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'�'�'3,"3: p ,'.: ', d� r Yr hq�y� r it �r� rn t:i' m,,r. , . +.,rr ,". � .Yru.�3sYt n *t`tty +. :i�'r ,"�c• `�' rr r ,;�?�x':. , 1�` ! �;!4 ba f, ,�.y lr..ii r, ,� ..�: J 51 r,. .A..'i...z, • utr x ..°.' i' ' 'r•" ,"r ,Y,.r ., " L> ; ,;,fib❑ '° r..R i•r.,t i{�aq e „, tr Q e' F 1iA:.,p{ M +a F oJs .,i fit:. } P 6i< �ts�, I �y ...�, ..� ..�a'p> r1 . ._,. .... _.._Y..,{,a :t ,.,.a4-�r-'T''� - :+',d�tt: q!dtaa{"alra�r Ya J- Y�F�y:u ,rf''i^,..r Tt tE.�'.r� ��"��•. :T:_ i �r- ,.,r p» , 9, w a1 y 1 7g r Town of Barnstable Building t Rost This Card So That it is Visible'From'the Street-Approved Plans Must.be Retained on Job and this Card Must,be Kept • Baia MA ,$ Posted Until Final Inspection Has Been Made. �� anc � ed 1 Building- " " m Occupied until a Final Inspection has been made Where a Certificate of Occupancy is Required,such Building shall Not be Occ� � � mit Permit No. B-19-2046 Applicant Name: "ROBERT WALSH DBA HARBORSIDE REMODELING Approvals Date Issued: 07/02/2019 Current Use: Structure 14 Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/02/2020 Foundation: r114 Location: 50 FOX RUN,CENTERVILLE Map/Lot: 227-151. Zoning District: RC Sheathing: Owner on Record: STANISZEWSKI,SLYVESTER& KAMILA Contractor„Name:.",„.ROBERT G WALSH Framing: 1 Zi Address: 56 VALENTINE ROAD Contractor License -.CSFA-057394 2 �o Ala NORTHBOROUGH, MA 01532 �� Est. Project Cost: $60,000.00 Chimney : Description: BUILD A 10'X12'ATRIUM IN FRONT OF MAIN HOUSE:REMOVE Permit Fee: $356.00 VYNAL SIDING AND ADD CEDAR CLAP BOARDS ON FRONT nF MAIN . Insulation: o �23 h., H � �, Fee Paid;, $356.00 HOUSE AND GARAGE Date `! 7/2/2019 Final: ghohquUL Project Review Req: '., % Plumbing/Gas Rough Plumbing: ",,.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within`six months after.issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas All construction,alterations and changes of use of any building and structures shall be in 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 Final Gas: work until the completion of the same. Electrical ,—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:` Service: 1.Foundation or Footing 2.Sheathing Inspection 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:` Application Number..,.'....o........... ......... BARNSrABLF, —4 MASS. Permit Fee.......................................Other Fee........................ RFD MA'S TotalFee Paid........e........................................................ ...... TOWN OF BARNSTABLE Permit Approval by....... . .....................On... ......... BUILDING PERMIT 10-) S Map...... ........................Parcel............... ......... .......................... APPLICATION F_fV)Ark_ Section Owner's-Information and Project Location Project Address-. z-() )roV_ eM --Village rtz3w)- X-LIV I' 4tz Owners Name .9_FAr492JfWSK; Owners Legal Address 7 4,tQ�Av%,/ fl fL. state' At ti -zip Owners Cell# 7 7`1- 5_3 E-mailSmgJ4erL_ gA- hl(2)—COMA Section 2 -Use of Structure Use Group- Fj Commercial Structure over 35,000-cubic feet Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section,3 - Type of,Permit ❑ New Construction F] Move/Relocate EJ Accessory Structure E! Change of use El Demo/(entire structure)',' ❑ Finish Basement El Family/Amnesty El Fire-Alarm W Rebuild El Deck Apartment ❑ Spring Stgem� 1A Addition ❑ Retaining wall F-1 Solar La El Renovation ❑ Pool El Insulation Other-Specify Section 4 - Work Description L4 pin c7e- /IbICI-V A' ru&�Z) f2i-e 14 4cl ceda&- CJAV E r-3 14 h 111AJ 11 Last undated: 11/15/2018 - i Application Number.................................................... Section 5—Detail i cam, Cost of Proposed Construction Square Footage of Project /2 0 9 Age of Structure L 7 0.^ — Dig Safe Number # Of Bedrooms Existing P Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method -❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics 0'Wi iring { ' Oil Tank Storage f `❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ ❑ Heating System Masonry Chu7lney - Add/relocate bedroom Water Supply ❑ Public 0 Private Sewage Disposal 0 Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: to Co vv. �. � ss I am using a crane ❑ Yes � No prM � �., �ra '� Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank?, Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) 71 Setbacks ` Front Yard Required Proposed Rear Yard. Required Proposed A Side Yard Required Proposed, -' , 1 Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/15/2018 i ` B •D't' TOE, �2p FAT N ?p OF�gR 1g , � NsTq 6�F d y i t W2 t 16'.( iy 13 t1m Pitx':I�, '-^9 ShP GW3 3/2vA�_ _ Y w _. ggry� 4� FI a➢ G� Cav 6 0W 5 - 3 'iF a� II z} ... Axk Fl acerHg s.v E�si,1 }i _ �.-- t 2>r r4te,.,.waIL R-2i (( I 2.-(1Pt5 260 77 - - -- =- - - 8 1 RI f tr(1Y ".. qr I"—"' 1;i0 01 Re,.le.,.SIC Ules t 1 'IFaPI'u-1,11 fh.; 11 Section 3 _ SCALE:3/8" = 1'-0" - ,� •New Front Entry Chris Ellis-3D Computer"Home Design A-9 Perspectives Sylvester Staniszewski 276 Route 28,West Dennis;MA 02670 50 Fox Run,Centerville,MA 02632 phone:774.212-6625 longpondl�r�madcom ! l - I { kol T � OwvOr 019 84 " . ANSTgeCF _...... -o.. . .:.21_.- 4 _-6. _ 41. _ t s a .... _ - _ h hnn - �..� awl..:5 � .:. �_ .,, S ce Cased Opening.. S',r c ss NEW ATRIUM (Cathedral) F C " Reuse Existing Door _.._. 1. 71 2x6 Exterior Wall Porch Column f2�� \ Front Step-Bluestone .Fieldstone Base Y —�k - p First Floor - w New Front Entry Chr 76 is Ellis-3D Computer Home Design e a SCALE:318' = P-e' A-5 ATRIUM Sylvester Staniszewski 2 Route 2,8,West Dennis,MA 02670 I' 50 FOX Rung Centerville,MA 02632 phone:774-212-6625 longpondl(ymac.com -Y t , I , • _ To 2 o� T �79 • - � gRysT - - • r ----------------------- --------------- I—-Crawl �1{_.: ��-tar,i a t t rt� z z e � - - ----- t — - _. Ii Space 41 `ti 1 -.�- _ I� - I ! I on J .Fc e to�s1Nlro,i, m« _ae5 ,5•x - I I Access Illl-� _ 41 NOTE I II f �. I .la �� ® ♦ . " 1 All Footing 1.i i I I li a .. ._. i 1i .�\ •a4 s.I u a ( nen orc p ,,d snn ... �(f I j. I :IMJ V GI C� 1rA,et.0 aF-7 Cc" :eF .I 3 I i I Newfr iW IIP rtU SP 1UBiJC 'v - '\ pl t r.- Pat h — — _ _1 . .�_ I I ..I Ir✓1 I y C: -r4 - 4 5 Cp t P bG l` t �' \° - 4 `� F Floor Frame ` Foundation/Footings SCALE:3/8' = 1'-0' SCALE:3/8' = 1'-0' ---T— Foundatio O new Front Entry Chris Ellis-3D Computer Home Design A'6 Sylvester StBnISL¢WSkI 276 Route 28,West Dennis,MA 02670 w ws µiSZEW�.o„ F�OOf Ffat112 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpond I@mac.com y f - --- --------- -- — } 1 Roct Fmrrp 2x,L�16'x R�5 Hu"irAnr Cii;s ROOF-3112 Pitch y I I I I �—H aA 131 hE I'�. It12x� V I i I Dupliwe Soffit&Align w.Existing " "7 - �� RP F .i2 Pw CIF Corner Board it /'I Optional Bracket \� Ald .. /2—_ /----- 2'oc li. 1- L� ' H�� '_t -- II -�__ }J• I F�—p --. ..._ ..O ARi 1 _ '.A A-1 Roof Frame Roof Trim SCALE:3/8" = V-0" SCALE:3/8" = V 0" f New Front Entry Chris Ellis-3D Computer Home Design A 77 Roof&Trim Sylvester Staniszewski 276 Route 28,West Dennis,MA 02670 „„ „........ ,.�„ I 50 FOX Run,Centerville,MA 02632 I phone:774-212-6625 tongpondlLmac.com tip Oho, l' , F , NOTE: __a77 - _� -.. -' -:.Re;�r of Mr�x„ot v s Ule trot*xorh area _ ::: ..-; •..... ._•.. 1. ._. .._ ._ GARAGE. i H n .. _ EXISTING-H&P E 24' 41 �'a {, A NEWATRIUM t ;I { First Floor First Floor New Front Entry Chris Ellis-3D Computer Home Design SCALE:3116•= 1'-0° A-4 Sylvester StanisZewski 276 Route 28,West Dennis,MA 02670 s Ew Overview 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@mae.com t I The Commonwealth of Massachusetts Department of Industrial Accidents Of of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): A AL br,IL & i Address: -r 3 City/State/Zip: atldg Phone#: Are you an employer?Check the appro riate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.KI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity.c employees and have workers' it [No workers'comp.insurance comp.insurance.