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��� � �,. ��j ., �� r ,; �. '"E TOyti Town of Barnstable, Massachusetts . ..Department of Planing and Development • M • r ' anxtvsr& ` Office.of The Planning Board 1639. ArED MP't a 367 Main Street,Hyannis, Massachusetts 02601 (508)775-1120 ext.190 June 20, 1989 Aune Cahoon, Town Clerk Town of Barnstable Town 1 la l 1 367 Main Street Hyannis, MA 02601 Re: DEFINITIVE SUBDIVISION 4701 - SPECIAL PERMIT MODIFICATION Open Space Subdivision #701 ; "Bayberry Place" ; Subdivision Plan of Lend i n (Centery 1 1 1 e) Barns tab I e, Mass . Prepared For Bayberry P I uce Realty Trust, Jacques N. Morin, Trustee; Plan dated 12/20/08; Low 8 Weller Engineers ; Assessor's Map 273 , Parcel 86, 90, 91 , & 110-4 . At a duly posted meeting of the Barnstable Planning board held June 19, 1989, it was voted to APPROVE the request -to MODIFY the SPECIAL. PERMIT, pursuant to Section 3- 1 . 6 of the Zoning Bylaw of the Town of Barnstable, to ,aIIow the reduction in sideyard setbacks from rifteen ( 15) to eight (8) feet for all lots, with the EXCEPTION of lots 1 , 3 , 11 , and 12 , in subdivision ##701 , "Bayberry Place Respectfully, ez� -r;74 c_ CD Jos p E. Bartell , Chairman nstable Planning Board110 JEB:vk 0%, f . 71ie DEPARTMENT OF PUBLIC SAFETY ONE .ASHBURTON PLACE, RH 1301 7-P APR 0 BOSTON,! RO S r2108-1b18 CONSTRUCTION SUPERVISOR LICENSE �` � 'a. ` S. V i Number: Expires: Bi ! CS 057770 02/16/1998 702 Restrictes; To: IG --= �-- -" _ • - 1 AR sA-QL'=S r' I ODRIN. - Detach bot �ori_ rclu sign on 300 SEARSES WAY �� { L = - �nc�:, and �aminat_ license car, u. ii�"Ai'Y'IS, i `: ii �ui v ---. — ;SCeep top for receipt and change'. address notlilcr',.iion. t /22C V0�77/hLOOZU/E(!.!.(/4 ✓UGQGIOC/LILDe(A!/ I Restricted Tv": 11 j GEPAMENT OF PUBLIC SAFETY CukSTR;IL3I fvM_S_UPERVISOR LICENSE 90 - None { Nul U � ;..Expires: Birth-2if: .IA - t'asor�r_ _ onl __ w 0.1 82/16/1948 02/1b/i456 iG - 1 & 2 Fasily N j s N MIH � 80$EARSES NAY _ HYANNIS,-t1A 01601` .-...... .. ._.... 5... - - .. .. :.. - i 4. P UVAUVIUIN Wr-&-UJL.f-i yr iv - Cc� OErAIO:M00'T OF LNDUYfRLAIiACCIDiENTS 600 WASHINGTON SJMT BOSTON, MASSACHUSETTS 02111 games.' GartPoel �or vmsssone: WORKERS' COMPENSATION INSURANCE AFFIDAVIT JA CQLIEs N . wiOJzl/J I, - (licensedpertaiaec) with a principal place of business/residence at: 300 t3 FAK S ES W>q y A)iiJ IS, M A - D z(P 61. -- _ . . (Cicy/Sace/LiP) do hereby certify, under the pains and penalcies'of perjury,that O l am an employer providing the following workers' compcnsauon coverage for my employees working on this job. Insurance Company Policy Number (j 1 am a sole proprietor and have.no one working for me. 1 am a sole proprietor,general contractor or homeowner(circle one)and have hired the contractors listed bolo% who have the following workers' compensation insurance policies: •• Ae!-M` Name of Contractor Ins rancc Company/Policy Number Name of Cont o Insurance Company/Policy Number Name of Contactor, Insurance Company/Policy Number Q 1 am a homcowncr� ' i orming all the worn:myself. O; tali be aware that wbilc homeowner:woo crop lov rsons to do asuntcaanee,construction or air wo 'on a dwcliin;.of h'44. 'rc than t~rcc units is w6ic6 the homeowner also resides or on 6c grounds appurtcssant thereto arc not gcacrally considcrcd to be employers under the orkcrs' Comocasation Act(GL C 152,sect 1(5)),application by a lapmeowocr for a license or permit may evidence the lccal status Oran employer under the W"orkcrs'Compensation Act. l u.cc::::nd t'^.a::co:v c:t:•.:s st:ccmc n;will be forwar• cd to trc I'coarmicra of Indus:6:11 Acddcnu'Of cc of losurana for covcragc Yer'r,r"uor.:rc; .._....c to secure cove.^..ee as reeui:ed undo.Section 2; 'o,.MG1— e::.iud to t:�c imposition of mr.:iaaJ penaluc ecnsis:a'r:c of a rice of ur to 51 500.00 ar.Gror imprisonm=t of up to onew ye :nd c.v pcn::ties a.1 the form of a Stop work Order and : fine,of c 100.00 a day agar.;:mc. S;gnc this o?Jst daL of _ , 19. 9 G L, :r::, cc _ • LiccnsortPermI fir I } CA�AGE A S� � r 14 Zj ' GoT / � � I 6,80 I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified, by the Depart- LOCATION BAD- ��' •�'yy!`��/Nis� went of Housing .and Urban Development(HUD) . •• • �� i99C SCALE . . ./=3a�.... .®ATE Date / G. /L /1fLZeR KI t+ of Massa PLAN REFERENCE ljiNG LoTg � .� Y Re an. 26aiar or ,, I CERTIFY THAT THE I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON . or easements except as shown and that this plan,was prepared under my immediate supervision. . ' DATE y . . . `'~r REGISTERED LAND SURVEYO E018 q-I;- 14 Town of Barnstable *Permit � Expires 6 months from issue date Regulatory Services Fee v� toss.1619. Richard V.Scab,Director 3� Building4r , �IvI Tom Perry,CBO,Building Commissioner �� 200 Main Street ,,r H annis FMA 02-601 y www.town b .�stable.ma.us 01 Office: 508-862-4038 `"s a1! 0P ��H ER Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESID E ONLY Map/parcel Number 7 ©� l Not Valid without Red X-Press Imprint 22 L �©/ Property Address 7 5 or�,,C e 14 y n Al S YResidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ll on -e !7q I &q ; S 3 ' S+ 4 t'c e k/J-; f4 ga r l ©o�CzO 1 Contractor's Name E 1,J'Ikt� 15-2iA //t:594 Telephone Number No 1)61,?O n Home Improvement Contractor License#(if applicable)/ 73.Z 4157 Email: Construction Supervisor's License#(if applicable) 0q S 7 0 7 [ECil man's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Wm the Homeowner [have Worker's Compensation Insurance Insurance Company Name CO 7 f`O�OL 1 4/�LfM _L/I S Kam,) Workman's Comp.Policy# (,��� 3 l 31116 f I Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to _ ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)' ❑ side placement Windows/doors/sliders.U-Value (maximum.32)#of windows 3 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. l *Where required: Issuance of this permit does not exempt compliance with other town department regulations,ii.e.Historic,Conservation,etc. i ***Note: Property cane kO r must sign Property Owner Letter of Permission. A copyEthome,mprovement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOl DHR\EXPRESS.doc . Revised 040215 J � r l l is r� 'Dad ����� a;hd Payment Tot-IS Aiii a ( A �f Emmirur l'Au bneem o.f,aaut%.eHm N-r i W"d 'AMD valrakil s aoLewc rr ' intern New Mind wpm_Lic 'Si"ce Lase I:#36079i IMAM 13 9 j,CT 63456%.Lead;Ftrm#112 7. and n�.mik 026Ord F5 �°Unct�n,Pl �F�t5 . _ €��'01 It - X292; i.gE #ce*:4%!r 2M'yPao: `y�ltiarat4. aac5e ' `ii4lYxrarr r 5 i rtte At d�-t 3 SURIn Li e,. 