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0546 BAY LANE
av 0 . fi,;�.�VXX 9 W� Ito, All �wal 54, F, U", mk:v w"'zx ,U, 4 ATX NO Kin NW fnn lz-�.,,��g,,m WE, 1p , Ij w, IVOI ijlil 11 vt,? qy 'A" q, NX NO R IN 6 RIM w0i ,p, "'IIIIA —RIM Vtvi ew �sm, N W _U, -cf- �!OF SA 'pq mq' WTI NO' �g m /W 4A �W AR W f I-We PIr irX"l,01 M -4 ", ` t ON All Ill MY" 'T� QN1, A Z;Z_ N "'T"b Q'P.P� Wit Ak" M X -1 , iij RO,I fi _,41N&li3f;ANi+MW' ,w M,1�I M. q? "MAW wg�.i� ml Al I RA v T� �4 "W "'m"52 V� J Ful 'M ngg'vgg �,-Alkl,?? T g�' ,a,v-- ml i m�y'j Al I MR V,1!76 ili W vi, na MR gi.wP4 �Vg y4ryp F,N-11-Wil�Ww IRII 4, M 1,vi 1w, %v lk 44kl, J, �!M'p 'r C�, 5'1 AM Wl OR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. ���, 2 iermit Fee Date Definitive Plan Approved by Planning Board Or � ;;� 'L. Historic - OKH _ Preservation/Hyannis Project Street Address 7' Village Owner 0"A "Wdl Address TelephoneU�' u �r . v r �f� / ff Permit Request t� K 3 ,IIC6Y T� Ua O .fit. %, V"(VAid Wfv 11 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain // Groundwater Overlay Project Valuations Construction Typel Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family_ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 7�S%/%/4/� Address License# /_0 oCr I, Y111 414� X411yome Improvement Contractor# ©'�F Email &W/'0�14A/6�1090Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &oofh SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents x b 1 Congress Street, Suite 100 Boston, MA 02114-2017 ' www.mass.gov/dla Workers' Compensation Insurance Affidavlt: Builders/Contractors/Electriclans/Plumbers, TO BE FILED WITH T13E PERMITTING AUTHORITY. AoDlicant_Informadon Please Print Legibly Name (Business/OrganizadorAndividuai); Cape Cod Insulation Address; 18 Reardon Circle City/State/Zip; South Yarmouth,MA 02664 phone#; 508-775-1214 Are you an employer?Check the appropriate box; Type of project(required); IQ,7 I am a employer with 48 employees(full and/or part-time),* 7. ❑ New construction 171 am a sole proprietor or partnership and have no employees working for me In $, ❑ Remodeling any capacity,(No workers'oomp,insurance required,) 3.7 1 am a homeowner doing all work myself, (No workers'comp,Insurance required,)t 9, ❑ Demolition 4,❑l am a homeowner and will be hiring contractors to conduct all work on mI will 10 ❑ Building addition ensure that all bontractors either have workers'compensation Insurance or ar sol property, 11, proprietors with no employees, p ❑ Electrical repairs or additions 12.❑Plumbing repairs or additions 5.❑1 am a general oontractor and I have hired the subcontractors listed on the attached sheet, These subcontractors have employees and have workers'comp,insurancat 13,❑Roof repairs 6.7 We are a corporation and Its officers have exercised their right of exemption per MGL o, 14, Other Weatherization 152,§1(4),and we have no omployeos. Mo workers'comp, Insurance required.) *Any applicant that checks box#l must also fill out the section below showing their workers'oompensadon policy Information. t Homeowners who submit thlo cffidavlt indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraotors that check this box mint attached an additional sheet showing the name of the sub-eontraetots and state whether or not those entities have employees, If the subcontractors have employees,they must provida their workers'comp,policy number, 1 am.an employer that is provlding workers'eompensallon Insurance for my employees. Below is the policy and Job site lnformatlom Insurance Company Name; Atlantic Charter Policy#or Self-Ins,Lic, #; WCE004 31902 Expiration Date, 06/30/2018 Job Site Address; ' City/State/Zip; w h1d , #— Attach a copy of the wo kers' compensation policy declaration page(showing the Polley 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 m 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 oopy.of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriflcatlon, I do hereby certify under Ilse pains and penalties of perjury that the lq rtnadon provided above is true and correct. Henry Cassidy ��:t'wt.,.�... Phone#: 508-775-1214 . Offlclal use only, Do not write In this area, to be completed by city or town officlal. City or To nt Permit/License# Issuing Authority (circle one); 1, Board of Health 2. Building Department 3, City/Town Clerk 4. Electrical Inspector�54 Plumbing Inspector 6. Other Contact Person: Phone#; ' -�1 CAPECOD-27 KDOYLE ACORO" DATE(MMIDD/YYl'Y) CERTIFICATE OF LIABILITY INSURANCE TE(MM/ D1YY 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(les)must have ADDITIONALJNSURED 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 rights to the certificate holder in lieu of such endorsements. PRODUCER C NTACT Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/C,No,Ext: (AIC,No:(877)816-2156 South Dennis,MA 02660 E-MAILA ORE .mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Peerless Insurance Company 24198 INSURED INSURER 8:SafelyInsurance Company 39454. Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle South Yarmouth,MA 02664 INSURERD:Atlantic Charter Insurance Company 44326 ' , INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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. IILTR NSR TYPE OF INSURANCE ADDL SUBR POLICY EFF XP POLICY E POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS•MADE DccuR CBP8263063 04/01/2017 04/01/2018 DAMAGETORENTED 100,000 MED EXP(Any oneperson) 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY❑JECT LOC 2,000,000 PRODUCTS-COMP/OP AGG OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 $ ANY AUTO 6232707 COM 02 04/01/2017 04/01/2018 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOSSWN p BODILY INJURY Per accident $ X AUTOS ONLY X A�OS ONLY PPe�accRdenl AMAGE C UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 -XI EXCESS LIAB CLAIMS-MADE EXCl0006636002 04/01/2017 04/01/2018 AGGREGATE' 2,000,000 DED RETENTION$ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN IO RWCE00431902 06/30/2017 O6/30/201E E.L.EACH ACCIDENT 1,000,000 FFICER/MEMgER EXCLUDED 9 ® N/A Mandatory In If E.L.DISEASE-EA EMPLOYEE 1,000,000 e DES and s,describe under CRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be'attached if more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE 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 ACORD 25(20161031 n Arnen rn00n0ATinki An.:--w.... .. ., I r . i Commonwealth of Massachusetts Division of Professlon'al Licensure .Board of Building Re ulations and Standards Cons�r,� t f��n rv1sor if. CS•100988 EIres: 11/11/201.9: tfi HENRY E CA St IDY Jx�kf 8 SHED ROW WEST YARMOGJ M�� y6&3 Commissioner Office of Consumer Affairs and Business Regulation 10 Park Plaza • Suite 5170 Boston, Ma . usetts 02116 Home Improveme:ni C.-0,1ractor Registration Type. Corporation Cod I " '. �'' ' '1"'' I::': Registration: 153567 Cape nsulation, Inc. .;:�.� :':.;::;..- 18 Reardon'Circle ,� ,f ,.:,.f r••:::,:;� w Expiration: 12/14/2018 So, Yarmouth, MA 02664 �G iGV+d Co 20M•05111 P �- U date Address and return card, Mark reason for change, _ car Qj _.._....._.(J..� ' :;:�s•s�,...( .t :+ru.,l:ri:_(� r:plo:yrra'ar,t . � �e 1paninaooatuaa.�C�o�C�/��rtaJrr•o�tt4e�l`d , Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only Type: Corporation before the expiration date, If foun urn to; 91strat1t411.- Exaltation Office of Consumer Affairs and sl ss Regulatlon 12/1 a/2016 67 10 Perk Plaza. a 5170 Boston,MA 11 Cape Cod Insulaf� o'rt� o Henry Cassidy 18 Reardon Circi$' So,Yarmouth,MAft ' C� Vnd©rsecretary t al hout si atu f p�oF1HEro,�y Town of Barnstable y`` •: :.:"• °� Regulatory Services BAltwsTABM + Richard V. Scali,Director MASS. 9�p 1639. Building Division prtp Mp�a' Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508462-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, DAVID HUBBELL as Owner of the subject property hereby authorize C �d to act on my behalf, in all matters relative to work authorized by this building permit application for: 546 Bay Lane Centerville, MA 02632 (Address.of Job). ev Signature of Owner to Prtnt Name If.Property Owner is.applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollikWppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 �TME Town of Barnstable *Perms/S Expires nths jr m is ue r Regulatory Services Fee � snxxsznsis, + ' NAM Richard V. Scali,Director Building Division t Tom Perry,CBO,Building Commissioner P 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 6300 0 L QT- Property Address (o .67 A Y ` Z h d.F—tv T ER V I L L—E ❑Residential Value of Work$ /�� 0 L/0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address DA v i,�> Ti U B Contractor's Name rV 1 f IC W O L L 1 A) Telephone Number SD s Home Improvement Contractor License#(if applicable) �' 7 D S I Email: yh V L L 1!V R O O F I K 60 0 Construction Supervisor's License#(if applicable) le)zlO 6 ❑Workman's Compensation Insurance � Check one: - ElI am a sole proprietor_ 'rooe g j2 2015 ❑ lam the Homeowner OM ®C_ p��N have Worker's Compensation Insurance' f A STABLE Insurance Company Name 2 U C- �� C Workman's Comp.Policy# 2-2 U Sl� oZ E 30 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to W mdV7— I a b m ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ' ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical'&i Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 The Commonwealth u,f massacl1 nsetts Deparanewt of Industrial Accidents - t Office ofluvestigadens - 600 Washingt=Street ti Boston,CIA 02111 NITarkers' Campensation Insurance Affidavit B.mlders/ContractorslEIectrkians/Plumbers Applicant Informatian Please Print LeZibIY Naive(Bus®e�s;�O�ganizationllnditi�c�al}: ��9�1�. �1"l t/LC�f jU ' Address: 7 L° p-AN�ETM a Citg/Start Z*Z 1 iU, y 1(1'� /� lVi+- Phone Are you an employer?Check the appropriate box: Type of project(required}: employees(full arrd/or part-time)-*1.