Authorities s . -'Auth J:D.Daluz Building Commissioner ... - r ; FORM 547 HOBBS & WARREN. INd: (OVER) i T •. � . v7�.'ice��.»a,�_.,n �''. 'C .:.��a�:{.�iru�fl .._: � .'� _ .. ,. �-.. hotlaay hqusc . , Rose V. Mowers Winter Address 358 Sea Street 26 Converse Ave. Hyannis, Mass. F Malden 48, Mass. • S / � w vS f old l 1 / //`4 A 6,6) -- r AFFIDAVIT. ' . WE, FAY H. MARTIN III and IRMADEAN S. MARTIN, on oath depose and state as follows: We are the owners of property located at 358 'Sea Street, Hyannis, MA. , having purchased this property in November of 1978 . Although we took in no, gues'ts. at 358 Sea Street, Hyannis , during the year 1979., .we did take in >guests for a fee during each o£, the°, years of ' 1980 , 1981, 1982 , and 1983. Signed this 20th day of April, 1984°. ' FAY IV. MARTIN III IRMADEAN S MARTIN COMMONWEALTH OF MASSACHUSETTS BARNSTABLE; S,S.. R April 20 , 1984 . E Then-' personally_ appeared the above-named FAY R. MARTIN . III and: IPJvIADEAN S . MARTIN and acknowledged the foregoing instrument to be their free act and deed, before me., T, Robert .A. Scandurra, Notary Pubilc ROBERT A.SCANDURRA My commission expires: ,3X9'/90 G ATTORNEY AT LAW 4 ¢' 3291 MAIN STREET POST OFFICE BOX 730 ° BARNSTABLE.MA 02630 . kf 617-362-4526 _ 6 !I �F �. 1�f -1�t��f ,r;. .. �,•.1. ,� € iz � , - t i fi '�! (! t g ► i IF xr { as g* \ ��>� ?� 'kjrt rt,•' �. � � n .,r J�, i t !�� ! _ f� � tit �, •,� � t ,�` i°t�1 t�• `� (i�"i yTiz,t .. ,� �`�y t 'r y�'" i � - �� rd;-• t„ a � ;,t Ta••.r• 'rL � :i , x�• - �y � y� �"zs�� ,. - �� T."``5��4 Ii'•..-r y Nj�i h.. n�"4461.� a.a.. � .SSA+••} "'`„�.- .1{`� .ti q•'"� js e '# s t J # tt*'• �Y h all 17 i t } 1 t 71y¢)/• .f��,�W ks t ((��a - +ft_1 , i t A.•- -/ ` i ��yy ' • .} i�.,r' � red : - � zz 1 OF SHE T . Town of Barnstable, - T® ' �°► Barnstable Historical Commission � 'S * BARNSTABLE, 200 Main Street, Hyannis, Massachusetts 02601 n , L y MASS. g (508) 862-4786 Fax(508) 862-47252 2 '/7 �A 1639. a�� www.town.barnstable.ma.us 4 : 38 rF0 MA March 17; 9-bib.- Linda Hutchenrider Town Clerk 1} 367 Main Street; T v Hyannis MA 02601 /Thomas Perry, Building Commissioner , 200 Main Street _ Hyannis, MA 02601 F - � hj Frederick R Laselva,Jr a ' ` 358 Sea Street Hyannis, MA 02601 Re: DECISION of the Barnstable Historical Commission, pursuant to the Code of the Town of Barnstable Chapter 112, Historic Properties;Article 1 Protection of Historic Properties ss 112-1 through ss 112-7 APPROVING the Request for:a Partial DEMOLITIONrof follow property: Location: 358 Sea Street, Hyannis,.MA w f Assessors map and parcel: 306-109-002 ` Date of Informal'Review: March 15, 201.0,,. , The Barnstable Historical Commission reviewed the above referenced request at,their duly noticed meeting of March 15, 2010. This home is individually listed on the National Register 'x. and they voted to'approve,the request fora partial demolition to add a second,story addition at 358 Sea Street, Hyannis per plans dated'12/18/2009.by Brown, Lindquist Fenuccio&Raber Architects, Inc. They-found that the proposed'addition to the structure located at the above address is appropriate.. The building was originally constructed in.ca.'1865 and'the Commission recommends boxing in the flue on the chimney. Present and voting to permit partial demolition` were: Chairman Barbara Flinn, George Jessop,AIA,Jessica-Rapp Grasse'tti,Nancy.Clark, Nancy Shoemaker, Marilyn Fifield . Absent: Len Gobeil `u : d w Sin erely, Barbara Flinn, Chairman l cc: John Vieira, Contractor .. . . Town of Barnstable Assessors Division Page 1 of 3 ' 4, 7 fib$ d+ "6 / x x, Your Location : Home : Town Departments : Administrative Services : Assessors Division : Property Results <<Back- Forward» Wednesday,July 31, 2002 Assessors Division- Property results Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales Histo Land and Building Description Construction Details «Search Again Out Buildings& Extra Features Building Sketch � --ZP-3 3 SEA STREET Map/Parcel/Parcel Extension: Mailing Address: 306/044/ LA SELEVA, FREDERICK R Owner of Record: LA SELEVA, FREDERICK R 358 SEA ST Property Location: HYANNIS, MA 02601 363 SEA STREET Parcel ID:306044 .Map„ Fiscal Year 2002 Assessed Values ^Top Appraised Value Assessed Value Building Value: $ 166,800 $ 166,800 Extra Features: $2,300 $2,300 Outbuildings: $ 13,000 $ 13,000 Land Value: $67,300 $67,300 Totals: $ 249,400 $ 249,400 Tax Information "Top Town Tax $2,309.44 Tax Rates (per$1,000 of valuation) HYANNIS FD TAX $633.48 Town 9.26 Fire District Rates Land Bank Tax $69.28 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $ 3,012.20 Hyannis 2.54 W. Barn. 1.54 Total does not include special assessments— Other Rates http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_S ervices/Finan... 7/31/2002 .rbwn of Barnstable Assessors Division Page 2 of 3 Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: NELSON, LOIS M 11/15/1992 8314/351 $ 140,817 NELSON, LOIS M & 7/15/1991 7609/ 188 $230,000 DEVINCENT, CATHERINE A 1984/218 $0 DEVINCENT,CATHERINE M-792 7609/ 187 $0 DEVINCENT,CATHERINE 792 7609/ 186 $0 DEVINCENT, CATHERINE P0842E1 $0 LA SELEVA, FREDERICK R 2/26/1999 12087/030 $380,000 Land and Building Description ^Top Land Building Lot Size(Acres): 0.98 Year Built: 1860 Appraised Value:$67,300 Living Area: 2152 Assessed Value: $67,300 Replacement Cost: $ 186,640 Depreciation: 25 Building Value: $ 166,800 Construction Details ^Top ' Style: Inn/B+B Interior Walls: Drywall Model: Residential Interior Floors: Typical Grade: Custom Grade Heat Fuel: Oil Stories: 2 Stories Heat Type: Typical Exterior Walls Wood Shingle AC Type: None Roof Structure: Mansard Bedrooms: 8 Bedrooms Roof Cover: Asph/F GIs/Cmp Bathrooms: 3 Bathrooms Total Rooms: 7 Rooms Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value FPL2 Fireplace 1 $2,300 $2,300 FGR3 Garage-Good 728 $ 11,600 $ 11,600 SHED Shed 360 $ 1,400 $ 1,400 Building Sketch ^Top I http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 7/31/2002 I own of Barnstable Assessors Division Page 3 of 3 CTW G91 �IU FIB, s� 8 NOW Map: Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Uni FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) " Back -Forward i Home I Departments I Town Information I Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-8624000 DISCLAIMER: Although we strive to provide accurate information,we are only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 2001©Town of Barnstable. All Rights Reserved. http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_S ervices/Finan... 7/31/2002 { .y a / '4> 0 / ro a r � '175 '3 r. Engine ering Dept.(3rd floor) Map 301v Parcel_/Df-ao2_ Permit# 1 -7 -7 House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)0 Fee 5�;,cep Cic Rib" A SEWER Co EC�IVT THE 19 CON STR PBM TO • BA ABLE. c tED MA.S TOWN OF BARNSTABLE , Building Permit Application Project Street Address Village Owner d>ti t - ti Address �� -S,Z 4 J-T. H'IA-?,J N r J Telephone 7 Permit Request 2--d `'{0 r � Te,�►T N S-TAc.LO-1pT— C'=k First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family'❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review* Current Use Proposed Use Builder Information Name Telephone Number `� LG -Z Z/ Address / G L Fiy'c Itfvll�l License# NI/t►�S't' S M ,c LS Nam} , Home Improvement Contractor# Worker's Compensation# bu G �o / S 3 3 S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE y '/ DATE BUILDING PERMIT DENIED FOR TH LLOWING REASON(S) `J`�",• • � •ri.t• _[!