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HomeMy WebLinkAbout0058 WASHINGTON AVENUE}1� �I i 4 i ?E �I I �-� -- 09-3 y i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �J Application# Health Division Date Issued k c ti iW � Conservation Divisions Application Fee Tax Collector Permit Fee /�'—C 2 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 5b Wmw06Toy) AVE Q VE Village RYWH is poR�b Owner A L.VER56h) HARDY L� SI Kt�T�I�RI N�Address 11��I 5��l L.� LQ i M C�,.EAtQ1 �VA �Z101 Telephone C/O '. E•$ . ►�0 R,26 $�`�0►J, 14c, (,roe 418 —Il 6 Permit Request $V11,12 Wf 11Jl�bu 1G e x 22.E^b 6ARAGE AT IANED TO EXLSTI IJG ig 1112 kTTAGi e-V V2A VJ 1 N6�- Square feet: 1 st floor:existing (J proposed b n 2nd floor:existing proposed' Total new 3(Q o Zoning District Flood Plain J� A Groundwater Overlay QJA Project Valuation p0 Construction Type RA 5 Lot Size 1. 0 kLm:5 Grandfathered: ❑Yes �&No If yes, attach supporting;documentation. _ 3 Dwelling Type: Single Family,& Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's`Highway: O,.Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout A Other ON) 6R1-fV, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ' _ RIA Number of Baths: Full:existing Pr new Half:existing ne Number of Bedrooms: existing 1J _ new �} Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other CQE Central Air: ❑Yes J 1 No Fireplaces: Existing A- New Existing wood/coal stove: .❑Yes 'A No BALO Detached garage:A existing ❑new size tj I A- Pool:❑existing ❑new size /JJ Ar Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size T Other: nl//� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes )2 No If yes, site plan review# _ � GAF (,urrent-Use "' "` y .. Proposed lJse �SID�i�1�Gdf'li/ Sin-R�� BUILDER INFORMATION Name 9KNE-'1T V ONT IBC . Telephone Number (506) Address [b b Q9MV tLAJ6— yV-RJw"Le 92. License# 15 851 D*Tkk�I LAI e. M A ��6 r1 J� Home Improvement Contractor# Worker's Compensation# 01 N xK 3 07 0 L 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . SIGNATURE 'S DATE FOR OFFICIAL USE ONLY APPLICATION# j DATE ISSUED MAP/PARCEL NO. r 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. ` d Department oflndustrialAccidents Office oflnvestigations v' 600-Washington Street L, �' :Boston, MA OZI.lZ �' t VV w ww.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AppEcant Information ;Please Print Le 'bl Naive(13winess/organization/Individual) GP.NDelr 0004 ON Address: 471 _ W• (�J STl1- l 'r p City/State/Zi :_ P-mp yLA 'htA ► ou P Dr Phony i.re you an employer? Check the appropriate box; Type of project(required);. I am a employer with 4: ❑ I am a general contractor and i employees(full and/orpart-time).* have haedthe'sub-contractors 6' ❑ I am a sole proprietor or partner- listed on the attached sheet.+ 1. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp.insurance, g,'IK Building addition [No workers' comp, insurance 5. ❑ We area corporation and its required] officers have exercised their 10.❑Electrical repairs or additions ❑ I am a homeowner doing all work right of exemption per MGL. I I.❑Plumbing repairs or additions myself, [No workers' comp. a 152, §1(4),and eve 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. iomeowners 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. an an employer that is providing workers compensation insurance foamy employees. Below is thepplicy and job site formation. surance Company Name: CA V I oyt Rho cc -licy#or Self-ins,Lic.#; I OV 'W O 1 d Expiration Date.—NW ate: n 5 D 3 11 6 Site Address: J tl W As".l N G70 10. AvE City/State/Zip: RY4 0 0[S ?OPT I''(k tack 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 cae-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of vestigations of the DIA for insurance coverage verification. 'o hereby certify er the pains nd ties erjury t e information provided above fs true and correct mature: Date; one C909 a' —1 12� Of use only, Do.noi write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one); X,Board of Health 2.Building Department 3. City/Town Clerk 4,ElectricaI Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#; o�TME ,y� Town of Barnstable Regulatory Services LAI 9� s tom$ Thomas x Cef Ier,Director Eo ` Building Dlvisloa Tom Perry, Banding Comm*sloner 200 MakStrear;$ymlis MA 02601 www.town-barnstable.•ma.us )ffioe: 508-862-4038 Fax: 508-790-6230 . . Property OVner Must Complete acid Sign This Section If Using A Builder At V6 R.'O/U ,asOwner of the subject roPAY hereby,authorize p f • �l �a�� �i,F� to act on my behalf, M all matters relative to work authorized byda bufdiug permit application for, W A 44 19T-V N AVE AyAN.� [5 (Address of Job) S' na e o er . . �111IoU .2 0I0 Date AAI Pant r� . c. s - - Massachusetts- Department cif Public SitfetN Board of Buildhw Red-ulat:ions and Standards' Construction Supervisor License License: CS 15851 ! Restricted to: 00 ;t a i CRAIG N .ASHWORTH t 138 0ST W BARNSTABLE t } OSTERVILLE;MA 02655 r }, 'Expiration: 9/28/2011 ('ummisioncr' Tr#: 3091 .�e -62 4 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration:, 102014 / Type: Private Corporation Expiration: 6/30/2012 Tr# 200714 ERNEST B. NORRIS & SON INC - { Craig Ashworth -µf ` 138 Osterville W. Barnstable rd. Osterville, MA 02655 � r f * - Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment R Lost Card DPS-CA1 0 50M-04/04-GlOI216 I,— Office oko Sumer°Arf. .. Vsiness A-,-g- ton" License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR p Registration: 102014 Type: Office of Consumer Affairs and Business Regulation �� G VIJ, Expiration 6/30/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ER' EST B. NORRIS&SON INC - Craig Ashworth 138 Osterville W. BarnstabI...rd Osterville, MA 02655 Undersecretary Not valid without signature ry J 1 I� l _ Client#:646400 2NORRISEB ACORU. CERTIFICATE OF F LIABILITY INSURANCE o5/26/2010' 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 INSURER A: Acadia Insurance E.B. Norris 8r Son.,Inc. INSURER B: 138 Osterville West Barnstable Road - INSURER C: ` 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. INSRADD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD/YY LIMITS A GENERAL LIABILITY BINDER307009 05/03/10 05/03/11 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAGEES TOE RENTEDaoccurtn $250 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000. GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLE SPER: PRODUCTS-COMP/OP AGG $2000000 POLICY JE PRCTO- ' LOC A AUTOMOBILE LIABILITY BINDER307008 05/03/10 05/03/11 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 $1 000 000 X NON-OWNED AUTOS (Per accident) > > I PROPERTY DAMAGE $500,000 " (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY BINDER307011 05/03/10 05/03/11 EACH OCCURRENCE $1 O 000 000 X OCCUR CLAIMS MADE AGGREGATE $1 O 000 000 s' $ DEDUCTIBLE $ X RETENTION $O $ A WORKERS COMPENSATION AND BINDER307010 05/03/10 05/03/11 X OR LIMIT 0 R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS y 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,provision's. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable BATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Rn DAYS WRITTEN 200 Main 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(2001/08)1 Of 2 #S69611/M69610 CR © ACORD CORPORATION 1988, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o �3 Parcel Permit# F t S / Health Division J�� �`� � OD I'a-Ira Date Issued / - S - O S' Conservation Division jc�k a.; 0Y. Application Fee i 00 Tax Collector _ Permit Fee J' O Treasurer dq SEPTIC SYSTEM MUST 6E Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board ENVIRONMENTAL Historic-OKH N Preservation/Hyannis AJ TOWN REGULATIONS Project Street Address SJVIEWO Village 9Z\ ,4� l / D Owner K q, At Veg s,�j r9; Address 8/8 -4✓/ l E- 6 A_Ij�: Telephone �la i�Drle>gKtS -775 04�'� �l G GE Vie' Permit Request�A >712 /� r pi a ��— EXI-577AA1 �GE4.5ec ??t?72&-W 7`o 21:f� g�yd OE71X6eLt9J TbAl aWA7Y i Square feet: 1st floor: existing /2 00 proposed 1260 2nd floor: existing d© proposed 95i9l) Total new Zoning District )"?F —�_ Flood Plain Groundwater Overlay Project Valuation Construction Type W12 Lot Size Grandfathered: ❑Yes VNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ' Age of Existing Structure_7 P2S Historic House: ❑Yes /%LNo On Old Kings Highway: d Yes No Basement Type: JQ Full ❑.Crawl ❑Walkout ❑Other c`a -70 Basement Finished Area(sq.ft.) 14 A Basement Unfinished Area(sq.ft) 7- Number of Baths: Full: existing .3 new Half:existing new_?i!:) ,, Number of Bedrooms: existing new Total Room Count(not including baths): existing / new © First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other f�oT J/ ,4 Central Air: ❑Yes /9 No Fireplaces: Existing Z. New 4!!!) Existing wood/coal stove: ❑Yes �Mo Detached garage:❑existing ❑new size N 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 0 Commercial ❑Yes ANo If yes,site plan review# Current Use C� Proposed Use yl�7�iL�C� BUILDER INFORMATION Name O �i j /AJ lephone Number 77 2�7 D!� ,:5�- Address .3fSJ� ��A 5% License# /$' 15V 5'+AJA4 C. Home Improvement Contractor# / ` T Worker's Compensation# G G 5COO (�-730/2CtZ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /f < DATE o2 : FOR OFFICIAL USE ONLY 6 PERMIT NO. DATE ISSUED ZIJAP/PARCEL NO. ADDRESS VJLLAGE OWNER , L DATE OF INSPECTION: FOUNDATION ' " h FRAME INSULATION FIREPLACE „ ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH) _ 5 FINAL j GAS: ROUGE p !i FINALco : FINAL BUILDING M 0 DATE CLOSED OUT —i� In Q5 " - ASSOCIATION PLAN NO. m a "r Town of Barnstable Y °;. Regulatory Services s�xivsrns�, r . Thomas F.Geller,Director 9 ns�ss. g Buiidig Division TomPerry, Building Commissioner - 200 Main Street,Hyannis,MA 02601 _ www.town.barnstable;mama Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder Alve ualu ,as Owner of the subject property hereby authorise to act on rnybehalf, in all matters relative to work authorized bythis building permit application for: G�AS1v'N y' Ye. / ioNNis P,,)- o.z�� (AddVes s of Job) p/ ec.eZk ,20 S a e of Owner Date ire r'se� ,- Print TAT - ✓�e tJo�iiiiu�ruoeal/� o/�.!��<Alac�uvn.�.J - BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 Expires: 09/28/2005 Tr. no: 6861.0 Restricted: 00 C IG N ASHWO RTH 385 TREET HY Administrator OF{HE ram, Town of Barnstable °-� Regulatory Services B"NSrnsr.E, Thomas F.Geiler,Director Mass. 9`b 1639. Building Division Mpy A g Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit uo. Date Isla o 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: S� L� ��d� :i S/D/�-�Estimated Cost A Address of Work: }� s!-�eti1G n3 /Q 'Z'o1Cd=iJU� Owner's Name: 14 R /4 L!I�fZ�� Date of Application: D PP I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the age a owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav 'i , Board of Building Regula ions and Standards One Ashburton Place - Room 1301 { Boston. Massachusetts 02108 Home Improvement:Contractor Registration Registration: 102014 Type: Private Corporation Expiration: 6/30/2006 r ERNEST B. NORRIS & SON INCk. Craig Ashworth 385 Sea St F / Hyannis, MA 02601 Update Address and return card.Mark reason for change. Address 0 Renewal Employment Lost Card a ✓he Uon�no7u�rPczi o � ac�ivae%�6 - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registrati�n�-102014 One Ashburton Place Rm 1301 pw Expiration: 6/30/2006 ' Boston,Ma.02108 1. Type _Private.Corporation G ERNEST ORRIS&SON INC` # + Craig Ashworth i' 385 Sea St Hyannis, MA 02601 Administrator of valid without signature ill;,�,,•: II t i The Commonwealth of Massachusetts - Department of Industrial Accidents Office offoyestf 89offs 600 Washington Street " - J Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city vhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worku in ca achy �g am an employer.providing workers' compensation for my employees•working on this job........:.............:......::..::.::::::..::.,:..,:a.:.a:.:r::n..:::. •:'%>�i�:il.�.."''<''C<>:�:?::;:;:ii:i'is{:::�:;::,}:�::�:v:;:v?:::i;:;:;i:<�<:!;i:?�ii'F.;ii:}i`iiii:�:::!i::::?C:i::<i;:;ii::i:+:iiri}:jii;:,'v,:;:i;i$iiiY:i<!!'�:v:i:;:;':ijj�:; ::v:;•.:.::.........:.....:.:�..::.:::::::L'���:�::1::}?}:�::+:::::::d}1:1i1� ':�:ii::+::ilT:`:'.�w7:t/�Z!':':.::..........1..... ....... coataanvname...::... .......................... .... ... ......... ..... ...... .... ......:.::.....:.::...::...:..,.:.:::..,...............:. :................:....... .Y ::.}}}::.v:::i:::.::.::•..:. ::::i:.:w:..:::.,:v.v:•.v:::..:}'::::.v::.:�:::::::.::.i::::::.