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0132 FOX HILL ROAD
ju3 fax TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q�IMIA� Map �O Parcel Application# Health bivision BUILDING DEPT Date Issued Conservation Division JUL 13 2017 Application Fee UP Planning Dept. Permit Fee TOWN OF BAIINSTA8LE Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address �13a r x kill RA re,ic.-o x MA daT 3 2 Village 'Cv�llA Owner [jee-C!j MCGM" k Address W- tax I'/3( Rd NA Oa- ?a Telephone 6-y2;- 7?I- "79 Permit Request A,l- R,39 FG1�3,,( y2r-3D Csl(�loae .+ QC-, kilt k'Aci -S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Districts Flood Plain Groundwater Overlay Project Valuat e 4-S-Y-f-'°-2 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1 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 D new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number & -7 ol ZO(o Address 90 D G rave- &f License# I D 3 f Gv �a�( K,`dz HA 0 JL- Home Improvement Contractor# Email Worker's Compensation # A,-)g ZY1`127,Lf. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �!G o /�- �i- DATE �2 /7 f' FOR OFFICIAL USE ONLY APPLICATION # l DATE ISSUED MAP/ PARCEL NO. 4 t ' i 7 ADDRESS VILLAGE fr f ' OWNER DATE OF INSPECTION: FOUNDATION FRAME a INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL !'f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. RISE Engineering,- `'S E 5 Dupont Ave,South Yarmouth,MA 02664 ENGINEERING' CONTRACT 508-568-1926 FAX'S08-.5684933' _ .Page 1 PROGRAM •THIS.CONTRACT IS ENTERED INTO BETWEEN RISE NGCC=H.ES • ENGINEERING AND-THE CUSTOMER FOR WORK AS DESCRIBED.BELOW CUSTOMER. PHONE '.DATE CLIENT k WORK ORDER Mercy E M.cgonigle 1(508)771-,8679 04%27l2017 23,4070 03402 .__--------------- SERVICE STREET BILLING. 132 Fox Hill Road 132 Fox.;Hill Road SERVICE CITY,STATE,ZIP - .BILLING CITY,:STATE,ZIP - - Centerville,.MA 02632 Centerville,MA 02632, JOWDESCRIPTIO,N: AIR SEALING:Provide labor and materials taseal areas of your borne against wasteful,'excess air leakage. This work will be performed $48000 in concert with the use of special tools.and diagnostic tests to assure that your home will be left with a healthful level cf air exchange and indoor air quality.Materials,to be used to seal your home can include caulks,foams;weatherstr pping and'other products. Primary, areas for sealing include air leakage to attics,basements,attached garages and other unheated areas,(win.dows are not generally addressed.) (6)working hours. A reduction in cubic feetper minute(cfm)of air infiltration will occur,butthe actual number ofcfin is not guaranteed. DAMMING Provide labor`and materials to install a l2.14.yer'of R-38:unfaced.filierglass'6atts to(60)square feet for dannning.purposes; $147.60 ATTIC FLAT:Provide labor and materials to install an'8'layer of R-30 Class 1'Cellulose added to(476)square feet.,ofopen attic spacer $685.4:4, STORAGE BARRIER.Homeowner is responsible-for the removal of the stored items blocking the installation.of, (initistls) ' weatberization work in the attic Removal must.occur prior to the scheduled work start. ATTIC ACCESS'Provide labor and materials to lnsulate the back of(2)kneewall hatch with 2'rigid foar i boa_rd at R-1'0 or greater with $120;00 required fire rating and seal t he,edge,of.the hatch,wrth�.weatherstnpping,.. KNEEWALLS:Provide labor and materials to install 2-rigid board,with the,required fir e rating to(Q6)square feet of kneewall area. $5D-.60' STORAGE BARRIER.Home.owner'_is responsible for the removal of the stored items blocking the-installation;of (initials) weatherization work in the kneewall.areas.;Removal mustoccur prior to the scheduled work start. »- ATTIC ACCESS:Provide laborand materials to.install(I),'easily moved,insulating cover for the attic access foldi»g stair: A small flan $237.65•. surface of pivwood'will be created around the opening within the attic. This willallow.the cover's integral weather-stripping to restric4 air leakage. VENTILATIOM Provide labor and materials to install(i)insulated exiTaust hose to existing,bathroom.fan(s),• $60.00 VENTILATION:Provide labor and:Inaterials to install ventilation chutes in(48)rafter bays to_maintain air.flow. $167;52.' .RISE Engineering- RISES Dupont Ave,South Yar mouth,MA 02664• ENGINEERING' CONTRACT 508-568-1926 FAX,5087568-19.33 Page ' 2 PROGRAi THIS CONTRACT IS�ENTERED INTO BETWEEN.RISE NGCIC F1ES''° ENGINEERING ANDTHE CUSTOMER FOR WORK.AS, y " '.DESCRIBED BELOW CUSTOMER ;PHONE • .(DATE CLIENT.