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I i M 11 .. g, I H WAS,L,.-' W I 1,0 I t I I ," Nov ��,,�.. , S111111 i- ,. , .... , iii .,"',� f j,,1 ii��2,I a z, ;1`�I'll, 11. .... I'4 t ,,1, .. .... . , I Barnstable B ld ow oBuilding �- S`c O.,m T nax;I nT Until BAWWASM ;Post I Pote a Isds rtif s�.�fss''.et.Oey_"ucYc.t."c:io u+n.,..au+Hc an.avk's-�;•'.4'w Bs�:.e.ar,e.R.sne S p y m ltWheree `ateo ✓ Permit No. B-18-2725 Applicant Name: JOSH WILSON DBA WEST BAY BUILDERS Approvals Date Issued: 09/17/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/17/2019 Foundation: Location: 666 CRAIGVILLE BEACH ROAD,CENTERVILLE -Map/Lot 226-121 Zoning District: RB Sheathing: -o/lf� . C ATN CORd4�. Owner on Record: MCCOURT,ROSEANNA J TR Contractor Name: *„,;JOSH WILSON DBA WEST BAY Framing: 1 �o Aram#,,, BUILDERS Address: P O BOX 687 2 HYANNIS PORT, MA 02647 Contractor License 142881 Chimney: Est Project Cost: $110,000.00 Description: 13x9 addition per plans bathroom provided install 2x8 Header for eAn'N6*rA�- 6'clear opening to create open floor pland between existing dining r 4 / $611.00 Insulation: € Permit Fee: o /1. room/study. Only attic space above insulation!by cape cod Fee.Paid: $611.00 Final: insulation.Wet Bar 85" clear opening -� Date. 9/17/20I8 Project Review Req: SINGLE FAMILY THIRTEEN FOOT BY NINE FOOT ADDITION - -�" Plumbing/Gas Rough Plumbing: v Building Official Final Plumbing: i ,}• -A Rough Gas: t Final Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six,months afterissuance. All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures,shall beam compliance-with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Service: work until the completion of the same. r- - 4, � �.." Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing;and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). pApplication Nimmber....................................... .................... , � . XASILPennit Fee............ .:. .....................Other Fee........................ ' �VVAO 1 lotal Fee Paid...............,................................................ TOWN OF BARNSTABLE Permit Approval by.. • ••• BUILDING PERT MI ill Map........_ ........................... arcel.......................................... +' APPLICATION .a'�'►�1rsL-SF.� Section I-Owner's Information and Project Location Project Address 41 Alge Village Owners Name / �� �, C a�✓ Owners Legal Address e� i w ,snare —zip City _ Owners Cell# 7 � — 3W E-mail Section 2—Use of Stractare Use Group ❑ Commercial Structure over 35,000 cubic feedk0 ❑ Commercial'Struc under 35,000 cubic feet ���tvre, T. G � ' `Single/Two Family Dwelling Section 3—Type of Permit 8,q '� / t� ❑ New Construction' ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(enf=structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition Re mina wall ❑ Solar Renovation ❑ Pool Insulation Other—Specify Section 4 -Work Description N G T Act nndnfad.2J9/M1 S Application Number.............................................,...... Section 5—Detail Cost of Proposed Construction 116,QQ Square Footage of Project &Q Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Whing Oil Tank Storage Smoke Detectors ® Plumbing ❑ Gas .❑ Fire Suppression ❑ Heating System . ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply eF3 Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Faccility: ��/imv /plc( I an using a crane ❑ Yes O No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last imd&ed:2/9201 9 The Commonwealth of Massachusetts Department of IndustirialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le2iblv Name(Business/Organization/Individual): 7 V/ f A t d Jam/ Address: City/State/Zip:(.