�:::n;:•.v:v:.�:::::::::::::.:�:{;:::::?:.v::::::..�:{::::::.:}i'.:v:::::::::::?::::::.y::::::::::::::::i.v.::::::::.:'::vv::::.v.}:.v:•:::::::.v:?:::.v.:}x:v::. 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Faibrre 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 dvfi penalties in the form of a STOP WORK ORDER and a fine of S100.00 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 penalties of pei j at the information provided above is trap and correct. Signature Date printname Craig N. Ashworth phone# 508-775-0457 C&heckif y do not write in this area to be completed by city or town ofnadal permit/llcense# ❑Bading Di partment ❑Licensing oardmediate response is required ❑Selectmen Office _ ❑Health Department : phone#; ❑Other UrAsed 9/95 PIA) r.•.. l. ,. 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BLOCK OR EXTERIOR DRAINAGE OF GRADE PLYWOOD AREA BE LOW DECK BUILDING WALL CONNECTIONS AT BUILDING WALL I-z1 ty Town of Barnstable *Permit# Expires 6 months from issue ate Regulatory Services Fee > �> 20 2015 °f' Richard V.Scali,Interim Director. OF BARNSTABLE 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 PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number /� Property Address- V I tx `V0 t\) A u V - *esidential Value of Work$ 0© , 0 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name I r QJ I � Telephone Number Home Improvement Contractor License#(if applicable) &. Email: (1" t ro e . (° Yt 4 Construction Supervisor's License#(if applicable) C/J (p 0 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor El I am the Homeowner I have Worker's Compensation /nInsurance Insurance Company Name l�i Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit R&est(check box) /1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Cas e A? Iv ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maxim_ um.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property wner must sign Property Owner Letter of Permission. A copy the Rome Improvement Contractors License&Construction Supervisors License is _ qui SIGNATURE: TAKEVIN D\Buildi g hange RESS PERMIMXPRESS.doc Revised 061313 i snarsrneM Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder " as Owner of the subject property hereby authorize t0a a 1.0 Ni tI ue 1c) to act on my behalf, in all matters relative to work authorized by this building permit application for: u�P (Addre s of Job) Sign re/Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN Mudding Changes\EXPRESS PERMIMXPRESS.doc Revised 061313 f R 77ae C'ornnionnvalth of Massachusetts l)eparhn"i!t of I►rdrestrial Accidern is Office of Inwsligations 600 Washington_Sheet Boston,MA 02111 >Fvanv.mass,gvvOdia Workers' Compensation Insurance Affidavit: BuilderstC:ontractors/Flectricians/Ph mber-s Applicant Information I Please Print Le gib Name 03usine organizztio 3- H(-1 0.0 N rJC IW (J Address: a —City/State/Zip: Os Ie r u I H q Phone#_ a - / ­0 � r Are you an employer?Check the appropriate boa,: Type of project(required). 1_❑ I am a employer w th 4. ❑ I am a general contractor and I employees(fi411 and/or part4ime=.). : have hared the sub-contaactors ❑1gTew construction 2.❑ I am a sole proprietor or parer listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me.in any capacity-. employees and have vmrkers' o works'comp.insurance camp.i serance I 9- ❑Building addition Electrical required-] 5. ❑ We are a corporation and its 10-❑ repairs or additions 1❑ 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.❑goof repairs insurance required.]I c-152,§1(4),and we have no employees.[No workers' 13.0 Other comp-insurance:required.] *Any applicant that checks box#1 mm also fal out the section below showing their waskeW compensation policy inoem9iina - 1 Homeowners who submit#his afEdavir indicating they are doing all work and then hire outside contractors mast submit a new affidavit mdicahng soh Coutraetors that abet&this box mast attached apt additio®al sheet showing the nurse of the sub-con=cters and state whether or not those entities;have eavloyees. If the sub-contractors have employees,they must provide weir wosken'comp.policy number- lain an emnpLoyer that fsprovidfang workers'cougrensalden inmrartce for my employees. Below is the policy ant job site fnfor�fi aatdmi. _ Insurance Company game: �,C o 0 Policy#or Self-ins.Fac-#: y�C��G�2S S" elp��0��✓� Expintion Date: Job Site Addn!ss�� tiJas t to C 1-6 /r3 o r C11tVYlSdate/ sp: A N I Attach a copyF of the workers'compensation policy declaration page(showing the policy number and expiration elate). Failure to secure coverage as required under Section.25A of MGI.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 SWOP WORK ORDER and a fine. 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 Investigations of a DIA for insurance coverage verification. d do hereby fy n the paints and penalties of peryatry that lite faforma dan pr�i ab is trar.e and correct. Si tore: Date: t Phone M Q e O,,lcidl arse anly. Do trot write in this area,to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health Z.Budding Department 3.CityTrown Clerk d.Fle ctrieal Inspector 5.Plumbing Inspector b.Other Contact Person: Phone#: Sae;a�aasaapun _gy9Z0 t(W'IIIWSNOISHVW s Nl G-lVb3W3 M ' 21f`213H9t/3W l3VHOIW. NOIlOfl2ilSNOO-S23H1ON8 N3HOV3W 15 `d8(] 560Z%LZ/b �:uol;e�idx < :ed K.L 8fi6Z91. :uol;u;sl69 U010"IN001N3W3A0HdW13W0., aoyelngad ssamsng ag sjiLjjV iaransuoO3o a;)WO •� • p apn�JnGGn n 2_ nan72G02rvdrG•nQ a� '1 Massachusetts -Department of•Public Safety ' Board of Building Regulations and Sta'suas Construction Supervisor License: CS-102260 ris MICHAEL S MEA,tHERR 3R 97 EMERALD LAWE Marstons Mills MA 0 48, ' Commissioner 11/05/2016 aaMO s; VW uol;eln;Iag ssaulsng pun salelld iawnsuoj to aaglp :o;ujn;aa punollI •a;up uo;ealdxa aq;aiolaq Sluo asn lnp!nIpu!col pgen u011ea;s130i ao asuaal-j Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of enclosed space. 1 ' Failure to possess a current edition of the Massachusetts ' State Building Code is cause for revocation of this license. it: www.Mass.Go�/DPS For DPS licensing information vis Client#:16665 2MEAGHERCO ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDPNYY) 11/06/2014 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 Dowling&O'Neil PHONE Insurance Agency E cna o.Eat:508 775-1620 FAX No): 5087781218 973 lyannough Rd., PO Box 1990 I ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED f INsuRERA.National Grange Mutual Insuranc Meagher Construction Inc. INSURER B:Associated Employers Insurance Timothy Meagher INSURER C: 772 Main Street INSURER D: Osterville,MA 02655 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES'OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED 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. NSR L TYPE OF INSURANCE NSR PNM/DD M Y EFF P�D LIMITSY EXP A I ADDLSUB WVD POLICY NUMBER A GENERAL LIABILITY MPT12SOG 0/1 W2014 10/16/2015 EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY PREMsES RENT occuDnee SSOOOOO CLAIMS-MADE I A I OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE SZ,000,OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JET M LOC PRODUCTS-COMP/OP AGG S 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO I Ea accident S BODILY INJURY(Per person) S ( ALL OWNED SCHEDULED AUTOS. AUTOS BODILY INJURY(Per accident) S. I HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE S Per accident S UMBRELLA UAB OCCUR EXCESS LIAB I EACH OCCURRENCE S CLAIMS-MADE ; AGGREGATE S DED RETENTIONS S B WORKERS COMPENSATION I AND EMPLOYERS'LIABILITY WCC50050054422014A 6/23/2014 06/23/201 X WC STATU- OTH_ 13Y LIMITS ER ANY (Mandatory in NHR EXCLUDED?ECUTIVE® N/A SI OO OOO E.L EACH ACCIDENT I Mandatary in and E.L.DISEASE-EA EMPLOYEE S100,000 If yes,describe under � DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S500,000 iESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) nsurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Jothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the :overage provided by the policy provisions. :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CORD 25(2010/05) 1 of-I The ACORD name and logo are registered marks of ACORD 8-2010 ACORD CORPORATION.All rights reserved. #5140580MI140561 CBD- Town of BarnstableBuilding Post ThisCard So That it isFVisible;Fcom,the Street;Approved-Plans,Must.be;Reta�ned,on;lob andrthis Card Must be:Ke t s BA)tTiITCABLE. • �, �` P Permit ' Posted Untilmal�lnspection Has Bteen Made s Where a%Certificateof®ccu anc` is Re` umed�sGchBuldm sFrall Not''-be'Occu ied'until a.Firial�ns` a ''"k '�,� _, qK.. g pI p ct�on has been made Permit No. B-18-809 Applicant Name: John R. Robichaud Approvals Date Issued: 04/02/2018 Current Use: Structure Permit Type: 'Building-Sheet Metal-Residential Expiration Date: 10/02/2018 Foundation: Location: 58 WASHINGTON AVENUE, HYANNIS Map/Lot. 287-093 Zoning District: RF-1 Sheathing: z Owner on Record: ALVERSON, KATHfRINEG&HARRY L 111 TRS ~ F C'ontractdr,Namc: -John R. Robichaud Framing: 1 §�> x Address: 180 BEACON ST,APT 5G on License 0028 P 2 b 4 Ps 2� BOSTON, MA 02116Project Cost: $0.00 Chi mney: Description: Furnish and Install Ductwork to 1st floor Permit Fee: $85.00 Insulation: Project Review Req: $� c Fee Paid $85.00 Date 4/2/2018 Final: a s k v Plumbing/Gas �"S yr � Rough Plumbing: 51, Building Official. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within six months afterssuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the.approved construction documentslboi which this permit has been granted. All construction,alterations and changes of use of any building and st uctures,shall be in compliance with the local zoingby lawsancJ codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or oadjand shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical �. Service: The Certificate of Occupancy will not be issued until all applicable signatures by"the Building and Fire Officials areprouided on this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footin ..u ... . ._ g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy 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: "Pe'rsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department ram, Building plans are to be available on site Final: All.Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Metal Permit Date: 3/20/2018 Permit# �oq 0 Estimated Job Cost: $/,o?Coo . o ' � �� � Permit Fee: $ 85.00 Plans Submitted: YES NO MAR 20 201E Plans Reviewed: YES NO Business License# 15 r®K/nl OF OA R N&TAWLt License# 28 Business Information: Property Owner/Job Location Information: Name: Robies Name: Katherine Alverson Street: 279 Yarmouth Rd Street: 58 Washington Avenue City/Town: Hyannis, Ma 02601 City/Town: Hyannisport, Ma 02601 Telephone: 508-775-3083 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES x NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family x Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. 1 over 10,000 sq. ft. Number of Stories: 2 Sheet metal work to be completed: New Work: Renovation: HVAC x Metal Watershed Roofmg Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Furnish and Install ductwork to 1st floor for HVAC 1 r r 1 i ti INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes li} No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: x 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 ❑ Agent ❑ Signature of Owner or Owner's Agent 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 pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of icense: By aster Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# �g ❑Journeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.govldpl Inspector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Robles Address:279 Yarmouth Rd City/State/Zip: Hyannis, Ma 02601 Phone#:508-775-3083 Are you an employer?Check the appropriate box: Type of project(required): 1.E I am a employer with 45 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑� Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑[am a homeowner doing all work myself.[No workers'comp.insurance required.]+ 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#l must also till out the section below showing their workers'compensation policy information. 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. f am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Federated Mutual Insurance Company Policy#or Self-ins.Lic.