= 9. El Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs , insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.1 *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tr—ontraetors 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-contractor;have employees,they must provide their workers'comp.policy number. Y I am an employer that is providing workers'compensation insurance for my employees. Below is the polky 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 insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si attae: Date: Phone#: �67) w_ 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 iri 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 in a joint en and inc the le representatives of a deceased employer,or the the foregoing engaged J enterprise, including gal repres emp oy 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 h m+*+ce. 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 member 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 perm/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 hike 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 Commmwealth of Massachusetts ' - Departmmd of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617 727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 v�rw�v:mass.gov/din , Van»ctnjetuecAl"o/C llri:irci�icee/L 1. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration valid for individual use only Registration before the expiration date. If found return to: Expiration 141991 03/02/2020 Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 ROBERT WALSH. - Boston,MA 02108 D/B/A HARBORSIDE REMODELING ROBERT G.WALSH f 250 CAPTAIN CROSBY ROAD CENTERVILLE,MA 02632 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure b Board of Building Regulations and Standards Construction,%u' 6PAr 1 & 2 Family CSFA-057394 Fires 06102/2021 ROBERT G VC ALSH;:> P.O.BOX 713r< J . MARSTONS 10ALLS MA - , Commissioner I *"now Lou allow" i n", '�' �� am ■■■■/■l INl ■�R■ 11 pw>N!!!■!p!/ '�9wr.w l�%�■l111111ur., 110i■■■■■■■l"�9!!■■■■!■i`!■!■lrlp■!!it!!!1!!!!!!!!!!!!■!/!!Iw■■!pllii!!!`■�■1f/■1S11■ Y■■■■■ ■01■alltl■!/!/■■/ ■■/■ / ■ was /■/ ! ■ /■ ■ � ac i l i w a d •r• i e „ � ■ ■■ ; ^ iyy■��;xy�e■ '2// ■soon s /rl ■ ■M ■ / a ■ owls ■/■ ■ fir} ■■■/'.1 �Iis■ `ltd+►J. i![apJt ��.'_ ..: ■ ■ ■ NIiiY 9Q 1/M ■ ^ °< """" F�d�'d ■■■ ■ 4 ■[1m rill N !!!! ! ! #Vi 9 .. o�*+ Application Number.................. .................... Section 9- Construction Supervisor Name Qb — "m'—\&� Telephone Number Lf'a'?— Address , ,\3 city State InnA , Zip cydloll$ License Number ©5 7$9 4 License Type C5 Expiration Date (,j,' -AN Contractors Email v,z 6 ( ,( v.C.�b�^' , y�C Cell # 6 c6 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.Attach a copy of your license. Signature Date Section 10-Home=Improvement.Contractor Name_ �bR� (, �� Telephone Number ( � �O ' 6 .x Address Pfl, 6 1tj., -t%-5 City my^N VW,\N% State N A , Zip• 1}�' Registration Number t I R9 , Expiration Date a,) 0 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code.J understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your`;H.I.C... Signature Date 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 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 SIGNATURE Signature Date a mh Print Name &be vLi— Telephone NumbeCM3 _69St E-mail permit to: b vk c- 190 co'o- , e�-f Last updated:11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ q Fire Department , ❑ r Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I, ��LV�iS�� 5'� as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: IYYta, o-a 3 (Address of job) ?� f� 1 Signature of Owner date 19eLAA�i " � s 71EAKKf Print Name ` r y F Last updated: 11/15/201 S Town of Barnstable 2Building PostiThis"Ca So That it.is,Vi able From the Street ;Approved Plans Must be.Retamed on,=Job and this Card Must be:Kept . •svm entiere a°'Certificate of Occu anc _rs Re uiretl such t3uildin .shall Not'be Oecu ieduntil$a Finallns' ectio;n,has been made Permit No. B-18-340 Applicant Name: BEL ISLANDS HOME IMPROVEMENT Approvals Date Issued: 02/06/2018 Current Use: Structure . Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/06/2018 Foundation: Location: 50 FOX RUN,CENTERVILLE Map/Lot 227 151 Zoning District: RC Sheathing: Owner on Record: STANISZEWSKI,SLYVESTER& KAMILA s k �: 3 "Contractor'Name ' .,ANDRE YARMALOVICH Framing: 1 � `> ?Contractor License CS-,111305 Address: 56 VALENTINE ROAD � 2 NORTHBOROUGH, IVIA 01532 �'' Est Project Cost: $6,000.00 Chimney: Description: Re-Roofing(not stripping old shingles). Permit Fee: $35:00 r Insulation: Project Review Req: f Fee Paid:' $35.00 Final: Date 2/6/2018 3 K k . # - Plumbing/Gas 9 Rough Plumbing: '.Building Official i Final Plumbing: •'ate k" This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six m6MK fter issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl ati�on and the approved construction documents fo hi this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning,bylaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streetor road and shalt be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. ' Mill The Certificate of Occupancy will not be issued until all applicable signatures bt�h�e Butlyding and F e Officials are.provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction r 1.Foundation or Footing x ,_ .�, _ Rough: . 2.Sheathing Inspection Final: 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 Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �'SHE Town of Barnstable *Permit ' p Expires 6 n hs fro 'sue date Building Department Services ee aABNSTPABLIC Brian Florence,CBO 26 9. Building Commissioner 16;¢ � ,etFO MA'I 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 J Property Address ULl" T e9-'o Residential Value of Work$ �O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �—V W-912 Contractor's Name (/u t L-0 al Telephone Number Home Improvement Contractor License#(if applicable) A721 -�6 Email: VAC1_ -t O"V IC/-,9LK&a 'y4 Construction Supervisor's License#(if applicable) 1 rkman's Compensation Insurance ® E Check one: ❑ I am a sole proprietor p �c ElFEBg I am the Homeowner 0 "' ❑ I have Worker's Compensation Insurance (� TOWN Off' WNS ABLE Insurance Company Name Afu / eI 1 l-" Workman's Comp.Policy# Wes / S —6 IS6 6-N-7 -0/-7-- Copy of Insurance Compliance Certificate must accompany each permit. Permit Re st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to fN�(f`'� p ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property ;the r sign Property Owner Letter of Permission. A copy o a Improvement Contractors License&Construction Supervisors License is re aired. SIGNATURE: A/ Q:\WPFILES\FORMS\bui ' permit forms\EXPRESS.do 08/16/17 y - J The CommornveaWt ofMassachuxets Depwtrtaeut afrudAs&W Accidents - fl cC o, rM-W-iigafEcrrrs _ 600 Washineo t,"street Bast uar 02111 invinmasngarl4 is Warlmrs' Canpens3fianInsm-aucer' fffdaviLBwldexs/CantractmsMectncianslPhombers AppUmcd.. PaeaSePiint Adams: 2-0�r colst t /LIB 7��-5 �1r 's-OF"2EO _l � A employer?Checktheappropriafebam ' T of project(require L I am a employer with 4 ❑ m I a a general contractor and I 6-� New cons `�: employees(full andfor part-time).* iiave]sire.She Sint-contractors 2.❑I am a sole prupaetotr arpartaer- Tisted on- the attached sheet. y- ❑Remodeling ship and haves no empinyees Them sub-contractors ha7e &,❑Demalitifla w,�,�ry^g, fix employees mdhave wo&ers' """"o ��t3= 1 9- ❑Building addition INO St ai :[S' CAmp-rnansa„re Comp-insurance " required 5. ❑ We are a cmporati m and its 1a 0 Ele#ical repairs or addiEons 3-0 I ama homemmer doing all work officers have exercised fir 1L❑Plumbingrepairs ar additions.