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0025 WACHUSETT AVENUE
'as W.�, �s� �9� - — f -- - _ :r �'� r I 1 I . Via Town of Barnstable Building e _ Post This,Gard�So That rt is U�sib�le From the Streets-'Ar roved P.Ians.Must`be Retained onJobaridthis Card�Must be Ke t + eARNBTeAW.�, " < �': �, „„_�v 1, .,*€. �^ 1'C .." ` yY � ,' _ x"' x` E` "• p a'aF ... mmA 'Posted UntilFinal Inspection�HasBeen Mader w F Permit i.Where a Cert�ficateof Occu anc "is.Re u�redsuch Bu�ldiri sh`aIl Notbe,Oc u fed until ayFnal Ispection hasbeen,made�. .�. „Ga.u...�.. Permit No. B-19-467 Applicant Name: CRAIG N ASHWORTH Approvals Date Issued: 02/21/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 08/21/2019 Foundation: Location: 25 WACHUSETT AVENUE, HYANNIS Map/Lot 287-058 Zoning District: RF-1 Sheathing: Owner on Record: LLUBERES, KATHLEEN B E ti `ContractorName ' .CRAIG N ASHWORTH Framing: 1 �� k x _. Contractor icense CS=015851 Address: 3871 RODMAN STREET NW,APT A55 £ s 5L 2 WASHINGTON, DC 20016 '11 � � Est Protect Cost: $ 100,000.00 Chimney: Description: Replace kitchen cabinets, remove one exterior chirrney and patch PermitFee: $560.00 Insulation: in roof,change one window to a door,remove selective board k finishes to expose framing at kitchen and hall and rnstall- J Fee Paid ` $560.00 h Final: bearing partition wall to convert an existing bed`room toa bedroom Date ' 2/21/2019 and a hall install new finishes. ' ' r Plumbing/Gas Project Review Re 1 q: - Rough Plumbing: � ! Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within si rr onths�aft&Jssuance. All work authorized by this permit shall conform to the approved applicatl6n andU6 approved construction documents,for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning bylaws and.codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public nspection for the entire duration of the Final Gas: 51 work until the completion of the same. ' 4 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are pro'videdon this.permit. Minimum of Five Call Inspections Required for All Construction Work:' '` Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection r, , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers c ting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application Number........ ...... WAS& pern3it FCC............ e........ Other Fe ........................ 1659. Total Fee Paid....... . .. 190..................... TOWN OF BARNSTABLE Peznit Approval by...... ....................On.-O BUIELDING PERMIT Map.... ..............pvcd............. ............. APPLICATION Section 1— Owner's Information and Project Location Project Address 25 Wachusett Ave Village Hyannis Port Owners Name LLUBERES,KATHLEEN B E I Owners Legal Address 3871 RODMAN STREET NW,APT 55 City � Zip 20016.�ASHINGTON, DC.. State Owners Cell# 508-428-1165 C/O EBN E-mail jeff@ebnorris.com C/O EBN Section 2—Use of Structure Use Group_ cubic Commercial Structure over 35,000 c feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit El New Construction El move/Relocate E] Accessory Structure '[-] -ChAnge of use El Demo/(entire structure) ❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Aparbnent El Sprinkler System ] Addition ❑ Retaining wall [] Solar El Renovation Pool ❑ Insulation Specify Section 4 -Work Description F Replace kitchen cabinets, remove one exterior chimney and patch in roof,-,cK e one window to a: door, remove selective board finishes to expose framing at kitchen and hall and install non-bearing partiton wall to convert an existing bed room to a bedroom and a hall, install new finishes. 7.aQt n"r1AtF0-7J9/9.01 R - ApplicationNumber........................................... Section 9--,Construction Supervisor Name CRAIG ASHWORTH Telephone Number 508-428-1165 138 OSTERVILLE W. OSTERVILLE MA 02655 Address B RNST LE RD city State Zip License Number C S-015 8 51 License Type C S L Expiration Date 0 9/2 8/2 019 Contractors Email CASHWORTH@EBNORRIS . COM Cell_T4r 508-243-5588 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and To of B ble.Attach a copy of your license. Signatur6 Aea.. ,x, Date F_ Section.10 --Home Improvement Contractor Name E .B NORRIS & SONS TelephoieNumber -508-428-1165 138 OSTERVILLE W. OSTERVILLE Address BARNSTABLE RD city State MA 02655 Zip Registration Number 10 2 014 Expiration Date 0 6/2 9/2 0 2 0 I-understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation re . ' d by 780 CMR and the Tc ofBarnstable.Attach a copy of your ELLC... Signa Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBamstable. Signature Date APPLICANT SIGNATURE Signature, S' Date printName CRAIG ASHWORTH Telephone Number 508-428-1165 E-mail.permit to: OFFICE@EBNORRIS .COM T M 11^A 1 O i i Section 12--Department Sign-Offs j l Health Department ❑ Zoning Board(ff required) ❑ Historic District ❑ Situ Plan Review(if ed) Elregtur Fire Department ❑ Conservation For commercial'work;please take your plans directly to the fire department for approval. Section 13--Owner's Authorization LE.V V)� -r''�-- as Owner of the subject property hereby authorize &r3 b_��S _ to act on my behA in all matters relative to work authorized by this building permit application for: 25 Wachusett Ave,Hyannis Port,MA (Address of job) Signature of Owner �— date Print Name } j i I I i i i Last undated:YJ92018 Application Number.................................................... Section 5—Detail Cost of Proposed ConslructionkOO/Oo° Square