#:6062307 Expiration Date: 12/21/2018 Job Site Address:58 Washington Avenue City/State/Zip:Hyannisport Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby certify under the ainn/s and penalties erjury that the information provided above is true and correct. Si nature: Gc 01�G S f Date: Zo 1 S Phone#: 06- 7 7,5 `J 083 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#: 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 licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia ��COMMONWEAL•TH OF=IIAASSACHUSETTS a A� 'BOARDOF � , { SHEET METAL WORKERS ISSUES THE FOLLOWING'LICENSE A, JOHN R ROBICHAUDt . � � ROBIES REFRIGERATION 279YARMOUTH ROAD HYANNIS;MA 02601' 4 I 8 yvxu;.5__":»9v9"wtm".+r ^'�?" ::�' ,tz'ae�R'ic' s-e--:'. .-:. yy- •y.»-. -c, COMMONWEALTH4OF:MASSACHUSET S z m • • • • • "I "- SHEET MLWORKBRSs d . . c IS SUES+THETOLLOWINfi LICENSE II�ASTER UNRE$TR�GTE s� o- r�,JOHN R ROBtCHAU[ { 27�W4RBLE �s 'BARNSTABLE*MA 026301608 A e� m 08/28/2019 r- , / Town of Barnstable Regulatory Services �a� Thomai B.Geiler,Director Banding Division Tom Perry,Building Commissioner 200 Main Stn et,.HYMMis,hik 02,601 www.town.ba rusts ble.ma.as Office; 508-862403.8 Pax; 50.8-790.6230 Property Owner Must Complete and Sign This Section If sing A Builder Katherine Alverson as Owner of the subject property hereby authorize Robles to act on my behalf; in all•matters relative.to w.PtLauthorized by this building permit 58 Washington Avenue (Address of Job) "Pool fences and alarms are the responsibility of the applicant, Pools are not.to be£fled before fence is installed and pools are 1not to be utilized until ill.final inspections are performed and accepted, PIS e S�A5 Signature of Owner ignature of Applicant Print Name Print Name Date QTORMS:OWNMERMISSi0NPOOLS ' Town of Barnstable "Le Regulatory ServicesRichard V. Scali,Director MASS. Building Divisio® fo59. a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 PERMIT# f3 ;X FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less �4a40-V,-c,;S �Pc�,-(+ Location of shed(address) VillatQ -5t)194z�)-As C iT, .5 Property owner's name Telephone number c Size of Shed Map/Parcel# •1 SlgnatllYe Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) -; Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 LJ�26 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 _ Type: Private Corporation Expiration: 6/30/2016 Tr# 252322 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. Osterville, MA 02655 - Update Address and return card.Mark reason for change. Address Renewal Fj Employment Lost Card SCA 1 :a 2OM-05/11 s r errAffairs& %G�`n ( License or registration valid for individul use only Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: jEepistration: 'p2014 Type: Office of Consumer Affairs and Business Regulation irtratio =6132b1:6: Private Corporation 10 Park Plaza-Suite 5170 - •<.2 _== Boston,MA 02116 t :f.f ERNEST B.NORRI% BON 1NG Craig Ashworth '-- 138 Osterville W. Barns2aleid :.. " Osterville,MA 02655 Undersecretary Not valid without signature h. .Ili Massachusetts Department of Public Safety >v, Board of Building Regulations and Standards License: CS-015851 _ Construction Supervisor - CRAIG N ASHWORTH 138 OST W BARNSTAI3LE OSTERVILLE MA 026$3 r 7. �-� Expiration: Commissioner 09128/2017 f 1 The Com morsfveateh 4f l}�aS'satc)nitse�t' De pwYtijapt a >xa�restr ark�d c?c araa Offied ''1rruas cttlaa 91 ww%Xm*.p)V1WO 600WOMIfffouARP �tr�at H , 1 N' �C b4�ssl�' al fta�JlndiY^Idtutr]C RB Norris&son,Inc, 133 Oitervllle W, Har stable load cstyl 'tsl/ � : QaYarvill�, A Q2S531� 508w�28�1165 Ara you e11 armplayor?Check the approprlata bags wrr+l 1, 1 P-M.a emplom with» . ,,....., �� 14m al 34001 loubotor aid z armPlum Wred to mb-dwtulm 6. Now act wl=adoll 2, X am a sold pmprletar or partaer- 191rtad%tba rift"W'Sh 7. M Rsmo&HzS slip azd havo no v;plaoa Those sub-corltl'aaliam juv 0« l euaalldou w6tidnS fay the to my onpaai'ty, atuploymaa Ozd bawworkm' [No work=`(;Omp,i�saa ara�lp, �a> ce«� 9, r uizdri:] 3. ❑ 'a m it carper'adan and lto 10.0 2140maol roplun or adftxm 3.ZI I aaa a haxndmar doizlI all work oftem ktava+ mm1�md tlsalr 11,E laltarrttit ra+pa ar adclipBs mysalf.NO workm'oomp- of asa y +l;Ilaia pa N,t ,, AClOU-24do r®ga1iL .] o« ! "�, 1(4�,R z4 wo havo pi® L " Raaf mpaim a< 1 gmA p1 home crvrtiar atctiol MI a Omploysco'(No w arn' a r5c�l ao�atgr 01 ) I gf1171 .�a'z why apprlf ud i$YAL aw kt box 01 bvd W"PA a�use adttWdtt Wawtl+�av aBu� ctim#wwskm�'dam ,a��I Ex�y�fc tp� r I t 99mondr a who nbdd this dAdavtt fadlaatlal!h a daln� wtYtax as tlzcn t, au�IQ�aaq�taaaa+akq sxts taka�!e$nn�Y n 113awit la t�roatta�urali� tibrax10di m*d Auk det box rust attmw att a+,A70aid dla"Aowirs dw ue me of ft Vol-+tanMKMIM aid 404 wh4w u!>x>��1lAaNR tdatrles ltrva OMPIOYC= If thl"b-WUft4tM W4=PlQygtw lhdy and pmYida�an�*tivltir<Inatx°Gampt,3w1 ny.at� as I 1"M are Omployeraw kO mw4ing nort4m,Oammpmrrt?am tavromm-pr my emplayv rs. Mow Is A+fpolky andjah&us s xaa C p lal r . Travelers Indemnity Com an of America pt1 or SOW- Tta, ' UB-2E89370A-15 ` � .�... Expiration Taaizs 5/3/16 Jake Jltm AOm, � � (Ce�-�� I Ci�FmtAWZjP '.) itr�elt> cop r of tie star ar °calupa sac Ol dledar st1on page(shows the iasf',1tcy U14 attd arpiratlon rlxte,. } pair to-.am"oovMHO as raquf ccd undu Saotioa 25A of MOL o.152 can lead to the i jnparaiti oz u r 04razl,p0maltlea of a fie up to$1,500.00 lnd/or oaa-year i rrisomtma as w011 81 dfvil-peelwdes in the fbMI oft STO?WOMOR'DIR,imd s line ; Of q W$250.00 a d4Y a*nat tho violator" 30 acMseal dmt a copy of this 09tamesltt may be f,r PrO to tha Q5� o of fzvesdpdops of th*DIA fir IYSstl tca ovs tge vor� u + I do ba r w owl to ar[r'ae pa srrt� �a p the Im Orma&ar prov d"eaaK a�a+ue b'awc dad aorr , .� � A � 8.428-`1165 Da net Hobs In thh em4 id he emrxrepratdd by MY nor 1610,of LIS"W1,191SArodharity ; P'r�z`ndit�idas4�� 9 •YWyYWY.0 u.....�'1,I�MMvw�'4w V y(circle one)-, a�t1a 1"BUiJ[c OS 0oOartmetat 3, C�t�'�X"a�'i�Clork 4,t1imirrlea l jkLVO�ctar 5,titammbial K�aa,a'trs�,,...,., , , .` ireraa�Pr — wmM.+P+..unwnx�m..«wwa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDM/YY) T IFICATE 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 PRODUCER AND THE CERTIFICATE 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 and endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements . PRODUCER CONTACT NAME: DOWLING&ONEIL INS AGCY PHONE FAX 973 IYANNOUGH ROAD (A/C,No,Ext): (A/C,No): E-MAIL HYANNIS,MA 02601 ADDRESS; 76RNJ INSURER(S)AFFORDING COVERAGE NAIC N INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA E B NORRIS&SON INC INSURER B: INSURER C: ' 138 OSTERVILLEWEST BARNSTABLE ROAD INSURER D:INSURER E: OSTERVILLE,MA 02655 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE[NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (M*DDIYYYY) (MKDD1YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. DREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: POUCY PROJECT LOG GENERAL AGGREGATE '$ PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE _ i$ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-2E69370A-15 05/03/2015 05/03/2016 X LIMITS ANY PROPERITORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT $ 500 000 OFFICER/MEMBER EXCLUDED? , (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS Below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFtCATL ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESANHYANNIS,MA 02601 ACORD 25(2010105) The ACORD name and logo are registered marks ofACORD 1988-2010ACORD CORPORATION. All rights reserved. PROJECT ,,:� I el2T � le T/a sC� �s, ADDRESS: u-)a-S�vito `tc vi e, �A q o-v, "'i s u PERMIT# , cDq PERMIT DATE: �l g M/P: "7 93 LARGE PLANS ARE FILED IN: BANKERS BOX FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSBOX PROJECT NAME: ADDRESS: HY1 vi is PERMIT# PERMIT DATE: M/P: Q`6' '7 0 tl3 LARGE PLANS ARE FILED IN: BANKERS BOX Hj,-4 s- FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSBOX PROJECT NAME: �e'�'�YnS ADDRESS:0 \ PERMIT# � t,LS PERMIT DATE: M/P: —a li� �3 LARGE PLANS ARE FILED IN: �r BANKERS BOX FILED ALPIIABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSBOX i i I i I i i Al verson HVAC Load Calculations for j j Alverson 58 Washington Ave Hyannisport, Ma i i i � I 1 i q I RxsuDL3Id7YALrxnVAC HVAC LoAms j i i I � i i I I I j I j Prepared By: ! i i Robies Tuesday,August 15,2017 i i Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. Rhvac-:Resrdenfial&Light Commercial HVAC Loads _ 4 EliteSoftware Develo m xa A� p ent,Inc Robies Heatirig`and Cooling " Alverson MH annis,'MA 02601 2096 Load Preview Report ' Has', Net, z} 1 Mind Mi Net, Senn: Sys' Sys' Sys; Scope AEDi Ton; /Ton1 Area? Gain Gain Gain! Loss; Htg Clg Htg Clg Act S¢e CFMi CFMI CFM' CFM' CFM'i Building _F 3,72 _817: 3,036 38,118! 6,462i 44,580j 47,319 1 617; 1,741 617 1,741: 1,741 System 1 1 st Floor Yeses 2.49 780 1,941. 25,583; 4,2831 29,866' 32,135? 419 r 11 68 i 419 1,168 1,168 12x17 I Supply Duct Latent1 4961 496 Return Duct O _ 5` 5� 7, _ Zone 1-Clg.:51%, Htg.:51% l € 1,045 14,8131 1,921 s 16,7341 16,263 212 i _677t 212' 6771 677 10x14 1-Living Room .._ it 440 5,087€_ 792 5,879; 6,196 81; 232: 81_ 232 232: 3-5� 2-Foyer ��! 225 I 2 259, 137 j 2,3961 3,737, 49';' 103: 49. 103' 103` 1-61 3 3-Dining Room 160 _5,537 i _646,' 6,183 2,458; 32, 253 32 253` 253 3-51 4-Bedroom&Bath _ _ _ 220.�1,930 i 346 j 2 276{ 3,872 51 88 51 8 88 1-5 ----- Zone 2-Clg.:490%, Htg.:490/6 896 14,1741 1,861 16,0351 15,865; 2071 647 j 207; 647_ 647 10x13 5-Ntchen _4� �! 3041 5,473 7041 6,1771 4,129: 54, 250-~ 54 250? 250 3-5 6-Family Room _ 480` 7,722 i 1,0 0 8,7421 9,401' 123 353' 123, 353= 353` 4-5 i 7-Laundry Room/Entry 112: 978 137 1,1 15i 2,336: 30 45 30 45 45; 1-4 i ! !. 1 System 22nd Floor ! Yes 123 893, 1,095' 12,535 2,179i 14,714; 15,184 i 198 572 198; 572 572 9x13 -Zone 1-Clg.:37%, Htg.:36% i �? 324 5,710! 608 6,318 5,434, 71; 261, 71 261 261, 7x7 I 8-Master Bedroom - 324 5,710` 608 i 6,318' 5,434, 71. 2611 71 261! 261 Zone 2-Clg.: 19%, Htg.i11% _ E 165` 2,924 458! 3,382 1,721 22' 134 22�1341 134, _ 5x5 _ __ �9-Bedroom 2 ' 1 { 165 2,9241 458, 3,382 1,721 j 22 134, 22 1341 134 w 2-5 0 0 { Zone 3-Clg.:24/° Htg.:28 g tg /o 320 3,7481 539' 42871 4,243 55! 171 55: 1711 171 6x6 i ----- 10-Bedroom 3 v~ e 320 3 748 I �5 ! _ _f --39. 4 87° 4 43` 55 171� 2 2 f 55 171: 171. 2 5 s Zone 4-Clg.: 190/., Htg.:25% i 286' 2,967 574; 3,541 3,786, 49: 136 i 49 136' 136. 5x5 11-Bedroom 4 286' 2,967; 574 3,541 3,786; 49' 136' 49 136 136 2-5 Sum of room airflows may be greater than system airflow_because system has multiple zones. i I ; i i i I i I I � ; I i I � I I I I I i 1 i , I ; F:\Elite Program\Rhvac 9 Projects\Alverson.rh9 Tuesday, August 15, 2017, 4:02 PM Rhvac-Residential&Light.Commercial HVAC Loads Elite Software Development,Inc. . .. , . _ ; Robies Heating and Cooling Alverson Hyannis,MA 02601-2096 Page 4 System 1 1st Floor Summary Loads Component y F Area Sen .,.VSen Total Loss ' '}Gainh Gain d Gain; 1D-cw-o: Glazing-Double pane, operable window, clear, 413.8 13,204 0 15,760 15,760 wood frame, u-value 0.57, SHGC 0.56 11 G: Door-Wood -Panel 21 635 0 272 272 11 F: Door-Wood - Solid Core With Metal Storm 21 329 0 141 141 12C-Osw: Wall-Frame, R-13 insulation in 2 x 4 stud 1208.2 6,156 0 2,143 2,143 cavity, no board insulation, siding finish, wood studs 12C-Osw: Part-Frame, R-13 insulation in 2 x 4 stud 128 0 0 116 116 cavity, no board insulation, siding finish, wood studs 19A1-23op: Floor-Over enclosed crawl space, No 1941 3,691 0 856 856 insulation on exposed walls, sealed or vented space, spray foam insulation, passive, R-23 open cell 1/2 lb. spray foam, 6 inches in 2 x 10 joist cavity Subtotals for structure: 24,015 0 19,288 19,288 People: 12 2,400 2,760 5,160 Equipment: 358 2,024 2,382 Lighting: 0 0 0 ' Ductwork: 3,677 501 958 1,459 Infiltration: Winter CFM: 72, Summer CFM: 39 4,443 1,024 553 1,577 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 System 1 1st Floor Load Totals: 32,135 4,283 25,583 29,866 fCheckFigures; ' 2 r ,•'5i . ' 7� r x x -�"k to 1= `� ws.'*r'5 � f'�F' �� -i�tA` �'L "i+- "f �t�48" "��Y�PF.-• t Supply CFM: 1,168 CFM Per Square ft.: 0.602 Square ft. of Room Area: 1,941 Square ft. Per Ton: 780 Volume(ft'): 15,528 ,SystemLoads�,# *a.,, t� �'� Total Heating Required Including Ventilation Air: 32,135 Btuh 32.135 MBH Total Sensible Gain: 25,583 Btuh 86 % Total Latent Gain: 4,283 Btuh 14 % Total Cooling Required Including Ventilation Air: 29,866 Btuh 2.49 Tons(Based On Sensible + Latent) �NoteS€ t7'+• ..; e X,t �4�€ t� i ��=3`7..'�'s� ter+.�...