��/ 'tiI/� </�(4 ��3Z Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor'and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors I . I 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.®Electrical repairs or additions 3.ElI am a homeowner doing all officers have exercised their work 11.®Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infoimation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. a I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins„mnce coverage verification I do hereby ce under theyp i an enalties of perjury that the in provided above is true and correct Si afore: Date: 11p Phone#: �1{ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health.2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees.' However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mm.gov/dia Vhe �Oamv�rcoazcuealC�c a�GJ'f/la:trlac/%uaetG3 Office of Consumer Affairs&Business Regulation .HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Reaistritio'n Expiration Office of Consumer Affairs and Business Regulation 1428E:1_ "':_ 06/22/2020 One Ashburton Place-Suite 1301 JOSH W ILSON = __ Bosto A 02108 D/B/A WEST BAY BUILDERS .. T. i JOSHUA S.W I - _ -LSON -- .Q 34 MAIN STREET _ CENTERVILLE,MA 02632` Undersecretary i' Not va lid wi ut signature n In �r, O p 3 nwC_ co mA0 n� z 3 N O cn LA. M-C w a 3 0 p O z o m d r' n � � 3 j "Cps\(:IQ = E. 6' a N a �E in O m L Y0 by< r 51\�' cn a rD = �. O N (n rn N a ' C.4 '" • N O N O . _ '.. 1 Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of en 1. closed space. w Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpi � w,� �� � �a. �mP J ��� �`� �,�P�,�D nor � � �� I C���� � 6Pp Q��ti rr�. � . � �- i Application Number.................................. Section 9-Construction Supervisor Name 1 c S N l jjl ,)A) -- Telephone Number 12- 3 Address ) City State zip—6246.32 _ GS L- License Number 13 License Type urj('eS-6eu-7ojExpiration Date 14 2,1 2 020 Contractors Email Qa LQr1'-\ Cell# S6 MC I understand my responsibilities under the rales and regulations for Licensed Const action Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req#by 780 CMR and;heTojvn of Barnstable.Attach a copy of your license. Signature Date CI Section-10-Home Improvement Contractor Name f � ��6 Telephone Number • ?7Y`23� Address a(fit.N City 6'QA)rt-V t?IIZ e State h'r Zip —:;?2 Registration Number ��2 � Expiration Date 12 21Z 2-6b o I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation d by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date g Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Contraction Supervisor in accordance with 780. CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requited by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date_EA l Print f �J 4� Vf Name � /,Jt//t,/ Telephone Number -77 -Z E-mail permit to: *1 C// �— T se.F.....i.. A.11/nnnlo .. ._ .... ..... _ .. .. ... ........... _.... ... ..... t- f t Section 12 —Department Sign-Offs Health Department © Zoning Board(if required) El 11istoric District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation ❑ ' For commercial work,please take your plans directly to the fire deparbnent for approvab Section 13 Owner's Authorization as Owner of the-subject property hereby authorize s UY, ,-o/3 to act on my behalf, in all matters relative to work authorizedZbothis building per it application r: (Address of job) ' sig6turz I I Ter date i Print Name t � j i , 1 i Last wdatc&2J92018 HEATLOKO 06 Company Name Cape Cod Insulation Phone Number 508 775 1214 Applicator Name Dave Souza Installation Date Jobsite Address f 666 Craigville Beach Road A-Side Lot #'s PA86001801 Permit Number B-Side Lot #'s P3477017818 i Walls 3.211 21 75 - Attic 5.7 R-38 250 71 am" -O O O III 4 WWW.De f lecoco .A� , t � l � t Application number 4i g Date Issued.................. .. .f.t'.)