[ 'lam la a employer with j ❑I am a general contractor and I P * have hired the sub-ccmt actors 6. ❑New construction 2.❑ I am a sole proprietor orpartner- listed on.the attached sheet. 7. ,❑Remodeling slip and have no employees. These sob-contractors have g_ ❑Demolition w "inn for me in any capacity, employees and have workers' [No workers' comp.insurance consp_tris uran i 9. ❑Building addition regziired] 5. ❑ We are a corporation and its 1�❑Electrical repairs or additions 3_ officers have exercised their El am.a homeovEmer doing all work 11_❑Plumbing repairs or'additions myself-[No workers'comp- right of exemption per MGL 1,2.❑Rnofrepairs ;ncnxance rewired]J c.152, §1(4),andwe have no'. employees-[No workers' 1313 Other canip_insurance required_ - 6Anyappbcszrtfiiatcheda box 9l must"fillovtthe section bel wshmkgtbleirWaAelecompeasaticnpolicyin5nnodan- I Homeowners who submit this afid wa indwstmg they are doing all wc*an$&m ldm outside contractors oust submit a new affidavit indicating sacb- ICoi=wtors,17sat ct>ect this boa must attached an additional street shooing the name:of&a sub-camdractns and state whether or not those entities hie employees.If the srrb-contzactorsIrave employ-5,9heym ut pmvide their ivork—'comp.policy nimtber. .Tam art einp r ffiat is pra�zding yi�orkers'canrpensalian insura>ce fox aviy*enrpinj�ees $eIoiv is the psrficy arirl ja&srte informafiats Insurance Company Name:_ Policy or Self-iris.Lic_# 62 Z(J 9 (]&—i—/Y EXpipation Date.I 5 Job Site Address: '5'4 ro- D_ /4 U V� City/Statelzive e,,V T ER V/ L- 4- Attach a.copy of the workers'6ampeusationpolicy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,50D OD and.t or one-year m4 isonmeut,as well as chril penalties,in the form of a STOP WORK ORDER and a time of up to 0-DO a day against the violator. Be adidsed that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage cation_ I Ao hovby cad f},nnder the paces and penaItres afper,Fuiy that the infonnatfout pm ided abmr a is true mid correct Signature- ��� ��� Date: 4; Phone' official use only. Do riot write in this area,to be cornpTeted by city ar town official City or Tartu: P'ermitUcense if Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3. /rown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone it: Information and Instrudions ; Massachusetts Geheaal Laws chapter 152 regaires all empIoyees'fn provide wDrkerS'corpensation for they employees. pmsuantto this stare,aa.empIayee is dewed as."_.every person in the service of another under any contract of hide, express or iunplied,;oral or WLittc ." An.mnplcyer is defined as"an individual,partneish�p,aSSDciab.On,COrpDration Or Other legal entty,or any tWo Or more of the foregoing engaged in a joint eutezprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individ nal,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 ernploys persons to do mama ce,construction or repair work on such dwelling house or oa the grounds or bolding appur=n t 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.covearage regnired_" Additionally,MGL chaptr_r 152, §25C(7)states"Neither the commanwealth nor any of its political subdivisions shall enter into any contract for the perhrmancr,ofpublic work until acceptable evidence of compliance with the insurance. r menus of this chapter have been presentedtD the contacting suf'hority_" App lIcants Please fill out the workers'compensation affidavit completely,by checloag the boxes that apply to your situation and,if necessary,supply soh-contractors)name(s), address(es)and phone number(s) along with their certif cafes)of has- ran ce. 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 rDgai ed. Be advised that this affidayit maybe submitted to the Department of Industrial Accidents for confumatioa of in=ance coverage. Also be sure to sign and date the affidavit_ The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Department of Ir dustrial Accidents. shouldyou.have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enfmr their self-m sTMance license n=T)fz on the appropriate Tune. City or Town Officials . Please be wire that the affidavit is complete and prated legibly. The Department has provided a space at the bottom of the affidavit for you to fill.Out in the event the Of of Investigaations has to contact you regarding the applicant Please be sure to fill in the perr itlliccme number which will be used as a reference number. In addition,an.applicant that must submit multiple pemitllicense applications m any given year,need only submit one affidavit mdicatng current p olicv ��r in niation.Cif necessary)and under"Job Site Address"the applicant should write"all locations iia (c L DI. 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 proofthat a valid affidavit is on file for fultm-e permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining EL license or permit not related to any business or commercial venture (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do not hesitate to give us a caL The Department's address,telephone and fax number e CG=Maa ltht of Massachnsx,-tts ' Deparfine nt cif l icImtdal Aooidenf Bastou�MA 02111 Te L 4 617'27-49QO c�4-06 or 1-977-MA_SSAF R Fax 9 617-727 774-9 Revised 4-24-07 ma55-gQgf din + 5 Pwgq �e. NIUILL,1N ROOFING & SIDING INC. CONSTRUCTION CONTRACT This Construction Contract(the"Contract") is made and entered into as of 11-9-15 (Date), by and between David Nubbly: ('Name, hereinafter called the"Customer")and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having its principal office at 7 Connemara Way,W.Yarmouth MA 02673 (horeafter called the"Contractor"), Property location. 546 Bay In. Centerville, MA In consideration of the mutual promises hereafter set forth and intending to be bound hereby, the parties hereto agree as follows: Contractor's 4bli tion . Contractor shall complete the following Project herein described in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the "all applicable codes, laws ordinances, rules, regulations and orders. Drgsgri tipon pf"Work". Contractor shall do all the work in accordance with the terms of this Contract, as described: Remove existing roofing shingles from the roof while protecting the home and landscape. Install ice and water shield on all eaves, valleys, walls that intersect the roof, around the chimney, around skylights, and around pipes that penetrate the roof. Install Diamond deck roofing underlayment by Certainteed over the remaining roof area. Install Swift Start starter shingles by Certainteed over the eave and rake edges. Install new Landmark Pro roofing shingles by Certainteed, color to be Georgetown Grey. Install new ridge vent on all ridges. Install Shadow Midge ridge caps by Certainteed on all ridges,.and hips to complete the roof. Install new roof windows by Velux in the roof over the deck.,,f we install a new VeIV venting y skylight in the upstairs bathroom the cost would be another$650) N'g a Contract sum. In consideration of the performance by Contractor of its duties and obligations, hereunder, Customer shall pay to contractor the sum of '$ 18,450 Payment schgJule: Owner shall pay the contractor 0% of the contract sum upon signing the contract, 50% upon start of contract work, 30% after completing all work besides the skylights that are on order, and the remaining 20% after the installation of the roof windows over the deck. Contractor's Responsibift. Contractor is an independent contractor for all Work to be performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor.All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct the Work, using its best skills. I y Yv a I uj� y r V r Job Safe Contractor shall be responsible for initiating, maintaining and supervising a precautions in connection with the Work. Permits, Fees and Notices. The Contractor shall secure and pay for all permits and governmental fees, licenses and inspections necessary for the proper execution and completion of the Work. Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request_ The Contractor shall give all notices and comply with all applicable codes, laws, ordinances, rules, regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor.` Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. All waste associated with this project will be removed from the property and disposed of properly. IN WITNESS WHEREOF, the parties hereto have executed this Contract as of the day and year first above written. Customer Contractor Company y� ---a By: B Print: David Hubble -t+L)bbe. I ` Mark Mullin, Mullin Roofing & Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591 Address: 546 Ba Ln. Centerville MA License No. SL 104076 y C HIC 167281 Date: 11-9-15 Date: 11-9-15 Phone number: 508-878-5932 License No, CSL# 104076 HIC# 167281 Email address: drhubbell@comcast.net Email address: mullinroofing@gmail.com �y 4 A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD!Y"") �� 5/11 15 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(iss) 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 endorsemengs). PRODUCER CONTACT NAME: Margaret J Grassi Ins Agency PHONE 508 007 5 / No. 29 -2 FAX (508) 291-1707 1188 Main StreetE-MAIL West Wareham, MA 02576 ADDRESS debm' ins@comcast.net INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Atlantic Casualty Insurance CO INSURED INSURERB:Zurich Insurance Mark M Mullin INSURER C: 7 Connemara Way INSURERD: West Yarmouth, MA 02673 , INSURER E: INSURER F: COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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 ADOL SU R P UCY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MIDDY MM/DDIYYYY LIMITS A GENERALLIABILITY L117002080 2/26/15 2/26/16 EACH OCCURRENCE $ 1,000,000 , COMMERCIAL GENERAL LIABILITY DAMAGE TO R ENTED $ 100,000 CLAIMS-MADE r7 OCCUR MED EXP(Any ore person)__ $ 5 00O PREMISES PERSONAL&ADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2 000 000 GEN'L_AGGREGATELIMITAPPLIESPER PRODUCTS-COMPIOPAGG $ 1,000,000 PRO- POLICY LOC $ AUTOMOBILE LIABILITY OMBINEDSIN LELIMIT aacciderQ $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _AUTOS era.dent UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB . CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 6ZZUB-2E59306-8-14 11/18/14 11/18/15 WCSTATU- I OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACODENT $ 100,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes describe under DES6RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT' $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AttachACORD101,AdditionalRenarksSchedule,IfmorespaceIsrequlred) CERTIFICATE 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 Debra Martin ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: MULLINROOFING@GMAIL.COM Massachusetts Department of public Safety Board of Building Regulations and Standards License: CS-104076 - Constructioh Supervisor MARK M MULLINa�� 7 CONNEMARA WAY WEST YARMOUTH MA' 0267 Expiration: Commissioner 09/07/2017 . . a, •. V/Le tP�rnrimar�eciea�a���,+�:aac�ud� Office of Consumer Affairs&Business Regulation w -'OME IMPROVEMENT CONTRACTOR s gistrattop 1f7281 Type• xpirahon 8/311� 016 DBA gz MULLIN ROOFING ANO SIDING {'' s MARK MULLIN ae '€ 7 CONNEMARA WAY " W.YARMOUTH, MA'026737 Undersecretary - _. ., 7141 License or registration.valid for individul use only ;t, before the expiration datei If found return:to:. Office of,Consumer Affairs a'nd Bu°sines Regulation XI 10 Park Plaza-Suite 5170 § Boston,MA 021.16 z Not valid without signature" lr .,. .;. •.e ,apt - • ��.,.: ..: �... .,1:ec.ti. w � .. ,, ;. _�.., a =•..:i .,k. jrr _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION-.- Map Parcel y (a.97 Application#` �`� Z 6 Health Division Date Issued 1077 Conservation Division Application Fee Tax Collector -Permit Fee �- Treasurer Planning Dept. r9 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6A41 ,Awl Village Owner ,�i4-�/I ��� Address 5Ae2F Telephone0� Permit Request ,4;r5 dc6i41!5ZAI,J,_Sf}fE' ZE8 A/to0—! �LDib � t/ - D/P ,c9 S•i _ Not/ 8Z�iiR%A45� Z:i/,' '46E,0_ ",q - JUL AV; 12 V 1 4 42"*y E-M /'0 A Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _rem f*9 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting docume11tation Dwelling Type: Single Family � Two Family ❑ Multi-Family(#units) Age of Existing Structure 3QjX5 _ Historic House: ❑Yes ANo On Old King's H ghway: UGes -74No 1 Basement Type: Wull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) asement Unfinished Area(sq.ft) �- Number of Baths: Full:existing ne Half:existing new Number of Bedrooms: existing w Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other +I Central Air: ❑Yes ❑No Fireplaces: . 'sting /L3exsistirn New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pg Barn:❑existing ❑new size Attached garage:❑existing ❑new siz S ne size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name &Z4, ;O m,& Z_1 P Telephone Number � 2 LF--302eov Address,6/.,Ao / y Hz>R yw�o - _3 7 License# �2�2,2 7 d84tar V/ 6-le S.. Home Improvement Contractor# Worker's Compensation# .1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO w SIGNATURE 0407 DATE I / \ _ \ ` FOR OFFICIAL USE ONLY k � . - . ' • . \ APPLICATION# DATE ISSUED mAP/PARCELNO ` / . k ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION ƒ FRAME \ . a INSULATION \ \ FIREPLACE \ ELECTRICAL: . ROUGH FINAL \ PLUMBING: ROUGH . FINAL \ GAS: ROUGH ' FINAL \ FINAL BUILDING / u Aldo ' $ DATE CLOSEOUT . ASSOCI T|ON PLAN NO. \ - ; � � ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations " 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelribly Name(Business/Organization/Individual):.�� _p �/� p` 6; e-4 -Address: 6 O City/State/Zip: �J&4J`I4, D 3� Phone.#:��,�g'—�r,2��--.3�low Are you an employer? Check the appropriate bog: Type of project(required):. 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3' co insuran e#" 9. ❑Building addition [No workers comp.insurance c required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance aequired.]t c. 152, §1(4),and we have no employees. [No workers' . 13.0 Other comp.insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submmt 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 naive 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. Iam an employer that is.proyiding workers'compensation insurance for my employees Below is thepolicy and job site information �(I� Insurance Company Name: fl Policy#or Self-ins.Lic.#: � (�, �o��3��� Expiration Date: d Job Site Address: , 'R 11 4A City/State/Zip: �I_j.j Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure"to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi 'nder the painsaj.%dpenalties g f perjury that the information provided ve is a and correct. Sitmature: Date: /Z/ /97 Phone k Official use only. Do not write in this area,fo 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,it 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 mimber. 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Deparbment of Industrial Accidents Q.ffrce of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-44QO ext 406 or 1-877-MASSAFE Fax# 617-727-7749 ,evised 11-22-06 fww.mass.gov/dia °FTME�ay Town-of Barnstable Regulatory Services * sAsr VrAEM Thomas F.Geiler,Director AM MASS. q p 1639. 1k Building Division lED Mp$ t� Tom Perry,Building Commissioner 200 Main Street, Hyanriis,MA 02601 Office: 508-862-4038 Fax; 508-790-6230 Permit no. ' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:��,,0,14 i J-5 r �U/LT—i Ai 5 Estimated Cost,�/9�fl, Address of Work Owner's Name: L L. Date of Application:_zz3/� 7 I hereby certify that: Registration is not required for the following reason(s): [-Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: 7T3�D� �La 4�VA)o% 1C2_D>// Date Contractor Name Registration No. OR Date Owner's Name Q:fo=homezffidav °ft E� Town of Barnstable, Regulatory Services RUNSTASIX, Thomas F.Geiler,Director Building Division Tom Terry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 5 08-790-623 0 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property hereby authorize 6Z-ncE: C- C- v L to act on my behalf, in all matters relative to work authorized bythis budding permit application for; . (Address of Job) Signature of Owner Date Print Name QFORNIS:O VrgF—RPERrIISSION r� �.� °Y k ✓�'[�0071/rlt69dU�e� o�✓I�GQ.ddClC<lCIQP.� <,- , BOARD OFBUILDING REGULATIONS.`- License CONSTRUCTION SUPERVISOR 1 Number CS t022375rs xpires 07/28/2007 Tr no: '13718 E Restricted 400 • r PAUL,F.GAPRIO; 92 RICHARDSON RD CENTERVILLE, Commissioner, F • -_ .. ✓fie �av�z��zrrncueatll a�✓T�azuac�ratelt. �. _ Board of Building Regulations and Standards. HOME IMPROVEMENT CONTRACTOR - - Registration: 120111 Expiration ,10118/2007 Type Individual PAUL F.CAPRIO PAUL CAPRIO 92.Richardson Road Centerville.MA 02632 Administrator ... .................................................... X, $l ......x..X....x.......N. ..L.1. .ONSj M- . 1.11. DATE MMD0DlA CORD T 03/2 PRODUCER f0YY6) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fein Old & Fein Old HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 22 Elm Street COMPANIES AFFORDING COVERAGE Worcester, MA 01608 COMPANYNGM Insurance Company YCB A INSURED COMPANYNORGUARD Insurance Co. Olde Cape Building Co. , Inc. B 1600 Falmouth Road, Suite 37 COMPANY Centerville, MA 02632 C COMPANY D . .............. .. . . .. .. . .................. . . ... . .... ... .... .... ....... ......... ............................... .. ..... 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-AEFOROED-BY-TH.E.POLICIES--DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDNY) DATE(MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s2, 000, 000 A X COMMERCIAL GENERAL LIABILITY MSK95406 PKG 7/10/06 7/10/07 PRODUCTS-COMP/OP AGG s2, 000, 000 F�:l CLAIMS MADE I A I OCCUR PERSONAL&ADV INJURY $1, 000, 000 OWNERS&CONTRACTOR'S PROT v. EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) s 50, 000 MED EXP(Any one person) $ .51 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ — ANY AUTO 500, 000 — ALL OWNED AUTOS BODILY INJURY A X SCHEDULED AUTOS M9K95406 CAU 9/01/06 9/01/07 (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: . ....... ... EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AMEGATE $ OTHER THAN UMBRELLA FORM $ W STATU H- WORKERS COMPENSATION AND TO Y LIMITS OETR 'EMPLOYERS LIABILITY B OLWC648515 WC 7 17/06 7/17/07 EL EA ACCIDENT $ 100, 000 THE PROPRIETOR/ INCL ISEASE-POLICY LIMIT $ 500, 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESiSPECIAL ITEMS .......................... ................. ........ . .. ....... ............. ............... ....... 0*. . . .................. ............... .......... a ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstble EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Building Dept . 10DAYs WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 200 Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis, MA OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE k/.) FAX 5 90-6230 I+ ' J f Q J s1c' = A R9CHARD 3 BAXTER Cz - p 0a No.24046 rf LOG<1T/OTC/ �ciJT Lv'i� l f CE,27-/,'Y T/-/,4T 7-1-I.C- SC�1 L G- �!;` ,�C} OATE `..=`...,�.•,,.. T"N�,$"✓l�E�/.</ ANC S, TBA C,� le'5 7-/-/E 7`oWit/aF •�,�•4it! ,2E�'�•2��UC'� . ��2.tilSTABGF Ait/O /S •�✓r✓J" - 2 ,4 oc-A T;',=> W17-1,11,V TyE .�L�QTJ.�G4%i� l C. C• Id i(/a7' BASE�o G,v Ai(/ ,2EG/STE,2Ep ! /p SU,eY6ya� /NST.eU�l.�it/T,$U.2YE'Y� 7-y� dSTE,21�/�„C•�a �J,QSS. 0X,�5ET.S !/.5�1� 7O �ET��—/�/�/E .L!>T�./�t/,�S �4�i��./C,Q/�7`" ,SiG.✓/�3 •! tic:.V�„I _ .�• W. PINK DEPT.FILE COPY/WHITE-FIELD COPY/YELLOW-APPLICANT COPY { r ! �D BUILI)W as TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT r; VALIDATION_-.: r A 187.69 .dune 13 85 0 d 1 OW11eY DATE 19 PERMIT NO.- • _ i APPLICANT' ADDRESS (NO.I, (STREET) (CONTR'S LICENSE) PERMIT TO Build 'dwelling 2 n NUMBER OF (_l STORY- Sin¢le.'family dwellin DWELLING UNITS 1 (r! >•' .':' ":ITYPE OF IMPROVEMENT) NO. - (PROPOSED USE) ' " 1! .. lot 43 546 Bay Lane, enterville�I AT (LOCATION) C ZONING D STR CT RD 1 (NO.) .. {.f (STREET) JI BETWEEN AND I (CROSS STREET) (CROSS STREET) ' j SUBDIVISION' LOT LOT BLOCK SIZE J` BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT: IN;HEIGHT AND SHALL CONFORM-IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) •. REMARKS Sewage #85-10 Conservation SE 3-97.5 AREA OR' 2200 S • ft• BOND Y VOLUME Q. 100,000 PEMIT .154::0.0 ESTIMATED COST .$ (CUBIC/SQUARE FEET)':.- - FEE . ow)+Eq Silvia & Silvia;Associates BUILDING DEPT i ADDRESS h19 '.*4Rin SrrQat� rill 1 A4' NIA • n7a;�'� ay. ' 1 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY'OR SIDEWALK OR •ANY PART,TH REOF, EITHER TEMPORARILY ORu ' PERMANENTLY, ENCROACHMENTS'ON .PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDS.R THE BUILDiNG CODE, MUST BE AP- PROVED BY THE JVRISDICTION. STREET OR ALLEY GRADES AS WELL AS II DEP H AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED T FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL SEPARATE INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE ' ALL CONSTRUCTION WORKS CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL .FINAL I S(RE INSPECTION TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE y { OCCUPANCY. POST T141S CARD S® IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ) 1 1 2 2 ' CG F_ HEATING INSPECTING APPROVALS REFRIGERATION:INSPECTION APPROVALS , f 1 OTHER J511. 2 _—_—._- j 61 ••NCRK SHALL NCT PROCEED 'UNTIL THE PERMIT WILL BECOME.NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARDo. INSPECTOR riAS APPROVED 7HE VAPICUS CAN 9E ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. _ OR WRITTEN NOTIFICATION. FFofINC TOWN OF BARNSTABLE Permit No. . 280I7 ` ............... BUILDING DEPARTMENT . TOWN OFFICE BUILDING Cash .. b °'pDUV HYANNIS,MASS.02601 Bond v 7 CERTIFICATE OF USE AND OCCUPANCY Issued to Silvia & Silvia Associates Address . Lot #3, 546 Bay Lane Centerville, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. " August 28 $6 Building Inspector M � t ��.°�•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT °T TOWN OFFICE BUILDING � rug HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE An Occupancy Permit has been issued for the building authorized by Building Permit) #.. ...... C�„ ��».! ....................... »»....»......»..........».. .......»»». issued to —4" ................ -a..». "...................................... �.............»»...»..» » .....»...»......»..»»..»»».» Please release the performance bond. ftessor's map and lot number 0 t'AIENTAL Co TOWN OF BARNSTABLE BUILDING INSPECTOR �� . APPLICATION FOR PERMIT TO �� ��� ..�����. _.--Vc ----^---. TYPE OF CONSTRUCTION ..... --.----.-.-..---,.�_______,__. . `�_ ~�-~� ' --.-----../'-..��---]9 .��'� / . - TO THE |NSPECTO8*OF BUILDINGS: ' The undersigned hen»6v applies for o permit according to the following information: �� ���� � Location -u�Oi7--��---.o����. ---.��e�J����-------.. --- ............................ Proposed Use ...~"-..��^���^&f�--..���r�����. ---.. --------- | � ' | Zoning District .---..!\/��--.-------------Bva District .. ___.. / . ' Nomeof Owner --------------..--------'A66rmx ----,---.-------^....-.-----,--. Nome of Builder ...... 6remx ��� . - ~r--- - ^ Nome of Architect --------_-------------A66roo ------.------------------___.. �� jNom6e, of Rooms --� ........................................................Foundation --'C ................ «��r*�^� Exle,�r ---.=�n�--- --..--------Ro6�ng . ---------._ .................. " Floors ' .......................................................Interior .. ...................................................... � � � m���- ��=�- F1um�ing '�� -'z'.�~`-��- '~'~'`'��'~~~'—'-~-'v=�-'---' --'---' ---�rr----^----------'' �� � Fireplace .--.^�=°------`-------_------..App,oxhno�� Cost --°.~-�or �� ��. ..................................... Definitive Plan 6v Planning Board 19 F >^. An»o ���.�� u�......................... | ' ' ' <� ' Diagram of Lot and Building with Dimensions Fee .......... � TO APPROVAL Of BOARD OF HEALTH . . \�. ^ \ - . ~ ' | � . . - - ^ ` � � ` ` | hereby agree to conform to o|- the Rules and Regulations of the Town of 8ornohz6le regarding the above construction. No ..----------------... SILVIA & SILVIA ASSOCIATFS --28017 TWO Story No ................. Permit for .................................... May ........aing—le-Z -IDwelung....................... Lot 3, Location ............... ................ Centerville ................................................... O\A�ner ...Si.lvia.....&..S.i.lvia.......sWj .... ........ .. . . ........ ... . . . As Type of Construction ...FrW.ne................ ............. ............................................ ........... Plot ............................ Lot ................................ June 13, Permit Granted ........................................19 85 Date of Inspection ....................................19 pleted ...... .......19 Date Co PERMIT REFUSED ............................ ................................... 19 ............................................................................... ............................................................................... .... ......................................................... ..................... .................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number / Sevrage Permit number ........:......�.......:................................ d ''�// Z BARNSTABLE, i House number ............ .. .L..C?.................................... 9O,o,VA66 / 1639 \e00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO (7, 1,1,-, i� ���''1••' {�' — �`sa� ,,C--c— ....... ............................................................................................................ TYPE OF CONSTRUCTION .....Z/2,2cZ) .f-�' '�t.�...................................................................... .......................... .: ............19... `� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:_ Location ....3 .�,q C, ✓ ,q,4/9- _ N ' Proposed Use I Zoning District `� 1 ..Fire District � ........... Nameof Owner ......................................................................Address .................................................................................... Nameof Builder ...........j............Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... -_- Number of Rooms ..................................................Foundation ,..!...... ?......... "cTAsr .Qe �C> Exierior .... ..........57&� ,ra1.� .............................Roofing ..o.....................i' ............................................................ y Floors � .Cy��JCrJ�iot1 Interior ... j2ac.7�. ............................................................. Heatingr ................................S..T".. ..... ..:%)l f....Plumbing ..... ........................• f�� ...r�............................I....... �; �. Fireplace .......... ::.................................................................Approximate Cost 1 r .......a Definitive Plan Approved by Planning Board _____: �` (_-----------19__ _ Area .................... Diagram of Lot and Building with Dimensions Fee �- '... +.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name-..... ! :N:% .�� . .............................................. SILVIA & SILVIA ASSOCIATES A=187-69 4 ;= lgr7-o&,7 ,28017 No ................. Permit for ....TWP..;�WXY............ Single Fqm:L2y..Dwe2jjag....................... .............................. Location ...Lat..3......546-Bay-Lane................. CenbexVille ............................................................................... owner $ilVia..&..5ilV.�a..Assicciates........ Frarre Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........!AMP�.Ur..............ig 85 Date of Inspection ...........................:........19 Date Completed ......................................19 PERMIT REFOSED ........................................................ ...... 19 ... ... ....................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 .................t......!................... .......... ...... .1-10704.... ......�)...... Assessor's'Office(lst floor) Map 1 I�R Permit# 37 y7� Conservation Office loth floor) -AL-4 +:-1��C �yJ'ki,tfit,gj 4V Date Issued Board of Health Ord floor) , —!L� ��� �' 7 Engineering Dept. Ord floor) House# f / Planning Dept. 0A floor/School Admin.'Bldg.): h i „ ,���6 i Definitive Plan Approved by Planning Board i679 (Applications processed 8:30-9:30 a.m.& J°1:00-2:00 p.m �� MUST�� INSTALLED IN COMPLIANCE WITH TITLE 5 ENVIRONMENTAL CODE AND TOWN OF BARNSTABLE ToWnti rlr7n"l fl 1P� Building Permit Application Project Street Address 11(e RAY. LANE 'ice == LE NA Q 16'12— Village CCA17L�"2U ,d . Fire District Owner WNALQ &DOER /'i'1 C GOLOEICl< Address El(b 11W LIVE rAMEIEVItZ Md 0a0k Telephone f Permit Request: LtA=LAMM.& -110 PUT kJOt)St` WX M NQtJ IT---WAS MMLE tu�Is=� Ind dG�' � rvo sT'�tte�l ><�,n Ili� ��3l,y�f.SJ Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use St ri7aja 17AMI Lj Proposed Use ►�"1 Construction Type .(L-k�.A. 192AMLF_ Existing Information Dwelling Type: Single°Family t/ Two family Multi-family Age of structure it r_ Basement type PCOREC) co"C12E i'L Historic House Finished Old King s_Highway AJO Unfinished �PRS Number of Baths No. of Bedrooms 3 Total Room Count not including baths First Floor Heat Type and Fuel_NA'i' wATSIL O 1 L Central Air YES Fireplaces & Garage: Detached Other Detached Structures: Pool 00 Attached 1/ Barn None Sheds Other Builder Information Name ?,.p1uSLn T ILVIA Telephone number 77.5--1 4 a Address eai A I W sr License# 0)t'e q za CElU4'kyi a MA O a 63 A, Home Improvement Contractor# 1 b 1 (0 al Worker's Compensation # ax $868 S'S6`l 1 o 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 "RAeALCB ,�►j� I(,L Project Cost�d,0".ice' Fee 9 —7� SIGNATUPJDATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 1 6 BPERM T J`r FOR OFFICE USE ONFLY - ' March 7, 1995 .-3 7+*715" - 187.069 _ ADDRESS 546 Bay Lane VILLAGE Centerville ;. Donald & Sandra McGoldrick ' OWNER 4 3 DATE OF INSPECTION: FOUNDATION s 3 FRAME INSULATION _- FIREPLACE ELECTRICAL: .ROUGH FINAL PLUMBING: ROUGH FINAL ;I GAS: ROUGH FINAL- . � • FINAL BUILDING: DATE CLOSED OUT: r i ' ASSOCIATE PLAN NO. irk y. YV2y _ ri.0 r `'' < y„£� x�rt;'t'+'" :, Zr Mok �iS. : z , c k. ` -W _ _ �. _ w"t �� '6� NA w COMMONWEALTH D ARTME,NT OP�09oftAFETY '� aMt1 ORTO LA&v?' Y OF sue;. 1Aa a,_•'- CHUS�TTS �L3CENSE `c :. CAUTION , pcPIRATtoN�ATE �- �'CONSTR. YSUPERYISOR* .- 1 " ' FOR PROTECTION AGAINST 02/ 4/19 96 'EFFECTIVE DATE uGNO " THEFT;PUT RIGHT THUMB RESTRICT1oNS -:, _ 4G;� I . SPRINT IN NON E= . j g 06/30/1993 016931 g - Box.oly ucENSE FLOT0; J° SILVIA g� '• 61'9 MAIN STREET' o BLASTING OPERATORS ' CENTERVILLE MA 02632 m MUST UDEPHOTO. In p+aTO ovR ONLY) /� /�/� 5 - ��Y.Y Y t: JR7T VM1D UNiiL SKa'NED BY UOENSEE AND QFFlCIALLY HEIGHT ,kA►WEo pR-SKWT RE o+ a� { } i . .• « soN NAME'. '7URE LWE' - Tm1 *DOD-*—MUST nmEaF �. OAf�IEOONTHEPERSON _ _- HOLDER WHEN EN- I THE Hw A Q 071 GALIEOMTFtlSOCQ1PA7YDHf- �=r 7�sIMCa1.. � 4 i l HOMES AA A ;;, '� �OVEMEN�CONTR CiOR�} ' 91s tomg p1627 t`,'\F ` Type ice r,, ���{ - �r : �� Etp1r ei�fiIVATE�CORPOR�ilpjy� w Ro,81d 18 ,ssocia r C()1)t131O1lulea.C�ill Oj ah-SackuJett, �a �VIJarlmenf o�Jita JIrial —14.Lrzfti Y 600 W.sliglo.Str¢eE James J.Campbell 13oslon, Vassackweil`s 021.11 Commissioner Workers' .Compensation Insurance Affidavit 1, .60J&Lj�l R11A S (1icensee/permittce) with a principal place of business at: (city/state/Zip) do hereby certify under the pains and penalties of perjury, that: O I am an employer providing workers' compensation coverage for my employees working on this job. f In1!Ur-Y CASOALrr Ca ot" NY �8C8BGS. S'69 n Insurance Company Policy Number (} 1 am'a sole proprietor and have,no one working for me in any capacity. O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy.Number O 1 am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigaiicns of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to s 1,S00:00 and/or one years'imarisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of f . -19 9S Lice /Permittee Building Department` Licensing Board, . Selectmens Office Health Department, TO VERIFY COVERAGE INFORMATION CALL:}617-727-4900 X403, 404, 405, 409, 375 .4 T�� c �'�« n f T3q, �nfile •i.�.•',. :_ , . 1 t . Itttll'lll:l� ��'1'�'lit�� a ' 367)`lain Sired M ,Hy2n-nis A 02601 Office: 508 790-6227 R*h . Fax: SN775 3344 BtuildingOomtuissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENTCONIRACPORLAW SUPPLEMENT TO PERMITAPPUCAUON MGL c.142A mquires that the"reoonoffli Lion,alterations,renmation,repaid modernization.eoaveuhon. :: . improvement, removal, demolition, er construction of an addition to any pm-adsting awaer oocepiod building containing at least one but not more than four dwelling units or to=uctums which are adjacent to such residence or building be done by registered contractors,azth Certain exceptions,along with other :equiremcuts. Type of Work: l�/sR�� 1�A ,d• Est. Address of Work:_,514, SAY 1 AIT f_cm1 ty A D.Zf.3•?_ Omer Name- Date of permit Application: , I herein certifv that: Registration is not required for the following rc2son(s): Work excluded be laa- Job undo S l,t)00 Building not vwner-occ upied Oancr pulling own pernut Notice is hcrcbv given that_ OV,`NEP.S PULLING THEIR O\iN PERM-TT OR DEALPNG v Tr,4 UNTEGISTERED CO;�'IRACTORS FOR APPLICABLE HOVE 114TR0\i`•�n� u'OFi: DO NOT iif+VE ACCESS TO THE ARBITRATION PROGRAM OR GUARA?M FUUNT)Li`'DEF.I.IGLc. 142A SIGNED UNDER PENALT,.IES OF PERJURY I hcrcb,-2ppl.•for 2 jx-r-mir 2s the 2Z�cnt c'L:c\k-cr euQ s��.vlla o 164t� Date Contractor name Regtsuauon No. OR Data Owncr's name• aulw Assessor's 187 _ � Office(1st floor) Map Lot O 69 [..> . Permit# )floor Conservation Office 4th ( Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) �� 3, G� Engineering Dept.(3rd floor) House#1 SINE Planning Dept. (1st floor/School Admin. Bldg.) —SeP' 'l +, BE Definitive Plan Approved by Planning Board 19 IN CE TOWN OF.BARNSTAI 119ML CODE AND Building Permit Application Project Street Address 546 Bay Lane Village Centerville Owner Donald & Sandra McGoldrick Address 619 .Main Street Centerville, MA 02632 Telephone 508-775-1442 Permit Request Construct 12 x 12 Breakfast Area Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 30,000 Zoning District RD-1 Flood Plain . NA Water Protection Lot Size .059 Grandfathered ? Zoning Board of Appeals Authorization 3/12/96 Recorded 4/2/96 Current Use Single Family Home Proposed Use Construction Type Wood. Frame Commercial Residential X Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure 8 years Basement Type: Finished Historic House No Unfinished X Old King's Highway No dumber of Baths 2.5 No.of Bedrooms 3 Total Room Count(not including baths) 7 First Floor 5 Heat Type and Fuel Oil/Forced HW Central Air Yes Fireplaces 2 Garage: Detached Other Detached Structures: Pool None Attached 2 Barn None None Sheds None Other None Builder Information Name Ronald J. Silvia Telephone Number 508-775-1442 Address Silvia & Silvia Associates License# 016932 619 Main Street Home Improvement Contractor# 101627 Centerville, MA 02632 Worker's Compensation# 3BY00253900 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 BETAKEN TO Yarmouth SIGNATURE DATE /-31 - 9 7 BUILDING PERMIT D ED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PER MIT NO. 2- o3& 1- DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL (i PLUMBING: ]k4o `H v.'Y' FINAL - f GAS: ' ? FINAL ' FINAL BUILDING :.�.'y aw m DATE CLOSED Ou =�7 x - ASSOCIATION PLAN410. r R I 1 I qqq 9 1 1 1 1 1 "I 1 z®m•f.DTAVrc®qs ql ilslq� J q gggq I■ ql q ® a�i�e.,�a•�.a�.r•sri�� q s ql hill q III ql Hill 111 1 1°-'•I III ��a ill®ggqqiq�� llill g11Sg1 1■1 '®i chin_ ®qqA �q lt IMI �1®®�itcdOggl� lllll �® - q�111� q ®�I®q®ill®®gq�IglNiila® eM- No 11IQgq® ®q qqq ql®®®l111®q�q/101ii11 11! !q® ■ggqq mismo om gg1011 ql®gglq®�qE��� f�® 4, IVA mom qq qs I I r 7 { i- If _� IT -41 '_y t ( •—!�. 5—.—�—__...._i Y�� ; 1 i � I' s 1 � � ; �-.--._-;.—.J.._t { t i �^-1 ' � _� ' t y � � ' I— 1 ! it—+ � k , ► ;� I ¢ i t i i 1 -'1. i iT i [ i t i—t 1 � p --•----;-- { k � j fit { f 1 { t I--�--1-- 1 k f i F S t t_ � � I 4 O�•�.C. 41 . -_ • __ _ _ F J=ITJ 1 , tt i _ lam - 7T Y. F i t I 1- 7 77 ! i COX , , ll i . y. +__ T.._..�_ *ram -,_.-.�R..«+c_ f . .1`"`• -4+-J w. ... •" -. « e « .__ .' .-y_._{_._... ..,. �. i —.. p .. _ •7-•s }, .. •��_ -.. s -.._.y .. _ .-.., ♦ T .y....i.wra : -z....._.f µ_� �r.... -... ^ .,.,C. ..._....--. ._.._..j�—i..--ate .` ---F-•-_-_ """. - -�+... � ..'^-.—�.__f'_. r �_.