�r .y �M'E � k�k - 'm€ k'�S f$ � 3�r aa4"s�f� e� }1� r, �� � Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at your design conditions. i i I " I I i � I F:\Elite Program\Rhvac 9 Projects\Alverson.rh9 Tuesday, August 15, 2017, 7:02 AM f Rhvac-Residential&Light Commercial HVAC Loads Elite Software.Development,Inc. Robies Heating and Cooling s Alverson ! Hyannis, MA 02601-2096 Page 6 System 9 Room Load Summary j r 4 ,Htg Mini° Run 9 Run', Clg+ Clg'- s Mint Act Room} ,Areas , € �Sehst re,t HtgA A Duct} Duct $Sens �'Lat Clg Y s', No;,Name, ; ' SF, ' Btuhr CFM Size , 1, .b Vel, ' :Btuh Btuh,:� CFM WtCFM' ---Zone 1--- ; j 1 Living Room 440 6,196 81 3-5 557 4,987 792 228 228 2 Foyer 225 3,737 49 1-5 532 1,587 137 73 73 3 Dining Room 160 2,458 32 2-5 641 3,827 646 175 175 i 4 Bedroom & Bath 220 3,872 51 1-6 468 2,011 346 92 92 5 Kitchen 304 4,129 54 3-5 627 5,612 704 256 256 I 6 Family Room 480 9,401 123 3-6 519 6,698 1,020 306 306 7 Laundry Room/ 112 2,336 30 1-4 450 860 137 39 39 Entry Duct Latent 496 ! Return Duct 7 _ 0 5 I System 1 total 1,941 32,135 419 25,583 4,283 1,168 1,168 System 1 Main Trunk Size: 12x17 in. Velocity: 825 ft./min Loss per 100 ft.: 0.098 in.wg ' . -t'`" 4-_5 "�9�• �"3ta�� t-,,lobe ,�„ i;,*, gas. �G,+�.n�h' �' :h. "{s �„+*w t .1' Krs' rs �� ,��, 4r . �^ �.�� .°r�* r Fr u, +.. on Ts u Split b rV Net Required: 2.49 86%/ 14% 25,583 4,283 29,866 Actual: 2.85 75%/25% 25,650 8,550 34,200 ' ! Heating System Cooling System Type: Natural Gas Furnace Standard Air Conditioner Model: 24ABC636A*030* i Indoor Model: FX4DN(B,F)043L Brand: CARRIER AIR CONDITIONING I Efficiency: 0 AFUE 16 SEER Sound: 0 0 Capacity: 0 Btuh 34,200 Btuh i Sensible Capacity: n/a 25,650 Btuh Latent Capacity: n/a 8,550 Btuh I AHRI Reference No.: n/a 9170112 I i i i I i I j I i i I I i I i ! i F:\Elite Program\Rhvac 9 Projects\Alverson.rh9 Tuesday, August 15, 2017, 7:02 AM CERTIFICATE OF LIABILITY INSURANCE 712/22f2(MM/DD/YYYY) 017 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 have ADDITIONAL INSURED provisions or 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 ri hts to the certificate holder in lieu of such endorsements. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER HOME OFFICE: P.O.BOX 328 A CNNo Ext:888-333-4949 a/c No):507-4464664 OWATONNA,MN 55060 AIL ADDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 394-850-2 INSURER B: ROBIES REFRIGERATION INC INSURER C: 279 YARMOUTH RD HYANNIS, MA 02601-2038 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:42 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER—DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL SUBS! POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD MMIDDIYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $100,000 E SES Ea o airrence MED EXP(Any one person) EXCLUDED A N N 6062303 12/31/2017 12/31/2018 PERSONAL S ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JECT ❑LOC PRODUCTS-COMP/OP AGO $2,000,000 POLICY FX]PRO- OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea acciden X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY AUTOSSCHEDULED N N 6062302 12/31/2017 12/31/2018 BODILY INJURY(Per accidenO HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE Per acciden X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS-MADE N N 6062306 12/31/2017 12/31/2018 AGGREGATE $5,000,000 DED RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N - X PER STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 A OFFICERIMEMBER EXCLUDED? N/A N 6062307 12/21/2017 12/21/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION 394-850-2 42 0 TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HYANNIS, MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 'Silverwoods; "Working forrExcellence JeffreyD Annis y Fine Finish avid Custom or . 74 Captain Baker rl d `Marstons Mills MA 02648M,- 508 237 4688"U ,. P t . 508 428 2722 ''' F ,f �, jannis@capecod.net ^ Business Cards are FREE at www.vistapr!nt.com! ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 277 Parcel 093, Permit#— b c,2 Health DivisionA — 00 Date Issued Conservation Division Z Fee Tax Collector Treasurer - / [ Sft,'a''PTIC SYSTEM MUST BE Planning Dept. ,R / INSTALLED IN COMPLIANCE WITH TITLE 5. Date Definitive Plan Approved by Planning Board ��`" ENMRO °NMENTAL CODE AND Historic-OKH Preservation/Hyannis e Y�3%11N REGULPMONS Project Street Address W A 514 10&T O ,,,)' Village '' fffJ0 Z_ t�t Owner Xr_R �/ �LQMt_ �-� Address 5 A-m l- Telephone O,o m3 d2 r.1tt's -Z 7 S b�E G 7 Permit Request AV 17 /� X 21 /eea/= t Pos7's a,J b r7Ec l� A T FKOA-3T Square feet: 1 st floor: existing 'J A proposed 2nd floor: existing proposed o Total new Valuation a v 0 Zoning District A Flood Plain 4 Groundwater Overlay 0 Construction Type W b .p�l.(,�' Lot Size a Grandfathered: ❑Yes lXNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 60 Historic House: ❑Yes A No On Old King's Highway: ❑Yes fgNo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing IJ new © Half:existing new O Number of Bedrooms: existing /,L- new Total Room Count(not including baths): existing 8 new First Floor Room Count Heat Type and Fuel: ❑Gas )6 Oil ❑Electric Cl Other Central Air: ❑Yes 4 No Fireplaces: Existing T New e9 E is'ng wood/coal stove: ❑Yes to Detached garage:❑existing ❑new size Pool:Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use I E10T I AL Proposed Use I 2 rl BUILDER INFORMATION Name 0,,D►., I LOG Telephone Number `7-7 Address �J �/ I G�A S T License# t4 `��4 t-5 Home Improvement Contractor# �� 7 Worker's Compensation# V C' C /00 0 807 Ar ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13 F SIGNATURE DATE .? dd FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED `.. MAP/PARCEL NO. , tj ADDRESS VILLAGE l x OWNER- DATE OF INSPECTION'' FOUNDATION FRAME t s INSULATION .• _ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH — FINAL FINAL BUILDING DATE CLOSED OUT . ASSOCIATION PLAN NO. S .r rr s. i ----- - --:-_=_ ---- STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY MA 87 ' . MAP EDGE OF DECIDUOUS TREES M 287 -3� 10�' 31 41 EDGE OF BRUSH -- ----- A __ 1 r _i ORCHARD OR NURSERY P ------------------ — # V-7—V—V EDGE OF CONIFEROUS TREES l \ 2Q8 r _� MARSH AREA --- - # 10O J V —. . EDGE OF WATER '. DIRT ROAD Q ---------- =-� DRIVEWAY O E— PARKING LOT PAVED ROAD —__ = DRAINAGE DITCH a287 " PATH/TRAIL 97 PARCEL LINE MAP 287 # 25 9� nuPna E-�-- MAP'# PARCEL NUMBER #860 21 E HOUSE NUMBER # 86 2 FOOT CONTOUR LINE XyX�X 3� 10 FOOT CONTOUR LINE Elevation based on NGVD29 C 4.9 SPOT ELEVATION r. AP 287 STONE WALL �' AP 7 M 28 96 -x-x- FENCE P 28 I 9 5 16 RETAINING WALL O X M 9 2 3 964 # 68 RAIL ROAD TRACK #46 58 STONE JETTY SWIMMING POOL L � PORCH/DECK 91 1V "� � � 0 BUILDING/STRUCTURE H+iA- DOCK/PIER X X X7_ 1 MAP 287 I r HYDRANT Ll e VALVE O MANHOLE # 69 z O POST p" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C I N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100,scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE n TOWER " e 0 40 80 Norionol Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=80 FEET* enlarged scale. on the map. at a scale of I"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessors tax maps. 4 LIGHT POLE O ELECTRIC BOX - - : The Town of Bamstabie ' Department of Health Safety and Environmental Services s6Jy. �e Building Division 367 Street.Hyaanli MA 0IW1• Offs: 508-790.6227 Ralph Ctossea Date —//Cry /! AFFIDAVIT HOME II1 PROVEMENTCOhTiRACMnLAW SUPPLEMENT TO PERMITAPFITICAaON MGL c. 141A rnquirts that the"reconstruction,alt r=V260M6"Pak modemiratioz converdon, imptavcment, removal, demolition, or aonstivction of an addition to ate►pm-existing ooaspied building;caataining at least one but not more than faurdwcMn&units or to which=.adxaaeat to such residence or building be done by registcs,od eaa2raaors,with cxxtala exeptions,along with other Tjpe of work: - c �1tCK «,tzcr.� rst Cast S&" Address of Work: Jr _ V/14,5.10 f.4l�t4 /(� Omer Name: 1�Ie�Z LE 0 Date of Permit Appjj=tion; /�/2l zo lJ I herein,cltrdN that: Reest ation is not required for the following r=awn(s): Work exdudcd by taw Job tmdcr$1,000 Building not ow=-ooc*ed Owner pulling CWU permit. \b;;cr is hCrebyp,Yn tt.::: O«NTPS PULLING Th-EIR OWN PER1vQT OR DEAUNG NvIIH UNREGISTIItID CONIRAGTORS FOR APPL1CAELE HONS M',PROVr.IF.NT WORK DO NOT I4AVE ACCESS TO Ti-: 0:: C. ?,M,FUND Un,-oT•F ? ,Gi,C. 142A SIGNED UNDER PENALTIES OF PERJURY 1 hereby apply for a pernit as the agtnt of the oumer: - Dec C u3ctor name No. OR BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR y , aj Number::,. CS 015351 , V a. Birthdate: 09/28/19 Expires: 0 .23/2001 Tr. no: 5743 Restricted To: 00 l CRAIG .N ASHWORTH 385 SEA STREET . HYANNIS, MA 02601 Administrator 4 tie C�a���r c��u�ea� o��/ ssar�irrr� s � e :J(r: i '.t of till I .f rf'l rl 1 RegWations and Y; 1 F1(.li'lr l..i: ./ - )no Ashburton Place, ! Room 1301 Home I II PYC,'✓fsment: Contractor Registration kt::.! s t.r t. o n • 1,0 0 1 4, Expiration : 0 /3 0 i.0 0 2 Typez Private Corporation 7, 1 —F HOME IMPROVEMENT CONTRA:_ G' Registl'aflon: 10201 A � RN "T B _ Id(RRI & SON TNC Expiration- OG/' /2002 l + sJ-wor t h 1yPe: Private orpora .o !: I i / ,I I I l I >, 11P., 0 2 601. ERNEST B. NORRIS & SON INC Ashworth nDwwsrRnior 38S Sea SC t Hyannis MA ' 02601 y I Tll c' CUIl11111111 H'calllt r j!l fassach uscrrs J:! Depgrrnrrtrt of InAstrial Accidents z `.• =! OII C901otrrstl9atlorzs 60811 arki1lr7na Street t�. Bustatr.Atrux 02111 �—' Workers' Compensation Insurance Affidavit ni�itiit:anP�lORT1�Tl4t1' . .- .• Ple�sc I'R[NT1e�► 1Y' � �=�c ----. . . •. • lncntinn• ctn• nhnnclt ❑ 1 am a homeowner performing all works myself. ❑ I am a sole proprietor and have no one worMna in any capacity ye - '--i-% I aril an employer providin;workers' compensation for my employees working on this job. < . ,ERNEST B NORRIS & SON, INC - _ °.cnm�'tn1•name• t ... ` a�►rlrctc• 385 SEA STREET'. HYANNIS 508-175-0457 EASTERN CASUALTY INSURANCE CCI-jPAIv'Y Icnnnre•rn noiiet•f! WCG 1000807 A ❑ I am a sole proprietor•gener•aI contractor, or homeowner(circle one) and have hired the contractors listed below wi the following workers' compensation polices.• . cemniny n•ttnc- Addrrtc• :•• ' t cih• phone#- in urnncc co ' '' •,• •- -—- -- :...sn•s.-:7...•.Tt-.•.ra+rra-1-�':^*'�"`Y - - --- '7� �r^^;�cx-+� _�e�n�_ — - rin• phone lt: llttoch aJditioasl'shecf 1r21[CC7!= ,•-•�•�:•••f�•-+�"�•1,�-i/:'r�.r�••�--`'.: :•aw.� • r . ...n... ��,►� Failure to smrc cormp as rcquircd under Section 3A of AIGL 1S2 czn Ind to the imposition of aimiaal pea:ltles ofa flat tsp to S1SDD.UD une rears'Imprisonment at well as civil penillics is the fares of STOP NVORK ORDER and a fine ofSI00.0D a day apian me. I naderstaac COP)*of this s tit temcnt mac•be forwsrded to the 011ice of Iavestigntions of the DIA for carmp rsxi5cition. l do herrhr ccrtifj•unrl:r rite pains and p alrier of periurr that the infiornsarion prmided abore is true and correct - Sienaturc ate • Print name CRAIG N. ASHWORTH Phone 508-775-0457 Oradal.use CON do not write in this arcs lobe compacted by city or to"ofllcisl cite•or torn: petrriNlcense fl_ r•18niIdtnt;Delrartment aUrrnsin Dusrd - ❑check if immediate mpunse is required • ' QSdectcom's Office C111esith Drpartmcat r t� c s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# � C1 Health Division Date Issued U�� Conservation Division Fee ��, ITA Tax Colle for. a�J "'lb Treasurer .--�— Planning Dep r�- Date Definitive Plan Approved y Planning Board Historic-OKH A Preservation/Hyannis Project Street Address 7a C) Village / f Av AA)W 45 �6>&7- Owner .�eR �II(A-TF .4L✓ep,s0,J Address Telephone Q P 0A9J5IV Permit Request e a Square feet, 1st floor: existing /� proposed 2nd floor: existing proposed Total new '�" Valuation /�e Zoning District Flood Plain Groundwater Overlay Construction Type �� Lot Size Grandfathered: ❑Yes A No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes J oo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A)14 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new D Half: existing / new 0 Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing e-5�" new ® First Floor Room Count Heat Type and Fuel: ❑Gas >9 Oil ❑ Electric ❑Other Central Air: ❑Yes 19 No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes J10 No Detached garage:o existing ❑new size Pool: ❑existing ❑new size .4- Bam:A existing ❑new size Attached garage:❑existing ❑new size NI Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# A) Recorded❑ Commercial ❑Yes �No If yes, site plan review# Current Use �t tJ r//f Proposed Use 1O C_AJT/AZ— BUILDER INFORMATION l Name- `J s Sp,�� PC— Telephone Number �5 Address ��� � s� License# L 1415_ l y /0AJIJ' Home Improvement Contractor# /Pz D Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G� B f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE OWNER w i 1 DATE OF INSPECTION: ti FOUNDATION FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL ' -i 1 FINAL BUILDING `k DATE CLOSED OUT ASSOCIATION PLAN NO. t TVA �. : The Town of Barmstable Department of Health Safety and Environmental Services Buiiding Division 367 Main Street,Hyannis MA 02601 Office: 509-790-M7 ` Ralph Crosses • FAY- tl1Q_"�5.