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0151 THIRD AVENUE (HYANNIS)
p r a � � Cam*- o �J i °F`"Eryo Town of Barnstable HARIM"LF a Building Department- 200 Main Street p 26 1 9. Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-2015-05154-1 - CO Issue Date: 5/18/2016 Parcel ID: 245-125 Zoning Classification: RIB Location: 151 THIRD AVENUE (HYANNIS), Proposed Use: 1010 HYANNIS Gen Contractor: Permit Type: Residential - Comments: 05/18/2016 Building Official Date: tc TOWN OF BARNSTABLE BUilding I tp 201505154 BARNSZABLE, Issue Date: 09/10/15 Permit MASS. �p s639. Applicant: SAURO,DAVID rFC MA'I A Permit Number: B 20152448 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/09/16 Location 151 THIRD AVE (HYANNIS) Zoning District RB Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 245125 Permit Fee$ 2,550.00 Contractor SAURO,DAVID Village HYANNIS App Fee$ 100.00 License Num 072866 Est Construction Cost$ 500,000 i Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD 2,180 SF TWO STORY THREE BEDROOM HOME THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LUONGO,NICHOLAS P&MARYANN H BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 4625 RENO ROAD NW INSPECTION HAS BEEN MADE. WASHINGTON,.DC 20008-2942 Application Entered by: PF Building Permit Issued By: A�Ec,&CIFIMENTS:ON Y 'THIS PERMIT CONVEYS NO RIGHT TO'OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY.PART THEREOF,EITI-IER TEMPORARII.YOR:AR, NTLY PUBI;I cx OPERTY;NO 11 SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,:MUST BE APPROVED BY THE JURISDICTION. STREET.OR ALLEY GRADES AS'WELL AS DEPTH,AND LOCATION OF kUBLIC WERS MAY BED'"' 'OBTAINED FROM THEDEPARFMENT�OF PUBLIC WORKS,rTHE.ISSUANCE OF THIS:PERM DOES NOT RELEASE THE APPLICANT FROM THE-CONDITIONS OF ANY APPLICABLE"SUBDIVISION RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS.(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY.- WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS,DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). � zc ar �,:,y" �r.;, n; r• BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r - �G F S tal lr Z ' 2&1t-kJ4r' Cawt Caste 'f- Pa 2 / 2 L 3 f r !? l 1 Heating Inspection Approvals Engineering Dept I/ S Fire Dept 2 AB d Lth 5 f,81-076>4 Commonwealth of Massachusetts . She eta l Permit Map Parcel Date: ®EC 092015 t Estimated Job Cost: $ r®�I u AR OFB Permit Fee: $NsrAB v� C,F - Plans Submitted: YES !/ NO Plans Reviewed. YES NO Business License# o `13 Applicant License#J,�� .� Business Information: Property Owner i Job Location Information: Name: e G� r Name: --- Street:\ ou5 s `c oc&,C� Street: t 1 t� \ C�G� �\) e- City/Town: 1b1�; City/Town: Telephone.S 0'6 -a'6 0 " d�a I Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES � 1 NO Staff Initial J-1 /eunrestricted license J-2/M-2-restricted to dwelli s 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire IDept. Approval histitutionaK_ Other Square Footage: under 10,000 sq. ft.Yover 10,000 sq.f Number of Stories: Sheet metal work to be completed: New,Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: /y INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 YesP-1To ❑ If you have checked=indicate the type of coverage by checking the appropriate box below: A liability insurance policy [�/�' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner �J� Agent ❑ ' ZgnLof Owner or Owner's Agent } i By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all perfinent.provision of the Massachusetts Building Code and Chapter 112 of the General laws. i Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments j t t Final Inspection Date Comments I Type of License: ❑ Master i�e ❑Master-Restricted :ftrt own QJoumeyperson Signature of Licensee �errnft# QJoumeyperson-Restricted License Number. =ee$ Q Check at www_maass.aovldnl i 1 nspector Signature of Permit Approval Tow of Barnstable � Reguiatory Services ' WARP, Thom"F.Getler,Direetor +° snilding Division:. Tom Perry,Bu i Com 4doner 200 Main SEree�Hyannis,MA-0260-1 wwwADwn.barnstable.ma.m Office: 508-8624038 Fax: 508-790-6230 Property Qvmer Must Complete and Sign This Section If Usi=A-Builder a ,� Tow er of the.subject(J rGcysubject hereby authorize on my behalf in all matters:relative.-tc)wark authorized by tisis bulling permit (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled.before fence is installed and pools are not to be Utilized until all final inspections are performed and accepted. Signature of Owner Sjwe:o pgIicant Print Name Nat Name Date Q-Y6RMS:0WriSRPE[2MIS 0NPIO0IS v The Commonwealth of Massachusetts Department of Industrial Accidents kvi Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Rick Tavano Heating and Air Conditinion Address: 1065 Service Road, City/State/Zip: West Bamstable, MA 02668 Phone#: 508-280-0026 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. ✓ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' insurance.: 9. Building addition [No workers comp.comp. insurance required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi and r th d�penalties of perjury that the information provided above is true nd correct. Si ature`. /G�l/V Date: -� S a Phone#: 508-280-0026 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: p MIS I. Pj _ 8 36 E u_aEx SERVICE ROAD UE �ARNSiAB�MA 026MINg Fold,Then Detach Along All Perforations ' " '— " c -.` ��a&;,�'v' �,.":� .,r.• .� .� .ass--�- ,�� -._._ _-:.. __ .. . _ ..._..__ .... ... .-- -- .. ..._._ . ._. _....... -__ .. .. ...._.. -. _. :.} v f> St�EfTAL � � _ � A� fASTEI At ESTON.'TED" � l if T'V 0 K m ` � ►t � t {y <►A 02668 r..a a .gyp fr"h ''A p Qn _- _ �. R • -111 A55E550R5 ID: 245-1 25 FLOOD PLAIN:X FIRM PANEL: 25001 C05G4J EFFECTIVE DATE: JULY I G, 2014 DEED REFERENCE: 25735-1 75 PLAN REFERENCE: 34-23 ZONING DISTRICT: RB CB FIND. cB FND. N57 I;9' 1 5T E 100.00' co 0 --31.1' o Z O441 O 35.5' DWELLING k 1 5 1 NDER CON5TRUCTI0 rn ON NEW CONCRETE OFOUNDATION 0 C 0 LOTS 132 # 134 00 zO 8000 5.F. EXISTING GAPJSTUDIO `-� 4.1 5870 19' l5V 100.00' 0 30 60 Feet I HEREBY CERTIFY THAT, TO THE BEST OF MY 5CALE: 1" = 30' KNOWLEDGE, BA5ED ON AN IN5TRUMENT SURVEY, THE.5TRUCTURE5 5HOWN HEREON ARE AS THEY EX15T ON THE GROUND. �' A'"''�. FOUNDATION CERTIFICATION $ . 1sT /�C PREPARED FOR sTEPHEN 15 1 THIRD AVE z J, ` v Dt?YLE HYANNI5:PORT, MA p NQ.37559 . 9 - Stephen J. Doyle A55oClate5 42 Canterbury Lane,Ea5t Falmouth, MA 0253E C= oi�f�y Telephone: 508 540-2534 5Jd5urvey@aol.com DATE: OCTO5ER 15, 2015 5CALE: 1" = 30' aae f (��,,�y� S ! BHflBT NO SUM 2 t ! I �0DlItDC! I I I DATA ' cJ 5 0 j OALCULArIED dY[ 8 Rirrear'View Lwa�m�s. 1 ( ! _, nAr9 ! { I Q, W3� C61�CK�D 8Y i 1 ! 771 _ BCA48 s ....... F j I f , f , r - t ! w. 7. I t� a., i I U1J>> _....... , I - t . 1f ` ! : t i_..- ...._. •• ! t r 50, VIA < q , tt - , .. .. ,..:...:,., ......._....1._. ......�._... I . . _d.. ,...._ �- t4 C. , i l ... � IY.P >•. , .. , .. ..,... Yjj �.....! r ...i._.. .....�. ./'.... , G. 1 � i 1 :. , .`�....� -.., ._.�,-----r--_J.:;__.�,.-.r,: ('Ld fJ 4: ! , I I { 1 _ >-k�a 0 � S TOWN OF BARNSTABLE BUILDING PERMIT API`i CATION Map Parcel 1 '7 Application # Health Division Date Issue b Conservation Division Applicatio /� nnPlanning Dept. Permit Fe5n V 0 Date Definitive Plan Approved by Planning Board Ca f—�� �ZS O OHistoric - OKH _ Preservation/ Hyannis Project Street Address Village ic.« a to s ie ov oq6w►Y•qA,.-- Owner Address P 00&g� Telephone ��/7 ' �(e�• (. !�� Permit Request o ^.`a/ • ,$y G.+/ •�i/� Ste" AyO S� 2 �/ Square feet: 1 st floor: existing proposed/4 0 2nd floor: existing proposed /�090 Total new A Zoning District B Flood Plain Groundwater Overlay Project Valuation!5�0)4 J"l>O Construction Type&V4b A-'0110 Lot Size 74 00.400 SA" Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family kr Two Family ❑ Multi-Family (# units) Age of Existing Structure 6XV Historic House: ❑Yes 0'No On Old King's Highway: ❑Yes 9 No Basement Type: EfoFull ❑ Crawl ❑Walkout ❑ Other �11 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 4-0 4 0 1� Number of Baths: Full: existing new Half: existing new / Number of Bedrooms: existin g3 new FTotal Room Count (not including baths): existing new s First Floor Room Count Heat Type and Fuel: J Gas ❑ Oil ❑ Electric ❑ Other Central Air: % Yes ❑ No Fireplaces: Existing New ✓ Existing wood/coal stove: ❑Yes b No Detached garage*dexisting ❑.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 V Appeal # Recorded III Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use �Se!!�—f4 AA^-14Y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �i'�f/°!U �/9 •PG Telephone Number '7?V— 1/4; 'dooA Address L63 7??lof, Z14A e License# I�AS" Q ?d 9*4 4 C&A_ne'? L.- Home Improvement Contractor# Email (J '/�CZ'r.S L��Y3/�r''�S�'• T Worker's Compensation # 01.20/41 ALL C STRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO % A ��`S SIGNATURE DATE T FOR OFFICIAL USE ONLY APPLICATION# .DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j �. One NSTAR Way" Westwood,Massachusetts 02090 ENERGY! August 28, 2015 Maryann Luongo 4625 Reno Rd NW Washington DC 20008 RE: 151 Third Ave, W `Hyannisport MA 02.672 L 013De r Ms. Lu ngo, At Eversour,e, we're committed to delivering great service. c This letter dies.as cc nfirmation that, as of 8/28/15, the electric service to .. 