Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0558 CRAIGVILLE BEACH ROAD
36 '16 H r ACTIVE k i i I Town of Barr' stably - Building Department Brian Florence;CB - Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.to wm b amstab le.ma.ns Pre-application for Business Certificate Date �\� `1 Map Parcel 0�� Applicant Information Applicants tz ame o ka Applicants Address S . G�N%S4\\-,L A CL- 2—Pod Address Zt\P (L o Telephone Number CH d 6 7% Listed 2 Unlisted ❑ Business Information New Business? -------------- Yes No Business is a registered corporation? -----------------------`-. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -------- Yes - No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business -QYpa:, i Business Address C TL�"` Type of Business S - Building Comral sio 0 ce Use Only Conditions J J 1OLl Building Commissions Date �klh Clerk Office Use Only r, Town of Barnstable Building Department �OF SHE rp� o Brian:Florence,CB0 Building Commissioner K seaxsz'nsrE. ' 200 Main Street;Hyannis,MA 02601. Huss. 9Q3A 039• ��� www.town.barnstable.ma.us TED MA{A Office: 508-86274038 Fax::.508-790-6230 Approved: Fee: 5. Permit#. HOME OCCUPATION REGISTRATION i Date. .fit;"2,F'�� Nam e. S ��o o�� �� 5G0 �6 Phone#: Address 55 g . .0 1w'NWe2 C1,• Q40 .:?- village: Name of Business: &4`4 t-er Q ct i 5 Type of Business: Map/Lot: r V . 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.laspector,-a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is.carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling.unit. C-) C C Such use occupi O es no more than 400 square feet of space-.. m : • There are no external alterations to the dwelling which are_ not customary in residential buildings,and there n. is no outside evidence of such use. _ Z O • No traffic will be generated in excess of normal residential volumes. DThe use does not involve the production of offensive noise,vibration, smoke,dust or other.particular m matter,odors;electrical disturbance,heat;glare,humidity or other objectionable effects. mO • There is no storage or.use of toxic or hazardous materials;or flammable or explosive materials, in excess cn of normal household quantities. - Any need for parking generated by such use shall be met on the same lot containing the Customary Home ® _ Occupation,and not within required front yard. � • There is no exterior storage:or display of materials or equipment., . Z " M • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one U) D O pick-up truck not to exceed one ton capacity,and one trailer not to exceed.20.feet in length and not to C n exceed 4 tires,parked on the same lot containing the Customary.Home Occupation. MC • No sign shall be displayed indicating the Customary Home Occupation. . y • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be. O ® included. Z • No person shall be employed.in the Customary Home Occupation who is not a permanent resident.of.the dwelling unit. 1,the undersigne ve read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev. 10/17 - 36)) Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 8/27/18 o. Brian Florence CBO ' Town of Barnstable a� Building Division o cn 2-00 Main St. Hyannis,MA 02601 any RE: Insulation Permit 18-2139 Dear Mr. Florence.- This affidavit is to certify that all work completed for 558 Unit 1 Craigville Beach 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 ti . • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. 2 ;� IMap 2q ( Parcel. 0✓� � Application # Health Division BUILDING DEPT. Date Issued Conservation Division AR 6 20�6 Application Fee Planning Dept. TOE ��°� OF BARNSTABLE Permit Fee Date Definitive Plan Approved by Planning Board �1VU�.i�ed. Historic - OKH _ Preservation / Hyannis Jr/I� I -,lv 6 C Project Street Address �� C�G�� �t!� y��� �• Village Owner_ G�a�liil(� Address Crt>�kVd(.(� 13i2ec Telephone 5-000 `tZy - 0��� Permit Request s2v-r:p (-r© -4-1 �5���(�— sOk"A s fUC, ZZoo Square feet: 1 st floor: existing proposed 2nd floor: existing5;WW proposed �Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -3 2(00.00 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: ❑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�7es f peals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ No If yes, site plan review # Current Use Colo►2; Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name s ' «4� C�Apo r '�110 Telephone Number '0 Address Z r, �. S License # CS o S ( o Ys- Al 016o�_ Home Improvement Contractor# O 6O6 3 Email St_W(' �__t_°(_ [C/V4(C_C) -00 Y"s Worker's Compensation # L,,f G 3 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED -i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f 1 DATE CLOSED OUT ASSOCIATION PLAN NO. First property M A N..A G E IVI .E: N T 1046 Main Street Suite 11 Telephone 508.420.0299 Osterville, Ma. 02655 Facsimile 508,420.0789 www.f mca ecod.com _ p p April 4, 2016 To Whom It May Concern, My name is Devin Witter and my company First'Property Management'has been contracted by`Craigville:Court Condominiums to serve as their Property Manager. I am authorized by our contract and the Master Documents of Craigville Court Condominiums to act as the Agent of the Board of Trustees and as such hereby authorize Kidd Lukko Construction to pull'any and all necessary permits to replace the rooves at Craigville Court Condominiums located at558 Craigville.Beach Rd. W. Hyannisport, MA. If you have any questions feel free to reach out to me by phone at the office or by email. Thank you for.Y our time. Sincerely, Devin A. Witter CMCA, AIMS Property Manager ` First Property Management Devin@fpmcapecod.com F f AC�® DATE(MWDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/5/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Thomas CISR AAI NAME: � � R.S. Gilmore Insurance Agency, Inc. )PHONE (508)699-7511 AI C No:(506)695-3957 27 Elm St. p E-MAIL ADDRESS: P. O. BOX 126 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURERA:Gemini Insurance 10833 INSURED INSURER B:Safety Insurance Company 39454 Kidd-Luukko Corporation INSURERC:Scottsdale Insurance Company 23 North Street INSURER D:Star Insurance Company INSURER E: Worcester MA 01605 INSURERF: COVERAGES CERTIFICATE NUMBER:CL164553411 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 LTR TYPE OF INSURANCE 1U L SUBR POLICY NUMBER MMIDDY/YYYY ME2R CY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH 1,000,000 CH OCCURRENCE $ A CLAIMS-MADE �OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ VIGPO16323 10/1/2015 10/1/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I X I JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Blanket Primary& $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS Ix AUTOS 6219509 9/1/2015 9/1/2016 BODILY INJURY(Per accident) $ R NIRED AUTOSNON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Medical payments $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 000 000 DED I I RETENTION$ XLS0098012 10/1/2015 10/1/2016 $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,006,000 OFFICER/MEMBER EXCLUDED? Y❑D (Mandatory In NH) WC071916301 4/2/2016 4/2/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION 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) Work at Craigville Beach Condos CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tim Gilmore/AMKAHA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS02519014011 ! .. COMFtFo7IiEwIdt qfMaysachmsdts Deprkaent of Iudm&ial Acdderrts Office rrf' > t'tfgrrtlarrs 600 Wmhi€rgterr,'�`dree a Boston,,MA a2 rvnaw rr��gdur . Work-exs' Compensations Insau-ance davih BlrildersfCunira:ctorslElectricmnsMumbe'rs Applicant IIIform,afion Please Piinf LepihIy Name ru,IF_„�ividn?►}: ���. - Lv✓lel�-�, t�o n,o y�� c�ti yes 2 3 N6 S� f GitytStat&Zip- r !h Phone dS 7 - `i S�8 O Are you an employer?Check the appropriate box: I of (r 1 BI am a employer with ZZ 4- ❑I am s a =t l cmcEor and I project� ��_ ti- employees(full andtorpart-time * barehireathe sub-contracirns �- ❑Rem adelta New delin moo 2_El am a stile proprietor or partner- listed an the attached sheet; ❑ g ship and haste no employees These sub-contractors have, 8- ❑Demalifiba wodcing forme in arty capacity eusployees and have:wosdcers' 9_ Buildingaddition VV6 workers' camp:iamxrance comp-tnsutaizt� a o n ` regtiiteti J 5_❑ We are a corporation and its 10_�I Electrical repasts or ad�iaiis. 3_❑ 1 am a homeowner&ing all wo& of cen hate eserrised them 1LO Planbing repairs or additions myseo work=' right ofemmptionper&1GL x € c-152, 1 andwehweno, 12JRfm6frepaus. f�ne7xanre required-]t' � {�' employees-INC,worms' 13_0 Othet comp_msumnce required.1 *l ryspp thatchacks box-,lmnstalso511oidt�sectionbeTuwch=�aii&va 'cess mnpen&R6mapofi'�m:i= Homeowners crha3 submit ibis of xlxvd i wWratm g they are damg sill clad[and trim hire inside coot mamrs snbrz&a new aLdnk mtiirmfin sorb_ ,coutcRclurs thst check this box mast attached sa strait;=xI sheet dho•wh3tw,tba name of rile mt-•ors and state whater mnot ass have a mplayees If the snb cantcacfffrs hate ewgIa�ees,theg nmst paavide th£ir warke�'camp.paIney ntQabez lam an errrpLvyer thcQ isgt ridurg at=orl�ers'cottiperrsrrh'vn i m4rance for ray errmptayem Helow is thegaEcy and job site infornza6am Insurance ConaapmyName: PoTuy of s_1f is u ILL ®--) 63 0( tionDate: Job Site Address: ,� ('�� /"�-� ,�� Citgl�taielT�g: o.�.�t i SE Aff2ch a copy of the-workers'compen-mfiont policy declaration page{sung the policy number and(4 tio-n date). Failure to see ure cavie age as reqda-edunder Section?5 A o€MGL c. 152 can lead to the imposition ofcriminal pe mdties of a fine up to$1,500-oDanaoronz-yearimpnsamnent,as weIl as caul penalfit s in ihe fig of a STOP WORK ORDER and a fine ` of up to$250_00 a.clay against the violator_ Be advised that a cnFy of this stemo t may be fiarwarded to the Office of Iuvestiptiovs of the DIET for inesrance coverage vexific a ion I do hereby,ce&y render aHd pen aWes o.f pediay A atthe,zrrlonrttWangra vitW abfrre is hme an it carrect �iEnatate: � Bate: �-6-- 16 E?,ffZcial use only. Da trot mites in this ureic,to be cvv�trrgi`eteei by Gift'or town offiaiuL fi City or Town:, Pm-mdtUcense# Issuing Antharity(drde one): 1.Board of Health 2.ButTffing Department I Cityffd a Clerk 4.EIectrical Fnspector S.Pluutb ns Fmpector 6.C1ther Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for'their employees. Pursuantto 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 shaII withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the cornuion-,vcalth 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 in man ce requirements of this chapter have been presented to the contracting authority-" Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along Nvi h 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- U 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 Depm to en t of Industrial Accidents. Should you have any questions regarding the law or if you are requ ired 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 lure. 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 a out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pemaitllicease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fugue permits or licenses- A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i-e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice 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 eomTnonvtatth of Massachusetts Depattmant of Industdal Aocidents 0-Mm of kveWotiDwi 540 Was Ungton S Bastou,MA 02111 Tel.PIE 517 72?-4900 W 4-05 or I 477-MASSAFE Revised 4-24-07 Fax# 5I 727-7-749 v dia www�as�go � # f • RARNSTA33M f MA SS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038-- Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, N-V%4— �� ,as Owner of the subject property hereby authorize 'to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name ' If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. 'QAWPFILES\FORMS\building permit formslEXPRESS.doc Revised 061313 - QT Office of Consumer Affairs&Busuiessgalation , WE WROVENCENT CON:TRAt TO'R 'stratioar 063 Z i OW i piration•- Private 0-oiprora I KIPD:LUUKKO CO: - - 4-' r f SPAN KIDD J, 23 NORTH STREET i V1106ZG€STER,MA 01ifi0 T-- -� i Uvder-se=M i Massachusetts Department of Public Safety PBoard of Building Regulations and Standards License: CS-081045 Construction Supervisor SEAN G KIDD 233 EIGHT LOTS ROAD SUTTON MA 01690 • 1 Expiration: Commissioner 11/13/2017 -- ---- I' License or registration valid for in idul use only before the expiration date If found return to Office of Consumer Affairs and Business Regulation ,;n 10 Park Plaza-Saite 5170 Boston;MA 02116 i i jl , 'ot valid without signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: VWWV.MASS.GOV/DPS / _ t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaA Parcel FA Application # p 4P� O l• pp f Health Division TOW fj Zoos Date Issued I Conservation Division �oFg�RNST Application Fee 10 Planning Dept. �e�E Permit'Fee Q Date Definitive Plan Approved by Planning Board Historicc- OKH _ Preservation / Hyannis Project Street Address S�00 C�gas'-;l(e � �`• -+� 3 Village Wit y / Owner Cr_1_ �l 1e, Cou _" Address 5T8 Telephone So$ ' `{2 d v Z g 5 Permit Request S��tP �r� e S, c� S 4-�,S Q S• Square feet: 1st floor: existing proposed 2nd floor: existing 2�proposed ice` Total new I�' Zoning District Flood Plain Groundwater Overlay Project Valuation 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: ❑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 AApp eals Authorization ❑ Appeal # Recorded ❑ Commercial 9'Yes ❑ No If p ,es site Ian review# Y Current Use 01 iC.,o' � Proposed Use S'a►►�� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ~� '7`�5 5s'y Address . Z 3 License # G S " 0 8(Or��' te)Cce- 16oS^ Home Improvement Contractor# 3 G o6 3 Email 5� � � ' �cw�c� • Cc)kn Worker's Compensation # k" Ca7(q ( 6 ?oJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '} FOR OFFICIAL USE ONLY APPLICATION # S DATE ISSUED MAP/ PARCEL NO. t ADDRESS VILLAGE OWNER 1.