Footage of Project Age of Structure Dig Safe Number, A(/A- #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist [] Design Section G•-Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing [] Gas [] Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District E] Old Kings Highway Debris Disposal Facility: Pina I am using a crane ❑ Yes No Section 7--Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8--Zoning Information Zoning District 'Proposed Use t(M Lot Area Sq,R .08 acres Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required osed Rear Yard Required��Proposed Side Yard Required ( Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last undated 2/9/2018 i i i Commonwealth of Massachusetts ' Division of Professional Licensure j Board of Building Regulations and Standards Const`gctt'6.n-tbpgrvisor C5-015851 _ " tpires:0912812019 CRAIG N ASHWORfH 138 CST IN BARNSTABLE ' +' OSTERVILLE f 1A;02655 �` I i Commissioner i i I i I I i i i V 7(,� ��%Z/VI/VCf'/�.������IG�Il�i/V �\,-%�������i.UJ:/'GVI.�����✓V(.'J' 1 I Office of Consumer Affairs and Business Regulation i One Ashburton Place - Suite 1301 , Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Corporation Registration: 102014 ERNEST B.NORRIS&SON INC Expiration: 06/29/2020 138 OSTERVILLE W.BARNSTABLE RD. OSTERVILLE,MA 02655 Ap 1, Update Address and Return Card. SCA 1 L5 20M-05M i r"/wva�nr�N,i,q,Po�/� Office of Consumer AHaifs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Corporation before the expiration date. If found return to: Registration EX Irk ation Office of Consumer Affairs and Business Regulation 102014 06/29/2020 One Ashburton Place-Suite 1301 ERNEST B.NORRIS&SON INC Boston,MA 02108 j I CRAIG N.ASHWORTH `r 1 138 OSTERVILLE W.BARNSTABLE RD. OSTERVILLE,MA 02655 Undersecretary Not valid without signature � w i Client#: 646400 2NORRISEB ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE02/20/Y 05/ 21208 18 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 endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil Insurance Agy PHONE FAx A/c No,EXc:508 775-1620 A/C No): 5087781218 973 lyannough Road E-MAIL P.O.Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Employers Mutual Casualty Company 21415 INSURED INSURER B: E. B.Norris&Son, Inc. 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY 5D46954 05/03/2018 05/03/2019 EACH OCCURRENCE $1,000,000 P COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY 171 jE a LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED (Per accident)AUTOS AUTOS ) en BODILY INJURY idt $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB HOCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION Y/N 5H46954 05/03/2018 05/03/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE �t✓f��''_ C. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S211369/M211368 LS1 ` The Contitionsvendth of Massachusetts r Department of IndustrialAccidents Office of Iiivestigatioae.s ..a- 600 Washington Street Boston,,&I.4 02111 �• DD!Dt'11'.IJlltss.�ot'�[�xfE Workers' Compensation Insurance.41fidavit: Btiildersl'ContractorsiElectricia"Flumllex•s Applicant Information Please Print LeXib Naive(BtisinesvOrgmu ration'Individual): E.B. Norris&Son,Inc. Address: 138 Osterville West Barnstable Road CityiStatelZip: Osterville,MA 02655 Photte 4- 8-42 -1165 Are your- m employer"Check the appropriate box: Type of project(required): 20 4. general contractor salt I 1•® I:ant a employer with 1 am.rt 8❑ 6- ❑Neva constinction fatployee:a(full andiorpart-time).* Have hired the sub-contractors 2.ElI am a sole proprietor or partner. listed on the attached sheet. 7- ©Remodeling ship and have.no employees These,sub-contractof.s have g- ❑Demolition working for me in any c rpacity. employees and have workers' 9_ ❑Bundling addition [No workers'comp-insurance comp.insurance.) requirecl.] 5. ❑ Ive are a corporation and its 10•❑Electrical repair;or additions 3.❑ 1 am a honmeou'rter doing all��ork off."€cers)nave exercised their 11.❑Pltmabing repair,or aadditioms myself No workers'comp. rig o exemption MOLon per y [ p fight 12.❑Roof repair.% j insurance required.]" c. 152,§1(4),and ive have no emnplo}ees_[No workers' 13.❑Other comp.insurance required.] 'Any applicant that ch cks lax 01,must also fill out the section balmy stowing their workers'compeusaben policy infonwcioa. T Homeowners who submit this affidm it indizating they are Max all woA and than hire auuide contractors mast stibtnit a new affidavit indicating sttcb. :Contractors that cbeck this box must attacked ata additional sheet showing the name of the sub-cm.=ttors and state whether of not those entities base empioyaes. I;the sub-camractots have employees,they must provide their workers'comp,policy number. I rrrar rzar employer that is proridiaag rvrorkarps'coauj�earsaa.tiort irrsrra rrtrcrr fasr ra.et!eaaal�layees. Beltatr is lire polecV altd ob site I irrfnrrrrartiaat. i Insurance Company Name: Employers Mutual Casualty Company Policy A or Self-ius.Lie.4: 5H4695454 Expiration Date:. 