• myself[No wdtkers'gip- right of e$empfion per M(M 1-0 Roof repairs. insumoc"e required-1 T C.15Z,§In andwe have no employees-[No wQAness' 1.3-0 Other co=p-tIIS[ZranCe {Illlred 'dap apg&cm��,ac cT�ed3bas�l mist alsa SIloa�the sechoabetvwsha�iag t�ea•w�'cess'mmpensafiaupoycpia�uua - �ffameaameiswho saban}3 rEris sf�da<<u iudi�g thv_y ar�r]aiag slfwaQic aadtheats<xe aut�ider/,,,rr�rr,,.zams#snhmitanetvs�d�t mdiea�no sacEt. TCaatsscta6fbat chwi ftYie bac must sttsdyed sa addi6oaal shut showing them—of fle sib-can xs sad stye vrhadm arnot ftse eatitkshnq-- -qdu ees.IMP &ek wadm c=p.p army miambet I arrt aru errtpio�r$error prm�idvx�tvarkets'tan�esr�mt insrirance�or rrc}*enrpla3�ees i3eloev is i�hepaficy�arui je5 si�a itrforinatiam Insurance C:omparry mama: Paficy 4 or Self-im]Uc-•k WC Job� 1 Addre= �`�'� rich a.copy of the workere compensationpolicy"declaration page(showing the policy,number and expiration date). Fa9mm to secure coverage as.reg6rednuder Section 25A o€MCL c�157-can lead to the imposition of criminal penalties of a fine up to$150D.4U andfor one-year imprisn—f as aced as civil penalties in.fhe form of a STOP WORK ORDERand a ftae of up to$250-00 a day!First violator. Be adsised that a copy of this s hda nent•.maybe forwarded too the Office of Iu esEsgabom of the DIA for' e coverage vetifrcafton"- "T duo her"aby c ardar cs and psr�s o. perjury thdtfie ar;farRca#rmrprm tFed abatV" [rrr$w3f correct Sitmature s Bate: Phone 0f01ctat use miry. DDa not ivrita is$>s area,tr be completes by cfty artosrn offleiat City or Town: Per itUcense;ff Issuing Anf mr€ty(chnde one): L Board of Health r.Building Department 3.CifyfTown Clerk 4.Electrical limpector S.Pl>umbmg rmpector &Other O'onfact Person: Phone#: -- 6 Taformation and lastructionS r Mae etEs��al Laws I52 rues aII�� p�ae-vim of e a for their ofhfie�s. �.�b•� ,� Inyee is defined am,¢.vmy p�ason m$�e service of�atb on der aQy co�xa ct ofliaes empress err>C3pHD4-oral err writt=-7 An!=nF&yer is defined as`can and VidnA p=n�,associafioa,corporation or ofi�leg' ,or any tFvo or more m a oint �and inchzomg the Iega1 sepresoutafives of a dece ased employer,ar t3ie Of the foregoing 3 D ees. However the receives or trastee of an mdxvidmLL paltoenfiip,associafiDn or other Iegal entity,mnploymg ePI y owner of a dweIlnoghDnse havingnotmore than three artments andwho resides the2�,arthe occapant ofihe- dwmMag hpuse of another who employs pessuns to do ,consk:ucfion or repay Wmk on such dwelling house thereto shannotbecanse of such emplaymedbe deemed to be an employed or on the grounds err binldmg app - MGL chapter 152,§25C(6)also state that aevaT state or local IIc=Zaig agency shaft Wh hold•Hie issuance err renewal of a licen e-or permit to operate a bnsiaess or to construct buildiags in the eomm.arwealfii for yap applicant Who has motprodn-ced acceptable evidence of cumphammwi-tlx ffim msurance covexagereQuh:e� Ad der ona%%MGL chapter 152,§25C(7)stars=N6 the r the c=m=- V zM nor any ofins political sobdivisions shall enter into any contract for the penance 0fpublio wDic uaa a c=ptabIm evidence of campli anc0whh.I e fi3�c:a req[xizente�iEs oft3nis chapterhavebeen presenfedin t$e co�racting.ardbozit}:,, A.gPIican-� Plase fill out ere warb�''compensation affidavit completely,by checking$ie boxes that apply to your situation and,if e amessary"Supply suT_.cantract s)mmn*), addresses)andphone;==bea(s)alongwiththeiz oertif�s)of insurance. Limited Liability Companies(LLG)or Limi�LiahIIiiy Pezfuerrsb>gs(LI P)'withno emrployees oilier fin fig e members or partners,are not rimed to carry workers'compensafion insurance. If an LLC or LLP dDes have employees,a policy isregnired- BeadvisedtfidtbisaffidavmaybesobmftdtotheDepad=eatof rndusfrial Accid�for conffimahon Df ftMMrM a coverage Also Ba sure to sign and date a afudavif: The affidavit should beretmned to the city or tnwnthat the applicadm foi the permit or license is being not the Depar(menf of Tn ri„et,;�I A.cci den Ls. Shouldyou have any qaestons regarding the law or ifyon aim req=red to obtain a workers' comppmsafionpoficLplease call theDegarhnetattiDM=cLb=jLVtrdbelow: Self-insvredeaurpaniesshonldenti-rtheir s e1f--h2 m7an ee Hcaose mmnber ao.tile:appropriate line City or Town omdals r that tTie affidavitis complete andgriinedlegibly. Thu Departmenthas provided a space at the bott Please be sore om f the affidavit for you tD fi II or ev t is the ent the Office ofluvmtj o�has to cordactyou regarding the applicant o Please be sure toflIiathepenni Reese=Mberwhichwillbeused.asarefe=ce=mber. In.addition,anapplicant t3iat most sabmit multiple pewlicense applibdions is any g=year,need only sobmrt one affidav>t m&mtng= :t p ohry iaforraatiaa[if necessary)and ceder"Tob Se Q_dL,e ss"the applicant should wrhh�sII I06ons in (may or town)-"A copy of-tbz aff davitt3iathas beep officially st mTed or ma3cedbyAe city ca town may be provided in$e applicant as proofthd a valid affidavit is on file for 5:d=e-pmm#R or licenses Anew affidavit=xA be bIled oiot each year.-Where a home owner or citi=is obtaiing a license Or penit not related in any business or commercial Tare e orpm5mit to bumleaves etc.)saidpenm is NOT x to eaugPIe�e t33is affidavit (ie. a dog licens The office oflnvesbgaiinas Would hbetothank you imadvance for your cooperation and sbouldyouhave anygnesiions, please do not hest to give ups a c- The Depar[m mf S address,tElephone and Ax mmMber_ - T mMMTMj*OfMassachmnttg , D�gazim�cif 1aci�1 A�ent� . MA �i man S Q111 Tel.1617- -49-GO 14-xt 06 err 14M I LA&&� Fax#a7`27 7M Revised424-07 r } i Town of Barnstable Building Department Services NABS. Brian Florence, CBO R` Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder as Owner of the subject property hereby authorize WL f S L-W m 4A7 I PUQdM6to 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 ' stalled and all final inspections are performed and accepted. Signature of O er ignature c t Print Name Print Name 2,0& Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 sa►atvsr�. : . KAM �, www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EREMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAII.ING ADDRESS: cityhown 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,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that,the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q.\WPFUM\FORMS\building permit fomu\EXPRESS.doc 08/16/17 J BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING.INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may.require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER BRYDEN &SULLIVAN INS NAME: 88 FALMOUTH RD PHONE FAX HYANNIS, MA 02601 MAIL we "° ADDRESS: INSURE S AFFORDING COVERAGE NAIC M INSURERA: LM Insurance Corporation 33600 INSURED INSURER B: BEL ISLANDS HOME IMPROVEMENT LLC 204 CINDERELLA TERRACE INSURERC: MARSTONS MILLS MA 02648 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 37252619 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 i eRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES..LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY� POLICY MI D//YYYY LIMITS COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ T D CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPUESPER GENERAL AGGREGATE $ POLICY❑JECOT- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per aaldenq $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ UT A WORKERS COMPENSATION WC5-31S-615667-017 2/11/2017 2/11/2018 �/ STATE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/D(ECUTIVE Y I" NIA E.L.EACH ACCIDENT $ 500000 OFFICERIMEMBEREXCLUDED? ❑N (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Add@lonal Remarks Schedule,maybe attached If more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued'certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF YARMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 146 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 37252619 1 1-615667 1 17-18 WC n0270258 1 8/15/2017 8:38:56 PM (PDT) I Page 1 of 1 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstrwgUo ,`Ipervisor CS-111303 E`�ires: 06/01/2021 �Dui ANDRE YARMALOVICH Sri , 204.CINDEREL10 TERRACE * MARSTONS MILLS Mk--"0'I'M �r Commissioner i i ' r''��E 1�(173t1?Z6/L/LCCCZ/Cfl O C'�FZQiiQC}ZLISPC�6 r Office of Consumer Affairs&Busi ess ,egula400 tFIOME IMPROYENIENTCONTRACTOR Reg�stra6on �72476 TYPe. Expiration w 712/2Q18. pBA BELT NDS HOME14—ROUMEN7` ANDREI YARMALOU! ' 204 CINDERELLA TER MARST. MILLS MA 02648 • Ugdersecretary 1ac�y1q 'rev �ccC/d l��c Klan monwealth of Massachusetts of Barnstable 200 Main Street(508)862-4038 EPORT BY ADDRESS achado 2 Fixtures Gas Final 9/20/2017 FAIL achado 2 Fixtures Gas Final 9/20/2017 FAIL achado 7 2 Fixtures` Gas Final 9/21/2017 PASS achado 2 Fixtures Gas Rough 6/16/2017 PASS achado I xtures Gas Rough 6/16/2017 PASS- cElroy FRYLATOR DA /.f 6 T1 �5u,r3 ram^-�--t.'.�.� i ', ++, l � � �_, _ -- � e M�+art. y I f .o ApplicadonNumbe<....l... . . . . - Peffiit Fee.............. .. :.. :..........OtherFeo.........®.. .. MASS. 039� TotalFee Paid................ J L ................................. TOWN OF BARNSTABLE PemilAmrmlby.................................on...........:............ _. BUILDING PERMIT Map....................................... arceL............................................ APPLICATION Section 1—Owner's Information and Project Location oject Address 5 f-v X r- I v Village C% " l Owners Name LjS� Owners Legal Address t� h;(�kt C>� State Zip City - Owners Cell# �'l1 �-`� ��. E-mail l.0 vti Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System [Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work DescriptioYX J _ ,TslatTmd%tFA 7J9201S ........I-- i L ...... r.. rr -1 F F F F i 1. .......... 44- J-I 77-r- �Ot Ll I . 39 799. O Lr L C6, -9hi4: i6und4tiort me,�� thp, 4,et- back hqaiA- e_ ------- Olt' 3-1 p A P I SiteSitePtapt P� K.: 1? b*�� .in*h riot ',5iAAat 6— - 7"J- 3late.- 12-�8-98 H-tt Lc�. n ljq,ka,�bot Roact. -T, T L . - Ir )26 01� 4. --74 ------- -4- -T 4 I x I v J-71 �1 't L_ :. ... .. �. .� Right Elevation SCALE:114" = 1'-0' - r— - New Front Entry Chris Ellis-3D Computer Home Design A-2 Right Sylvester Staniszewski 276 Route 28,West Dennis,MA 02670 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondt@mac.com I L 3 I ; I r II � I i ii NEW Left Elevation SCALE:114" = 1'-0" New Front Entry Chris Ellis-3D Computer Home Design A-3 Left Sylvester Staniszewski T- 276 Route 28,West Dennis,MA 02670 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@mae.com A t r a wrx s i UT; 1`11 t }] -7, 7 ` > e sr � r�� •t�to a � }' �£�� �.�, I � r �. �,:�� ��'h� 'G� x ; �• ,"L -�2. I fi. `ems k r r v a 1 :+,uk ,. a if f.€ �s� S l+n. +dY^ �$ ''Z 4 tt- f M"rt OW sF =r NEW Front Elevation New Front Entry Chris Ellis-3D Computer Home Design A-1 Front Sylvester Staniszewski 276 Route 28,west Dennis,MA 02670 �•a.,µ„hw .N.�»eM 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@.ae.com .... ._ _ .._. s 41.:-_. d _. Cased Openin ,1 u 2x6 Exlenor Wall-R-21 _.. NEW ATRIUM 3 a. Cathedral) A 8 rnl .. rn �- 3 i. Reuse Existing Door i' 12' 2\- Porch Column Frond Step-Bluestone v..Fieldstone Base F First Floor SCALE:3/8' = 1'-0" New Front Entry Chris Ellis-31)Computer Home Design ATRIUM Sylvester Staniszewski 276 Route 28,West Dennis,MA 02670 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl(dmac.cum i 0 2' 4 fi 1 i F'iOrp FcunEeeOn 1R'P'f Pryw.wcF-� I I NOTE: All Foplln9n to Ee UnJlsturbeJ ar CompacWtuJ BpB I I 1 y I I 1 I I I 1 , -- k•R�. 4 t �: P 166Pi (311R'BOIC� .• f�, t /�. � ;5H� T i2'x 46 lNa I Co'ele W 8 BIgFPN BF2J SI pw 2 Z S B gFpq aF)4 S'.gilz:n PnrtinCHuavrs F l WI 2 n.L .,tt 2i-,:5 ,t Footings y Fboe laJ.aO B F:W_ ��. SCALE:3/8' = 1'-0' i i I it ti_ 1 a Uthl— 1 1 I 1 1 ;I r_ II r - - -- - - ,- - - -- -.,,,-� Floor Frame Foundation/ New Front Entry [�,I�one: hEllis-3D Computer Home Design A-6 Sylvester Staniszewski Route 28,West Dennis,MA 02670 SUAVE:318" = t'-0' Floor Frame �m.�.a�,rsgws«�a.a^.n:.�• SO Fox Run,Centerville,MA 02632 774-212.6625 IongpondlQmaacom fir -I ' Section 1 SCALE:318" = P-0' I ' f ttr v 9 ��i+--Ilyl �_ -i� l ''1 t✓ � it � �:.:. I^I� t1E �-�'i«s � �.tz��' � I�'� I;i It �� �� i iLl. pl i �}��pr 4 iII IL: ry 2,i„::a _ (PI 4 .. rk n e'6' 'F ar-6r6PTw,7712'FU6 -:II ._.. AIlk, 4 _ ._ ': � FE P talon, —. -_ 2x6 rs IZdQ IC TIC PI I .._ ..... ':2 PTPInm....._. rc.t.S...l 81 thxF'ela lc Aus Overhead .............. ....... B 12'x 4N'ben;ez,,,C Bela Pier F. ,,rp SLnpcq ,,-,:rs rnr,.r R...::t pt,.:lne: PA6t 2p.p,llaPuphf x5 tt.�69 ,Yx e&Cz.;ter fr:rvele Pier 3 SgFaml BF24 '��•, 9:ppc.�'Prfn.h Columns 12'+I6-U- C -ete FvbBigF=BF24,SaV— = NOTE: rtolnn,n FA61 2�post mP"p Ic"rec All Footings to be on Undisturbed Or Compacted Soil Section 2 New Front Entry Chris Ellis-3D Computer Home Design SCALE:3/8' = 1'-0• A—/7 Sections Sylvester Staniszewski 276 Route 28,West Dennis,MA 02670 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@mac.com ' a 7 _ a, ILI U11a a 5 l ""- q -- nAui.ld,lx6 __ _.. - - — C d OC° -.-. -- ._ I mb4 II il'-' 1 :.. 12 r id - -- iPivna 1 I --� r Ea R s — — I '' I 'u, x f� , Section 3 ✓ SCALE:3/8" = 1'-0" pp New Front Entry Chris Ellis-3D Computer Home Design A-8 Perspectives Sylvester Staniszewski 276 Route 28,West Dennis,MA 02670 �••-.µ„�. ^�.m=_•m 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@mac.com mac.com 65' ... _ NOTE: ' I - _-Rear n11--notvstoe,fmm work area -Nol crtcun,rated- - -" - ::. __ i.--.. ...... -_-._. ...... -- - - _. :. .. .'I GARAGE . n r. .... ............7 n � - EXISTING HOME ... -_ ... ..._. .-.._... .... _ ... ._ ._. _.._... f _ - A _ . :_ NEW AIRIUM it First Floor .SCALE:3116- P-O' First Floor New Front Entry Chris Ellis-3D Computer Home Design F_4 Sylvester Staniszewski 276 Route 2s,West Dennis,MA 02D OVerV12W 50 Fox Run,Centerville,MA 02632 phone:774-212-6625 longpondl@maacom 1y t a j CERTIFICATION IN ACCORDANCE WITH MASS. GEN. LAWS CH. 93, SEC. 70. Date: August 25, 1998 TO: Rebecca Shirley Sirhal RE: 50 Fox Run, Centerville, Massachusetts 1, Mark H. Boudreau, Esq., hereby certify that, subject to the limitations set orth on Exhibit A attached hereto, at the time of recording of the deed to the above-referenced premises to you, and the following additional documents: 1. Municipal Lien Certificate; 2. 6(d) Certificate, Oyster Bay Residents`Assn. you have received good and marketable title to,the property,yexcepting those matter's set forth on Exhibit B. Mark H. Bo dreau, Esq. l� r_ 1 Exhibit A 1. Any matter which does not appear in the records of said Registries, including those encumbrances referred to in Massachusetts General Laws, Chapter 185, Section 46, whether or not title to the property is registered, if record notice of such encumbrance is not recorded or filed with the applicable Registry. 2. Any state of facts or error of description which a recent accurate,survey or personal inspection of the premises would disclose. 