1 61 Third Abe`, W Hyar)nisport MA 02672, has been removed. Based on this information, there is no electric power at this address and you may proceed with the demo'fition. If you have any questions, please contact me at (888) 633-3797: F Sincerely, cir �"✓' r inSullivan Mat Sull New Customer Connects 1 P k 28836 P�58 618840 i 0 -30-2015 61 02=56P Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit No.2015-016--Luongo §240-91(El)(3)—Demolition and Rebuilding on Nonconforming Lots To demolish &rebuild a single-family dwelling on a lot less.than 10,000 sq.ft, Summary: Granted with Conditionsi 1F? 15TABLE TOWN��LEI'�K Petitioner: Nicholas&Maryann Luongo 2625 Reno Road, Washington DC, 20008 Property Address: 151 Third Avenue, Myannis (West Hyannisport) �''-` �g� 3 PP1`:48 Assessor's Map/Parcel: . 245/125 - Zoning: Residence B District Hearing Date: March 25, 2015 Recording Information Deed: Book 25738, Page 175 Plan: Book 34, Page 23 (Lots 132 & 134) Background In Appeal No. 2015-016, Nicholas and Maryann Luongo petitioned for a Special Permit pursuant to §240-91 H(3)to demolish'and reconstruct a dwelling at 151 Third Avenue, a lot that contains less than 10,000 square feet.' The subject property was improved with a 1,530 gross.sq.ft(1,178 living area), three-bedroom, 1 12 story, single-family dwelling constructed in 1950. The Petitioners proposed to completely cemolish the existing structure and rebuild a new 2,180 sq.ft, two story, three-bedroom, single-fa nily dwelling. The new dwelling was proposed in conformance with the setback requirements of,the RB District and substantially within the footprint of the existing dwelling. An existing garage/studio on the property was proposed to remain. - Procedural &Hearing Summary Special Permit No. 2015:016 to allow for the demolition and rebuilding of a single-family dwelling on a nonconforming lot containing less than 10,000 square feet was filed at the Town Clerk's office.and office of the Zoning Board of Appeals on March 4, 2015. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters,and interested parties in accordance with MGL Chapter 40A.. The hearing was opened on March 25, 20,15 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were Brian Florence, Alex Rodolakisr George Zevitas, David A. Hirsch, Herbert K. Bodensiek._ David Sauro represented the Applicant before the Board. Mr. Sauro provided a history of the property and the special permit request to the Board. He noted the reconstruction would be substantially within the footprint of the existing dwelling and that lot coverage, floor area ratio and height requirements would be complied with. He noted that the Applicant's were considering replacing the septic system. There were three a-mails in support of the project on the record. There was discussion regarding the garage/studio and it was concluded that it could not be used as a separate dwelling unit. ;The Board Chair requested public comment and Tom Scott, 130,Third Avenue, stated that he had come to learn more about the project and that he understood the need to replace the existing dwelling.. 'Findings of Fact y At the hearing on March :'15, 2015, the Board unanimously made the following findings of fact for Appeal No. 2015-016, a request for a special permit filed by Nicholas and Maryann Luongo to demolish grid reconstruct,a dwelling at 151 Third Avenue: 1. Nicholas P. and Maryann H. Luongo have petitioned_ fora Special Permit pursuant to §240- 91 H(3)to demolish and reconstruct a dwelling on a lot that contains less than 10,000 square To wn of Barnstable Z f Appeals'1 onus. Boanct o Decision and Notice g Special Permit"No.2015-016-Ltongo • feet. The Petitioners fare proposing to demolish.the existing.principal dwelling and construct a new, 2,180 sq.ft dwelling in conformance with all setback requirements. 2. The subject property[s located at 151 Third Avenue, Hyannis, MA as shown on.Assessor's Map 245 as Parcel 125..It'is located in the Residence B Zoning District. 3. Section 240-91(H)(3):allows for the complete demolition and rebuilding of a residence on a nonconforming lot containing less than 10,000 square feet of contiguous upland by Special . Permit. 4. Site Plan Review is not required for single-family residential dwellings. 5. After an evaluation of':all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. The dwelling will be in conformance with setback requirements and will . be an improvement over the existing structure. 6. The dwelling is proposed in compliance with all setback requirements of the RB District. 7. The proposed lot coverage shall not exceed 20%or the existing lot coverage, whichever is greater. The proposed lot coverage, inclusive of the principal dwelling and accessory structure, is 16.5%. ..8. The floor area ratio shall not exceed 0.30 or the existing floor area ratio of the structure being demolished, whichever is greater.. The proposed FAR is .27. 9. The building height, ire feet, shall not exceed 30 feet to the highest plate and shall contain no more than 2'/Z stories: The proposed height is 22 feet to the highest plate; the proposed dwelling is 2'/2 stories. 10.The proposed new dvtielling would not be substantially more detrimental to the neighborhood than the existing dwelling. The dwelling will be in conformance with the setback requirements- and will be located substantially within the footprint of the existing dwelling. The vote to accept the findings was: AYE: Brian Florence, AlexM. Rodolakis,.GeorgeZevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Decision Based-on the findings of fact, a motion was duly made and seconded.to grant Special Permit No. 2015-016 subject to the fallowing conditions: 1. Special Permit No. 20`15.-016 is granted to Nicholas and Maryann Luongo for the demolition of an existing dwelling and rebuilding of a 2,180 square.foot dwelling at 151 Third Avenue, Hyannis. 2: The dwelling shall be constructed in substantial conformance with the plan entitled"Proposed Site Plan= 1.51 Third '.Avenue",dated (last revised) February 6, 2015, drawn and stamped by Yankee Land Survey o, Inc.; and the floor plans and elevations dated_(last revised)-M ch'6 t20:1:5-drawn byAndrejs R. Strikis, Architect. 3. The total lot coverage!of ail structures on the lot shall not exceed 16.5% and the floor-area ratio shall not exceed .27 4. The proposed redevel`apment shall represent full build-out of the lot.• Further expansion of the dwelling or construction of additional accessory structures is prohibited without prior approval from the Board; .5. " All mechanical equipment associated with the dwelling (air conditioners, electric generators, etc.)shall.be screened from neighboring homes and the public right-of-way: Town of Barnstable Zoning Boz d of Appeals-Decision and Notice Special Permit No.2015-016-Luongo 6. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance building permit. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Brian Florence, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Ordered Special Permit No. 2015-016 to demolish and reconstruct the dwelling at 151 Third Avenue, Hyannis has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The reliElf authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of.the filing of this decision, a copy of which must be filed. in the office of the Barnstable Town Clerk: Xiakj Larson, Chair Date Signed I, Ann Quirk, Clerk of.the Town of Barnstable, Barnstable County, Massachusetts, hereby certify' that twenty(20) days have elapsed since the Zoning Board of Appeals filed this.decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed,and sealed this c2 — day ofo20/under the pains and penalties of�,�� , ,,,,, perjury. A '> 68��'� s t -Ann Quirk,Town Clerk fix• Z;z N � .p !�Q,,t,• r 1•o4Q, i < ti x 3 AO W ...n of Barnstable URMAEM Mal Assessing Division " 367 Main Street,Hyannis MA 02601 Office: 508-862-4022 www.town.barnstable.ma.us FAX: 508 862 472Z Jeffery A.Rudzink,MAA Director of Assessing ABUTTERS LIST CERTIFICATION . x , March 9, 2015 F` RE: AdjacentAbotters List t. For Parcel(s) : 245-125 151 Third Avenue Hyannis, MA 02601 As.requested; i hereby certify the names and addresses as.submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. f C ------------------------ Board of Assessors Town of Barnstable '-i - Zoning Board of Appeals (ZBA) Abutter.List for Map Parcel(s): '245125' Parties of Interest are those directly opposite subject lot on any public or private street or way and abutters to abutters.Notification of all properties within 300 feet ring of the subject lot. - Total Count: 34 Close` Map&Parcel Owners Owner2 Addressi Addrefs CityStateZip p s 2 Matting Country Deed 245110 BRENNEN,WILLIAM 85 DEXTER ST MALDEN,MA 12137/197 A&MICHELE L 02148 KINLIN,ROSERT!3 328 COMMERCIAL BOSTON,MA 245113. 