5-3-19 25 Wachusett Ave Job Site Address: C.tpStite/Zip: Hyannis I Attach a copy of the workers'compensation policy declaration page(.shoTdng the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 an&or one-year imprisonment,as well as civil penalties in the form.of a STOP WORK ORDER and a finite of up to$250.00 a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Invesdgaatitms of the DIA for instts=ce coverage verification. I do hereky ceai'ti ,rander die 01415 and a pet;tare 01pt the infopritaa:tiprt provided above is true and correct: � 5i ature: � Date: i phone#: 508-428-1165 i QSI-ceal use only. Do not ivel a'in rltis area,to be cornplete,4 Uy dhy or town official I City or Tonv: PermidLicense 9 Is;,uing Authority(circle one): { 1.Bou d of 1leatlth 2.Building Department 3.C.itylTown Clerk 4..Electrical Inspector 5.P.Iumbing Inspector � 6.Other Contact Person: Phone#,, 6 Town of Barnstable �T�F IME a.� �VEIOPMfiyT Planning &Development Departmentp 0 49 SZAB Barnstable Historical Commissioif�&� 19 v Mnss 200 Main Street,Hyannis,Massachusetts 02601 E p �61 Phone(508)862-4787 Fax(508)862-4784 erin.loganng town.bamstable.ma.us of eaaNS Elizabeth Jenkins,Director COMMISSION MEMBERS: Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA ` G Elizabeth Mumford 2 Cheryl Powell N Frances Parks Go D DECISION rn w M r--- N X r rj Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Prowies, Section 112-3 F 00 Applicant/Property Owner: Kathleen Lluberes Subject Property: 25 Wachusett Avenue,Hyannis Port Assessor's Map/Parcel: 287/058/000 Hearing Date: January 15,2019 Pursuant to the Barnstable historical Commission receiving your notice of intent on December 3, 2018, a duly advertised and noticed public hearing was held on January 15, 2019 to determine whether the significant structure identified as a single family structure on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 25 Wachusett Avenue,Hyannis Port. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that the actions proposed do not constitute a substantial alteration and would not jeopardize the historic structure's status as a contributing structure in a National Register Historic as defined in §3 of the Cape Cod Commission Development of Regional Impact Review Threshold. In addition, after further review and consideration of public testimony, application, and record file accordance with Chapter 112F the partial demolition of the single family is not a preferably preserved significant building. In accordance with Chapter 112-3 F,the Commission determined by a unanimous vote that the partial demolition of the single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. This decision applies only to the demolition described in the notice of intent submitted on December 3, 2018. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. Nancy Clark,Chair Date cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk 200 Main Street,Hyannis,MA 02601(p)508-862-4787(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (p)508-862-4678(f)508-862-4782 FtHe Town of Barnstable .. Planning&Development Department $�o�°E�0Pf"'a� a. Barnstable Historical Commission z T * sARNSeABM MASS. $ 200 Main Street;Hyannis,Massachusetts 02601 1639' a�0 Phone(508)862-4787 Fax(508)862-4784 WWI" '°rFn MA't erin.lo ag_n cgtown.bamstable:ma.us "QF eaaNS`"0 Elizabeth Jenkins,Director COMMISSION MEMBERS: Nancy.Clark,Chair Nancy Shoemaker,Vice Chair _Marilyn Fifield,Clerk 0 George Jessop,AIA G3> . Elizabeth Mumford s" Cheryl Powell- Frances Parks DECISION r.,., Summary: Demolition Delay Not Imposed Pursuant to.Chapter 112 Historic Prowies, Section 112-3 F co Applicant/Property Owner: Kathleen Lluberes Subject Property: 25 Wachusett Avenue,Hyannis Port Assessor's Map/Parcek 287/058/000 Hearing Date:. January 15,2019 Pursuant to the Barnstable Historical Commission receiving your notice of intent on December 3, 2018, a duly advertised and noticed public hearing was held on January 15, 2019 to determine whether the significant structure identified as a.single family structure on this property is a preferably preserved significant building and whether demolition delay would be imposed for. the partial demolition of this.structure on the parcel addressed as 25 Wachusett Avenue,Hyannis Port. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote,;found that the actions proposed do not`constitute a substantial alteration and would not jeopardize the.historic structure's status as a contributing structure in a National Register Historic as defined in §3 of the Cape Cod Commission Development of Regional Impact Review Threshold. In addition, after further review and consideration of.public testimony, application, and record file accordance with Chapter 112F the partial demolition of the single family is not a preferably preserved significant building. In accordance with Chapter 112-3 F,the Commission determined by a unanimous vote that the partial demolition of the single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of . the Town. This decision applies only to the demolition described in the notice of intent submitted on December 3, 2018.