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1241 BUMPS RIVER ROAD
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NO p� a "A� 4 o a a " �S 0� na �t + �V w N,Y, " i y * M Il +A 'Iry A 1' , i N✓ W r t c vi _ �^ �iru,t. �, f4 .1 A`�'o 1, may' ,4`°- a11 .�b _ f P ,,I, As:. i ° qa - �� P(� n f '� 4 y, .A �° q. i Ia i� ' �' ;tip i 'a d+.n q�A, ,1 �, P��;. „ b �1 a(:i A �,: Y jw i,` 3 "-r� ,, ,p n q. �� ,� tr 1 .i af:" f w �,Y ..t fj� 1" t,- .,. Y r al. ,, ,�i B F, .'k t �' YOU WISH TO OPEN A BUSINESS? "ems For Your Information: Business Certificates cost $3.0.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. x �yY Fill in please: Date: APPLICANT'S NAME: S i YOUR HOME ADDRESS: 77 BUSINESS TELEPHONE # s v HOME TELELPHONE #: v 63 S 5 NAME OF CORPORATION: NAME OF NEW BUSINESS", -H---n�/-y TYPE OF BUSINES'S C� �c-� r� &L, 71-f PY IS THIS A HOME.OCCUPATION?, , YES ' b. NO . ADDRESS OF BUSINESS iyc: ( 1 J A-/ P ly'�� �28%lD MAP/ PARCEL NUMBER d :�[�7 (Assessing) When starting 'a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally bp )-r-at-e-y--o-uT business in town. 1. BUILDING CO ISS NER'S OFFICE _ This individ al a =nr of an perm=requ' ents that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authorize Authorizep Sign e" RULES AND REGULATIONS. FAILURE TO COMMENT r COMPLY MAY RESULT'IN FINES. 2. BOARD OF HEALTH This individual has.been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. T Authorized Signature** COMMENTS: /.���� Y,�i�i�s��r i _ � � P • Town of Barnstable oFTKE r, Regulatory Services n Thomas F. Geiler, Director M Building Division Tom Terry,Building Commissioner )4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved( Fee: Permit#: HOME OCCUPATION REGISTRATION Date:_ �/� a/0 9 Name:- 517ZA,�f /77/rVll( Phone#: Address: j Z y M Pf 1 Vc-p- IQ,D-A Village: 6e-7,y1� Name of Business: 6#1 L 13 6,—--y f�71 W&L P Ll . Type of Business: d C'LL)Pl+-*l2lV�L %hf�?Z{!}P ap/Lot: !7 7$ . INTENT: It is the intent of this section to allow the residents.of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic,above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such,use occupies no more than 400 square feet of space; There are no external alterations to the dwelling which are not customary in residential buildings; and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise, vibration,smoke,dust or other particular matter,' odors, electrical disturbance,heat,glare, humidity or other objectionable effects, • There is no-storage-or.-use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be me o' n the 'same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • "There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-upAruek-not-to:-exceed-oner ton.,capacity, and one trailer not to exceed 20 feet in length and-not to -- ex=d 4 tires,parked•on the same lot containing the Customary Home Occupation: • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. • No person shall be employed in the Customary Home Occupation Ao is not a permanent resident of the dwelling unit . I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. . , Town of Barnstable _ 3rF wilding ' rWe Th�srd a That it isM isible•From.#hStreet A A roved Plans Mast beRetained ort Job and his, ard Must:be Kept r r edU til Fi al::a. Permit re aert�fieate f,Occ' anc�„is Re aired such Buldin' all Not�be Occu iedunt�l'aFinal•Iris ection has Been made Applicant Name: William McCluske Permit No. B-17-2950 PP y Approvals Date Issued: 09/05/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/05/2018 Foundation: Location: 1241 BUMPS RIVER ROAD,CENTERVILLE Map/Lot IM078 Zoning District: RD-1 Sheathing: 17 . Owner on Record: SCOTT TATE r Contractor NameIM: WILLIAM J MCCLUSKEy Framing: 1 Address: 4 PINESTREET y Contractor License CSSL-102776 2 UPTON,MA 01566 €-stP�ojec�t�ost: $5,000.00 Chimney: 11 Description: Add R-38 fiberglass,and R-30 cellulose to the tti Dense ack.the P g , P Permit gee: $85.00 Insulation: walls with R-13 cellulose.Air seal the attic plane with expanding foam. General weatherization. i h Fee Paid $85.00 final: A. Date 9/5/2017 Project Review Req: Add R-38 fiberglass,and R-30 cellulose to the attic,-Dense p ck ! the walls with R-13 cellulose.Air seal the attic;plane with � 4j�i;� : Plumbing/Gas .. . . expandingfoam..General weat111 herizatiori Rough Plumbing: Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months of#er"issuance. Rough Gas: All work authorized by this permit shall conform to the approved apphca#ion antlthe approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zom* y lewsand codes. Final Gas: This permit shall be displayed in a.location clearly visible from access s#rer road"and shall be maintained open f%r public nspection ei o for the entire duration of the work until the completion of the same. , s Electrical The Certificate of Occupancy will not be issued until all applicable signatures by"the Bwildmg and Fire,Officialsareprovided on thispermit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.foundation or Footing r h Rough: 2.Sheathing Inspection 9., .. 0 _ 3.All fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGt c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUEDRECIPIENT Town of Barnstable `gyp" 200 Main Street, Hyannis MA 02601 508-862-4038 36+jf►'6��` . Application for Building Permit Application No: TB-17-2950 Date Recieved: 8/29/2017 Job Location: 1241 BUMPS RIVER ROAD,CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: SCOTT TATE Phone: (508)272-6424 (Home)Owner's Address: 4 PINE STREET, UPTON,MA 01566 Work Description: Add R-38 fiberglass,and R-30 cellulose to the attic.Dense pack the walls with R-13 cellulose.Air seal the Attic plane with expanding foam. General weatherization. Total Value Of Work To Be Performed: $5,000.00 Structure Size: 0.00 0.00 0.0, Width Depth Total Area rM I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,'ordinance or statute,regardless of what might be shown or omitted on the submitted plans and . specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance: Signed: William McCluskey 8/29/2017 (508)398-0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $5,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 8/29/2017 $35.00 XXXX-X3O0{-X}DCC- Credit Card 0299- Total Permit Fee Paid: $85.00 8/29/2017 $50.00 XXXX-XXXX-XXXX-= Credit Card 0299 v f Town of Barnstable Planning Department Staff Report Appeal Number 1999-85-Johnson Variance to Section 3-1.1(5)Bulk Regulations-Minimum Lot Size Date: July 02, 1999 To: Zoning Board of Appeals From: Approved By: Jackie Etsten, Principal Planner Reviewed By: Art Traczyk, Principal Planner Drafted By: Alan Twarog,Associate Planner Applicants: --,—„,-Harry Fr-and Lucille Johnson—^ "�-- Property Address: 1241 Bumps River Road, Centerville.-- _ ,.�....__..__.