3. Any law, ordinance, bylaw or other governmental regulation affecting,restricting, prohibiting or otherwise regulating the occupancy, use or enjoyment of the property,-physical condition of the property, the character, dimensions or location of any present or future improvement no existing or hereafter planned for the property, or a separation in ownership or change in the dimensions or area of the property (including, without limiting the generality of the foregoing, zoning laws, bankruptcy records, State Building Code, Wetland Protection Act, Subdivision Control Law, lead paint laws, U.F.F.I. laws, health and sanitation laws, sewage disposal laws, historical.districts and pollution control laws): 4. Any opinion as to the physical condition of said premises., 5. Rights or claims of parties in possession not shown by the public records. 6. Any lien, or right to a lien, for services, labor or material theretofore or hereafter furnished, imposed by law and not shown by the public records. 7. Fees in the streets. 8. Easements or claims of easements not shown by the public records. 9. Betterment assessments, municipal-taxes and water charges. 10. Any other agreements, covenants, restrictions and easements or matters.of record to which the property is subject, which do not in my opinion materially or adversely effect the marketability of title. . 11. Liens, whether presently existing or hereafter arising on account of any indebtedness or liability to the Commonwealth of'Massachusetts arising pursuant to the provisions of Massachusetts General Laws, Chapter 21 E (the Massachusetts Oil and Hazardous Materials Release Prevention and Response Act of 1983). f� Exhibit B 1. Right of way over,the ways shown on plan of land recorded with Barnstable County Registry of Deeds in Plan Book 305, Page 42. See also Plan Book 305, Page 44. 2. Easement set forth in a grant from John E. Barnard', Jr. recorded with Barnstable County Registry of Deeds in Book 2118, Page 162. 3. Declaration of Protective Covenants of Oyster Bay recorded-with Barnstable County Registry of Deeds in Book 2359, Page 161. - s S`EP-23-98 WED 2:09. Ptli SCHULTE FAX Pill, 505 778 0074 F, 3 EF' :1i�]�J9-O:��}F; 'ih-04-0'. 10 4, #I_t1-ii''�F; RELEASE 'OF EASEMENT We, WILLIAM J. CONNOLLY, and PAULA Q. CONNOLLY, of in consideration of ONE DOLLAR AND NO/100 $1.00 aid hereby release the easement granted in an instrument dated June 21, 1979 , in Book 2967 Page 190 over a strip of land between LOts 4 and 5 on a plan of land entitled, "Subdivision Plan of Land in Centerville, Barnstable, r 1CY Mass . for: Daniel C. Hostetter, et all, dated August 16, ' 1978 and recorded in Barnstable County Registry of Bleeds , Plan Book 326 , Pages 72 and 73 . - r, Witness our hands and seals this '50 , dayrof. March, 1996. A Y _�S..+s. \ La-�..%.:.b-4�1-,�•�. !�.,(,1, .�.et� ;� 1//-`/C�J�� 1J \. ..,1 William J. Conn lly . ._�-/ Paula Q. Connally• }R". COMMONWEALTH OF MASSACHUSETTS ` � r - t s Barnstable, ss March 30 , 1996 Then personally appeared the above named William J. Connolly and Paula Q. ' Connolly and `acknowledged the IYNv L foregoing instrument to be .their free act and deed, before me, F My Commission Expires: Notary Public a ki r ,. g-, -•r• 4. MIT ' f _ B IJ l`LD�hN RP E TOWN OF,B*NSTABLE, MA`SSACHUSETTS 1 Aa227.151 March 27 r 95 Nq �7 0 DATE 1 PER ,,IT NO. APPLICANT Brian T. Dacey - ADDRESS O� erUxuarie, �,en�eryry„ ,q.e V�Jk7riJ IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling ( 2.) STORY Single family residence NNUMBERDWELLIN OF G UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 50 Fox Run (LOt 4), Centerville ZONING AT (LOCATION) DISTRICT— (NO.) - (STREET) BETWEEN AMM (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEI T AND SHALL.CONFORM IN CONSTRUCTION TO TYPE USE GROU B NT WALL OR F NOATION (TYPE) REMARKS: Sewage #94-11 AREA OR 2,100 sQ. ft. 180,000.00 PERMIT 189'00 VOLUME E UTIMA COST $ a FE (CUBIC/SQUARE FEET) ' OWNER Lake Realty Trust _ ADDRESS Y 5n1r ey roln r pad n a III BU D, r rLDRTOWN O�,B IRNS ABLE, MA�SSACHUSETTS, 0 A-227.15I t DATE March 27 ( .95 PER IT NO. S t Brian T.' Dacey e�rane, , entery - e yv o 3 APPLICANT "a ADDRESS 9iA (NO.) (STREET) (CONTR'S LICENSE) PERMI>7 TO Build dwelling 2 Single family residence NUMBER OF 1 (_) STORY DWELLING UNITS �. (TYPE OF IMPROVEMENT)` NO. (PROPOSED USE) 'ZONING' (LOCATION)'/� 50 Fox Run (Lot 4 , °Centerville � ZONING DISTRICT (NO.) 1 = (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK LOT SIZE BUILDING IS-TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGH AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASE T WALLS R FOU DATION \ ; (TYPE) Sewage #94-112� •_ REMARKS: AREA OR 2,100 sq.; f t. 180,000.00 189,00 PERMIT VOLUME ESTI D COST $ FEEF (CUBIC/SQUARE FEET) Lake Realty Trust OWNER Y -69 Srtg Point J-mLj tt* 1 tS C BUI ;"eGD.1;PT/ ADDRESS B THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED,BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF.PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICAB,LE�SU.BD.I'V:ItION RESTRICTIONS. - MINIMUM OF THREE.CALL APPROVE"D PLANS MUST:-BERETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POS D UNTIL.FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDA'TAONS OR FOOTINGS. MADE. WHERE A C RTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR'TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL RS(-READY TO BEFORE FINAL INSDECTION HAS BEEN MADE. 3. FINAL INS P.E�CTION BEFORE ..00CUPANCY. a POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION'APPROVALS" :. .. PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L R E C OM E NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. BUILDING PERMIT .. ,. • a,D4c vc>✓r C7Y1/(AL-Al X e t) • - I i J xc ` III' - Y,_ FKatLu1, SMynEty I� I. -, ,I 'Eli �� n Fi _ j Ii � r i_1�I I 0 IIo �!I l 1=I FRONT ELCYA770/ CNOT ID :CALF •�` - - ^ - - MRS. REBeCCA f, rlofHAE_—"50 ,FDx Ru^.l SULE:NeT_ra_1SALC APPROVED BY: DRAWN BY{I.k.frR!M_ DATE:08/2o 19 B REVISED D9/D8�93 DRAWING NUMBER 11 i 17 PRIMED ON NO.1OOOM CLEAR--. - T Y 1 CA P5 1 (o, S M•.14� ._..-. � _- _. �- i-jam T• � -�-,;�+. a ..' II.._ .-+y I />JRJ. Ce eECCA S. irIRIML _ So FAX Runt ' I III li APPROVED BY: BY H.P.SIRRA SGIE' DRAWN,AIOT_�_SU(i t I I _- - DATE: D$IZO�98 /` mA-7 u, SCR M7L REVISED o9/08/48 i ------ - — 7// Y R/GHT E[Gyn 7on� ('war 7J scALE� � � - _'- -� � � ORAWINO NUMBER 11\17 1.1-90 ON NO.1000N CL[I111NIII(f• - • �dR'Cavxx>r/•ux�cw nx>E�1=0"IxYP ' . .. - - i 8'0' oc 8•0'o:c. d.o' o.c� d o" o.c. 8 W o.c.' B=o`o-c. 0----= --®' --®— -�. 0---.•_�__e ® .�_a'D.EP on•c..rt..cn x,w� s«o_7wc 'I ' •' `i 7;4° ¢ 19'-1' � 13'-8' -ems L:o• `3_3• /L'-9•• .. - e _ E $2 D2b ` ( ._ G_3'/t�xwcx or.�•.%•N. - ;L;y'Amcx �"• ice• : .Y �Ful�E( N�RIo� ( .. • -.. r-'�-"� �-�-I 2 > Q �p�/�Iibw� �; • 7q __. xmn.xr->wk•� _1: • l f' C.K lc %,RS l LOW hAS. LILY G0L• rbn A Dk ,� � �ryA[.u_� }[ Gana { b � •, L. ., 1W 4— _ o awGvdl e�)3 •0 .- - - ' i e•ate.->,��.� i . _ L//2x18 jT4::110�CX / _ �Y_C• RE6E((A .T. af/RNAL- - SO FDX RUn/ SCALE: %r, /'0'/ APPROVED BY: _ DRAWN BY H.N.SIR DAL- DATE:od/2.7/98 � REVL4ED o9//0/94 / DRAWW6 NUMBER Fo✓.Jb A770.1,WALL t SLAI.S 1f 11) PRIMED ON NO.1000X C L mw• t y1'ate• °'4;. �o. Ly t 0-4•.3.8� _s' i. B ,. - ` S t -rr S t W 2 W 3 y `l r 2 'o JD R.+uY .� C� Daa ' FUTuer R2�rpa./ Wt4 - -j- Kr/CIIEN a, _ DtD _I°n. • ` _� D2a ° 04b /8"a, ' ' I x 7 { ov39Sree�g .,. I 3..z.9 v+u s• I. 'i I " --___-- �xwrx.zr. -_ t-__� D4ai LJ e s . . cNAce o10 wl - oL4' f x1.8' ` j S 4' JI i /17tS. R.S13ECCA` e (• O eNa`y_ SO Fvx Rur✓ •' APPROVED BY: - SCALE: r/s" i�D" �• DRAWN BYN.It.jrRlJr 0'4" /B'o" 4t 2"' 18'-0•• 01-4° mt, M le X4Ndt_ DATE: REVISED 09I08/Q3 _ DRAW ViG NUMBER . _ Lill s FfoP.e - 11 x 1) PRIWW ON NO.I0 CtANPNINT• r 4'_0' 8�2� B�o� 9'-6• b:c• E:", 7'4' 0-y' 7_4, e!4• 7,s. o_c• 8_8• 0.4` •_4• :�' B. oC 4• + w.3 w3 w3 v w� wr ;wl yy� c7 C:::) /s.e' o o .