-No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. Nancy Clark, Date . cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk 200 Main Street,Hyannis,MA 02601 (p)508-862-4787(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (p)508-862-4678(f)508-862-4782 ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 2 Parcel ®�0 Application ` c 6Y 14 Health Division Date Issued Conservation Division . ' Application Fee Tax Collector '' Permit'Fee '� Treasurer P;P Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH /J Preservation/Hyannis Project Street Address S - Village Owner V e Address / Telephone ® E0 /0®w jZ(5 el cav� /,Q C: �0 8' 2. Permit Request �/lr'D c 3t4 � . � �1� � S uare feet: st floor:existing r y 2n q g �D� proposed �-` d floor:existing proposed Total new Zoning District C r Flood Plain N Groundwater Overlay I'J 4 Project Valuati n Construction Type Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure '7 5' Historic House: ❑Yes A No On Old King's Highway: ❑Yes NNo Basement Type: ❑Full Z9 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /S0 Number of Baths: Full:existing new E1 Half:existing O new Number of Bedrooms: existing_ new ®— Total Room Count(not including baths):existing y new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other AJ Q/J Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑YesI�lo Detached garage:❑existing ❑new size�Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: /Cd Zoning Board of Appeals Authorization ❑ Appeal# - Recorded❑ x�{ w Commercial ❑Yes No If yes, site plan review# , Current Use Proposed Use BUILDER INFORMATION ' Name ® Pat)F G AY G Telephone Number_ ®� 616 Address 106 �116e_ icense# �!%5- S I/LSE ®�� .� Home Improvement Contractor# 16 2—iOl Worker's Compensation# Wc4 O 2/ a*,6*12— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � SIGNATURE '�%G DATE �/� ✓� s F: FOR OFFICIAL USE ONLY APPLICATION# F DATE ISSUED u is MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER i3 DATE OF INSPECTION: FOUNDATION r A FRAME INSULATION j D 9 ©lam. P� FIREPLACE ELECTRICAL: ROUGH FINAL ,r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ,p 1 FINAL BUILDING 0 DATE CLOSED OUT I - 1 ASSOCIATION PLAN NO. A i 1 �ti. Department of Industrial Accidents Office of Investigations 600 WP shington Street /_ . s ' Boston, MA 02111 www.inass.gov/dia Workers' Compensation Insurance*ffidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 1!� � AJ V/C �� B5 Address: � City/State/Zip: ®�z �1�/�18 ?�3�hone#;. ► �' lZ� /��5� kre you an employer? Check th appropriate bog: Type of project(required);. I am a employer with 4: 111 am a general contractor and I employees(full and/or part-time).* have hiredthe'sub-contractors 6, New construction ❑ I am a sole proprietor or partner- listed on the attached sheet.t 7, Remodeling ship and have no employees . These sub-contractors have $, ❑Demolition working for me in any-capacity, workers' comp:insurance, g, ❑Building addition [No workers' comp, insnce 5. ❑ We are a corporation and its require ura d,] officers have exercised_their 10,❑Eleetrica.repairs or additions ❑ I am a homeowner doing all work right of exemption per MGL. 11- Plumbing repairs or additions myself [No workers' pomp. e, 152, §1(4), and we have no 12,❑Roof repairs insurance required.] t employees.[No workers' comp.insurance required] 13,[] Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, iomeowneis who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. im an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site formation. r. surance Company Name: 4- �!v�09_,�.� licy#or Self-ins,Lie,#; ��1� �� �To !�- Expiration Date: 6 Site Address ��i — City/State/Zip:; #VAJ L4 EOR— tach a copy of the workers' compensation policy declaration page (showing the-policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a . :e 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 up to$250.00 a day against the violator, Be advised that a copy of this statement maybe,forwarded to the Office.of vestigations of the DIA for insurance coverage verification, !o hereb certify er the pa' and pe es o .erjury that information provided above is true and correct mature; -^ one 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#; �ofVtEr Town. of Barnstable Regulatory Ser-Aces 2iA.xTtsTAUC.E, �. Miss . Thomas F. Geiler, Dixector 10)��0 Building Division Thomas Perry, CBO,Building Con:i=ssioner 200 Main Street, Hyannis,MA 02601 www.town.barnrta ble.wa.us Offices 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �-, SC L= • - Map/Parcel:' Project Address �S� Cl�uSL�T7uilder: 8 , OAS The :following items were noted on reviewing: kR 6--CA-: !' AS kEg? ��� Reviewed by: �•�-�-Q Date: Q:F6=:P1arvw 02/28/2006 08:16 4042795210 NRTHRN TRST ATLANTA PAGE 02/02 02/21/2006 07.33 15087757877 EBNORRz5 _ PAGE 02 Town. of BarnsUble j • Bmfldlmg DWon - xoml►ar�,���Co�ala�r . .. lftpctq �•�•fio�o,�tspr�sl�bae;mans �{30: 508•a6�-�43� y �'s�7 50�-+79Q-�0= Y must 1e aaa` x Section US77Cr in AlBlAdder I1 ,0 07=of the Obi impaw • b • :het+obga•�+osa�.�,�,Q'OS��/2/Z��•d�:S'Q+—i / .���t on mg a . : - :' • all print ,iatir roo w &wbogud b� DW i_ �- Massachusetts-. Department of Public Safely 'y Board of Buildin ; Regulations and Standards i Construction.Supervisor License License:-CS 15851 Restricted to: 00 ar ,-CRAIG`N ASHWORTH 138 OST'W BARNSTABLE A OSTERVILLE, MA 02655h Expiration: 9/28/2011 . ('onunissioncr" Tr#: 3091 Board of Building Regulations and Standards License or registration valid for individul use only z ;Jib HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = i Registration: 102014 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration: 6/30/2010 Tr# 268470 Type: :Private Corporation Boston,Ma.02108 A I ERNEST B. NORRIS&SON INC d Craig Ashworth 138 Osterville W. Barnstable rd. Osterville, MA 02655 Administrator Not valid without signature ' Client#:646400 2NORRISEB ACORDW CERTIFICATE OF LIABILITY INSURANCE 512„2009""" ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance E.B. Norris&Son., Inc. INSURERB: 138 Osterville-West Barnstable Road INsuRERc: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS D POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M M I D D DATE MM/DD LIMITS A GENERAL LIABILITY CPA005234520 05/03/09 05/03/10 EACH OCCURRENCE $1 000 000:- X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ r $250 000 ;.:. CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 •rcr:I- :_ PERSONAL&ADV INJURY $1 000 000__,..;___ GENERAL AGGREGATE $2 00O 000. ..._... GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2 00O O00_ POLICY JECT LOC _ A AUTOMOBILE LIABILITY MAA005233820 05/03/09 05/03/10 COMBINED SINGLE LIMIT ' $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $1,000,000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS _ BODILY INJURY (Per acciddeent X NON-OWNED AUTOS ) $1, r 000 000 PROPERTY DAMAGE $SOO OOO (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ - OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCA021246412 05/03/09 05/03/10 X I TWORYSLIMIT OTH- ?(•i: EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $SOO,000?'�. , OFFICERIMEMBER EXCLUDED? NO `E.L.DISEASE-EA EMPLOYEE $500,000`_' If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$500.000'-: �'` -: `'- OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Officers are included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER, CANCELLATION _t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION_:> Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WR1TfEN,_:: 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SQ:S_HALL_;; Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENT$O.R._ - REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S57998/M57992 LS1 0 ACORD CORPORATION.79.88 f Town of Barnstable , yOF THE ; E ' 0 r^ M ..O�JEIOPMF�ypo c Planning&Development Department * Barnstable Historical Commission, + sARN3fABLE. y MASS. 200 Main Street,Hyannis,Massachusetts 02601 �A i639' �0 (Phone 508� ( �862-4787 Fax 508 862-4784 �6fo ,��•`�~ rED MA't A etin.16gan@,ti)wn.bamstable;ma.us Elizabeth Jenkins,Director COMMISSION MEMBERS: Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifteld,Clerk George Jessop,AIA ... Elizabeth MumfordC! Cheryl Powell Frances Parks C— DECISION co C-)--i Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F N _ Applicant/Property Owner: Kathleen,Lluberes co Subject Property: 25 Wachusett Avenue,Hyannis Port Assessor's Map/Parcek 287/058/000 Hearing Date: January 159 2019 Pursuant to the Barnstable Historical Commission receiving your notice of intent on December 3, 2018, a duly advertised and noticed public hearing was held on January 15, 201.9 to determine whether the significant structure identified as a single family structure on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 25 Wachusett Avenue,Hyannis Port: After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that the actions proposed do not constitute a substantial alteration and would not jeopardize the historic structure's status as a contributing structure in a National Register Historic as defined in §3 of the Cape Cod Commission Development of Regional Impact Review Threshold. In addition, after further review and consideration of public testimony, application, and record file accordance with Chapter 112F the partial demolition of the single family is not a preferably preserved significant building. In accordance with Chapter,112-3 F,the Commission determined by a unanimous vote that the partial demolition of the,single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. This decision applies only to the demolition described in the notice of intent submitted on December 3, 2018. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. �/ / — Nancy Clark,Chair Date �- cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk 200 Main Street,Hyannis,MA 02601(p)508-862-4787(f)508-862-4784 367 Main Street,Hyannis,MA 02601(p)508-862-4678(0 508-862-4782 zM r Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee ��, asnss Thomas F.Geiler,Director SS p Building Division ER41170170 Tom Perry,CBO, Building Commissioner OCT 19 ?006 200 Main Street,Hyannis,MA 02601 f T www.town.barnstable.ma.us Office: �56$-'S� O�RAISTABL Fax: 508-790-6230 E ,EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY p p Not Valid without Red X-Press Imprint Map/parcel Number Property Address �J A E7 416F yAAJAJ,(_1 XResidential Value of Workt&&0 Minimum fee of$25.00 for work under$6000.00 . Owner's Name&Addresse .�� _ i Contractor's Name_ " dQ/� 1, ��� � � s � Telephone Number 7 7✓"-4 7 Home Improvement Contractor License#(if applicable) l �- Construction Supervisor's License#(if applicable) f Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name oKAg l i JOO AAr Joe- 674:> Workman's Comp.Policy# W Cc,- h--b 6,0 �7S-Dlr�� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ! Re-roof(stripping old shingles) All construction debris will be taken to � ❑Re-roof(not stripping. Going over existing layers of roof) ] Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improveme nt ctors Li se is required. LRevise071405 TURE: :expmtrg t Tin of Berme ' • Replatury service _ .. tffiax 54$• -�49� Fw SW790-030 - PropeftlOwnctimmt F Sign Drw • If L%ing ALB ewr Lei , thr stect prig . .' �hero�pa�+ots�=�f�'OS�l��ZdS��S'Di-i / to•�ronmgl '. - :• ' . 