�. Assessor's Map`/Parcel:=Map�188;-Parcel'078' Area: 1.30 acres Zoning: RD-1 Residential D-1 Zoning District Groundwater Overlay: AP Aquifer Protection District Filed:June 7, 1999 Hearing:July 14, 1999 Decision Due:September 15, 1999 Background: The property that is the subject of this appeal consists of a 1.30 acre lot commonly addressed as 1241 Bumps River Road, Centerville. It is improved with a one-story, ranch style single-family residence of approximately 1,572 sq. ft., according to assessor's records dated 07/02/99. The property is located in an RD-1 Residential Zoning District which requires a minimum lot area of one acre. The property was subdivided in 1958 (see attached Plan of Land). At that time, the property was zoned RD-1 which required a minimum lot size of 20,000 sq. ft. In 1985, the minimum lot size was increased to one acre(STM 2/28/85,Art. 1). Apparently, the applicants' owned Lot 4, as shown on the 1958 Plan of Land, as well as additional land to the southeast at the time of the area increase. The applicants have owned the property for the past 38 years, according to the application. As such, these lots have merged under zoning, as reflected on the assessor's field card and the GIS map. The applicants are seeking a Variance to Section 3-1.1(5)of the Zoning Ordinance- Bulk Regulations, Minimum Lot Size-to allow the creation of 2 buildable lots that both do not meet the minimum lot size requirement. One of the lots would consist of approximately 23,000 sq. ft. and the other lot(already improved with a single-family dwelling)would consist of approximately 33,600 sq. ft. Staff Review: Single-family residences abut the subject site on all sides. Most of the lots in this area of town are an equivalent size as that being proposed by the applicants. The 1958 Plan of Land submitted by the applicants shows Old Wood Road separating Lot 4 from the remainder of the subject property. A later Plan of Land from 1961 shows the elimination of Old Wood Road (see attached copy). Staff suggests the applicants provide the Board with a plan to show the layout of the proposed lots. The 1958 Plan of Land does not include all of the applicants' property, only Lot 4. The plan should also show the location of the existing house to ensure that setback requirements are met. If the applicants are t , Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-85-Johnson d' Variance to Section 3-1.1(5)Bulk Regulations-Minimum Lot Size proposing to change the lot lines in any way different than when the lots were originally created, staff suggests, as a condition of approval should the Board find to grant the requested relief, that an ANR Plan be required to be endorsed by the Planning Board. For the Board's information, a 14 signature petition in opposition to this appeal has been submitted (see attached) Also, two letters in opposition from the immediate abutters have been submitted to the file. Variance Findings: In consideration for the Variance, the petitioner must substantiate those conditions unique to this lot that justify the granting of the relief being sought. In granting of the Variance the Board must find that: • unique conditions exist that affect the locus but not the zoning district in which it is located, • a literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise to the petitioner, and • the relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Attachments: Application Copies: Petitioners/Applicants licants P PP GIS Map Assessor's Card 1958 Plan of Land 1961 Plan of Land 2 SEEN DETERMDMD BBEING SOUGH, NFORCE Y THc ZOh7E*G _ 1 TOWN OF SARNSTABLE BE APPROF�OPR CER TO RE Zoning_Roard of Appeals CrRCUnIST:�VCF.; I.IEFGI4�NT�i 4 x Anplicat oa to Petition for a Variance Date Recaivec� For Office Use only: Town clerk office Appeal # -S-5' i` Hearing Date _ ? - /± 1 Decision Due The undersigned hereby applies to the Zoning Board of Appeals for a Variance from the Zoning ordinance, in the manner and for the reasons hereinafter set forth: c/o Atty. Petitioner Name: Harry F. and Lucille Johnson Phone 508-775-3433 Petitioner Address: —Bumps River Road, Centerville, MA 02632 Property Location: Bumps River Road (#1241) , Centerville, MA 02632 Property owner: Ramp as above Phone Address of owner: Same as above If petitioner differs from owner, state nature of interest.- Number of Years owned: 8 3 AssessorIs_map/Parcel Number: Map 188, Parcel 78 Zoning District: Groundwater overlay District: AP' „ Variance Requested: Cite Section & Title of the Zoning ordinance Description of variance Requested:Relief from the minimum lot size requirement of 43 . 560 s2, ft. (Section 3-1. 1 (5) Bulk Regulation Description of the Reason and/or Need for the Variance: The lot contains 23,000 square feet which is less than the requirement. Description of construction Activity (if applicable) : - EXisting Level of Development of the Property - Number of Buildings: -0- Present Uae(s) : vacant land , Gross Floor Area: n/a sq.At. Proposed Gross Floor Area to be Added: n/a , Altered: n/a is this property subject to any other relief (variance or Special Permit) frm, the Zoning Board of Appeals list a Xf Yes pleases Yes [] No ; appeal numbers or applicants .name Application to Petition for a Variance is the property within a Historic District? Yes No Is the property a Designated Landmark? Yes [] No [x] For Historic Department Use only: Not Applicable .... .. ..... .. .. [] OKH Plan Review Number Date Approved Signature: Have you applied for a building permit? Yes [) No. Has the Building Inspector refused a permit? Yes [] No [] All applications for a Variance which proposes a change in use, new construction, reconstruction, alterations or expansion, except for single or two-family dwellings, will require an approved Site Plan (see Section 4- 7.3 of the Zoning Ordinance) . That process should be completed prior to submitting this application to the Zoning Board of Appeals. For Buildinc Department Use only: Not Required .. .... .. ...... . . . [] Site Plan Review Number _ Date Approved signature: The followings information must be submitted with the Petition at the tame of filing, without such information the Board of Appeals may deny your request: Three (3) copies of the completed Application Form, each with original signatures. Five (5) copies of a certified property survey (plot plan) showing the dimensions of the land, all wetlands, water bodies, surrounding roadways and the location of the existing improvements on the land. All proposed development activities, except single and two-family housing development, will require five (5) copies of a proposed site improvements plan approved by the Site Plan Review Committee. This plan must show the exact location of all proposed improvements and alterations on the land and to structures. See -contents of Site Plan:* Section 4-7.5 of the Zoning Ordinance, for detail requirements. The petitioner may submit any additional supporting documents to assist the Board in making its determination. Applicant, b the Attorney, signature: 5/25/99 Date: Petiti " or Agents Signature Michae B. Stusse 25 Mid-Tech Drive, Suit C Agents Address: --�r} 1L 92�-,� Phone: 775-34�� .�-" Fax No. 790-4778 OAP cg Oowne y a2 z ef.ux- v faGjar, 3 j3 ✓ s;33/ • } Nlo P � 3l° .o� 801 60 u` 6 p�o/dN.Jomes 00 E . 1 q Z Qo P 59 °< $200 p0 Z1 I` O pact- -4:.j3j 23.000 � Ile 59"25 8 � 50.00• � �R a 24 c s �N a � h �P" C.e• 5 Z S Z/$DO �, ` A:y/.14 a3�6_ 6'��,k' � Q• �O ;� 22,000 �yo p D 5 00 � � ��� 6 o z �� ho ti . N,tv Io 0.0 p 2/,000 24900 A`ss.z % : W A, IGO g� ya.00� .3� O E � � Za/O � � R;p.G� C 0 R=65.o0 A �S / w a • . 43 P wy°P 9 00 N Igo�° c N ` V 0 ti� �5p0� � \ o 00 O n�' � -•_ Q� This Plan does not�rd ll Sur l5 p O Z720 p the apP val of tha 2Q 000 o hrj50 VJ 8-sot^r r' 17Z'S fohn BO OF SUHJ%Y Or BARNS nBi, John AUG 2 3 1961 f,/. ✓oh�so,� PLAN OF LOTS IN C E NTERVIL LE.