#, WORK ORDER Mercy E Mcgonigle (508)77'I-8079 04/27/2017 234070 03402 ..... .......... -. _ .. .............- --- SERVICE STREET .BILLING STREET" 132 Fox Hill Road. 1-32 FOx.'Hill-R'oad , SERVICE.CITY;STATE,ZIP - - - - - <BILLING CITY,.STATE,ZIP - - Centerville,I.A 02632 Centerville,MA"02632 JOB DESCRIPTION INCENTIVE.KISIE Engineering will apply all applicable,eligible incentives to this contract. You will be billed,onlythe Net,amount. $.65:OOL. Currently,for eligible measures,National Grid offers 75%incentrve,not to exceed'$2;000 per calendar year,and an,ncentive of 1.00%, for the Air Sealing measures: For the safety and health of your horne'§indoor air quality,we might:be conducting a.blower door diagnostic of the available air flovv in your home both before the work is begun,and after the,,w,ntherizatioirwork is complete(not to be conducted-if asbestos is pfeseiit):We will also conduct a diagnostic assessmentof the combustion;fumes in`the.exhaust flue of your heating system:anId water heater.This:has . a value of.$90 and is at no cost.to you.. The.Pennit will.be secured by the i»sulationcontractor.Tliis has a value of$75 and is at.no cost to you'lvis the homeowner's responsibility to close out this permit.by contacting their municipality at the'completion of tbis vork. Total-. $22586'81 program Incentive` $2,101.36- Cgstomer'Total ; $485'.45 WE:AGREE HEREBY TO FURNISH SERVICES'-COMPLETEIN ACCORDANCE WITH ABOVE SPECIFICATIONS:FOR THE$U,M OF "Tiour Hundred Eighty-Five'8�45/100 Dollars $485.45. UPON FINAL INS PECTION AND APPRO'✓AL BY RISE-ENGINEERING..CUSTOMER:AGREES TO REMIT AMOUNT DUE IN-FULL:INTEREST OF 1%WILL.BE CHARGED MONTHLY-ON ANY - UNPAID.BALANCE AFTER 30'DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON.GUARANTEES,RIGHTS 00 RECISION,SCHEDULING;AND CONTRACTOR REGISTRATION: E-SIGNED by Dan Ancahas E-SIGNED bY., Wercy MCGOigle AUTHORIZED SIGNATURE•RISE Engineering CUSTOMER ACCEPTANCE May 24, 201ti7 NOTE:THIS CONTRACT MAYBE WITHDRAWN BY US1F NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE•OF CONTRACT-.THE ABOVE PRICES SPECIFICATIONS"AND CONDITIONS ARE '`30 DAYS: SATISFACTORY TO.US AND ARE HEREBY ACCEPTED YOU"ARE AUTHORIZED TO Do,THE WORK-, AS:SPECIFIED.PAYMENTWILLBE:MADE AS:OUTLINED ABOVE:-• y Aco® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/YYW) `..� 12/8/16 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 INSURERS 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 NAME: Anthony F. Cordeiro Insurance PHONE FAX 171 Pleasant Street E-MAIL 508 677-0407 I No: (soB) 677-0409 ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURE S AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance INSURED INSURER B Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURER D: Fall River, MA 02720 INSURERE: I NSU RER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR MID POLICY NUMBER _ MM/DDIY MMIDD/YYYY LIMITS A GENERAL LIABILITY y y BKS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA PREMIS TORES EoNTED e $ 300,000 CLAIMS MADE OCCUR ME EXP(Any ore person) $ 5,000 PERSONAL&ADV INJURY $ 1 000 600 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 X I POLICY PRO- LOC A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/16 12/10/17 EOMBIcdent)INGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Per accident $ A X UMBRELLALIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 2,000,000 EXCESSLIAS CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ A WORKERS COMPENSATION XWS 56418741 12/10/16 12/10/17 X I WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTVE YIN E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DYSCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) "For Insurance Purposes Only" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: ytie �' ����.k�" a�� / VV I I.4 �� � » •r • . Office of Consumer Affairs and Business Rogutatiort IV Park Plaza -,Suite 5170 Boston MasAt usetts 02116: Home Improvem �:� �t�actor Registrati"ori r Type: Corporation m INSULATE 2 SAVE , INC: Rdgisuat►on iso747 410 Grove.St Expiratlori: 12/28i2o18 Fallrver, MA 02720; _ scA 1 0 Update�Address and return card. Mark reason for" angel. _JQ RAnowal O FM"merit [ Cost Card.. �d�p797�i1K Ftd'C! 'Office of conSUMor Affairs&:Susinc"ss Aeguiation HOME IMPFtOVEMEwcofNTRACTO f Registration valid for lr tltvlduaGusa only �TYPEc Corporation before the OkPlratlon date: it fb ihd'return to: , ? Il Office of Can'UM0 Afiatr and:Bush ese.Re uiatf on 12/28y20i8 10 pack'plaza-Suite 61,76 Boston,'MA 02116 INSULATE2 SAVE-Qj N .t Rokand Langevin 410 GraveSf Faiiriver,MA 02 2 x Undersecietary r Not valid,Without aigtia#trt . 