�.-•dE pt�:1a:.•��`�^--?� Date ` AFFIDAVIT HOME IMPROVEMENTCONMCMRLAW SUPPLEMENT TO PER?=APP)LICAaOK MGL c. i42A requires that the"nxonstrt Won, rcoaystion,repok medemizati(M.eonv=on, 1 improvement, remm-A, demolition, or construction of an addidon to mW pre-eds&g cw= occupied building containing at Icast one but not mere than four dueling traits or to which an adlaeeat to stack residence or building be done by registered Contractors,with exceocas,along with ether T)W of Work: 44,_reCost Address of Work: SF Af ;4 Owner Name_ �/Ql� .. �� .04"ir�--. �f,� ��._ • Daze of Perrait Applic2tion; I hereby terrtiN that. Registration is not required for the following reason(s): Work crdudcd by-Iaw Job tmdtr S1,000 Building riot cwacr-oocgicd Owner pulling m m permit "'GUMis hinny givcn OWNT-RS PULLING THEIR OWT.'PERMJT OR DEALING WITH UNRE(;isT RID CONi ,AGToPS FOR APPLICAELE HO,\fE TM,?POVaIENT WORK DO NOT HAVE ACCESS TO THE F•A..•.::;s r.:T10., � =.C'C .'..'; 0= Gi1�.F_0,M'FZ17'n U'.,i7EF MIGi.c. 147A SIGNED UNDER PENALTIES OF PERIURY I hereby apply for a per;nit as the agent of the owner: Dzi (CqKl ctor rtamc Rrsjstrataon No.- OR I � 1 I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number..: CS 015851 ; I Birthdate: 09/28/1953 , I Expires: 09/28/2001 Tr. no: 5743 Restricted To: 00 CRAIG N ASHWORTH - 385 SEA STREET HYANNIS, MA 02601 Administrator i 077 f ; (_� ) .i..!�..I71 1.;:.l..l I,J.LI� T.. :. \�c_`.(frC?rll �. f!1'lt:.f 1::!al i�I::.'<'?1.; 1..t t.l':1,011 o 11 :Eli na a. t X.(.�' .r f" r /;, /;a l ,'lrl;i - r i.c_ rl ' ). _( . HOME IMPROVEMENT CONTRACTOR �o Re9istralioo. 102014 t T I 1 E I b _ h10[I[R1 « ON Cr,lC Expiration:. 0613012002 3 woT t.l1 \yY cam; i.. Type: Private Corporatio INIA '':•i 1. ERNESI B. NORRIS & SON INC -,:,�:,,,Arradq Ashworth - - - - ADMINISTRATOR Spa St - Hyannis MA 02601 . t Tlrr C�rnr»iurrr+'ccr11/r ref/1lassQclrusctts Ac dnnic'rr1 of Industrial Accidc se rrts - z ' `1 Onea/IMT ff9atlnffr. ti - I `� `' •►t1, -i?' 6011 11' ushbigron Slreel Bu tan.Alum 02111 a Work,crs Compensation Insurance ARda%•tt ARRlicantinformaiion• _ Please J'R1NT1e loc-ttion- fill, phone f+ ❑ 1 am a homeowner performing all worm myself. �❑ I am a soft proprietor and have no one working in any capacity iX I am an employer providing worl:erst compensation for my employees working on this job. ERNEST B. NORRIS.& SON, INC _ cmm�•tn�•nnmc• - - - t ... fltltlrcis- 385 SEA STREET HYANNIS 508-275-0457 EASTERN CASUALTY INSURANCE CCMPANY wCG 1000807 A "I Stlrinro.rn nDli[1•� ' ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below w1 .- the following workers' compensation polices: cmmT1.1m•n,•••C. -- — i _. cih•• phone#- in�urnnrr rQ nolicrft -�� -- ...•s,•7.•:�.•.7t�.+ro+T::-�••*�--fr'�F?__•�t-�- `— --- —r� �._►��sr.-•R t'77�F? -_ - - - - ;Lddress• .. . phone#: Co. nollcs'i! .. :Att:c.hlddltlonsi'sh[ctlfac[tl]i • :•y-: 1� +�71.���••w—�.:'S-ate+.:: t .�.�•• '-=: Failure to sccurc coscragc as required under Section ZSA of AIGL I52 cna lend to the imposition of erimissil penalties of it tint up to SIStlo.uo unr}cars'Imprisonment As%%-cll is civil penilttcs is the rorra of STOP WORK ORDER aad a floe of SUM a day apinst tie. I nade:mac COPY of this simcment mas•be forwarded to the Office of Iayestigntiow orthe DIAfor co'rmgt YerilS[adon. r flee pains end p allies ejperjurr that the injornrariorr prm7ded abow is true and earreet 1 da hcrrbr cerrif}}'unrlc Sicnaturc Print name CRAIG N• ASHwORTH phone# 508-775-0457 7or nly do not write io this am to be completed by atyortown ofIIdsi perrsit/llcease N r18oi1dIrs�Dcptrtmeat : E3tj=as ag fiwrd mmediate respunse is required • ' 05dettsaea's office _-_.-- - .-. . pliealth Drtrirtmcat ram" "sessor's Office(1st floor) Map 8 Lot Permit# 02 nervation Office(4th floor) LlG, Date Issued . Board of Health(3rd floor)(8:30-9:30/1:00-2:00) 01 4.. Engineering Dept.(3rd floor) House#1 J—$ FJS *�, o Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC ST EE K;7ALLEDANCE Definitiv Approved by Planning Board 19 WIT TOWN OYBARNSTABLE 7 � �"�� / Building Permit Application Project Street Address rJ 8 V AS�ItJG-ToJJ ` De4 Lo (y0.1 �&'¢ Village o rJ t-3 I o Owner 4AEER A.LvM50t3 Address Telephone 77 -- 03 2 8' Permit Request 964Z00 f �5L&2O R AUV— tip Total 1 Story Area(include 1 story garages&decks) g7� square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 2 o Zoning District Flood Plain ►J /A, Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �T-O fZL1.6r(- Proposed Use Construction Type mp 12 PP-4.�A45- Commercial Residential ,Q Dwelling Type: Single Family /r Two Family Multi-Family Age of Existing Structure Basement Type: Finished VJ LA Historic House Unfinished Old King's Highway_ PS A Number of Baths tJ [A. No.of Bedrooms kJ��- Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces tSVh Garage: Detached Other Detached Structures: Pool Attached Barn X None Sheds Other Builder Information Name ,l� �p -�L� 2� ►, c_ Telephone Number 7 75- B Y-57 Address e j 8 S S � �J�° License# a Home Improvement Contractor# icra(n'(i Worker's Compensation# Vj Gfj 10C)0 97 7 A NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATELIZZ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - - PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS < VILLAGE r OWNER - , _ _ . � _ , - �. ' _ 9 _;' � � � I • . = � .f r; _: DATE OF INSPECTION: - A FOUNDATION i FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH / FINAL• ' FINAL BUILDING " DATE CLOSED OUT� • ASSOCIATION PLANNO. r a Town of stable ��. '� Barnstable se tee$ Department of Health Safety and Environmental Services Building Division 367 win Street.Hyannis MA o260i Office: SOS 790.6227 Pidph C.towen Frv- 50c_775.13" Date < <2 AFFMAVIT HOME D"RO'VEl4lEENT COhITRACM11 LAW , SUPPLEMENT TO PERA'1IT'APPUCAMIT MGL,c. 142A requires hint the"mconViti ion.altec2fic= nmws an.lepok modetrai=daa,amasion, improve ne nt, remotal, demolition, or aonsuuction of an addition to mW pie-n sting oOna eocapied building containing at Ieast one but not mom than-four dot+cMng waits or'to V v&ch=*ij0c at to such residence or building be done by registered aaatraaots,with erg e=epdM along with other Type of Work eguFe2EE5 t l r'_sL Cast _ Address of Work: W 4` t l oG'C o►3 (H VA a N Omer Name' Date of Permit Application: I hercbv ttrtifv that: Registration is not required for the following rrason(s): Work txduded by law Job wider S1.000 Dunning not ow=-oac*ed ChAmer puumg own permit Ncucr is hcrcbN Si�Yn tFW:: Ott NTRS PULLING ThTIR OWN PER OR DEALING IVTI"H UNREGISTERED CONTRACTORS FOR APPLICABLE HO,\M NVROVOMEN7 WORK DO NOT HAVE ACCESS TO THE JO(] F=.C'(' 0= LT,OER MGi.c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrebv apply for a per.-nit as the agent of the ouner: Dzi � latter rnamc Regisuation No. OR (�::;� Owncr's n=e A Tile C�rn»rrf�rlhcaltlt of Massadwetrs "`' "'1 •a.� -'8.: Departmel t of ludustrial Accidents r) OI�ICPdIIOYCSI/�dllOdS , w " :; ; -- '. 6(Jp Irl iaxbin�;tnn Street Bmstna,Man. OZlll �- workers, Compensation Insurance AtTidae•id A�oiicarttinfoe•rttat' __..�._-- . .. •--•--- —•—----•• ._ ..._ - - -•- --••----•---- name- . „ ❑r 1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity .. L ...:.._.....s...Y.- t ; ; !am an employer providing workers' compensation for my employees wori:ing on this job. ERNEST B. NORRIS & SON, INC. t , . 385 SEA STREET y HYANNIS lthnne 508-175-0457 fh EASTERN CASUALTY INSURANCE CCMPANY WCG 1000897 A ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one and have hired the contractors listed below why the following workers' compensation polices: COM17I.Iny n rc . phone DOI icy ' . d . .-+.••+•ram._,y6 ::',. .. ;. m gym•na,�c:' `-. ,n.• :Attach additionsl•sheei if iiecessm ^— w"` 'w' ""r.`• �'w .� , ties of a tine n to 51.500.00 a Failure to secure coverage as required under Section 3A of AIGL 15_can lead to the imposition of criminal(Caw P one.•ears'imprisonment as Weil as civil penalties is the form of a STOP♦V ORK ORDER and a tine ofS100.00 a day apiu"me- 1 understand t COPY of this statement may be forwarded to the orrice of luv estigati'ons of the DIA for comrage verification. 1 do lrerebr cerrifj•under rlre pains and p alt'es ojpedurr that the information presided above is true and coff=L Sianature CRAIG N. ASHWORTH one# 508-775-0457 Print name oflfcial use only do not write in this area to be completed by city or tttwn of0ci2l permiocemse# r Building Department city or town: Ot,teeasiag ironed aSeieetmen's Ofiice 13 check irimmediate response is required C311esith Department it• r7Other pbome tontatt person: U$PARTPPdT CI PUBLIC SAIPT ' - CONSTRUCTION,SUPERVISOR LICENSE Numh¢r:' Expires: Birthdate: 09/28/1997 M12811953 ;.Restricted 'To „ ` 00 C CRAIG N ASHWORTH 385 SEA STREET ByANNIS, RA 02601 07 r HOME IMPROVEMENT CONTRACTOR Registration :.,10201 , • Type - PRIVATE. CORPORATION Expiration, . 06/30/98 , s d ERNE ST B. NORRIS & SON INC ` Craig N Ashworth 385 Sea.St r ? , ADMINISTRATOR Hyannis MA 02601 1. Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal No. 1995-64 Alverson.,,,, Variances Bulk Regulations, Side Yard Setback and Lot Shape Factor Modification of Variance No. 1992-03 Summary Granted with Conditions Applicant&Owner: Harry L Alverson and Katherine S. Alverson Applicant's Address: 58 Washington Sfreet�and,Mt"-Verh n Ave",-Hyannis Port Assessor's Map/Parcel: 097-093 Zoning: RF-1 Zoning District Applicant's Request: Modification of Variance No. 1992-03 to remove the restriction that limits the division of the land, and Variances from Section 3-1.3(5) Bulk Regulations, Side Yard Setback and Section 2-3.4, Lot Shape Factor to permit reconfiguration of the lot Background Information: The request is to modify Variance No. 1992-03 to remove the restriction that limits the division of the land, and for new Variances from Section 3-1.3(5) Bulk Regulations, Side Yard Setback and Section 2-3.4, Lot Shape Factor to permit the reconfiguration of the lot. The property involved is a 0.70 acre parcel located in Hyannisport and a neighboring parcel No. 97 containing 1.00 acres. The neighboring parcel is also before the Board in Appeal No. 1995-65. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on March 30, 1995. A Public Hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on May 24, 1995 at which time the Board found to grant the appeal with conditions. Board members sitting on this appeal were: Ron Jansson, Richard Boy, Emmett Glynn, Dexter Bliss and Chairman Gail Nightingale. The Chairman cited that the published advertisement and notices sent contained an inaccuracy in two dates for the hearing. The second date at the end of the legal ad was incorrect. She noted that there is a 90 day appeal period for procedural defects. The applicant agreed to proceed with the hearing. The applicant requested, and the Board agreed, that both Appeal No. 1995-64 and 65 would be heard together due to the nature of the appeals requesting to transfer land from one lot to another. Attorney Patrick M. Butler presented both petitions. He presented the plans for the reconfiguration of the lots citing that the reason for the reconfiguration was so the Alversons could acquire a barn structure located on the Home property. The structure is old and cannot be easily moved from its location therefore a solution would be to reconfigure the lots. Attorney Butler noted that the land in question is both registered and unregistered land. The Home property fronts on Mt. Vernon Avenue and contains one acre, meeting the present zoning requirement for lot size. The Alversons' lot, which fronts on Washington Avenue, is .70 acres and does not conform to zoning requirements. A plan titled "Sketch Plan of Proposed Subdivision of Land in Hyannis Port, Mass being a Subdivision of Lot 3 as shown on L.C. Plan No. 20173C"was presented to'represent the changes in lot configuration. This plan shows the Alverson's parcel increasing in size to 1.117 acres (48,841 sq.ft.) and the Home parcel being reduced to 0.585 acres (25,512 sq.0.). The bam would remain where it is presently located but the Alverson's newly configured parcel would include this structure. 