........ MAM Building Inspectors Initials............ .. .................... Map/Parcel...... o?.v ...J `.................... .TOWN OF BARNSTA13LE EXPEDITED PERMIT APPLICATION: . ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: C LIl e, `= �/ cc A 'ems ` N[J1V�BEtjf STREET VILLAGE Owner's Name: 'Cl' C^, C O(1K Phone Number Email Address: Cell Phone Number Project cost$ 00 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ' F1 Siding 0 Windows (no header change)# Q Insulation/Weatherization ED Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to tr e- / V(/ CONTRACTOR'S INFORMATION Contractor's name ►� �� �cOcu J Home Improvement Contractors Registration(if applicable) & (attach copy) Construction Supervisor's License# /_0_ 4 3 3 (attach copy) Email of Contractor �� �a-f/ 6� ed "c Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s) will be erected . Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ��Z Address: ( � d IC 6rdl e, City/State/Zip: Ceo, (I lWle /A'c- Phone#: c(d,�'_ � Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a er with - -employer 4. I am a general contractor and I P Y � 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P n'• t 9. ❑Building addition _ [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no e , �U employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit new affidavit indicating such. tContractors 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 thepolicy and job site information. Insurance Company Name: _ Policy#or Self-ins.Lie.#: 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 pa' and penal ' "of perjury that the information provided above true and t /coorrrec Signature: Date. U (/ I/ Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as."an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than'three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth-for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth-nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e..a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts, Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.znass.gav/dia PLEASE RETURN TO: 1,t, ,"i0e.r'2 F'� 1;2�Y r"".:�47 2 L William N.Friedler,Esq. I t...t- 2 4 2 C.,16 a -,3'7 ct Ruberto,Israel&Weiner,P.C. 255 State St.,7d,Floor Boston,MA 02109 O CD _ -r 03 666 CRAIGVILLE BEACH ROAD REALTY TRUST . �: cn ACCEPTANCE OF SUCCESSOR CO-TRUSTEES 0 C" � rtr ROSEANNA J, MCCOURT having resigned as Trustee of the 666 CRAIGVILLE BEACH ROAD REALTY TRUST,we,MICHAEL J. McCOURT, of Reading, Massachusetts,and STEPHEN M.McCOURT, of North Walpole,Massachusetts, by execution of this instrument, hereby accept our appointments as Successor Co-Trustees of the 666 CRAIGVILLE BEACH ROAD REALTY TRUST a i/t dated January/ t 11, 1995 . (the"Trust")recorded in Barnstable County Registry of Deeds in Book 9526,Page 131. See,also, the Trustee's Certificate recorded herewith. ` Pagel of 3 ACCEPTANCE OF SUCCESSOR Co-TRUSTEES 666 CRAIGVILLE BEACH ROAD REALTY TRUST 'PLEASE RETURN TO: William N.Fricdlcr,Esq. Ruberto,Israel&Weiner,P,C. 255 State St.,Th Floor Boston,MA 02109 IN WITNESS