4assachu'sctts Department of:Publie Safety" Roam Of Bpi-itding RtjUlltions amd"SUridards Gans#ructican iiperviso,r kOLAND LANGEVIN, i $8`HK3HCftk f ROk ; FALL AVER tdA 02T K" CCzt1'tiS�arzer� b612�t2017 M s Tile Commonwealth of.tlfassachusetts Department of Industrial Accidents 1 Congress Street, Suite 100" Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insur--ance'Affidavit:.Builders/Contractors/Electricians/Plumbers. . TO BE HIED WITH:THE PERM ITTING AUTHORITY. Applicant information Please.Print LeeibI Name(Business/Organization/Individual): Insulate2Saye Inc. Address: 410 Grove Street City/State/Zip: Fall River MA 02720 Phone M 508-567-6706 Are you an employer!Check the appropriate box: ` Type of project(required): 1.a i am a employer with 20 employees(full and/or part-time).* 7. n New construction 2,n t am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.�1 am a homeowner doing all work myself.(No workers'comp.insurance required.)t Q 10 Q.Building.addition 4.❑1 am a homeowner and:will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 1,0 Electrical repairs or additions proprietors with no employees. ' 12.n Plumbing repairsor additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. I IF]Roof repairs These sub-contractors have employees and have workers'comp.insurance.; 6.n We are a corporation and its officers have exercised their right of exemption per'MGL C. 14.[ Other Insulation 152.§1(4),and we have no employees.(No workers'comp.insurance required.] *Any applicant that checks box.91 must also till out the section below showing their workers'compensation policy information. r 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 boa 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. 1'am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins.Lice#: XWS 564.1.8741 Expiration Date: 12/10/2017 c' 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 MGL c. 152,525A is a criminal violation punishable by a fine up to$j,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER.and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded,to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify undeW s an e ties of perjury that the information provided above is true and correct. Signature: _ Date: Phone M 508-567-6706 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..lnspector 5. Plumbing.inspector 6.Other Contact Person: Phone#: Town of Barnstable o , Regdatory. Senses Rkhard'V.Scab,niirettor s��'�� $1ll�f�.ltlg�1'VIS1(ill Tom Perry,$uilding Con m loner 200 Main Stred,Hywmis,'IV[A.02601 wwW town.8amtab1eaia.as Office: 50.8-862-4038 Fax: 5o8-790-6230 Property Owner Must xpf to r Sign This Section If aml e.;AB der L.- MercQ l'ercy Insulate 2 Save h�arebp•authlalaze. Eo aCt an inpbelialf, in all matters relative to vmrk authorized by d its buUding permit application for. /(,42 r C—Pi �J (Adds§-otil } J�I . *'"- Pool feuces and ah=�s azr,theresponsIb:ivy of the-appli=nt. B)6b One�iito b�:��d ar i�la�ed•befor�:-fence�s msta�ed and all final • i sspecuous arty pexf xmed.and aCcept+ed. J bignatuze :Sigiaatxue of Appkant .Qf 4(% G �e Punt biardet'rint Name Date T QxoRIuIS;owgwtle�wwoms TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 190 oyy M Map Parcel-iw Application # U'S a Health Division Y "' Date Issued � 20 ) Conservation Division "` ' Application F Vjvl � Planning Dept. M Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /l 3 /XW Rd Village (�ef-J 1 ef-ui 1f� Owner_)W c,�Q e l e C--OA) r,m I e Address 13 ;4. Fo X 411 F Telephone ��'" Permit Request r"e v-e_ 'tv'e e_7 af- Cn � ;�►�'J' �( (o f�e C e ceo�o� .a� �C CZ /��/` d rs� O� !�► Q Is- op-eji vp Ae_T)s� lk;-rAeti ceov, cfj��Cr all)l� Square feet: 1 st floor: existing 9:�Z proposed - —2nd floor: existing 08' proposed Total new Zoning District sc Flood Plain Groundwater Overlay Project Valuatio�`')-3oC) , 06 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family (# units) Age of Existing Structure, rT, Historic House: ❑Yes Flo On Old King's Highway: ❑Yes Flo Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Fr3L2, Number of Baths: Full: existing new "" Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: IGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 1114o Fireplaces: Existing New Existing wood/coal stove: ❑Yes Bl�o 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 BB� If yes, site plan review # Current Use r c6-.J clv It Ct Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name