� surRm. ID7 00 D4 DS ® 6D. L-.2 Na Na (—D39 D 03' • w� .1 I. DLD 3 07 wi an cAI. , wi Iwo jwl I IWI iwi /bRr. REBE(YA J." ,PA*A/_ _ So' roX eL'✓ ' 4'_0•' 7'u` q._6• - q._�• 7_0^ 4-0^ SCALE: //8':/!O•• APPROVED By: DRAWNBT H.Y.f/RNp DATE: 0812,198 ![. aF/RRAt_ REVISED o9/08/93 1� DRAWOIG NUMBER 11 i 17 PRIWEG ON NO.Mm CtEMmm. - i Z_ 0 A • 't. - �. 0 it 0 , o y - J W d 5 gO q4�c•vdAJT _ h - y •�r02xio al�� .. c 'K y Q rC'o.C. ' - •u — p Q 12 C( -%2` PtYmpo� IrL 'may. 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G.G G•c/E�L 1 ^roe.ror/o s __ �.,-� i 4 i' i TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 227 151 GEOBASE ID 13852 ADDRESS 50 FOX RUN PHONE CENTERVILLE ZIP - LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 798' DESCRIPTION 37551 CONSTRUCT SINGLE FAMILY DWELLING PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services BOND TOTAL FEES: $29$$.050 THE CONSTRUCTION COSTS $95,000.00 101 SINGLE FAM HOME. DETACHED 1 PRIVATE P Q * H�M.- BARNSTABLE, + MASS. ED MA'S BUILD IVI BY DATE ISSUED 03/27/1995 EXPIRATION DATE l i TOWN OF BARNSTABLE CERTIFICATE ,OF OCCUPANCY � PARCEL ID 227 151 GEOBASE ID 13852a ADDRESS 50 FOX RUN PHONE 1 CENTERVILLE ZIP • J LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT, CO PERMIT 38885 DESCRIPTION I PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY OONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $.00 0� CONSTRUCTION COSTS $.00 i 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P'"(,*ol * BARMSfABLE. • MASS. 16.39. ED Mpl BUI B DATE ISSUED 05/25/1999 EXPIRATION DATE y TOWN OF BARNSTABLE TEMPORARY ,CEPS F1CATE OF OCCUPANCY PARCEL ID 227 151 GEOBASE ID 13852 ADDRESS 50 FOX RUN PHONE CENTERVILLE ZIP I LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT "CO PERMIT 38885 DESCRIPTION PERMIT' TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT_- tip i CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P13 E HARuN3 i�if�ABLE. + � S AS& 1639. A� a �Ep BUILDINGfIS *ISIO BY DATE ISSUED 05/25/1999 EXPIRATION DATE 06 999 PARCEL ID 227 1.51. GROBASE ID 1,3852 ADIDRFSS 50 'FOX RUM PHONE CENTERVI LLE zip. LOT 4 BLOCK LOT ST ZE I DBA DEVELOPME,NT DISTRICT CO PERMIT 795 DES�RI P`1aION 37561 CONSTRUCT SINGLE FAMILY DWELLING PERMIT :.THEE B JILD TITLE NS RESIDEP�`T'IAS,=-BLIP R�'1`I' CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL F'E 4S: � ����4..50 BO TH $ €0 Ox INE Ct 7STRt C `IOt COSTS $9 s,000..0o 101. SINGLE. FAM DOME DETACHED I PRIVATE P * BARNSTABLE, + ' MASS. 039. D MO'I► BUILDING DIVISION BY DATE ISSUED 03/27/1995 EXPT.,R .voN DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-' = CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. -3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. t 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECT ON APPROVALS ELECTRICAL INSPECTION APPROVALS R4,k\ 0001, 2 2 2 %, 3 � 1 HEATING INSPEC 10 APPROVALS ENGINEERING DEPARTMENT 2� BOARD OF HEALTH O ER: SITE PLAA REVIEW APPROVAL V 11 C v� l WORK SHALL NOT PR CEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. . ���� � tom• ,.,_.�� I A I I I I I I I I I I I I I I I I I I i I I � � I ` I _ I I I � I I I I I I I ....-..-.. .,-.....�. y-•-,..-.-..- ..-- .v _. Ty. ,... - r .. ,:,,,•., ,.-.r...,..,it.:r+:i3.n'..^3.,..�+ti+"r*..,.+4.✓'�..i`:.*., .:.�y�isi,,-;,,,,'*1'..,-r.-�w*.......*..r.-....-•+-�+r*..THE The The Town�of-Barnstable - - BARNSTABLE. Department of Health Safety and Environmental Services 1639 p�fOMPya, Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspections-✓ / Location 5-0 `o (?C"I,, Permit Number Owner S r"'�6rli4 Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: c i y /-� C,4n 4 o�p S-4 IjL -tJ 4 Chi S � 1> Q 11K lw,4 x. 1 r d (y/ /CI PPdl -To i-� sue.�1 l� W0 r- C ArY-I , Please call: 508-862-4038 for re-inspection. Inspected by .cam Date �/ 9 l L # Ll I -FL-.I A_7L.L.J. I 4�H aq P' � � 39 79q I I _ o. V 4 ji J 1 F- i Jv F7 J L-L C9 jo,wulat pt Oteee't4,_t.44e, tldla Gcck 4�&!0 olift c7s.- qU4A -T jT ------ ------------ A I iT 1-T !_t_ AL T K�, SiAal Doti 7JI-1,—1 1-A TIL j,it -140 bate 2 apei 0 -02 A -L"-- rl J.:.if r j j- 20! 'A wi j-�.A_ _B7 J. L 4-f iolII i --H- z- Luc ifit- Lj_ L-1 I 4- fl _TJ r I i.:t f � i is� �-� - %i- r � � � • i fit .0� + t 1 .�.� , ..1 i �'i ` �••-}..t. i i.}.. } r } r . j •1.::�1 1 i.: , 1 j I 1«: : . i i-� :•`-� ,• j .4 � :... .. .. r_. •..� «.. .�� t..{_«. .�. ,.r. .�.t ..t .. ..�� f - r _ C9 , AtodsUox �� the eetr u�U o of lfat4i&b+te. : . s pf _ 5ca& I� -4p r �..; }date_ J2-g-Rff flu c JI .� . : : .t.•i:I- I "#�i (►i_1 t i T : ."I:t fc.f (. lf: � -, -r -t:f .tttf ' 1- TT :�-:� t- �:'�1. _ "� _.t � 111 i-; ,• i i.j � {•�. .� t �.�::�`.�.�.�. I[�-� s�-1�?. .�_. .�-�_�-�• hf ,#-:,�:.�. (.t.�._ # i f + i-i fi=14 -f•, i•� i i.4. . ..l..�:� , .�.�.. t _� { : : T . i f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 22'i . . Parcel ir51 U ;., L,„= fFsSIA3LE Permit 4- -Health Division - i Date Issu d Rn� FEB i AM8i 36 7" Conservation Div' ' n � �> f O o2 Fee Tax Collector Treasurer c� l9 ® DIV'S10N Planning Dept. 'V Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address So Fox Ruwl Village W �-w7&gyat; Owner Rte" Address 50 Fflx eu,�; P_jF4jrtAi/t&L4' MA of&3t Telephone Sob -790 _ 0955 R. oR SIR- 4zn- 8341 8, Permit Request F Air Lm,d4 2?ao 2oomx Id nfi; / &cF#,e"x!T idipi A jj,1,J QQ 141 6A H Rgam Cakis ZurnA Aijil-r-ld RAOLL-t"&A © 144 IrLook , .-Rug, jj /,jl 7wo r1g..YUr.H7-,r iwl A7Ti, Square feet: 1st floor: existing j- 7.n proposed O 2nd floor: existing -IjI n proposed O Total new O Valuation -t1 '7`"Zoning District Flood Plain Groundwater Overlay Construction Type J . Lot Size 34 r9 y�4 4 Grandfathered: 'Yes ❑No If yes, attach supporting do mentation. Dwelling Type: Single Family Ud" Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 r/2 YcAAs Historic House: ❑Yes YNo On Old King's Highway: ❑Yes 2<0 Basement Type: ❑Full ❑Crawl Y%Ikout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) i,12, Number of Baths: Full: existing 2 new N/A Half: existing Z new 01A Number of Bedrooms: existing 3 new u/A Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ((Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑& Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Y(existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use --BUILDER INFORMATION Name /n .u ym rift,4 .lC. Telephone Number so(3— 4 ZT,_ Address :)t) Fy Roy/ License# Ctw;a v:u!` ; /14A 0 L(,31 _ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A,amN's to ►� ) i SIGNATURE r- DATE A. FOR OFFICIAL USE ONLY y .+ PERMIT.NO. DATE ISSUED MAP/PARCEL,NO:: .� ADDRESS VILLAGE r OWNER' r ' DATE OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING, 1 Ft DATE CLOSED OUT ` ) -� ASSOCIATION`PLAN NO. 71 3 a SHE The Town of Barnstable : EARNST"LL 9 H $ Regulatory Services `SAT 059. Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 0260.1 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date D A 4/D 1 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Fi�htN��/� 7eoo Aooas iN fya ,dgtm- �-r , Estimated Cost .00 . � gN4.T-IwJ IdoO� t►rc=sF orJ 2A0' Fe.ou�i�, Address of Work: Owner's Name: alrLta S Stk N,P►L— / N,u.�.""' k fiR Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied f_®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT ARBITRATION PROGRAM OR GUARANTYWFUND UNDER M L cORK DO NOT c..142A. ACCESS TO THE ARBITRA . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name q:forms:Affidav:rev-07W01 The Commonwealth of MaNNIM11"s 'a ....... =='=•� Department of Industrial Accidents ' �/ �_- o11►Icaotlaoesuaadnas • 600 Washington Street �� Boston,Mass. 02111 ' Workers' Co m ensation Insurance:affidavit name location: Soo-4ZO-113,+1 CitV CC—A CV.dlt,l,Vz o'L one# -�9n—o9�1"J' TrI am a homeowner pesforming all work myself ❑ I am a sole •etor and have no one worIdngjS!ffczpadt7 ',. 