&QNSlABLE,MA55. ' 5BLoNGING TO .JOHN N. JOHNSON SCALE 1 IH=80 Fr: Aur,2z, 1961 NeLsoN BaAaMhRICHgavLA,w, SURVEYORS GG. T6RVILLC, INABS. i r Regarding application to the Zoning Board of Appeals by Harry F. and,.Lucille �the Johnson for a Variance to Section 3-1.1(5)Bulk Regulations to permit an undersized of 23,000 sq. ft. on the property located at 1241 Bumps River Rd, Centerville,MA a minimum lot size of 43, 560 square feet is required: At a time when the Cape as a has voiced concern over preserving open space,when the Town of Barnstable as of so January 1 st is changing the amount of acreage needed for building homes to protect o ground water, WE THE UNDER SIGNED DO STRONGLY OBJECT TO THE GRANTING OF ANY VARIANCE NOW OR ANY TIME IN THE FUTURE. G vy la- Over�c�ol�.�r, 7. Mores (—T66M .01 V71f, �'. l r► l� Lon �ew-ar. . + ry (� �i e t lead& t712199 Lucva 6yet/Mc, ' I �OrA '32- 0VV' 166 a - 7/7 \ V 7171 f �1/I�wte r L'2a,�<,� 7 ®+� ovl� t��t.i�/R 1q; q ki-K Qq'� , a LcN cal (. ►� f� Vhf lease note, all the above are located in the 300 square foot radius of said lot. r e °FTME i The Town of Barnstable sAxrrsensM • MA Department of Health Safety and Environmental Services i6g9' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 28, 1999 Mr. &Mrs.Johnson HLJ Realty Trust PO Box 225 Centerville, MA 02632 RE: Buildability of 1241 Bumps River Road, Centerville (188/078) Dear Mr. &Mrs.Johnson, Thank you for submitting the necessary documentation for the above lot- The information has been reviewed and-it was found that 1241 Bumps River Road, Centerville, is deemed unbuildable. The lot has been held in common ownership with the abutting lot and therefore merged for zoning purposes. You have the option to seek a Variance from the Zoning Board of Appeals. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner • WNfPABL& •�'� '99 OCT 13 P 3 :22 Town of Barnstable Zoning Board of Appeals Decision - Notice of Withdrawal Appeal Number 1999-85-Johnson Variance to Section 3-1.1(5) Bulk Regulations-Minimum Lot Size Summary: Withdrawn With Prejudice O UMEN ItAS Applicants: Harry F. and Lucille Johnson 'THIS �Bi D Property Address: 1241 Bumps River Road,Centerville EEN gEC® Assessor's Map/Parcel: Map 188, Parcel 078 NOT B COPy ONLY! Area: 1.30 acres FILE Zoning: RD-1 Residential D-1 Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property that is the subject of this appeal consists-of.a 1:30 acre lot commonly addressed as 1241 Bumps River�Road, Centerville. It is improved With a one-story, ranch style single-family residence of approximately 1,572 sq.1ft., according to assessor's records dated 07/02/99. The property is,located.in an. RD-1 Residential ZoningDistrict which requires a minimum lot area of one acre. q „ .. The property was subdivided in 1958. At that time, the property was zoned RD-.1 :which;required a :; r minimum lot size of 20,000 sq. ft. In 1985, the minimum lots ize was increased to one acre(STM 2/28/851 Art. 1). Apparently, the applicants' owned Lot 4, as shown on the 1958 Plan of Land, as well as additional land to the southeast at the time of the area increase. The applicants have owned the property for the past 38 years, according to the application. As such,these lots have merged under zoning, as reflected on the assessor's field card and the GIS map. The applicants are seeking a Variance to Section 3-1.1(5)of the Zoning Ordinance-Bulk Regulations, Minimum Lot Size-to allow the creation of 2 buildable lots that both do not meet the minimum lot size requirement. One of the lots would consist of approximately 23,000 sq. ft. and the other lot(already improved with a single-family dwelling)would consist of approximately 33,600 sq. ft. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on June 7, 1999. A 60 day extension of time for filing of the decision was executed between the applicant and the Board Chairman. 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 July 14, 1999 and continued to September 29, 1999, at which time the Board, per request of the applicants, granted a withdrawal with prejudice. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. Attorney Michael Stusse represented the applicants, Harry and Lucille Johnson,who were present. Attorney Stusse submitted a memorandum to the file. Attorney Stusse gave a brief history of the site. The applicants built their home in the late 1940s on the land adjacent to the subject property. In 1958, and again in 1960, the area behind and beside the house was subdivided. At that time, the minimum lot size was 20,000 square feet and the subject lot-Lot 4 (as shown on the 1958 subdivision plan) met that minimum requirement. The applicant bought that lot for his son, but his son has since moved and the applicant has no need for the lot. The applicants were under Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-85-Johnson Variance to Section 3-1.1(5)Bulk Regulations-Minimum Lot Size the impression that a dirt road separated the lots and they believed that Lot 4 was a separate buildable lot. However, when they went to the Building Commissioner in April 1999, he told them the lot(Lot 4)was unbuildable as it had been held in common ownership with an abutting lot and therefore had merged for zoning purposes. It is for this reason the applicants are seeking a Variance. As for Variance conditions pursuant to Chapter 40A, Section 10, Attorney Stusse reported that a literal enforcement of the provisions of the bylaw would involve a substantial financial hardship in that the - applicants have owned this lot since late 1950s and have paid taxes on it for a number of years all the while believing it was a buildable lot. The hardship is unique to the lot in the sense that the hardship is not peculiar or personal to the present owner, but has to do with the lot itself..The hardship is not self-inflicted inasmuch as the lot size requirements were met at the time the lot was created and thus conforming. Subsequently, zoning changed and there is no grandfathering protection in the bylaw. The hardship is owing to.circumstances relating to shape, size and location of the lot, because it is unbuildable without a variance. The lot is especially affected because the subdivision is completely developed and this lot is the only lot in the subdivision that is vacant. The lot is separated from the adjoining lot by an old traveled way. This traveled way may affect the use of the parcel. Attorney Stusse does not know the exact legal standing of the way. It has no standing within the Town, but it may have legal status to provide rights to others to pass over. It is overgrown but does exist on the ground. Attorney Stusse'indicated that the relief may be granted without:substantial-detriment°to the public good and without-nullifying or substantially derogating from the`intent or purpose of the Zoning Ordinance because this'is not a use,Variance and relief is limited to4he lot size requirementand minimum width requirement. This lot is equal or1greater in size than the other.lots in the subdivision from which it was created. It is the only lot in the subdivision which has not been built upon..Adding a house to the lot .' would not be detrimental to the neighborhood but-rather would be in keeping with the neighborhood..This is an old lot and to apply the rules for new lots