ka!T e! (�c K Telephone Number • ail- `�� �`� Address ti e�cS�l ei 2 License # C S— 73 g5r� CeN7;_L/ d� J�, 0 3�- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING 'FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o�0 FOR OFFICIAL USE ONLY APPLICATION# -DATE-.ISSUED- MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t " v FOUIVDATL t v FRAME I L1 INSULATIOISLJL- R .. FIREPLACE ELECTRICAL: "ROUGH FINAL - I PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL a FINAL BUILDING b / `4 DATE CLOSED OUT ASSOCIATION PLAN NO. f r Hie CommonumUh of Massachuseffr Depart of lid str€al Accidents 640 Washutgton meet r Boston,MA 02111 wmv mass.gm dia Workers' Compensation Insurance Affidavit:Builders/Contractor--]ElectriciansTlumbers Applicant Information Please Print Legibly Flame(Blsmesslorpnizaliontfndividual)_ © Cr C, Address. l (. SectT4 ear r La City/StatrlZp= cd��Cjl�- Phone-4-7 Are you an employer?'Check the appropriate oz: Type of o'ect x uire _ 4. I am contractor and I ltt l _ 1_❑ I am a Employer with ❑ l 6_ ❑New oonsfii�tion employees(fiili and/or partt time}* have hired thesub`��c tors.2A I am a sole proprietor or partner- listed on the attached sheet: - •l_ Remodeling .no employees These sub-contractors have 8_ Demolition ship and have emp y ❑ working forme in any capacity. employeesand have workers' 9- ❑Building addition [NO workers'comp_insurance comp_insurance.I required] 5..❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work offfeers have exercised their 11-0 Plumbing repairs or additions myself [No warkm'comp- right of exemption per MGL 12❑Roof. insurance required-]1 c.152,§1(4),and.we have no repairs 13_❑Other employees-[No workers' comp-insurance required-]' *Any spplic mt flat checks boa#1 must also fill out the section below showing ilea wodkers'compensafioa poliLT nfCrmx&eL Homeowners xhn submit tlis affidav a foci� g th cy are dying all t nit and ilea hoe outsides corttracmrs submit a aeu affld3rit ind'icsting suclL tContnctors that check this boot mast attached an additional sheet slowing the mule of the s;Ub-•oohs and state whether acnut dose entities fisv2 employees. If the sub-contractors byre employees,they must provide Heir workers'comp.policy-number.lam an employer rhatis pratzdkg workers'compensation irm4rance for azy arty EVees. Betotr fs the poTic}and job site tr{fOYYrt atili.4L ` Insurance Companyltlame: Policy:ff er Self ins_Uc—4 ExptrahonDate: Job Site 1&dd ess: Citv/State/Zap: Attach.a coFy 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 imprisonnierit,as well as civil penalties in the form of a STOP WORK ORDER.and a fine of up to$250-0+0 a day against the violater_ Be advised that a copy of this statement maybe forwarded to the Office of Imrestigations of the DIA far insurance coverage verification- Ida hereby ce&fv under tka .ns and penalties o,jf`pedury that the irtforrtiairait prin ided abiwe is huz and correct S.itmature: n Date: Phone#- So ?3 (]tidal use only. Da not sprite in this area,tv be completed by cis}or town officiaL City or Town:. PermiVUcenseff Essui n Authority(circle one): 1.Board of Health 2.Building Department 3.Citylfown Cleik 4.Electrical hispector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 rt . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuautto 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 staffs that"every state or Iocal licensing agency shall withbold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for auy applicant who has not produced acceptable evidence of compliance with the insurance.coverage requ.ir d." 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 numbers)along with their cerincate:(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with Do cuiployees 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 'lfie affidavit should be retumed to the city or town that the application for the permit or license is being requested, not the Departzn enf 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-ias urance 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 fll 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 affda.vit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations 111 (city or town)."A copy of the affidavit that has been of 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call_ The Department's address,telephone and fax number; The Commonwealth of Massachusetts Department of Industrial Acc deDfs ' OlRce Of lavestiptians 600 wasmnatou Strut Boston=IAA 02111 TeI.A 