27987/231 ]R STREET#35 02169 WELCH' 8 VIR,M L&J f'& LARCHMONT NY 245114 GINIA PLACE ' 26400/101 G R&MIKUS,B V( I 10538 245115. LAFRANCE ANN T 1200 19TH ST NW WASHINGTON, C/O SPB #300 DC 20036 8703/58 MCDONALD JOSEPH MARSHFIELD 245116 D&MADELEINE 95 MAIN ST MAR ,I MA SHFI , 1371/359 245117 HORN,JOHN M& 17 STEVENS RD i N2492 AM,MA 9419/162 VEZINA,CELESTE P CHRLEAIS 245118 2112 WORCHESTER I MIDLOTHIAN,VA ROSIN J TOPHER& RD 23113 9825/94 - ROB CURRAN;JOSEPH F CURRAN FAMILY PO BOX 694/123 ! WEST 245119 JR&CLAIRE M TRS 2009 TRUST THIRD AVENUE ' HYANNISPORT, 23905/41 MA 02672-0694 245121 MCDONALD,JOSE?H MARSHFIELD 95 MAIN ST 1102/172 D&MADELEINE MA 02050 WALSH,JAMES Mc 146 FOURTH WEST ' 245122 PO BOX 343 HYANNISPORT, 10388/133 MARGUERITE AVENUE MA 02672. CAREY,MICHAEL C&. WEST 245123 SUSAN E PO BOX 195 HYANNISPORT, 20486/20 MA 02672 CORMAY,CHARLE° T. WESTON MA. 245124 &MARCIA ; 13i MONTVALE RD 02493 7850/118 245125 LUONGO,NICHOLhS 4625 RENO ROAD i WASHINGTON, P&MARYANN H NW DC 20008-2942 25736/175 MCCANN ANDREW R 116 PINEHURST NEW YORK, NY Z45126 &)ESSICA.: AVENUE I 10033 25504/25 245127 LEZOT7E,EDNA M, 52 CLITHEROE- LOWELL,MA-. STREET. 01852 22683/60 MCDONALD,JOSEF'H MARSHFIELD, 245128 95 MAIN ST ` 6768/140 D,&MADELEINE MA 02050 MCDONALD JOSEPH MARSHFIELD D&MADELEINE 245129 ' 95 MAIN ST I MA.02050 1371/361 ' 245144 HORN,JOHN M 17 STEVENS RD NEEDHAM,MA I 8965/266 02492 266003 STEPHEEN)LIS 166 CAPE DR f MASHPEE,MA 21237/122 STEPH i 02649 GIATRELIS, STEPHEN JOHN P.BERRY- MASHPEE,MA 266004 106 CAPE DRIVE 28361/201 J&BERRY,MARGARET REVOCABLE TRUST ( 02649 D TR BERRY' MARGARETiD,OCEAN STREET WEST, 266005 TR REALTYTRUST PO BOX 210 i HYANNISPORT, 27746/110 MA 02672 266006001 625 SAWKILL RD C142738 GARRAGHAN, NANCY C/O GARRAGHAN,R I KINGSTON, NY http://66.203.95.236/arcims/,`appgeoapp/AbufterRei)ort.aspx?type=ZBA 3/3/2015 f L ABEL 12401-7101' SHEPLEY,HAMILTON WEST. 266006002 N&LORRAINE E P 0 BOX 420 I HYANNISPORT, C163772 MA 02672 STEWART,WILLI;aM WEST 266007 P O BOX 102 I HYANNISPORT, 15401/17 H JR&TEPPER,NINA MA 02672 266008 GIATRELIS,KAREN L` 12 COUNTRY CLUB NORTON,MA 28033/36 WAY I 02766-1154 CHISHOLM,THOMAS WAYLAND MA 266009 B P 0 BOX 399 I '01778 13633/54 COLLINS, 266010 CHRISTOPHER W'& 100 BRIARCLIFF LN HOLLISTON rMA SHERYL A I 01746. 7949/220 • I 4ttp://66.203.95.236/ar6ims tappgeoapp/Abuttergep6rt.aspx?type7ZBA 3/3/2015 t i . 266012 CAMPION,ROBERT 126 CENTRE BROOKLINE,MA L&LORRAINE T;. STREET I OZ446 27824/49 CONDINHO,CRAIG FOREST STREET . 24085J28 266013 PO BOX 534 MILLS,M S • H&JEFFREY L Tr2.5 REALTY TRUST �.. MILLS,MA 02648 266014 MILLEY,PETER P& 120 SUMMER ST LEILA R Y I 020IN,,MA 38 134381200 02038 ' WEST ' 266017 POLICE,JANEf P O BOX 39 HYANNISPORT, 23065/304 MA 02672 266018 SCANLAN,GERARD 22 TEXAS ROAD WESTFORD MA F f 01886 22554/241 266023003 CONDINHO,CRAIG FOREST STREET P O BOX 534. I MARSTONS 24085/Z8 H&JEFFREY L TRS REALTY TRUST MILLS;MA 02648 SCOTT,THOMAS A WEST 266035 &KIISS,KADI PO BOX 241 I HYANNISPORT; 26684/270 MA 02672 This list by itself does NOT oonstiUde a certified list of abutters and is provided only as an aid to the getermination.of abutters.If a • certified list of abutters is required,oontact the Assessing Division to have this list certified.The owner And address data on this list is from the Town of Barnstable Assessor's database as of 3/3/2015; i hq://66.203 95.236/arcims/41 pgeoapp/AbutterReport.aspx?type=i BA 3/3/2015 Town of Barnstable Geographic Information System March 3,2015 24509d 246U9245 9 246094 N 267002 065 . #95 #� �246f1q 746 #95 246092 ltt #1025 095 287140 c 246100 #101 #102, �106 �287008] n ;� -#.100 245093V #�104 ' 246093 #107 O 267181 245086' y#103 _ p #107 C #1 >a #104 A 245108 2#5 9 M 266015 266020 fi �67U3:3 %?;4 2 #112 _ '`:`:•;. ?"';::': 245120 #.1,0 7n #•120 266021 #122 245087 #11i #�155 266018:':;. #121 #�112 * rw 245111 C 245118 #2 : 245109 #117 1% #62..: ..� - 245091 #'120y > r 245000 #119 1 � �rt 245064 11120 '•�T►br/r 245110err 766031 #82't: /�. .,fir•/r'ri:/.�/; / rrr {;r, / �C` 266Q23001 #2 245090 245089� #127` 5 �/.-/!/ -,"'=i!/:ri✓rr 2#4 #128 rjr rY "•`rr'1,46 br' .r24r# l/ir�.,"��% .y,a �J.'Y'�,Y:r r<%.r 2.!33 506 ,Folio' r6ORE' 1291 W -� .'245113: 'rlr..;c�> /r'',,Sl .i/'.� i ,/:yr''3yir - ✓/ '.i"rr r-_ 245099 i 8142N`. :y.. /i.',, _:/;r✓ /.r ✓/.' ! / vi/rlfi///'- 13f 24507' = ` "266006 2 ... P h i, 245076 #1 8iM -1,�lrJl;.�. �.`�11,f_•r!/�, r�' ':y'i' /i!i :� ! .Y':`f. r- •#149 :.24 /, Y't`Jf, ;. r%!i //S�`j>%:i1,/r- •y � ���i:•/ '^•� ,(/. 'Y� 1 C :i#1��:.! �.r ,�..ti., f /� {'1,,,,f� %i•i?"r'{:i.:i:i'i:[:?.':i.a:.•:�:::;i;•y� , . .r,-�%•Sl,� r:;�.;.,. ./,yf,�r,, 1 f�. !///:"'ter.: -'.ei 111 245098001 •-</�/T ,/.-!!•tii;r �.%%.' ;,r:.•i• ! /•:r/ !;% ! i". - 245075 58' !. � j.�il:•r,--'., /,� ! /Y• 45098003 4 # 3 1 7 .yam 5 7- 'i #1 / i 59 '�'' / /�/ "•66" r # 245090002 ,.../-/ � �. / ��b<6'%.'"r /1r<�, . i/ t ...r�,•..�,.r l .lifi�?�%-`.r.: 1 ,.w '�:.r,1f,r, �r;! ./!-'`-. .f ✓�,1 y��,r/�_<y,�Fj f. / ��.r,. '.. :c-• .i- 245U/4 .245ti$' / /'�;';!; r!!� ^/�r •;y.f ! r �r r 6 l! ,,r ., ,r ••� r:.:Sam:'"f r',:.:�...;i. 245097UR #172- :it ..!. f ,! .,.., - 1#14Md1 s;�. fi:.; /' �f%�i•!:, ri/✓ �1I 1 ..•l .. ';f!'✓„r. ..�!rr✓•fiN;�,�.•. ;•, / .:=.J'r-:(' eANON r 1. F e Y , 99'ic:i�;:'i_=a::;:jr-' 1'?`:�'.::'�°c�?:•.'E:• 245900 245t07 fr�r '.•'r:/., . #184 ,, _ C266003. 2450849745�01 #189 245106 #192. :r•' - - #1 • 4 91• 2 5079 # 194 245102 245083 245080 r #202 #201 245105 ' 4212 266002 #0 245081 4216 �2}45082 245104 245132 n 7 245103 #6 #0 #216 )2�433 2 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:245 Parcel:125 Zoning Board of Appeals(ZBA).. - a boundary determination or regulatory interpretation.-Enlargements beyond a scale of - - - Selected Parcel r=,00'may not meet established map accuracy standards. The parcel fines on this map Abutter List Type-Parties of interest are those directly opposite subject lot on are only graphic representations of Assessors tax parcels.They are not tree property any public or private street or way and abutters to abutters. Notification of all Abutters w E boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. - - Buffer /�/r I LEGAL .. t . x.L `arON(N OF BA(iNSTABLE ' ` ZONING BOARD NOICE OFPUBL[ fERI NAPPEANLSE THEn NOTICE t 'ZONING ORDINANCE' TOWN OFB/}FUtSTABI MARCH 25 2015 r.Xp q e U iZDNING 80ARdOft'AP.PEALGit To alfpersons interested In or affected by the actions"of..; the Zoning Board of Appeals you.are herebynodfied NOTICE OF PUBLIC HEARINGS UNDER THEZQNWG pursuant to Section�1 of Chapter 40Aof the General ORDItrANCB h LaW$.Of the Commonwealth of vtassaghusetts and ail j "' AAARCH,:25,2015 " 4 amendments thereto theta pkblfc heariQ9 on the fo1 To all persons interested In,or atTected by`ihe actions otthe lowing ap eats will be heltl on Nednesday March 25 ZoningBoatdofAppeads you aretreretryrioUfred pursue dto 2015'aie time Indicated n Sectionll of( hapter40AoftheQerter�Lawsottha.0 om ' AccessoryAff'rdebleApartmerdPrbgram 830PM` maiwealthofMa arjwsetts,arxieGalirentlmentsihereto Apubilcheanngbe>oretheHe nngOffi6&W1lbeheld Owtepubpcheai{ngonihafoGo tswGlbe wUxjappeaiie on'the following Comprehen%VvY Permit application INedrlesday AMardr25 2D15,atfbehmeincflrrted ; fnade pursuant to Chapter 406 of the General Laws of AooessoryAffqrddaWeApartiriantprogram 4 g 30 pM the Comm r�ionwea{th of Massachusetts and Chapter 8, AputiBc heanng bekij lira Heanng bifioerwa9 Ge`held on lha Section;l5 of the CgCe oflhe'own of Barnstable the idbw�ngCCm60*liensnreRennrta made m- AxessoryAf>ordableAparhnentProgram to 40BoftFtaGeneral Comrnornveatth Chapter 6 30_�AGM�ppeal:No 2015 15 Mertdes , of 11Aessechusetts and Chapter 8 Sec6oh 15 of fhe Code . Gilson O Mendes,4 Mar for of the fownofBarnstabie q ryA} ya pert .< Co*Prehe�nsrie Pe"rtnk fo esvablish a 659 sq ft one ment Pn�grarn r hedroomSaccessory affo[dable apartment wrthin them 8 30 Pt41 Appeal No 2015 015 Mendes existing dwetlrn9 The sub)ect property 1s addressed GGson'O 11,1e(da3&Mana P:Whdes have applied for a 241.HyeRoad Csnteryille MA as shownon.Asses='I Comp!efie aPerr�fttoesteti lshag59sq$onaE oan sors�Aap,147 as Pa jcel U17 d is to the Resrdenca C , coo atfor�eble apartme�ityvi�nyrefr cAyeA Zornipg Dlstricl u :. p+oPY Ls addressed 24)Nyie Roads Center �.I Zoning.bard ofA ppeals 7,00 PM '^�MA �> n 4ssessors(�1ap 14T gs Parcel 017 j 7 Q0 Pfvl Appeal No 2015 014 Brovm Group Retell Inc It thaResutatxe C Zonrng Dtsrt l TM y `f ' (d!b!a Famous Footwear) �, Zon�g;Board.ofApp'eaLs 7 00 PM.. ' Brown Group RetadX Inc(rilbl�Famous Footwear)as 7 OD PM Appeal'Nq 2015-014 Bro(vn Group Retells L e tenant,has ap�ii)ed for a var{ance to the number end (cllWa:Farnous Footwear) >s ��vz r r ) s of snsallowed by§240�5 They 11-1"are,ppropbsing Brovm'Group RetaG Inc (d(b/aFamous Foohvear)�as t on6E7Tsgftwails(gn,ler)08sgftvnndowvinyls and. tenan5.fiasappiredforavanarice`}onumbera�nds¢eof one 3 sq ft blade sign The ordmatice a)lows ibr two i signs aNwed §240�65 They are propos'1ag one 976q ft signs:not to ow:vrnyls,arxforx-3 sq ft blade the ar8a of the building wail facing a publlcxva� 50 sg ft I srgn.Tlieonimance a0owsfi for - s�notfo exceed a jolal ,.' ofslgRage)The property is located at7901yannough j squarefootageofl0"/ooftheareagfihebui IngwaGfaang Road,Sou to 9.Hyannis MA as'shown on Assessor s a putt way(50 sq ft of srgnage)`The properly located Map,311 as Parcel 092 Ft.is it the Wighway Busmess j at 790tyannougii.Road 3uroa 9 i iy6nnis,MA as shown J (HB);and Business(B)`Zoning7)rsfricts on Assessor s Map 3It as Pert el 092 It rs m iF{e tfigfrNay{' 7 01.:PM AppeaP:No 201 M16 Luongo Busirtas§(HB)arx!Bush '(B)Zoiurg Disdids l; N orioles p and Maryann H Lu�ngo have petitioned for 7 bi PM Appeal N.o 2015-0161.uongo a§pastel Permit pursuant!to§24, 9.1H(3).to demolish Nicholas P arxf Maryann H Liiaigo fiave,pethoned'for and'Secon ct a tlweldrlg on a lot,that contains Jess SpedafPerrnrt pyrsuant Uo-§240 91H(3)to derribltsH'and s tharj 1D 000�v5•quare feet The Fehtloners are.pr..posing y recI...