would be a hardship for the applicants. There are many letters in the file from abutters in opposition to this Variance, however, Attorney Stusse stressed their lots are smaller than the lot in question. The Board asked Attorney Stusse if he had a new plan for the layout of the lot because the Town Assessor's Map shows that the lot in issue has merged with the abutting parcel. It was unclear what the applicant was requesting. The applicant wants to separate a portion of the lot, but no plot plan was submitted and the Board did not know where the house sits on the lot. There was a question regarding the house and the setbacks on the lot. The applicants are seeking to create a lot of approximately 23,000 square feet and the remaining 33,000 square feet would be his house lot. But without a plot plan, this could not be verified. The Board requested a certified plot plan showing the house lot and the lot he wants to create: They indicated they could not grant a Variance in accordance with a specific plan -if no plan is submitted. Attorney Stusse stated he would have a plot plan created and requested a continuance. Public Comment: Trisha Radford, a direct abutter, spoke in opposition. She reminded the Board that the applicants had five years to divide the lot and did not. He is a developer and knows the laws and he should abide by the Town's bylaws. She felt no hardship was demonstrated. There was a paper road between the lots but it is not shown on a latter plan and she questioned if it exists. Also speaking in opposition was Sharlene Moran. She explained it was a dangerous corner and to have another driveway on that corner would be dangerous. No one else spoke in favor or in opposition to this appeal. In the file are petitioners in opposition from abutters with a total of 22 signatures. In the file are three letters of opposition from Patrick& Patricia Radford, John &Sharlene Moran,Timothy& Deborah Garrity. Attorney Stusse clarified that Mr. Johnson was not a developer but just sold off land to homeowners. He did own all the surrounding land in the 1940s and 1950s. At one time, they used the land to raise nursery stock for their nursery business. The Board decided to continue Appeal Number 1999-85 to September 29, 1999 @ 7:15 PM. 2 Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-85-Johnson Variance to Section 3-1.1(5)Bulk Regulations-Minimum Lot Size At the start of the hearing on September 29, 1999, Chairman Emmett Glynn read a letter, dated August 11, 1999, from Attorney Stusse which reads, "With regard to the above entitled matter, my clients have informed me that they do not want to proceed at this time. Accordingly, on behalf of Lucille and Harry Johnson, I respectfully request that the above captioned appeal with withdrawn." Decision: In view of the fact that this hearing was already heard, and the Board had serious concerns regarding the matter, at the request of the Petitioner, a motion was duly made and seconded to allow Appeal Number 1999-85 to be withdrawn with prejudice. The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Order: Appeal Number 1999-85 has been Withdrawn With Prejudice. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20)days after the date of the filing of this decision-. A copy of which must be filed in the office of the Town Clerk. Emmett Glynn, Chairman Date Signed Linda,Hutchenrider, 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 o appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day o under the pains and penalties of K'. perjury. Linda Hutchenrider, Town Clerk, 3 RelNo mappar ownerl owner2 addr city state zip 85 188 034 MORRIS, ROBERT H JR & MORRIS, % ACE PLUMBING SUPPLY' CO 1180 MASS AVE BOSTON MA 02125 188 035 HURD, TERRANCE A& SUSAN G 23 LONGFELLOW DR CENTERVILLE MA 02632 188 041 JACKSON, WILLIAM A JEAN M JACKSON - 22 LONGFELLOW DR CENTERVILLE MA 02632 188 042 PARROTT, MILTON L & DORIS E PARROTT, T L& K L & J.E'; 12 LONGFELLOW DR CENTERVILLE MA 02632 188 043 GARRITY, TIMOTHY P 2 LONGFELLOW DR CENTERVILLE MA 02632 188 044 RIGGIO, MARIANNE 1..13 SHERBURN CIR WESTON MA 02193 188 045 JENKINS, JAMES A TR JENKINS NOMINEE TRUST .' 227 PINE STREET W BARNSTABLE MA 02668 188 046 003 COYNE, MEREDITH MCCREA TRS %GENLOT, GEORGE-E.& RUTH,R 6 VINING DR SIMSBURY CT 06070 186 074 FOLEY-DUPUY, CATHLEEN TR J V REALTY TRUST 1277 BUMPS RIVER RD CENTERVILLE MA 02632 186 075 JENKINS, JAMES A TR JENKINS NOMINEE TRUST 227 PINE STREET W BARNSTABLE MA 02668 188 076 JENKINS, JAMES PINE STREET W BARNSTABLE MA 02668 188 077 JOHNSON, ELIZABETH G TRUSTE JOHNSON FAMILY TRUST, 1257 BUMPS RIVER RD CENTERVILLE MA 02632 188 078 JOHNSON, HARRY F & LUCILLE HLJ REALTY TRUST PO BOX 225 CENTERVILLE MA 02632 188 079 MORAN, SHARLENE T JOHN M MORAN 12 OVERLOOK DR CENTERVILLE MA 02632 188 080 CENTERVILLE ASSET HOLDING TRUS %RADFORD, PATRICK J TR 32 OVERLOOK DR CENTERVILLE MA 02632 188 081 ROME, HOWARD & TOBY L TRS A & S TRUST 50 OVERLOOK DR CENTERVILLE MA 02632 188 082 CAULO, JAMES E & FRANCES J - 66 OVERLOOK DR CENTERVILLE MA 02632 188 083 KONTAUTAS, JOHN S 60 OVERLOOK DR CENTERVILLE MA 02632 188 085 QUINAN, JOSEPH H & VERLIE E 57 OVERLOOK DR CENTERVILLE MA 02632 188 086 DUQUETTE, DONALD & VIRGINIA 41 OVERLOOK DR CENTERVILLE MA 02632 188 087 CRONIN, JAMES F DORIS F CRONIN 27 OVERLOOK DR CENTERVILLE MA 02632 188 088 KELLY, SHEILA K & TORRIELLI, PAULA E 70 PINE HILL RD CHELMSFORD MA 01824 188 089 JAMES, DONALD H BARBARA E JAMES 1171 BUMPS RIVER RD CENTERVILLE MA 02632 188 090 PEREIRA, ANTONIO M & PEREIRA, NANCY M `_ 1169 BUMPS RIVER RD CENTERVILLE MA 02632 188 091 BROWNE, JAMES D & PATRICIA 51 MELROSE ST #5H MELROSE MA . 02176 188 121 COHEN, STEVEN B & DARLENE M 73 BONAD RD NEWTON MA 02165 Count= 391 12 Proof of Publication Tpwn pf Barns'a+le Zanth19 800ro of Appeals NP;lya of Pulilig Hearipg Upslier Tha.Zapiing prdnapye for July 14, 19.99 To ail persons,interested iri or affected by the Board of Appeals under Sec. 11 of Chapter 4QA!of the.General.l-aws of the p9mmon ssach wealth of Mausetts,and all amendments thereto you are heroby notlfied that: Appeal Number 199@ 79 T. P M.` Fisher IEathenne°ond William Fisher.have petitioned to the Zoning Board of Appeals for a Special perrr't fpr a Family Apartment pursuant to Section 3 i:it�)(D)of'the Zoning Ordinance The petitioners are seeking to add a,O'x 12'space connected to the ewsting structure which will open to a 1$x 24'famiy apartment.The property is shown on Assessors Map 043 POMO 050 and is commony addressed as 152 Wakeby Road,:Marstons Mills. MA in an RP Residential€Zoning Bias nngcftit Ap 7:40 P M. peal Number 19$0 John€.Hannght;Jr has Petrtioned to the Zoning Board 0.Appeals for a ts-peciat f?ettiiit fQr a Family Apartment pursuant to Section 3-1.1(3)(Cl)of tWZoning Ortfinanee The'ProP* is sholntn Assessor`ss{ylap lAB Warcel'051 land is commonly oddressad'a$1 t.fsMlafwick Way Centerville MA in.an RC Residential C Zoning District. 7;50 P M.'' G`laiif Appeal Number 1999-81 Robert J.and'paphrie Clark have petitioned to the Zoning Board of App00is for a Special Permit for a Family Apartment pursuant to Section 3=t:1(3)(p)of the Zoning Ordinonce.The pnap+3rty is shown Rn A;eessoi's Map.193,Parcel 20$and is commonly addressed as 2!