� DATE OF INSPECTION: FOUNDATION FRAME `- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING e t DATE CLOSED OUT ASSOCIATION PLAN NO: r t t Y F rst , roper , M .A N C E M E N T 1046 Main Street Suite 11 Telephone 508.420.'0299 Osterville, Ma. 02655 Facsimile 508,420.0789 www.fpmcapecod.com April 4, 2016 i To Whom It May Concern, My name is Devin Witter and my company First Property Management has been contracted by Craigville Court Condominiums to serve as their Property Manager. I am authorized by our contract and the Master Documents of Craigville Court Condominiums to act as the Agent of the Board of Trustees and as such hereby authorize Kidd Lukko Construction to pull any and all necessary permits to replace the rooves at Craigville Court Condominiums located at 558 Craigville Beach Rd..W. Hyannisport, MA. If you have any questions feel free to reach out to me by phone at the office or by email. Thank you for your time. Sincerely, Devin A. Witter CMCA, AMS Property Manager First Property Management Devin@fpmcapecod.com t I - fl ACO® DATE(MWDD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 4/5/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Thomas CISR AAI NAME: r R.S. Gilmore Insurance Agency, Inc. PHCN u (508)699-7511 IX No;(508)695-3957 27 Elm St. EMAIL ADDRESS: P. 0. BOX 126 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURER A:Gemini Insurance 10833 INSURED INSURERB:Safety Insurance CompanV 39454 Kidd-Luukko Corporation INSURERC:Scottsdale Insurance Company 23 North Street INSURERD:Star Insurance Company INSURER E Worcester MA 01605 1 INSURERF: COVERAGES CERTIFICATE NUMBER:CL164553411 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 I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER (MWDDffYYYI IMMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR' DAMAGE TO RENTED 300 PREMISES Ea occurrence $ ,000 VIGPO16323 10/1/2015 10/1/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Blanket Primary& $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS 6219509 9/1/2015 9/1/2016 BODILY INJURY(Peracradent) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ Medical a ments $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5 000 000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION XLS0098012 10/1/2015 10/1/2016 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STAT YIN LITE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? Y❑ NIA D (Mandatory In NH) WC071916301 4/2/2016 4/2/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks SchedWe,may be attached if more space is required) Work at Craigville Beach Condos , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tim Gilmore/AMKAHA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 rgnunn t Ctxm�tamf�u,�'�assr��`tr�se� . Dep=hnwt of 1kd=t AEcidmts ' 06 13'rr�ss�glon reef Ao tgrz;MA a2HI " tvekw.7nas&go P1d= Workers'-CampensatmuInsmrmce da-nt EmIdersfCanfractors{ElectricmnMumbers Applicant L ifermation Please Fruit LegihIy- Name(f3usit�asl6ag�ionFhtdivitinal)= t—t(/�+� � C vcJ�p Cp n�o y���0', Add,t 23 N6 S� City/Stabc;r p- Lja t-c!�5.r l►1 v� o Phone 9: 5'6 Are you an employer?Chwk the appropriate bay Type of poject r L ErI am a emp Toyer vwith ZZ- 4- ❑ I sox s -A cantmcEar and 1 6_ [—]New con st„cfi €r2F1oyees(:ffill andlorpazt-f=C)-* havehiresl-tbe Ctots listed on the attached sheet; y- ❑Rexn,ode-hng 7 El I am a sole proprietor arpartner- � ship and have no employees These sub-contractors have S_ ❑Demalitiou ,M for mein employees and have workers' ���`'- 9_ ❑Bnild-mg addifim WO workers Camp_inmirance coup_inc umme , r t2tred�] S_❑ We am a mipomdana-nd its 10-El Electrical rgmi m ar additions 3_❑ I am a homemmer doing all tam officers ha��egescised weir 1 L❑Plumbing repairs or additions nryseo wars erg' right of e�mption per MGM o xn in regnized]1 c 152,§l(4),and we have noemployees 1 fregaas [Na ' 13_❑€lrher �Aaysag thztrbi. has 1=stalsoMomt the se� �v vnbgvwsI feawo&ets'rnatge aafpnit�i Hum- .who sabmft this a$idivit wxErx i!rg they am doing sIItnak sad fkea hire 0�coutmctns mtbt sob er z dsrii im�ir n�satSi j03ntmcamsthatrhxl-this box m=attsdedaRadditim sheet thearmsa#the andstafftrltetkiernenu2usee hsv empk Dees_ Ifth:e sdTa-coataadM hzve employee-%they=st piavi6e&dr worker'comp-policy nuahez /tart an €nmzrrutca for my empFayem Helntr is lhepaTic}artd job azta irtfatmtrtian. . Insmmnce CompayName_ �.r PbEkyif oz S e1€ins I-ic-g- n:✓ o 1 t 63 o t Expim ibnBate_ Iob Sites 5 d / /esJ` i�. City/StatelTtp_ �'��4t i t`s�/f1 Much at copy of the workers'compensuffim poliry declaratieu page(showing the policy number and expi atio-n.date-)., Failure to sure cm-r-rage as roTaired undea Sectiost?SA o€MGL c� 152 can lead to the imposition ofcriminal Penalties of a fine up to$L50D Oa and/or ane pearimprisonment as wen as civil penalties in.the faffi of a STOP WORK OR3JMl Md a fine ofup to$250-00 a.clay against the violator_ Be wivised that a copy of this stdanent maybe forwarded to the Office of Iuvestigatiom of t#e DIA for t„sm- rtce caverage yexii=fion— Ida hereby catli .fy tinder ttndpsnahliss u.€perlurY fits!fbe info rnttrliaa prata&£abare u hue an correct Sitmatm�- }3ztc: I ^bf' 16 Phone 9- Sy 0 (WECial use Only. Da r[at Write in this urea,to be urxtpletad by city or town OfficiaL Cifv or Town' F=mAfAceuse 9 Lsv�Autharity{thole-one}: 1.Board of$ealth 2.Ruff Ilepartment I City/I awn Clerk 4.Electrical inspector S.Plumhiug Fn_lpiector .6.Other C�n ct1'etsnn- Thane r 6 r j A BAZIMABM "ASS. Town of Barnstable 1639. Regulatory Services Richard V.Scali,Director" Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder, as Owner of the subject Pro e -- l P rty. hereby authorize 1�-` LL.-i "/le) (o'�I�y e-'A`3 to act on ray behalf; r in all matters relative to work authorized by this building permit application for: SC6 (Address of Job) Y s�C y- q-1 Signature of Owner Date . Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFIf.ES\FORMS\building permit fomzs=RESS.doc Revised 061313 ' C-�lce�pomvmonwea�z o�C�/�aaaa�u�aelta I i Office of Consumer Affairs&gwwRss,itegnl$tcaa_ DINE IMPROVEMENT EONTRACTO'R. jstratlern „ p6 T" i. -xpiration- Private Ca oFa I I ' KIEXD-LUUKKO CO '- I SE-N KIQD @ J 23.NORTH STREET WORCESTER,MA uftordECrEr. \t Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-081045 .= ` Construction Supervisor ,, �,, �•- ,,��` SEAN G KIDD 233 EIGHT LOTS ROAD °%Y~ SUTTON MA'01590 Expiration: Commissioner 11/13/2017 r . License or registration valid for mdividul use only before the expiration date If found return to: Office of Consumer Affairs and Business Regulation. in 10 Park Plaza-Suite 51'70 i Boston;MA 02116 I I• of valid without signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain ' less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIPS Licensing information visit:WWW.MASS.GOV/DPS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -. k Parcel `�� BUILDIING DEFT. Application # Health Division Date Issued APR062016 Conservation Division Application Fee ��rrN OF BA Planning Dept. RNSTABLE Permit Fee Q Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Ste` j Project Street Address ��- Village 0, Owner Cr`�S s�,; Ce��� Ca40S Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ! t 0 r Zoning District Flood Plain Groundwater Overlay Project Valuation 3 ,I°tl•oy 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 v 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 TYes fpeals Authorization ❑ Appeal # Recorded ❑mm r i I ❑ N If Co e c a o yes, site plan review# Current Use C9 419 Proposed Use S�h•� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (0Wor-e_*cj1-\ Telephone Number ekSbd Address 2 3 NU rik St• License # Cs o I o `(S` L-,,a rcc T-Ve c— /')V 1 b 16o'�' Home Improvement Contractor# 136 06 Email 5 K��I r� 4 1WW- ���`�'w � Cv h Worker's Compensation # 0�(�(6 ?o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C`S� 4�c 2v.es-„7 SIGNATURE DATE `(6 _ �6 h FOR OFFICIAL USE ONLY APPLICATION # i` DATE ISSUED MAP/ PARCEL NO. r{ - ADDRESS VILLAGE OWNER i DATE OF INSPECTION: Y FOUNDATION s FRAME INSULATION FIREPLACE h ELECTRICAL: ROUGH FINAL t + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING 4 ' DATE CLOSED OUT ASSOCIATION PLAN NO. s� y its F i r s t P6pertv M A N A G E M E N T - 1046 Main Street Suite 11 Telephone 508.420.0299 Ostervilie, Ma. 02655 Facsimile 508.420.0789 www.fpmcapecod.com . 4 April 4, 2016 To Whom It May Concern, My name is Devin Witter and my company First Property Management has been contracted by Craigville Court Condominiums to serve as their Property Manager. I am authorized by our contract and the Master Documents of Craigville Court Condominiums to act as the Agent of the Board of Trustees and as such hereby authorize Kidd Lukko Construction to pull any and all necessary permits to replace the rooves at`Craigville Court Condominiums located at 558 Craigville Beach Rd. W. Hyannisport, MA. If you have any questions feel free to reach out to me by,phone at the office or by email. Thank you for your time. Sincerely, 'Devin A. Witter CMCA, AMS x Property Manager First Property Management ' Devin@fpmcapecod.com ACORO® DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE F4i5i2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.-' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Thomas CISR AAI NAME: R.S. Gilmore Insurance Agency, Inc. PHC No (506)699-7511 aC No:(508)695-3957 27 Elm St. E-MAIL ADDRESS: P. 0. BOX 126 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURERA-.Gemini Insurance 10833 INSURED INSURER B:Safety Insurance Company 39454 Kidd-Luukko Corporation INSURERC:Scottsdale Insurance Company 23 North Street INSURERD:Star Insurance Company INSURER E: Worcester MA 01605 INSURER F: COVERAGES CERTIFICATE NUMBER:CL164553411 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 ADDL JVIGP016323 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence) $ 10/1/2015 10/1/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�JE T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Blanket Primary& $ AUTOMOBILE LIABILITY } , COMBINED SINGLE LIMIT $ 1,000,000, Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 6219509 AUTOS AUTOS 9/1/2015 9/1/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident ` Medical payments $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ XLS0098012 10/1/2015 10/1/2016 $ , WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? � D N 1 A (Mandatory In NH) WC071916301 4/2/2016 4/2/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Work at Craigville Beach Condos- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED' IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tim Gilmore/AMKAHA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(gm4m) The Gbiiwom"=M'qf-MaYsaduadT-s -Deparhumt afludusftid Accidents - - tCE LT��7t%�'ilQtSS . 6M Wm*hWaa Street Workers' CGinpensa€ianLmuratice Affidavit R.m-ldersf!CcnfractomEkdncianMurubers Applicant Infermat on Please Pant LmihIy Name - ma&i&4 (a�- &-Lko CeI\e0 n� AA&e-S9- 23 N6 rt, S�. Ci y/StabgZip- L/v r-Ce-Sfe r !�1 Phone g-- 56 Are you an employer?Check the appropriate ba= Type o t1e.ct r ���= L�Iama employer with ZZ. 4. ❑I mmx 1 ct�nfractor sued I New ,�,T employees{fall andlorpart-fa e}* havehired.tTie fors cfam 7_El I am a sole proprietor Listed on the atiached sheet 7- ❑Remradehng orpar€ner- These sub-coatractors have ship and have no employees , 8- ❑Demolition. worldng for=in any capacity employees and have woricers' 9_ D Building addition [To workers. comp:insurance comp_rr,sm ,�2 S-❑ f#.[ We are a corporaticnand its 1 ]ELectrical.repairs or additions re mre�] officers h -m exercised their 1 Plumbing airs or additions 3_❑ I am.a bnmt�u�ner doing all vvorli � 1;�' , o orbs' right of eimmptionrper MGL mys:ef �P c I52, 1r4 and a bati e no I2[ oaf repain 1n SirTAT ce regmie&]T \ ), 1 _❑ employees [No Other comp-insurance regal a -] '`$ay mFb-39 th=t checks bos II must slsa fill oil the se+ctian td7n -sh�tea wodms'comgeas a�gnu a� f� gs Who submit fi-s affidavit im&=s ey th am&mg av mic and dies}tee o de coutrzmws�Y sahaaa#s €fi3dsrlt m�cdi sari cmrsthAcheckthisbcX 3=WIMd83arldiII— sheet sbbwrmgtiiemimeo${hes*t--cD andstatevrhethKncx=Ttlassz 1..,Xpe eaipioyeds. If the saltcovStactats h=-c�emgIvyZes,theg must provide ttsr warkas'comp.polar numbez Iam arz empZgper that is prvvi&W tt*orkers'c-onqwasydi insuramce for my empTayem Helaty is fate panty amd job sits informatuxm . Isnsurmce CoaipmyName_ S-F�-� POEU ifcrse1 irtg Tic- L-yL 0 t e 630( FxpizztioaDate_ 4 - Z - -eo-i 7 Job SiE ddiess_ /"�� ` Cityr tab zlp: �'h a�. T ti.5' Attach a copy of the workers'compensative policy deriaratian page(showing the policy number and ration date.). Failure to secure coverage as zeT iredunder SeL ica k of MGL c: 152 can lead to the imposition ofcrimi ml penalties of a fine up to$1-_50D Oa andlor one yearimp`ris as well as cif penalties in the fb=of a STOP WORK ORDER-and a fine ofup to$250-00 a day against the violater_ Be advised tbsf a cagy of this statement maybe fgrwarded to tb e Office of Inv euti tioris of the DIA fur imsm-ance coverage v=Ecation_ 144 hereby carttfy under �anrlpattuI{ies afperjFutp that the ircfonrzmhFan praiidsd tzlxrve a h us and carrsct ` -6-- /6 Sianata Date: PhDM 5-63 --7 S-cj0 qff EC iil aSE r1-1tF,}. DST riot Wrtfg in this area,to be crrtztpleted by ciO7 of Wwa CffiC&T- City or Town: PermitlUcense# lisaing Aatltority(drde one)- 1.Board of Health 2.Buff fiug Deepartmeat&City Fawn Clerk 4_Electrical Fnspector S.P#umbi ng Inspector .6.Other Contact Person: Phone#_ 6 r lA=NSPASLF., � MASS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division a Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, \)Q-V+�.— "" f ,as Owner of the subject sub` p / J property hereby authorize �a �"`��`Cy '65�I���'c�i`3 to act on my behalf, in all matters relative to work authorized by this building permit application for: y (Address of Job) SAC y- q-/� Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:IWPF=\FORMS\building permit fotmsEXPRESS.doc Revised 061313 y i C,5 i2. oauuea a�C ac%uaetta Office of Consumer Affairs&Business Idegul'atien OIME IMPROVEMENT CONTRACTOR i 'stration 06:3 type: xpiirat vn _ Private C--a raw I KIM LIJ'UKKCO..'' O CC2 - SEAM KFDD '' @ 9_L 23:NORTH STREET 111lORC-ST€R,MA 01N- Und'ersecreEarp i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-081045G..;r. • Construction Supervisor : ,j�.,; SEAN G KIDD . 