617-727-4900 W 406 or 1-&77 MASWE Revised 4-24-07 Fax## 617-727-7 749 vjww.mass-gav/dia t �mE T Town of Barnstable ° Regulatory Services � KA_gsBr E Richard V.Scali,Director Building Division 200 Main Street,•Hy-annis,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 . a I, qe_11117 IG'®' i x,as Owner of the subject pro erty hereby authorize -e; rL co t to act on my behalf, in all matters relative to work authorized by this building permit application for. ; (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final , inspections are performed and accepted. ` 9,Enature of Owner° Si tore of Applicant owi ko(V U- _7 CAN Print Name - PrintName , D e Q:FORMS:O WNERPERMISSIONTPOOLS k + Town of Barnstable Regulatory Services ���Fztte r � Richard V.Scali,Director ' Building Division f f • sa MAS& Tom Perry,Building Commissioner �$ � `a� 200 Main Street, Hyannis,MA 02601 prED '�a www.town.barnstable.ma.us Office: 508-862-4038 / Fax: 508-790-6230 i HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOI✓iEOF✓NER"- name home phone# 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 procedures and 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,RuIes &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 S P PP fY Supervisor. On the P p 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:1V'PFILES\FORMSIbuilding permit forms\EXPRESS.doc Revised 06 13 13 AA Massachusetts -Department of Public Safety Board of Regulations and Standards Construction Supen-isor License CS-073885 ti ROGER T COX 19 SOUTHEAST SANE CENTERVILLE IVIA 6 F' Expiration I Commissioner 03/12/2016 " e e�rerrcorzcuea�C�i-1 j &Office of Consumer Affairs&Business Re Jac `r�eCL3 OME IMP gulation' rF IMPROVEMENT CONTLicense istration: r133775 RACTOR. be ore th r re Estg ration valid„for individul use Duly lVief piration 8/7/2015 TYpe: expiration date. if taurid Cefuru 40: Indroidual Offie®of Consr�1net Affairs and B•' Roger T.Cox 1�Park:Plaza-Suite 5170 ' trsmesa kegulatiori Boston, 4 Q2116 Roger Cox '3 J 19 Southeast Lane Centerville,MA 02632 Undersecretary -.... o N t ithout signature , I ®Boise Cascade Double 1-3/4" x 9-1/4" VERSA-LAM@ 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope Friday,July 11, 2014 BC CALCO Design Report- US Build 2627 File Name: BC Job Name: Description: Designs\FB01 Address: Fox Hill Road Specifier: J Madera City, State, Zip:Centerville, MA Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: ,N—M. a�7. 09-00-00 BO B1 Total Horizontal Product Length=09-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,755/0 627/0 B1, 3-1/2" 1,755/0 627/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area(lb/ft12) L 00-00-00 09-00-00 30 10 13-00-00 Disclosure Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 4,828 ft-Ibs 36.4% 100% 1 04-06-00 be verified by anyone who would rely on End,Shear 1,820 Ibs 29.6% 100% 1 01-00-12 output as evidence of suitability for Total Load Defl. U746 0.137" 32.2% n/a 1 04-06-00 particular application.Output here based ( ) on building code-accepted design Live Load Defl. U999(0.101") n/a n/a 2 04-06-00 properties and analysis methods. Max Defl. 0.137" 13.7% n/a 1 04-06-00 Installation of BOISE engineered wood Span/Depth 11.1 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide or ask questions,please call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation.\n\nBC BO Post 3-1/2"x 3-1/2" 2,382 Ibs n/a 25.9% Unspecified CALCO,BC FRAMER@,AJS-, B1 Post 3-1/2"x 3-1/2" 2,382 Ibs n/a 25.9% Unspecified ALLJOISTO,BC RIM BOARD- BCIO, BOISE GLULAM-,SIMPLE FRAMING Notes PLUS® ®SYSTEM@ERSA RI ID, VERSA-RIM Design meets Code minimum(U240)Total load deflection criteria. VERSA-STRANDO,VERSA-STUD®are Design meets Code minimum (U360) Live load deflection criteria. trademarks of Boise Cascade Wood Design meets arbitrary(1") Maximum total load deflection criteria. Products L.L.C. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 Boise Cascade Double 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 �j►J , \� Dry 1 span No cantilevers 1 0/12 slope Friday, July 11,2014 3C CALC®Design Report-US 3uild 2627 File Name: BC Job Name: Description: Designs\FB01 4ddress: Fox Hill Road Specifier: J Madera :ity, State, Zip:Centerville, MA Designer: ,ustomer: Company: Shepley Wood Products erode reports: ESR-1040 Misc: 'onnection Diagram b —d a • • • c e s minimum=2" c=5-1/4" o minimum=4" d=24" e minimum= 1" All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. All TrussLok screws may be installed from one side of multiply Versa-Lam beams. Member has no side loads. Connectors are: FMTSL338 Page 2 of 2 i ,moo• TOWN OF BARNSTABLE Permit No. _ -__`'5"` { i Building Inspector cash �e o -- ------------ OCCUPANCY PERMIT Bond _.