11 i 1 026UJJ 0) -2 1 /ii `9 t tsia 'Nuiltil u � I t [OIJi[ll+1I3di S€S?tA`,al a 'ramp �laa� 'd dr+�QlcrS�15� �sP cir± aAG 41A�t3 Pei 6 >ur PS rind r a.d h [[aea atl I�*f$iat[Lr Pa i aau�[i aer,�'«] � ,Ea i9L�� UNUMtrvi�F u�:i�COW JJu�',�d, it rca�jss aW.caE0.iig aim jtscu-�.,W i:ta 9ld%s V.rt ®: EkKumrnr a nd I iv e�rQ T� ' f I$:it a. ,� r+ I O er F(ccuip-3mm ain,_i a,r5 Q� 3,'S w fir.S.6 ;P vv0m ) mad-hoar Foi (Cr I ,,Jmj*rE5RE I��O�t�u in���mn�u�a:i1,arnd ai ��ea iar���serr era cis f�gre.em zn�L� iai �u�c HccaH>r£azf±6k6are ill atn:eid eah dw��'anal tta�uH�raurrd[Ienei:in f}a�r.reEeHear�'�7[aceavcfsr;rlaig 's mutr� l*w�:���� hiaeihwa is aaaarre�aleHiancicEractc r>r arata�eta�c,lassmcririaomesl.a[I isurAL t[ae�i�l�prdaanc. ; _ - . g� A �e�a� Qa i� wit s r g *at� R'aCF � �Cr06ad WC411I r rgi 1}I P ! Is li tw k chi; _m a�c(l,ap_r h .` btpwiflkwadved: ut:: �e'1� : f ,eetta _ �.riai�e :aatitllteail. t [trl c [a.yr�i�i§t Finaratl :cl iii�seri�la�tea: `I�f�eril yaw sl e �f Ebt Sty a to [And 5�coftdl dly` : . the t[3tc_m s izi]u €v+e ial�. &C t6 aa�aM161 ta�e�rsL1HE7H1elit- ire araslal[atunra e�Hte nth NwmI[ �;p fit +[] g ie1'Q vim 'pllud 1 iq 31.ClSA�r[cmc.es arr t�cimame. iltl ana re an oC i 'filar GS Up flrttlfit �a�Ttl by . igtt ahi� a ct2 i�:L .[#:iiHi;sLri[ im a ea 11161:iee a Iw m+a 00 rrafit i3 CAu a S after Install TAxe p6d deli Ain' Rams table lip );Wms and:undermaih i6f thh Aptqvicne liawtes the cetuk Ural-entudimp begWeeh(hr•Lanai find,ru r ihcrt a�no NwW o,c her clt ai iar '®c Lrn r> oar any of 'tlae dross aa6a Cup bra dee¢tx [aemaa trsa ma tt�dea 1 l"01I5 frcaU3;eaaas; ETeerJWnr M . �� a�c•�� !!,��r:i atuu R�, i�eh.rhL��` !�rar�rrs,E fSu� hey+�1t. �d�,�• �tr��� 'L}.hr��r e!!� . A r';�' � xsr�iriel�a$ 9 s a 'hbi r� n+�n4;rod'��� i��� a�r,en��5� �� n I el l i mT�����vhl's Fk 1�Qrar,',en_�$u: A a ceaet ed\0 :�,tf 4 dv�nal��uw�s1,aim�I .alsac H t iia :�a =y i d` a lb rti9'errWA of iVii. ct.a ai clbi : FH�ame rae. Clk l° 5' G'P+3. }t :ir i kL:=Ehata )e,tia<e Ifi[ cra re eatl+tl e:a f slat csraiitelet��161a '"O a YOU, {H TJ? RaN �"�[;' ' 1�: " __ Ts , CM-1[,1�T.�'�'I'H"AN °'�6P �T �'`��T`E�kTFt �T D 'J' OF 681,2 20116 0 R.T� � ;L 1111RD BUSI NVIM DXY AFrER THE.1 XTE OF 1 CAL 1 l N ACT1 6 ; WHICIMVER DATEIS 1ATER. E-CACHED N OF CANCEWMN F0jLM FOR AN r `rscri � �stncea»+ 7 - r .arc u . 1lr 4 L�. �uLti,. .5 r rr to $i�smue fl'i[Bf' C I� r I�l(t !#ilAWR'l� [rH7Ht'L iS IME1al d3Bak FS0111 [�[71' .1:16L� Southern New England Windows d.b.a Renewal by Andersen of SNE - Massachusetts Department of Public Saf?t Board of Building Regulations and Stan-dards License: CS-095707 -onstrucvon Superi sor BRIAN D DENNISON � M 7 LAMBS POND CIRC b . CHARLTON MA 0150 M ME INI Ili, �— r P Ex i rati'o.n �,omrnissioner 09=12018 Office of Consumer Affairs find Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement-Contractor Registration Regishation: 173245 - Type: SuppMff*M Card SOUTHERN NEW ENGLAND WINDOWS LL E*hdon: e119rz016 DENNISON BRIAN - 26 ALBION RD - - LINCOLN,RI 02865 update Address and return card.Marie ream for cb&ML ---- eai-O wssaani`—.--.----_--`--- ©7fddrese-p-xesewai-�`Employomf � isalD4 yla4 of Coassaw Afairs s Business Begnlation Luau or registration v&IW for isdividul an only E NPROVEMENT CONTRACTOR before the expiration dale.If found.retarn to: Office of Consomer Affairs and Basin=Regulation is6auon' 1732�6 Typo' 10 Park Plaza-Sehe 5170 Err0rM1PM-1iMS2016 Supptem0M:.ard Boston.KA02116 SOLRMERN NEw ENGLlV tO1NINDOWS LLc. RENEWAL BY ANDISk6i DENNISON BRIAN 26 ALBION RD LINCOLN,R102065 t7uderaarebry at valid without signatore The Commonwealth of Massachusetts Department of'IndttstrialAccidents 1 Congress Street,Sttite 100 Boston,tllA 02114--2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders!Contractors/Electrieians/Plumbers. TO BE FILED WITH THE PERINIITTING AUTHORITY. Applicant Information Please Print Legibly ibly Name (Business/Organizatibnllndividual): CA, 'rh ev) f,�vaWJL UIVADWA Address: �p City/State/Zip: Phone 2--2. Are you:an employer'Check the appropriate box: Type of project(required): l.P9 1 am a employer with 20temployees(full and/or pan-tune): 7. New construction 2Q I am sale proprietor or partnership and have no employees working for me in g. Remodeling any capacity.[No workers'comp_insurance required.] Demolition 9. 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑ Q4.❑I am a homeowner and will behiringcontractors to conduct all work-on my prope 10 Building additionrty. I will ' ensure that all contractors either have workers'compensation insurance or are sole 1 L❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q R Of repairs These sub-contractors have employees and have workers'comp.insurance.- 6.[:]we are a corporation and its officers have exercised their rigbt of exemption per MGL c. 14. Other w)l�J0- 152,ti 1(4),and we have no employees.[No workers'comp.insurance required.] Pe 1.4 ce,e",f *Any applicant that checks box#1 must also fill out the section belwc•showing their w6rki:W 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. 'Contractors 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 mu an employer that is rovidln workers'compensation insurance or ni!era to ees Below is the olio and`ob sitee, { P g P f 1 P y policy l information. Insurance Company Name: C6 O/ V1/G • s Policy#or Self-ins.Lia#: aA,3 13`o 0 8 I Expiration Date: 7 /Z k:z Job Site Address: 3 3 JIGt fi t CL t,et n e City/State/Zip: �xap Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under MGL c.152,§25A is a criminal violation-punishable by a.fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of.up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office ofinvestigations of the DIA for insurance :coverage verification. I do hereby cep ' alder the p 'is and penalties of pef jury that the information provided above is trite and correct: Si nature: Date: 7 Phone.#: '�19� Official use only. Do not ivi ite in this arett,-to be completed by city or torvit official. City.or Town: Permit/License#. Issuing Authority(circle one) 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SOUTNEW-01, UOLL-INGER ACORO" CERTIFICATE,.- OF OF LIABILITY INSItI AN - DATE(MMIDDIrfr' `,..a 612912.016. THIS-:CERTIFICATE 1S ISSUED AS_A'MATTER OF INFORMATION ONLY AND'CONFERS NO RIGHTS UPON.THE CERTIFICATE;HOLDER THIS CERTIFICATE DOES aNOT 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(%AUTHORIZED REPRESENTATIVE:OR PRODUCER,AND THE:CERTIFICATE HOLDER. IMPORTANT: If the certffleate holder a an.ADDITIONAL INSURED,:the policy(ies)must be endorsed. If SUBROGATION;IS WAIVED,subject to the tenn"s and conditions of_the policy,certaui policies may require an.endo"memeM. A.statemem on this certificate does.not confer rights to the certificate holder'in;lieu of such endorsemengii).. PRODUCER NAME CT COBiz Insurance,Inc.