233 EIGHT LOTS ROAD SUTTON MA 01590 ' l Expiration: Commissioner 11/13/2017 License or n%i-strat on valid for i iv dul use only before the ezpirationAate. If found return to; Office of Consumer Affairs and Business Regulation in 1&J?A-rk Elaza Suite 5170 BostOn;111AV21`14 ;I of valid wi•thou't'signature Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of , enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS I , Shea, Sally From: Rudziak,Jeff Sent: Wednesday, May 04, 2016 12:39 PM To: Shea, Sally Cc: Barrows, Debi; Perry,Tom; Finch, Nancy Subject: RE: Permitting dilemma for condo common areas Sally, I understand you need to proceed now on permits like these.Until we can get this looked at,go ahead and attached . them to the first condo in the alphabetic listing on the complex.That's where we'll look for them for the meantime. Thanks. Jeff From: Shea, Sally Sent: Tuesday, May 03, 2016 10:39 AM To: Rudziak, Jeff Cc: Barrows, Debi; Perry,Tom Subject: Permitting dilemma for condo common areas Ok Jeff her is the issue it pertains to common area spaces on condominiums: With our old permit software we were able to create an address and adjust the parcel i.d. so we could permit common areas for condominiums such as pools or outside fences etc.... Building permits for items that was not specific to any unit but commonly shared space. This way we were able to assign the work without having to choose any specific unit owner parcel i.d. so assessing wouldn't inadvertently assess the items to one unit owner. Currently we cannot do this. Viewpermit imports the parcels and we are unable to adjust the parcel i.d.. for example, for 800 Bearse's Way, Cape Cross roads, in munis we would assign the permit to the main parcel id 294-061. This address is not in viewpermit and we cannot so we are forced to choose a parcel i.d of a unit owner. This may cause problems for assessing. We are able to adjust addresses however we cannot adjust imported parcel numbers. What we can do is choose the first unit so for 800 Bearse's way we could choose the parcel i.d as 294-061-OOA and add an address to this parcel called 800 Bearse's way CONDOWORK will this be ok for assessing to distinguish it from that unit's assessment? Sally Shea Assistant Zoning Enforcement Officer Principal Permit Technician Building Department 508-862-4031 1 \ I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TUWN OF BARNSTABLE } �.J(� LDS Map Parcel Application # ! y; Health Division Date Issued Conservation Division Application Foe Planning Dept. �;q��Q a« Permit Fee ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis r� s FAT Project Street Address SSA Cr,_iG 1, � Ts>eC-(. � Village Owner C Co, 60 D 5 Address Telephone O Zg,C�, Permit Requests P ft Square feet: 1 st floor: existing proposed 2nd floor: existing Zl� proposed Total new 1ZOD Zoning District Flood Plain Groundwater Overlay Project Valuation 3 �,00 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: ❑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�peals Authorization ❑ Appeal # Recorded ❑ Commercial 'Yes ❑ No If yes, site plan review# Current Use I',, Proposed Use SQ�� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L C_P�jPa 6--�Ok Telephone Number S0°) U D Address License # CS - 08 1 O Y 5— Home Improvement Contractor# 136 a6 3 Email S�=d�1 @ Llldcl 1c,C, ko • Co '21 Worker's Compensation # P'C_ 07 1 cl 16 30 I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V(/GS�P «S Je SIGNATURE DATE I —G ^ �� t r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. > 4 t g Fi rst M Prooegy M A N 'A G E M E N T 1046 Main Street Suite 11 Telephone 508.420.0299 I Osterville, Ma. 02655 Facsimile, 508.420.0789 www,fpmcapecod.com April 4, 2016 To Whom It May Concern, My name is Devin Witter and my company First Property Management has been contracted by Craigville Court Condominiums to serve as their Property Manager. I am authorized by our contract and the Master Documents of Craigville Court Condominiums to act as the Agent of the Board of Trustees and as such hereby authorize Kidd Lukko Construction to pull any and all necessary permits to replace the rooves at Craigville Court Condominiums located at 558 Craigville Beach Rd. W. Hyannisport, MA. If you have any questions feel free to reach out to me by phone at the office or by email. Thank you for your time. Sincerely, Devin A. Witter CMCA,AMS Property Manager First Property Management Devin@fpmcapecod.com , rs , DATE(MM/DD/YYYY) A6 k ® CERTIFICATE OF LIABILITY INSURANCE 4/5/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Denise Thomas, CISR AAI NAME: R.S. Gilmore Insurance Agency, Inc. PHONEFAX (508)699-7511 IC. Noll:(508)695-3957 27 Elm St. E-MAIL ADDRESS: P. 0. BOX 12 6 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURERA Gemini Insurance 10833 INSURED INSURERB:Safety Insurance Company 39454 Kidd—Luukko Corporation INSURERC:Scottsdale Insurance Company 23 North Street INSURERD:Star Insurance Company INSURER E: Worcester MA 01605 INSURERF: COVERAGES CERTIFICATE NUMBER:CL164553411 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 ADDL rSUBR POLICY EFF POLICY EXP LTR POLCY NUMBER MM/DD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TORENTED A CLAIMS MADE OCCUR PREMISES Ea occurrence $ 300,000 323 10/1/2015 10/1/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1K JECTPRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Blanket Primary& $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS 6219509 9/1/2015 9/1/2016 BODILY INJURY(Per accident) $ X HIRED ALTOS X NON-OWNED - PROPERTY DAMAGE $ AUTOS Per accident Medical payments $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ XLS0098012 10/1/2015 10/1/2016 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN, STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $. 1j000,000 OFFICER/MEMBEREXCLUDED? Y❑ NIA D - (MandatoryinNH) WC071916301 .4/2/2016 4/2/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remark_s Schedule,may be attached If more space is required) Work at Craigville Beach Condos CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hyannis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tim Gilmore/AMKAHA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 rgolaoli �tx�rrra7n #�rr,��assr�e�trfs� �eprrrht��•� str�rl�cc�err�' , - E3�ic�a�"� -rriiorss 690 Wm*hxgtaw Street Bmtaq,Hi 02 - rvH.�w.rr�usxgr�fdirt , Workers' GampensatianInsmmaceAffidavit$ceders CGuh-Ac#or triciansTlumhers Applicant LiformatiUn. Name(BIISnw§s/ nizafin -dIV1 sry: 1���" LV✓�C�'V Cd n�OQh�\\C� 2 3 IVY r S� Ul os•. ' CitylStat,IZip: 1,.1v�'C� 5 .!` !l1 Ph ne,�- 5'69 7OA I - `�S^a y Are you an employer?Check the appropriate bo7c: Type r Of� ect( eqdmd� L yI am a employer with ZZ- 4. ❑ I amt a dal c=fmctor and I ❑New consta employees{fall anNbrpmt-fme * have hire&the sub-confraciom 7_El I am a sole proprietor orpartner- listed on the attached sheet; 7- ElR=odeltag These sub-contractors have and have,no employees 8_ Demolitioa � �P oY ❑ worling forme in any capaci�T entplay and have workers $_ ❑Snild"mg addition [90workers' comp:Twmfra•nFe comp_**,smna,omI 5_❑ We are a corporaticnand its 10-0 Electrical repairs or additions 3.❑ I am a homeouxter doing all wo& officers bxm exercised weir 1L❑Plmmbing repairs or additions o woLb=' right of a emptionper MGL ,Y, rf c-154§1(4} and wehwe,no I2_[�oafrepaas inmzrmce!regntred_I comp-Ms raam `1 *�Y�F� that thus has�l mast also fll out the sectianbelmw shassiag dwir woaken'mr pni� ?II•nmeownesvrho submit d saffid:dffm,&xcst theyayerlamgzffvrc c mrSi tC`.ontacmrs th.t check this bar,mml stlar-h sa additirm shut shots-mg the name of the sail-oohs mad state tirhetter DE=t'hoss Eatuies BZM emplayees_ If the solrc—taactms h.—e-pIoSees,thug must provide thr-v wares'comp.paLcg a—bes I am arz employer that isprmicUiW workers'congmnsaffaa irtrrtraace far ray-amployem BeL?w is the paU4y and}ob site inforrrtctia Insmauce Compa YN=e_ Port#c r Self ins I iri ` I,.�L 0 7 t t 63 0( Exgiaation Date: 4 - Z - Z cv-l Job Site Address: d /"es Cii�r taielTsp: �`� ai. t�S �] f g7 Mach a copy of the-v-orkers'compensatiou policy-declaration page(shag the:policy=caber xad expsaatio-n date). Failure to o se,=e•coverage as regairednnder Section:25 A o€NML c 152 can lead too the imposition of-crirumal peaalties of a fine up to S I-50 Oa and/or one-year ia3p isoument as well as i iz*ii geztalties is the futon of a STOP WORK ORDER-and a fine, ofup,to$250-DO a.day against the violator- Be advised that a copy of this statene d may be forwarded to the Office.of Iurestigattions of the DIA for insurance coverage Nmri;Eradan- I dri hereby catlify andor andpenawas ufPpim 'tftaffhs art arnitz tit pralddRr£tc£x3vs is hue and carrectSiza ; T ^��attnc Date: 16 Phom A- � ?�q otS-y 0 wEdOL use ouly. Da nat write in Ads wren,taa he curmp&ted by city or town of c&L Citv or Town PermitlLice�se Ismmg Aul ffianty(drat:one): 1.Board of 11ealth 2.$udaing Department I Cl€FIT'dwit Clerk 4_Electrical Fnspector S.Plumbing FnTmtor .6.Other Co;rtact Person Phone#: 6 i f OFF� r ReRAtV�I`�Rf.F_ s MA SS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign. This Section If Using A. Builder I, �0—V as Owner of the subject property hereby authorize �a LL'L(C'e �o ri���C�``� to act on my behalf, in.all matters relative to work authorized by this building permit application for: ' (Address of Job), Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:IWPFU-ES\FORMS\building permit formslEXPR ESS.doc Revised 061313 C92e 1pa�rvntoncueat o�C�/�aaaacuaeG7a of—ee of.Consumer Affairs&Business Reguattiiou OM is WRGVENFENT CONTRAeMR j �strat?on piratronr Private la ra I ' KIVD:LUUKKO CO + SEAN KIDD 23.NORTH BEET WORCESTER,MA - UndersecreEary i L Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-081045 ... Construction Supervisor . SEAN G KIDD ;:u. i 233 EIGHT LOTS ROAD x'y SUTTON MA 01590 - "- - -^� Expiration: Commissioner 11/13/2017 License or registration valid for mdividul use only before the expiration date If found return to . i office of Consumer Affairs and Business Regulation 3n 10 Park Plaza-Suite 5170 Boston;MA 021`16 I , q of valid without signature Construction Supervisor Restricted'to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. I Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. i DPS Licensing information visit:WWW.MASS.GOV/DPS i Care Simply Inc Post Omce Box 1556 S.Dennis,M 02660 Building Insulation.Report Contractor: Angel Ortiz Property Address: 558 Craigville Beach-Rd, Centerville Insulation Type Manufacturer Thickness Square R-Value Area Used Footage Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Owens Corning Fiberglass Batts Knauf Fiberglass Batts Knauf Hi-R Board Atlas Intumescent Paint IFTI-DC315 Fire Safe Roxul Insulation Fiberglass Blown Certain Teed Fiberglass Blown Certain Teed Closed Cell Foam Henry 1.8 Permax 7" 90 R-42 Ceiling Closed Cell Foam Henry 1.8 Permax 3" 50 R-21 Exterior Walls Closed Cell Foam Henry 1.8 Permax Closed Cell Foam Demilec Closed Cell Foam Demilec Certified: JOSEPH W. MCCARTHY JR. Date: 1/15/16 Home Improvement Contractor Registration #162656 Tr# 282518 Oprice: (508) 39q-5700 0 (800) 626-9276 0 Fax: (508) 39q-ZZ20 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D 55 C0 i WN OF BAR>STA.SLE Application # Health Division ; ;- ,T •-, ,. Date Issued i6h9h� Conservation Division Application Fee 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board i i 4 '� Historic - OKH _ Preservation/ Hyannis Project Street Address SYY 2!t9vd N.e ge4c,4 12--; Village Cep rl IP/ l 9 Owner EQlC /�ufLd�>ci�,�;DT Address 612y},�,p�ille (�2rle4 /20 Telephone 569 726 Oa)6 3 Permit Request J'ep,o,e Low Be lj t.,,�t/ q�,,d 1¢ eA„,plmegev Bey Square feet: 1 st floor: existing 7 proposed 2nd floor: existing — proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Ws f duo Construction Type Q Lot Size 4� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 8 Age of Existing Structure 35 Y12J_ Historic House: ❑Yes No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ���''�=r Basement Unfinished Area (sq.ft) y10d Number of Baths: Full: existing new 0 Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing 3 new O First Floor Room Count S Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 3<0 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 t No - If yes, site plan review# - Current Use A*+112!1 Proposed Use -S�ni L } APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ®be1t 119A�W1J Telephone Number 508 y 7d 031/`/ Address ,yvc License#_ ln4 DaG Home Improvement Contractor# f a 20 7 Email 081-C- f1�p e "/AV 4 Carr+ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� '�` DATE FOR OFFICIAL USE ONLY •i APPLICATION# y DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 4 OWNER DATE OF INSPECTION: FOUNDATION y r FRAME 5 q. INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING D� DATE CLOSED OUT ASSOCIATION PLAN NO. I ' ?VfGtP.TIiE�� iB • WC,I .re Crr=Peasafj=ELSUrmuxA.fidb nrE- Racr"fwsCanft—Ac nxeMecftir.LsThmffiexs prUBCMItIafm=2fita Please•Print an=xpb_Ter7 Cfm&9m uppmFiafk bme T.ILP-M of P Mlii± L❑ I am a employer v 4- I axaa I cos acfar gad I ha��bi�.the 6_ New . e�Soyees{�nll askdforpart.;ime�* tars - 2.❑ I am a sole psop:dd=orparftmr- listed an the EtUd ed sbeet ❑Berkwdehag ship=d hate as empbyees• Them snh••oo is have 8- ❑ Wadiug :brMe ffi any may- a wrEamcs` camp.- - y E1Bmkr=gaddifi= , ;,, I .�•� S:El We aM a CMgat;&M2nd is 10-0 Elcchiud=paim of adcriti, 3-❑ I am a homeowner d*,-,an wort- officers bm emesed ffiei I LD pig=pztim or add rny'SC3€[Na Wadnfecomp- ZLeAtofcsm�6aaperMGL e zeguiz ]t c-157,§I(4} aadwe Ease ga e [Ngw0dome 13-0Of= !AWmpWcudSssLr-11 bayslamsta7sn oecs hr7vse ors �' Pam- • � ��r� u�8��ag��as,��►�� �=���a� s� -c •e�a�t��a�r �.,:,�m�.,��� ��ofis� �a� o�� �. cm an srrcF F '�� ar et�Ia�ask �elvt�is&rPQ&T au'lPb rrhr Tacrarxnrf.CompauyName /1[l/�1lQ?�i2f �.y �n.vd�j Cp PolarSius Ii� yy� 392 , �3 r 16T.-Sitm. 558 av,�e/Be ti 127 y r9 c r tstater��p_ Cikxjiwle y14 0 3 AitaeTi a copy of dc vuxI=e compeasatian pvfic dwim FA,-e g[h e P°Br.Y lavabo aoEsd rq3iCZ{a0a d �- Fax�c�toseaa�c�agnsczap�ednuclesSedm�s�o€h�rLcl52canleadiu•fiseimlaos�naofcxiraiealpofa `r :ff=m s to$L,,5DD OD anVor oseLlCar as•E1 as cirii genaffim in the fbM of a STOP VQRS OR=and a fine cTV to$250M a day a9afist fhc viohlw- $e advised that a copy oftbis stdonat maybe furled to the©fiice of o€tbe DIES fnr ms=u=mvemge ve iraxL ' Ida F��aer��p�rdrr-i�F�s unrl'FsaQ��sr u��up ffiet$fa r�n�uapras�eiha�a hie t�e�raet E} a£ II&rrat tfrtia i flus bg b_v city ar fa= Cify or Town: PmmiffT*c=f vtbariig(d•cls one • L]3aazd of$ealf3L 2.BaxTd�; ��C�ft�Fawg C� �Efedxical Inspe�F $-Pig T�for .6.Ckher Ca�ct persaar . .. _ Panne a: _ . 6 1 at RaMMMARTQ f 6 'Togo of Barnstable Regulatory Services Richard V.Sca%Director Building Division Thomas Perry,CBO Building Commissioner - 200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma ns Office: 508-862.4038 Fax: 508-790-6230 Property Owner Must Goinplete and Sign This Section If Using A Builder / f I S C C ►rv� � `� �-► ��� , as Owner of the subject property heteb7 author ze 1 '�O�Y1 de _ to act on mp behalf, (L)C�ldq in all matters relative to work authorized by this building pe=t application for. (Address of Job) s f '� Ce Signature of Ownet Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q.\WPFILES\FORNIS\bui3d agpe mitfarms\=RFSS.doc Revised 061313 f '� �c�p��aaczuse��C�o�i�lua:trcc/z�caeCta Office of Consumer Affairs&Business Regulation } HOME IMPROVEMENT CONTRACTOR .Type: - Registration:,. `e,087 Individual Expiration_==9)2E�Ot6_' _f.�_ JOHN OBERLANDER- JOHN OBERLANDER ' 35 WASHINGTON W.YARMOUTH,MA 02601 L Undersecretary V Massachusetts -Department of Public..Safety Board of Building Regulations and Standards Construction Supervisor License: CS-072361 JOHN E OBERI A$DE 35 WASHINGTON ACE s W YARMOUTH ti.KA . z Expiration Commissioner 05/20/2016 Rightfax N1-1 10/9/2015 9:09:43 AM PAGE Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE`�Mro I FICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE E 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 ACONTRACT BETWEEN THE ISSUING INSURER(SL AUTHORIZED REPRESENTATIVE MPORTANT:if the certificate holder G an ADDITIONAL INSURED,the poNq(les)must be endorsed. If SUBROGATION 18 WAIVED,subject to he terms and conditions of the policy,certain policies nay require and endorsement. A statement on this certificate does not corder rights to moll1 %to holder In lieu of such end s- PRODUCER CONTACT NAM . MARSHALL KLOVELEPIE INS PHONE FAX 396 MAIN STREET (A/C,No,Er:q: (AiC,NET): E-MAIL WEST YARMOUTH,MA 02673 ADDRESS: 78BJB INSURERS)AFPDRRING COVERAGE NAIC 8 NrSURED INSURER A: TRAVMMS INDShMW COMPANV OF AMBRICA COE[.HO,WALLACE INSURERS: INSURER C: INSURER D: 22 SHEEFJEL.D ROAD INSIJAER& WESTYARMOUT'H,MA OX73 iNSURERF.' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T NA TOTHEIN U M HAMM ABOMF01171461001JOYPI21110DRIVICAFEM NOTWITIMAKMO ANY REpUIRUSHT,T6 ORCOMMMOFAWCWnR=ORUMMDOMAtgffWffHMMM=lrOWMHIMCBMFICATEMAYBEOM QR MAV PERTAB THE INSURANCE AFFORDEDBYTHEPOLMOEBCRMMHBWMBSUBKCfTOAL.THETERMBrEXCXUSIDNSAimCMWff NSOFUCHPMJCI.I.MMSHOWNMAYNAVEOMREMMEDBY PAID C LASM aDD POUDYEFFOWE POLCVEWDATE OR TYPEOFKKIRAt(CE L R POLICY UMBER (BGMWM ORMO1Y'V" kE! Lem GENERAL LIABILinY CURRENCE $ (OIMMERCIAL GENERAL LIABILITY :TO RENTEDCLANS MADE OCCUR. ES(Ea occurr mo) (ATEyfAL&ADV INJURYWL AGGREGATE LIMIT APPLIES PER L AGGREGATEPOLICY Q PROJECT a LOC TS-COMPIOP AGG $ AUTOMOBILE LIABILITY iED SrYGi.E S ANYAUTOa aecidALL OWNED AUTOS tidlURYSCHEDULE AUTOS on)R�tiURY $ HIRED AUTOSde NON-OWNED AUTOS . PROPERTY DAMAGE $ er acddm* UMBRELLA UAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS3MADE GGREGATE $ DEDUCTIBLE $ RETENTION S $ A WOPJMR'S C OMPEJSATION AfI WC STATUTORY OTHER EMPLOYER'S LAMLnY YiN US-OW19MA-15 09r&w"15 OW23WS X LUTS ANYPROPERIT WARTNEROMCUTIVE NIA E.L EACH ACCIDENT $ 100.000 OFFICERJMEMM EXCWDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 U yes deseAbe u EL DISEASE-POLICY LIMIT $ 500,000 pESCRIPRON OF OPERATitR S below DESCRP710H OF OPERATIONS11ACATII)NIUVEHICLEMESTRECTtONS!SPEgAL ITEMS THIS REMACES ANY PRIOR CE RTOWATB ISSDHD 707M CWMCA76 ROUTER AFRGCTING WORICSRS COMP COVHRA(R THE WOREES'COWWHNSAITONPOLICY DOES NOTPROVIDECOVBRA(R IFOR COKKO0.WA12ACR " CERTIFICATE HOLDER CANCELLATION OBERLANDER CONSTRUCTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE71,1E EIOSBIATION DATE THEREOF.NOTIDE WILL BE DELIVERED JOHN OBERLANDER IN ACCORDANCE MRM THE POLICY PROVISKM 35 WASHINOTON AVE AUiHORIZED REPRES WFST YARMOUT11,MA 02673 ACORD 25(Z010J05) The ACORD n=w and NW are reglatered marks of ACORD• 1" 0 ACORD CORPORATION. All rtghis reserved. I f CERTIFICATE OF LIABILITY INSURANCE oo9/1io2DIS" 0 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), AUTHORIZE 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 WANED,subject the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to I he certificate holder in lieu of such endorseme s. PRODUCER CONTACT John MCShera Marshall K Lovelette insurance Agency Inc PHONE (508)775-4559 FAX 508 7 396 Main St arc No ( ) 75'4517 West Yamouth,MA 02673 E40AI .john@loveletteins.com INSURER(S)AFFORDING COVERAGE NAIL B aNSURERA:WESTERN WORLD INS CO INC 13196 INSURED Wallace Coelho INSURER B: 22 Sheffield Road West Yarmouth, MA 02673 USURER C: INSURER D INSURER E INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THLE 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. ILTBR TYPE OF INSURANCE ADD SUB R IN POLICY EFF POLICY EXP - POLICY Dryy LIMITS A COMMERCIAL GENERAL LIABILITY N NPP8237544 01/06/2015 1/06/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F�l OCCUR -PREMISES Cel $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY❑JE Q LOG PRODUCTS-COMP/OP AGC 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBI tlED SINGLE LIMIT $ - ac .41 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident $ HIRED AUTOS qON�NED PROPERTY DAMAGE $- UMBRELLA LIAB OCCUR e EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MAD AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABI ITY Y/N E ANY PROPRIETOR/PARTNER/EXECUTIVE ' MIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE Bb I es,describs under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMI $ - DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached I more space Is required) ` CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Eric Durrchmidt THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 558 Craig%ille Beach Rd Unit 8 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville MA 02632 » AUTHORIZED REPRESENTAT 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD B THE CRAIGVILLE COURT CONDOMINIUMS 1.046.Main St.Suite 1.1 Telephone:5U8-42,M299 0stervillej MA 02655. Fax::5:08426-0789 September 3.,2015, � ' rf r Eric Dt r schmidt&Francisco Garcia. 1848 West I Ith Place Los::Angeles,CA 90006 To Whom It May Concern, As a representative of the Board Of Trustees of'Craigville Court First Property Management. authorizes the work proposed and to,be.performed by OberlainConstruction;on Unit Craigville Court.. Please contact us-if you have any further questions: Sincerely, Devin Witter. r First Property Management 3 E + tvVIT$. s� 20 ...11l UNIT TO 7 ea UNIT f0 �W U cNo fl ® ern LO M r o N 0 ASBUIit Card N/A A o z L y U W L O I C in }W- MI�•��)I O }L� z N O �� U C '1t O U N (n U- W Cl) A ^7r le LeVel�i Of MASS Gz.t W ti a A I�CL•- z cuo►�aAL N 'a o 0 RUCTu W ~ N� 3A-174 t..e Aq 9FOIStEP � a �FFSSIONN E" Oco z 41 /3�s r ' f T 21 cs � Ld X +fix va T� �i ^ . ' I M O ----- 2y- �bU® I A U o i � O Ir o a o a >` � o Z O -s o U� ao'� •,v E M.. z co N �6� G�t'1SU Of MASSq ti I A 0 • 2� MIGHELE G�� � o o STNp 3,4174 Q 'Oq 't4o IStEP�`�� W � SION d � , o � � l a r� W MEMBER REPORT Level ROOF/ATT,Floor.Drop Beam PASSED ` 2 piece(s) 13/4"x 7 1/4" 2.0E Microllam® LVL Overall Length: 10' G 0 0 10, 0 p All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. DeSt 112Resuits .;_. Actual i a 3 _. -._ Locaflon a:> AllovgCd Re.ttlt ,� a`, 7 DF ,Load Curtdtmahon(Pattern) ,.Xv 1ky„ System:Floor Member Reaction(Its) 2035 @ 2" 5206(3.50") Passed(39%) -- 1.0 D+0.75 L+0.75 S(All Spans) Member Type:Drop Beam Shear(Ibs) 1670 @ 10 3/4" 5544 Passed(30%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Use:Residential Moment(Ft-Ibs) 4754 @ 5' 8182 Passed(58%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Code:IBC Live Load Den.(in) 0.281 @ 5' 0.322 Passed(L/413) -- 1.0 D+0.75 L+0.75 S(All Spans) Design Methodology:ASD Total load Defl.(in) 0.381 @ 5' 1 0.483 Passed(1.1304) -- 1.0 D+0.75 L+0.75 S(All Spans) •Deflection criteria:LL(IJ360)and TL(1-1240). •Bracing(Lu):All compression edges(top and bottom)must be braced at 10'o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. BEafi"9 Length Loads fA SLPV (tom} ass PYv,w s a v -a s " K �DBd(f�.` F„ 1-Stud wall--SPF 3.50" 3.50" 1.50" 535 500 1500 253S Blocking 2-Stud wall-SPF 3.50" 3.50" 1.50" 535 500 1500 2535 Blocking •Blocldng Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. • � -�'yr" "�` � `ar.�< � a '�.�s1�L�ry� :°`Y D@ad�'`�a Ftoorthha �.a��Snow �: .fx's�zY� x r�L"" ' . EOdt�S„—._._... .r_..._ti LOCdhtMi;_'n�,'• ��N�dfh��- r(t).90}`a._��1-�}��'�'rF`�+t;X.�S}���Cpm"��lS r� 'y` � . t-Uniform(PSF) 0 to 10, 10, 10.0 10.0 30.0 Residential-Livings . Areas SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to ' circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. , The product application,input design loads,dimensions and support information have been provided by SITE REVIEW �aof MASS4,, No �a a 9FRIS!� �Z ��SSIONP� � Forte Software Operator Job Notes 1 7/311201512:40:49 Pik MICHELE CUDILO 558 CRAIGVILLE BF-ACH RD.98 Forte v4.6,Design Engine:V6.1.1.5 MICHELE CUOILO,P.E. CENTERVILLE.MA 02632 �(508)771-7601 20i5 1620RTtZ.4te mcudilo@comcast.net 1 Page 1 Of 1 --STACK-Up BATHROOM VANITY ! WASHER s•a• r•s�ra° s'-t trz^ fJ AND DRYER N t'-e t/e' a LL z Q w a. MAKE-UP AREA O BATH O BIDET 0 CLU ' BROOM CLOSET BEDROOM ae REF. LINEN CLOSET DISHWASHER W J PATI --� 0 SINK c LIVING W Q 0 BREAKFAST ENTRY CLOSET V V O RANGE co Q W BLOCK OFF WINDOuJ W CoLo cc zoos LOCK OFF WINDOW WI �u 4 —V) -o to pVO" �a AM ' C7 za-b 1/0 ZO o Q I I 1 U i KITCHEN Z I n c~n I I LU BA II BEDROOM LLJ J o LJ UJ LIVING FOYER Q i _ 0 UU� n � WW II Lo m II Lo � --_ zNil LU I f s i I 7 N , i �2 W or- 2 0 U C) x � W � , U.) ov 3D-EXTERIOR /�1 3D SECTIOt1 W o �NooWi LULU }�Z r C m 1 'j�t, %'�i�l�Jam'/ �i`� ; � °N(;�_ i 'i ��•. gg _ x �7N i�l ��aa '' is<3 r rye)�'ps i ��,•. - �f� " ) d° � "°,��, Y k ; r�J} r ,,��'� L�� zt �r� v �11R;;,,,,"f4.a,rt it�z r. �: gHSy�'�`*.� t�� �`��,5�`•''.�`3. i'. ;�S ��ft7sz i�7. t g `` �u���'�`!�`��y ��7�Y�r��l�bV•�tS}rr�t�X � � i��'��v� �I � 2 g' I �f a e Sa'm�F{��( �`*}fS�x1�Y3 Y 4 {3 a�w5��'�L'i.5�1 ��t t �� `'y�•'�.m�•yltb�A�� �t4 >�� .✓„✓� ��� J`7 � root y!5>>?�q� � �t' t}�,{�Qll�{ t�,S#t�1;t aSt� d+�ts'�Ps'l ,���, ,,'�,"�j3,�' ✓ ,- ,,, t F,�S t� 5r�ut s fl YQt; `jsA� 1. SLfi r r Eg ��C ���kiHF� _4 •/ / F� �d J' ...r. � ti'�}J•�`�'^3 ` ��*�'�����,1✓''.'` _ R j�1 P3l`y )<: Y �•�!,,;51 �b 'I nV �N iZ tL Y��l;GPrM13'' <� �*t ;iu�� 1�t�� r�� R_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 4 6 Parcel G S G o. Application #Q61 ao Health Divisionqg-)gq Date Issued 13 a Conservation Division ��L Application Fee 00 Planning Dept. Permit Fee 4 (0 Date Definitive Plan Approved by Planning Board IZI/��IL Historic - OKH Preservation/Hyannis Project Street Address C P A 14 V /-L f A CA C�_ Village Owner. ® L. 91<® L N I 9. Address >e )JE Telephone 41-7 - 76 6 _ C A ir4 ( t r 10 19 a 2®2 f Permit Request g R cK 61)< l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ..Project Valuation i Z i SOO Construction Type Lot Size Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) f Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes gNo 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 CD Number of Bedrooms: existing —new ^� 77 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: iO Yes 1` No d=J Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:e❑ existing: ❑ new size_ .. rQ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ko If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER O HOMEOWNER) Name 1 GK Telephone Number 61 '7- ! 8 —1` 4 1 Address A f �� /�� F_ -Aa A License # CA 1� [ a VI o ac2 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a W) s'i-c C J ?�, -7 F 9 #ii K L 1 A t}r0, lt111} a s 9¢ h SIGNATURE DATE /( A21I 112- f FOR OFFICIAL USE ONLY ` APPLICATION# ' DATE ISSUED t c , K MAP/PARCEL NO. s . `Y ADDRESS VILLAGE OWNER s DATE OF INSPECTION: . -FOUNDATION .�3�.,So,�oS I l? 13 FRAME INSULATION k FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 Q l3 .3 DATE CLOSED OUT ASSOCIATION PLAN NO. - - Department of IndustrialAccidenfs Office of Investigations 600 Washington Street Boston,l-t 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plu nbers APPUca-nt h forniation T `Please Print Le�ibl Name(Busmess/OrganizationUdividuan: Address: 1lr F :�6 0 City/State/Zip: Phone.#: Are you an employer? Check the appropriate bog: Type of project(required):, 1.El I am a employer with 4• .Q I am a general contractor and I * have hired the sab-contractors 6. Q New construction.. employees(full and/or part-trine).• j listed on the'attached sheet*.' 7. Remode ' 2.❑ I am a'sole proprietor or partner- • Q ship and have no employees These sub-contractors have ' 8. 0 Demolition working for me m any capacity., employees and have workers' $ 9 ❑Binding addition .[No workers' comp.insurance. ! comp•msurance. . ' required] 5• []:We area corporation and its 10.0 Electical repairs or'aAdrtions 3.[ I am a homeowner doing all•work officers have exercised their 11. Plumb'g ❑ mg repairs or additions , myself [No workers'comp. right of exemption per MGI; c. 152 1(4),and we have no 12'0 Roof repairs insurance required.]t , § �• employees.[No workers' 13.[ Other C comp:insurance required] *Any applicant that checks box#1 must also fill out the section below.showmg their workers'compensation policy infomratim. t Homeowners who submit this affidavit indicating they ere doing all work and then hue outside contractors must submit anew affidzvitmdicatmg such. xCoutractors that check this box must attached an additional sheet showing the name of the sub-contractors end state whether or not those catitics have employees. 1f the sub•-contractors have employees,they must providb their workers'comp.policy number. ! •I am an employer that is providing workers'compensation insurance far 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/4: Attach a copy of the workers' compensation policy declaration page'(sho7ing the policy number and expiration date). Failure,to secure coverage as required.undez Section 25A of MGL c. 152 can lead to the imposition of eziffinsl 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 certify under thepains•andpenaMes of perjury that the information provided above is true and correct ., Si tore: Date: 2 9 Z Phone# 6 1-7 Official use only. Do not write in this.area,to be completed by city or townofficid City or Town: Permit!License Issuing Authority(circle one): Board of Health 2.Building Department 3.City(Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other , Contact Person: Phone#• . THE r Town of Barnstable ti f Regulatory Services sE M : Thomas F.Geiler,Director . 1639 B111YdlItg Division ArFn MAl a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508 790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: /l ' ioB LOCATION: S r(2 i91 b.; C A ` z 4� 1 f4 number street _r •,. village A «HOMEW ONER": .SK© L fJ I name ,rhome phone# work phone# CURRENT MAILING ADDRESS:_ Al !' � !Q I/j _P1 C4.A ff) 02� 24. city/town state zip code - The current exemption for"homeowners"was extended to include owner-occupied dwellines of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER y Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require ts. Signatu of omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code,Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor.". Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&'Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. Q:fomis:homeexempt. oF'ME Town of Barnstable Regulatory Services v $ Thomas F..Geiler,Director. �A i6g9. �m Q , Building.pivision Tom Perry,Building.Commissioner 200.Main Street,Hyannis,MA02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must E Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in aatters relative to work autho ll m ' ed by this building permit. (Address of Job) Pool fences a d alarms are the responsibility of the applicant. Pools are not to be d or utilized before fence is installed and all final inspections ar - performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 M E STAP THE CRAIGVILLE COURT CONDOMINIiTM�,fl� PIA 12. 13 1046 Main St.Suite 11 Telephone:508 420-0? 9. Ostuvilie,MA 02655 Fax:508-420-0789 December 11,2011 JOEL SKOLNICK PO BOX 441 ' BROOKLINE MA 02446 Dear Joel, The Board of Trustees has met with regard for your request for an easement in order to place a z deck outside of your unit and on the common area. By majority vote your request has been approved.with the following stipulations. A. The deck must.conform to building code. 0 2. The deck must have the necessary permits as approved by the Town of Barnstable: 3. The deck must be no larger than 8'X10'so that it is not visible from the side yard or parking area. The deck must be no closer to the fence than 10'. �y, - {4.J An easement must be recorded at the Barnstable Registry of Deeds. �j `y The easement must stipulate that the cost to maintain and or replace the deck is the responsibility of the unit owner of Unit#9 in perpetuity. 6. The easement'must stipulate that the deck can not be further expanded or enclosed. 7. The cost of drawing the easement will be your sole responsibility and delivered as a. recorded document to the office:of First.Property Management prior to construction. 