� r rl.. � i.. t —� ! — _ e �zt+e r The Town of Barnstable KAM ' Department of Health Safety and Environmental.Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 i Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Construct Breakfast Area Est.Cost $30,000 Address of Work: 546 Bay Lane, Centerville, MA Donald & Sandra McGoldrick Owner's Name Date of Permit Application: 1/30/97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the , 101627 ate - Coat Registration No. RonVifffame J. Silvia OR The Cot77tnaim,calth of Massachitsetts J Departtnew of Intlttstrial Accitlems - ' OfAee ofDryesagat/oos .... . 600 Tf aAin-ton Street 13as7on llla.vs. 172111 _ Workers' Compensation Insurance Affidavit name: location: city Phone.!! ❑ I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity [ 1 am an emplover providing workers' compensation for my employees working on this job. cnmp�yntmc Silvia & Silvia Associates, Inc. nciciress: 619 Main Street - city: Centerville, MA 02632 phone# (508) 775-1442' insurance cn_ Lutnberfnens Mutual Casualty nlic� # #BY00253900 �..�......�........�....... .. 'x Js. """•'�r�^ ••.+T•+--r•^`.��n. ++�..r-..w.. �,.` nice _ w ^^ti+�•...._.--...—.......-�...._ ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: m an • n•t dre city: Dhone e insurance co. noli • # cnmparn•n•tmc: idd r s: city phone d insur nolic:Attach additional sheet if necessa :^• ? Fnilure to secure coverage as required under Section 25A of AlGL J. can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. 1 understand that a COPY of this statement may be forwarded to the Officc of Investigations of the DIA for coverage verification. I do hereby ccnij•1 11e p 't 1d penalties of periun that the information prorided above is true and correct. Signature Date 1 31•c/ 7 Print name Ronald Silvia, President Phone# (508) 775-1442 :'•official use only do not write in tltis area to be compacted by city or town official city or town: permitAicense lY nlluilding Department QLicensing I3nard Q check if immediate response is required QScleetmen's Office Qltcalth Department ' contact person• phone#; nUfltcr fretted 3m}P1A) ............................ ............ ....... ....... ..................... ............... .................... IF4 .......................... X.................... ......... .................:.. .................. ...................... .................. ....... ... .................................. ISSUE DATE(MM/DD/YY) . .... . .......... .................. CATS: .................. ............ ........ .... ... ........................ ....... ... .... ..._:_................. ................. ........ ... ... ..... ................_........................................... ............. ...........*,:"::::::: .......... ......... .................. .............. .................... .................................................................................. 07/29/96 ............................................ ....................... ................... ....... ............................. ............................ ....... .. ................... . .............. . . ... .... ................................................_..................... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE The Fair Insurance Agency, Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE .0. Box 430 619 Main Street POLICIES BELOW. enterville, Ma 02632 COMPANIES AFFORDING COVERAGE - (508) 775-3131 COMPANY A - LETTER LUMBERMENS MUTUAL CASUALTY COMPANY COMPANY B INSURED LETTER MARYLAND CASUALTY Silvia / Silvia Associates Inc COMPANY c 619 Main Street LETTER COMPANY D -enterville MA 02632 LETTER COMPANY E LETTER �Ay ......................................... ........................... ..................... .... .................. ........................... ........................... . .................................... . ............ ............................... .... .......... . ...........I........................................................................ :. ........................... .................... ..................................... ........... ................ ........ ... ..... ....... ........*.... .. .... ....... .... ..%:.,............-.....'.'.'.'.*.':'.'.'::::::::::::::::::::::::...,- .. .... ........ . ....... ............. ............. ........ ................ ........ ....... . ............... ... ... ................. ..... .. ':**%....... ..........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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDrM DATE(MM/DD/YY) B GENERAL LIABILITY GENERAL AGGREGATE s2MIL X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $2MIL CLAIMS MADE F X ]OCCUR. W 7 D 3 4 7 7 3 8 08/01/96 08/01/97 PERSONAL&ADV.INJURY $1MIL OWNER'S&CONTRACTORS PROT. EACH OCCURRENCE $1MIL FIRE DAMAGE(Any one fire) $5 0 0 00 MED.EXPENSE(Anyoneperson) $5000 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) .$500000 X HIRED AUTOS CA90517244 08/01/96 08/01/97 BODILY INJURY NON-OWNED AUTOS (Per accident) $1MIL GARAGE UABIUTY PROPERTY DAMAGE $500000 EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ ....................... ................ OTHER THAN UMBRELLA FORM ............. . ............. ......... ........... ............ STATUTORY LIMITS WORKER'S COMPENSATION 3BY00253900 04/01/96 04/01/97 EACH ACCIDENT $..5.0,00 0..0 AND DISEASE--POLICY LIMIT $500000 EMPLOYERS'LIABILITY DISEASE--EACH EMPLOYEE 600000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ............................... .. .... .... .................. ......... .................... ........... ...................................... . ................ ........ .. . ....................................................................... ............ ... .......................................... ....................... ..... . ...... ............................. ... ........ . Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE uilding Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO �outh Street MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Iyannis MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE . ................... . ... . ....... ........................................*::::::::`.:..-.... ............. ............ ...I............. ............. ......... ......... ................................... ...... .... ..... ........ ......... ............... ..... ............. ............................... .................................... ............ .............. AMR 0 ------------------ .. . ............. ............. 23396 o � a-- DEPART TENT OF PUBLIC SAFETY p u f .339E 014E AS IBUR'1'01J EILACE, Rl1 1301 OCT 3 U 1n795 BOSTO14, 11A !)2108-161C. CONSTRUCTIO14 SUPERVISCIR LICIA4SE a ca�a Number: Expirc-E,: !- RestricLed To: 00 RONALD J SILVIA UeL�u�lr hoLtam, fold sign on 619 11/1Ii4 8'1' back, and laminate 1 i.cense card. CEN`L'ERVILLE, RA 02632 Keep top for receipt- and change of .adclr.ess iiL..)L'ific�jLj.-.n. �\ .l�U V/OAIJI[UIlIUCidI�I t�/(llJ.1NCI!/JCl/J 3 Restricted To: 00 2339G r�. DEPARTMENT Of PUBLIC SAFETT . � ..� CONSTRUCTION SUPERVISOR LICENSE 00 None NURberl Expires: IG - 1 fi 2 lazily Restricted To: OO Fat::re to posm, a current edition of Lhe !W,,--.ichusetts SLW. Buiilding Code RONALD i SILVIA is close for revocati", his license. 619 HAH ST CENTERVILLE, HA 026I2 (/%� _�-\ �iie ��-o�r�vynancuea`�� a���'l�CauacfiuleC� - { (;HOME IMPROVEMENT CONTRACTORS REGISTRATION .;Board or Building Regulations and Standards , :• One Ashburton Place - Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR ----------------------------=-- :--:- Registration 101627 Expiration 06/26/98 Type - PRIVATE CORPORATION �d�1l .ci�... HOME IMPROVEMENT CONTRACTOR` Registration. L01627 SILVIA & SILVIA ASSOCIATES , !NC . type - PRIVATE CORPORATION Ronald J . Silvia Expiration 06/26118 619 Main Straet C.=ntervilla MA 02632 SILVIA I SILVIA ASSOCIATE, i Ronald J. Silvia -;? , - Jd Main Street .CMINISTRATDR enterville NA 02632 U4-ub-!5Jo 1kJ•17Fi1 1 Mull ri.f 1. w l-zlui l rl Z,.Lj.. I U :J 1 LV!rl 1.CJL. r _ Town of Barnstable Zoning Board of Appeals, Decision and Noticeiv- Appeal Number 1986-24-McGoldrick E4 variance Section?.-3.7(1)5emabks from Mdand d., Summary Granted with Conditions '�S/s�h'rp���, Applicant&Owner Donald F.