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I do hereby call undo the mart mid pat of p that the inforntaioirPro>idcd above is trues and eorred S7 Date o 5t g-401 ta 8141 6 Printnsme �6linst�_E' ""r\ P,a � Phone# SvB ?Qn oR�'R olHt3al use only do not write in this area to be completed by city or town oin ial ❑Building Depar u-t city or town: a ❑11ceosing Bosrd ❑seleconews Office che&Ulmmedists response is required ❑Health Depuunent contact person: phone q; ` QOther (menau 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their empiovees. As quoted from the"law", an employee is defined as every person in the service of another under any conrr: of hire. express or implied. oral or written. t A association,corporation or other legal entity, or any two or more c An employer is defined as an individual partnership, rp ; ,:., engaged in a joint enterprise.,and including the legal representatives of a deceased employer, or the recen'E the foregoing F�ppto ees. However the owner of a trustee of an individual,partnership,ass6cialton o legal reentist the or oac}tpant of the dwelling house of dwelling house��not more than threeapartmentshouse or on the ground` another who employs persons to do maintenance, construction or repair work on such dwelling building appurtenant thereto shall not because of such employment be deemed to be as employer. MGL ter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or ren of a license or permit to operate a business or to construct c the gemmonwealth for any ypP licant o ,neither the not produced acceptable evidence of compliance with the contract for the performance of public work i= commonwealth nor any of its political subdivisions shall enter into any have been presented to the contiactir acceptable evidence of compliance with the insurance requirements ofthis.chapter authority. FIENAEM Applicants and ' compensation affidavg ,by the box that applies to your situation completely, Please fill in ,he workers comp insurance as all affidavits may be supplying company names,address and Phone numbers along with a certificate of�comfirm�of insurance coverage. Also be sure to sign an to the Departme�of Industrial the cant or liceas e is submitted or town that the application for p to the , date the affidavit The affidavit should be redutned �5' ons regard the `law or if requested,not the Department of Industrial Accidents- Should you have any qua being ree lease call the Department at the number listed below. are required to obtain a workers' compensation policy,P City or Towns legibly The Department has provided a space at the bottom of Please be sure that the affidavit is complete and printed egib y the applicant. Please to fill out in the event the Office of Investigations has to contact you regarding affidavit for you number. The affidavits may be retmmed t be sure to fill is the peumit/licease number which will be used as a reference . the Department by mail or FAX unless other arrangements leave been made• ce of Investigatild like to thank you is advance for you cooperation and should you have any question The Offi ons would t please do not hesitate to give us a call. _ i . .. r // ME .The Department's address.telephone and faxavaiber:� The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat 406, 409 or 375 -IKE The Town of Barnstable * BAxrrsrABM • MASS. ��� Regulatory Services 'fo 39. Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . .ce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print / DATE: l0`l A Li I o Z— JOB LOCATION: A.(J&/ ec^A/)Ea-V,uz— number street village "xolvlEOWN$R :_ Nvm �l �,t�� k. ar � 55be-75o _o`Y4' So B- 4 E4 name home phone# work phone# CURRENT MAILING ADDRESS: F�X AUAJ AA A U26 3 L 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 andridividual 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 D ` artment minimum inspection procedures and requirements and that he/she will comply with said pro dares and requirements. S' omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 105.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last.page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEM[PTN RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 2S.00 Building Permit Amendment $25.00 FEE VALUE WOPMHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE J^Q/ square feet x$64/sq.foot= 31,824 x.0031= 7. ZS' plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf • $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= . (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 227 Parcel Application #off 6(0 3 Health Division Date Issued 2 Le t Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board ( '4011 Historic - OKH Preservation/ Hyannis - Project Street Address 50 r- e Village C.tJiCRVILLE Owner QEaa y-A L I.I/R HAL_ Address Ice gaoe4z J �� WAY', OZ02XV11i� Telephone SOB- Permit Request R6PLACe AJXuL.4rioJ ,err\ S/A a} F_T' R.004- hd 4A"�,,; <10, Th Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District R C Flood Plain N/A Groundwater Overlay #J/A Project Valuation Construction Type Lot Size 39 -7qg Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 1949 /Historic House: ❑Yes Ud16 On Old King's Highway: ❑Yes YNo Basement Type: a Full ❑ Crawl Q 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: Ydas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes &f No Fireplaces: Existing New Existing wood/coal stove: ❑Yes C(No Detached garage: &(existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C.ZaL �' _3 GO -13 3�- Name Q &c A J '.kWA L__ Telephone Number 506- 4to_ 9141 Address 3c, gaagg &/ %1u.4_ WAy License # &EAJha-10LLL' MA D 2G 3 2__ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE o2d14 / 201/ G FOR OFFICIAL USE ONLY , y 4 APPLICATION# DATE ISSUED MAP/PARCEL N0. f r } ADDRESS VILLAGE'. OWNER M F s 4 DATE OF INSPECTION: FOUNDATION s 1 FRAME ! f t INSULATION FIREPLACE S i ELECTRICAL: ROUGH FINAL ti PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL . FINAL BUILDING DATE CLOSED,OUT ` r , ASSOCIATION PLAN NO. W F _ { The Commonwealth of Massachusetts Department of Industrial Accidents Fill ~� 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): F Address: , 41 A Q2 LZI 3 /�itdev r CG=A)i="lL cs'7 MA City/State/Zip: Cb-X)TaW1(_u5 04A Phone #: S06— 420� 83y I /.SbC�i 7�se—o4,jj� 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 I 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. $ .❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in.any capacity. workers'comp. insurance. 9. Building addition [No workers' comp. insurance 5. El We are a,corporation and its equired.] officers have exercised their 10.❑ Electrical repairs or additions 3.LJ I' a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have.no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy.information. I am an employer that is providing workers'compensation insurance for thy employees. Below is the policy 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 ce nder th pins and penalties of perjury that the information provided above is true and correct. Si nature: Date: 0 Z- l.'4 _01 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#: T'o'vn •of Ba astable sae Yrte ray • , �P o M Regulatory Services Thomas F, Geiler, Director ' AIM 16.59. . Building Division Tom Perry, Building Commissioner t 200 Mairi.Street,_Hyannis,MA 02601 Trww.town.barnstable'Ma.us 1 Office: S08-962-4038 Fax: S08-790-6230 HOI fEORNER LICENSE EXEM7TION Please Print DATE: 02.tt l Loll JOB LOCA71ON: So ax 'eu number n street village. "HOMEOWNER": RtecccA J J :err e: SoB- ono o'3 1' So - 4to-834J name home phone# work phone CURRENT MAILING ADDRESS: 3Co - �Q�II " 1K.