8. If you have not already,obtain sufficient property and liability coverage foryour unit and, deliver to the office of First Property Management a certificate of insurance naming the condominium association: I would suggest giving Brian Wall, Esq.a call at 508-888-7500. Brian is an attorney specializing in condominium law here on the Cape and is very reasonable with regard to fees. He is familiar with the process of drawing and recording this type of document. Thanks for you co operation. Sirkerely, An Witter CMCA, AMS AR President, First Property._Management cc:The Board of Trustees, Craigville Court Condominiums i f EASEMENT AGREEMENT THIS EASEMENT AGREEMENT is made this L� ' day of DSQ��'���2012 between the Trustees of CRAIGVILLE COURT CONDOMINIUM TRUST, under declaration of trust dated February 17, 1983, recorded with Barnstable County- Registry of Deeds in Book 3676., Page 121 (see Plan Book 370, pp 81-83), with a mailing address of 558 Craigville Beach Road, Barnstable (Centerville), Barnstable County, Massachusetts (hereafter "Condominium Trust" or "Grantor") and JOEL H. SKOLNICK and JANA NEDVED, both of Unit 9, Craigville Court Condominium, 558 Craigville Beach Road, Barnstable (Centerville), Barnstable County,Massachusetts (hereafter"Grantees"). RECITALS WHEREAS, the Craigville Court Condominium is a condominium established pursuant to Massachusetts General Laws c. i 83A by Master Deed dated February 17, 1983 recorded o with Barnstable County Registry of Deeds with said Declaration of Trust (the "Condominium"); and WHEREAS,the Grantees are the owners of condominium Unit 9 by deed dated August 16, 2010, recorded with Barnstable Deeds in Book 24755, Page 153 (hereafter "Grantees' Unit"); and c� WHEREAS, the Trustees of the Condominium Trust own and control the condominium common areas and possess full legal authority to enter into this Easement Agreement; and �D WHEREAS, the Grantees have asked Trustees for permission to construct and thereafter maintain at their own expense a deck in the common area adjacent to the rear of the Grantees' Unit; and WHEREAS, the Trustees of the Condominium Trust are as set forth in the "Appointment and Acceptance of Trustees," dated December 19, 2008, recorded with Barnstable Deeds in Book 23380,Page 312; and WHEREAS,the Trustees have unanimously approved the Grantees' request; U 00 NOW THEREFORE, in consideration of the foregoing, the mutual covenants hereinafter set forth, and the sum of One Dollar ($1.00) paid, the Trustees, pursuant to the powers conferred by Article VI of the Condominium Trust, and every other power, hereby grant to Grantees, their heirs, successors, Personal Representatives, assigns, and successors in interest the perpetual Easement to construct and maintain in perpetuity a deck in the common area adjacent to the rear of the Grantees' Unit upon the terms and conditions hereinafter set forth: j i i 1. The deck shall be constructed in compliance with all applicable provisions of the Town of Barnstable building code substantially as described in the sketch plan entitled i "Proposed Deck for Joel Skolnick 558 Craigville Beach Rd. Centerville MA" annexed hereto, marked Exhibit "A" and incorporated herein by. referenced (hereinafter the "Plan''). 2. The deck shall.not exceed eight (8') feet by ten (10') feet in dimension, shall be situated in the common area adjacent to the rear of the Grantees' Unit so as to not be visible from the common parking area adjacent to Craigville Beach Road, and ten(10') feet at least from the fence at the boundary of the condominium premises adjacent to the rear of the Grantees' Unit. 3. Required permits, construction, and future maintenance, repairs, and reconstruction, if any, shall be at Grantees'.sole cost and expense. 4. The deck as completed shall define the Easement Area, provided however, that the Easement Area shall extend into the condominium common area sufficient to permit construction,maintenance,repair, and reconstruction of the deck. 5. Except upon the express written authorization of the Trustees in recordable form the deck shall not be expanded or enclosed. 6. Construction completed in conformance with a building permit duly issued by the Town of Barnstable building inspector shall be conclusive evidence that the Grantees' have complied with all applicable provisions and restrictions of this Easement Agreement. . 7. Prior to construction, after execution of this Easement Agreement by the Trustees in accordance with the provisions of said Declaration of Trust, Grantees shall record said Easement at Grantees' sole cost and expense at the Barnstable County Registry of Deeds and deliver a copy of the Easement as recorded to the Trustees or the Trustees' agent, First Property Management, of 1046 Main Street, Suite 11, Osterville, MA 02655. 8. This Easement shall run with the land and shall be binding upon and inure to the benefit of the Grantees, their heirs, successors, Personal Representatives, assigns, and successors in interest in perpetuity. 9. Grantees shall obtain and pay for appropriate liability insurance for Grantees' Unit and shall deliver certificates of such insurance to the Trustees or the Trustees' agent, First Property Management,from time to time upon written request. 2 Witness o .r bands and seals this _ day of y . 2012. Craigville Co rt Condominium Trust, ` Gran or GAGUAR01 lick$tato of New 01�GA508233541.0.1r. I3v lifted in Suffolk:Co nieCn Expires JWy 21, eniietih aglinn,Trae B Mary o ard�, S- re� se Ier tus By Gynt3 as Ray;:lxusteu �Y araYi`Wendorf, l r1lSt0E 1 1 J el skolnlctC Cx�anfee J'` Nedvect,Graft ee ; i . 1 : `s? 1 f WjIless our hands and seals this day of�._.. �>2012. t C'raigville Court. Condoma.ri.um '.1'rtist, Grantor B, Kenneth Baglino,lrustec Bv: Lary tos rarrl, t rusteW, 1.2 l Y' Cynthia Ray,'Z'xustee Bv. __ Sarata Wcndorf;Tru cc J et �. Sicolntck; Grantee 4 3 1 - i Common ealth of Massachusetts 13"1isiable, ss. 20:12. Bcforc rac,'tale undersigned notary public; personally appeared Kenneth :Baflino, Trustee of Cra,igville Court CondominiumTrust, who proved to me through satisfactory evidence of Identification, consisting of _ to be the person whose name is signed on the preceding or attached document, and acknowledged to me, that lie sig and it voluntarily for its stated purpose as the free act and deed of said Trust. Notary Public My Commission Expires: Commonwealth of Massachusetts 2012 13e°ore me, the undersigned notary public,personally appeared 1V11r .Rose,Temrdi?'I.'rustee of Craigvilk Court'Condornini Trust, who proven to me through satisfactory evidence of identification, consisting of ... _.__..r.,to be the person whose narle is signed on the preceding or attac:lYed document, and acknowledged to me that she. sig icci it voluntarily for its stated purpose the free act and deed of said Trust. DEBORAH BATES. Notary Public P;otary Public My CommissionExpires: i Commonwealth of Massachusetts rr,ti My Commission Expires May 3,2013 oM71TIMM of Massachusetts .Barnstable, ss. 2012 F .avi� ui�, tuc Ut1c C[SI. nCCl T1G7r iy �?IiCJ11C, perSaTlFllty appeared 'ynttua Ray, Trustee of Cra:b vill.e Court Condominium Trust, rvho proved to the through satisfactory evidence of iderltifcation, consisting of i W to be the person whose name is signed an the preceding or attached document, and acknowledged to me that she: signed it voluntarily"%or its stated purpose the free act and deed of said Trust. Notary Public M My Commission Expires: 4 Witness our hands and seals this30fkay of POAJUV- 2012. Craigrville Court Condominium Trus , Grantor By: Kenneth Baglino,Trustee By: Mary Rose Ierardi, Trustee By'- —� -- Cynthia Ray, 'Trustee By:_ - Sarah Wendorf,Trustee L�1 Skolnick, Grantee J . Nc' dyed, Grantee; 3 Commonwealth of Massachusetts S,Lmstable, ss: Before rne,'the undersigned notary ,public; personally appeared Kenneth Baglino, Trustee of Craigville Court Condominium Trust, who proved to me through satisfact.o3y evidence of identification, consisting of to be the person whose name is signed on, the preceding or attached document, aad acknowledged to me that he signed it voluntarily for its stated putWse as the free act and deed of said Trust. Notary Public D'Ify.Corninission Expires: Commonwealth of Massachusetts Ba:.nstable, ss. 2012 13ei`ore me, the undersigned notary public,personally appeared Mary Rose lerardi, Trdstee of Craigville Court Condominium Trust, who proved to me through satisfactory evidence of identification, consisting of to'be the person whose nar:are is signed on the preceding or attached document, and acknowledged tome that she signed it voluntarily for its stated purpose the free act and deed of said Trust: Notary Public My Conumssion Expires: Commonwealth ofa94% htis # Kl Cade— W 4.4id Barnstable, ss. a&,4 30 ,2012 Before me, the undersigned notary public, personally appearedrC,yirtt i kay, Trustee of Cra:igvilte Court. Condominiums Trust who proved to me through satisfactory evidence of identification, consisting of 1,t,(W 11 t i1ASt, , to be the person. whose i nan.c is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose the free act and.deed of said Trust. r j Notary Public _— ibly Commission Expires: /—/9 ._1 b f a i f � ' Witness our hands and seals this day of ,2012. Craigville Court Condominium Trust, Grantor By: Kenneth Baglino,Trustee By: Mary Rose Terardi, Trustee By: Cynthia Ray, Trustee By: JqJ O Sarah Wendorf, Truste J el H. Skolnick, Grantee a Nedved, Grantee i 3 i S-ir,#c, ca s ° w o�W 2012 l Barnstable,ss. y 1 Before me,the undersigned notary public,personally appeared SSarah W ndo�Trustee of Craigville Court Cor►dominiurn Trust,who proved to me through satisfactory evidence of identification, consisting of _, to be the person whose name is signed on the preceding or attached doe eat, and acknowledged to me that he s Signed it volwxtariiy for its stated purpose the free act and deed of said Trust. j Joseph A.Rosati ; NOTARY PURR,STATE OF NEW YORK — - f Registration No.01R06262265 ]blic Qualified in New Yak County My Comm issionExpires: Sly►/1G Commamon Expires'May 21,2016 E y Commonwealth of Massachusetts f i County of _ ,2012 E Before me, the undersigned notary public, personally appeared Joel H. Skolnick, who ` proved to me through satisfactory evidence of identification, consisting of to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated_ ' purpose. ° Notary Public My Commission Expires: ; i i • i • 1 Commonwealth of Massachusetts Barnstable, ss. ,2012 Before me, the undersigned notary public, personally appeared 1Sarah�Vti�endor-f-,'Trustee of Craigville Court Condominium Trust, who proved to me through satisfactory evidence of. identification, consisting of , to be the person whose name is signed on the preceding.or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose the free act and deed of said Trust. j Notary Public My Commission Expires: 3 Commonwealth of Massachusetts 4 County of hpit..Qd ,2012 Before me, the undersigned notary public, personally appeared fo Skolnick?who proved to me through satisfactory evidence of identification, consisting of to be the person whose name is signed on the preceding'or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. [:FIN JOHND.O'HARANO PUbhCNotary PublicMassachusetm, My mmission pires: ommission Expires Jan 18,2019 i Commonwealth of Massachusetts County of /tbv�; ^ U ;2012 Before me, the undersigned notary public, personally appeared JanaNkd d, who proved to me. through satisfactory evidence of identification, consisting of pia !l -tor%\r '5 I-, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that s e signed it voluntarily for its stated purpose. ' N Public 'a JOHN D.O'HARAIVI ommission Expires: Notary publk e Massachosetfa Commission Expires Jpn is,?019 5 1 t n ; c x. C) 5/4 x 6 DECKING ON 2 x 6 PT. JTS. @ 16"OC 00 ON 2' 2 X 8 PT. GIRT ON 12 SONO 4' DEEP . H _ o NOTE : DECK SURFACE IS 8"/15" ABOVE GRADE PROPOSED DECK FOR JOEL'SKOLNICK . 558 CRAIGVILLE BEACH RD. SCALE 1/2" = V CENTERVILLE MA. I 1TI ,,........ _.,.... " co r C) ( 5/4 DECKING ON 2;.x 6 PT. JTS. @ 1 6"OC ON 2-2 X 8 PT-. GIRT ON V 12" SON^v14' DEEP c _ 1 "o f w NOTE : DECK SURFACE IS 8 715' ABOVE GRADE _ J PRO?©SEADECK FOR JOEL SKOLNICK 558 CRAICtJ t_LE ?`ACP 21. t SCALE..1/2" _ z, CENTERVILLI-L- MA, S 8 14g 45 'f io, �8 54 ' �a , 0) FWD. 19 4' .� 6.9' .ti ——_�'— _ '09• 1 ti C.B. FND. 22 9 121, 9,903 R,4 Vf jG.fU 140 84 ' R I let m��Ts NO TE.• .PRE-EXISTING NONCONFORMING RES. ZONE- "RB Thit MORTGAGE' INSPECTION Plan is For FLOOD ZONE. ':C TOWN: — Bank Uae on, .. DEED REF: B! 3 REG'v'-; OWNER: fi'I E '— — — ��! —B U YE R: EFI�A d DATE: �ZL5/`L¢ _ . , N� — — 1,,—_- 3 PLAN RE,F: ._ 7!21 _SCALE: Q_—_F•r, I HEREBY CERTIFY, TO Sd4'QJt7C'H_6Q_CEM�yB�gBp�y_ . YANKEE SURVEY. __'_THAT THE BUILDING SH OF SHOWN •ON THIS PLAN IS LOCATED ON: THEY GROUND AS `` CONSULTANTS SHOWN; AND. THAT ITS -,POS.ITION DOES. ____ CONFORM PAUL bs T0: THE ZONING LAW. SETBACK REBUIREMEN'IS OF .THE MERiTHEYV J 40B (SUITE 1) TOWN OF _ B�BLv�'ZA.�.C,Fc. _ _ - ---AND THAT No. Og6 INDUSTRY ROAD T DOES NQT__ LIE WITHIN' I'HE SPECIAL FLOOD HAZARD ,� o MnRSTONs MILLS, .MA. 02648 1REA ,AS SHOWN ON THE H.U.D. MAP DATED_Z:�Z •,_� FCl7rEw TEL 42.8-0055. — 050001 OOOB D. FAX 4 c0-5553 - � L�_v__ THIS FLAN NOT MADE FROM, AN TRUMENT j4630 B✓S .�v S.URVEY NOT TO BE USED FOR FENCES ETC. 1 w0 F f OWN of THE CRAIGVILLE COURT CONDOMINIUA%n t,��� 8 F i l2- 13 �.;:. 1046 Main St.Suite 11 Telephone:508-420-0 Osterville,MA 02655 Fax:508-420-0789 December 11,2011 .* ' JOEL SKOLNICK PO BOX 441 . BROOKLINE MA 02446 Dear Joel, The Board of Trustees has met with regard for your request for an easement in order to place a deck outside of your unit and on the common area. By majority vote your request has been approved with the following stipulations. 1. The deck must conform to building code. 2. The deck must have the necessary permits as approved by the Town of Barnstable. 3. The deck must be no larger than 8'X10'so that it is not visible from the side yard or parking area. The deck must be no closer to the fence than 10'. `4—i4n'easement must tie recorded at the Barnstable Registry of Deeds? — -- --- 5. The easement must stipulate that the cosfto maintain and or replace the deck is the responsibility of the unit owner of Unit#9 in perpetuity. 6. The easement must stipulate that the deck can not be further expanded or enclosed. 7. The cost of drawing the easement will be your sole responsibility and delivered as a recorded document to the office of First Property Management prior to construction. 8. If you have not already,obtain sufficient property and liability coverage for your unit and deliver to the office of First Property Management a certificate of insurance naming the condominium association. I would suggest giving Brian Wall,Esq.a call at 508-888-7500. Brian is an attorney specializing in condominium law here on the Cape and is very reasonable with regard to fees. He is familiar with the process of drawing and recording this type of document. Thanks for you co operation. SinArely, An Witter CMCA, AMS,AR President, First Property Management cc:The Board of Trustees,Craigville Court Condominiums '` 3`�e}.a��y1�''�d,x� y,r r J'" 1+�'• ia.� �'+� ;i 14$..,, ~�►k�.2� �' '`°'�' 'y�'w � fad, � �''i...i' fp'4�.i `i dry t) `�" � SN. f .e"'RiW,. �k .