WHEREOF,the said MICHAEL,J. MCCOURT sets his hand and A. seal this j day of_ �`_i[, r. ,2016. h9,ICHAEL J,1` cCOURT STATE OF ;1 ✓ l`-°I f.'r�'i County ,2016 Then personally appeared the above named MICHAEL, J.McCOURT, personally known to me or.proved to me through satisfactory evidence of identification,which was ",� ' 'It:'r f" K J✓tI r '_ ,to be the person who signed the preceding or attached document in my presence,and who acknowledged the foregoing instrument to be his free act and deed before me. Nota Pul 11 IVIy Ommisslon Expires: �. 40 ��,.�. A `..ram r! �;�•� if f',. r Page 2 of 3 ACCEPTANCE OF SUCCESSOR Co-T RuSTEES '. 666 CRAIGVILLE BEACH ROAD REALTY TRUST 'PLEASE RETURN TO: , William N.Friedler,Esq. Ruberto,Israel&Weiner,P.C. 255 State St.,Th Floor Boston,MA 02109 IN WITNESS WHEREOF, the jsaid STEPHEN M. McCOURT sets his hand and seal this 7 day of l":7r. )z= /"' , 2016, STEW EN M.MCCOURT STATE OF / ' (JJ",I-t ; A County �f `f ,2016 Then personally appeared the above named STEPHEN M. McCOURT, i personally know tl t®o me or,proved to me through satisfactory evidence of identification, which was f�� `f `�. , ij;, f �fi'.�'�� §•`" ,t0 be the person who signed the preceding or attached document in my presence,and who acknowledged the foregoing instrument to be his free act and deed before me. 6 1 I Nota Put t1 wly `ommisslon Expires: f sv Page 3 of 3 ACCEPTANCE OF SUCCESSOR CO-TRUSTEES 666 CRAIGVILLE BEACH ROAD REALTY TRus'r ' 1AR NSTADI,i~ REGISTRY OF DEEDS John F. Meade, Register ACC b CERTIFICATE OF LIABILITY INSURANCEej 2 is THIS CERTIFICATE IS ISSUED AS A MATTER OF MFORMAMON ONLY AND CONFERS NO RATS UPON THE CERTIRCATE HOLDER TH s CERTIFICATE DOES NOT AFFUNAVVELY OR NEGATIVE[-rA E D, EXTEND OR ALIM THE COVB;L4GE AFFORDED BY THE POLICIES BELOW. THIS CEFR11RCATE OF INWRANCE DOER NOT CONSTRU'IE A CONTRACT BETWEEN THE ISSUING RISURER(S),AUI-HORFZED REPRESENTATIVE OR PRODUCER,AND 7FE CERTIFICATE HOLDER IMPORTANT: Me cerfiffcatB holder Is an ADDMONAL WURID,ffie policy(ees)Hoist be endorsed. if SUBRiOGANOWS WAIVED,subject to the terms and condftions ofthe policy eertatn pommies rosy mq dm an endorses:n nL A sb*ment on this certifrra6e does not confer rifts to the certificale holder in[teu of such erd PRODUCER Schlegel SchlegelJIM HIIdO€EUP,N Ins B�Pr PHONE 508 �71-8381 .FAX (sos) 771-o6s3 34 Maus Street teal scjll g .cons Nest Yarmouth, MA 026i3 INSUMMAFFORD00 COYERA(E NAIC# INSURERA:T1RAVELBRS PROPERTY AM CAS MURED ' [961tRHt B JINTAM CAHOON tNSfIRBtC DBA CAHOON CONSTRUCTION 16 WEQUAQUST AVE INSUnSIRatD: M TI�IRHt A 026323 INSURER F: COVERAGES CERTIFICATE NWMER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME?ABOVE FOR THE POLICY PERIOD INDIICATED: NOTWITHSTANDING ANY REQUIREMBUT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT IN.THE INSURANCE AFFORDED BY THE POL=ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. MISR LTR TYPEOFINSUWWCE POLICY EFF i POLICY NUNBIER (mmmAlym CYDW UNITS GENERALUABUM EACH OCCURRENCE S COMMERCIAL GENERALLIABUJTY DAVAGETORM $ MmAtAm OCCUR NED EXP(AWOre persm) $ PERSONALSADVINJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATELZUTAPPLIESPER PRODUCTS-COMPIOPAGG $ POLICY PRO- L� $ AUTONWItEUABUM SINGL LIMIT ar aldMw $ ANYAUTO BODILY INJURY(Per person) $ PLLOWAUTOS AUTOS TOS BODILY VUURY(Per auddent) $ HIREDAUTOS _AAUUTHpg1i1M� 8 pm $ $ UMBREUAUAS OCCUR EACH OCCURRENCEEWAMS $ LIAB CLAWS-MADE AGGREGATE $ DED RErgynDN$ A AND WORKERS COMPENSATION INPLOYERSUABUJT WC-1165040 2/13/18 2/13/19 WCSTATV OTH- ANYPROPR10ORtPARTN YIN ]MIA (eACHACao NT $ 100,000 CR IGT:M& BER EXCLUD6n (Mwdamry In NH) 7Y E-L.DI 100,000 OM TIMN OF ORATmNS W. E-L.DISEASE-POLICYLIMIT I$ 500,000 1 f DESCRIPTIONOFOPHt/DrOI1,SILACAT IVENICLEs(AifaBtAC=1M,AdZ=dRmmft3dm .iFrmm m isteored) JDI+TTANA CAHOON HAS WZCTED NOT TO BE COvow wwRR HSR COHJR$NT WORRSRS Cm�pENSATION POLICY CERTIFICATE HOLDER CANCELLATION MOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE TIE EXPIRATION DATE ,THEREOF, NOTICE WILL BE DELIVERED IN RICHARD CAZEA MT ACCORDANCEWITH THE POLICYPROVIMNS. MA 02632 Atn110wr® S73'ITATNE 1 -2010 ACORD CORPORATION. All rights reserved. ACORD 25(201 W05) The ACORD name and logo are registered of ACORD Phone: Faw E-Mail: CAZZAULT7 @CCMCAST.NET PAIIY.145Tr+Wlll IY��.. , . f� CAZEAULT\ ROOFING & REPAIRS PROPOSAL Proposal No. 18-51818 May 18,2018 To: Micheal Mccourt Work to be performed at 666 Craigville Beach Rd Centerville MA We hereby propose to furnish the materials and perform the labor necessary for the completion of: NEW ROOF 1. Remove existing shingle roof 2. Install Aluminum drip edge 3. Ice &Water First 3 ft,valleys and penetrations 4. Cover roof with Rhino paper 5. Re-roof with.Lifetime architectural Shingle 6. Install ridge vent 7. Flash all pipes and penetrations 8. Remove all rubbish from project Labor and Materials $10,700 SKYLIGHT REPLACEMENT Remove and replace existing skylights with new Velux manual venting 1 Velux sob $1,300 1 co8 S1,100 2 co4 S2,000 2 mob S2,400 g, P Respectfully submitted, -------------------------------- Richard P. Cazeault,Jr. HIC# 168607 CSL#100393 198 Five Corners Road Workmans Comp and Liability with Centerville,MA 02632 Leonard Ins of Ost (508)420-5482 Acceptance of Proposal No. 18-51818 The above prices, specifications and conditions are`satisfactory and are hereby accepted. You are au on to do the work as specified. Paym nt is tl' ed above. -- - -- ---- ------- ''- - - ------- r M afore: -Date. Removal o additional layers of roofing not forseen with result in additional fees of$75 per Sq cp eparpr Q/`'�i�n °t on Cc, i/ n A t CI , e o � S 100393 17 f- Re9 is�atsdCh R/c 'Q7 sa'�O�s ��cep setts 198hq v,� and SUMP C�NTFR`C Riy�FgG �/S��Stanaa�°'s Coy)) 0 2' 3?g0 02y/03/2020 �-— Office of Consumer.;a'•s 8isiness Regulation _ HOME fMPR01_a=.`ii CONTRACTOR F'gidration valid for individual use Only = = i efoe the expiration date. ff found return to: ! Registrati., Exairation Cffice of Consumer Affairs and Business ReSdation j 168607 M 3W2019 13 Pais Plaza-Suite 5170 p RICHARD P CAZEAULT JR Eostm,MA 02116 I DB/A R Cazeauft Roofina&FL--z="5 RICHARD CAZEAULT JR 198 Five Comers Rd Centerville, MA 02632 Undersecretary Not valid without signature i --e-�-�--�...e--_...®•„�...,.,,,,,�_-'+Wass.„•_ OSHA U-S.Department of labor —� Occupation:Safety and Health Adrww-t're- Richard Cozeauh Ji: has a iv#nDu• HaaP"" Tra+rt�g CoursF,�_ Construction Satety&Health _ "'~= ,t `. I � , ^ � < � Y' 11410230659 POLAR11369 I _ �+, ,� - �. .y 11410230659 POLAR,1N®9 ,�;` - . w 11410230659 POUARIIX09 `'� •' .� r� i• �. � a • o`� � � x 11410230655 POLARIIN®9 ',, �"�� ,�� /, ~ .g .^ 4��� y �al.' � my��� 1'�4 4 � j �. ,e, 0 L Assessor's ma and lot number ......�r..`��..-'. .f �. - ! '1� ..... . . . . THE j� Sewage Permit number ...........................................,..........w y • Z SARNSUBLE, • Housenumber ................o.......................5?............................. 90� 03 q. 00' i y t L 0 MAI f►\9 ; k TOWN OF BARNSTABLE BUILDING INSPECTOR �f��0e G t �e i�,/3 r' w�if c1A, �..€..., o i APPLICATION FOR PERMIT TO ............................... ...