&Wctadwelluig on a lotthetconfains(essthan 7p.p00 a, to demolish�he exlsdng pnncrpsi dwelling and conshuct squani feet The.Peh"rs ale propcukrg.ti5 demo6sTi the n a new 2180 sl dwelling'in conformance with all sot ewstlrig'rpnnapal dWeiling and axisducta riaw,2180tsgft bacKrequlrements The roperyrsaoc p2ted:af:151Third d�VeiGrigmcatfonnatioewhhaGsetbadcriegUremer>is:fha-. Aven,'ue Hyannis MA as.shownonAssessor's.Map ;• propertyrslocatedat151:ThirdAvenue)tyannrs MA as ;I 245 as Parcel 125 It is lose ed Inthe Residence B" showw.n on Assessor s Map 24S:as Parcel M it cs boated. Zoning DPsMct^ k m the Reszfence 9 Zoning Distiid ; s ` w: These public headngs will be raid et Barnstable Town These puhi ctieanngs wi ba.tisld at Barnstable Town HiG sI Hall 367 Malrr.Street Wyanrlis MA Heanng Room, 367 Main Stfeet Hyannis MA Heanng Room loca�d on 1. located on the 2nd F�16&".bn Wednesday March25 I the 2nd Floor on Wednesday,,lyfarch 25 2015 Plans and 2015 Plans and appdca)ions may tie reviewed at the appJkxHorrsmaybe'ravlewedattheZoningBoardofgppea<s Zoning Board ofAPPeals.Offlo myctti lanayement Orrice GmwthManagementDepardrtent TamOffioes 200 DepAifinent''.Tdwn Offices,2CD am {teat_Wyannls, : Main`Sheet'Hyannis MIL "-1 Crag G;larson:Chair _ Zen .{ 1 i ing Board ofAppeaLS CYaIg G Larson;Chair t t' t The- Patrio ` Zbning 8pard bf Appeals• March 8;and March.jA 204 The Bamstdblsatriot NJarcfi 6 and March 13 Zr)i5 BARNSTABLE REGISTRY OF DEEDS John R.Meade, Register i it ^n August 26, 2015 3 Attn: David Sauro/ Cape Cod Construction Services Inc RE: 151 Third A►ve. -MA This letter is to notify you that the gas service located at 151 Third Ave, Hyarihis, MA, was cut and. capped on the property on August 25, 2015, ,If you have any questions, please feel free to contact me @ 508 760-7463.- Thank You; Sarah Brillant Gas Customer Fulfillment National Grid 127.Whites Path F S. Yarmouth, MA 02664 Tel #:508 760.7463 Fax#:508 394-5019 } _ Department of Public Works �taa0 barmouth Rd. Water Supply Division � r BA1tPISd ABL2, , '634° Hyannis,Water System Operation's r August 27, 2015 Town of Barnstable Building Inspector Town Fall Hyannis, MA 02601 Re: 151 Third Avenue-Map/Parcel:'245-125 F , Dear Sir: r Please be advised that the above water service was shut off at the curb stop on 8/26/15 and the'meter was removed. The owner has informed us that they are demolishing the building. If you have any questions,plt,.ase call the office at(508) 775-0063: Sincerely, Jayne Starck Hyannis Water System Tit y ' URCE . aTRom One NSTAR Way ij Westwood, Massachusetts 02090 ENERGY { August 28, 2015 i Maryann luongo 4625 Reno Rd NW .Washington DC 20008 t RE: 151 Third Ave, W Hyannisport MA`102672 Dear Ms. Luongo: At EverSOUrce, we're cammitted to delivering great service. This letter serves as confirmation that, as ©f 8/28/15, the electricservice to 151 Third Ave, W Hyannisport MA 02672, has been removed. 0. F r - ..Based on this information, there is no electric power at this address and you may ' proceed with-the demo ition. If youhave any questions, please contact meat (888) 633.3797. Sincerely, Martin-Sullivan New Customer Connects 4. t i .. i .. i REScheck Software Versions 4.6.E Compliance Certificate Project New Custom Colonial Energy Code: 2012 IECG Location: Hyannis, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,180 ft2 Glazing Area 19% Climate Zone: 5 (6137 HEID) Permit Date: Permit Number: Construction Site: Owner/Agent:. Designer/Contractor: ; 151 Third Avenue ' David Sauro Hyannisport, MA 02647 163 Tern Lane Centerville, MA 02632 . a u r. q a' Compliance: 5.7%Better Than Code Maximum UA: 298 Your UA: 281 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. . Envelope Assemblies Ceiling 1: Flat Ceiling or Scissor Truss 1,090 38.0 0.0 0.030 33 Floor 1: All-Wood Joist/Truss:Over Uncc•nditioned Space 1,090 30.0 0.0 .0.033 36 Wall 1: Wood Frame, 16" o.c. 1,984 21.0 0.0 0.057 87 Window 1: Vinyl/Fiberglass Frame:Dou.ale Pane with Low-E 284 0.290 82 Door 1: Solid 21 0.180 4 Door 2: Solid 56 0.220 12 Door 3: Glass 44 .; 0.280 12 Door 4: Glass 52 0.280 15 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 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. kel'th TveJfw000l '...Name-Title Signature Date Project Notes: REScheck by Cape Cod Insulation, Inc. 18 Reardon Circle t - -South Yarmouth, Ma. 02664 800-696-6611: 12262 Project Title: New Custom Colonial Report date:. 08/31/15 Data filename:\\bruins4\PROFILES`kpresswood\My Documents\Documents\REScheck\#12262.rck Pagel of.8 }Y REScheck Software Version 4.6.2 Aw 'Inspection , Checklist • Energy Code: 2012 IECC Requirements: 45.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user,in the REScheck Requirements screen. For each requirement, the user certifies tha`_ a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Complies? Comments/Assumptions & Req.ID T _ Value Value 103.1, Construction drawings and '❑Complies Requirement will be met. 103.2 documentation demonstrate ❑.Does Not [PR11' energy code compliance for the building envelope. ❑Not Observable ❑Not Applicable 103.1, Construction drawings and ` ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]' lighting and mechanical systems. ❑Not Observable Systems serving multiple ❑Not Applicable - dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: � Heating: �4 ❑Complies y 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ko) Manual j or other methods ❑Not Observable approved by the code official. Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: A 1 High Impac r(Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact(Tier 3) Project Title New Custom Colonial Report date: 08/31/15 .Data filename: \\bruins4\PROFILES\cpresswood\My Documents\Documents\REScheck\#12262.rck Page 2 of 8 Section -- # Foundation Inspection Complies? Comm ents%Assumptions & Req.ID 303.2.1 A protective covering is installed to ❑Complies Exception: null. [FO11]2 protect exposed exterior in'ulation ❑Does Not and extends a minimum of h in. below grade. f ❑Not Observable ❑Not Applicable ... 403.8 Snow-and ice-melting syst<!m controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: .. t l,. 1 High Impact(Tier 1) 2 Medium.lmpact(Tier 2) 3 ILow Impact(Tier 3) �_ --- -� L -- -I Pro]ec -Title: New Custom Colonial Report date: 08/31/15 Data.filename: \\bruins4\PROFILES\"�cpresswood\My Documents\Documents\REScheck\#12262.rck Page of, 8 Section Plans Verified :Field Verified # Framing 7 Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, Door U-factor. U- U ❑Complies See the Envelope Assemblies . 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable 402.1.1, Glazing U-factor(area-weig;ited U- U ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, . 402.3. , -]Not Observable 402.5 ❑Not Applicable [FR211 303.1.3 U factors of fenestration products 1 ❑Complies Requirement will be met. [FR411 are determined in accordance. CDoes Not with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable ......__...... 402.4.1.1 Air barrier and thermal barrier ❑Complies Requirement will be met. [FR23]1 installed per manufacturer's ❑hoes Not instructions. i ❑Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies Requirement will be met. [FR20]1 is listed and labeled as meeting ❑Does Not .. AAMA/WDMA/CSA 101/I:S—,/A440' or has infiltration rates per=VFRC ❑Not Observable 400 that do not exceed coda ❑Not Applicable limits. 4 402.4.4 IC-rated recessed lighting fixtures, ❑Complies Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate :52=,) cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 Supply ducts in attics are k R R ❑Complies. [FR12]1 insulated to >—R-8.All other'ducts R R_ ❑Does Not Viz; in unconditioned spaces or outside the building envelolae are ❑Not Observable insulated to >_R-6. ❑Not Applicable 403.2.2 All joints and seams of air ducts, " ❑Complies [FR13]1 air handlers, and filter boxes are ❑Does Not sealed. < DNot Observable ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3. ducts or plenums. ❑Does Not ❑Not Observable a ❑Not Applicable 403.3 HVAC piping conveying fluiiis R R ❑Complies , [FR17]2 above 105 °F or chilled fluirs ❑Does Not below 55°F are insulated to >_R F 3 ❑Not Observable ❑Not Applicable - 403.3.1 Protection of insulation on HVAC • ❑Complies ' [FR2411 piping. I ❑Does Not c. . ❑Not Observable ❑Not Applicable 4014 2 Hot water pipes are insulated to R R ' ❑Complies [FR18]2 >R-3.. . . ' ❑Does Not f ❑Not Observable • ,, - ,` ❑Not Applicable rl High Impact(Tier 1) 2. Medium,Impact (Tier Z) 3 Low Impact(Tier 3) Project Title:' New'Custom Colonial _ Report date: 08/31/15 Data filename: \\bruins4\PROFILES`ti<<presswood\My Documents\Documents\REScheck\#12262.rck Page 4 of 8 Section .