1 To reconfigure the Alversons' Lot as proposed would require a modification of Condition No. 1 of a previous Variance (No. 1992-03), which states the lot"shall not further be divided or re-divided, nor shall the back lot be built upon". Also required is a variance to the existing non-conformity of the barn's side yard setback which will be necessary due to the reconfiguration of the lot. Also needed is relief from the Lot Shape Factor requirements due to the configuration dictated by existing Land Court lots. Factors justifying the granting of relief were described. They were the fact that the existing lot and Land Court Lots dictated the availability of land and the need to retain clear title for the registered parcels. To move the bam from its present location would be expensive given the topography and setting. Moving the bam could damage the existing historic landscape setting (stone walls and apple orchard) and potentially damage the building's structural elements. The lot is presently unique in shape. The bam is isolated from the main structures, and is not presently needed by the Homes but could be used by the Alversons. Moving the building would require care and considerable expense because of its age. The landscape alterations which could be required if the structure is moved would make preservation not economically viable. Both lots are presently unique in shape. The bam is isolated from the main structures and is not presently needed by the Homes but can be used by the Alversons. Attorney Butler represented that the bam would be used for storage purposes only and would not be used for habitation now or in the future. The registered and unregistered lots of the Alverson's would be used as one lot for the purposes of zoning. The public was requested to speak. John Compo of the Hyannisport Civic Association spoke in support of the petition. The Board read two letters, one from Mrs. Worthwiely,the other from the Chappmans, who are in support of the request. Both are direct abutters. Finding of Facts: Based upon the testimony given during the public hearing on this appeal,the Board unanimously found the following findings of fact: 1. The locus of this appeal is commonly addressed as 58 Washington Avenue in Hyannis Port, Mass. in an RF-1 Residential Zoning District. 2. The property is subject to a previous Variance No. 1992-03 that restricts the division of land. The application is seeking to reconfigure the lot to allow for additional land to be added to it from the neighboring Horne lot. 3. To add land of approximately 18, 000 sq.ft. from the adjoining lot would not be in derogation of the spirit and intent of the Zoning Ordinance that today requires 1 acre lot sizes. 4. The lot is irregular in shape. 5. The purpose of the reconfiguration is to preserve an historic bam structure which does present a variance condition of uniqueness in structures and location on the land as required by MGL Chapter 40A, Section 10. 6. The structure also presents a hardship in that to move it would present a financial hardship for the applicant, if it could indeed be moved. 7. The bam is not to be moved, but will stay in its existing location. The new lot line is 4 feet from the structure. The structure encroaches 11 feet into the required 15 ft side yard setback for the district. 8. The proposed lot reconfiguration has been supported by the Hyannis Port Civic Association and the abutting neighbors, and would not be substantially detrimental to the neighborhood. 2 9. The granting of relief from the lot shape requirements would not be in derogation of the Zoning Ordinance in that the existing lot would not meet the requirements of Lot Shape Factor. Decision: Based upon the positive findings a motion was duly made and seconded to grant a Modification of Variance No. 1992-03 to remove the restriction that limits the division of the land, and Variances from Section 3-1.3(5) Bulk Regulations, Side Yard Setback and Section 2-3.4, Lot Shape Factor to permit reconfiguration of the lot with the following conditions: 1. The change is to be as per plan titled "Sketch Plan of Proposed Subdivision of Land in Hyannis Port, Mass being a subdivision of Lot 3 as shown on L.C. Plan No. 20173C" and last revision date of 1/26/95. 2. There shall be no further division of the petitioners lot. 3. Use of the bam is restricted to accessory use to the Single-family dwelling, with the exception that no human occupancy shall be permitted. 4. No further encroachment into the side yard shall be permitted. The Vote was as follows: AYE: : Ron Jansson, Richard Boy, Emmett Glynn, Dexter Bliss and Chairman Gail Nightingale NAY: None Order: Variance No. 1995-64, inclusive of Modification of Variance No. 1992-03 has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision; if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the office of the'Tokvn Clerk. C. 7 5_' jGaitgjhtingal? hairm Date Signed I Linda Leppanen, 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 day 19 er the pains and penalties of perjury. Linda Leppanen, Town Clerk Crl 3 PAR: R287 Cog. PAR: 1 098. PAR: R28; .3.001 KEY: 19045.7 TAX CODE:400 KEY: 190448 TAX CODE:400 KEY: 411r04 TAX CODE:400 CHAPMAN, CRAIG EDWARD & ROWLEYP CLARENCE W & ELIZA ONEIL• FRANCIS C CHAPMAN♦ SUSAN G 2446 KALCRAMA RD NW MOUNT.VERNON AVE X BROWN & WOOD WASHINGTON DC 20008-0000 HYANNISPORT MA 02647-0000 ONE WORLD TRADE CENTER NEW YORK NY 10048-0000 PAR: R287 113.002 PAR: R287 112. PAR: R287 1.13.003 0.cY: 411913 TAX CODE:400 KEY: 190607 TAX CODE:4UO KEY: 411922 TAX CODE:400 WEBERP HANS—PETER & CHERYL FENNO. S ELIZABETH ONEIL. FRANCIS C 50 LONGWOOD AVE 2400 S OCEAN DRIVE MJUNT VERNON AVE BROOKLINE MA 02146-0000 S S 1-4242 HYANNISPORT MA 02647-0000 FORT PIERCE FL 34949-0000 PAR: R287 114. PAR: R287 118. PAR: R287 117. KEY: 190625 TAX CODE:400 KEY: 190661 TAX CODE:400 KEY: 190652 TAX CODE:400 ONEIL• GISELA T WASP INVESTMENTS INC CROWLEY. WILLIAM F JR 35 MT VERNON AVE 8087 SUMMIT RIDGE LANE NANCY M CROWLEY HYANNISPORT MA 02647-0000 JACKSONVILLE FL 32256-0000 77 KIRKSTALL RD NEWTONVILLE MA 02160-0000 PAR: R287 116. PAR: R287 115. PAR: R287 096. KEY: 190643 TAX CODE:400 KEY: 190634 TAX CODE:400 KEY: 190420 TAX CODE:400 PLUNKETT• BARRY W&ELIZABETH MOREY. ROBERT W & MAURA B SHAY. JOSEPH F & MARY C % PLUNKETT & PLUNKETT BOX I 6 WYNDEMERE DRIVE 120 WASHINGTON ST TIBURON CA 94920-0000 SOUTHBOROUGH MA 01772—0000 SALEM MA 01970-0000 PAR: R287 095. PAR: R287 094.. PAR: R287 132. KEY: 190411 TAX CODE:400 KEY: 190402 TAX CODE:400 KEY: 190796 TAX CODE:40C 3ICKEL. WILLIAM C & H C & BLAIR. MELVILLE CHURCH TRS BARNSTASLE. TOWN OF IBCH) M)RAVEC. AUGUSTA ETALS WASHINGTON STREET TRUST 367 MAIN STREET ?224 VENDOME DRIVE 64 WASHINGTON AVE PARK & REC IETHESDA MD 20817-0000 HYANNISPORT MA 02647-0000 HYANNIS MA 02601-0000 'AR: R287 085. PAR: R287 084. PAR: R287 075. :EY: 190313 TAX CODE:400 KEY: 190304 TAX CODE:400 KEY: 190215 TAX CODE:400 :ELENTANO. ROSARIO D & HORNE. DWIGHT A 80SCH• JORGE J & YVELISE F ELENTANO• ROSETTA M ET ALS DOROTHY E HORNE 25 S E 2ND AVE #1005 3JX 188 P 0 BOX 426 MIAMI FL 33131-1604 4YANNISPORT MA 02647-0000 HYANNISPORT MA 02647-0000 'AR: R287 076. PAR: R287 083. PAR: R287 082. :EY: 19J224 TAX CODE:400 KEY: 190297 TAX CODE:400 KEY: 190288 TAX CODE:400 >TEWART. DONALD M & DOHERTY. GERALD H JRUJKS• ALFRED P ;TEWART. CHARLES 41 RESERVOIR RD WACHUSETT AVE �JO HARBOUR DR #201-8 FARMINGTON CT 06032-0000 HYANNISPORT MA 02647-0000 'ERO BEACH FL 32963-0000 `AR: R287 086. PAR: R287 081. PAR: R287 080. .EY: 190322 TAX CODE:400 KEY: 190279 TAX CODE:400 KEY: 190260 TAX CODE:400 .YONS. JOHN J FITZGERALD.BENEDICT F JR.TR MAYFIELD• ROBERT K JR & '2 WINDPATH EAST TARA WARE ST TRUST MAYFIELDP ELEANOR F SPRINGFIELD MA 01089-1707 25 WARE STREET .2J1 HEDGEMERE DRIVE CAMBRIDGE MA 02138-0000 DEVON PA 19333-0000 'AR: R287 C87. PAR: R287 088. .EY: 190331 TAX CODE:400 KEY: 190340 TAX CODE:400 :EZAHLER. MAX & CAMPO. JOHN W JR & _LENTANO. AMY D CAMPO. ELIZABETH G 325 WISSAHICKON AVE P 0 BOX 401 HILADELPHIA PA 19119-0000 HYANNISPORT MA 02647-0000 PAR: R287 093. KEY: 190395 TAX CODE:400 ALVERSON• HARRY L III 955 SOUTH AVE NEW CANAAN CT 06840-0000 'AR: R287 097. PAR: R287 092. PAR: R287 091. :cY: 190439 TAX CODE:400 KEY: 190386 TAX CODE:400 KEY: 190377 TAX CODE:400 iJRNEo, JOSEPH G BASCOM# JOSEPH H CURNISH, JOHN M TRS 127 WEAVER ST BASCOMP ELIZABETH E TJ LONGWOOD AVE REALTY TR �REENWICH CT 06830-0000 WASHINGTON AVE X FRICKi MARION R HYANNISPORT MA 02647-0000 80U ANDREWS AVE 84 DELRAY BEACH FL 33483-0000 BAR: R287 090. PAR: R287 042. PAR: R287 040. .EY: 190368 TAX CODE:400 KEY: 189897 TAX CODE:400 KEY: 189879 TAX CODE:400 NEILr MARIE E LAWSON• STEPHEN F 8 ANN J CLARK,- MADELINE J TRUSTEE :Jx 501 PO BOX 151169 LONGWOOD AVE 126 BELMONT ST YANNISPORT MA 02647-0000 HYANNISPORT MA 02647-0000 3ROC4TON MA 02401-0000 'AR: R287 039. PAR: R287 031. PAR: R287 089. Y: 189860 TAX CODE:400 KEY: 189771 TAX CODE:400 KEY: 190359 TAX CODE:400 3B. JOHN A JEWELL. RUSSELL C & RUTH C PAGE. CHRISTOPHER I TRS SMITH BARNEY HARRIS UPHAM % RITCHIE. BARBARA XCLEVELAND STEEL CONTAINER 345 AVE OF THE AMERICAS 147 AIRDALE ROAD 12818 COIT ROAD =W YORK NY 10105-0000 ROSEMONT PA 19010-0000 CLEJELAND OH 44108-0000 AR: R287 030. PAR: R287 029. PAR: R287 028. _Y: 189762 TAX CODE:400 KEY: 189753 TAX CODE:400 KEY: 189744 TAX CODE:400 VEIL. MILDRED L WESTON. DOROTHY E SIMON• FREDERICK L 24 LONGWOOD AVE 237 NORTH MAIN ST #333 23 AVONSIDE YANNISPORT MA 02647-0000 S YARMOUTH MA 02664-0000 AVON CT 06001-0000 AR: R287 105. PAR: R287 106. PAR: R287 103. :Y: 190518 TAX CODE:400 KEY: 190527 TAX CODE:400 KiEY: 190493 TAX CODE:400 LL00N• FRED M & BRAND. S RICHARD MARSHALL. JEAN Z )HN W FILOON JR JUDITH P BRAND 97 EOGEHILL RD j THE LAURELS 5130 PEMBROKE PLACE HYANNISPORT MA 02647-0000 >IFIELD CT'06082-0000 PITTSBURGH PA 15232-0000 aR: R2d7 102. PAR: R287 101. PAR: R287 100. =Y: 1904d4 TAX CODE:400 KEY: 190475 TAX CODE:4UO KEY: 190466 TAX CODE:400 3TERS. JOAN M C TR ONEIL• FRANCIS C & MARIE E HUMPHREYS. WILLIAM Y )AN M C WATERS NOMINEE TR LONGWOOD AVE JAYNE M HUMPHREYS #55 SW 113 COURT HYANNISPORT MA 02647-0000 41 MT VERNON ST :AMI FL 33173-0000 HYANNISPORT MA 02647-0000 I NOTICESLEGAL TOWN,OF BARNSTABLE ZONING BOARD OF APPEALS ' •_' MEETING OF MAY 24. 1995'`'"`6- . ... NOTICE OF PUBLIC HEARING UNDER THE ZONING ORDINANCE To all persons deemed interested or affected by the Board of Appeals,under Sec. 11 of Chap.40A of General Laws of the Commonwealth of Massachusetts and all amendments, thereto,you are hereby notified that APPEAL NO.-1995-63 Forty.TwoTen Realty Trust °z�' William J.Beard,.Trustee of Forty Two Ten Realty Trust,has petitioned the Zoning Board of Appeals fora Modification of Veriance No.1994-1:10 to remove the restriction that limits the use of the premises to one professional office:.'The property is shown on Assessors Map 310,as parcel 169.commonly addressed.280 Winter-Street;Hyannis.MA in a RB Zoning District; A PUBLIC HEARING WILL BE HELDON THIS PETITION AT 7:30 P.M. , APPEAL NO. 1995-64 Alverson �ers Harry L.Alverson and Katherine S.Alverson have petitioned the Zoning Board of Appeals. for a Modification of Variance No.,1992-03 to remove the restriction that limits the division of the land,and for Variances from Section.3.1.3(5)Bulk Regulations,Side Yard Setback` and Section 2-3.4,Lot Shape Factor to permit reconfiguration of the lot. The property. is shown on Assessors Map 287,_as Parcles 097 and 093. commonly.addressed 58 Washington Street and Mt.Vernon Ave.,Hyannisport;MA In:a RF-1 Zoning District. A PUBLIC HEARING WILL BE HELD,ON THIS PETITION AT 7:45 P.M.-':,.'-,'.":_ APPEAL NO.1995-65 Home . Mrs.Joseph G.Home has petitioned the Zoning Board of Appeals fora Variance to Section .3-1.3(5)Minimum Lot Area to permit the reconfiguation of the Lot..The property is shown on Assessor's Map 287.:as Parce1..097,:commonly addressed 25 Mt. Vernon Ave., Hyannisport.MAin.a RF-t Zoning DistrWl*? A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:50 P M. APPEAL NO. 1995=66 Colonial Candle T �a Colonial Candle of Cape Cod(Candle Corp.0 America)has petitioned the Zoning Board of Appeals for a Variance to the Zoning Ordinance Section 2.6. 