-CO 821.47tfi St. .-:. - (Ar-o Ex (303)988-0446 a.No:.:(303)988-0804. Denver, IL CO 80202 AD .CORizlnsuran cobainsurance.com INSURER( AFFORDING COVERAGE. NAJC* INsoRm-4:Contlnental Western Insurance company. 10804 INSURED INSURER'B:.. Souther Now England Windows LLC .. INSURER C D/BIA Renewal by Andergen INSURER D:. ... - 26 Albion:Road; Lincoln,RI 02865 INSURER.E:' COVERAGES CERTIFICATE:NUMBER: REVISION;NUMBER: THIS IS.TO CERTIFY THAT THE POLICIES OF_INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFO.R THE POLICY PERIOD INDICATED..:NOTWITHSTANDING ANY rREQUIREMENT TERM OR;:CONDITION OF ANY CONTRACTOR OTHER!DOCUMENT WITH RESPECT TO.WHICRTHIS CERTIFICATE MAY;BE:ISSUED:OR MAY. PERTAIN, THE.INSURANCE•AFFORDED BY THE'POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND'CONDITIONS OF SUCH:POLICIES.LIMITS SHOWN'MAY.HAVE BEEN_REDUCED,BY PAID:CLAIMS: INSR TYPE OF INSURANCE: .. .' . EFF POLI . LIMITSLTR- INSDW• VD POLICY NUMBER MMID A X .COMMERCIAL GENERAL Lu►e1LJTY::': EACH OCCURRENCE '$ 19000io0 DAMAGF. 1 710112017, :PREMISESEo=feW 1000CiiMMAuE OCcui CPA3136080 07/01I2016 0 MED EXP(Any ora Person) $ 1%00 .PERSONAL&ADV INJURY $ 1,000,00 GENIAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ .200,00 X POLICY�. CT LOC PRODUCTS CAMProP AGG. $ 2,000,000 OTHER: EMPLOYEE:BENEFI 1$ 210001.000 AUTOMOBILE LIABILITY �MBe�I SINGLE LIMIT $ 11000,00 A_ X ,gNY.guTo._. _ CPA3136080,;.. _:-_. 0710112016 ,07/0112017;.r BODILY INIURY(Perperson) S._..ALL OWN_ED SCHEDULED BODILY,INJURY(Per,aoddem) $ AUTOS AUTOS NO" ED PROPERTY DAMAGE $ HIRED AUTOS AUTOS.': Per-aa9dent': $ X UMBRELLA UA13 X OCCUR EACH OCCURRENCE $ . 5009000 A CLAIMS MADE CPA3136080 07/01/2016 -0710112017 AGGREGATE $_ DED RETENTION$- 0 ggn3gat@, S GA00,000 : .X WORKERS COMPENSATION - T AANY.PROPRIETOR/PARTNER/DCECUTIVE ND EMPLOYERS'LIABILITY STATUTE ER' YIN A ❑N I A CA3136081 07/01/2016 07/01/2017 E.L EACH ACCIDENT $ .1,000;00 � OFFICERIMEMBER EXCLUDED?(MandstM In NH) E.L.DISEASE-.EA EMPLOYE $ 1,000i00 If yyes,descfte under. E.L DISEASE-POLICY LIMB $ 11000166 DESCRIPTION OF:OPERATIONS below •101 Additional Remarks Schedule,may:ba adached f more space Is required) DESCRIPTION OF OPERATIONS L LOCATIONS;/VEHICLES(ACORD CERTIFICATE HOLDER ° . CANCELLATION' SHOULD ANY OF THE;ABOVE DESCRIBED POLICIES BE CANCELLEMBEFORE THE EXPIRATION-..DATE' THEREOF, ,NOTICE:' WILL` BE DELIVERED. IN ACCORDANCE WITH THE'POLICY PROVi$IONS:` AUTHORED REPRESENTATIVE- ©.1988-2014•ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and.logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Parcel -1 ( v� Application # a�-! / YY6 Health Division Date Issued Conservation Division Application Fee ISO Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Str t Address � 7,�f'l C� (. °��c�✓ Village: ('1 r Owner VL aka �q Address Telephone ,Permit Request (11 �1,,lGY'G' Vv � ��"G�' �- 91�� C{�Y✓ E����G a fit/' (OWL& � � nlmvlk Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ,'Zoning District Flood Plain Groundwater Overlay Project Valuation l�0"d� Construction Type . 'Lot Size Grandfathered: ❑Yes ❑ No If yes, attach 5i porting cur6ntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) 11 . , Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighway:T Yes7'_❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat,Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing; ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Aut 6rization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑, o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name0-41"1 lo,1114kll� Telephone Number Address : � ��, �� ���� License # 4 d� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM IS PROJECT WI BE TAKEN TO a SIGNATURE DATE �i t FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION FRAME INSULATION FIREPLACE a Y ELECTRICAL: ROUGH FINAL r, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'sF,.,INAL BUILDING O�CLOSED OUT '4 A-S—S t TION PLAN NO. Cornm_ otnwealth.of Massachusetts - Class A Large Capacity - Uq;ense to Carry Firearms(M.G.L c 140,;;§131), License;Number` Date ofssue SW pint on Qete � ; 124968Z4A 01115[2014 c' 1(2019 ' Isswng'Cdy/t-own; YgRMO Restrictions:'None ' CASSIDY,.HENRY 8 SH€D R,OW WEST YARIVI UTH A 02 } t 2. lC1('� 1 Office of Consumer Affairs and Business Regulation F.\ F F .11 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 'I tome Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/?ll•14 _ Tr# 233831 (;Af'l= COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 ...... ............. .... . Update Address and return curd. Mark reason for change. Address Renewal 1_1 1i:mployntcnl L 1.ustCurd rr, `f a rriru rcrr rrrl r/G`ll rJ:jrrc./ru.wffj Utlicc III Consumer nlrair.s Business Regulation License or registration valid for iudiYitlul use only f,r�h(0ME IMPROVEMENT CONTRACTOR before the expiration date, If found return to:. eyistration: 153567 Type: Office of Consumer Affairs and Business Regulation iration: 12/15/2014 Private Corporatic•u';EY 10 Park Plaza-Suite 5170 p a: Boston,MA 021.16 t:,WE COP INSULA fION..;Ac'. CASSIDY 18 PLAROON CIRCLE - ) YARMOU II II MA 02664 Undersecretary of Vill' Nvitho t oat re - The C'oinnionwealth of Massachusetts Department of Industrial Accidents OJJice of Investigations 600 Washin ton Street Boston, AM 02111 www.rrtass.gov/dia Workers' C:ouapetltsatioa fusurante Affidavtt: Beyilders/CoatractorsiEl<ectrici aasIP tit tit ers �l.ie:.ttrfl Information ;< lei4se Print L il�iy I V,ititi' �1iu,iiicss•�Orbattizatioc>/l.udividua]): l��rl'��' G-�"' C` /��JG���1.L��.',/ A�.-_.__�.-_-__�, ity/5t rat-/ %: '?r.= r/�. ,,�rlG �yi Phone#:2i. _ <<C you mat ewplayer? Check the appropriate box: `type of project (required): ��• 1 l tractor d 1 I �]" atu a r.tttployc r�vtilh:' , T <l, ❑ ant a genera con an 6. ❑ New construction I �:inployces (hill anti toe part-t-dne).* have hired the soh contractors r µ" listed on the attached sheet. 7. ❑ Remodeling _'. I :s„a a sole proprietor or partner- ship wid huvc uo ctnnployecs These sub-contractors have g, ❑ Demolition workulg for rr►e in,any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance., •5. 'r�I We are a corporation and its. 10•0 Electrical repairs or additions Irtltnrc d.f �--+ }.❑ I am a homeowner doing; till work officers have exercised their , J:1.❑ Plumbing repa.rrs or additions myself. [No workers' conrp. right of exemption per MGL. 12.[] Root:repairs _ iu;iurancc rct.u.ircd, r c. 152, §1(4), and we have no r- t,.