______-__ ?lt Issued to Mike & Mercy M6Gonagle Address ... #21 132 Fox Hi.]_1 Road, C,- Wiring Inspector � /��_�� Inspection date Plumbing Inspector Inspection date l Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. > / ..M....Wn..................................... . 19 ...n..w....... .w. ....ww.................w.r..w w.w............................. /1 Building Inspector f '�. TOWN OF BARNS'T'ABLE BUILDING DEPARTMENT = sesasr : TOWN OFFICE BUILDING '9► .639. `� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: January 16, 1986 An Occupancy Permit has been issued forthe building-authorized by Building Permit 28546 IL . Mike Mercy issued to .................. .... e ................. . ..........._ _. Please release the performance bond. to the Engineering Department v �t Shed TOWN OF BARNSTABLE Permit * sARNSTASLE, '' MASS. s6 39. A Permit Number. Application Ref: 201403845 20141622 Issue Date:" 06/27/14 Applicant: MCGONIGLE, MICHAEL &MERCY ELAINE Proposed Use: Accessory Structure Permit Type: SHEDS 200 SQ FT&UNDER Permit Fee $ 35.00 Location 132 FOX HILL ROAD Map Parcel 190044002 Town CENTERVILLE Zoning District RC Contractor PROPERTY OWNER Remarks 8X12 SHED Owner: MCGONIGLE, MICHAEL & MERCY ELAINE Address: 132 FOX HILL RD CENTERVILLE, MA 02632 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM THE ET Town of Barnstable ,THE Regulatory Services Richard V. Scali,Director B"`�"'AE& ` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# o 4E) FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less G Location of shed(address) Village dAtev A,/-L/"' P 22 Property owner's name Telephone number Size of Shed Map/Parcel# ature Da v -' C Hyannis Main Street Waterfront Historic District? -°= K Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway 'YJ Conservation Commission(signature is required) z, Sign off hours for Conservation 8:00-9:30&3:30-4:30 }� c 5 r' PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 013=110 Town Boundary f"' Parcels FY2014 4 12.34 Address Street Numbers CO Buildings Approximate Locations of New Buildings from Plot Plans X Decks Patios Above Ground Swimming Pools 00 In Ground Swimming Pools 00-0 5 Walkways Improvedtip f # 8 /,z Walkways Unimproved 3 1/_1 F-1 F1 El E1 El EX Paths ........ ....... Y, Stairways OPaved Roads V, r�,.. Unpaved Roads Paved Driveways M_ El 71 li�� Unpaved Driveways 190-141 +* Painted Lines _ A #161 Paved Parking Lots Unpaved Parking Lots F, 10-046 .......... Bridges 0 —4— Railroad F/ Fences Guardrails A -E Retaining Walls L L Sports Areas <>—Z�, Stone Walls O= 044-003 Golf fleas Docks/Piers e Boardwalks 1� Jetties Streams Drainage Ditches 190-142 Z #'139 Marsh Areasf Water Bodies X Spot Elevations(NAVD88) C D To 10 ft Contours(NAVD88) )p04*. N� metts 7 el. Catchbasins Monuments Lamp Posts Towrs e 190-044-Obi nt Manholes #s 136� Satellite Dih Utility Poles Si gns OE]Fuel Tanks OM Water Tanks Flagpoles ....... Uti ity Boxes 01 0 Posts P U 0 Pilings 189r`lf 2 Town of Barn Data Source Human-made features, Disclaimer This map is for planning purposes only. It is i inch=40feet N Barnstable I r. ra h topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination Feet Conservation Division � g p y'OM 2008 aerial photographs and representations of Assessor's tax parcels.They or regulatory interpretation.This map does n y interpreted et, I F.n r d 20 40 6o 80 W E t' htw://�-town.b�rnstable.ma.us may have been from more current are not true property boundaries and do not represent an on-the-ground survey. 0 10 .�o x OF W ETL�aip �0 - v- �,�T 2( Lo #22 ry DATiO &4(2'W1DE� CE,�T/F/�'D JAL oT OL A/V Pe E PA R E D Fo P: Z 0CA7-10,v: W7 21 �Ox LL IM. Ge.4-m-Kyi Lt.E Z /-/E��BY CF.�T/FY Tf-/NT Ti�/E ill/LD/�c/�i SHOH/ti/ Oti/ Tf-//S A:11-X?A. l /S L.00ATEa 0A1 T/,'t-- N OF M y2o�,t./D fis 3NOWiV NEeEoti/. ��P ARNE ��, H. - OJAIA v+ 026348 Q�OGC/!7 GB�oe en9ineer..�rac� ��s ISTE��� �/ A.1 E.C/G/.VEEGS O / ✓ � LAa St/eV6YOB3 O 'O<ITE a097--� •e-eG. L�i�va.. scievcYo e 4- /01 11g-s- /� tAssessor's map grid lot number .:..1�.�Q..:......:./....%..:.. SEPTIC SYSY UST BE c�T"Ero (� INSY , Sewage Permit number ......�.'. ...... ..........C... ....... ICE ENVI �N® MARE TA i RMMg MA86 ousenumber............................. :.......................................... TOWN RE 9°o i63q. \00 S0 MPY d' TOWN ' OF BARNSTABLE BUILDING INSPECTOR ` r APPLICATION FOR PERMIT TO .............!