—i Plans Verified Fleld`:Verified # Framing /Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID. 403.5 Automatic or gravity dampers are _ `r " ❑Complies Requirement will be met. [FR19j2 installed on all outdoor air ❑Does Not intakes and exhausts. ' ;. ONot Observable ❑Not Applicable Additional Comments/Assumptions: { v a ' a - y ' a 1 I Medium High Impart(Tier 1)^ r2 Meum Impact(Tier 2 3 3) er ) r .I Low Impact(Tier : Project Title, New Custom Colonial} "; Report date 08/31/15 Data file'name \\bruins4\PROFILES\;'<presswood\My Documents\Documents\REScheck\#12262.rck Page,,5 of 8 x section Plans Verified Field Verified # Insulation Inspection Complies?, Comments/Assumptions & Req.IDValue, Value 303.1 . All installed insulation is labeled ❑Complies Requirement will be met. [IN1312 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable ..... _._ .... _ ...._ 402.1.1, Floor insulation R-value. R- R ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ODoes Not' table for values. I. [IN111 ❑ Steel ❑ Steel ❑Not,Observable ❑Not Applicable 303.2, Floor insulation installed per ❑Complies - Requirement will be met. 402.2.7 manufacturer's instructions, and a ❑Does Not. [IN211 in substantial contact with the underside of the subfloor. ❑Not Observable _ ❑Not Applicable ' 402.1.1, Wall insulation R-value. If t1:is is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ODoes Not,' table for values. 402.2.6 wall insulation on the wall. [IN311 exterior, the exterior insula ion Mass ❑ Mass ❑Not Observable requirement applies (FR10). ❑ Steel ❑ Steel ONot Applicable 303.2 Wall insulation is installed per ❑Complies � Requirement will be met. [IN411 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable. Additional Comments/Assumptions: . .. _ - ' r • .' t n _ III 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) _�- Low Impact(Tier 3) —-- -- Project Title: New Custom Colonial Report date` 08/31/15 Data filenar ie:'t\bruins4\PROFILES;i<presswood\My Documents\Documents\REScheck\#12262.rck Page 6 of 8 Section . Plans Verified ' Field Verified — # Final Inspection Provisions Complies? Comments/Assumptions & Req.ID Value Value 402.1.11 'Ceiling insulation R-value. R- R--. ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood Oboes Not table for values. 402.2.2, , 402.2.E ❑ Steel ❑ Steel ❑Not Observable [FI1]1 ❑Not Applicable 303.1.1.1, Ceiling insulation installed per : ❑Complies Requirement will be met. 303.2 manufacturer's instructions. Oboes Not [F12]1 Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies Requirement will be met. _ [F122]2 insulation include baffle adjacent ; Oboes Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 462.2.4 Attic access hatch and door' R- R ❑Complies Requirement will be met. [F13]1 insulation >_R-value of the Oboes Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. =5 ACH 50 ACH 50 = ❑Complies Requirement will be met. [F117]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8: ❑NoE Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies ^ [FI4]1 cfm/100 ft2 across the system or ft2 ftz Oboes Not <=3 cfm/100 ft2 without air, ❑Not Observable handler @ 25 Pa. For rough.-in tests, verification may need to ❑Not Applicable occur during Framing Inspection: 403.2.2.1 Air handler leakage design«ted, '❑Complies T [F124]1 by manufacturer at<=2%6f 4 Oboes Not design air flow. Not Observable ❑Not Applicable 403.1.1. Programmable thermostatsy : ❑Complies [Flg]z• installed on.forced air furnaces: Oboes Not ❑Not Observable Y Y ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ] ❑Does Not; .❑ Not Observable , ❑Not Applicable. 403.4 1 Circulating service hot watEr ' ❑Complies _ [F111]2 systems have automatic or -' ❑Does Not F accessible manual controls' Not Observable ❑Not Applicable. 403.5.1 : All mechanical ventilation system ❑Complies (F125]2 fans not part of tested and listed Oboes Not HVAC equipment meet efficacy $ ❑Not Observable and air flow limits.. I ❑Not Applicable 404:1 75%of lamps.in permanent i ❑Complies [F16]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy 9amps " Does not apply to low-voltage QNot Observable lighting, ❑Not Applicable .__..._ ?f s - 1 High Impac}(Tier 1) 2 Medium Impact-(Tie 2) 3 Low Impact(Tier 3) l_l --- 1--1 1- �Project Title: New Custoni Colonial Report date: 08/31/15 Data filename: \\bruins4\PROFILES:Rpresswood\M,y Documents\Documents\REScheck\#12262.rck Page 7 of 8 <. Section Plans Verified. `Field.Verified Final Inspection Provisions Value .Value Complies? Comments/Assumptions & Req.ID 404.1.1 Fuel gas lighting systems have ❑Complies [F123]3 no continuous pilot light. ' ❑Does Not ONot Observable . ❑Not Applicable —.�—----- —---------------- -- —_._ _._ _._._ ._ _.._.............. - 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [FI7]2 ❑Does.Not ❑Not Observable ❑Not Applicable 303.3. Manufacturer manuals for ❑Complies [F118]3 mechanical and water heat n ❑ 9 Does Not systems have been provided. '❑Not Observable ❑Not Applicable Additional Comments/Assumpfons: s - 1 High Impact 2, M edium Impact(Tier 2) i 3 Low Impact(Tier 3) t(Tier 1) . -1 T -- 1 - -1.- --- - Project Title: New Custom Colonial : a Report date: 08/31/15 Data filename: \\bruins4\PR0FILES\kpresswood\My Documents\Documents\REScheck\#12262.rck _Page 8 of 8 Western Surpty POWER OF ATTORNEY-CERTIFIED COPY Bond No. 71694935 Know All Men By These Presents,that WESTERN SURETY COMPANY,a corporation duly organized and existing under the laws of the State of South Dakota,and having its principal office in Sioux Falls, South Dakota(the"Company"),does by these presents make, constitute and appoint LARRY ALAN COWAN its true and lawful attorney(s)-in-fact,with full power and authority hereby conferred,to execute,acknowledge and deliver for and on its behalf as Surety,bonds for: Principal: Cape Cod Construction Services, Inc. Obligee: Town of Barnstable Amount: $500,000.00 and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President,sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety Company which remains in full force and effect. "Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary,any Assistant Secretary,Treasurer,or any Vice President or by such other officers as the Board of Directors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name.of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or'otber.obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." All authority hereby conferred shall expire and terminate,without notice,unless used before midnight of April 1 2016 but until such time shall be irrevocable and in full force and effect. In Witness Whereof,Western Surety Company has caused these presents to be signed by its Vice President,Paul T.Bruflat,and its corporate sWi%k.affixed this 6th day of August 2015 WEST R SURE COMPANY Paul T. ruflat,Vice President STX&_SQ,UI3�Z��I'A ss :�: a- a COUN 1' Esa ibAUIA On this 6th day of August in the year 2015 before me,a notary public,personally appeared Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and dee f said co at'on. }4rtitil1t4Yhtikrtititi4lr�tirh} . S S. PETRIK S + N AMOTARY PUBLJC + r L + otary Public-South Dakota SOUTH DAKOTAW* }rirti44ti4h4titi4h44+titi4titi4} . My Commission Expires August 11,2016 I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota,do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable,and furthermore,that Section 7 of the bylaws of the Company as set forth in the.Power of Attorney is now in force. In testimony whereof,Ihave hereunto set my hand and seal of Western Surety Company this 6th day of August 2015 t � •'- - WEST R SURE COMPANY Paul T. at VicPresident" P e Form F5306-8-2012 • ODI Western Surety PERFORMANCE BOND Bond Number: 71694935 KNOW ALL PERSONS BY THESE PRESENTS, That we Cape Cod Construction Services, Inc. of 163 Tern Ln. , Centerville, MA 02632 hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto Town of Barnstable Of 2160 Meeting House Way, West Barnstable MA 02668 hereinafter referred to as the Obligee, in the sum of Three Hundred Fifty and 00/100 Dollars ($ 350.00 ) for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has entered into a contract with Obligee, dated the day of form Third Avenue West Hyannis Pert, MA NOW, THEREFORE, if the Principal shall faithfully perform such contract or shall indemnify and save harmless the Obligee from all cost and damage by reason of Principal's failure so to do, then this obligation shall be null and void; otherwise it shall remain in full force and effect. ANY PROCEEDING, legal or equitable,.under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. NO RIGHT OF ACTION shall accrue on this Bond to or for the use of any person or corporation other than the Obligee named herein or the heirs, executors, administrators or successors of the Obligee. SIGNED, SEALED AND DATED this 6th ` day of August 2015 Cape Cod Construction Services, Inc. (Princi al) r By (Seal) Western Surety Company (Surety) By LAR Y ALAN COWAN Atto CORP = SEAL Form F4597 0/ Western Surety Company PAYMENT BOND Bond Number: 71694 935 KNOW ALL PERSONS BY