(� I urn a homeowner acting nY a employees. [No workers' 13.R Other ? .. ;!! general con actor(refer to #4) Como.insurance required.] 'piny apphcsw that checks twx 1�1 must also till out the section below showing their wo&cn'compensatiofipolicy infonlaatioa. ' tlum'vwuctx who subrtut this alfiiclavir ittdieaung they are doing ill work wsd then hire outside contractors must subaiit a new atlid:rvit indicating such. ,uu a:inn tout chcc:lc atuy box trtrtst attached an attdroonal sheet showing the ouma of[hc sub-c.Quauc:tola=ti swco whether or not those catitica have .:uy,li,yccs. If me sutr-wrttraciurs have crnpioyces, they must provide their work cn'comp.policy uutubcr. !um an rnrtployer that is providing workers'compensation insurance for my employee.-. t3'elow is the policy and job site n/unntt�runr, lt,]uiatu:c (;outparly NUDIC: — ' ; Pulley rr.ur Self-ins. Lie. #;/'l L'4�, -> 1 / T E piration Date: Gf .. �i`- _ h) Job lttc :\tldt'Cix: _ t/1 �" 'Y�V�V city/state/Zip. �ri,t is k copy of the workers' cotnpettsattion policy declaration page(showing the poilcy n"whi Mid expiration elate). ► a:ltac to 3c urc,wvcragc as required under Section 25A of MGL e. 1 S2 can lead to the unposiiicata of criminal peualtics of a rinc up to b 1,a00.Q0 tind/or one-year imprisonment, as well as civil penalties iu the form of a STOP WORK OJWER and a fine ;i up to S2J0.00 a day against the violator. Bc advised that a copy of this statement trtay be forwarded to the Office of i-mcyn6a400-5 of the DIA. for to wcancC coverage verification. I tin r'tcrrby cerrifjv, rtde Me c u knd penalties of perjury thtu the information provided above i.x ire ad currecL ' >>,r Dat gdlcial utc only. Do not write in this area, to be completed by city or town official t.'ity of l'uwo: Permit/'License# - - tjxQi,xg Authority (circle one): 1. Boxrd of Health 2. L3uiidltt pcpatritttent 3. City![orvn Clerk 4.Electrical Inspector S. Pltittitbilig fttspector 6,Other ' Phone#:t:'u tittict Pe r�o tt _-..--------�-- CAPECOD-27 MYOUNG l -.+ nA It IN M1001YYYY) '�ERTIFICATE OF LIABILITY INSUR .NCfL- 7ru12u, . �j 13 110" CLKIII K.A1 E 15 1,9SULp AS A MATTER OF INFORMATION'ONLY AND C014FERS NO RIGHTS UIuQN TFIE CERTIFICATE HOLDL-R.THIS tiitllll AI'I_: 00LtS NC)"I' AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVI:F:AGh AI=hQRDED BYTHEPOLICIES ' 'II.LuvV 1I IIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TVIE ISSUING INSURFR(S),AUTHORIZED 11tkF'ItLaLN'IF\IIVF ORFIRODUCER, AND'THE CERTIFICATE HOLDER, -._-_--- - r IPt.li IAN f: If tha Crartil'it: tall huldtir is on ADDITIONAL INSURED,1110 p01(cy(le5)must be endorsed. It SUI3IiOG:A'I'ION IS VVAIVI'D,>ubluctlu- h: n:nlia .uI i cunchfiurls Of Lhu policy, certain policies may require an ondorsanlant. A statement oil this careificate floes nut Coutur lit 11IN tudw .,alit IUAW 110ILI L:i UI Ito LI Uf SUCK iinCl lYf5 ri 111en1�5�. - !F t'l -5'140G2 EONTACT Margaret Young - --- In Uatlt.rU AH Y, lr1C.oitc PIICINIc 1AIC o.Exl _-T___ .. _,___...._._ ._.__ .... I7\IC•,Nul ADDRESS:myoung r�rogr r5gray.cotlT , INSURERS AFFOkO1NG COVI_ItpGL NAli.0 _. INSURERA:PEERLESS INSURANCE COMPANY NSUR...;COMIVIERCE INSURANCE CO1IAI-IANY _ ................ _._:.... .........----._... l.L)Ll li15Uld11.1011, IrIC. INSURER C:Eva nston Insuran C4 ConipailiV uvsuRHRo:ATLAN'IlC CHARTERIIVSUIi,ANCh GROUP;oath YarnloLRth, IVIA U266 6 INSURERS: _.._._}y.n. ...............__ INSURER F Ck:iSuil ICATE NUMSER: REVISION IVUNIGER: I It Ti IA 11 U" Pc)LICICS OF INSURANCE LISTED 13ELOVVHAVE BEEN ISSULO I-0 THIE INSURED NANlhaa AC10V11 Rol htI J'ULICY PLI(WD !1 f"101 VA 111;TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH l`wtiNt:Cl 10 WHICH1111S r;r,::\Il. NI,�Y GE IStiUEl7 OR (NAY PENTAIN, THE INSURANCE AFFORDEQ BY THE POLICIES OFSCRIDED HEREIN IS SUBJECT TOAI..L 11-IL)IRMS, u.Lu:,n Iv";ANl') OF SUCH POLICIFS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AZ7OL5UOr1'_.—"'�._ 1'f VIt UI=1P\.I FIANC L^...._.._......�.._....11Y:(L ,� ___ POLICY NUMBL-Ii 11Do1Y'aj_ lmml0nlyyyy.L_�- CACH CK:CURRIiNCG I 1,DUD,UDO n l,muclr!"tut.GENGRALLIAUILNY CBP6263063 41112013 4111Z014 IaAMAGF..IC1RLNiCU I00,000 ' , IMt:,p EX P(Arty una 1)01 5 S,DUU'..uLnvr,MAUN I X � UCaa.it` .-.. ' f . .. PERSC?NAL.S A0V INJUI'tl' ..y�.:.... ' CiL'NI:RALA4;GRL=t:if11'iL D ^'.--�.•_- j LAIVil'I'AI°Pt..lLS f't:ti; 1'RQUUC:IS-COMP101'AGG L �`) I I C.CjMUINI C1 SIT�GI:L:L)MIT - 2 000 UUU I uI it Y .......... vnunau:LIr Lut.t I ti I UUO OU 't.l ' nn,etrtr: 13MM13CKVMK 41'1120'13 41-112014 UQDILY INJURY(Pal polsu(s) ;;C'.HUDULEQ ,10 - :ullL>'• 0ILY INJURY PuI CIdJnI 0..... .._-___ l� ( NQN L)wNEo - NhOPk�:' iRt�lnc r. \ LI ru}\flit-1>: X At.11'OS NL AUCIULN- _. OCCURRENCL A 1,ODD_DDD unr, I I �t.}\Im -MHne XONJ4535'I2 41I12013 ' 4/1/2014 \rGrL.G\I r I,IIUU,000 X rtI NIItIN 10000 -_ r - 4lruLry Hn01v -� I V4L SlAtll I IClf11 l i rl IILU1LRc L,AuIlIIV uclLlrin'nI�INLrArx .t ullvl Y N WCAQU025)U4 6130t2013 6130/2014 k.L.I;ACHAc.t.11.7l_NI ri I ODUOOU I n r r r.lr_M1RUr.H t\!�LUL7C:1.1? :l----) N 1 A - airy Jaluly ur Nil) f'L DISLCASE-EA I MI' O LI S Q�Q 1 0� 4 "I r F 1. DISEASti-I'01-1 l LIMII 1 I UUU UUU .I_.... (11'Llei\IIClIV 1i Ualow �„�,,,,,,,•.•__......__ -._.-._ I t t,•.Iin`unr:ur u:�crth Il U(V`i I I_OC:A1 I IUNs/Vt-MICL.ks (Attach ACORD 101,Adau10101 Rung kr SchcGula,It WON jPAQ-1s fc9411-0) InCkldQts Officer's or Proprietor>. '.ailhni,:n,,i InaulkiLI staCLRs is lJrovidud under th(:GenQrol Liability when required by wriltell contract or agre6mont with the Cerlificatu flaldur. I ` l lipi;:Alt 11i)L CANCELLATION --__.... i SHOULD ANY OF THE ABOVE OESCRIOGL1 IaQL ICIkS Qf_CANCI:LLk 0 UkfOR6 THE EXPIRATION DATk TFII Rl Qh, IYl)T'ICI: VJil-L• IHL UrLIVEREO IN t-::,)1V COO II1tit1Ii 0011, l(1C ACCORDANCE WITH THE POLICYPRQVI9tONS. - AUTFIQRIZ.ED RkPftGSkNTA1TVL:T-_-_ --__� ` ,1 T ' O'198ti-20'10 ACORD CORPORATION, All Ilyhts ruservnd. -,t:01(0 (:o I J/05) Tha ACORD name and logo art;registered nlark:5 of ACORD z � ti z mass save PERMIT AUTHORIZATION FORM I, Ann Valtsakis ,owner of the property located at: (Owner's Name,printed) 33 Statice Ln Hyannis (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X Owner's Signature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: 1 AIA . U L e4-I l 1 Participating Contractor DD te- IN W1 . For Office Use Only Rev. 12132011 Town of Barnstable *Permit# Expires 6 months from issue daft Regulatory Services Fee 'ERMIT Thomas F.Geiler;Director 1 ,eaia 2 2011 Building Division {� Ot/�'. _ Tom Perry,CBO, Building Commissioner t➢ — `-` BARNS I G,BLE, 200 Main Street,Hyannis,MA 02601 www.town.barnstableana.