3o . � ✓fie iJorninzo7zu�ealf� o--��1�a:ksao�uae�,t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 Birthdate: 09/28/1953 Expires: 09/28/2007 Tr.no: 5196.0 ilk Restricted: 00 CRAIG N ASHWORTH 385 SEA STREET G— 4 HYANNIS, MA 02601 i Commissioner .s. i ez l , i ' i•. I ! I I. oard of Building egqulation One Ashburton Place, Rm 1301 Boston,-Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LIPENSE Number: CS 015851 Birthdate: 09/28/1953 Expires: Restricted To: 00. i CRAIG N ASHWORTH 385 SEA STREET HYANNIS, MA 02601 Tr.no: 5196.0 Keep top for receipt acid change of address notification. I ' UPS-CAI io 50M-04/05-PC8698 i I.' is zE, Town of Barnstable Regulatory Services s�► s Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.fown.barnstable.ma.us ice: 508-862-4038 Fax: 508-790=6230 Permit no. Date AFFIDAVIT HOME IlYIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or constructipn of an addition to any pre-existing owner-occupied building containing at least one but not more than fora dwelling units or to structures which are_adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. pe.of Work L Estimated Cost CAB Address of Work: - ,,2,✓- Owner's Name: ��ll�i4� e-y --7Z L Date of Application: 0/! gD � 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 WIMUNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT 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- a agent o2the a Date Contractor Name Registration No. OR Date Owner's Name ✓fie 'o»arcaayacoecz`lIl o /lCxdJCGCf2lcdet _- Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: —, - Board of Building Regulations and Standards I ' Registration: 102014 One Ashburton Place Rm 1301 Expiration: 6/30/2008 Boston,Ma.02108 Type: Private Corporation J ` ERNEST B. NORRIS&SON INC Craig Ashworth 385 Sea St ,G C� _ Hyannis, MA 02601 Deputy Administrator of valid without signature mot„ ' Date: 8/11/2006 Time: 11:18 AM To: @ 7,150877578.77 Dowling & O'Neil IPage: 001-002 Client#:646400 2NORRISEB ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/11/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE. NAIC# INSURED INSURER A: Associated Employers Insurance Compa E. B. Norris&Son.,Inc. ' INSURER B: P.O.Box 486 INSURER C: - Hyannisport, MA 02647 INSURER D: INSURER E: COVERAGES 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR DD' TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION + LIMITS LTR NSR DATE MMIDDIYY DATE MMIDD/YY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - DRAMAGE TO RENTED - P MI S Ea ocmrtence $ CLAIMS MADE D OCCUR - MED EX (Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- LOC JE CT AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO (Ea accident)> - $ - ALLOWNEDAUTOS BODILY INJURY SCHEDULED AUTOS - - (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS - " (Per accident) $ PROPERTY DAMAGE $ (Per accident GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ' ANY AUTO, - - - OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - _ EACH OCCURRENCE $ OCCUR CLAIMS MADE .. AGGREGATE $ DEDUCTIBLE .~ .._ $ RETENTION $ $ TH- A WORKERS COMPENSATION AND WCC5000673012006 05/03/06 05/03/07 OR I IMITATU oER EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE - E.L.EACH ACCIDENT $500,000 OFFICERMIEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under SPECIAL PROVISIONS beiow - E.L.DISEASE-POLICY LIMIT $500 000 OTHER - - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS - Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,.waiJed,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION 6. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - Town of Barnstable' DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL `10 DAYS WRITTEN- Mal n Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL_ .Hyannis, MA 02601- - - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR - - - - REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - - - ACORD 25(2001108)1 of 2 #43940 MAK ©ACORD CORPORATION 1988 _ 1 TOWN OF BARNSTA!BLE i. BUILDING PERMIT PARCELID 287 058 GEOBASE ID 19005 ADDRESS 25 WAC14USETT AVENUE PHONE HYANNIS ZIP LOT BLOCK. LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 91134. ' ° _ .DESCRIPTION REMODEL KITCHEN PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY �z CONTRACTORS: E.B.NORRI S 8c kN, INC. Department of ARCHITECTS: A Regulatory Services TOTAL FEES: $75.00 BOND $.00 ptr CONSTRUCTION COSTS 434 RESID ADD/ALT/CONY 1 PRIVATE' P.Osn>tuv§ias>I�, 163 .9 ED MP'� BUILDIN DIVISION r BY DATE ISSUED 03/30/2006 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ; MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. WS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS C) yXl Gi4s p'C 3 e-/ 1 HEATING INSP ROVALS ENGINEERING DEPARTMENT �—V,ja 2 BOARD OF HEALTH (0 Ek OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. B • PERMIT iLDING I .. I I I I I I I I I I li I I I • � it I I I I i TOW&OF BARNSTABLE BUILDING PERMIT APPLICATION y Map AR Parcels g Application# 4sn%-LJ pHealth Division (din 9 q Division � 0,- Conservation ! / � V � Permit# Tax Collector Date Issued Treasurer 2 Application Fee Planning Dept. CO � Permit Fee Date Definitive Plan Approved by Planning Board 4 Historic-OKH /J A Preservation/Hyannis tj 4 Project Street Address Village y �� '�}. Owner CAR r RD �c��� Address �l ��i� G�J kiA' k,rr4 z5 f Telephone n 0 /jvlewl S O X Permit Request 4 ®v " � klElj eta �� /8 �s f4 F.-.3 jS-.. 4'a'.,y Square feet: 1st floor:existing D� proposed a> 2nd floor:existing proposed 8 Total new c s.= W Zoning District XVF Flood Plain /J 1,4 Groundwater Overlay All Project Valuatio Construction Type1 4,� Lot Size a D� �c .. Grandfathered: ❑Yes No If yes, attach supporting d umenta4ion. 