&Sandra L McGoldrick �4°1�r , 45�,*��, Applicanrs Address: 546 Bay Lame,Centerville,MA Assessors MaplParceL 187=9 ©�O Zoning: M1 Resklendal13-1 Zoning Dishid Applicanes Request: Veriamoe to the Zoning Onfiiname,Secrion 2-&7(1)8etmcks from Wetlandarkeat fe- PondL The Applicant has requested a Variance to allow the extension of an mdsting �� hrn1dnrg which does not oonfaim to wetland setback. Background information: Donald F. &Sandra L McGoldrick tom petitioned the Zoning Board of Appeals for a Variance to the Zoning Ordinance, Section 2-&7(1)Setbacks from Wetlands/Great Ponds. The Applicant hm requested a Variance to allow the extension of an wasting building which does not conform to wetland setback• This Appeal is in the aftemative to Appeal No. 199&23. The property is shown on Assessor's Map 187,parcel 069 and is commonly addressed as 546 Bay Lane,Centerville,MA in an RD-1 Residential D-1 Zoning Dis ict. Z The petitioner is seeking to build a verandah of approximately 131.75 sq.ft.on a house of 3,384 sq.fL to c� } house a breakfast area partially over,an existing deck and partially over a new post:strppoftd declL J ` Section 2-3.7,Semis' andslGr at Ponds-provideS that all consMiction must be set back a minimum of 35 feet from wetlands, toning Amendment Article B-9,November 9, 1983 introduced the 35 ��° • 1 foot setback requiren*nL Conservation Administrates Rob Catewood found the wetland line to be±25 ,t 1 feet off the addition. tV� Procedural Summary! t This appeal was filed at the Town Chic's Office and at the Office of the Zoning Board of Appeals on t'- January 26, 19%, A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in acxordarm with MGi.Chapter 40A. The hearing was opened on February 28, 1996, at which time the Board found to Grant fire Variance with Conditions.. Board members tearing this appeal were Ron Jansson, Emmett Glynn,Elizabeth Nilsson,Gene Burman,and Chairman Gail Nightingale. Arlene Wilson represented the appeal before the Board. The appiraant and Board agreed to open the two appeals,Appeal Number 199&23 and Appeal Number 1996-24 together givers that both were for the same subject site and both would give the intended relief. Mra.Wilson submitted memorandum in support of the appeals. She identified that a buffing permit issued on January 4, 1985 contained a handwritten note that states`OK ConCon 12/241840 identlying that the building in 1985 had no problem with the Conservation Agent at that Erne. She noted that the dev Jb opment plan submitted at that time shows the wetland's fine is located 42 feet from the proposed dwelling. She concluded that this documents that ftte budding is in fact non conforming with respect to wetland setback requirements. A certified f xffx tics plan was also submitted. it shows a Setback of 31 feet+1-to the road(a stationary object)which is the same location of the foundation now. The house was buiit as proposed. The 35 foot wetland setback is the same but the pointwhere 4 is measured has ettengbd. VJ4—k�>=1-1y7D 1 J m e"11 I f KUI'1 H.1'1. W LLbUIY eiD"DLA-- 1 U U,.i tN- ;(� Zoning Board of Appeals-Decision and Notice App"Number 1996-24 McGoldrick Building Commissioner Ralph Crossen suggested that perhaps no actual fieid check was completed at the time of construction in 1985. He stated that the present Conservation Agent, Robert Gatewood,had done a site visit and field check and today's infomtation is more reliable. Mrs.Wilson continued and presented the Variance conditions for the lot. She stated that the whole area was developed prior to one acre zoning. Most of the lots in the area are currently developed and most have wetlands to the rear of the lot. This wetland was used as their boundary lines for the lots. "ibis lot is long and narrow. The lot is less than 100 feet wide-t(;(r.roadway to wetlands. The septic system was put in front because of the wetland in the rear. Also,there was no drainage before on Say Lane but now there is a catch basin and a drainage easement to the south of the lot This is not common to other lots in the area. There is a steep slope from Bay lane and very little yard area. These circumstances es lead to the shape and topographical hardship, Mrs.Wilson stated that the abutting lots are all developed and less than one acne. Therefore,they cannot be further divided so as to gain property to increase this particular lot The soil in the area is sandy and wateerlogged. The house was not built for Mr.$Mrs. McGoldrick but rather had been constructed before ihey.bought lL They can not put bile addition anywhere else. To grant this Variance would not be detrimental to the neighborhood_ The addWon is only viable to two neighbors,and Mrs.VWson Indicated they do not object to the addition, There would be no substantial impact to the wetland as the Petitioners have been issued a permit for this work by the Conservation commission. The public was invited th comment and no one spoke in favor or in opposition. The Chairman noted that there is a letter in the fie from Robert Gatewood. F"mdang of Facts: Based upon the testimony given during the public hearing on this appeal,the Board unanimously found the following findings of fact in Appeal Number 1996 24,a Variance to Section 2-3.7 Setbacks from WWands/Great Ponds: 1. The Petitioners are Donald F.&Sandra t_McGoldrick with property on 546 Bay Lane,Centerville, Map 187,parcel 69,in an RD-1 Residential D-1 Zoning District which abuts a wetland 2. A determination was made in 198N of the wetlands line. A reconstitvted wetlands rive has been remT toy determined by the Conservation Commission to be significantly closer then previously ruled. 3. The property in issue consists of a single family residential dwelling on a 0.59 acne lot. The Petitioner is seeking to build a 12 x 12 verandah in the near. 4. The floor of the proposed addition will be at the elevation of the existing deck which is 24.8 feet The addition itself will not be resting on the ground but will be supported on posts and open below from the level of the floor of the addition to the ground level. 3_ The addition extends beyond the existing deck by two feet. It will be enclosed and serve as a breakfast area but not be a separate room,and will be approximately 25 feet away from wetland. S. The shape and the topography of the lot are somewhat unique to the area The properly is very narrow,only 106 few deep,in an area that requires a 30 foot setback_ The lot slopes from fhe front to the rear towards the wetland and because of the location of the wetland,the location of any potential addition is limited to rear of buffing. These are the topogmpW features and shape factor Issues that enter into this appeal. 7. The topography and shape of the lot in terns of the narrow depth creates the conditions for which relief is being sought, This relief is to construct a verandah in the rear of the building that will by its construction project Into the 35 foot wetlands setback. S. The proposed verandah has been approved by fhe Conservation Commission by an Order of Conditions issued on November 2, 1985 and signed an October 27, 1995. 9. in granting the relief being sought them is no evidence presented of detriment to the areas nearby,nor vmuld be in derogaMon of the spirit and intent of the Town of Barristabie Zoning Ongnance_ 10. The layout of the house necessitates the location of the addition at this location. 2 Y�4-YJt7-1770 1✓J G1H'1 r KUI'1 Hal. W 1 LJU7Y F LJJUi . 1 U Zoning scan!of Appeak-iaec aM Aria Notice Appel Number 199&24 McGoldrick Decision: Based upon the positive findings a motion was duly made and seconded to grant a Variance from Section 22.7(1)'Sefbadcs from Wedandicreat Ponds as r in Appeal No.1996-24 with the following conditions: 1. The verandah is to be constructed as per plans presented and there is to be no living area.below the --------.__-__verandah-level 2 Al all times,the Pete ever must comply with ft Orders of Conditions proposed by the Conseivedon Commission. The Vote was as foaows: AYE:Ron Jansm,'Emmelt Glynn.EIS Nilsson,Gene Burman,and Chaim=Gel NightirKpdi .NAY:None. Order. Variance Number 1996 24 has-been granted with c onditlons. This decision must be recorded at the Registry of Deeds for it to be in effect The teW authorized by this decision must be exerolsed In one year Appeals of this dedsiicn,if any.shall be made to the SarnstalAc Superior Coat pwwwto MGL Chapter 40A.Section 17.within twenty(20)days after the date of ttte OV of this detWOn in the offi+re of the Town Clerk 1996 G t Nighting irman tube I Linda eppanen,Clerk of the Town of Bamst ibfe,Barnstable County,Lfassachuseft,hereby M*that twenty(20)days have elapsed since the Zoning Boats of Appeals tiled this decision and that no appeal of the decision:has been tied in the ofFioe of the Town Cwtc. and sealed this o day of 1M under the pains and penalties of Ivry. ly Linda Leppanen,Town Cleric r .. 3 114-Litt-1J�b liJ G1Hf'1 rKlJl`I H.1.1. W1L.JUh eL)Z ... 1u JlLV1H 1-.t:i:J PAR: ii87 069. PAR: 8181 053. KEY: . 109216-tAA CQOE:300 4CE19a 109056 TAX CODE:300 RCSOL6RICXe 60NA.0 F i DYfER. J4ffRET ; AtGOLNRRCKo SANDRA L CAROL A &YTER P 0 80X '523 549 JAT LANE :CENTERVILLE NE M632-0000 UKTERVILLE MA 42632-4000 PAR: R187 059. -PAR: R167 OS4. PAR: R18T 952- KEYS 106118 TAX C06Es300 KEYS •108065 ttAX COOE.300. "It 108047 TAX CODE:300 tALL_A1iA�l."`FOY_AaeO--F--B-AtICE--- ---- . - KAULEEN R CUR I}lGHAN 14 COTE ISLAND RO � 56S dAT LANE 24 COv6 ISLANP R9 CENTERVILLE RA M632-0000 CEIITERVIL" !IA 02632-40(0 CEUTEAVILLE RA 02632-bn00 PAR: 2197 OSt. PAN: R187 050. PAR. 21or.049. T: TAl[` S -KE taa038 W E. ET_ 7 9'300 t 0802 TAX C0E2300 ,ifet: f0801 4 lA7t 000E_300 EIOVAiNNONE• LOUIS A STEVEN 6 NOVA[. STAIRAT P S JANET A 609 8AT LANE suseAlta# OIAINIE Y 547 AAT LANE CENT£AVILLE RA 02632-0000 PO BOIL 1190 CER199BVILLE NA 02637.0000 KTANUI; ru.02601-0000 PAQS R187 030. PARS 9187 07=. PAR- Ala 070, KET: 107823 TAX COOE:300 LETS 10M4 TAX:C0E--300 [8Y3 .10=25 TAX CODE:300 SARNSTASLEr TOWN OF CSCA) S4UIREs w9vREL K i 8A56ERTY• JEAN X-TA CENTERVILLE UNK94TART - KINSERELY A NARTSELL NALVERN TRUST P.O. sox 955 28 WERUASSET RO 370 HAT LANE HTANNLS NA 02601-0001) RARVICSPORT NA 03646-0004 CENTERVILLE " NA 02632-0000 PAR: 0187 082.. PAR: 8187 091. PARS R3$T 067. KEb: 108541 TAX C90E:300 ZEVZ 143332 TAX•C09--300 +CETS .10$190 T" CODES300 SCMOOL ST RLTY NOA TRUST SCHOOL St RLIT NON TRUST WILLIAAS* ROBERT•A 610 NAIN ST 619 MAIN $T WILLIAMS* SHIRLEY A CEIiTERVILLE MA 0263Z-0000 CENTERVILLE IPA•0263Z-+0000 $94 04T LANE CENTERVILLE NA 02fi32-4000 PAR: R187 W. PAIL: 2147 M. PAR: R187 055. KEY- 109200Y TAX t0oE8300 UTZ 104109 TAX EOQE:30 SETS 108074 TAx Caoug300 NTLER• PATRICL N I: SUSAN BESSE. CUNLOTTE No TRUSTEE CARR. PAUL J A NANCY Su SAT LAKE 19 COVE !SLASH RO F 0 dDX 1542 CENTERVILLE RA 09632-0000 CENTERVILLE NA 42632-0000 Dt1Y8YsT RA 02332-0o00 PAR: 4187 056.