� f r� �.„ !' •i�.°� s � _ '��`d;J�F � �.. r�. a * �L`� •,�„�• 7;.^'�j;s" i�. ' �. � � � s � � t ��• {� !w � a�� � �- � ;��F�A,.rt� ,ram' ��i'� r Ali AL It P — I-'. # 71 s IF dr i, r `t• 99 o - 57 p3 , 9;>' -_ __ __ FND. 1a g 9 g 4:0 O� 91 JZV C,B. FND. 22 9 I1. 98 Na')09'o3„W CRC jG 140 84 ' elwck$Art Fort NOTE.• PRE—EXISTING NONCONFORMING, � RES. ZONE. "R9" This MORTGAGE INSPECTION P!an Is For „ Henk Use on; FLOOD ZONE. C TOWN: REF': _ Q81' _ REGlRTRY OWNER: . Y,.__LE� _ DEED REF: -61 w _ —BUYER: .:BE` Y�' -- - --- DATE. jzLS/�.¢ PLAN REF: __CPa 1 _ SCALE: '� I HEREBY CERTIFY TO S'AYTTIGJy-0--o,�,R,gTfy��6A�y 1 _ 't'. ---THAT THE BUILDING tN of YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES CONFORM PAUL a� i0 THE ZONING LAW SETBACK REQUIREMENTS OF THE 408 (SUITE 1) rOWN OF ---BBBLV,�'fa&,Z_----_---- MERfTHEW ;;IINDUSTRY ROAD ___AND THAT N0. 14ogd T DOES_,N.D.T__ LIE WITHIN• THE SPECIAL FLOOD HAZARD o MARSTONS )41US, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_2 ��/_ 2,_._ FOmit TEL 428-0055 250001 0006 D. °�A< uK°5 FAX: 420-5553 k a-.------------ THIS FLAN NOT MADE FROM. AN-1 TRUMENT ..�` SURVEY NOT TO. BE USED FOR FENCES ETC. 14630 A✓S CM 5I Yl O 5/4 .x 6 DECKING ON 0l 2 x 6 PT. JTS. @ 16"OC ON 2-2 X 8 PT. GIRT ON 12" SONO 4' DEEP 1-o11 10 NOTE : DECK SURFACE IS 8"/15" ABOVE GRADE PROPOSED DECK FOR JOEL SKOLNICK 558 CRAIGVILLE BEACH RD. SCALE 1/2" = V CENTERVILLE MA. II 3 POc c LAJJ ►-��5E�T R�n)uf. . T-Wz-3 DVct ('5TAEr--T-4A-#Nf w t- Ar7-- ----------------------------------------------------------- DECKS ❑ If located in OKH or Hyannis Historic'District- Certificate of Appropriateness is needed ❑ Map/parcel number Sign-offs from: ❑ Health Conservationg Tax Collector Treasurer O er's name & address Deck Dimensions s ' ated Cost Complete dwelling information for the Assessor's dept. Appl' ant's telephone number Si ure r Plot Plan Two sets of plans with cross section.. ❑ fW-orkman s-Gom-p..form:Copy of.Insurance.Compliance_Certificate nust-be on-file. ❑ Construction Super's License AND Hoirie,Improvement Specialist's License OR ❑ CHomeowner,!License-Exempfio fo_.,rm� . Check expiration date on-license(s) - -� Application fee ❑''Permit fee Property Owner must sign Property Owner Letter of Permission. _ N s , a q-forms:permits l rev.010208 t i _ i� PERMIT'PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS,iMA 02601 DATE: 09/O6/11 TIME;4 16:09 i --— — -1L---- _ ----"—.TOTALS---- PERMIT=-$-PAID 100.00 . `AMT TENDERED: 100.00 AMT APPLIED: ,f100.00 CHANGE: .00 wa APPLICATION NUMBER: 201104735 PAYMENT METH: CHECK s PAYMENT'REF: 131 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f Parcel` X Application # Health Division Date Issued Conservation Division C/ Application Fee �W Planning Dept. - Permit Fee. Date Definitive Plan Approved by Planning Board Historic -OKH _ Preservation/Hyannis Project Street Address C K 19 1 (1 V )L L E C Xa fl__� Village S"i '!-P y /� r3 Is Owner �Q F L SKI L nl 1-CK Address 4-6 �£ fFc�nl-S Telephone (o 17 9 L 8 — L) ( o2 4�S Permit Request ef §quar e feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type Lot Size Grandfathered: ❑,Yes ;<No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 1+ Age of Existing Structure Historic House: ❑Yes ANo On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)_ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1 new Half: existing new Number of Bedrooms: / existing -Onew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑ Other . Central Air: ❑Yes ANo Fireplaces: Existing (� New Existing wood/coal stove: ❑Yes ANo Detached garage: ❑ existing ❑ new size Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Othec f CJ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review# 01, Current Use Proposed Use C) APPLICANT INFORMATION (BUILDER O OMEOWNE Name �o L S ` I L Telephone Number 6 17— l b 8 444 4 Address r1S r=).9 z_h h - License #-- -- 3 RooK L 14 r` -WI ff .02-4- Home Improvement Contractor# Worker's Compensation* ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ti U rn �S-CEI Q -A`�- 37 F R A-N I�/L) A) s� � ti ^ f+i�►v/ m 6 o2,+q SIGNATURE DATE i • FOR OFFICIAL USE ONLY • '` ;' 1 APPLICATION# DATE ISSUED MAP./PARCEL NO. k J - r• . r ADDRESS VILLAGE . . OWNER DATE OF INSPECTION: �. FOUNDATION •. } FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL �- PLUMBING: ROUGH - FINAL GAS: ROUGH FINAL FINAL BUILDING` - - DATE;CLOSED OUT ASSOCIATION PLAN NO. _ ` " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel J✓ Application # Health Division Date Issued I r,a Conservation Division ��(i Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board a Historic - OKH _ Preservation/ Hyannis X t i Project Street Address �S6 C i2 A 14 V ILL►- �� A C 0 'goA � �a� Village w E S'i f[ fy Is Jo Owner �o .6 L L. n) ) C K Address ko nJ$, I=►g !o i 7 9!0 4' oo► L a � Telephone 6 >2 K ) o d� Permit Request R Z b ct' 'G K ) 7 T;+. rya'+'1�.a-s.tiCvt[4Ft: >.'-. t Square feet: 1st floor.`existing proposed ' ��2nd floor ehxisting proposed Total new Zoning District Flood Plain 7, < t . Groundwater Overlay Project Valuation o 00 Construction-Type rr f 1 S Lot Size Grandfathered: ❑,Yes F'XNo If yes, attach supporting documentation: Dwelling,Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age �of/Existing Structure Historic House: ❑Yes ANo On OldKing's Highway: ❑Yes XNo B/sement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other, Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new Half: existing Cfl new Number of Bedrooms: / existing Inew Total Room Count (not including baths): existing,~-, {�' new First Floor Room Count Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ANo Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes ANo 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 ❑ ;. 01 Commercial ❑Yes I(No If yes, site plan review# 9 H Current Use k Proposed Use n APPLICANT (BUILDER ORC>K>KOMEOWNER RA Name �0 6 L S t. i C_ Telephone Number h 1, address �° l�� E4��rJS 1= 1.9 4, h La License # d eo J; L )>J F 1Y1 14 oZ 4¢S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ` b 14 rn �is- '�,2, -A-r- ; 37 Fie M K).) iQS t !J a I�04 r� . M 4 62+`I'- f SIGNATURE 7t-� 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 Office of Investigations k9JF 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_ � £ L S p L )C �Adciress: ` c, his_ A C'c , S ► s L I� l� City/State/Zip: 2ao 1, £ a2¢�FS Phone #: Are you an employer?Check the appropriate box: I am a general contractor and I Type of project(required): 4. . 1`❑ I am a employer with ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' o workers' comp. ins comp.insurance$ 9• ❑Building addition � insurance P P required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 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 insurance required.] t c. 152, §1(4),and we have no 12.❑Roof repairs employees. [No workers' 13.[Z Other A f'Cg 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.Lie.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afore: LPh CDatL_- _C f'a one# — $— Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Op THE Tp� Town of Barnstable Regulatory Services IAMSTABLE, : Thomas F.Geiler,Director MASS. �pT i639. pm Building Division FD N►p2l Tom Perry,Building Commissioner`. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATf�TE_7 "�11p 1 J' JOB'LOCATION s'S �i (�. (� `/_I-C! C It I1' ® 1 C r" r{0 1 LLc— number street village j HOMEOWNER /J 1C name y� p home phone# P work phone# CURRENT MAILING ADDRESS+"""`—_r.-G AG)4z) AE H)ft 0z4-4-6 ' city/town state zip code The current exemption for"homeowners"-was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a.license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home:in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �S atu e of Homeowner App ooval'of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required'to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions - of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �IHWE Town of Barnstable- ' . Regulatory Services * BARNSTABLE. • +es Thomas F.Geiler,Director Building Division FD Mp`l� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i as Owner of the subject property hereby authorize to act on my behalf, in all rnatters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Sig nature gnature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMIS SIONPOOLS r I 17 /o_J.. f nol'F k�TI ;£7"Bt�C�S 76, -ro 120.4' �0) C FND. 19. �_ __ _ i 17 Og Wit' -� 4 �O 5 �i1C 189 ti ---- - - 18� g — _ C R. _ —7—% MD. I gB a NB2 09'03„ 4 CR-4 IC v 140.84' LE i � : RD � NOT. ' PRE®EA7STNG N0JVC01VF0RY11VG•' RES. ZONE.- "R,6" This MORTGACE INSPECTION Plan is For FLOOD ZONE• TOWN: _ YMM q&T Bank Use on, DEED REF: ®B! 3, — - REGISTRY OWNER: Y�RILLE� DATE: P 5/Qg —BUYER: �F�'A — — _ PLAN REF: _,37_ — — — —SCALE:i' _F r7 I HEREBY CERTIFY TO SA�!Q�yZ�j_�� Tf ^8��r� THAT THE BUILDING �r'A of YANKEE SURVEY SHOWN ON THIS PLAN 1S®LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES CONFORM y PAUL TO TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERfTHEW 40B (SUITE I) R TOWN OF ---L948NSZ -------------AND THAT No. 32096 INDUSTRY ROAD T DOES__1V_ZT_ LIE WITHIN. THE SPECIAL FLOOD HAZARD FC� p MARSTONS MILLS. MA, 02648 1REA AS SHOWN ON THE H,U.D. MAP DATED_i✓�JQ__._ � SEaE TEL 428-0055 250001 O.00B D °#41 Lai®5 FAX 420-5553 'T'A 7 ----- THIS PLAN NOT MADE FROM. AN TRUMENT SURVEY, NOT TO RE USED FOR FENCES, ETC, 14630 BJS Bldg. Dept. 200 Main St. U.S.POSTAGE>>PITNErsOWES Hyannis, Ma. 02601 4! ZIP 02601 $ 000.44 02 1 YV 0001.361475 SEP.. 0.7. 2011. CM f� I CD ' Joel Skolnick 40 Beaconsfield Rd. ` CD v Brookline, Mp=n?aaF WMA NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD *LEII9S9-1�1 O 11`S9--11O7'--4.S =.J sf'7;'Fi^ ' > `•`~ 'j fill 11111.1l1lI.1f�111ti91�11t111��/})l:t3l.f-/lt)t.t�t)J.1�1113-tf�1� Bern !2D It 9 C VT . ,i' i. - ,! oF1"HE i Town of Barnstable Regulatory Services � r 't &UMSTABLE. MASS. �, Thomas F.G.eiler,Director 1639. Building Division Tom Perry,Building.Commissioner 200 Main Street,Hyannis;MA 02601 Offi6e: 508-862-4038 Fax: 508-790-6230 September 7, 2011 2. Joel Skolnick 40 Beaconsfield Rd. Brookline, Ma. 02445 RE: 558 Craigville Beach Rd. Unit 9, Centerville Map: 246 Parcel: 035 001 Dear Mr. Skolnick: This letter is toi inform,,you that this office has become aware of the.construction of a deck at the above referenced address built without the benefit'of a building permit: Furthermore, based on information submitted and an on site inspection,the existing deck is also in violation of the Zoning Ordinance of the Town of Barnstable You are hereby ordered to remove the deck or obtain the proper permits with successful completion of all subsequent inspections. In regards to your permit application submitted on September 6, 2011; the plans submitted do not match the deck built; or your intent, based on our conversation this morning.A.variance�granted by--the Zoning Board of-Appeals-would-be needed before a' building permit could be issued for the existing deck.Thank you for.your immediate attention in this matter. By Order, h W. ;, tK. ' a �t Wre ."L *. t+. ,<tx'' , uzon J Local Inspector (508) 862=4034- Qzoning5 r � y� 8� v 558 Craig. Bch . Rd. , Cent. -0-9 8/25/2011 55f� Crain _ R(-.h _ Rd _ _ Cent 8/25/ -011 ..� 40 F + r k `t 1: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map o'2 Parcel Permit# f Health Division- 9 �/ ��.Ot��� �GD�` � Date Issued L(� Conservation Division 3/�TZ Fee. w Tax Collector 3I q 01 .t --� -_� I L. . `SEPTIC SYSTEM FAUST 07 Treasurer "'P INSTALLED IN C0MPL1A%Xi•s,_ Planning Dept. MAR, 9.2001- JN ' WITH TITLE 5 sh•�, ENVIRONMENTAL CURE Alf Date Definitive Plan Approved b Planning Board �- pP Y 9 Historic-OKH Preservation/Hyannis Project Street Address 2:'1 1 Village ( ,GYI ffiV-u .Owner mzq r M Address Telephone ,F Permit Request LPG/ -7�7�fl�d6fv ,r,J�YY Lif I(�J "' �/�c.tT- S`;1 1"�9/'�'"U►"'�- f� {7 0� a �i��t.cr r'lrn Square feet: 1 st floor: existing proposed 2nd floor: existing _ propose _ Total new Valuation _ Zoning District R,6 Flood Plain A)I Groundwater Overlay I Construction Type O `© S Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �!;"6 Historic House: .❑Yes �*o On Old King's Highway: 0 Yes111,110 Basement Type: Full ❑Crawl ❑Walkout ❑Other S"vec C_o Gt.d D I—✓c�Se w�� /_// Basement Finished Area(sq.ft.) �7 Basement Unfinished Area(sq.ft) I zG1? (549a rep) Number of Baths: Full: existing Z new Z Half:existing new Number of Bedrooms: existing_Z new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: kGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes INo Fireplaces: Existing New Existing wood/coal stove: U Yes to 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 n60To If yes,site plan review# Current Use ( �l�l ��(� — 46/,&i'X,, roposed Use �r BUILDER INFORMATION / Name r k Telephone Number Address License# PO Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ CT WILL BE TAKEN TO as , ( - SIGNATURE DATE /�� FOR OFFICIAL USE ONLY PERMIT NO. - - DATE ISSUED t `' MAP/PARCEL NO. �' r ADDRESS; ..7 p ^� wq VILLAGE OWNER , 1 i r DATE OF INSPECTION FOUNDATION t FRAME i INSULATION z FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . GAS: ROUGH. '-" FINAL FINAL BUILDING DATE CLOSED10UT i ASSOCJATION PLAN NO. - Et . CF THE T • The Town of . ; Barnstable „uMszAB 1659 A�O Regulatory Services 'DrEo � Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner i 367 Main Street,Hyannis 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: vL - Estimated C Address of Work: Owner's Name: (/ Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied 'Owner pulling own permit Notice is hereby given that:: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 3 C ° Date Own s me q:forms:Affidav EST/MA TED PROJECT COST WORKSHEET LIVING SPACE h Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X'$251sq. foot= PORCH square feet X$20/sq. foot DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value y ��— .M . i WIX1 1 11 1 1 1 1 1 1 1 1 / ! ffl � _ r . 11 1 �//1 • • • • • 1 '• 1. 1 Y• 111•./I 'I:t1 • 1 • 11 :1111• • ' 111.. I • 1 1 •• r l 11 1 1 11 1 1 ////////////////// //////////////////////////////////////////////////////////////////////////// ////////////////////////////////////////////////////////////////////////////////////�//� ,. .111 • • ••1 • ' J1 1 1 1 1 •) 1 1 11 �1 I �1 / 1 1 1 1 �• / Y• 11• • �1 • • ' 1• 1 . In1 1 1 mall I 1 /rn/ri�i�yr yi/i/i'/e'Ti%gy//iyuviWzw������������������������������������������������ o H r I I I I I , �f of"dal city or town: persuitfilconse# OBuilding 1epartment 1 Board ■ check ifimmediaterespon2e is required • . oince 1� tpartment ■ \\v\J\\ 1 Iffigill . oil I I 1 11 • • • • • -• • I11 1 1 d / • •11�• r • • 11 off, I II•:I 1 •t11 . • g • I • I I • II • of •M I •I • r• . Isle • • 1 # J: :1.111 r 1 • • 11 • - • g 11 • 111 :111 r 1 • 1 • / • 1 _Y. • L1•IY.1• ti • • - �• :1111• • • 1 • I • 1 1 I • • •1 1 1• •M • •II • • 1�1 - '�% �1/III �1111• • 11 • �II11• • • • •/ • • I�1 • • • 1 ' 1• 1 11 • 1 • 11 • 1 .11 11 •1• 111-lol •11 I •' 1 • tiY / 1 :11/ • 1 • 1 • .11 • 1 I ' 11 • 1 • • I• o•1 • I • �II11• • • •II I I • II 1111�11 1 V- •11 • I Mt •II •) I. I • • •, •1• / • I/ • /• • •I/ 1 'J •11•• •1 • • 1 • • • .11 •1 / • 1 I 1 • • V:1 • 1 �11111 • 11.,11 I •�-I/1�• • I 1 :+1111 • 1 • �1 • •I/ • Y.1/- 1 .1 1 1 1 1 ' 1 1 1 1 1 1 I / 1 1 • 1 1 1 1 1 1 11 1 1 1 11 11 1 1 1 1 ' I I II•11 1�11 1-1 1 •Igloo•1 •iji4t lose I • 1 VAO IA •• II W. • • Y •11 / �1111./ 1111I .11 •111• • 1 I • 1 / • • • • • •. III• • • - •�1/ • •IIIII 1 It/ 11 11 11 .1/ V' �• 111 -1111-1IIA • I / ./• -1 / •w�1/ • �111 �• • 1 - coot •oo ' I „ 11 11 •'• •.