THESE PRESENTS, That we Cape Cod Construction Services, Inc. of 163 Tern Ln. , Centerville, MA 02632 hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto Town of Barnstable of 2160 Meeting House Way, West Barnstable, MA 02668 hereinafter referred to as the Obligee, in the sum of Three Hundred Fifty and 00/100 Dollars ($350.00 ) for the payment of which we bind ourselves, our legal representatives, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, Principal has entered into a contract with Obligee, dated day of for 151 Third Avenue West Hyannis Port, MA copy of which contract is by reference made a part hereof. NOW, THEREFORE, if Principal shall, in accordance with applicable Statutes, promptly make payment to all persons supplying labor and material in the prosecution of the work provided for in said contract, and any and all duly authorized modifications of said contract that may hereafter be made, notice of which modifications to Surety being waived, then this obligation to be void; otherwise to remain in full force and effect. No suit or action shall be commenced hereunder (a) After the expiration of one (1) year following the date on which Principal ceased work on said contract it being understood, however, that if any limitation embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. (b) Other.than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which.the project, or,any part thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. The amount of this bond shall be reduced,by and to the extent of any payment or payments made in good faith hereunder. SIGNED, SEALED AND DATED this 6th day of August 2015 Cape Cod Construction Services, Inc. (Pri ' By (Seal) '' (Seal) Western SuretV Company + ( rety) ��, CO�R BPp ' y R9T� L RRY ALAN COWAN Attor T . 4 Au' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 0812612015 " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,„EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy; certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemrrnt(s). PRODUCER CONTACT __ Le Cowan Cowan Insurance Agency,Inc. PHONE 978 372.1451 F^'I 978 521.4669 359 Main Street " .'` E-MAIL la coWdninsurance.com Haverhill MA 01830 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A: Associated Employers Insurance Company INSURED INS RER B: Sa§y Insurance Company Cape Cod Construction Services nc. , IN RER C: 163 Tern Lane INSURER D Centerville MA 02632 INSURER E I. INSURER F: COVERAGES. CERTINCATE 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. ILT R TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP INAR POLICY NUMBER IMMIDDn0M1 LIMITS' GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ERFMIqF CLAIMS-MADE OCCUR MED EXP An one arson n $ t ' PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. . . $ PRODUCTS-COMP/OPAGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' 11,000,000 B ANY AUTO " d BODILY INJURY(Per person) $ AUTOS ALL OWNED 7( AUTOSULED 6232634 " 03/24/2015 03/2412016 BODILY INJURY(Per accident' $ X NON-OWNED 1. HIRED AUTOS X AUTOS PROPEFor. ccRTY DAMAGE $ $ ;. UMBRELLA LIAR OCCUR l.' EACH OCCURRENCE $ EXCESS LIAB a CLAIMS MADE AGGREGATE WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X WC STATU- OTH- ' ANY PROPRIETOR/PARTNER/EXECUTIV�Y/N U` Y Iy1TR _ A OFFICERIMEMBER EXCLUDED? L'J N/Air WCC5011292012014 0811512015 08I2511016 E.L.EACH ACCIDENT $1000 000 (Mandatory descri n NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under. DES IPTI N F OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 161;Addltlonal Remarks Schedule,if more space Is required) " Residential tacomanagement. . ..o stru .coon - CERTIFICATE HOLDER CANCELLATION Town Of Barnstable' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20O Main Street THE EXPIRATION DATE THEREOF; NOTICE WILL'BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i Hyannis,MA 02601 ;..: AUTHORIZED REPRE TATIVE i Fax:(508)362-9001 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) d TV:a ACORD name and logo are reg stared marks of ACORD I I Sub Contractor Workers Comp List . p Insured' Workers Comp' Ex iration Date Policy number { Al Steel LLC 5/112016 4531059 R t Ace Arborculture. 12./A/201.5 , WC 004-47-6237 I Advantage Electric Inc 2l1/2016 4258X6812 . Airtech Energy System&Copper Design Inc 3/27/20166 WCS2197G _ l I a All Cape Garage Door Co.,Inc 6l1/2015 WCC500258601 I Associated Alarm Systems,Inc 4/8/2016 WCf;1198277 Belanger,Sleven 214/2016 WC3746778' Bortololti Construction Inc 3/7/2016 WCA020952415' ' Brennick Building Systems LLC 1/1/2016 . 701586301 Brian Bolton 2/23/2015 UB-0171tJ847 Brothers Enterprises 5/2/2016 WCC500824301 Paul Buckmiller 5/12/2016 7PJUB-7430A7-08 Buckmiller Construction LLC Colony Insulation Inc 8/18I2016 TWt3233572 y . Creswell Construction Co.,Inc 4/19I2016 WC2-31'3 342421-022 Hickey Construction Company,,lnc. ' 1113/2015 TWC3231453 Kevin McBride Plumbing&Healing Inc 5l1/2016 WG8661279: L&M Glass Co.,Inc \ 4/1/2016 NOWC 109484 Miguel Tatara Neto 3/4/2016 WCQ02011850 Tanguay,Marlin 11/19/2015- WC417869978 Confidential 8,/12/2015 i d Page 1 I i, QUITCLAIM DEED I,MARIC A. NOLAN, of Pembroke Massachusetts as ADMINISTRATOR WITH WILL ANNEXED, Suffolk Probate Court Docket No • SUl 1P0183 under power of sale contained in the Last Will and Testament of LAWRENCE F. FAGERSTRJO' late of Dorchester, Suffolk County, Massachusetts for consideration paid of Three Hundred Twenty Thousand($320 000.00)Dollais grant to NICHOLAS P.LUONGO and MARYANN H LUONGU both of Washington, D.C.,as Husband and Wife Tenants by the Entirety,with QUITCLAIM COVENANTS A certain parcel of land together with the buildings thereon situated irk.Barnstable(West Hyannisport);Barnstable County,Massachusetts,being shown as Lot, 132 and 1.34 on a plan of land of Seaside Park,Hyannisport,Massachusetts,made by F. 0: Smith,C.E., dated August, 1893, and recorded with the Barnstable County Registrar of Deeds in Book ' 34, Page 23,bounded and described as follows: ' EASTERLY by.Third Avenue, eighty (80)feet; NORTHERLY by Lot No. 136 on said plan, one hundred(100) feet. WESTERLY b Lot Nos. 277 and 279 on said plan,eighty 9a feet; and Y P g ,tY ( ) SOUTHERLY by Lot No. 130 on said plan, one hundred(100 feet. Containing about 8,000 square feet: Subject to and with the benefit of all rights,rights of way,restrictions,reservation an easements of record;insofar as the same are, now in force and applicable. PROPERTY ADDRESS: 151 Third°Avenue, West Hyannisport,MA 02672 For Grantor's title see deed from Ernest F. Fagerstrom,Esther I.Fagerstrom and Lawrence F. Fagerstrom dated October 4, 1974 and recorded in Book 2105,Page:273 in the Barnstable,County Registry of Deeds. Witness my hand and seal this.'1 day of.may, 2011. ` Mark A.Nolan,Administrator Vlith Will Annexed of the Estate of Lawrence F. Fagerstrom a COMMONWEALTH OF MASSACHUSETTS f` BARNSTABLE,ss. On this )` day of October,2011,before me,the undersigned aotary public,personally appeared Mark A.Nolan,provided to me through satisfactory evidei<:ce of identification, which was / f Dv Oy-s Z-c-eo6 ,to be the person whose name is signed on this document, and acknowledged to me that he signed it voluntarily as his free act and f deed for its stated purpose. Not Public • My commission expires: i S T ANLEY( .NOWAK Notary`.Public ;. Commonwealth ol.Massachusatts My Commis<ion Expires July 6,�2012 1 �tHE Teti Town of Barnstable 0 Regulatofy Services MASS. $ .Richard V:ScaA Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyaffiis,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 as Owner of the ro subject i P pay heteby authorize -54v eG to act on my bebal� in all tnattets relative to work authorized by this building pertnit (Addtess of Job) **Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled ox_utilized before fence is installed and all final inspections are performed and accepted. aAA— qnaw Signa{ur of Owner Signatute of Applicant Print N e Ptint Name _ Date F Town of Barnstable - - Regulatory Services + 0p1xE Tory Richard V.Sca%Interim Director Building.Division - uxNsrasr E Tom Perry,Building CommissionerALA . %6% ,�� 200 Main Street, Hyannis,Na 02601 `�En Mrs, www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB IOCATION= number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityAown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/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 farm structures_ A person who.constructs more than one home in a two-ye period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the"Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code 'Section 127.0 Construction Control. HOMEOWDMWS FOXEMMON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do's.uch work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor - (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness.often results in serious problems,.parficularly when the homeowner hires unlicensed persons. In this case;our Board cannot proceed against the unlicensed person as it would with.a licensed Supervisor.