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without died X-Press Imprint Map/parcel Number 0��? ll(`7l i f Property Address 33 1S+Ct:A-1 ce. l,.a 0 e Ago n n i s MA 0aLn I v [Residential Value of Work 0q`U�,�D� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address An n . Va i4,<-aJ<i S same GLS C--�-Lcv-c- Contractor's Name T�nS ,r L E. Telephone Number CS'Ofil q/a�- �GI� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) [2fWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Noy+r orl a U n i a Y-ll Fl r e. 'Y)S u rn Y1 C t? Co. Workman's Comp.Policy# VU t^ dbQ b Copy of Insurance Compliance Cer fficate must accompany each permit. Permit Request(check box) dRe-roof(stripping old shingles) All construction debris will be taken to_ a Y)d Vl)1 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,Le.Historic,Conservation,etc. ***Note:. Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE- Q:\WPFMES\FORMS%W1ding permit f ROSA= , Revised 096809 lIsissaCliusetts-Department of:Public'Saflety Board of Building Regulations and Standards - Construction Supervisor License. . License: CS 97MB } DEAN I= R' 104 TWIN1� 11114�E ER PAL 1`I+i , 2536 '- - Expiration: 6/7/2013 Conunissiodar Tr#: 46692 Office of Consumer Affairs and usiness Regulation - 10 Park:Plaza.- Suite 5170 Boston, Massach setts 02116 nt ontr�ctor Re istration Home Im roveme C _g P Registration: 112536' Type. 3I23/2 Expiry io 013 :Tr# 209024 FRASER CONSTRUCTION CO DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635. :. Update Address and return card.Mark reason for change. . Address 'E].Renewal: F Employment [] Lost Card DPSCAI tS 50M-04/04•G101216 OfC►ce Ot�oUSu-'m"�r a' iis'�.B>�nes` ss"T�u�azion License or registration.valid for individul use only - HOME IMPROVEMENT CONTRACTOR before the expiration date. Ufound return for Registration:IMPROVEMENT Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: 3J23 013 DBA Boston,MA 02116 FIRCONSTRUCTION CO. � DEAN FRASER 104TWINN VIEW ONE E FALMOUTH;'MA&636 -. Undersecretary of va I rt ut si re ' FMSCON-01 MOSU - AC�e CERTIFICATE OF LIABILITY IN SURANCE 9126/2011 PI�TNicER (508)676-0309, 'PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION V veiros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEN EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# INSURED Fraser Construction LLC INSURER A:National Union Fire Insurance Company P.O.Box 1845. INSURERS: Cotuit,MA 02835- INSURER c INSURER D: INSURER E: COVERAGES THE PO LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iCE POLICY NUMBER CtlBi9 ' GENERAL LIASRITY - . ... EACH OCCURRENCE .. COMMERCIAL GENERAL LIABILITY . PREMISES S CW MS MADE OCCUR MED EXP(Airy are person S- PERSONAL&ADV INJURY S GENERAL AGGREGATE: S GENL AGGREGATE umrr APPLIES PEP PRODUCTS-COMPIOPAGO S .7 POLICY LOC AUTOMOBILE LIABILITY ANY AUTO Me )fNGLEOMIT $ ALL OWNED AUTOS BODILY INJURY. SCH�ULEDAUiOS (Perp—) KRED AUTOS BODILY INJURY S NON•OW NED AUTOS (Per 8 1 PROPERTYmMAGE, S GARAGE LIAELf1Y AUTO ONLY EA ACCIDENT $ ANY AUTO EAACC $ . - - - OTHER THAN. . AUTO ONLY. - AGG S . EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $. . OCCUR E . D CLAIMS MADE AOfRZEOATE- S DEDUCTIBLE S RETENTION S. g. WORKERS COMPENSATION �( WC ATU OTH AND EI LOYEW LIABILITY Y I N A- ANYPRamETORW.NRTmRexECUTNE 30601 9/26/2011 WN2012 EL EACH ACCIDENT S _ 500' OFFICERIAAEMBE)EXCLUDED? ❑Y E.L.DISEASE-EA EMPLOY $ 500, Ifyes,descrlPR�OVI6ONSbelow E.L. ISEASE-POiJCYUMB S_ , SPECIP�L .. OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUaDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION .. .. - SHOULDANYOFTHEABOVEDESCWBWPOLJCMSBECANCEUJWBEFORETHEMMPATION Fraser Construction,LLC .. DATE THISREDF,THE ISSUING INSURER WILL ENDEAVOR TO MAR 30 PO Box 1845 DAYS wIaTTISN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL COtuit,MA 02635-' } IMPOSE NO OBLIGATION OR LIABILITY OF ANY AND UPON THE INSURER,'ITS AGENTS.oR REPRESENTATIVES. AUTHORIM REPRESENTATIVE ,,QQ ACORD 25(2009MI) ®19W2009 ACORD CORPORATION. All rights Tie;eralL The ACORD name and logo are registered marks of ACORD :?7tie Conamor�weaft o f,Mtaswachr�se:Y� �rbwrent oflndzMWd,gCd&, OhIce ofInvest a ions 690 leas .. Bosom�o211I t Workers'Com wwmassoy�dlQ peasa#+ton hsnrsnce Aftlavit A Iicaat Inform 'o eetrldRM/Phmbejrs A` PI Name IBaaae�pon/1'ndtvial: Print L QS2 Y Ca n5{���• 10 L! Address: S Ci lSiateJZi , • • trif � 3 Phone#•Are es an em �3 e/28 : �o? , player'!Check the aPpro rtate bay j 1• I am a employer wiih 4 I am a T employees(fan and/or pa�nte :* , We hired the 6. f 2 ❑I am a sole ) ota [.�New coast uctlon parnlel- listed on.the auae&d sheer. . �a�have no empl es Ihese,snb_Oa ,cbors have 7 ❑Remodelhjg working for mein any capacity' MPloyees acid have workers' 8 AemOlition jNo workers'comp.iasmance camp insurance t 9. [�Building addition a 3. I amI a homy 5: We area a won and it 10.0 Blecfrical eowiaor doing all work officers have� ma's or.additions Myself.[No Workela'cm right of exemp ft per ZI % 11 [�Plemtbin�repairs or adr)i#ioits naslaance r'e 7 t c 152,§1(4),and we have no 12-0 Roof repass emPmym(No workers', 13.0� '�Y ePP1�that cbxks boa#I a�aLSo 811 oat the oot4p. ) - pH whosa6mitffiisa ylE s�onbetow�towfagtt r Baas that ehwkft baui met g�9 are doing b wont and>m or CMAWJM hho cutdde oS' f Iftbe��0tk �wyv%' FVV�wodcas`co ��whe�orw*ea, +. °!P Po7so9�mba. ol°yer>ftis proves welkps'pprnnsaa'OR b for '01114 Belomis tiltspommy andjob*10 Instaance Company Name: � .. • '1�0>7Q I � � � Policy#01 Self-ins.I.ic,# UV C 30 I 'Ex�irationD�• ® 2ab o'?O/ Job Site Addles: —� l e ^ Attach a copy of the worirers'compea �'S rp: a n n i s" *l O� R 60�. Fal�nre to secans coverage as Policy declaratim Page(showing the policy nam n�Section 25A ofMGL c 152 can lead r0 the' and date). fine up to$I,500.00 andloi one-year imprisonment,as well as civII ition ofraiminal Pej1a(hes ofa of up i o 5250.00 a day a�st the vioIamr. Be that a P the form Of SIOP WOM ORDER and a the IUM42dOns of the DIA for mice cePY of this stahsmeoi�,be Emwarded to the Of6cj of t covetsge verification. l . j do Aavby • . eerat � ,. • ofp�+y drat SeLqfw•�onp r»sdded above Is,m .anddr>� l 11 Offid l useonly. Do riot Mite fn A to he co Any or rows Issuing Author ity(mac one): r /IfCetltie 1.,Beard of Health 2. Department 3. s 6.Other City/Town CleHc 4. r Phrmbiutg motor -Contact Person: D j +hbft#: j I Fraser Construction LLC CONSTRUCTION - 9 �® P.O. Box' 184.5, Cotuit MA. 02635 Email: fraser construction@verizoi I \J� www.fraserroofing.com FAX 1-508-428-0223 508-428-2292 HILL#1,12536 CS#97668 RE-ROOFING PROPOSAL DATE: October 29, 2011 PHONE:•508-771-6678 NAME: Ann Valtsakis MAIL ADDRESS: Po Box 241 Centerville