#4 Patriots Way Centerville MA in an RC Residential C Zoning District. OQ P M Norton Appeal Number 1.999-0? Steven A Norton has petitioned to the Zoning Board of Appeals for a Special Permit fo a Family Apartment pursuant to S.ection 3-1,.1(3)(D)of the Zoning Ordinance.The property is shQwrV on Assessor's MapJ49,ParcO1077 and is commonly addressed as arQ Blueberry Hili ` Road..Hyannis,MA in an:RR Residential.B Zoning Qistrict. 15 P.M. Glaser Appeal Number 1999 Raymond W Caloser has applied to the Zoning Board of Appeals for a Variance to Section 4 3.3ft2.hProYiibited Signs Roof Signs.the applicant is seeking to replace ah existing roof. sign presently the building with a new sign face for a noky business.The property is shoyvn on Assessor's Map 209,Parcel 0.1 and is commonly addressed as 1$FO Falmouth Road/ Route 2$,Centerville,MA in an H13 Highway Business Zoning District. i330'P:M• GivlRI.Inc: Appeal;Num-ar 19908+1 GMRI, Inc:,'d/b/a The Olive Garden has petitioned to the Zoning Board of Appeals for a modification of Special Permit No.'s 1994-04. 1995-50 and 1998-42 to allow for outdoor seating and food service.The petitioner seeks permission to construct an outdoor pail.and associated seating area :4$seats-with no addition to the total maximum seats of 273.The party is shown on Assessor's Map 294,Parcel042 and is commonly addressed as 1095 lyannough Road,Hyanrns,MA in an HB Highway Business Zoning District. $.45 P.M. Johnson Appeal Number 1999135 Harry,F.and.lupille J4hn5gn have applied to the honing Board of Appeals for a Vori. ,e to Section 3-1.1(5).Bulk Reyulati9ns to permit an undersized lot of 23,0(. square feet to be considered buildable where a minimum lot size of 43,560 square feet is required.The property is shown on Assessors Map 100 Parcel 078 and is commonly addressed as 1241 Sumps River Road,Centerville.MA in an RD-1 Residential D-1 Zoning District. These Public Hearings will be held in the Hearing Room;Second Floor,New Town Hall,$67 Main $treet, Hyannis, Massachusetts on Wednesday, July 14, 1999. All plans and applicati9ns may be reviewed at the Zoning Board of Appeals Office,Town of 13amstable, Planning Deportment,230 South Street,Hyannis,MA. Emmett Glynn,Chairman Zoning Boar ,of Appeals. The Barnstable Patriot June 24&July 1', 1999 e FOJCMC RLY.IOMN R.✓OMNaON, �p. a�,� ti •kph' ��F � 3h NIP � yD�r COgO�` �t , • 7v i Polk Z113 �,�i' i3 zz.000-a' f1EI'� IDv g S2033 06W .N A?c Z E 128-21 g 23.000sv� �O • � •�►0 2e _ .oQ• R.►o,2a6.� b r� U •. Sd'� py n 30 6 36 2/.000rt° w,56.tz 0. Jr1\� `''�`'� AO .:ice•I O a�� '1 S63Q. y° by � u ?v ti24 000 10 • 4 v I BAkii- BLE b / 90. /HARRY F JORIV4 H.elbJr- r Imo/�RECn°�� 1M D M I I Oco �Noo -� - _- WE.THE UND'_RSIGI,ED BOARD OF SURVEY. OSCAR S.JoNNsom,el.ol. APPROVE TI';,PLAN AND L.tJtWY THAN IT COMPLIES W!Tll ALL APPLICABLE LAWS PLAN OF LAND 11,4 AND oy ;.;. CENTERVIL.L.E.,�aa smatzMASS. � '�:M of v, �GLONG�Nt3 IO J O H N �-I. ,IO H N SO N f-j�- j ODARD OF SUItNEY NELSON °• _ inna t — 5CALF- 1 IN-80 ft Dr-c 23.1958 "SU AEGISTAY of DEEDS _ NCtspm 9L^RS&kFXic ^av LAW. swavEYoms A TRUE COPY.ATTEBT �`�',t���/t��,� 1raNT6itVlEd.fi•. MAB-s. �^ JOHN R MEADE.REGISTER I ✓r�yy-52 j3 f f 32 fo WIN i _ - 41 g �win #n i i 174 ! AW1 `-� i 1 #9 33 _ #Y WIN win ;h..__, �' �ue42tes �� 45 + #13 129 34 #1190 0 11 ►, o Dwin 43 88 G #_ +i �A _ ++ % ' �.' % #1191 I I I / ' AW in 1 / #"n 300 FT. B FFER 1» 79 IW188 ;t / 91 eW,ee #1 8727 80 4( win Ir4ltP in 86 x s �//46-3 win 81 `WIN #5a Z/ 1W osi WI _ —t--T— / 75 , #1t1, , AW188 82/ , ,... AW 188 X: , 188 #7 w213 - - O # '_ #� A 11 1'_ - 83 x #n _ _ #80 WIN cl WIN 74 i125J. WIN. . J i - #a , / • _ win 1122 #9l5 ! #94 MAP 188 PARCEL 78 N Harry F. & Lucille Johnson W. =-etyF E s SCALE: 1"=150' Properly Location:1241 BUMPS RIVER RD CEN MAP ID: 188/078/ Vision ID,12794 Other ID: Bldg#: 1 Cord 1 of 1 Print Date.07/02/1999 T 'FJ:;,,{ys Element Cd. Ch. Description Data Ekmen* ryle/Type 11 butch Element Cd. Ch. Description odel 1 lesidential Heat&AC ade C 7 Frame Type OP 18 Baths/Plumbing 5 B tones Story 5 ccupancy eiling/Wall 5 ooms/Prtns Exterior Wall 1 4 Wood Shingle /o Common Wall 2 all Height Roof Stricture 3 ableMp 40 Roof Cover 3 ph/F Gbt/Cmp EP 14 Interior Wall 1 8 Typical lament ode Description actor 0 1 2 2 0 lex Interior Floor 1 0 TypicalFloor�. 8 2 nit Location AS Heating Fuel 2 BM Heating Type Typical umber of Units C Type 1 None umber of Levels 32 21 o Ownership Bedrooms 3 3 Bedrooms 10 Bathrooms .5 1/2 Bathrms 1 Full+1/2 nadj.Base Rate 00 Total Rooms 6 Rooms ize Adj.Factor .03439 Lde(Q)Index .98 Bath Type j,Base Rate .66 Kitchen Style ldg.Value New 4,108 ear Built 946 Year Built 970 r nI Phyad Dep 7 cnl Obslnc on Obslnc H, PccL Cond.cl CC nd o� 0 we 1010 Ingle Fam 10031verall%Cond. 93 eprec.Bldg Value 78,100 Code Description LB Units I Unit Price Yr. D Rt ti.Cnd I Apr Value BRR Bsmt Rec Room B 40 5. 1970 1 100 1 FPLI Fireplace 1Sty BI 3,000AN 1970 1 100 4,40( FGR2 Gamge-Avg L S 20.0 1970 1 100 8,204 Code I Descri lion Livin Area I Gross Area I Eff Area Unit Cost I Unde rec.Value BAS First Floor 1,57 1,574 1,57 48.6 76,49 FEP PorclN Enclosed,Finished 60 4 34.0 2, FOP Porch,Open,Finished 30 9,73 2 UBM Basement,Unfinished 1,571 31 9.71 15,27 157 3.23 193 9 10 Property Location:1241 BUMPS RIVER RD CEN MAP ID: 188/078/// Vision ID: 12794 Other ID: Bldg#: 1 Card 1 of 1 Print Date:07/02/1999 ic7� OHNSON,HARRY F&LUCILLE Description Code A raised Value Assessed Value/ REALTY TRUST RESLAND 1010 56,50 56,50 O BOX 225 SII)NTL 1010 84,00 84, 801 ENTERVILLE,MA 02632 SIDNTL 1010 ,2 ,2; 8 8 1999 Barnstable1 MA Account# 109091 Plan Ref. ax Dist 300 Land Ct# er.Prop. #SR Life Estate VISION �O DL 1 LOT 4 Notes: DL2 IS ID: Tata4 148,704 OHNSON,HARRY P&LUCILLE 6920/192 10/15/1989 U I 1 A Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value OHNSON,HARRY F&LUCILLE 1106169 Q Ta 150,2001TotoL 150 Total 150,200 This signature acknowledges a visit by a Data Collector or Assessor Year e/Descri don Amount Code Description Number Amount Comm.Int. >ivis.> Appraised Bldg.Value(Card) 78,100 Appraised XF(B)Value(Bldg) 51900 Tondli Appraised OB(L)Value(Bldg) 8,200 ....:f.)....F..:.S.. .G.�: t .Sp..z f�.;iG�;:, ' sy AppedLandValue(Bdg) 56,500 Specai Land Value Total Appraised Card Value 148,7 Total Appraised Parcel Value 148,7 Valuation Method: CosVlKarket Valundo • et Total Appraised Parcel Value 148,7 WIN Permit ID Issue Date TvDe Descrf lion Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result B# Use Code Description Zone D lFronwe Dejoth Units Unit Price I.Factor S.I.I C.Factor Nbad. Ad. Notes-Ad%S ecial Pricin A :Unit Price+ Land Value 1 1010 Shoe Fam RDl 3 1 1. AC 100,000.0 1.0 5 1. 39AB 0-5C SPCL<1.,UlO)Notes:101B 50,000.0c 50, 1 1010 gbwk Fam RDl 3 0.3 AC 43,400. 1. 5 1.0 39AB 0.5 PCL(.30,U11)Notw:111RES 21,700.0 6 Total Land Units 1.3 A Total Land Va&4 56,50 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 r 12/13/17 00 /p Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 17-2950 Dear Mr. Perry This affidavit is to certify that all work completed for 1241 Bumps River Road,Centerville has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey T'he Commo nwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600-Washington Street Boston,MA 02111 b www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly U Name (Business/Organization/Iridividual): RISE ENGINEERING; A DIVISION OF THIELSCH ENGINEERING Address: 1341 ELMWOOD AVENUE City/State/Zip: CRANSTON, Ri 02910 Phone #;L401`-784-3700 OR -800-422-5365 Are you an employer?Check_ the appropriate box: Type of project(required):, 1. X❑ I am a employer with 4. 