��1 •IIIII.11 W,It •II •I / ' 1 «•IIIU 111 1 1� ,•11 ' 11 - I • 1/ .1 • I • • 1 Y111 .1• •II .11 1 I 019 is • •Iof -let 1 .11/ I •I .11 • I 1 •II 111111 I�1•. •II ' • III V tir W1/' • 11 II .11 « I •• • I1. 11 I •to • �• • 1 1 • I11-111 •I 1 I11 • MM •-I III, m «•II I I as Ilk 1 •II • 11 11 .11 V� «• .1 I 1 o 11 11 I 1 1 - Irma 1 -1/11.1 .•• /• 11 - MI �I II I• •' 1 1 .1 •1 .1• t w.it •11 • 1 •�II1111 • �•1 „ . yy .... /L• III) •1 / I .1 I11 till e is II III tr k I k 11 fell I f4 Jklisli a 1 . .11 . w . .11 J: •n1 • 1 •1 I ►• • • I Y.111 '•Ir.•-1 «•I I I II-•I '✓.1I •11 91011 Iat1 1 I .I III-III .1 II /II111 •-1 I_• I • ' �: . I .I -1� . :. . . ' 1 .loll. -•l .11 . . /11 _. J I 1 / . . I./-1/1 1 . . . .�. . . .1 1/ I . 1 .111 Ill• • • • 7I • 11 11 11 -111 /l i• V • be III I k L.Ios 14 «•otl Y. •• 1 .•t/. • n • I .1I I ✓.In ./. • • I/ 61 I.4491141FVtil III111 •.•1 1 1 I I \-1 ,,.11-1 -II V III111 I-1 1 •I • IA II I I11.1_• " I ••I�1• • 11 Is VNI11 • •1-1 .1 .11 • -Ito-look 1 I_-•1 01 l • • i• • / • r I •Il • • I ?.We 1 • 11 • 1 • • •• •.1 •U •I /• /• I • 1 •1/ • -� • •1 •• I• 1 ' .1 • U •.: 1 1 1 11 11 1 1 1 / . 11 1 1 1 1FMI ' I 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I Property Location: 558 CRAIGVILLE BEACH RD MAP ID: 246/035/OOJ// Vision ID:17108 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 03/09/2001 t$ ON DMAIL r. aN Element Ca. Gn. Vescription Commercial Data Elements ty e ype 5 Uondomamum Element Description Model 1 Residential Heat Grade C C Frame Type Baths/Plumbing Stories 1 1 Story ccupancy 00Ceiling/Wall ooms/Prtns Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 3 sph/F Gls/Cmp Interior Wall 1 D5 Drywall 2 Element Gode Description Vactor Interior Floor 1 ZO rypical Complex 2 Floor Adj 100 Unit Location 110 MA 110 eating Fuel 3 as Heating Type 4 Hot Air Number of Units C Type 1 None Number of Levels /a Ownership Bedrooms 1 1 Bedroom Bathrooms 1 1 Bathroom ., .., WIN 10 1 Full unadj.Base Kate Total Rooms 2 Rooms Size Adj.Factor 1.72059 ade(Q)Index 0.94 ath Type Adj.Base Rate 97.85 Kitchen Style Bldg.Value New 41,586 Year Built ff.Year Built 1975 rml Physcl Dep 22 uncnl Obslnc con Obslnc pec1.Cond.Code MOWN. , _. ,: '+ ". pecl-Cond% —3170211—Go de DescriptionPercentage�on ommm iuu Overall%Cond. 78 eprec.Bldg Value 32,400 Code FDescription LIB Units Unit Price Yr. Ep Rl %Cnd Apr. Value Code Description LiVingArea uroSSArea kjj.Area Unit Cast Undeprec. value BAN First Floor 425 97.85 t ross " ease Area g Val: Property Location: 558 CRAIGVELLE BEACH RD MAP ID: 246/035/OOJ// Vision ID: 17108 Other ID: Bldg#: 1 Card I of 1 Print Date:03/09/2001 U(_':A, 11UJV LEV Y,MAICKescription Code I Appraised value Assessed value %C JOHNSON&CO 1020 32,400 32,40U P 0 BOX 1100 801 CENTERVILLE,MA 02632 Barnstable 2000,MA ccounan Ket. rax Dist. 300 Land Ct# Per.Prop. #SR Life Estate #DL I Notes: VISION #DL 2 GIS ID: 7,.t.11 32,400 i2,40U SAL&VA 0UWI jW A "MP"A , LEV Y,MAR14L BMW ij/ luu,"uu 1, Yr. Co del ASSesseavatue Yr. Code Assessed Value r. Code Assessed Value SENTRY FEDERAL SAVINGS BANK 7166/345 05/15/1990 U 1 100 L 1999 1U2U —1.94-999 1020 32,400 BOYDSTON,CLARK&MARY TRS 5002/063 04/15/1986 U 1 515,000 N LAFLEUR,BARBARA A 4672/338 08/15/1985 U 1 415,000 N To—tal: 32,4UUi 7—ot—aT- 32, —7-6—taW 22,IUU I his signature acknowledges a visit by Data Collector or Asseis—or IYP fe elDescription Description Number Amount Comm- Year Amount Code Appraised Bldg.Value(Card) 32,400 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 Tatald .1-z Appraised Land Value(Bldg) 0 V? Special Land Value W 1. Total Appraised Card Value 32,400 Total Appraised Parcel Value 32,400 Valuation Method: CostlMarket Valuation NetTotal Appraised Parcel Value 32,41,10 Permit ID Issue Date lype Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Resull 'A4 3� • ILV "A" t� ?" mw w H# Use Code Description one D 1,rontage Depth Units Unit Price 1.Pactor S.I. C.Factor Nbha. Adj. Notes-Adj15pecial Pricing b j. Unit Price an Value T____TU29_Uondomiffiu 3 U.ui Nr OZ. 1.uu 5 LUU 0142 1.00 SPUL(l)(1)Aotes: 0 L 1otal Card�a U.UUIA%-1 Parcel I otal an Area: 6.0 �bfal an Fatal ffwc� qr/ s 4 � PLA��� jJviIjLL Q�,i AJ Z„ Sono-tAvo 5jo Ott _ , r i, eta vG� s s 8 c►-�:5�,l l� 7"�a� �d_ C) Ol0/b3S~- P r goa - Zkto °9AFTMS II��� p.�• wit- Zxto RAFTgRS )V%o.c,- ,�1 P+TAN ou t,E 'LAC +1EAds R IF\ I NU DwGLt-I.jJ� x Posts p.C. D�CK►NG DOUBLE 2x8 .G RA DE I � h 01. C. ti 9. -_--_- - - FND. 9 le 9 .01 .i� o; FM 01) NB2�990' „ VIZZE - RD NO M PRE—EXISTING N0NC0NF0RYUNG. , RES. ZONE. "RB" This MORTGACE .INSPECTION Ec Plan Is For FLOOD ZONE.• "C" TOWN: .�'F< _. REGISTRY OWNER; nk v�� on,Y. DEED REF: —�1 Qf T' � AR EV DATE: 5/,Qg _ 8UYER: —RE' — -- — PLAN F1�A — — _ 1 HEREBY CERTIFY TO &$•,d1Ypfj�-QQ REF' - 7 _ — — SCALE: 1'= _ .B,dZYYE BAd�ff r. _THAT THE BUILDING �'A of YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN AND THAT ITS POSITION DOES CONFORM CONSULTANTS TO THE ZONING LAW SETBACK KE@UIREMEN'fS OF THE PAIUL aA. � TOWN OF __ BBBLy��___-___-__ MERiTHEW � 408 (SUITE l) IT DOES_ _ _AND THAT No. VON. INDUSTRY ROAD -N.Q�_ LIE WITHIN• THE SPECIAL FLOOD HAZARD a� AREA AS SHOWN ON THE H.U.D. MAP DATED_ M^RSTONs MII�-5, MA. 02848 PF 250001 0008 D. TEL 428-0055 FAX: 420-5553 THIS FLAN NOT MADE FROb4. AN TRUMENT SURVEY NOT TO BE USED FOR FENCES ETC. 14630 A✓S r The Town of Barnstable Bnxrtsr"UM MAM 1659. � Regulatory Services '°rEDnta'tp Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:^M iE C C!l(//')"LPpl�— number c street village "HOMEOWNER": V L G name hodie phone# n work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and. other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proced res ao requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMM N ' TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION -001+ Map C? Parcel 3 3MSTEN1 a5k;3-i y1,- Permit# �J ��d�Ll9 : _ �S I Health Division , Date Issued 5 r Conservation Division ��®NMEf�1°�L C f', ;;J Fee 7 Tax Collector ' " i R , L. ��., c�©1 / Treasurer 3� �o`tliobI. Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 4 ( M� e.. =xis Village .C f-ery( ( � Owner Address C,740P,14 4!�� Telephone (D — Permit Request �14Q�i to e�G i'`sfii n t) Seta PGlCl �e C_o_L.)Ste- e Square feet: g d st floor: existing propose 2nd floor: existing proposed Total new y 6 Valuation � OX Zoning District 9�5 Flood Plain (.._/► Groundwater Overlay Construction Type k�064 1 ►'e�?, Q Lot Size ��.� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Fami y )54 Two Family ❑ Multi-Family(#units) Age of Existing Structure Awlrw Historic House: ❑Yes 4,o 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 Z Half:existing new Number of Bedrooms: existing / new Total Room Count(not including baths): existingnew C First Floor Room Count Heat Type and Fuel: l9,0as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes JN(No Fireplaces: Existing /U 0 New Existing wood/coal stove: ❑Yes 'No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:.Cl 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 L-)I zo Proposed Use ri BUILDER INFORMATION Name ( )� Telephone Number Address License#` Home Improvement Contractor# -Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO i/kS SIGNATURE DATE FOR OFFICIAL USE ONLY 4 PERMIT NO. DATE ISSUED MAP/PARCEL NO.-- ADDRESS VILLAGE ? $ OWNER r DATE OF,,IN.SPJCTION FOUNDATyI&�E . FRAME INSULATION ' FIREPLACE s ELECTRICAL: ROUGH FINAL rf PLUMBING: ROUGH FINAL :' GAS: ROUGH FINAL FINAL BUILDING r r DATE CLOSED OUT ASSOCIATION PLAN NO. f r , EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X-$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= " �Total Estimated Project Value l dvb e . �arrsr,�.E. The Town of Barnstable 59. Regulatory Services '�Eo ►t• Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 0260I 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: Estimated Cost Z6±60 Address of Work: ' l JI?�T-g /�� �p�r�i► � L� Y�'lJ G/�, �Z�v32 Owner's Name:— YVIIA-f[PL 0 Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied (S�)wner pulling own permit Notice is hereby given that: \ OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Dad Ow er' ame gl6mis:AfBdav / s -ram T .v./ s /stt•,:,gsiits:;gt! // //���.�.' � ���=3%<%�'�°4:: U 1_ar 1/ 1. 11�. •• 1 i1 •..1• ••11 1 • • •, 11 . 11 1 �1111• • ' . • • • 1 ' • .1 .'• 1.1•.1• vll •11 a 11 �1/11• • •� • ..� 1 • • 1 1 •1 11 . II 1 1 1 11 1 I I .111 . • .• . - •) � ❑, - 1 1 • w 1 • 1 1 ,1 LI � , .11 • 1 1 L• / •�•111• .) -• .- • • ••1. 1 • 1 . • • 1 • • •. �1 •'•I111•.11 '✓.11 •11 .• •� 1 + Q INTO qr _� x. rF 1 1� 1 '.• 1 II / I '1•i1 f� All ofurfal use only do,not write in this am to be completed by ckty or tovm oMdsl dty or town: perntimcensco C3Bugding Department OUcensing Board cheickiflunnedlate■ response ■Selectmen's • •. ct CHealth Department 00ther contact person: phone#*1 i <:?`: ....::::........ :.:. its I of 1 1 1. - . L1. .. . . .. . 1 1 �1/U1 . . . . . - . . .III•:1• ... .- ' :1//11 • �•� • • �• • •Itl 1 1 J / I • •11�• :1 •.f •1 1 1 • 1• • 11• I I J I I % • •11�• / 1! • • • •1 • of ••1 • •11 • •• .II • • •/• 1 • • • 1/ • :1/ •r. • • 1 • 11 :/•1 � • 1 • 1 • 11 • 1 �•'J: • ��1/1Y.1• • • / II •1 •1 • •/�1 / • • • •It • • I.1 •r. il•1.1 �•••1• • 1• • :•rIl• • • • G 1 • • 1 M • • • 1 • • • 1 11 • 1 • II • okbes / • •••w/l I• • 1 • .•.Y •w. /..1 �11• • •1 • • /1 • i • • 1• 1• • 1• •;.1 melon It .Itll :•• 1 M' •11 • / «• •11 • r 1 • • • II • I 1 1�1• /1 /•'• �11• 1 I 1 • /_M: • I I �11.1/ • 11 w•I pT-T_61_oI#f-*G ton11.6iv.11 �1/11• • �/ / 1 Iw L«• •II • Y.IIw II ./ 1 1 / Y 1 - I 1 1 1 1 / 1 - 1 1 1 1 1 r 111 1 1 1 - .1 1 I I Y 1 1 1 1 1 1 • I r ► 1 I 1 J. 1 •1 1 11111 1 1 1 / 1 • I I 1 1 1 I 1 1 :.• 1 1 1 1 1 1 11 1 1 1 1 I 11 I r 1 •111111•11 ••�•'% 1./ 1 •1 .11 • •I IA •• 1• W. 1 r •1 Y •11 1 I ../1/N 1.11• .11 • V•1111 M 1•t 11 •�1 • •I• .11 • • 1 1 • • ., I • ►= . •�11 V •) V•1111/ .11 V • III 11 11 11 .•/ V _• 111 wll w•IA •1 •11 • .1• 1�1 1 •_w• • w. =1.1 �I • I• •III• .1 1 1•1.1 ' ' • 1 1 w I 11 /1 •/1/./�1•. V•1/11r w• `✓.1• 011 •/ • • 1 N•1111/ -11 I Mt_ .-G11 • 11 •to. 11 .1 .18 • to • 11 YI.1 .t••1• .1•• II• / 11 • v•I/•Ir .11 /V.111 • /1 _.y ,11 • I 1 •11 1111.1 /.... /11 • I11 Vti ••• W.I/ •) II /I .11 M I •• • A /I Y • rl•111./-6-4 1• OT41 • .1 ilsfol-wiffe1 11 •1/ •• MN • w•IA 1•I v•IIII1111 V.IY •11 •1 11 1/�:11 V Y• •�1 •• 1 1 11 / JI / 1 •1 11 1 �1 •• • • 1 1 • 1 • r w1/1.1_• /• 11 - Ni y •1 1• •' 1 11 .1 11 .1• • ✓.1• •II 1•I /1 •�1.1111 •1 �•• 1.A 11 • _. 1 .� 1_• Ito) 11 . .1 111 wa /1 1 111 .. VM . ....11/. 11 . 1its Log• I Gsk 1. 1 • • 1 � 1 •1/ w Y• •111 • 11 YI _• 1// -• /• • I r'.111 •1•.•wA v•11111-•1 v:l• •11 / • / .': I /1 � -•r✓. •11-•11 .1 /1 111111 •-. ILI I • �/jj����j��j------jjj�����j�j��/�/��j�� 1 1 1 1"'1 • 1.1 •1 .1 /1 i• • • 1 V•11 IlY /" .11 •6II Irll_• �.•J • 1 1 • .• •11 w•1 1 I • •�• • �' ,1 /1 •.• •1 1 • ••• 1 ••Iy • I I• :ii 1 II 11 1/ - wtl /1 •• Y • 1 •.�`II •Y.1• •111. 1 1• V•IIIY. N •• I •Y./ •11. II .1• • M:1/1 I 11 1• I II II •N•IIII Yw1 /11111 /�1 • 1 • I • I _• -/1�. w/ 111111 •�1 1 .• • A 11✓• / •./••W-• t1 , • •/• wrl • • 11 •1 11 • 11 N • .1• • w11.••I• IV. •_..1 I. 1 1 / •• • 1 •w. • •Y•1• •11 ••• I • I• I• .11 • 11 I • .11 Y •I • • 1 V•• 1.. .1• •11 .11 • 1 • • • 1 ,11 1 � ••1 1 is • • 1 • /w,Yl✓.II- 1• •J 1 ✓. I 1 ' • •II�••1 ••1 w. 1 • I•11 .II • Y•• 11 11/ 1 ti 1 1 11 11 1 1 1 � 1 A ' • O11 I 1 1 1I'm 1 1 1 I I 1 1 1 1 1 III � 1 1 1 1 1 1 1 1 ' III 11 ' I I 1 r O v The, Town of Barnstable • a�saysrnstr. • _ - 1mg Regulatory Services 1619. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J Please Print DATE: JOB LOCATION: a:,_ 4), #. GA46yu i t(� number I' street village "HOMEOWNER": y Gi� z1'r4 Ci'.=�j Q.3 t a iF name home phone work phone i CURRENT MAILING ADDRESS: lU C �7r�h S Get �/>- t�D J1C l L G U city/town state zip co e The current exemption for_homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, -provided that the owner acts as supervisor. DEFE TI ION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedpres and requirements. §t:gnaWWof Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that- "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is,a form currently used by several towns. You may care t amend and adopt such a foitn/certifrcation for use in your community. Q:F0AMS:EXEMPTN ,tea✓ �a� P a ���oT ,Ss'8 SAT 106 o CSC f�CPLAC- X1 5 106'7 Ad C)w „ems: - ��-da3 10 jo �Z Sonotvbe5 � . a Vhc`f' 4-7 _ v 10 Z ►v 9,AFlt=RS Il.„ p.L. Witij ZX lO RAFrg R5 1.� P�TLN ov LE 2x8 �EaDs . -. G Vq PoSTs DF K 1 QG DOUBLE 2X8 _GRADE- rT . - FLoof� 1 S APP two �� i r B1.4 4 4 f 0 , C B. S� 0'? i 20 a 40, � 0, 76 1 -0•- - - CB \ t 22 - O J2r 9,9 �y 4 j 140. 64 , 1 hLLL� _ • 8.��C NOTF PRE—EXISTING NONCONFORMING,^ RES. ZONE. "RB'" This MORTGAGE INSPECTION TOWN; �s'F.SZ Peen t9 For HYAN �T ----- REGISTRY OWNER: H°nk Uae Oni FLOOD ZONE. "C" DEED REF: _81� �f6RIs LEA _ DATE: _ --- -BUYER: n' - _ 1 HEREBY CERTIFY TO PLAN REF:7C — S -- — S6�'I1���'H_QQQ;p�.C�A.ZlYE�89cYff_ —'• — CALE:l _THAT THE BUILDING- OF YANKEEE SURVEY SHOWN ON THIS PLAN IS LOCATF,D ON THE GROUND AS SHOWN AND THAT ITS POSITION DOES __ _ CONSULTANTS TO THE ZONING LAW SET6ACK REQUIREMEN'iSCONFOR PAUL a TOWN OF _ 88BN,�ZQ,Q,( _ A. 408 (SUITE I} IT pOES_•LV-U_ LIE WITHIN THE SHC1AL FLOOD AND N THAT MERIToN "x No. 3Qo98 INDUSTRY ROAD AREA AS SHOWN ON THE HAZARD p MARSTONS WILLS, MA. 02648 250001 OOOB l�TED_Z%/� _ - 4yo Fc��EaES TEL 428-0055 _ ��t "`x� FAX: 420-5553 SURVEY,ANOTOTOHBE USED FOR W F'ENCESAT)E FROM, AN ME A✓S 14630 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO Map Parcel �'- - 'ermit# 3 �. Health Division �r� Date Is ed ?r1a3'— Conservation Division Fee Tax Collector - /'Y'�` — -- SEPTIC SYSTEM MUST SE Treasurer �Pi06 INSTALLED IN COMPLIANCE �r WITH,TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic OKH Preservation/Hyannis eo%y /y 0o L ✓✓+� ��LfUN UI I�Ct�JOt�T Project Street Address �U Village G � o Owner Address Telephone Permit Request Square feet: 1 st flo : eisting' proposed 2nd floor: existing proposed _ Total new S� C Valuation Zoning District Flood Plain Groundwater Overlay Construction Type U �p1(� Lot Size Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) �D Age of Existing Structure Historic House: ❑Yes .4VNo On Old King's Highway: ❑Yes '• No a•- Basement Type: K.Full JWCrawl ❑Walkout ❑Other s Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ��,o 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: CGas ❑Oil ❑ Electric ❑Other (C'e/�nttrrall Air: ❑Yes Fireplaces: Existing / New Existinggw�ood/coal stove: ❑Yes No , ' 8ac`hed garage:❑existing ❑new size Fr6oY O existing ❑new size Barn: existing ❑new size garage:❑existing ❑new size Stfeq❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes WNo If yes, site plan review# Current Use Proposed Use Ca- 42 C:. BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation A— ALL # CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �;svLn SIGNATURE DATE i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUEDr M MAP/PARCEL NO. • � '. � ¢• y , � - ' "'`� .'