`a,j1.]o.... Xrl1AJ�!���k... ................................................: r TYPE OF CONSTRUCTION ........................../.X��.K�.....: ............................................... ......................... ..1 .......19...d ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .......................,2/ fPx...!✓i�/ ... �.........�J�!I .e.................................Location ........................ .. ... ,.............................. ProposedUse ..................4!/..ir.. i4 fJ. ................................................................................................................... ZoningDistrict ................. ............................................Fire District .............................................................................. Name of Owner ...... ...............Di?/1f........Address .......... C!!! t%J......o'i�....... NNCS............. Name of Builder /. ................Address .................. �/DName of Architect ............................/.!/. .&Z........................Address ..........� ............. ��................................... Number of Rooms /` Foundation Exterior .......&�.��.egO S f'. . ' .11YaL1!.�........Roofing .:........ 1.�4,1W11................................................ Floors /,i'�P .-o/....YI.JYy ............................Interior ..........., /rf��T..�lo+ r ......................................... Heating �D�,S.... ' e .............Plumbing ...........: ..4 r!................................................... Fireplace ........................,(/..4—<................................................Approximate Cost ..........�®..1.d ........................................ Definitive Plan Approved by Planning Board - -- -----l v�--19 L�- -• Area ......��'.—.�® ! Diagram of Lot and Building with Dimensions Fee .....��� SUBJECT O APPROVAL OF BOARD OF HEALTH I4 0 3 �� 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 ....f..�Ym"( ..IaI44&�........................................... Construction Supervisor's LicenseD�f �.........:. ' MCGONAGLE, MIKE & MERCY ' e ,' " 11 No ...285.... Permit for .... ..Story................ <• Single Family Dwelling 4 ............................................................................... ` Location Lot 21, 132 Fox Hill Road ...................................................�........... M1 C.enterville. . . . . . . ...... . ...... . ........................................ ti ` Mike & Mercy McGonagle Owner ............................I..... ............................ A+ Type`of" Construction ......Frame......................... G it ..................................... ............................................. Plot ........................ Lot ................................ r ' i� October 16, 85 + Permit Granted ........................................19 t t Date of Inspect ion ! '!x.....f. �...3s.....19 ^' / Date Completed ��-�u..../. ..... W. 14V / y f. Im cc >- � fa fn le COW 1 �, Assessor's map and lot number _ ..........:..... ............ Q�Of Toffy L y�� Sewage Permit number ..'!...i....(�i ....... d� / � M j" Z BAflH9TADLE, i ���House number ! ,(�'!!Y1:.............. s rues Op 1639. i0�p YFY y. r� TOWN OF BARNSTA LE ' �Y t , f BUILDING I N S P E C TJOdR~ APPLICATION FOR PERMIT TO v rI l�4l: .LdJ..... 614,4.......................................................... TYPE OF CONSTRUCTION ........................./. '� ..y; ".G.��G2:C>.* .,L<�f�l ... . ......................................... ......................... . . ... .........19.. - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ��r........ �............f�:X.../✓ /.../ .......... E�IT .0 ✓/(,......................................................... Proposed Use .................��?!/1!! ..`A/Y��....... ..................... ............................................ Zoning District ................ .. ........................................... District .............................................................................. qly—A-1Z51 I've Name of Owner ................................................ / c�yjTG'�/W �C� D � .a/�S/[S .....................Address ............... ......... 1.........9............. ............................. �7— Name of Builder 1 /�sff�!!. ..././7l1kT TWk7.............. . .... A/./.Y... T .................. Name of Architect ...............................Y.Q ........................Address .......... ...