(1�P:'s ta�,ii .�:. _ ..q+ ..ra....„j..;t_D.� _•e�.Di+�•.rtr!�i'^• /y17.ii 1�Ca A►41a"sl lU�i,tl IYtE�t�l:ii.'1.'721 ` f'T Moaq THME, ilgl'iJ �it?0� ' � r • / .1 , e • _ r t ' • 1 1 The Commonwealth ofMassachuse&s 7• � i Depa�hreeni of I f ndusttialAccidents -=-� � 0I�iCeo/IA�esdggliens 600 Washington Sheet Boston,Mass. 02111 Workers'Compensation insurance Affidavit s l].1111t: iQCation• nh me# 1 am a homeowner performing all work myself. ❑ I am a sole proprietor stud have no one working in any capacity am an employer providing workers' compensation for my employees working on this job. sialltiPa^3 "�P...-�✓�'�A ))� 3flpfrexa. . r. QI.U• 1:�.ltita�: �^ city: MCA--.: . rIonefi / / insuraAre co: t�/lCA v �' ?C . . it5, o .� r j�:. ..3 3,57/ olfcV# ❑ I am a sole proprietor,general contractor,or homeowner(circle one)said have hired the contractors listed below who have the following workers'compensation polices: rstM on C*tX# insi6r4griceERR spin tan edd�ecs• cam" .. •.�—..,� >?ILtle#'. • anSuranCg S2, ILLtsY tt'' .. .• . HIS Failure to Secure coverage as required upder Scction 2U of MG1.152 can Itad to the imposition of criminal penalties of a fine up to$1,500.00 and/or noc years'impristittment as well as civil penalties i»the form of a STOP WORK ORDER and aline of$100.00 a day against ine. I anderstand that s copy or this statcmeni may be forwarded to the Offfoe of Iovestigatinar Of the DlA for coverage verification- I do hereby certify der the pains and penalties of erjary fhaf the information provided above is true and CV?rM. Signature atc !Tint numc L Lj leA(e F ` Phcnc# •— �� nrficial use only do not write ill this area to be completed by city or town official city or towu;�, permitAicewc# Building Department �Ucensing Board Q check if immediate respanac is required �Selectmtq's OfTiec QHcalth Dsparimcnt contact person: phone f+; -Other (ieviced tw5 YJAf THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA r J � f � '� " . F j to ple OE -{ � F '� �.r>�S ..3� � �ara 'a{i'' a�,i:'�`' .� .�z y »�+°s�"."'� 2ttra ��• �' Y'^1` - rW � ate, �. ��„� r � �� ';�.�� h ��:•` �. $w"!""�. a�' fit. �k?.' � :-, n'�+ j 1�",,,� _t, �i. _ � - , + .r - s � >L- � Vic. a �• rr, �.,, d :r: , x �; { _ .R t+,.3 ti 9.a n i. hr. ✓xy ',,,� ;hy - _'� � ' +` " � 4 y- - a r ,% f,- .•". ', ti•hi♦ ''� c r Yi t .i,:h7 �7'd9 y �' - r✓+ � f �s - ry" i .�, ` r`.' 3 r ,`'`o`± Ra T e K ♦� 4,., t , � a 1 r .. •a. ' •e _ +' [. ..1 .if ,i 1y - c i ✓F• `>r,• e Z ' r r �^'•+ -, .. 't. .., x tee. 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' `a :�MT ....q ,.x s'� �•.,. r,ra�n f,c rr.,,ru ' •,.x. , ^' `' <T� a«" �j{� ,�x V A ; J ;� ' a y ` t Y.�,!fa F". �' . r i•°�' n. r• . .� t - r 2 •4 '�" 'F'" � _r r �� .�,�.� (r. ,y M 3 r * ,✓ 'Y>, � t � M fi't �.»✓.t -..0 3.Y � t r � a� - r ,. 4a fit` , nc•^t. .' 41 G „r+�'wt , 1�;' i r' 'CrS.a •' u?' .r4' wL'i^ o ry .,+ .. t r +fS_g �,sa � � r. .y„h�,� .�.. t -r• urn ^.y�, .ti+�y. r_vY`' ,r +y. r, r +k.'ri ^ � � • S�+L ��,m'Ge� �� in.Q�°'.�{ ®'�— c� �w-►� �'�owa�. �c� � �.r.e+�tnc,\,.y�. .Y'�-�� j cJ` e-o•® � �v� Jw"""`' � � w �X-� Gc�en`4a� �a^� ova aeYMv,o�+y , 3 W O A o w m � d � 9+ rt x � a o p• � a N � m w m � /�'� �, � / � � A i j 'L J i ,, %� '� i �� i �� I i �� i 1 �� ., \. hole bay house Rose V. Mowers Winter Address 358 Sea Street 26 Converse Ave. Hyannis, Mass. Malden 48, Mass. CO-P L.p 1 C IkI