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 X Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing C9 new 0 Half:existing J new eo Number of Bedrooms: existing_ new to Total Room Count(not including baths):existing new ® First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 4No Fireplaces: Exist' g / New Existing wood/coal stove: ❑Yes *0 Detached garage:❑existing ❑new size a� Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ / Commercial ❑Yes /kNo If yes,site plan review# 1 � - . Current Use -N&51 �roposed.Use BUILDER INFORMATION Name -091 :565/0 AJ C Telephone Number T Address License# a Home Improvement Contractor# Worker's Compensation# CG �4op�o73C> 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . 07 'elA SIGNATURE DATE 8 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO.. ADDRESS VILLAGE ' OWNER , 1r DATE OF INSPECTION: - FOUNDATION FRAME ' INSULATION ..r ow FIREPLACE..-,•tZ� Z Otm� 1M►s. ELECTMPA ROUGH FINAL I PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING 0 DATE CLOSED OUT ASSOCIATION PLAN NO. I ' •f^ --b2/28/2006 08:16 4042795210 NRTHRN TRST ATLANTA PAGE 02/02 i 02/21/2006 07 ;33 15087757877 UNORRZS PAGE 02 Town. of Ba" motable ' Ae ary Services ., - Ir"Cwar,Matar BmBdugDWon Ir mra",Buaft condmamer . 35W. ga$•a�a. O98 FCC, . PropeAy Comer must Complete and Sign TW Section If Using iBuilder . 23 ow=of the sAiect pr ?=L3r . '• �hes+a}ap n� -'� � OS�D/2/Z.G S'o`::S'O'!'I %�i co ect on mryr beb , -. - .' ' . , in a�1 lat roo w�xk auharied bye buW*pew aM20A&U for, WAc Jab RESIDENTIAL BUILDING PETMT FEES APPLICATION FEE ; New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING%PACEsquare feet x$96/s .foot= x.0041= plus fow(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= � x.0041= plus from below(if applicable) GARAGES(attached&d tached) sq a feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120.sq.ft >120 sf-500 sf 5.00 >500 sf-750 sf .00 >750 sf- 1000 sf 75. 0 >1000 sf- 1500 sf 100.0 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041- STAND ALONE PERMITS Open Porch. x$30.00= Deck x$30.00= (n r) Fireplace/Chimney x$25.00= (num r) Inground Swimming Pool 6 00 Above Ground Stivimming Pool S2 .00. Relocation/Moving $1 .00 (plus above if applicable) Permit Fee Projcost Rev:063004 Town of Barnstable Regulatory Services Thomas F. Geller,Director AT .;►`' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-862-4038 Fax: 508-790=6230 Permit no. Date AFFIDAVIT HOME IMTROVEMENT 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.adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 'type.ofpJork / Estimated Cosk U Address of Work oZ (� (� f e Owner's Name: (9,4 9EAK0 3 A--E7EC? _ Date ofApplication: ' 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 IMPROVEN XNT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PER.NRY I hereby apply for a permit as the agent of the owner: D Contractor N=L Registration No. OR Date Owner's Name i - i ' I � I < i . ',�k_ ✓EGG U� �,/GG�G�J:1 $ Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration i Registration: 102014 . Type: Private Corporation Expiration: 6/30/2006 ERNEST B. NORRIS-& SON INC Craig Ashworth -- ----- -- — 385 Sea St Hyannis, MA 02601 ------------------- . Update Address and return card.Mark reason for change. .� Address [� Renewal (J Employment _� Lost Card r. Board of Building Regulations and Standards License or registration valid for individul use only "rT) HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 3 _ Board of Building Regulations and Standards Registration: 102014 One Ashburton Place Rm 1301 Expiration: 6/30/2006 . Boston,Ma.02108 .Type: Private Corporation ERNEST B. NORRIS&SON INC Craig Ashworth 385 Sea St Hyannis, MA 02601 Administrator �otvalidthout signature � 1 :+ 0i7— Board of BuildiNace, egulatioas One Ashburton Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LIQENSE Birthdate 09/28/1953 � Number: CS 015851 Expires:09/2812007 Restricted,To: 00 ; 3'd . }ig4 CRAIG N ASHWORTHle 9 385 SEA STREET HYANNIS, MA 02601 Tr.no: 5196.0 Keep top for receipt and change of address notification. T, € DPS-CAI G 50M-04/05-PC8698 t � t The Commonwealth of Massachusetts = Department of Industrial Accidents Offlce oltayesagatioos G 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance AffdaNit name: location: city phone� ❑ I am a homemmex performing all work myself. ❑ I am a sole prop riet or haoin in airy capacity // /%andve no one w %%//%/MMME//%/%%rk///////%//%%%%/////%/%/%//%////////% DX am an employer providing workers' compensation for my employees working on this job. ctmpsnvname . £rflest: 5. :;.Norris & :'Son Zrtc: 31 5> Sea.-7 - address... .. rest n s 0455t oh ne ? # ................ .:..: ;:::. AsstSc�atEd Ein Myers;.>Ins Co.:< assurance co.:: : oltcv# WCC Sa{3057 .:...... ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: p ...::.:.... .:: :::::;::::::.. 4:O::i:4i:•:�J': <: :<. «. .lnrnrnRCe.co...... ...... ........ ... ...:......................:.,,:..:,.............. ollcv#:,..,.�.�:::;;>::::z::�;::i::�>:<:::i::ii:;::;>:;::::.,:::;:.:.;;::.:<;;;<;.;;;>:.;;:;::>�...r:i.;�>:..a�«,::;:;:>:i;:.