MA 02632- JOB ADDRESS: 33 Statice Lane Hyannis MA 02601 FRASER CONSTRUCTION hereby proposes to perform the following services,in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofmg material -Re-nail all plywood sheathing as needed. Fraser Construction will include a 4 Star Upgraded warranty with the selection of any 30 year shingles or any Lifetime shingles. CertainTeed SureStart Plus The extra measure of protection when a credentialed company installs an Integrity Roof System: 4 Star warranties have a. 50 year Non-Prorated Coverage for any lifetime shingles, which will cover incase of any in warranty repair, Labor and Materials, any Tear-Off, and any Disposal Fees. Upgraded wind warranty available on the following products when special application methods are used. See description below and in the CertainTeed SureStart'plus brochure enclosed. • Supply and Install - CERTAINTEED LANDMARK: LIFETIME WARRANTY CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi= Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stories with a Full 10 Year Warranty against ALGAE Containment. . With a SureStart Plus upgrade customer will receive 10 year 130 mph wind-resistance warranty with six nails in common bond area, Fraser construction includes.six nails in common bond area at NO additional cost. See actual warranty for specific details'and limitations. Color: ��' ��� PRICE- 9 495.00 Initial �"l Product & Installation Details Supply as Install — (Soffit Venting) Hick's Ventilated Drip Edgekor 8" Aluminum Drip Edge with existing soffit vents'. Smart vents over white drip edge. 1• Protection against damage.to the roofing,materials and structure. The most.effective, is a balance of air intake.and exhaust that,creates``auniform flow of air-through,the attic.,This•system creates a-condition in which the roof temperature is equalized from top to,bottom;-supplying.a-uniform air flowalong:the entire underside of the roof deck. ` K _ a, Supply & Install - CertainTeed-Winter Gaiard or Carlisle WIP." (Ice & Water shield). (WIP- Water Ice,Protection) ' Waterproof Underlayment System (3ft. on eves and". valleys, 187.on rakes,;walls, and skylights) Water and Ice Protection (WIP)"is,a self-adhering roofing,underlayment used on_critical roof areas such r ' as eaves, rakes,.ridges;valleys, dormers and skylights to protect"roofing structures,and interior spaces from water penetration caused by'wind-driven,fain and ice dams. r WIP may also be used as covering for the entire roof to prevent moisture'or water entry. Supply as Install - DiamondDeck Underlayment Paper Or Res Nigh Perforanaxiee (30 1b synthetic high strength underlayment) Manufactured'to°provide best-in-class performance in terms of 'both weather,protection and contractor safety,. _•, DiamondDeck is a synthetic; scrim-reinforced, water-resistant i' urderlayment thaf can be used beneath shingle,-,shake, metal w or,slate roofing. It has exceptional dimensional stability compared'to standard felt underlayment. Q1�s recommended by PertainTeed) Supply as Install.-7 CertainTe6d`Swift"Start With self-.adhering asphalt starter course on all eves, and rake edges,- CertainTeed requires this product for Integrity Roof Systems sand upgraded wind warranties. Supply & Install - Aluminum &:Neoprene Soil Pipe Flashing, SURRIYA,Install- Midge Vent,= Shingle `lent II High performance ridge vent:with'ekterrial.baffle. (As-rec6mmended by CertainTeed) Supply 8a Install — Pre-Cast CertainTeed Hipp&¢Ridge shingles Shingle Ridge meets the,hip and ridge accessory requirements for the CertainTeed lntegrity Roof System:which is'comprised of underlayment,'shingles, accessory products and ventilation } k all working,together.=The.Integrity Roof System.is designed to provide optimum performance--no matter how bad the-Veather conditions are. ' (As recommended'by;CertainTeed) Clean Reffi®ve — Debris from,work area daily. NO MONEY.DOWN,-NO Payme 't atth'e,start or part way thru Payments.,accepted are: _ 2 , y CASH - CHECK- bUSTERCARD VISA' AMEI2YCART EXPRESS ;. v *Any payments not made within 30 days'of completion�;�ill:be charged 1.5%for every 30 days the payment is late. Possible Extra After the shingles are"removed from the roof, we with lift one sheet of plywood to make sure that the'insulati6n is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be , installed by; removing the plywoo&sheathing; installing the panels,"turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including.Materials & Labor.'There are 6 Panels per sheet of plywood: w Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be'done and charged for as an extra at the rate of$60.00 per hour, plus..15%'mark-up materials FRASER CONSTRUCTI04 Warranties the labor for 12 yearn , FRASER CONSTRUCT Warranties theeshingle's against Blow,-'Offs for 16 years. h CERTAINTEED Warranties the shingles and labor,100%°xthrougli the Sure Start Warranty duration. a: f � x CERTAINTEED Warranties.the shingles to be ALGAE resistant for'the duration of the Sure Start Warranty depending on.the shingle that was purchased. t Any deviation or alteration"from above specification will be'executed upon written orders and will become an.extra charge over,and above the, he estimate.-All agreements contingent upon strikes, accidents or delays are beyond our"control. Owner should carry fire, tornado and other,necessary insurance upon the above work.' We, if hot' accepted within thirty days may withdraw this proposal. - FRASER CONSTR><7CTION, LLC:.;Carries.Workanaan's Conipeansation and Public Liability Insurance on the aaboVe work, certificate available upon request ` DATE OF AC CEP7°ANCE; ; Fraser C®ns uc a®n, LAC For compg4M,use orally• , y Date ReceivedR Date Started: I Date Completed Job estimate:`Dean/Make L# of squares: r r, °; Billed " Material'ordered Extras. • . .Paid Available.Discounts 3 j. k_♦ e K The Town of Barnstable Department of Health, Safety and Environmental Services BAIMMABIX Building Division MMM �1659. tr`�� 367 Main Street,Hyannis MA 02601 Fp tw►� Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: �� 1 �y�,g ///�i% J`� e!