✓1................ .®iYC'e1E.... 3z / Number of Rooms ............................ ..................................Foundation ............................ Exterior ...... .........Roofing ......... .114.11./. .....................................t........... Floors Q.9 .? . 1.....Y.! .✓../..................................Interior .........., s!7 .......................................... Heating .........1o'�as...... Oa?C`f-.,� .lY�Z121T!L .... :.'PI'umbing ...:........ ... s9Th .............................................. Fireplace ........................ ................................................. Cost lP� d47� .... .............. ...................................:.....:........... Definitive Plan Approved by Planning Board yr_f__E'_tf j,___19�( . Area i, Diagram of Lot and Building with Dimensions Fee ............................................. I. SUBJECT TO APPROVAL OF BOARD OF HEALTH `..k tE� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regatcling the above construction. 'r Construction Supervisor's License ........ .. MCGONAGLE, MIKE & MERCY A=190 4+-2 No .. 28546 Permit for „1 StorV Single Family Dwelling .............................................................. ...... Location ..,Lot 21, 132 Fox Hil......................... ...... Centerville ............................................................................... Owner ...Mike & Mercy McGonagle .............. ..................................... Type of Construction .....F....rame................................. ................................................................................ Plot ............................ Lot ................................ October 16, 85 Permit Granted .......................................19 Date of Inspection ...•.................................19 Date Completed ......................................19 r 775-4020 AREA CODE 617 .f . DRANETZ, DUBIN BL STEPHENSON ATTORNEYS AT LAW 456 BEARSE'S WAY HYANNIS, MASS. 02601 MARSHALL M. DRANETZ RICHARD S. DUBIN JOHN C.STEPHENSON September 30, 1985 i Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Lot 21, Fox Hill Road, Centerville, MA Dear Sir: This office represents Michael and .Mercy McGonible, owners of the above described premises. Please be advised that this property I-as not been held in common owner- ship with any adjacent property since at least -December 9, 1967. Accordingly, it is the opinion of this office that the premises qualify as buildable under the '_Town of Barnstable Zoning By-Laws. Please contact me if you have any questions in regard to this matter. Very truly yours, DRANETZ,, DUBIN & STEPHENSON Richard S. Dubin, Esquire RSD:ges y j a 1 Iv- j ..... ..... ry S11- rl � a 9 r M« � "M•I v✓ r � 1 . off-°r,"I 1 -- ,-Fo_ , ed crl- a /3^^0% April 13,1983 Mr,&Mrs.Michael P,Deraetriou 132 Fox Hill Road Centerville,MA 02632 RE:lot #21,Fox Hill Road,Centerville Dear >ir,&Mrs,Demetriou: Please be advised that lot #21,Fox Hill Road,Centerville is located in a Residence C zoning district,A building permit would be issued subject to the approval of the Board of Health and the Conservation Comnission. JW/gr Peace, Joseph D.DaLuz Building Cotrmissioner Reply to: Post Office Box 527 Barnstable,MA 02630 March 25,1983 Centerville •Hysnnit •Soulh Ytrmouin Souirt Denn<«•Harxichpon •Ofleana Non^Easthsm •Taunion •Saehonk Atlieboro *North Aiiiel>oro Mr.and Mrs.Michael P.Demetriou 132 Fox Hill Road Centerville,MA 02632 Dear Mr.and Mrs.Demetriou: RE:Mortgage Loan Application Lot 21,Fox Hill Road,Barnstable As a consequence of Mr.Henderson's letter of March 12, 1983,it has been determined that before we would proceed with the closing of the above-captioned mortgage loan,we will require,the following: 1.A satisfactory percolation test performed under the supervision of the Board of Health; 2.A certification from the Town Engineer that the lot is buildable;and, 3.Conservation Commission approval of the location of any proposed foundation. These items must be submitted to us for review prior to April 18,1983;otherwise,our commitment will expire and, therefore,be subject to reconsideration and revision. Sincerely, SENTRY CO-OPERATIVE B Joseph F.Ventura,Jr. Assistant Vice President JFV:cac 5/F13 cc:Donald F.Henderson,Esquire (romt)'83g°or2098.00c^ER102.19=73.00N36°07'20"ES36®0r20W78.50fi36°07'20"EROAD936°0720W65.06148.83N36°07'20"E163.8312SeeSheet3R=2I.04\20.60'/''28.69^121.8982.04SS6®07'20"WN.\tf.LANEIPRIVATEi\r40.00WIDEj33466(SHEETZ)Scoleoffhlisheetis60feettoonInch