-.`-- ................................... TYPE OF CONSTRUCTION ................ a............G.............................................................?. ........................ .. .r. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l� �. 1.,fa c�a/ lc.-- �c�C_V i - q—n\ - ,.r, \C..i ......................... ..... ........................................ ........ ........:. ...................................................................... ProposedUse ...........i.......v............�........................................................................................................................................ r Zoning District !L ...........................................Fire District ...................... l�..` `............. . ..................... r Name of Owner S�G�r: 1" Address 3 '�}t1 .: :. .: �"L`' .............................................................. ....... .......5.........�.... :... ..... . . ..... Name of Builder ... � t \`� � Gv r ......Address S p'F' � RS .:.. -�.: :... r:` `..�.�.! � .:.. L> Name of Architect ................ .........,...�............. ... .......... ........Address ....-^::::::.:................�............. ................................... Number of Rooms .............. ...............................................Foundation ......... 1 Exlerior .....K� ' ✓'�cr`C_ ° de ....C^..............�� .1 �. �, ..,�................. Roofing ...... .........�........ ........... Floors e X 7 S�`- r 1� .. ...�................. .Interior t:`............v.c'.......:......................................... Heating ...... .......�\.......).....`.........`.... Y.... ......e ............Plumbing . :`...:: Fireplace ... ...............................................Approximate. Cost ..........��......... :.......... .r................... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area.... Diagram of Lot and Building with Dimensions Fee ac SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... y Construction Supervisors License ................ ................ �� J MCC,?.URT, ROSEANNA J. A=226-121 • 2-Z& 27937 Remodel Dwellinq No ................. Permit for .................................... Single Family Dwelling ..............W................................................. ........... Location ......66.6. Craig yille Be oad..... ................. Centerville ............................................................................... Owner .. Roseanna J. mcCourt ................................................................ Type of Construction ,Frame .............................. .. ....... ................................................................................ Plot ............................ Lot ................................ May 29. .............19 85 .....................Permit Granted ...... Date of Inspection ....................................19 Date Completed ......................................19 � � � ' � - zb 39. TOWN. 0F.' .: BUILDING INSPECTOR APPLICATION FOR :PERMIT TO v.47er TO THE INS?ECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �(................ ........................(.......................I..............I........... Nameof Owner .. ..................................... ..... ....... M\......... .................. .......Roofing ..... I e--A� E��y-) 4-7.-)7 ,C-0.A4 11'. ...... ...... Fl SUBJECT TO APPROVAL OF BOARD OF HEALTH � - . 1 - . ' ' � | ^ ' ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ' construction. ' . � Nona» -..