#: Name: Aj Phone: Address. Y j f7/111r_, Village: Type of Business• `' c Map/Lot: : � O �`o�o INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Z.oniag ordinance,provided that the activity shall not be discernible li;om outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dweDingwhich are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shalt be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Brant: _ G� APP --- Date: � Hoauoc.doc >. TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 273- 091 001 GEOBASE ID 41219 ADDRESS `�3 STATICE LANE PHONE Hyannis ZIP LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 23779 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND t $.00 Ok THE CONSTRUCTION 05 STS $.00 101, SINGLE FAM HOME DETACHED 1 PRIVATE P:"fit + BARNSTABLE. • MASS. OWNER MORIN, JACQUES N TRS i63� ADDRESS BAYBERRY—PLACETED REALTY TRUST MA'S 300 BEARSES WAY BUIL IV SI N HYANNIS MA BSI' DATE ISSUED 06/16/1997 EXPIRATION DATE - TOWN OF BARNSTABLE �d BUILDING PERMIT PARCEL. -ID,273-,091 GEOBASE" ID 41219 ADDRESS-,r.,;.33 . T 1T CE ,LANE - �' `'�'1 a IPHONE •�' Hyannis': ZIP - •, •"s."c. ♦ e .u • Lr h r LOT 1 'BLO'OK�' LOT'SIZE DBA DEVELOPMENT.,;;' t ,;• • ,. ��-e e.�s-�•DI'STRICTf�HY PERMIT 13416 DESCRIPTION SINGLE FAMILY DWELLING' ("TOWN SEWER) `• PERMIT TYPE BUILD TITLE " NEW RESIDENTIAL,. BLDG PMT CONTRACTORS: MORIN, JACQUES N. Department of Health, Safet ARCHITECTS: and Environmental Services TOTAL FEES: $310.00 �I BOND $_00 CONSTRUCTION COSTS $100,000.00, 101 'SINGLE FAM HOME DETACHED 1 PRIVATE " ABLE, • MASS. OWNER MORIN, JACQUES N TRS 039. ADDRESS BAYBERRY PLACE REALTY TRUST 300 BEARSES WAY BUILD 10 HYANNIS MAOF BY DATE ISSUED 02/22/1996 EXPIRATION DATE 4 . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL A .DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE!SSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2Ila 2 2 �- 9 -9-7 3 1 HEATING INSPECTIONROVALS IN RING DEPARTMENT b - 9 t� 7 0 O D OF HEA OTHER: D a SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. J i 2• C�rr,L � dVcG j�cd/lYt� 0 r, A DEPARTMENT OF PUBUC SAFET'y'---D[VjZj0N OF FIRE P f. o '010 COMMOrrv�� Keug TH Av BCSTpN i�fEVEIVTI® Ln RYANN I S 001 (CityCERte Or we o !9 'IFICATE OF CJMPLIANCE o =sue CHAPTER I48, SECTION 26F. M.G.L. ass Cat.'fled that the � ProPertI► located at � f 0 has been equipped with Approved ss+oke 2: detec ors And aes found to be Z compliance with �ptar 148 Sactio General Law. o 26F. Massackuset:: Zuspec"..aon/Test ag completed on: / 8 U 7 to � Fee Fail: ! 4 ImsPector q `--�-�-- PAUL D. CHISHOLa, Ctsief Read of Fie Depar=Ant Oidot=-e: This cer-mfmate i e:c xcl (60) days after date .of issue. P�yes si r7 � I 7 ..✓-•-....+^....r �r1+...- .ti., - . s �. � �^+....'.....-c "^.�<,�'s'� ..'YJ� -.Yl� .f.' "a'1-.'-via. ,f _ . • .�..,+f ate. .. .-� r�� .., rt ^'r.I''d_*'-"'.".'-..'�'-. .+ `Op1HE i0 The Town of Barnstable O� BAHAI%B E. MASS. ` Department of Health Safety and Environmental Services 059. �0 '�fDNw�a Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6217 Z7 3 Ralph Crossen Fax: 508-790-6230 Building Commissioner ./ � Inspection Correction Notice Type of Inspection Location �j 3 C � .�-P Permit Number 43 l Owner ` 1 d ki r�) Builder I—. yt, One notice to remain on jobsite, one notice on file in Building Department. f— The following items need correcting: N §_ o Y 0_r'�z / of 1 1 " ��a( 0 P J LA_) ?-A Please call: 508-790(-6227 for re-inspection. Inspected by Date (� 9" -- Shepley f �C IF & , wood e u i 216 Thornton Drive, Hyannis, Massachusetts 02601 .-%8-771-7969 FACSIMILE 'TRANSMISSION DATE: ----- TO: NOTE: as fL I -L' vv\ avL k L IL (4g, ma �) - - - -UWDI. - -- -- - FAX NUMBED 1-(508) 775--2799 SHOULD ANYTHING BE UNCLEAR PLEASE NOTIFY US IMMEDIATELY AT.- 1 (508)771-796.9 TOLL FREE 1 (800) 227-7969 TOTAL COPIES _ -- (INCLUDES COVER SHEET) 92:LT Ler TT Nnf TOd 999 QO&� i760111 A-71dEF!S 66L2SLL80 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � IL DATA `�. T' $"r y;,r A e{ �'�it''Y�y"'�yf J�`•. !!l4..' rslG i' : i n � fir'. "" Aa t ,M_ .' r e ^CttA�• ,l c„iM °4- ( 77i'77CJ� FAX 506-775-2799 ^W .16 Thdrntcn Drive H}annis, NtaSs chusetis 0 �09 1-505-, 6 H INTERIOR DIM J... . PRINT fA7110E MINY TINE p LOT 1 33 SWIM L UfIT'�a. 8.49 BAYBERRY AVIUR 3OI WRY Y OrAa:.1v1' {IC4V1 fl � I f I RECEIVED IN GOPD 1 SPECIAL CONDITION Sy x INSTRUCTIONS ' CHECIMDBY bRIV,E x';.• : E s •'r,,: QAY 6II J01Rfiy' „281 68�0 610 -k,. :i4. ':i�i,15'y.., •':4':.i�'i�' .. 1 �'ry(').i .�Ci��1� 'UB�IT PpIy`ii ('.:4 .�/�:• .1 t.. t;' C}9 $. '� G x'n.• a. ' ° '•.,i.,M1� DE 'x d ,t,ii;. r.,.::4, :7.^: a+Ni 'liy ice'_ ,7:' .,d•� .:,,a,..i/:.v .• ., . DOOR #1 p EA �'s68MT�R STEEL H 458 1%$ I 15'1.BOO EA 1 157.36 1 � . 26�5 iFAN - ma WIM M L(S1 CARE 1 S i1NE EKE1GR . .. I I1. �14 �I 54.48 B;'F PAGl4RF t>�1IT 4.wo FA o Ea I i sip,In 1 E SOFR J js4�8.a/I: FPAK FS 0/8%2 54. DD.M #3, 10, i"5 1 f1 71.5900 I FA 214.50 f { comninoNs OF SALE ! STOCK ITEMS RETURNED IN VOOO CONDITION ARE SUPJECT TO A HAND41NO CHNnC=0'r ly4u AND Mt:ST BE I INVIfIl q-COMPANlED ON TH}S BILL.NON-STOCK ITEMS MAY NOT BE RE TURNEO W,7HOUT SP?C!A:APPROVAL. � $ CLA1M3 OF SI'ORTAQE MUST BE MACE WITHIN 24 HOURS ORIGINAL COPY 1�10 I1B1SA O CANT '. 9 :LP t✓6 t TT NI'f EOc 8SS I]0'd QOOM A27ceHS 66229LLeOS ssessor's Office(1st floor) Map Z 7 3 -� Lot ��m dU/ Permit# l Conservation Office(4th floor) (� V Q �1��a� APPLICANT MUST OB 9 CONNECTIV14 PERMIT FROM Board of Health(3rd floor)(8:30-'9:30/1:00- 2:00) ENGINEERING DIMS PRIOR TO 3/0 , O� Engineering Dept. (3rd floor) House#1 Planning Dept.(1st floor/School Admin.Bldg.) BARNSTABLE. ` Definitive an Appro ed by Planning Board -,."/�v 19 � S��� a 9 TOWN OF-BARNSTABLE 1� Building Permit Application Project Street Address of 4 � L q V1 n 1 V►h A • 0?,(ao i Village • ti Owner_j ct c.g ve s N)A on vL Address 3 0 o 15 Ca rs es LA.3 0z&4 a h n i yyt 1� Telephone(jb 1-7 5- Permit Request -I-o . Ccsv�s fi-u c t G ,�e1 �x6-Y� - S��►�a 1 -Ra►�n i 4 d .x Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st& 2nd stories) 1 -7 square feet "2 Estimated Project Cost $ u o o y , o� Zoning District RC - I Flood Plain 1.0m, ('� Water Protection GP btwaej ) Lot Size 1 a , a 1,0 Sk - Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use ��61y Proposed Use Construction Type- 0(n)A. Fra+i- - Commercial Residential ✓ Dwelling Type: Single Family ►/ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House N-b Unfinished Old King's Highway K)o Number of Baths a No.of Bedrooms 3 Total Room Count(not including baths) '1 First Floor Heat Type and Fuel FW A- O's Central Air IJ o Fireplaces Garage: Detached Other Detached Structures: Pool Jy o Attached CaA Barn Q o None Sheds o Other Builder Information Name S 1Q. iAov,'Iy . Telephone Number_r�f�� 7 '7 S--J-SXP- Address-3p o m OQLJ, License# o�,-7 ? 7 o "n n i s TAA- . ort�o 1 Home Improvement Contractor# Worker's Compensation# 3 9 t 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 �a SIGNATURE " DATE BUILDING IT NIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t - . t MAP/PARCEL NO. f , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION; FIREPLACE ELECT-RICsAL: ROUGH FINAL r.