1(2),Prohibited Uses` Tents,.to permit a 12,foot by 24 foot tent to be erected and used for business purposes: The property is shown on Assessors Map 327.as ParceV160 and commonly addressed as 232 East Main Street,Hyannis,MA in a B-Business Zoning Distnct A PUBLIC HEARING WILL BE HELD ON THIS PETITION AX8.00 APPEAL NO. 1995-67 Getty Petroleum Coip ' Getty Petroleum Corp.has petitioned the Zoning.Board,of Appeals fora Variance to the Zoning Ordinance Section 3-1.1.(5)Bulk.Regulations, Minimum Front Yard Setback to permit the construction.of a conopy over the gas'pumpC.The property:is shown on Assessors Map 311.as Parcel 079.and commoniy'eddressed as 223'Falmouth Road (Route 28),Hyannis,MA in a HB-.Highway Business Zoning District: A PUBLIC HEARING WILL BE HELD ON THIS PETITION AT.B 15 P M e APPEAL NO. 1995.68 Kids Connection, °::+ Kids Connection,Inc.,has appealed to the Zoning Board of Appeals fora Special Permit in accordance with Section 3-3.1(3.)(B)Conditional Uses:Recreational and Amusement Use to permit a children's play centerto lie developed in aneAsting bulling within the Cape Cod Mall.The propertyls shown on Assessors Map 293.as Parcel 024.commonly addressed as Cape Cod Mail.._793 Route.;:.32;Hyannis,MA in a HB and B Zoning District. A PUBLIC HEARING WILL BE HELD.ON THIS•PETITION AT 8:30 P.M These public hearings will be held Inthe Hearing Room:-Second Floor,New Town Hall,367 Main Street..Hyannis;lvlassachusetts on Wednesday. May 17,. 1995. All plans and,, applications may'be reviewed a€'Xhe Zoning Board of Appeals Office in thb.Planning Department,.236 South Street Hyannis MA t Gail Nightingale,CHAIRMAN _ ZONING BOARD OF APP. The Samstable,Patriot ss May 11 8 May 1811995 I = ssessor[ ' of$ioe (1st floor): aa I EtO Assesoor's map and lot number .4w10./.5.gX........... Board of Health (3rd floor): ''•." d� v� 1 .-..� ., .,la..� U..MC SYSTEM MUST BE Sewage• Permit number ...... . .. aNSTALLE�IN COMPLIANCE : Baaa9TsnLL, Engineering Department (3rd floor): � � �ff oo NAM A House number ............................... �.. ......4?>4P`ty"... WRHT1TLFi.R � '°�039.6�0 ""iR INMENTAL CODE AND �pv APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:OCI . N REGULATIONS TOWN OF BARNSTMIL& Amom BUILDING INSPECTOR -r `' APPLICATION FOR PERMIT TO Bu i �pen o ate Ex i s t i n 08t@ TYPE OF CONSTRUCTION ,,.,,Wood September 11-, 1992... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accor�ng to the following information: 58 Washin o Location ...........................gt...1?i... . .� .. .........Hy. .xxll.Sr`ZOx.t.,...MA......02.6.. 7.............................................................. Proposed Use ....Single...fami.ly...dwe.11.ing............................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. ` Name of Owner .,Harry & Kate Alverson ..Address ..5.8...Washington Street Name of Builder Ernest B. Norris & Son, I.ncA�idress . 3.85 Sea Street HXa!Rn,is Name of Architect .Doreve Nieholae ff ...Address Main 812 vil ............Street........................O....s....ter...........le................. Number of Rooms .3... Bedroom......1...F,ami.l undotion ..... ..................................................... room Exterior ...Shingle...............................................................Roofing ..As,I?ha.1 ................................................ ............... Floors .......WO,Od .Interior .....Arj'.W.?.11............................................................. i Heating EANi.stin_a tidatre..............................................Plumbing ... ................ Fireplace ....2...I as.onr.y.......(I....chimne.y..).....................Approximate Cost ..�.0.1�.,.58.7....Q.O..................................... 101 Definitive Plan Approved by Planning Board ________________________________19-------- . Area ...........l�........................... Diagram of Lot and Building with Dimensions Snf f Y Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r - i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........ ....... .............. Construction Supervisor's License ...015 8 .51...................... H. I .R. # 102014 ALVERSON, HARRY & KATE 41, N 35351 BUILD ADDITION RENOVATE q...........a...... Permit for .................................... SinglSincrle Family dwelling e................................................... Location ....58....Wa.shi.n.qt.q.n...Ave.nu.e........ ..... ........................]ffy pqKt.......................... Owner ...,,HarrX...&. Kate Alverson ......................................... Type 6f'Construction ........Frame .................................. 4 ti ............................................................................... Plot ...................... ..... 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W roe,✓u a' __ �s¢1. _ _ f a Jill - ! 4 PIOL Mp ' � �oEG't•101-i~�7� sres.Y+ Na G�EC'(IOt-1 � t; ...cd'1�•►`' t p r �r.- a T• y sy v: i fi. 1 �I t yyj l'. j. f HOME IMPROVEMENT CONTRACTOR Regis- PRIVATE CORPORATION k ' Type 06/30/94 t Expiration Y, p' Ernest B. Norris & Son Inc Craig N. Ashworth 385 Sea St ADMINISTRATOR Hyannis MA 02601 } i Y 5 i, r i i s ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. cry- � E �is�rn��1 ur�� �un���ti�rn �lermi� Permission is hereby granted......--- --.....-.------•---------------•----------•-••------•-----....................----................_.. to Construct ( ) or Repair 'be) an Individual Sewage Disposal S stem atNo--------------------+ ----JCLIX......- ------------- ...._ { Street CCjj as shown on the application for Disposal Works Construction Permit No.Yd-t..K3„ L Dated.......................................... ............................. -" ----- ......----------------------------- G _ g Board of Health DATE............../- -1 /.... ................................... FORM 38308 HOBBS 6 WARREN,INC..PUBLISHERS i ` NUTTER,McCLENNEN & FISH CCOJP ROUTE 28.1185 FALMOUTH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS 02601 TELEPHONE:508 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER: March 4, 1992 Mr . and ,Mrs . Harry Alverson 18 Ferncraft Avenue London ENGLAND NW3 7 PH Re: Hyannis Port Property Dear Harry & Kate: Enclosed please find a copy of the final decision and notice issued by the Zoning Board of Appeals for the Town of Barnstable, which we have recorded with the Barnstable County Registry of Deeds on February 21, 1992 at 8 :49 A.M. as Instrument No . 545,481. As I previously indicated, you must commence construction within one (1) year of the issuance and recording of this decision— .Sue and I look forward to seeing you this :,surmmer, and if I may be of any assistance regarding the enclosed, please do not hesitate to contact me. V my yours, P rick M. Butler PMB: j1 Enclosure 5431r � ..i �• BOSTON,MASSACHUSETTS COUNSEL:AMSTERDAM•LONDON•TOKYO Town of Barnstable Zoning Board of Appeals Variance gAF! Decision and Notice Appeal No------1992-03--------------------------------9-1- T^,123 1 Petitioner : Harry & Katherine G. Alverson ----------------------------------------------------------- At a regularly scheduled hearing of the Zoning Board of Appeals , held on January 09 , 1992 , notice of which was duly published in the Barnstable Patriot , and forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the Petitioner , Harry & Katherine G. Alverson , represented by Attorney Patrick M. Butler , M petitioned to the Zoning Board of Appeals for a Variance under `s Section 3'- 1 . 3 ( 5 ) , Bulk Regulations , side yard setback , to allow the construction of a 640 square foot addition consisting of a garage , a foyer and a kitchen . The petitioner ' s site as shown on Assessor ' s Map/Parcel Number 287/093 , commonly addressed as 85 Washington Street , �- Hyannisport , MA in an RF-1 Zoning District . The petitioner ' s request was heard by the following Board 1 Members ; Gail Nightingale , Luke Lally , Wayne Brown , Betty Nilsson and Acting Chairman , Ron Jansson . Summary of Proceedings : Attorney Patrick M. Butler presented the Board with a r memorandum in support of the petition for a Variance . He reviewed the history of the site , explained the subject property consists of two lots . The house lot and second "apple orchard" lot , both have been merged for purposes of zoning and assessment . The proposed -640 square foot addition will be utilized primarily as a foyer /kitchen area and allow for construction of a garage adjacent to the existing driveway . The petitioner is seeking a Variance from the required 15 foot side yard setback to allow the principal structure to be located 4 . 8 feet from the lot line . Attorney Butler presented that the petitioner meet the Variance conditions set forth in Massachusetts General Law, Chapter 40A in that : 1 ) The irregularly shape of lot places serious constraints on development . 2 ) There is no room for any addition or expansion of structure in an easterly direction due - to the house being I-ess than three 3 feet that ( ) from h t sideline . I 3 ) The slope , topography and the location . of an historical stone wall in the rear area of the property presented severe limitations In the areas for expansion and construction . Attorney Butler also proposed that the literal enforcement of the Zoning Ordinance would Involve substantial hardship to the petitioner in additional expense for excavation and grading and would also require greater pavement for the driveway , resulting in increased lot coverage by pavement . Attorney Butler submitted to the file , ten ( 10 ) statements from the immediate abutters (Augusta Moravec , Rosetta Celentano , Melville Blair , Marie O'Neil , Louise Evans Blair , Virginia Horne , Beatrice Allen Page , Jack Campo , Joseph & Elizabeth Bascom and Mr . & Mrs . Brackett Hall ) , and a letter from the Hyannis Port Civic Association , signed by their President Carter S . Bacon Jr . , all in support of the Alversons ' petition . The public was asked to speak and non one spoke In opposition to the petition . Findings of Facts : Based on the information presented , the Zoning Board of Appeals made the following findings of fact 1 ) The petition meets the requirements of Variance conditions under Section 10 as far as the shape and topography goes . 2 ) Most of the lots in this area are small and in many_ instances development in Hyannisport encroaches on to the setbacks . 3 ) This request does not generally affect the zoning district in which it is located and the addition is not detrimental to the neighborhood as Is the conclusion reached by the i Civic Association and all the abutters . The vote was as follows : AYES : NILSSON , NIGHTINGALE, BROWN , LALLY , JANSSON . NYES : None Decision : Based on the testimony and information presented and the findings of fact during the hearing held on January 09 , 1992 , by a motion duly made and seconded , the Zoning Board of Appeals voted to grant the petition sought in Appeal No . 1992- 03 to allow for the reduction of. the required 15. foot side setback to 4 . 5 feet to provide for the construction of a 640 square foot addition , and in according to . the following conditions : 1 ) That the two lots constituting the parcels shall not further be divided or redivided , nor shall the back lot be built upon ; and 2 ) Construction of the addition shall be In accordance with plans submitted , titled "Property Addition - Alverson Residence" drawn by Doreye Nicholaeff , Architect Inc . and scaled 1 /4"=1 ' -011 . The vote was as follows : AYES : BROWN , LALLY, NILSSON , NIGHTINGALE, JANSSON NAYS : None THE PETITION IS GRANTED SUBJECT TO CONDITIONS . S` 1 r 11 Any- person aggrieved by this decision may appeal to the Barnstable Superior Court, as prescribed in Section 17 of Chapter 40A of the General Laws of Massachusetts by filing a Complaint in said Court as well as a notce of action with the Barnstable Town Clerk, within twenty (20) days of the filing of this decision with the Barnstable Town Clerks Office. Chairman I 000z� Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (<^0) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and sealed this \2M day of c.�p v, A , 19 `0 under the pains and penalties of perjury. Town Clerk DISTRIBUTION Town Clerk ,,..•.— Property Owner Applicant Persons Interested Building Commissioner Public Information i Board of Appeals j f e THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^�� DATA iARNSTABLE OF PLANNING. �a EVELOPMENT. '`' .L4li OF THE ZONINGr,, 11OARD OF'APPEALS"'t' rt F ICE OF PUBLIC HEARING ")" - UNDER THE ZONING . ((( ORDINANCE .MECTINGxOF JANUARY 9,1992 . To all persons deemed interested or affected by the Board of Appeals,,tr t und6 Sec. 11 of Chap.40A of General Laws of the Commonwealth of Massa=' chusetts and all amendments theretoi \ you are hereby notified that:' "MI r APPEALNO. 