-The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. F. R b�r� r) Map Parcel Permit# �� 0 House# Date Issue 3B t oard of Health(3rd floor)(8:15 -9:30/1:00- , ^^�Pry l - Fee Conservation Office(4th floor)(8:30-9:30/1:000--2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE Defi ' e an Approved by Planning Board 19 ; RE t - MASS ' TOWN OF-BARNSTABLE Building Permit Application -` Project Street Address 1 e9-j Ti7 � l_Je?y Ldw : I,,;.S, .I-;w Village tfyv5 Owner L-4rvly Address -Telephone 7 Z l - Permit Request Y'51L2k!i u"--(� (Sb--w 3 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ igoo+c 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 6� 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 Names w�v� �kczn.� Telephone Number Address -D / lG�`� License# (3 (,4�c 5� 6`Z I�rSGtif�.l Yfd�. Home Improvement Contractor# { 3. k`VA G)•C q-/ Worker's Compensation# -3 -z/ ,OQ 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 6,..,,z55 5 n^. L 4yyt,,,o rOS-Ib✓` epr At-,, n7 T SIGNATURE DATE . BUILDING PE MIT DENIED FOR THE FOI,LOWJNG REASON(S) � . FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - - ADDRESS i t VILLAGE " 4 OWNER _ p _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ' ROUGH FINAL _ PLUMBING: ROUGH FINAL_._ GAS• ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j �� The Town of Barnstable • URMANZ • 9 �e�' Department of Health Safety and Environmental Services T61679. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione For office use only Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ' re- r Est.Cost 4 666, Address of Work: ift' M``P Owner's Name Date of Permit Application: a I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Con ractor'Name Registration No. OR Date Owner's Name rs._.=--- The Commonwealth of Massachusetts W Department of Industrial Accidents Office oflnyestigations 600 Washington Street V Boston,Mass. 02111 Workers, Com ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. .I am a sole roprietor and have no one working in any capacity ❑ I am an employer p oviding workers' compensation fo v employees working on this job. company name: ✓ �/� address: city Pam " IVd' hone#: svg insurance co. R01icv# /WONG%///////// I am a sole proprietor, neral contracto or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company namnne I'• Ito address clty LR51 IJ�V►y`;s V`� phone#: �3y insurance co. G%�'a v :^lJ�ler�i+ oliiv# Jo�. company name: - ...:: address: city-. phone#: insurance co. - 01icv# / Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pens/lies of perjury that the information provided above is truo and correct f/ Si —Date l� V _ Print name �d�''� ij'V'`r� C� -�cGgv'��1 Phone# official use only do not write in this area to be completed by city or town official city or town: pernut/iicense# []Budding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIM ' y Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contrac; of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance., construction or repair work on such dwelling house or on the grounds of building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew. of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha. not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of thc. 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. The affidavits may be returned fe the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavestlgatlons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ' i a�i�e�rasxo�taa�l/E o�.',9Zaooac�ri�ae(ldpp� ME HOMEMMPPROV MENT"}ly©NTRAC�OR z� ony 210ON 80 S no�nNist prop FWA s1iA 01141 IL �.z�g.*eeR,`[�+e+..'+:;;`'^4 •- ✓fieu�a�r�mooau�eallyi o�'✓(/(,aaaac/auaeCt._ �, a, DE,PARTM�,Nm JL ;J LIC SAFE',! CC4S:RUCP�Oh L'PRR''SOR �ZC3VSe Expires.:�y 5irthda[ie M t-ic,L- _J JOHA ?d CHA?IAN 'T ?0`307' _6? HOPEDALE, MA 01747 Town of Barnstable *Permit# Expires 6 months fr issue d e °� Regulatory Services Fee s�xrrsr�sr.E. MASS. Thomas F.Geiler,Director 16g9• plfD MA't� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ti LIP t Property Address _ Ir Residential, Value of Work. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address "� b6rl�kf Rpiob RA WaSL A > c a 66 E_ �w Contractor's Name p� Telephone Number Home Improvement Contractor License#(if applicable) / � Construction Supervisor's License#(if applicable) L S b MAR 2 7 Z013 �Workman's Compensation Insurance Check one: ❑ I am a sole proprietor " OWN OF BARNSTAIBLE ❑ I am the Homeowner I have Worker's Compensation Insurance 1 Insurance Company Name f n Workman's Comp.Policy# r o Q Sq ?Y I _1 g, - Copy of Insurance Compliance Certificate must accoilipany each permit. Permit Request(check box) r Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 3cIf k �s F{r P1e U% �co� Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) e"S �e ❑ o D 19 IX Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum 35)#of windows ❑ 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 the Home Improvement Contractors License&Construction Supervisors.License is ed 11 SIGNATURE: n.kuronM rc\FnuXM4 \h„' o nermit forms RESS.doC Massachusetts -Department of Rubric Safety Unrestricted-Buildings of any use group which Board of Building Regulations and standards contain less than 35.000 cubic feet (991m3)of 'Construction Supervisor License: CS-060982 �: enclosed space. SANFORD R TYLrR PO BOX80 � W HYANNISPORT 26r 2 F IFailure to possess a current edition of the Massachusetts Expiration ! State Building Code is cause for revocation of this license. Commissioner 10/12/2014 For DPS Licensing information visit: www.Mass.Gov/DPS �. ✓�ie �arnirrcoruueaCCti a��/f/lcoaczc�ivaetta �.\ Office of Consumer Affairs&Business Regulation -- - HOME IMPROVEMENT CONTRACTOR Registration: ,<1_70218 Type: Expiration 9/23/2013 Individual SA FORD TYLE k SANFORD TYLER ';=_a:;+:a _ 67 CRANBERRY LN W. HYANNISPORT MA Q2672 Undersecretary c' 77te aCommonivealt'h ofMasrsssachusetts D whn ent of Indusbiarl Meriden Ogre of investigations 600 Washington Street .Boston,ALd 0211.1 . www.wa-,mgvv/dia Workers' Compensation Insurance-Affidavit Bmlders/Contiactors/ElecExici;ansIPhunbers Apphcant Information Pease Print IAwb1v Name($�tion&dividual): Address:_T� Stfi = ` one# _ city/ Are you an employer? the appA opria tax Type of project(required): 1.❑ I wn a employer with 4. ❑ I an a general contractor and I ,employees(full aradlor pact-#itn�e). * have hired the sub-contractors � ❑New coflsirucfion ?k I am a sole F es - etoi or lasted on the attached sheets 7. ❑Remodeling 'These sub-contractors have ship and have no employees These ❑Demolition woddng for me i m a employees and have wcA-ers' any�- }. ❑Building addition [No worlcrss'comp.insurance comp.snsurano-0 5. ❑ We are a corporation apd its 10.❑Electrical repairs or additions required_] 3_❑ I am a homeowner doing all work officers have exercised their 1 I_❑Plumbing repairs or additions right of exemptim per IwfGL myssel£[No workersFcamp- c.I52 1 ,and we have no 1�.0 RflQfrepairs d insurance required.] • ,� {� 1 d employees_[No worms' 13.❑{ether o ii�� ,n d e comp.insamnm required.]. p S h P 'may apphcam that checks box#1 most also fill ow the section below showing&&waders'compensation policy infbr atiam- 1 Homeowners who submit this affidavit indicating they ave t1ning a€1 wit and Shea him outside coutracmrs mast mbmu anew affidavit mdicaing such lCmtradors tbst chkk this boa mast attached an additimw theet showing the rime of the sub-cwtracton and state whether or not-&ose entities have emplwjees. Ifthesnb-cowzaaars have employees,theyxmistpm'videtbar warker'camp.policy number- lam Bdow is thopeffty and,job site informative. . Insurance Company i3ame_ rs Po or ins.I-ic.# - — — fionDate: // 03 = 1, Job Site Address: ek4eCcty/'Staw4- fjq,ic Attach a c€rpy of the workers'compensation policy declaration page(showing the policy munber e��,P date). Failure to secure coverage as required undies Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a tine up to$1,50a_00 andlor 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 msura=coverage verification- _ I do hereby cvrtf&Under the d penatks ofpe jug fiiat the im loan akin provided above is Grua atnd correct. Date: 02 Li q!517 I0 OjgWal use only. Do not write in this area,to be coanpUted by c*,or term offwiut . City ar'liown- Permit.11.1cense# Issuing Authority(curie one): . 1..Board of Health 2.Budding Department 3.tLty/I' wn Clerk 4.Electrical Inspector 5.Phunbing Inspector phone 9: . L'.:� °F1HEt � sAHNSPABLE. Town of Barnstable ptEp MP't A Regulatory Services Thomas F.Geiler,Director. Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street,' Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, SLU ow ; as Owner of the subject property hereby authorize Pto act on my behalf, in all matters relative to work authorized by this building permit application for: -A, Ave i , U) q ,4 . 