�=a PLUMB`LN;C: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �,//V � J! bl DATE CLOSED OUT f, ASSOCIATION PLAN NO. `OF,HE Tpj,� The Town of Barnstable O,o BAE.p Department of Health Safety and Environmental Services 9 MASS. 0 t639. �0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection YP --. _ Location Permit Number Owner "-4- d ►. Builder GVz( I\ j One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 for reeinspection. Inspected by Date The Town of Barnstable BARNSTABLE, ' Department of Health Safety and Environmental Services MASS. 059. N0� QED"''I a. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P Location " '(r 0 ��j Permit Number Owner 11, Y�-�1. !n yssJ Builder 'U Ln kf 1"'&, , One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: U -04�� (Od 42- CO►I �P; ter I 1 F _ , 0 i , I ,- r' Please call: 508-790-6227 for reeinspection. Inspected by _ 1p�..,., Datet- -9 !4 REC ME Rom -�- E <dvOLLA�RS : 3 Account Total Amount Paid Sa lC�'alc-/L. .• Balance Oue S "THE EFFICIENCY®LINE"ANAWAD PRODUCT - - °FTHE � Town of Barnstable Planning Board 9snRtvsasLE,A $* 230 South Street, Hyannis, Massachusetts 02601 i639• A�ro (508) 790-6290 Fax (508) 790-6454 rFn�t DECISION SUBDIVSION #701 July 30, 1.996 Linda Hutchenrider, Town Clerk Town Hall 367 Main Street Hyannis MA 02601 Jacques Morin Bayberry Building Company, Inc. 30 Bearses Way Hyannis, MA 02601 Re: SUBDIVISION #701 BAYBERRY PLACE, OPEN SPACE SUBDIVISION Request from Jacques=Morin seeking relief for rear lot line setback from fifteen feet to eleven feet for development lot 1, assessors map 273, parcel 91-1, containing 12,270 sq.ft. The Special Permit and Subdivision Plan was approved by the Planning Board 2-6-89, pursuant to the Subdivision Rules and Regulations, and pursuant to Section 3-1.7 of the Zoning Ordinance. The applicant requested a reduction of the rear yard setback requirement. According to Section 3-1.7(6) of the Special Permit Open Space Residential provisions of.the Zoning Ordinance, the Board may waive the dimensional requirements of the zoning district up to 75%. Paragraph 11(B) of the same section allows the Board to modify the project before, during or after construction. Based on information submitted to the Planning Board, at a regularly scheduled and advertised meeting July 22, 1996, the Board voted to approve a reduction in the rear yard setback requirement from 15 feet to 11 feet, as shown on a Site Plan submitted to the Board dated July 8, 1996, drawn by Edward Kelley, Registered Land Surveyor. This reduction was conditioned upon the petitioner planting four trees, 3 1/2 to 4 inch caliber 12 to 15 feet in height, in the open space where trees have been removed. The height of the trees could be reduced to seven feet if the trees are evergreen. This waiver should be recorded at the Registry of Deeds and a recorded copy returned" "to arming B d office. Sincerely Steven Shuman, Chairman APPLICATION FOR PERMIT TO INSTALL AND REQUEST � vZ P ,��GG _ FOR ELECTRICAL SERVICE ` rco - h v�� OBI � � _ Inspector of fires Wiring Permit# /Electric# � tt t Town of Massachusetts Building Permit# Date Customer: 7. on Street# pole number or under Lot# in.the village of � utility round number p g Customer's billing address ' {�>IE A C S f t ow ly i .5 Temporary �r New installation Change of service Starting Date Job description T t-> <C0fi�CE� Fc;iP t.w 5 iC l.(7"1tta,) OF Arf G..i J-�a +� t- Service entrance voltage ie' z _ o Amperage Phase Wire size(cu.o al.) `- Conductor per phase Number of meters Water heater Off peak:Yes— No— Estimated load:Electric heat kw, lights kw, Range dryer Motors, H.P.& Phase Ready for first inspection S /- Ready for final inspection Electrical Contractor � �'� '�''^t'+-t /t 1 C Ltic.#. t '�� Telephone# ! ._ Address 7� a t1 i '• Tow virc Additional Remarks: Do Not Write Below This Line +: ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES r INSPECTIONS DATE'' FEE CHARGE Temporary Service -� Roughing in r r Service and Meter Off Peak Meter Final Approval Disapproved* *For the following reasons CERTIFICATE OF INSPECTION DATE a K �T To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has th' y bee inspected and approval granted for connection to your service. In ector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 ;! White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor _. to COM/Electric • - Q,Dl'p-v61-'Th TOP of i - .. N pr ` N Fir{4aEc ouo Fl.a T.op oC Pt-A'T� lx2o lx� tt'•IF TYP' .. -.'. _ ,••. -,:,i :' _ ,.- _r' _- � --.IY4 t.oQdclL fefW.'ff5' -- co .. _. pP� pIQtiT FOP• :.f7C4TKIF'LCr'(P� _ - -. - . xlo E1etTbn oyaC - Top eP �' d_ e, I I I - -- - -- r0 u I I I I. L-- - —' f a. I I I- - - - - - .. ... ..-. -'-- -- `iUt Pbi - --- - 1_.-.-- THESE PLANS MYC( -- EP tOClili ED IN'WHO E OR PART'- Uh.DER AIJY CIRCUMSTfWCES I•:: =FQoT �LEVA . IOIJ . �� �'� � tie L•:.-'.; �:�:.!y ni:DdcumaN .. YAROSH-ASSOCIATES,INC 6,9MMIC I I I i 4 AR[�I7EfTS'•PLANNERS `V r T HPIDi' 9,AND Dur:To C''i!;.:i ,I J.D-\9 C ^E. 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N ���•�� \•, f h '.C it � � y k prMr. tYp : '!1, --'-T ` _ I. _ 6 eAl Ito r.. isV.".PLyw, ?2 cn S1IL L. �' �:9 - F TtETGE.tTFI,tY�tSIY�G " ' T,4Td`8oT4�M"Esf - { 1..t 1 �fK `� r .a r = P- 1 fo'I R,Iq . -.' st �� -• "' w - p„` h1E^uE PLANS MAY N07 BE aT i!f aiT�NSUL. 2 fEP'r07lIl:ED IN WHOLE OR PART CONTRACT DOCUMENT V k r 'll ? 2iCC� U1`A)L'H ANY CIRCUMSTANCES t7roe IN T o be he Ba s„of o t Con act�I ; wF ^ •I 4TJ� BbS19 t CAP I op- PoR-Tl ION •.d` a zip �f }4 2x Iodzu, a t ^oo Gwm•dx .l•Jd{•1•• • Bt .... a�. „r• ■-s�-7�•a=-x .2 vt2-'It�Ei�►H,k' a ���� Te YAROSH ASSOCIATES, INC .. K YF,� t'.P c,,OB pps11 T r } ''•+j _ _. _ ARCMiE[t5•tRA1WER3 ',rd} a . • Po Fk • •cue./ ° d• .;� ec ..- TE'..� r .o ' ;,., .- `'�:.��" 6�MIL.':PbI-Y.;3� �a .a� .�."`r..e-��s-1-�ti.1 ` •`G?E'rAtl:,,,�-1r Ftl�r�xT��+—a��1,N�. s1k ,41G!`Y,,�'�6 3 h �;t.t � .�}� ,e r 'i Srk..,'• 1'r >, y � ,Y� ,h e 'F rd��'�` i 7y i.,�., a'. 4x?' 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ZI AS P 2rr8�,1-1 ....TH[?SE PLANS MAY NOT BF P 'I ' REPRObUCEb IN,WVLE 0$ PART �Q7 UNUEiR'ANY CIRCUMSTANCES ,;) 12, I.9t K h 1 r 7 A 4 N 1 I r 4€ Fs—F-P,- TEP r N }� Y 1 ,cs u r,s i �✓ �- S. :Y I _ _ _ _ j �� xl e1 I eelo1 j' k - -- i x' 14 - m 'Vol 1 4 - 11 _ - - 1�4U N 1 .s I R.n.p Yr • r i> CONTRACT DOCUMENT We hereby Certify Ihis D.xvment, - fin bbe The Basis of oor Contred. P*. YAROSH.ASSOCIATES INC. . - ARCHITECTS - '• 9y- conf /^\ . �c� S 4 � E[TS-GUNNERS' ervemee Sy o n if; — lo'r _ \ I io QT CANTriwEVFA T- OL- 'all Lt�/rNG 'G4AS7 QL04Ks /y prr —