> address: ::.. ;..:.: . . d. bone#: :. ::.:.:..:.r ..WX <>> nourance.co.:.:::...:..:::._:::::..:;::::.:;.;:<.:.;:<.;;:.;::.,.;.,:;;::::::::<.:::;•::::<..::::.:::.: :.:::.:::.:::.::;;;:.;:.;;:.;;;:.;.::;::.;;;:;:..;; a Faitm•e to secs a coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal pmjlties of a fine up to S1,500.00 sad/or one years'imprisonment as well as civfi penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understimd(hat a copy of this statement may be for ww ded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties ojperj as the information provided above is true c ere Signature Dave )Ipql printname Craig N. Ashworth Phone# 08 75-0457 Leo not write in this area to be completed by city or town official permitlllcetue ❑Building Department nponse is required ❑Licensing Board ❑Health cep Office phone tt; _ ❑HealthDepaitment ❑Other Urea 9/95 P1N Date: 2/2/2006 Time: 2:33 PM To: @ 7,15087757877 Dowling & O'Neil Page: 003-003 Client#:646400 2NORRISEB CERTIFICATE OF LIABILITY INSURANCETo- ACORD. 2/02106D"m' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS_NO RIGHTS UP.ON.THE CERTIFICATE' HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Acadia Insurance E.B.Norris&Son., Inc. INSURER B: Associated Employers Insurance Compa P.O.Box 486 INSURER C: Hyannisport, MA 02647 INSURER D: - INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE IMMIDDIYYI DATE MMIDD LIMITS A GENERAL LIABILITY CPA005234516 05/03/05 05/03/06 EACH OCCURRENCE $1 000 0D0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED P E a occurrence) $250 ODD CLAIMS MADE �OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 ODD 000 GENERAL AGGREGATE s2,000,000 KENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COP.IPIOP AGG s2,000,000 POLICY JECT LOC A AUTOMOBILE LIABILITY MAA005233816 05103/05 05/03/06 COMBINED SINGLE LIMB ANY AUTO (Ea accdent) $ ALL OWNED AUTOS BODILY INJURY $1 000 000 X SCHEDULED AUTOS (Per prison) . , X HIRED AUTOS BODILY INJURY $1 00D 000 X NON-OWNED AUTOS � (Per accident) r : PROPERTYDAMAGE $rjOO ODD (Per accident) , GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUA005234816 05/03105 05103/06 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMSMADE AGGREGATE $10 000 000 DEDUCTIBLE $ X RETENTION $0 $ B WORKERS COMPENSATION AND WCC5000673012005 05/03105 05/03/06 OR LIFArF DTH- TORY IM S ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICERIMEMBEREXCLUDEDI E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 600.000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Job: Sidman Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Mashpee-Bldg. Dept. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN 5 Mute Swan Circle NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Mashpee, MA 02649 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ff �A ACORD 25(2001/08)1 of 3 #41525 LS1 0 ACORD CORPORATION 1988 ✓le �orrv�raarau�ealCf e il`ax�acfrcae1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 i, Birthdate: 09/28/1953 i Expires: 09/28/2007 Tr.no: 5196.0 Restricted: 00 CRAIG N ASHWORTH r 385 SEA STREET, G— HYANNIS, MA 02601 Commissioner i �.W �,N ,. . ► 0 !h-t-�-S •f ;" gacr►stable Bldg.DeP ` — APProVed by - PecmI t - -. kj i. _i x cons• ycs s�r�-.£ , R f r 7 rvx• _ %: r,. P - _ , Kit _ — Kitche n %{2' t • ' - ' y.T _ ., - Ham- }_., .F :' .F c.__...^c ' ` 1 ' ^ t - _ .' ' lip i - - y ` y�. .G £ _ F _ - 11 ' - -\• i , I^ }` ; New closet and Kitchen Hall -• t - s yu - door , 1 _ - ' t G ,N w. Liven doom g _ b • •r. � -�-- 3 -Laundry: � op TAA s Plaster ceilings throughout ` - I .` - — r 1__. 7�a _ _ ` t r Paint complete first floor price by room $ Yellow = bead board r_ - f Bath / cw*_ :$s Mud Room #: -Fuschia = baseboard 54fning ."' aa j: • i {.x ' •E.-.yyy vy ... S � .s`Y "f �, •3- F ...+... 't i ._ K[ 5 ,: s.s .. } f r;� .� !�- - y �I CCQ F�/L •<• + , M1 •r: 1 :.y.. .,� - - y- v1 � +¢. ; � t � -. ..... eta "� r` .•. - .�1.�.�'_�""_' , _ . - � t �` °� � F � '� � - ` ,,c� - '---�.•aw 3 Jtii9rerfh Cq�S Z�+"T�.6t New closet and FCA _ 0� 1 i -Aw'. r.&*4e' ,� �rdf•� !g - 9 light 2 panel , A"ROVED BY:. DRAWN BY Therma Tru 3-0 x [door � DATE: REVISED 9 0.2D1� 6-8 double bore, LH inswing - - - - - ! DRAWING NUMBER • e _,� t i 127 l I c I +M 7+6 s Ull 5 71 t � l ! t i Vo 1 2 - uk S L4 -gt14ttg17 AvE � r SCALE: DATE: J/�2 E ;( r f 1. .._— . ♦ Itannin gel - _ O 3 ` 5 _ �+V CK Ir! _ ♦ ._... .... _ r4 - f _. ...,.. 'Y aW S ko Na A.p, t - 1;Ufa a f G-lot a! r 1 lint �Z g rye AJ;4 -S 0 t-7 vor 9GALE:/. ,` •� APPROVED BY: DRAWN BY . -. ./ - DATE:•. DRAWING NUMBER DSO/. I I . C W m m N mo x � pia 2 O W z 0 0 0 ILIrol M 1 2'-4 1/4" 2'-7 1/4" 3'-7 1/2" 2'-7 1/4" 5 3/4" 2'-4 1/4" 2'-7 1/4" 3'-7 1/2" 2'-7 1/4" 5 3/4" fl 4 1/2" 4 1/2" 4 1/2" 4 1/2" �' EXIST. WINDOW EXIST. WINDOW EXIST. WINDOW EXIST. WINDOW 24-1/2"AFF 24-1/2"AFF 24-1/2"AFF 24-1/2"AFF DRAWN BY:MK z W Q w Q 0 Ln 30"x GO" O 30"x GO" O � Q Oo u- TUB o u- TUB O lL! W zQ 0z ¢ U- u N - N - Q Q W = r p O U Ln N Ln L = U 9 Nuo 33-1/2"x 46" 33-1/2" x 48" SHOWER SHOWER _ f— Q p O O Q II LLJ U N . ^J O- O o J D- u 0 Qn 2t4„ x 6- Tv, 6 I II I I II I I'-I I I/2" 2 I/2" 2'-9 I/2" I'-I I I/2" 2 I/2" � 2'-9 I/2" � . NOTE: DIMENSIONS ARE FROM FINISHED WALLS NOTE: DIMENSIONS ARE FROM FINISHED WALLS m o o O N O p m m oc w w z cc z O_. OPTION # I 2 OPTION #2 w n O Q W . o � - Nm . , ; , k:; ,; r - » ' 11 _�� - . -. , '.. . ::r} t I z��,�-AM:7" � . ._.. _ �\ � , _ .. __ . _ _ �. . . — , . _ .- ., . I.._.__ ' : . .— k — - •1� . .. .._ _-= , C /- _,> -r --.__... . _. .. -... - _ _ �_:, _ - - --- f, 1: ,, . --— j �1., - —1 k... — ,,. x _.._, ,. �,_. ,. 11 , ,>. . . f' :: fit . + ..� i I. 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