4 Oc�67P- )01 (Address of Job) r2 S' tore k Owner Date JO - Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. Q:\WPFII.ESTORMnuilding permit forms MSS.doc _ 0*1K � Town of Barnstable Regulatory Services 'QRARNSTABLX� ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village t "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OFHOMEOWNER Person(s)who owns a parcel of land on which he/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 farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or Iarger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . r Massachusetts Department of Public Safety. Board of Building Regulations and Standards License: CS-072866 -,1 k- ' f� ;a Construction Supervisor DAVID.A SAURO. Y ; I 163 TERN LANE--` a CENIERVILLE MA 026 2a t -Expiration. Commissioner 05/06/2017 i ��e�oi�rr»eoo�auen,�C�af'��naaacfc�oeltr t Office of Consumer.-Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 170471 ?ype: Expiration 10/27%2015 Private Corpor Stu} lbw x4 CAPE COb CONSTRUGTIONKSERVICES, INC. Y DAVID SAl R0G ' i . 1037EkN'L=NE s g CENTERVILLE,MA 02632 t :a Undersecretary' i • i 1 ' �. . ' t • The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n n /1 Please Print Legibly Name(Business/Organization/Individual):(4;Pe—AO,6 Address: l(p.3 / 2�PA_l C 4 r City/State/ZipC�rnfu//& G �O. Phone#: -27 y'rV 7 '0�.Z6�y Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. 21 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.( ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have _ _g _.Demolition.. ship and have noo-employees---- __-..--These__.� ._ ❑ __. working for me in any capacity. employees and have workers' # 9. ❑Building addition [No workers' comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.El Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. Expiration Date: 9 AN44 Job Site Address: ��f ,,`�/� City/State/Zip: AW&Zr A Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certz under the pains a nalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: 7 7 7 70 Official use only. Do not write in this area,to be completed by city or town official City or Tovmo Permit/License a 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#: I 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 receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not-more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter•152,,§25C(6)also states that"every state or local Iicensing 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-contractors)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 cant'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 contactyou regarding the applicant. Please be sure to fill in the pemuttlicense 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 home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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: x 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 Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia c� _ t --I ; t ## W # ti i CL - � [V1 to 1 1' j - �9 —77 5IUNGLc5;'TFr _ W000noR,`AZEK'--WRr[E L- . .._._.. ... .. - :UE - a . I s 1 n,u� ST KI F�i.. t�� VA716N _ . - - .. OKE DE TORS REVIEWED BARNSTABLE BU DING DEPT DATE d. FIRE DEPARTMENT DATE ci�-�/ �� BOTH SrGnwTURES ARE REQUIRED FOR PERMITING I Mi t rFFFg—,], , ln] i5-=, I ' :�ndrejs R.Strikis .. - .. i I I I _ I _}�I_-- i __ '.I•�1 I- _ I _ .___ —__ I y:1—Wm Wne 1'enlemilC NW 11'bi2 'l elc9bone t50n1/'ll11lY"LV - —.. - Elevations -ems- � ��� 1 A2 151 A Avenue.W-tHy—i'p9m NIA 02112 _—_—-1 - f . General Notes: - - 11.All work to be performed in accordance with.Massachusetts State Building Code,780 CMR, Eighth Edition,IBC 1009,and applicable codes included by reference.Framing to be in accordance with the American Wood Council Wood Frame Construction Manual,110 MPH Zone.All work to be as approved or directed by local authorities having jurisdiction, O Q re�, - 2.Contractor to secu all permits,and to armtge for inspections by local authorities having O__o _____ ___ O - jurisdiction,as may be required. ' --t _ _fo'IE.f..T- O 7-6+ I 3.Work to he left in clean condition,ready for use and occupancy.All debris to be disposed off C _ site in a legal manner. «. I�.I 0 `✓) _ 4.Contractor to install or upgrade all plumbing,electrical,heating and venting systems as required,per code.Install and upgrade all fire proteotion systems per applicable codes,or m may ct. -be require d b3 local authorities having)tvisdwu'on inc luding make and carbon monoxide 0 detectors. ti I p.-E-34 au ::Ds.6iP.AttF➢Sy .. I —. - _ .. I _W�D - -cam. 3•,`. «. .LL ' _-_ __- s{• DN CD HO /:EEAN � I58 Y. .. .. _ � d . ... :I�ttiT7NG Sucn"�"3,1U.S.E)Y Rc41Ai1-t" ....... -. '.. .-._ 7iLidU1 :."(YwE• ..5IT-${NOMIIJAL ..._ --: . - _. .: . .._..... ... _. ..,_ '- ____.. ;� .._ .. .... ... `.1. _._... ..... ......,..._,. .. - - ) ANDS Rf EN MO➢EL FOR REFERYNCE�. r ._. {:. .... - - ..: < � � _. SECOND FLOUR ��:LE55 38 5.F..OPON DE[.IC) _7-0_•I-I-. B D — — _ vro31fr,__ 'WTAL .LNING AREA: - ) A,LOWCD f.A•R. - .30 LOT AREA . L,T lafl � — LoT AR 'A' 8000 6.G Y,3= oo6'F ALLOWS O - E � 4 P 2s',o u e u:c : ... •� .o -5T R i It15S _ "L 01 6iJL1<NEAD �UuoccWPIED): 1139`SP. c' EW4{OUseO " LOT COVERAGE; 6uIL.DIN.G TOTAL% 110.9 •S.R. I tz�"1A--�e-)" N Y zo10 0 96°' _o 0 2A o rdU M51"ING . .5HED - 210 5.f E- - o - 3=7"b 0 �a TOTAL io.T `GovE'KAGF (,319 s.p _ 6; _ P`geEt�TA GE:"SoVERA�E Ib.5 o 'r I I t O• AWrJ 2817 - �EASEMENT) _ r '`Sd r-) -„ - ir' ,tit w. 1 i e � fix• � �.� It,` '<�'- ". 8o• SO' a _.:..hl� -- 04-15-tom .. .. .• _ _ .. 1 T�`z3O I ,. ���L I Andrejs Ktn Architect 85 lira Yew lane,Crntervllle,MA 02632-Telephone:(508)790-0920' - Floor Plans t " A 1 i — — --- I 151 3d Avenue;West Hyannisport,MA 02672 ,l 1.1.- ,p V- �9 •, ':. ;..,.. ,: ., ,., . :,. �".. � � � � _ s.1171NG. GYP.":;; -' � -- - .. ._"t6itiC-T WQOD �0��7iZEK==HIFIT�E 9EB .N - FR. d ., Till • _ • _ _ - - TE TL� 7. o" 4"I _ VAT 1 1 I i �FQllnlT F'I'FVATION 1 n�tr.sue.' _—t— --——-— — —--- i I I - e , e„ .., .. � _ ..._ .._.. . .__ �.x ter•y i • r•R J � �� �c, , p 7 - G� MASS. - - - 04-15. IS FFH ' - d4 - d400 lLEYJ.5.E2•. .OI I7-IS rM • - .... tkls "Andrejs R Str' ' — -- - — _ Architect • ,. ss w ea rvin.��vl�t cemee.Mn 02632-Telephone:(yos)79o-0920 — :; Elevations.___. .-_ , a �I51dAnue:WestHynnnisportMA02672 .. .. - .. _ k57H}L'C.':;FkIW�LcS`cvr 2 ..'.FE4S ..-- - ' .. _ �. I rTrEz-v7ATE2 .Sui£LO _�T.'£h'VES..� 77 } IZ - - -- �t M , RPISEA- • - PAD - 1 $I<DF-oQen_ f — � � •: � .. ��ao I;L=E jul • y _ mot» �7 -� r-S-51kAaE:.Fo2`R TUB t' 4mM- �I "�tatSH,_'LYP• .: �&AN= '1-VL..3- 13 :x�k4— L—_---- • Ii �`iTdiC BEYaN[5 !{ -- I ..�3U`oabl--SGikEPdAT.: ob MM- �L4.ItJ�f�"'RMb4_ 1 CENTERVIL'L F �" - - f Andrejs R.Str' i Architect Aiver.Y tme r nl Sh5SoM8e12. — Section e,}a b .ce.uemue:nu oxe3r-ret I _ l l 151 3s1 Avenue,West myannispoTf MA 02672 �l w . y� } .. �.� TYr: _N o ti �I o ,o OTM `4 qo --- ----- v _ I o N _ t4 J 7— M7 1 STAIR � '�-� STkI I • -o' " IZ=o �0"� ctt - -. - _ - - --- — - - •, �.:�t§.zcsa.t. _w�L,-,q- , xs-4u��'�rr-�ulAy.-BDIlFX c3:1'CIN:G-SQL-3 1- � � --•.' ---�dttivs_ui-WE". .. .. - - 7i•Dz' r�ra,-sr.- _., -.-::_ TQ fl.i75N-. ao2_:�iva>�'t-oraw TV. � .. 1 ------------------------------------- 7.l------ uiuL-�.FDUNDAOF1 X' ' 1`-- v----� -I \/,/�I`y�/. .. �r¢�xv--co'oT"•rG_ -.--.._.. I. I — - _ _ I . ML - - .-Y'. .Q ..,.7-4,i. i _ L. F2, I o I F7 I • - _ 1 _ .. �, - :-.' .� '�.� .� ,, :-.. ..1.. `.-I�. ..::' .. • _ �_ - � � � � �no'cu-crr><:-fPa-vrer-�"o.C., _ I ,. ,.'� �,,L., .. -�: _. �' ,:.- � ., -. , __ err--fj-r'-n.G. „l:^•' fiJw. . .. ,-. _ ..._-1 l�• -tenr � y 11 & .. I - lO , ' I F rbRa-tka ..- •�,'p--.. _ .GE5R-.,4jgF:.�.__ UP I f aZ F 9 I �" �7�L�t"-9dK LT11(Y FI:IC GILL �,5 S �Tr4+ 4 -_.�- o"- Andrejs R•Strikis Architect . . — . . .. . as aver Vim lane.centeidnc,nv.02e32-rN noDr.csosl 790.0920 i . - Foundation and Fraining Plans .: - �-• �. � '. . _ - nnisDun_MA 02672 d Avenue•Wesl Hyn 151 3 A4 .. - .. At WE A-15-15 ARS PERCENTAGE OF LOT COVERAGE Cmj4jjjeBjkp Rd LOT AREA 8000t S.F. LEGEND EXISTING STRUCTURES 16.9% CONCRETE BOUND (FND) ■ DRIVEWAY 6.6% STONE PATIO 5.5%' EXISTING CONTOUR - — —102 TOTAL COVERAGE 29.2% TOP OF FOUNDATION x=104.8 - - - — MAP & PARCEL - COVER-AGE W. s 245/126 LOT AREA 8000f S.F. ,. PROPOSED HOUSE 14.6% u GARAGE/STUDIO 2.7% _ DRIVEWAY 6.6% ; TOTAL"COVERAGE 23.9% j 4.5ft 8�19'15" E: .100.00 .�42 LOCUS MAP - :- PLAN REF: 34-23 4.1ft — — — o GRAVEL_DRIVEWAY DEED REF: 25738-175 TO REMAIN GARAGE/•_ ASSESSOR'S MAP: 245/125 STUDIO �' — ZONING: ' 'r RB 106`�- / LOT 134 SETBACKS: 20'-10'-10' MAP & PARCEL FLOOD ZONE: X 245/122 — — — — — = Exl�Tllvc HOUSE, — / � � PANEL NUMBER: 25001 C 0564 J r -3 — — - _ _ _ — TC BE REMOVED �.; m DATED: 7/16/14 .P_ui - -# - - �; - _---=_=_ f D PROPOSED SITE PLAN - - - - - 0 m - - - - o — — — — { 41.6ft / Z LOCATED AT: - - - - - - - 151 THIRD AVENUE - - -� _ 25.2ft - _ _ PROPOSED 3 ,.-- BULKHEAD / Z H YA N N 1 S P O R T, MA - --- BEDROOM RESIDENCE „�_ _ j>51 — -- — -- - 1_ -- LOT 132 C ; 8,000t S.F. PREPARED FOR: / 0'1�ES — 6- 100 CAB FND BENCHMARK -DAVLD SAURO 102 98.08 98 N 87*19'15" E ��o.00' OCTOBER 30, _ 2014 — - - — 98 - - - - REV: JANUARY 5, 2015 **AAA4 MAP & PARCEL �,►'��NoriTs,�'�, REV: FEBRUARY 6, 2015 ti Fa`U �� • REV: , 245/123 �(n' ooY A YANKEE LAND SURVEY CO, lNC. 119 ROUTE 149 GRAPHIC SCALE MARSTONS DILLS, MA 4` -20 .... _. . . -o 40 20 40 NOTES: ���tio u, J,� �t SEPTIC SHOWN PER TOWN RECORD. o� TEL: (508)428-0055 FAX: (508)420-5553 yankeesurvey@comcast.net www.yankeesurvey.net 1 inch 20 ft ELEVATION DATUM ASSIGNED. SHEET 1 OF 1 FJOB#: 55093 JM