• PAR: R187 057. f KEY: 1a8083 TAX CQDQ.1340 xEr: 108092 TAX CODE:300 DELORENZOo A J !ARIA CLOUTIER, AIDNEU ! s KIR r ii RO85KA ROAD $03 BAT:LAAti' YOObS HOLE IRA 02543-0040 CANYERVILLE RA 02632-01300 t , F�4-b[i-177G 1¢7 GLI1('1 f KLII'1 N.I'I. w LLJUIY 1--C.NDLA,. l u /L_v L n r.rio of f • Town of ear aftio.Zang sow of App.sk ffidle.of.MbNe Ma ur TW Mwipg o.4llnnae lion Fadmuw,21:1996 { T4aa of tlMG�of C oF��� and l _ of Chw— tbar+eoo ydo are hersbjr nog8ed dab ' lit)f!AA. Tweeter Eta.aim RE Auft Co. Apped Nlaarrher MC.20 TwoetarEtc.aim ME Audio C06h epeftonAodlheZaniagBoardd Ver"00 to tM2oasm CWk=w&Section 4 W 9gass to Highway Strakrea+s CIS= The raft 1s- tarmre�forteieidsriorsd�t+orr�ed�lonEomdslingb�nesa.ZEreptopge�yiss�rovrnm - Awassor's Map 311.PamW 92 and is connmonly addbsad as 107 kwwugh Reed.Houle Plam liyr>raris.MAbr a B Bootsss MsMctand an H13 HownyBuckwee ZaRiMMUICL 7A5 P.M. loche Appeal Nu rdw 1OW21 OetttesN scatlmrtneLociCehavepet dwZwft8oandcfAppeetsfwaVartwalo the7oron9�naneel.SeCIfOr19�i.4c98uiTQeWWov&M•mzwmLatAsm Th of stoagow avanagmfi+omdsaimin miasbam*&mm tafoma=foraWafA mToepraperty is sh&m on Aswnsa's Map 22.Panel 97 and is cmT maudy addressed as 80 Old lQngs Road.Copan AAA is an RK PAwi&xdW F Zaeietg Disiiict. &00 P hL Merlyn 0-wen — Appeal M=bw 10&22 M eelyn O'Brtmt has pooloned tha Zoning Board of Appeals for a Va inwe to the Zoning Ckinstim Section 4-4 Nancoxkwmi3les. The Apphmt states brat the lot was held to common ory w*sp wd&a requested teW is for lot aWL ft praperW is slwm+on Aseesso:•>QMap18.Papceit04andiecam�dyaddhessedasxbChenyTeasAaad,Cotu�t, MA in an RF Aasiderdd F 7.a tg District. &15 P.M, -McGaldtfck Appeal Dumber 1995-M Dom F 3 Sandra L MaGoldridc have appealed to the Zoraetg 8eelar 1 of AMeas for a Spa"flame 10 the Zonatg Om*mm e.Section 23.7(1)Setbacks from Wetlands/Great ptmft 3actiart 4-4.3(v i onconf mang�or Stnmwms Used as-%*andTwo Fw*PvesWwc;es.The appkarrthas requested a Spacial Permit to allow tlse eimartati0rt of seen e>efsffieg bud�ng which rloas trot arottforro to wa4tard setback TFas Appeal la in the A toAppeat No.t98@-24.The property is sflown oar.iLsses9are llfiegs 187.Parcel ' 49 end is carprrar' l l iressedas W Say Lana.CerttaarAle:MAin an flla-1 Rest D. 1 Zang f7lstafel. - - &30 PAL McC%Mrkk Apped Number 19W24 florwid F 5 Ssn&a L mcGokmak ham patitlooW d'te Zw*4 Sw d of Appeals for a Vari>atcetodraZmkmOngnwxm6SeclM23.T(1)Setbacks from We9atds/t3nsdPoa d& The Appkin t has raegaMted a Vaamm to slow the eortar>sforr of an existing brra7di<rgvrirklr does nutaxtA rnr t ovr land aabeclr ThteAppesi is in the Aumadva tvAppard NOa.199& P.The prnpertyis shown on Assaswesmao to.Parad a samis cpmmonlya�dreased as 50 Bay Lams.Caatan W MA in an Fit Rew&ntia4 D-t Zoning Ostrict. M wse P&k Elearbrgawa be held to die Hawag Roost Second FEoax HawTown 1 fhK 367 Mein Street.Hyaannm.Wasadumns an Wednesday,Februw 29. 199& All pleas and apOkatioas may be nmk-wed at the Zoning Basard of Appeals Of m Taws of Umft ble. Deµ runent� Snudr SuwL Myonrim MA. Zoning Soand of Appeals The Gametabia Paniot t ei><aary 0 a Febnaray i S.i M TOTAL P.06 fir... 1 `x r�. R`9CAARfl BARTER �CNo.24048Sve0 C.L7 G v� S e rZ.... � •nms i LOGS'-/o.CI `E,JTI°ZVit-46 j ; Sf-/OWN yE.2E0.[/�OM,dL YS �//Tf/ SC�1 L G— ��' �jU' p_ �..� :__�, �.• 7 S"/pE.0 /Z-- AA/O SETBA Cl-: 7'S�4OCAT:'a /�T�//� TyE F.000taPG4/�t! Tf//S O,G.9�t//S �t/aT BASED av,4if/ �2EG/STE,2Ep L,gc�U SU.eYEy�O !/.S�I� 7� OE'TE��I/�(/E .�-1,T�.lit/,�S .4O.�,L../C�7` .�ic.✓!�l -� ��_✓:.d , • Town of Barnstable Zoning Board of Appeals Withdrawn Without Prejudice Appeal Number 1996-23-McGoldrick Special Permit-Section 4-4.3 (2) Nonconforming Buildings or Structures Used as Single and Two Family Residences Summary Withdrawn Without Prejudice Applicant&Owner: Donald F. &Sandra L McGoldrick Applicant's Address: 546 Bay Lane, Centerville, MA Assessor's Map/Parcel: 187/69 Zoning: RD-1 Residential D-1 Zoning District ' Applicant's Request: Special Permit to the Zoning Ordinance, Section 2-3.7(1)Setbacks from Wetlands/Great Ponds, Section 4-4.3(2) Nonconforming Buildings or Structures Used as Single and Two Family Residences. Background Information: Donald F. & Sandra L McGoldrick have appealed to the Zoning Board of Appeals for a Special Permit to the Zoning Ordinance, Section 2-3.7 (1) Setbacks from Wetlands/Great Ponds, Section 4-4.3 (2) Nonconforming Buildings or Structures Used as Single and Two Family Residences. The Applicant has requested a Special Permit to allow the extension of an existing building which does not conform to the wetland setback. This Appeal is in the alternative to Appeal No. 1996-24. • The petitioner is seeking to build a verandah of approximately 131.75 sq. ft. on a house of 3,384 sq. ft. to house a breakfast area partially over an existing deck and partially over a new post-supported deck. Section 2-3.7, Setbacks from Wetlands/Great Ponds, provides that all construction must be set back a minimum of 35 feet from wetlands. Zoning Amendment Article B-9, November 9, 1983 introduced the 35 foot setback requirement. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on January 26, 1996. 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 February 28, 1996, at which time the Board permitted the application to be withdrawn without prejudice. Board members hearing this appeal were Ron Jansson, Emmett Glynn, Elizabeth Nilsson, Gene Burman, and Chairman Gail Nightingale. Arlene Wilson represented the Petitioners before the Board. The applicant and the Board agreed to open the two appeals, Appeal Number 1996-23 and Appeal Number 1996-24 together given that both were for the same subject site and both would give the intended relief. After a brief discussion on the nature of the relief requested the applicant's representative and the Board concentrated upon the testimony in the Variance relief being requested in Appeal Number 1996-24. That Variance was granted; therefore, the applicant requested and the Board granted a withdrawal of this appeal without prejudice given that the relief was issued of Appeal Number 1996-23. Decision: A motion was duly made and seconded to permit Appeal Number 1996-23 to be withdrawn without prejudice. The Vote was as follows: AYE: Ron Jansson, Emmett Glynn, Elizabeth Nilsson, Gene Burman, and Chairman Gail Nightingale. NAY: None • Zoning Board of Appeals-Decision and Notice Appeal Number 1996-23-McGoldrick • Order: Appeal Number 1996-23 has been Withdrawn Without Prejudice. 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 Town Clerk. , 1996 Gail Nightingale, Chairman 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 of 1996 under the pains and penalties of perjury. Linda Leppanen, Town Clerk • • 2 I :r i tr 546 Rau I anp C;PntPrvillP 7/12/?nn7 m References: Certified Plot Plan By Baxter do Nye m ®School cu e `111c J� Scale:l'=2083Lows Man' Project Title: r Assessors Map 187 Parcel 69 ZONE RD-1 REQUIREMENTS AREA — 43,560 S.F. FRONTAGE — 20' SETBACKS Bay FRONT - 30' SIDE - 10' Lane_ REAR - 10' In .. (Centervillf?, 1 P� Barnstaf MA PREPARED � o Donald & Sandra `u McGoldrick 911 Main Street. 0sterville, MA 02655 1.) PRE` `ARTY LINES SHOWN HEREON WERE A. M. Wilson Associates Inc. COMPILE;,' FROM A CERTIFIED PLOT PLAN PREPARE BY BAXTER AND NYE, INC. AND 508 428 1450 FAX 420 1856 DO NOT ' PRESENT AN ACTUAL SURVEY ON THE ":-ZOUND. Drawing Title 2.) NO P 'va OSED CHANGES TO GRADE. 3.) NO SJG7 --I ANT CHANGES TO LANDSCAPE ARE PR013t� "0. Wetland 4.) ELEVA W`,`1.S ARE BASED ON N.G.V.D.` Permit _ Plan N OF ,q A :re RAZE•{ WRIOW ' -J' N +{ co_F Scale: 1 = 20' No.f:Np 0 20 40 50 FAT ate: Au ust 17, 1995 D w g No.. Deal n: A.M.W. Check: J.V.B. Drawn: J.V.B. 1_C .._. ---I- r 18 17 16 15 14 13 12 9 PROPOSED VERANDA EL=24.t* / / / I Flag m � I • � I o , I I W rn ,. 35' Q 1U12 BE ° J 004 3 \ ` 1 13 2 11 10 g i LLJ FI( �16 N I I Fl a I J I I I I N 7x0 23x2 I I l Flag 5 Bituminous I coDriveway 3 22x9 \ FI 1 11 9 12 1 13 LOT 3 25,661 S.F. 108't Olde Cape Building Go. Inc.. 1600 Falmouth Rd.- Suite 37 Centerville, Ma. 02632 ��T� V!- L 608-428-3200 . [07-24 07] Room 1 Not To Scale- #9 SUN ROOM #10 96 9s - #1 #11 - - - 287 7/8 92 1/4 Ll — f ' 30 30 �:.". 12 24 - - #15 s,. 651/8 24 - a 3/4 24 2 . 18 �24 30 10 8 /8 j C❑1 24 , REMOVE UPPER PORTION s KITCHEN 12 OF WALL AND BUILD IN NEW CABINETS ❑ MUD ROOM El _ 30 #2 z336 = . 1321/2 a 21' FAMILY ROOM ; i 36 #5 96 #13 221,81221/2 96 33 9B 38 1 3 #4 340 - DINING ROOM #14 100 1/2 #8 1021/8 - - V off' THE Tow►l cif .B "4T-Aa. tFOAFZ� OF HGALTA -Do wo lc4 ul�t;J %S PZCAA j - -- / z ' .� '". - - • `per •; � �ti . f<` oo 14 Orr, wtiyy_ "WAt y h,g �iuw �-u CAA.E4E to 'mac_ 5 rc.� iG, P�-r p�s� 5 GV. rz � �. Mom• ' ` at 'j .. .' � T - J PLI loco SCA Lt I1 -Ao Acy,. ? list. rcz. � I-11YE ; Aw OFPb anw ALA-tt ,w ' s , ALAI - W. CM!,