'Q�1 am a general contractor and I employees(full and/or part-time).* have-hired the sub-contractors 6. Q New construction 2.❑ I am•a sole proprietor or partner- listed on the attached sheet. 7.-.❑ Remodeling shipand have no employees, These sub-contractors have . 8,. ❑ Demolition • working for me in any capacity. employees and'have workers' ;[No workers' comp. insurance �comp. tnsurance.1 9...[] Building addition , , , required:] 5. We are a corporation and its 10.❑,Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑,Plumbing"repairs or additions. myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t ;c. 152, §1(4),'and we have'rio employees. [No workers' 13.[K Other .INSULATION comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have '< employees. If the sub-contractors have employees,'they must provide their'workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: THE PRESTON AGENCY, INC. ` Policy#or Self-ins.Lic.#: - 3730961=01 Expiration Date: 01/01/13 Job Site Address: 1241 BUMPS RIVER ROAD City/State/Zip: CENTERVIL•LE, MA 02632 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. { Y I do hereby certify de e 'a't and fialties of perjury that the information provided abo a is tru and.correct. Si ature: ri Date: 1 v�.'' .Z ERIK NERSTHEIMER 4VIT RISE ENGINEERING Phone#: 401-784-3700; EXT. 6133 ' Official use.only. Do not;write in this area,to be completed by city or town official City'or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk A Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#:' THIEL-1 OP ID: 27 ACORO' DATE(MMIODNM) `..� CERTIFICATE OF LIABILITY INSURANCE 01/13/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ' PRODUCER 401-886-8000 CONTACT The Preston Agency,Inc. NAME: FA 1350 Division Rd Suite 303 401-886-1700 PH Ext: A/C No): PO BOX 810 EMAIL East Greenwich,RI 02818-0810 ADDRESS: Judith A.Wright C.PCU AAI ARM INSURER(S)AFFORDING COVERAGE - NAIC k INSURER A:Zurich-American INSURED Thielsch Engineering,Inc. INSURERB:American Guarantee&Liability Thielsch Group Inc. Hi Tech Realty Inc. INSURERC:Twin City Fire-Hartford Attn:Trent Theroux INSURER D:North American Capacity 196 Frances Avenue Cranston,RI 02910 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 TYPE OF INSURANCE POLICY EFF POLICY EXP.• LTR POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 A X COMMERCIAL GENERAL LIABILITY - X 3730962-01 01/01/12 01/01/13 PREMISES Ea occur rtEe ce $ 300,00 CLAIMS-MADE FxI OCCUR MED EXP Any one person) $ 5,00 PERSONAL 8 ADV INJURY . $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PRO Loc Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2 OOO,OO Ea accident e A X ANY AUTO 3730963-01 01/01/12 01/01/13. BODILY INJURY(Per person) $ , ALL OWNED• SCHEDULED BODILY INJURY Per accident .$ AUTOS AUTOS ( ) HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ X UMBRELLA LIAB X. OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AUC-4857188-01 01/01/12 01/01/13 AGGREGATE $ 10,000,000 DIED RETENTION$ $ WORKERS TH- AND EMPLOYEMPENSATION RS'LIABILITY Y 1 N T Yx T RY STATLI LIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVE .373096141 01I01/12 61/01/13 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1;000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Property see belo D Professional Liab DVL000026802 01/01/12 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks$chedule,Jf more space Is required) When required by a written contract. � III CERTIFICATE HOLDER CANCELLATION TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Division 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 „ ©1988-2010 ACORD CORPORATION. All.rights'reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD THIEL-1 PAGE 2 NOTEPAD INSURED'S NAME Thielsch Engineering,Inc. OP ID: 27 DATE 01/13/12 RIR gng�ineerin ,a division of Thielsch En g ineerin Inc. Gaskell ssociafes,a division of Thielsch Engineen g,Inc. BAL Laboratory,a division of Thielsch En ineerin ,Inc. ESSE�aborato7j a division o T,�lfIsch En ineenn�Inc ° AL Engine? ing a division o Thielsch nginee in , fnc. ` Water Management Services,a division of Thielsch Engineering,Inc. y Licensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type_' Construction Supervisor License# 100459 Restriction , WS,IC Name 'Erik Nerstheimer City,State,Zip North Scituate,RI;02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To.Search - - �,�• '.. ,r , .t1 tti�acht,�. U n _ ,}V Br►.tr-tf r►f• �t?�- c1►a' nen�Uiltlfit" t r►t PUt►!t COt1SffUctipn $U • Rl'g It►r1t14.� Lice PervisOr tntl St<tntlar'tIs nse:: Pe It . Restricted to: wS SL 10045g y License a ' ERIK . NERSTHEIMER 228 GLEANER C NOR7-H SCITUq E, EL ROAD RI 02857, nc,• Expiration: 3/28/ T r� 2012,.. 100459 http://db.state.ma.us/dps/licdetails.asp?bctSearchLN=CSL100459 4/20/2011 O ice o onsumer aiVnd u�ne �se u ation g - 10 Park Plaza ,Suite 5170 M Boston, ssachuss 02116 . Home Improve ; .- ontracetttor Registration Registration: 120979 Type: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER IN, J 1341 ELMWOOD AVE. CRANSTON, RI 02910 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CAI Co 5OM-04/04-GGlO/I216p / oo ✓/te TOG�7UnzOvuiiP�aul �.. ac�tct6el�6 Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: let, Office of Consumer Affairs and Business'Regulation Registration) �79 Type: 10 Park Plaza-Suite 5170 Expira 2012 Supplement Card Boston,MA 02116 THIELSCH ENGi:t r, F u ERIK NERSTH6141-T. 1341,ELMWOOD AVM CRANSTON, RI 029f6:,,` Undersecretary Not valid without signature t Control No: 3 4 2 4 4. THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF"LABOR DIVISION OF OCCUPATIONAL-SAFETY w 19 STANIFORD STREET,BOSTON,MASSA' '-' ETTS '02114 LEAD-SAFE RENOVATION CONTRACTOR'LICENSING WAIVER RISE Engineering. A Division of Thielsch Engineering, Inc. 1341 Elmwood Avenue ' Cranston, RI 02910 WAIVER: LW000672 EXPIRES April 15,2015 IN ACCORDANCE WITH M.G.L. C. 111, § 197(B)(b)AND 454 CMR 22.03(3)(b), THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE,CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 111, §-197B(b)AND 454 CMR 22.04 WHEN PERFORMING LEAD-SAFE` • ,e RENOVATION WORK. HEATHER E. ROWE,ACTING COIv1IvIISSIONER yJ Printed do Recycled Paper k � Fly m..Y K" 1• y •5?.-.