1992-01 7-30P.M.'+1 [John']. Pendergast,Jr,Trustee of S.J. i Pendergast•Trust of.1975, has ap ;.� pealcd•a Decision of the Building In-.r;: rr — spectof under Section 5-3.2 (1)Gcn- eral Nwers,and Scctiog+7,Site.0 _ � o Prov�slons (conditions''Imposed) to; , � • alloty proposed` change from office Space to retail use at Map 209,Lot 81,:�' • 1491 Route 28.Centerville in a High. way Business Zoning District. A PUBLIC IIEARWG WILL BP. t HELD ON THIS PETITION AT 7:30 ♦ P.M. _ - • A PPE AL NO.1992.02 7:45P.M. John.I. Pendergast.Jr.Trustee of S.J. Y . • �� V Pendergast Trust of 1975, has ap-d.7 pealed to the Zoning Board of Appeals i^i and petitions for a Special Permit under Section 3-3.6(3)A,Conditional -_ Uses in a highway Business, and/or • Section 4.4. Non-Conforming Uses and Section 4.2.8,Reduction of Park- ' Ing Requirements,at Map 209,Lot 81. 1491 Route 28,Centerville in a High- - way Business Zoning District, A PUBLIC HEARING WILL BE ' HELD ON TINS PETITION AT 7:45 APPEALNO.1992-03 8:00P.M. Harry & Katherine G. Alvcrson have appealed to the Zoning Board of Ap. f / peals and petition for a Variance under • �' Section 3.1.3 (5). Bulk Regulations, side yard setback, to allow the con- struction of a 640 square foot addition i ' consisting of a garage,foyer/kitchcn at Map 297, t 93. 58 Washington Street.I lyann sport in an RF-I Zoning District. 1 + A PUBLIC HEARING WILL BE HELD ON THIS PETITION AT 8:00 + -- w P.M. AITEALNO.1992-04 8:15P.M. Steven licslinga has appealed to the ' "Zoning Board of Appeals and petitions for a Special Permit under section 4- i 4.3, Reconstruction of a Damaged Non-Conforming Building, to par- r \ lially demolish existing cottage and relocate living area over newly pro- i ;posed three car garage at Map 299. 1.00-1, 1643 Ilyannis Road, Bam- 1 stable in an RG Zoning District. I A PUBLIC HEARING WILL BE ' r.. HELD UN THIS PI:'1'1TlON A'1'8:15 .4 _ THESE HEARINGS WILL BE HELD IN TILE SECOND FLOOR HEARING ROOM; NEW TOWN HALL 367 i- I MAIN STREET, HYANNIS ON 3 THURSDAY EVENING,JANUARY 9. 1992. ? YOU ARE INVITED TO BE PRES- E BY ORDER OF TIIE ZONING `�- BOARD OF APPEALS. DEXTER BLISS,CHAIRMAN ZONING BOARD OF APPEALS / A 1 � � The linmstahlc Patriot ♦u Jll LL, CL 1 LM7 D lft W YARMOUTH PLANNING BOARD SANDWICH PLANNING BOARD APPEAL NO. 1992-03 ALVERSON, HARRY MEETING OF JANUARY 9, 1992 PARTIES IN INTEREST BLAIR, LOUISE E. 35 MT. VERNON AVENUE, HYANNISPORT, MA 02647 MARSHALL, JEAN Z. 97 EDGEHILL ROAD, HYANNISPORT, MA WATERS, WILLIAM R. & JOAN C. WATERS 8455 SW 113 COURT, MIAMI, FL. 33173 r•.� ONEIL, FRANCIS C. & MARIE E. LONGWOOD AVENUE, HYANNISPORT _ ►�� HUMPHREYS, WILLIAM C1 & JAYNE M. HUMPHREYS 41 MT. VERNON STREET, HYANNISPORT ROWLEY, JANE P. 2446 KALCRAMA RD, NW WASHINGTON, DC 20008 HOHNE, JOSEPH G. 127 WEAVER STREET, GREENWICH, CT 06830 ONEIL, FRANCIS C. MOUNT VERNON AVENUE, HYANNISPORT ONEIL, GISELA T. 36 MT. VERNON AVENUE R. W. MOREY, INC. BOX I, TIBUR ON, CA 94920 SHAY, JOSEPH & MARY .8 WYNDMERE DRIVE, SOUTHBOROUGH, MA 01772 BICKEL, WILLIAM C. & H. BICKEL % OFF, R. 1110 SOUTH NEGLEY AVE. , PITTSBURGH, PA 15217 BLAIR, MELVILLE CHURCH TRS. WASHINGTON STREET TRUST 64 WASHINGTON AVE. , HYANNISPORT, 02647 HORNE, DWIGHT & DOROTHY P.O. BOX 426, HYANNISPORT CELENTANO, ROSARIO & ROSETTA BOX 188, HYANNISPORT BARNSTABLE TOWN OF 367 MAIN STREET, HYANNIS BOSCH, JORGE & YVELISE 150 SE 2ND AVE. , #605, MIAMI, FL 33131 - STEWART DONALD M. & CHARLES & RICHARD STEWART 10 BIETMORSE ROAD, BLOOMFIELD, CT 06002 DOHERTY, GERALD H. 41 RESERVOIR ROAD, FARMINGTON, CT 06032 BROOKS, ALFRED P. WACHUSETT AVE. , HYANNISPORT ' FITZGERALD, BENEDICT 62 WACHUSETT AVE. , HYANNISPORT MAYFIELD, ROBERT K JR. & ELEANOR MAYFIELD P.O. BOX 674, HYANNISPORT LYONS, JOHN J. 161 COCORD ROAD, LONGMEADOW, MA 01106 i BEZAHLER, MAX & I CELENTANO, AMY D. 33 WASHINGTON AVE. , HYANNISPORT CAMPO, JOHN W. JR. & CArIPO, ELIZABETH P.O. BOX 401, HYANNISPORT BASCOM, JOSEPH H. & ELIZABETH BASCOM WASHINGTON AVE. , HYANNISPORT CORNISH, JOHN M. TRS. 70 LONGWOOD AVE. , RLTY TRUST FRICK, MARION R. 800 ANDREWS AVE #4, DELRAY BEACH, FL. 33483 LAWSON, STEPHEN F. & ANN J. LAWSON P.O. BOX 191/69 LONGWOOD AVE. , HYANNISPORT ONEIL, FRANCIS C. MARIE ONEIL BOX 501, HYANNISPORT ORB, JOHN A. & 7- S:SITH, BARNEY, HARRIS UPHA`1 1345 AVE OF THE AMERICAS, NEW PORK, h�Y 10105 PAGE, CHRISTOPHER I TRS 7 CLEVELAND STEEL CONTAINER 12818 COIT ROAD, CLEVELAND, OH 44108 JE?•.ELL, RUSSELL C & RUTH 14AVERLY HEIGHTS - BLAIR 045 1400 WAVERLY ROAD, GLADWYNE, PA 19035 ONEIL, MILDRED L. 124 LONGWOOD AVE. , HYANNISPORT WESTON, DOROTHY E. 237 NORTH MAIN ST. , S. YARMOUTH, 02664 /A 4 5454BIL BARNSTASLE COUNTY L- ATRU�: 3ISTF, OF DEEDS COPY,ATTEST F.M-FADE,REGISTER a� (J) o Co o� c_c v'-1 r� ' I Y NUTTER,McCLENNEN & FISH ROUTE 28-1185 FALMOUTH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS02601 TELEPHONE:508 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER: December 19, 1991 Board of Appeals Town of Barnstable Barnstable Town Hall South Street Hyannis, Massachusetts 02601 Re: 58 Washington Street Variance Petition of Harry L. and Katherine G. Alverson , Ladies & Gentlemen: Enclosed please find five copies of a certified plot plan prepared by Baxter & Nye, Inc. , registered land surveyors, with reference to the above petition. 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MARSHALL - - I n o i \\ ASSESSORS MAP 287 - - CRAIGVILLE ¢ - PARCEL 103 - - DEED BOOK 1032, PAGE 043- BEACH ROAD p55 0E Zz N/F 1-16.20 N/F HYANNISPOR7 LOCUS a ASSILDRED ESSORSLMAAPE287 3g3? JOAN M C WATERS,TR. - GOLF COURSE V1A$H. AVE \ PARCEL 30 - 3S8^ - . ASSESSORS MAP 2B7 f PARCEL 102 SQUAW ISLAND ROAD TT AVE. CERT. 19313 Py 2 .2' DEED BOOK 9272..PAGE 129 FRANCIS& MARIE E. ONEIL WpSHU$E !0 ASSESSORS MAP 287 PARCEL 101 NANTUCKET SOUND s3 DEED BOOK 2964. PAGE 78 FOR REGISTRY USE ONLY. 6 FY LOT B / - - SCALE F MY °1"US=1000' PRAP IOFESSIONAL KNOWLEDGTI TO THE E, INFORMATION ST N/F. ��0� }yJy`v 13,287t S.F. AND BELIEF THAT THIS PLAN CONFORMS CRISTOPHERI PAGE TR. - _M 4; y rn —�� - - TO THE RULES AND REGULATIONS OF ASSESSORS MAP 287 O� CRAIG&SUSAN CHAPMANN/F , ~ THE REGISTRY OF DEEDS. PARCEL 89 QpQ' ASSESSORS MAP 287 DEED'BOOK 7394. PAGE 164 PARCEL 99 - LOT A - r , 4L7• DEED BOOK 9003, PAGE 088 - L=24.62' - N/F - • `7s N SHAPE FACTOR IBIS (LOT 8&LOT 12y)! _ R=17.08' WASP INVESTMENTS INC. i RECORD LOCUSJNf_omAnOC! ®®�tv_��� [fi FPA� FORMER�2'40'E. x UryRCOS _ 1. I ASSESSORS MAP 287 J�8` . O .. C07 71' REDC - ' \ N>6 D4'D L=1635' PARCEL.IRO AND Zg 8p8"1y DEEG'BOOK 10D02.PAGE 092 CURRENT OWNER: CRAIG EDWARD CHAPMAN LOT •1�f STfRED - _ S75.1 m \ R=t1.31 1 IG .LANp 5 4'J0 E , 44• QJ1 1 n TITLE REFERENCE: DEED BOOK 9003, PAGE 088 T 4,906t S.F. PROFESSIONAL LAND SURVEYOR DATE �g Sg N z�E 8q 85, S✓/ R=11.SB' - PLAN REFERENCE' LC 201 73 - cos 9577,E.COT<iAr 3 s5 jz' -it00.G0 ASSESSORS IAP: 287 LOT 6 �KL- PARCEL. 99 5i PLAN & v a �I c3i _EYI,t TINC K'A1 _ 7 CURRENT OWNER: WRRY L.ALVERSON` J � � •9s� LAN I]- ro �=\ (NOT TO BE CONSIDERED P PK TITLE REFERENCE: CERTIFICATE 94763 ASEPER TE BUILDING LOT) ry o ^ v `- - - .. - pjV f��Js9 j 4 'XISLNG O j PLAN REFERENCE- CERT LC 20173 _ 0.9• �`_ 35 EL 98 F. S N/F o ASSESSORS MAP: 287 MARIE E. OIaEIL I 'Pj, \ f � EXISTING r- - JOHN Vf.'JR- & ELI4'ABETH G. CAMPO (� I PARCEL: 93 MOUNT VERNON ROAD ASSESSORS MAP 287 - - y / v - BARN ASSESSORS MAP 287 . PARCEL 90 - / O ` y _ .33 _ ! , t DEED BOOK 7976, PAGE 055 '.y� .\ S �`/_ S!9'3'S0^C- CERT C148305 'o _ .. , RESIDENTIAL ZONE: RF-1 IN . - S)a•53 SETBACKS:. FRONT 30' 2 ` sop 1eq.N . SIR 15' HYANNIS qq 5803.325~E ' - �__£XNSrNN°=O-WO` g MINIMUM LOT SIZE: 43,560S.F. MASSACHUSETTS .LOT 1 1 a� 32 a' EASCMF,NT o' MINIMUM LOT FRONTAGE 2D' N F Iw s . `= R sa � (BARNSTABLE COUNTY) �,RRY L ALVERSONsr5 a's� - ( MINIMUM LOT WIDTH: 125•' ASSESSORS MAP 287 N. k_ _ PARCEL 93 ( ^ - 3 - -GROUNUWA7LR OVLRLAY DISTRICT: AP(NOI A ZONE II) l CERT 94763 1 u �92 `(NOT TO BE CONSIDERED t^ - JUNE 9, 2000 F'bC A SEPERATE BUILDING LOT) f 4 - z LOT 5 k ` 34,959t S.F LOT 9 ti BARNSTABLE PLANNING BOARD REISION; ' N/F f _ - NOV DATE DESC 1 SSESSOR D. HEAD NC. - APPROVAL UNDER THE SUBDIVISION _�* I#;IIt7 I'mosw&AvA6EAv mom - a' w 583;;8.10••E _ 4n 7� ASSESSORS MAP 2B7 t J°$`P" G. "°R"` - CONTROL LAW NOT REQUIRED _ PARCEL 92 }j ASSESSORS MAP 287 _ I! PARCEL 97 CERT 144784 Ci CER T. 9488028 — '' � II Q - 249 iv o 85.SD' NR,i•38 _ e9 _ - _ - _--.I__'--_ a vi Yi :,.i J- 91 u3 J ( - N8338'1 g.'_-yy .. CI>T&RAIL F•NCE PK os I -� 17-I j5• 'ceoi. REGISTER 1 N61'32'35"W�_� GO �J 1 NB.T'}P'r5••lY ED LAND PREPARED FOR. .. 6.to'. ---I HOSTING .4 ul`�REGISTERED A p aeor - Mrs SUSAN CHAPMAN USE 8.3' N 111 s� _. P.O. BOX 184 - a .• HYANNISPORT. MA N 02647 ,. . - p N/f a - . - Y PAI CCL. A HATHELVE GROVES - - ALVER7pN`- • 8,608t S.F. ASSESSORS MAP 287 - w PARCEL 91 x - a DEED 0001 7-026 .. PARCEL "A" & LOT n. - - ' • - • BSC - UNDER ONE OWNERSHIP PAGE 280 SHAPE FACTOR 27.4 `° 8 - DATE. The BSC Group,.Inc.' PARCEL A AND LOT 11 HAVE ALREADY BEEN COMBINED (PARCEL A &LOT 11) n AS SHOWN ON'LAND COURT PLAN 20173-D. FOR THE PURPOSE )- NO DETFMENATION AS TO COMPLIANCE WITH THE ZONING ORDINANCE OF SHOWING THE LAND COURT REGISTRATION LINE THEY HAVE '� REOUIREMNETS HAS BEEN MADE OR INTENDED BY THE ABOVE ENDORSEMENT. BEEN LA9FLED AS".SEPARATE ENTITIES - " LOTS CREATED.FOR CONVEYANCING PURPOSES ONLY. 657 Main Street, Unit 6 PARCEL A 8,608t S.F - - —�-1 - West Yarmouth, Massachusetts LOT 11 .3�959t $.F 63.71, _ I I - I HEREBY CERTIFY THAT THE ACTUAL SURVEY WAS MADE ON THE GROUND 02673 T07AL AREA 43.567t S.F. - N83-38'15•I,y 4 IN ACCORDANCE WITH LAND COURT INSTRUCTIONS OF 1989 ON OR BETWEEN 508 77$ 8919 FEBRUARY 10, 20DO AND FE13RUARY it, 2000. LOT B AND LOT.12 ARE TO BE COMBINED BY THIS PLAN �I(� A/BUT ARE SHOW AS SCPARATE ENT771ES FOR THE PURPOSE �A��'""'TO'v C © I9O9 n,"esC G. p.InL OF SHOWING THE LAND COURT REGISTRATION LINE 1 A���UI. - - (45' IMDF - PUBLIC) `1 SCALE: 1" = 30• LOT B 13,287i S.F. ��� DATE - CRAIG A.FIELD /j38039 0 3.75 7.5 15 .eta LOT 12 - 4 906J: S F. - FOR THE BSC GROUP, INC. 0 t5 3-� .0 TOTAL LOT AREA 18,1931 S F —��_ - - r - NOTE: PROJ. MGR.: C. FIELD FIELD: P. H. /A. D.ALL DISTANCES E.DM UNLESS OTHERWISE NOTED. CALC./DESIGN: IC HEALY EDM-PRECISION ± 5r m+ 5PPm DRAWN: K. HFAL'r r' LINEAR ERROR OF CLOSURE _ .003' CHECK: C. FIELD DIRECTIONAL ERROR OF CLOSURE - N 57'22'54"E FlLE: Bt01-LC.DWG - ' RELATIVE PRECISION - = 1 132.198 DWG T.. 5217-01 - i• SHEET 1 OF 7 r�- - JOB. 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ASSESSORS MAP 287 N PARCEL 102 JEAN Z. MARSHALL DEED BOOK 9272, PAGE 129 ASSESSORS MAP 287 PARCEL 103 DEED BOOK 1032, PAGE 043 CB/DH FND do HELD N/F i CB/DH MILDRED L. ONEIL Ss3 FND ASSESSORS MAP 287 �3S PARCEL 30 2 2' 9 f CERT. 19313 �o L.C. 13208 A .ti 1 JpJ SUB—SKETCH NOT TO SCALE .� LOT B +y i 13,293t S.F. N v, 40 MAP 287 TR. �^� yr CRAIG & SUSAN CHAPMAN ;'� 89 Qp� ASSESSORS MAP 287 1 )4, PAGE 164 PARCEL 99 L=24.62' L CB FND DEED BOOK 9003, PAGE 082 ' R-17 08' WASP I FND HELD , SHAPE FACTOR 18.5 (LOT B & LOT 12) ASP I ;576-50,11" 13.0' U ,..l, L=16.35' FORMER LOOT e,-- 109 70, f0 4,N� N N7g9 4 08" R=11.33' DEED B00 LIN REGiS�R l N to _ S75y4,3p �-�` g0, W LOT 12 D `29. 50 3j.' E n lc� L=16.71' h 4,870t S.F. F, ,50 43'_ ��, I / 34 85• CB/DH R=11.58' 13 NDFHELDc .A�h � Sssbs"HfK' \-0��. 0 55_Zz. � �ND I _ p`�F<OT LOT 6 \\ N76.04, CB/DH fxIS71 Og"w N NG 1g 5' ` O E` N o, 3 IMOE RIG 142 94' iq. EXISTING 'rT N76- 30.4.2 HOUSE o^ 0.9 #31 �n N/F �O r JOHN W. JR. & ELIZABETH G EXISTING 12.5 ry ASSESSORS MAP 28/ y0 \.�j& BARN S' O5," ._3025 PARCEL 98 w 3 O E ! CERT 148305 30 42' CB/DISK FND S,45350 E 1 9 HELD �,� ,14. j �Oo 49u, .—S8338.15"E (11 103.3 LOT 0 32.4' 0 w ` N/F " 2 ,�� R ow,, 'O HARRY L. ALVERSON III O`rT ASSESSORS MAP 287 a ¢ PARCEL 93 7.35' 3 3 LOT 9 CERT 94763 0 0 LOT 5 ?3ti CERT 139595 - �' fq N/F �� �, 34,954t S.F. :r JOSEPH G. HORNE 0.04, F (NOT TO BE CONSIDERED O^ ASSESSORS MAP 287 N/F A SEPERATE BUILDING LOT) PARCEL 97 CB/DDSK MARCELLA D. HEAD CERT. 94880 ASSESSORS MAP 287 PARCEL 92 CERT 144784 iv L.C. 20173 C W ^ 10 o SUB—SKETCH NOT v (o S83 N83-38'15"W ci $i �S83 38�8"15"E (DECREE) 85.50' 14,I 15 E (PETITIONERS UNREGISTERED LAND } 7.3' j CB/DH (HELD) I POST do RAIL FENCE V)N HELD 6 ! 173.25' REGISTERED L/ PARCEL A N83'38 15"W EXISTING 8,608t S.F. 3 UNREGISTERED L HOUSE PARCEL "A" h LOT 11 DH 46 `^ UNDER ONE OWNERSHIP CB/ � N I O ' 8 2.63' `v 50.05' 123.20. CBlln I r i