��.�—.��'...�--..~ » � .~ = ' � ` 41 (�a �� �' ^�°� ' Construction Supervisors License ----��..^u' ...--. ,%McCOURT, ROSEANNA J. 27937 Remodel Dwelli,�ig No Permit for .................................... Single Family Dwelling ................. ............................................................ Location �666 Craiqville Beach Rd. ..................... .................... Centerville . ............................................................................... Owner ......Roseanna J. McCourt ..... ...................... Type of Construction ....... - Frame........................... ....... ................................................................................ ............ .............. Lot ................................ May 29, 85 ,Permit Granted May............... .... .......19 aL Date-,of Inspection ............... Date Completed ......19 � f ` Assessor's office(1 st Floor): �a /a s I. Assessors map and lot number S�11ourinwH Nm®� poi THE toy Conservation S_ �'� `l CINV 3® `00 VIN3WHO i Board of Health(3rd fl r): • Sewage ermit number Mill�,'� F = ssssaaa���STABct r Engineering Department(3rd floor): Y 30INVOW03 N1 (3311 639. House number 6� 3ss 1Sf1. 31.� �'•' o air r. Definitive Plan Approved by Planning Board t9 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING I S,PECTOR APPLICATION FOR PERMIT TO A �O X. II 'Z S Y /�-�/7/1749.tf TYPE OF CONSTRUCTION _ MW Fr-MMC 1Ll .! 1913 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 17 Proposed Use3 '7U�7L Zoning District //�'nnAA q ��Fire District Name of Owner MIX 1 �5. e,A4 WC- C 9ASS✓NFfddress y)LL Aey � Name of Builder_le-O WA-90 1,Q/kA5 WX2- Address 3¢ &M iza/GC ` 74 Name of Architect � � i' GC7 12&-7+Gty /A&A�,TAddress 0S 7Z-72 yl Number of Rooms 2 �� Foundation al IIL�y 4e, crG1� Exterior MTV I✓ A'-i4N&l&-S Roofing Floors Interior L54,45 ftmZ19 Heating GILL&W 4 dV G�Z L— Plumbing Fireplace Approximate Cost 7d Area � o0 Diagram of Lot and Building with Dimensions Fee l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constru n. Name �LJ7 Construction Supervisor's License ©� GRASSINI, CARMINE LA Permit rmit For 35344 BUILD ADDITION � *Single Family Dwelling Location 666 Craiqville Beach.,Road ort ti Owner. Carmine Grassini : t Type of Construction Frame Plot Lot -- r Permit.Granted ' May 7, - 19 93 Date of Inspection 19 , r Date Completed 19 - r~ ol o' i nn \ . ��U_. _IJJ�- -�-�c� C t<f-S_�7 V._i 1-.�.t�-��..�"�C ��n 1/�!_,__ NRD i CGSY= o I ' v :P�s I ,IaMrv:: �r 't 'se- 915, � .♦ � b! I I �4l..Yr•✓..-ei� :..�- , � � bo _°C�iRF-=� : `�9 .� I `l C'�cn�- _ Iy�II h A4Sp^ EA TlCPS3� !q'4" r t9-' }.. ,_ ±t-- .•Z_o-1-�--1 ��o I'd. ot�'.:.. .�r�T .- -'a.. �, .4.a. �--i-� , b �l Li A OU ( see; p r� i �> A :MK7 =1T3t�tT�r^ �a t ) 1JII'IZSI�F 3i'�IF21 — _-__ ..._,i_ ._.�.....x ..a.�..u" ....._.a. ..ems.� ."»L..,.a:.�. --.-. _.:= 5....u.�.. J+t�T—+�,».�s..A6.• � '� 6� ��_.[SDI•�t'.�T� 1 �— s,CZ, — ry 1 Y-,J `2 µ {6 o b J -`b -- — i { MIST - AVIV &V VMS Us 2 V, is vow not Fit TIT R'fl A^J.l?i�ViL'E_SK1�31-'.Lg.•.,. � � \'2-'.�1 N. 3_ �� - -•_.\_.T..`.' Y. •: �•. *�_ -- Yyo--^...._`ate r -x hit I _ M��-, � '�l�}•J�C >t'�•�Ga t 'oaf.-r-�Y/'h --Y - +s j„�., •i � 'S�y.'��s ci, Yt X'+,+,'�'x�. �4 •2'.