� '� �� ,. NAT-24531 - 1 RISE ENGINEERING Federal ID#05-M5629 RI Contractor Registration No 8186, A division of Thielsch Engineering MA Contractor Registration No 120§79. CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 F ( ' (401)784-3700 FAX 401)784-3.710 CONTRACT ' Page RI S _ PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING CLC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW ' CUSTOMER PHONE DATE - Client# Sarah Minty (508)364-5582 11/21/2011 102447 „ SERVICE STREET - BILLING STREET 1241 Bumps River Road 1241 Bumps River Road SERVICE CITY,STATE,ZIP . " Y` BILLING CITY,STATE,ZIP Centerville MA 02632 Centerville MA 02632 JOB DESCRIPTION '1W Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to`assure that your home will be left with a healthful level of air exchange and indoor air quality. Materials to be used to seal your home can include,caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) . $630.00 Provide labor and materials to install an easily moved,"insulating cover for.the attic access folding stair..The cover has integral weather- stripping to restrict air leakage. $196.00 Provide labor and materials to install 1554 square feet of R-19 faced fiberglass insulation to the basement ceiling among randomly spaced joists. $2,750.58 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for air r sealing measures,the Cape Light Compact offers 100%incentive. -$630.00 RISE Engineering will apply all applicable,`eligible incentives to this contract. You will be billed only the Net amount.'Currently,for eligible- measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per,calender year. : $2,000.00 NOV 2 2 -2011 9111.10 ISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF '***Nine Hundred,Forty 8<68/100 Dollars" $940.68 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN. DATE OF ACCEPTANCE ACCEPTANCE OF CO OV 2 NTRA CT-THE AB E PRI ES,SPECIFICATIONS AND CONDITIONS ARE - t/ SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. - AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE - „ OVIINER AUTHORIZATION FORM - (Owner's Name) owner of the property located at ;t, ,: (Property Address) CehfQ� j�P � 63z (Property Address) hereby authorize (Subcontractor) h ,an authorized subcontractor for RISE Engineering, to,act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature '' Date C 3/7 Z 71 TOWR aF BA TISTA `LE R I S E"' Division of Thielsch Engineering,Inc. 701,12 MAR I AN 11 06 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 T �;z ici Thursday, February 23, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 RE: 1241 Bumps River Road; Centerville, MA Barnstable Building Permit#: B20120248 Dear Mr. Perry, This affidavit is to certify that all work completed at 1241 Bumps River Road; Centerville, MA, has been inspected by a certified Building Performance Institute (BPI) inspector. The following insulation was added: ➢ One movable stairway cover(Thermadome) ➢ R-19 Kraft Faced Fiberglass insulation to basement ceiling. All work performed meets or exceeds Federal and State Requirements. Sincerely, Erik J.Nerstheimer RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering 401-784-3700 •800-422-5365 •Fax 401-784-3710 102447 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. 07Z wApplication # �( Health Division 'Date Issued Conservation Division Application Fee V S6 Planning Dept. 'Perrnit Fee ?v- Date Definitive Plan Approved by Planning Board (Ldk) 216111 V11- Historic - OKH _ Preservation/ Hyannis Project Street Address 1241 BUMPS RIVER ROAD Village CENTERVILLE Owner SARAH MINTY Address 1241 BUMPS RIVER ROAD; CENTERVILLE MA 02632 Telephone 508-364-5582 Permit Request PERFORM AIR SEALING MEASURES: INSTALL MOVABLE ATTIC STAIRWAY COVER; INSTALL FIBERGLASS INSULATION TO BASEMENT CEILING. SEE ATTACHED CONTRACT AND OWNER AUTHORIZATION FORM. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation $3,570.58 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 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: ❑Yys ❑ No � o \ 'Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: d xisting 5 nea4size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: : .-� r,a o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use -o APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 EXT ]SIX 6133 Address 1341 Elmwood Ave, Cranston RI 02910 License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # 3730961-01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RI Resource Rpoovftfy SIGNATURE — DATE Icd)3 Z/- Erik Nerstheimer for RISE Engineering i FOR OFFICIAL USE ONLY r =APPLICATION# z DAT;E ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER 4 { DATE OF INSPECTION: Lrr I FOUNDATIONS FRAME l INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS:`= =,'-.'� • ROUGH,! : k. _ FINAL .7 FINAL BUILDING' i ,t r DATE CLOSED OUT ASSOCIATION PLAN NO. 1 e DREAM HOME IMPROVEMENT 60 Franklin Ave, Hyannis, MA 02601 PHONE 1-(508) 332-8119 CERTAINTEED LANDMARK LIFETIME-ALGAE RESISTANT ARCHITECTURAL STYLE RE-ROOFING PROPOSAL October 20, 2015 KATE SUPPLE 1241 BUMPS RIVER RD CENTERVILLE, MA DREAM HOME IMPROVEMENT herby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and haul Away All of the Old Asphalt Roofing Shingles. Supply and Install CERTAINTEED LANDMARK AR: COLOR: BIRCHWOOD. Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All of the Eaves. Supply and Install #15 BLACK SATURATED FELT ROOFING PAPER. Supply and Install CERTAINTEED WINTER-GUARD (Ice & Water) WATERPROOF UNDERLAYMENT SYSTEM on Roof the Eaves & under the Step Flashing on the Chimney. Supply and Install AIR VENT SHINGLE VENT II RIDGE VENT on the Entire Main Ridge. Aluminum and Neoprene Soil Pipe Flashing. Supply and Install TYPAR SYNTHETIC UNDERLAYMENT PAPER Supply and Install ALUMINUM WINDOW & DOOR FLASHING. Clean and Remove Debris from.work area after job is completed. } yl TOTAL INVESTMENT ------$ 3000.00 PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 45 Days of Acceptance and Receipt of Deposit Providing the Materials are Available. Please make Checks Payable to: ALEXEY LEBEDEV DREAM HOME IMPROVEMENT Warranties the Shingles and Labor for 10 Years. CERTAINTEED Warranties the shingles and labor 100% for the first 10 years and the shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the shingles up to CATEGORY III HURRICANR-130 MPH WIND WARRANT. CERTAINTEED Warrants the Shingles to be Algae resistant for a Full 10 Years. DREAM HOME IMPROVEMENT Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: 10/20/15 ACCEPTED BY: KATE SUPPLE ALEXEY L EDEV HOMEOWNER DR AM H M IMPROVEMENT G� ?"E.T°�� TOWN OF BARNSTABLE i BAWSTADLE, i 9� 0ao. BUILDINGINSPECTOR APPLICATION FOR PERMIT TO .......34 ........(5Q.,-.y......................................................................... TYPE OF CONSTRUCTION ........, ...............................................................................:....................... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .............. �J..4rellle.............................. ProposedUse ............. 7P. a t.t./......................................................................................................... ........................ Zoning District ............../� .�?-.�..........................................Fire District C ................ Name of Owner .f�` �PpY ✓®h! ,S'®,a/ ... .... ..,... .... . ...................Address ........:�u!�1�F.. . t.!/.��:. . .,�,t..... e...... Name of Builder /1'lelt�t' ...ffO.rn�.l y... !t..................Address ..Or(Q i�iy./..lkt s .............................................. Nameof Architect ...........................Address .................................................................................... Number of Rooms ...2..../pAeMM.4.......................................Foundation .60'iri-Ce-le-te....................... ................................ Exterior ...livdoD.... !7f.4.7 M...........................................Roofing .....kook:n#......................:................................. Floors QYj.Cre.1� J .......................................Interior .................................................................................... ................................. Heating .... /eCf✓o.e...........................................................Plumbing ........ ....f.?N....................................................: Fireplace ...................k.........................................................Approximate Cost ... `!v0 ........................................... Definitive Plan Approved by Planning Board --------------------------------19--------. J _ Diagram of Lot and Building with Dimensions 1e' G -S SUBJECT TO APPROVAL OF BOARD OF HEALTH tLI L (D d A (V� 0 U-)< J >- �` ——_ --- -- - - _--- - W Z)Ld o ¢ �vQn 0 >, -�\ M1 � X < Q � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam :7fac� ...................... Johnson, Harry F. k 15 7r garagel No ................. Permit for .................................... 41 ............................................................................... Location 1241...Bumps. ...River. . ..Road. ...... ...... ........ . ...... . .. .... .... Centerville ............................................................................... Harry F. Johnson ' Owner .................................................................. Type of Construction frame ! ................................................................................ Plot ............................ Lot ................................ e t Setember 8...:. 72 t Permit Granted .......�/--. ...... T 19 4 G Date of Inspection....... ...................... I Date Completed ...... ........ 77.rz.....19 a PERMIT REFUSED `l p i ................................................................ 19 ............................................................................... ................................................... ........................ 1 ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... The Commonwealth of Massachusetts Department of IndustrialAccidents w Office of Investigations d I Congress Street,Suite 100 e�aw Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorAndividual): Alexey Lebedev Address:60 Franklin ave City/State/Zip: Hyannis, MA, 02601 Phone #:7742083589 Are you an employer? Check the appropriate x: Type of project(required): 1.® I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have 8. ® Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ® Building addition required.] 5. ® We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.® Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.® Roof repairs insurance required.] 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 submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for in r nce coverage verification. I do hereby certiqurt:hepfin and penalties of perjury that the information provided above is true and correct. 11/05/15 Signature: Date: Phone#: 7742'0ii49 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 09/17/2015 THU 11: 05 FAX 5089923533 8011theaetern IA U001/002 CC& CERTIFICATE OF 0A�(MMMb"m") LIABILITY INSURANCE 9/17/2015 THIS CERTIFICATE I ATE 19 ISSUED A8 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 cerdflcate holder Is an ADDITIONAL INSURED.0110 Pollcy(les)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 car locate does not confer rights to the certificate holder In Ileu of such endorsements, PRODUCER NLO AMNTACT E? Ashley Paiva aouthaa®torn Ineurance Aganoy, Inc. rffNE,. (5081997-6061 FAX oa99o-x7s1439 State Rd. MAIL ��)`e P.O. Box 79398 RRESS:aPaiva@moutheadternins,com - •- ---- _INBuriER(el AIIORDINe WVERAO! NAIC N North Dartmouth tdA 027a7 INSURED INaURERAArballe, mutual Ind Co 27000 _ _ INSURER a-A91C Armen Safaryan, DBA; Corey and Corey INSURNR O; 67 Sea Street --- - INSURER D: 1MFA RR E: annid MA 02601 FI COVERAGES CERTIFICATE NUMSER:2015 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 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTA TYP!or INaURANC! AODL 9U POLICY POLICY EXP X COMMERCIAL GENERAL LIABILITY POLIDYNUMBER LIMITS � EACH OCCURRENCE g 11000,000 A CLAIMS-MADE L^J OCOUR (Ea w4WMnao) S 100,000 TBD 9/1S/2015 8/iB/201I; MED EXP On one pereonl S 5,000 -— PERSONAL&ADV INJURY $ 1,000,000 OEN'L A00REOATE Ukir.r APPLIES PER; GENERAL AGGREGATE $ 2,000,000 R POLICY JEL`T LOG PRODUCTS-COMP/OPAGG 6 2,000,000 Employee Benetils S AUTOMOBILE LIABILITY COM13INED$IN 8 E ANY AUTO 8001LY INJURY(Per person) S ALL OWNED SCHEDULED —-- AUTO$ AUTOS BOOILY INJURY(Per aCddem) $ HIREDAUTOS NON-OWNED ERTYDAMAOE AUT08 6 evil) -_ UMBRCLLA LIAR OCCUR BACH OCCURRENCE g FXCSBI Lim - CLAIM"ADE AGGREGATE $ DED I I RETENTI WORNERA COMPENSATION _ a AND EMPLOYERS'LIABILITY YIN ER ANY PERIMEMTORIEXCLUDE EXECUTIVE E.L.EACM ACCIDENT S - 1�001000 H OFFICERIMENBER EXCLUDED? �N I A • (Mandatory In NN) TBD 9/16/2015 9/18/2016 E.L.DISEASE-EIA EMPLOYE g 1 000 000 n ee deaorlDe under TION OF PE elaw E.L.DISEASE-POLICY LIMIT S 1 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORO 101,AddlHonal RaMarks aehedula,may be atumed M more epam In required) J CERTIFICATE;HOLDER QANCEI.LATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Display Purpoaaa Only THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVEReD IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP 01980-2014 ACORD CORPORATION. All rights reserved, ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) Town of Barnstabl *Permit# O / (> 06 �7 ® FW�irp6n&s om issue dateRegulatory Services F Richard V.Scab,Director AOVO Building Division opv/v OF ?015 Tom Perry,CBO,Building Commissioner q 200 Main street,Hyannis,MA 02601 www.town.banmstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PEx1MT APPLICATION - RESIDENTIAL ONLY O ri D Not Valid without Red X-Press Imprint Map/parcel Number Property Address 16U 1' P,5 QAV ZQ- ❑Residential Value of Work$ ';6 CL�— NEnimum fee of$35.00 for work under$6000.00 , Owner's Name&Address P pt mm S '�1.�tjeJP,, Q`; OenTEAJ/ - Z Contractor's Name �- -`�XF_L? LEMED E Telephone Number �J Home Improvement Contractor License#(if applicable) 4-6 VC%t Email: Construction Supervisor's License#(if applicable) ❑Workman's mpensation Insurance Ch one: I am a sole proprietor ❑ 1 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /gVMD 77� ❑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&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 OjQF must sign Property Owner Letter of Permission. copy of he ome Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 Massachusetts-.Department of Public Safety Board of Building Regulations and Standards Construction Supenisur License: CS-108208 ALEXEY LEBEDIFV 60 FRANKLIN AVENUE Hyannis MA 02601 t si"I., -ZI-6Corw Expiration Commissioner 11/27/2018 - Office of Consumer Affairs and Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 176777 Type: LLC d1 t. Expiration: 9/25/2017 Tr# 270447 DREAM HOME IMPROVEMENT LLC! `-- '; w _ ALEXEY LEBEDEV = ~-- 60 FRANKLIN AVE. ' - HYANNIS, MA 02601 �= — ---- Update Address and return card.Mark reason for change. SCA 1 v 20M-05111 - Address Renewal ❑ Employment 7 Lost Card ���r�oi�zi�ra�rtr-ncr�ll afr(3f��dorzr,�!!Jr.•/l' - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only = OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ( a Registration:.,?,17fi777 Type: Office of Consumer Affairs and Business Regulation �. Expiration: 9/25_/2 � 5/2017 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 DREAM HOME IMPROVEMENT LLC`.` .yIFk ALEXEY LEBEDEV 60 FRANKLIN AVE. HYANNIS,MA 02601 Undersecretary Not valid without signature