�; - :�: _ ter. - X .:j• T � ADDRESS t VILLAGE- OWNER K ' e t } DATE OF INSPECTION: ! �; FOUNDATION f t s FRAME Y, r • . INSULATIdN - FIREPLACE i ELECTRICAL: ROUGH r FiNAL l ; PLUMBING: ROUGH YWL GAS: ROUGH-� FIlkAL x FINAL-BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' � 4 The Commonwealth of Massachusetts Department of Industrial Accidents -�-"�`--�� Offrc�ollo�esligstions "Y�r :y. is'ii»�" C:'=--- •� _ _ •600 Washington Street r Boston,Mass. 02111 ti ram. ' workers' Com ensation Insurance davit '/,/ name: location: ctty �0 /�•f • (/ —f0 L� phone C I am a homeowner performing all work myself. i am a sole proprietor and have no one ivorkinnp�in any capacity [� I am 11 an empiover providing workers' compensation for my employees working on this job comnnnv name: ....: address: .. . >_ hone#:•. . city: olicv#�////%/%///%%///�%%//////%///Di / a /K I am a sole proprietor, general contractor• or homeowner( cle one)and have hired the contractors listed below who have _ the follo«zng workers compensation polices: : . c comoanv name: J/ /I l� address ..:: ...•• ><.. : � hone#: city: << :. .. ....• ...::: . :.�:.: insarance co. 11117111711714 / // • �••/�/`;.: comnnnv name: wr address: one# city- CMV ...11.. insarance co. Failure to secure coverage as required under Section 25A of MGL 1or 52 cars lead to the imposition of criminal penaltin ga s fine . to understand thatand a one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against ma I understand that a copy of this statement may be forwarded to the once of Investigations of the DIA for coverage verification. 1 do herebv certify der the pains and penalties of perjury that the information provided above is truo and correct Date 9 /1 - Signature Phone# Print name awl ...... ..::.... ..... . e v o�Ilci l use only do not write in this area to be completed by city or town ofIIcial permit/license# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office 7 check if immediate resporue is required ❑health Department contact person: phone#; ❑Other. ;f W ,:S Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for cow employees. As quoted from the"law",an employee is defined as every person in the service of another under any of hire, express or implied, oral or written. An employer is defined as an individual,p artnership, 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 r legal entity, employing employees. However the owner of a trustee of an individual,partnership, association or othe 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 an the grounds c building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renes of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherr the ork until commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public ,��n o acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the co authority. 2014*22 Applicants Please fill in the workers' compensation affidavit completely,by checkingthe box that applies to your situation and supplying company names, address and phone numbers along with a Hof a ash o be pure tts gn and $: Accidents for confirmation submitted to the Department of Industrialcoverage- for the permit or license is 3 should be returned to the city or town that the application 4 .xE date the affidavit. The affidavit ���y�Nstl�regarding t`law"or if yc being requested,not the Department of Industrial Accidents. Should you workers comp easation policy,please call the Department at the number listed below. are required to obtain aAff City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of t ,fill out to the event the Office of has to contact you regarding the applies. Please affidavit for you to v __- enumberwhich wdl be used as a reference number. The affidavits may be rebnrned to be sure to fill"the permrtJl ceps _ the Departmen f by mad or FAX unless a=arrangements have been made- The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Dina of IwOsduallons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 osVE rpm The 'Town of Barnstable $p$2$8rA8rE 9� S epartment of Health Saf �e�' Dety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Permit no. Date a . 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 g owner-occupied , building containing at least one but not more than four dwelling twits or to structures which are adjacent to such residence or building be done by registered conuactors,with certain exceptions,along with other requirements. Type of Work: . Estimated Cost � Address of Work: . p " Owner's Name: Date of Application: Z l I hereby certify that: Registration is not required for the following reason(s): c Work excluded by law oJob Under S1,000 C3Building not owner-occupied );�?Wner`Pulling own pe Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALINGW UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARAN'IT FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as,the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name �TME 1pJ�'I. Town of Barnstable Regulatory Services M i MASS.MRNSTA E Thomas F.Geiler,Director 1639. iOrEn �A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 7, 2011 Joel Skolnick 40 Beaconsfield Rd. Brookline, Ma. 02445 RE: 558 Craigville Beach Rd. Unit 9, Centerville Map: 246 Parcel: 035 001 Dear Mr. Skolnick: This letter is to inform you that this office has become aware of the construction of a deck at the above referenced address built without the benefit of a building permit. Furthermore, based on information submitted and an on site inspection, the existing deck is also in violation of the Zoning Ordinance of the Town of Barnstable You are hereby ordered to remove the deck or obtain the proper permits with successful completion of all subsequent inspections. In regards to your permit application submitted on September 6, 2011; the plans submitted do not match the deck built; or your intent, based on our conversation this morning. A variance granted by the Zoning Board of Appeals would be needed before a building permit could be issued for the existing deck. Thank you for your immediate attention in this matter. By Order, Me ' . Lauzon Local Inspector (508) 862-4034 Q:zoning5 I Town of Barnstable Approved - �'� Regulatory Services Fee 5 , oy Thomas F.Geiler,Director Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 K Home Occupation Registration ��C ! 2�o Date: r Name: 14-44(A-du CJ ® I Phone#: S U 77/ 7 2 2- 9 Address: J S�� C�/�-��'�//��� �CN f Village: Cis/ 2 viC G� Name of Business: /.,sL Ma /Lot: ��4 -O a� y _ o o C Type of Business: /�ili � `V I �i / p 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 cw 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 x. 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 carried 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 met on 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-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 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 who 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. 2- Applicant: Date: � Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION —i Map %�`�(®�J� Parcel Permit# ' --,Health Division 2-WO_lolg' O-3 S � '� '� Ufa B•A`NS TABLE Date Issued 3 Conservation Division D � �9P _ Application Fee AN 9- 113 Tax Collector Permit Fee Treasurer _m SEPT14 SYSTEM MUST BE . . Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VUrfl'I TITLE$ Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE ANGT(JWN REGULPTIONS Project Street Address 5_8 C-V3, N i9 i t� Village ����k�� ; �c�c,�' ' Owner Ph r,Lf2-H ne l-�-myv Address Telephone _ 509 7-75-5653 Fin r It1a # ?a-)- 7 9 7-90 t Permit Request &ex4-Ana e_K\S\t,!:j� 06g6 xc� 4-- D `atC e t-k_; 0�0 o®g- An W e s Square feet: 1 st floor: existing '' 25' proposed 2nd floor:existing proposed r Total new Zoning District Flood Plain N Groundwater Overlay Project Valuation 2.700 Construction Type Lot Size c��occi�3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family U. Multi-Family,(#units) Age of Existing Structure 3 0 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 2LFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing f 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: C2KGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing 0 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 BUILDER INFORMATION } Name _kt i 4 i r4tf 5C—, -?LA14-0rq Telephone Number 7,2 7-7917 `1©6/ Address307? &Q4 /40fJ 4Q Vd License# �P_40 U J++C-R 7 L 1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NATURE DATE 3/_9)0103 t FOR OFFICIAL USE ONLY w `PERMIT NO. DATE.ISSUED i MAP/PARCEL NO. F ADDRESS VILLAGE OWNER , - DATE OF INSPECTION: FOUNDATION 6 q z FRAME I'r INSULATION r. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH P, _ FINAL GAS: ROUGH ; FINAL FINAL BUILDING DATE CLOSED OUT 3...K r-. tat '. ASSOCIATION PLAN NO. ' CVCLa"h^t vren�� �QIVc.,.,f��w o,l�n4ee.Q e-4 V*o\A,.e 1.w 1.X.`i Ao.vti :A�t nnwi ®,d 1e� (gip,. tOr MAH/L.I&..16 be e_vc/�SeC� O.t� ruieVtio lolil to :6t Cr tonA cc6o . -Ao, rt��� W1w�ctw5 �` Zoo(\5 iSCVleC-. t. be vie ove . a� . �— �' I• I r U1h��e � l 310 l s 44v f , '7Z7- 757 S�GI t -r-----T es �n� � The Commonwealth of Massachusetts ._ Department of Industrial Accidents Office 8//9yesti9ations 600 Washington Street h Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit n-1ea name: t✓ (i-6k l 71( location:,5:� CRo i f<'0 i L ,., -ee hone# city 0 I a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity [] I am an employer providing workers' compensation for my employees working on this job i ,E '"ice�'`�•'�'��'t f z��x a�,� x z,:'v �'xir � rni s .�{' t t � a s s 4 `'� s e a. �- �,"y� U� �.4k;.ktr�3-� '�5,.4:s3�.L�7g,��iir �'Tna sl,��`��ir$Y _r 1. r�'•F3F<a ice.:. S S'. { f dr.7 "' '. 4ca _ r r,+ x � �K�h�"Yr r 4�4 K,ra �§:srz. � ��rt.:7'�<�.:�.2si.:vls.{t 3}t?p"�..�'� ���,yJ r .. t F•T.r � f i t 1� ,� a ,s� a S SY �°��,y,6,,�{f ,j i`e�N°�r �W L Y'� 4..� Sty �r�4��;�`",'' ,' :.mr^'`p•,3�v." aY_,��� '' �„�`tat'1lryak g v � sLx... v�.y ::i 7 } .x ti U"��'�?�-���� wf k f;+. t s ;�+,�,a Vic."s. .�' ����'� f�a't� ter .J s, s r - 4 :A W ^r 'a 4 ��y �i`'T ��+ $ '�,�+.•��` ?, 1 `� ec ° 2 [s'ti y.y ' e�' + 34 a ":7 A.. .ah r y .£.�, ''x" x' 3` ' .' . hone# a t +r rriyt @Nwza 3 r {x,Y4,✓>pr'"{ Y�,:,l'` 45 kx^''p'f3't$+,�,� y3 %.'.s F X .2 .r. V 1' P Z'. a3, :.'?'`{•3'ri"Et:rs'aaT '�" ��€,-�. X��y.�'� e. at he 31 4 .�y. ,a'i- F kc r Z r `- s,� '�,�, ,�,3' ,�ax w' ;s ,A '�-�' I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have K the following workers'acompensation polices ry uAF: ry's-y, i. -'l .,F .'k t } Z 7 $ a '{4 Y #" .c n 5 �`�y § _ k. { e r ^Me ,:�, , s ,� „, 7'- . e ! y 5 s..�'R�'r ,x #.�is� `•� �"3�a?..: d s -r' t > �..a+1 !' :�0 "'�..s �' y ,, 9'! _s address � ' � H3dx �y fX ; g a Fr z t y� 3 Mt } vs NC��'". +r�l`•W, kt y,. i�.,..t' Ay<. /""i <..,dx`rr}it As "J r4 r a .;zve 3.'1?P ..r` 5 `• r . rk Y7"F�`` l '7"',:X` ., .§'y C+S 14,f 'F� .� , �,�,��� � y •e a hone,#� �. r=„ ��. � �- �.n�, CItV a} t r Y Q rt r Y r+- s `a`s'" ztm rr4 -,� .n"�„='�� L :-F`�'.E�• � a S 7evr �" kE 1 t { aL "� - 3 F .�5r4� r, c,a"t S:y F.�`L� s t a s,,.{�£'�v -�L't" l� .ic"K�.F ,,-,+ > -t n ��}'-.'4 :3�i} Kny S r"^• ti m�,.'{�C` � vw,i'L-'Ffi�x,g ..`�S".�`� . , sa<;� i*AN0 Rr r' laddr�ss ?rYaavfpS sF 9§ k r y 3s* t i z z 5 t y 34 orb 34b1 ?a r „yui f h � r Y-'l`�1'•e.� �' Y y, r. u" h. a 5, vi 5 r x -:�< a 2 ��s' r,7+� Y ns{,r- .z,.t A � ry s ,r 2.• �'k �ps`r a�v. }' a s a � t s f�x#ai<.,.9'+� x �•"' � �* 7 sC_L_�Y�'3'..'.}.k�t•..�r`�"s^,t;..ce^gym c�"-5��^ r S:. _ s x r `"k1 �ii rry'a �'lTIY y uhooe# ?:x { �,�z. rs.d �z.,� }a �1� '^"--�.s t J P .i t `s ty Y rt �aq-t. b t zi = Z. .r '`, � ,f`�q�•,' }� y^,y'`�"� fa S..��,� !.y?`�,� � a"y�v .2-•?�o-a gi 4 3 3-.tF 7� f t hr � h` ': s..a �a � 3 �°a:a-�`a`. ,�f t,.�,� .sly Eyt.�,'' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date "'QJ?l t3� FLo phcin.e `l �l- q7--96fo.i Print name 1 ✓ - V� Phone# —5 O official use only do not write in this area to be completed by city or town official city or town: permit/license# F—Building Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office []Health Department contact person: phone#; rlOthe.r (revised 9/95 PIA) t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out.in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. 9 ... a .. .._. .. .. .. .. _s The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 , 1 t °FINE rofy Town of Barnstable Regulatory Services STAZLF� ' Thomas F.Geiler,Director Bass. 9`b�r 039. p � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-4038 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: 1c_^10sj At o d_q Povr—k-It Estimated Cost Z, ,O® Address of Work: S �'t nc AA Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law []Job Under$1,000 [Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply 1Y for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r Please Print DATE:' -N� JOB LOCATION: PJ 1".�(� Q,1J( ( I�IC Ql t�1 O U) h7,{011AN.s �Ynumber street �✓�J T� village "HOMEOWNER": U i I 1 l n L. �C Q' c! U V ` �—1 L J J I4 A name h,JomdphtonJe# work phone# CURRENT MA'ILlNG ADDRESS:'� �.a LaykGI I V "I1`7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re uirementsLt Signature of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply v with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2'.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Complaint/Inquiry Report Daze: l G — GO Rec'd by: ) &z1ew1z,00Y_ -Assessoes No.:-W Complaint Name: Location Address: - J UIP- Originator Name: G � Street: St= Zip: Telephone:DIE 7 7`5 —O O 4/ 07 Complaint ❑ Description Inquiry ❑ Description: For OAT=Use only Inspector's �� Action/Comme �t�4 R'%u v QL_ L1A�,3 Y ,6 �lC-.114 ? Follow-up r- - Action IP r vz nn r,*So kto ga Additional Info.Atiaclied CopyM=bLdon: WMw-Depaz=catFile PeUow•Inspector Pink-Inspector Met=to Office 3taaagrrl /JOT rig �E 17'-0" c\I0 '-10" 4'-10" 2-2 X 6 GIRT THROUGH BOLTED TO 4 X 4 PT.POSTS ON 10"SONO 48" - BELOW GRADE O co 2 X 6 PT.FLR.JSTS @ 16"OC. RIM JST. BOLTED TO HOUSE 2'OC WITH LAGS C Co 10'-0" r CD 00 - M PORCH 0 5'-0" i PLAN VIEW 1/4" = 1' GRADE IT GRADE 6" PROPOSED DECK FOR MR'. JOEL SKOLNICK SIDE VIEW NTS. 558' CRAIGVILLE BEACH RD. #9 CENTERVILLE MA. CAP E E COD BY DESIGN 8/31/11 I MICHAEL McCARTHY 508-246-6188 a n k 17'-0" >I 0 '-10" 4'-10" 2-2 X 6 GIRT THROUGH BOLTED TO 4 X 4 PT.POSTS ON 10"SONO 48" - BELOW GRADE O 00 �- 2 X 6 PT.FLR.JSTS @ 16"OC. , RIM JST. BOLTED TO HOUSE 2'OC WITH LAGS Ek p I zo r 10'-0" Cl PORCH. � o 5-0 t !' PLAN VIEW 1/4" = I' 4 GRADE 1:81' 1 GRADE 6" i PROPOSED DECK FOR MR. JOEL SKOLNICK SIDE VIEW NTS. 558 CRAIGVILLE BEACH RD. #9 CENTERVILLE MA. CAPE COD BY DESIGN 8/31/11 MICHAEL McCARTHY 508-246-6188