-A. S R i CONTRACIO HOME IMPROVEMENT Registration 10346't _ I� Type - INDIVIDUAL Expiration 07/08/94 Edward Lenkiewicz ` 34 Pembroke 5t. I Chelsea MA 02150 i ADMINISTRATOR COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVE. OF a MASSACHUSETTS BOSTON,MASS.02215 ENCLOSE CHECK OR MONEY ORDER j LICENSE � EXPIRATION DATE CONSTR. SUP ERV ISO x : . FOR REQUIRED FEE, Q4./30.1 993., MADE PAYABLE TO RE'STRICI]ONS i o S EFFECTIVE DATE LIC N WONT 306/30/1991 025 29 g -COMMIS UBLICSAFETY" �� i EDWARD LENK IEW t (DO NOT SEND CASH 434 .P.:EMB 0 1. S «. R KE S. Q'[8 :4 t Q8Q °GHEE Y �. SEA 'MA, . wloTo IeusrtNc oaR oNw�, FEE '� - Ty 9 NT ..I ..' .• � .:� ; r, b'' r•,.� `'.�- r,,•.ry. EIGIiT" :�-. NOT VALID UL Y.:UCENSEP �� � GB-DO o�oR s+oNAns� 3P.• `r ; ...ar2 k.D- .TMr.w fr eE . ..: vEyBoN oc �s 7�uv s�`r*'� :b L •a- IDER N1NEN ENOAO I ' iV \.Joon hick 8eCP0oM�k1 VAN LINN fo E D i C�fPEil � VAN:.: �AfTRY LOS., SKI BaTaudAe Bldg.DePL lie SL K! Approved Permit#: PAW 9ewN Ol . SCALE: Al 1A, -,'-o" APMOVEO M: D--- MAM E. "� �B; REVISED ... XIST iJLOOP, L ORAWINDNUMSER 0MA, 0 t F r f'3 MPOr DobRS;-=} Save and p rve sting flooring finishes - In bedroom - - t3en 10 OUPI; Aj o RAT H ik3 d EfRSTFLGoR [�E'h1oL177o:�1--ALA�1.. wx►stWCr Stc ohjtS9LOc;AL %AN Notes: Shaded walls to be removed Protect all existing finishes not being removed ` Ensure proper support of existing framing during demolition 'Roseanna McCourt addition APP"VEO BY: D11AWN BY.M M GATE:. 2O ZDf;� REVISED... .. DRAWING NUN- Notes: Verify all dimensions in the field during construction Addition, Existing ... .... .._ Ih �JSEG�W�tv�izv/S_T��4EP_t$.u)> (� t u V.W.U% � i7 �O A B�Ft9;k1 Hl—m�t lz u _ IZ:=MATGN.ExlS7� FIRrr PixE ' ,. - _-- - Window trim to match existing in size and style .. Match new bathroom window to psMA76N,__faR.N.e3_:..: existing bedroom unit size - As AtGb W♦Ek.1tST. New unit to be an Andersen FEU.SESlJR ?—OMONAI Awning unit Addition I Q �. PmPSEfl FISL Pon- �tAN_ PRti1?63E6.v1 ES'r�I.EyATtoiJ , i y Roseanna McCourt addition 6CAlE.1 1,l l 011 Apry1pVE0 W' DRAWN B'/ MA_M DATE:' 2OI B REv13E0. « 'ORAWIN6NUNSER 3 Solid 2x saddle nailer upder coffer ridge ruts Typ. An;hiteclurul u.sphaltshingles to match and fie into existing. - 1/2"plywoo.sheathing Typ. 2.8 raftir,,@ IG" 2x8 R fterc r 6"o.c R:38 Spray f>am in rnflcr ba s .. x4?after supports fastenud to each raflor L:e.&water shield lint 3'6•um eaves Typ. Stack over wall.studs below 7 . 15#roof Toll or equal on balance of roof 2.8 elhng Joi.tii Ih '. .. .. . .. Double top plate Typ. .. . .. ._.. ... ..- . --- .- Match exterior trim - 1-12.5A rafter ties each rafter Typ. I details with exisline Cut,rafter tails Iluah with wall framing xisting roofand eitin s stem s 3 i L L _ EO i� s Existing bedroom Typar weather wrap over sheothing'ryp. 3 1/2"of rloslal cell foam insulation = - Raise floor in mud room with 3 1/2"plywood Aeathmg - 2x framing as required to IE nailing per wFCn1 5 gn addition match kitchen 2.x4 wall nI Id i 6 16"o c.Typ. oor with existing [bedroom floor 2.4 FT sill plate on foam Hill scal'ryl, Han joists off ledger with LUS28 joist hangers T :r5/8'Anchor bolt of 48"o c. 3/4"T&C subfl or food and r ilod,r _. ! - g l g J _ g YP 5 yp . - .. and within l2"ofc"rners ... ... 2x8 Fl.Jsts.@ 16"o.c. Grade+/- 2x8 ledger against exist,house R-30 Faced fiberglass insulation in floor joists Typ. fasten with 1/4"timberloks staggered 12"o.c. i 1/4"Drop for mudsill ', 8" eo Install 2x4 19 III plate on foam sill.seal Typ. I?xlct.Ing Ibundatmn Growl space 3 0 d CO 2"concrete dust cap _ o 1 24a _ I t , 1 Cross section through length of addition Cross section through width of addition i � McCourt addition PCALEF 1�11. �0 Avwwveo er.: DRAWN BT DATE: 20 (. ,5 REV18E0 I III ORAW INO NUMBER F t OL Qj �r Lr Q --$ta I U 01PLUM _ l l • a i.- ; • ` 1` L lei - r Cp 1> T-r, vl, H(*T T DO /Vll