� 1 JA y MA 01G 3 L city/town state zip coax nr— current exemption for"homeowners"was extended to include owner-occupied dwr- i gs 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_ DEF'fh`ITION OF Bbm:EoNWER- 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 constrgcts more than one home in a two-year period shall not be considered a botneowner. 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 inspe 'o procedures and requirements and that he/she will comply with said procedures and re e e ts. Signature of omen Approval of Building Official Notc: Three-familydwc1ings containing 35,000 cubic feet or larganw ll be required to comply_with the State Building Code Section 127.0 Construction Control:. HOMEOWKER'S EKEMP,TION =: _ 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 tha t if the homeowner engages a person(s)for hire to do such work,that such Homeowner sha11 act as supevisor," Many homeowners who use this rxcmption are unaware that they arc assur-ing the responsibilities of a super- isor(see Appendix Q, Rulcs&Regulations For Licensing Construction Supervisors,Section 2.15) This lack of awarrncss often results in serious problems,particularly when the homeowner hires unlicensed persons. In this cue,our Board cannot procccd against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsrb)e. To ensure that the homeowner is fu11y aware ofhis/hern spon.nbilitics,many communities require,as part of the permit application, that the hDmeowner certify that he/she understands the responsrbilitics of a Supervisor, On the lasl page of this issue is a form currently used by several towns. You may cart,t amend and adopt such a form/ccrtification for use in your community, ` l °TIME Town of Barn-stable ` Regulatory Services MAIM Thomas F. Geiler.,Director O Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town_barnstable.ma.us ofce: 508-862-4038 . Fax: 509-790-623 ns,. ' operty Ow �. ner 1V1nsV Complete and Si q TMs Sect con If Using A Builder r, as Droner of the subject property hereby authorize to act on.my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name if Property Owner is applying for permit pleas e complete the Homeowners License Exemption Form on 'the reverse side. E\ 7 Ae TF v'IryL� � o I © 00 r01; IWa« rII-: Z. _ u 1 b INCTT Lr I KITC NEtiI la MA ' r JoIs.S -• ' G a 4f, y o Lj 7 4�. 2EIw F 'Q1TG4i 2" To s c. SY-tEET fLOC,u it !3'•0- F :� I, i i d -'m 4- FLC-n"Clrc 2q.'-o•' 34.'•o- I� o BOND DEPARTMENT-NOTICE OF CANCELLATION NGM Insurance Company s•55 West Street P.O.Box 2300 Keene,NH 03431-7000 *formerly known as National Grange Mutual Ins.Co. Issued to you as: Obligee Barnstable Dept Of Public Works 230 South St Hyannis,MA 02601 The Company hereby gives you notice of cancellation in accordance with bond conditions of:` Bond Number: S-22723.7: Principal: Humam Sirhal s Type of Bond: SURETY-LICENSE OR PERMIT Classification: Li Street Permit 910 License Number: Remarks: Original Date of Issue: 11/22/2005 Cancellation Effective: 11/22/2007 By virtue of this notice thebond will be cancelled and all liability of said company will cease at and from the time and date stated above without further notice. "Tr..,.A -,M..3 r'''=,i•�r.-OTTfty�tr�+,tF.y T1 rr' Such action is caused by reason of Bond'No Longer Required/Needed Copies of this notice were mailed to: f Principal: Obligee: Humam Sirhal 1 Barnstable Dept Of Public Works 50 Fox Run 11 Main St Centerville,MA 02632 Hyannis,MA 02601 Additional Principals: Additional Obligees: Other: AGENCY 20 0108_D F M Insurance Agency Inc , 'rg � t��•����� COMPANY NG_M Insurance Company *fformerly known as National Grange.Mutual nns.Co.— w­' z-_'i Jillj:... � �r�,"'- � . wi`iF�.^,$tlt:sl r� S:f'4° � .i !;"y�: 1+ •r:. 'E,'..�::. - ;31' a`:.."'i. ' + +' .,� .;-} w. [�..-;C' � tihz +�:�,. By Date: October 17 200171 Attorney-in-fact o, 3 t V.i 0 N�V E :i` WhitneyS CM PROJECT NAME: ADDRESS: 73Z /17Dix� PERMIT# 77 8' DATE: a7�S M/P: -2-7- / 57 LARGE ROLLED PLANS ARE IN: BOX' SLOT /41- DATE: � �� J r - PROJECT,,o NAME: ADDRESS:�'�/x fY,�' !/•�l�, PERMIT# ��O -�T DATE M/P: _ �-- LLV LARGE ROLLED PLANS ARE IN: BOX SLOT DATE: i q/wpfiles/archive Town of Barnstable y��F fHE Tph�O� Regulatory Services Thomas F.Geiler,Director BMWTASLF9 MASS. . g Building Division i619. ♦� pTED MPS A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 9 Office: 508-862-4038 Fax; 508-790-6230 5 o PERMIT# 6 d II FEE: $ � a SHED REGISTRATION 120 square feet or less (7 A%;) Location of shed(address) Village. REgeccA S'. SiR 4r4 Property owner's name Telephone number a x 22'7� f Sf Size of Shed Map/Parcel# } 06/13 /03 4signe Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? 13 Conservation Commission(signature required) - 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 a Q-forms-shedreg RFV:121901 Assessor's office(1st Floor): 7/qs Assessor's map and lot number Conservation(4th Floor): +� "-� SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE ', Board Health(3rd floor): WITH TITLE 5 • Sewagea Permit number !.� ��� �� t sAUsTAXt ` V- Ni ENVIRONMt 'TAL.� U Engineering Department 3rd floor:_ TOV7 AND YHouse number Definitive Plan Approved by Planning Board ( _ r 19 7 �� APPLICATIONS PROCESSED'8:30-9:30 A.M.and 1:00-2:00 P.M.only '- = TOWN OF BARNSTABLE 'BUILDING ,INSPECTOR APPLICATION FOR PERMIT TO (W0 ff TYPE OF CONSTRUCTION _ �n Ad 4 192± TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L 6c 4- so F;Zx Jilo_.t Proposed Use �V. AAY L4►_t 6�-L- �t(r Zoning District— Fire District �" o Name of Owner 2z,20 '`l 1 i�i,r.�S t Address Name of Builder _ �Az-ftY Address Lit •a.r. i ��� ^C' ICil� r�i�ttit�t�i L� r Name of Architect �? r'ess dLfy'Y Number of Rooms D Foundation Exterior -+► �:+�� � Roofing AeglpCCU- .t Floors 14Pn416.100Iq t%6 _Tt- 6,.i ui-- Interior s kosjA-LJL, Heating �l�t� �44 Plumbing �Z Fireplace Approximate Cost i Area Diagram of Lot and Building with Dimensions X Fee �C `Q O S-� • G 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 WA n _ Construction Siipervisor's License _ 00 T(A'E r 7 J 3/27/95 3 - , 227. 151 No Permit For - Location' 50 Fox Run (Lot 4) ` Centerville Lake Realty Trust Owner Type of Construction { Plot Lot Permit Granted 19"4 Date of Inspection: Frame 19 Insulation 19 Fireplace J" 19 `- Date Completed 19 i ZIN fix= I r ry SCHULTE 52 Fox Run Centerville, MA 02632 (508) 790-3856 May 17, 1999 Mr. Tom Perry Town of Barnstable Building Services—Inspections 367 Main Street Hyannis, MA 02601 Re: 50 Fox Run, Centerville,MA - Residential House Construction Dear Mr. Perry: I am writing this letter to confirm our recent conversation regarding the above-referenced property being built by Mr. Humam Sirhal. During our conversation,you indicated that a Certificate of Occupancy(CO) for the property would not be issued until the drainage problem on my property(52 Fox Run),which was caused by Mr. Sirhal's construction, is corrected. Assuming you are still the inspector assigned to this project when a CO is requested, I am confident this matter will be resolved prior to issuance of the CO. However, in the event another inspector is assigned to this property, I thought it would be beneficial,to summarize our conversation in a letter to be included in your department's file for this property. As you know, we have requested a response from Mr. Sirhal(both by certified mail and fax)regarding his intentions for the repair of our driveway. He has failed to respond to our written request and in fact refused to accept our certified letter. Additionally, as we discussed on the telephone, Mr. Sirhal began moving his personal goods into the house last Monday. On Thursday, May 13`h, a Cape Cod Moving van delivered a large load of personal goods to the home. Based upon our conversation, it is my understanding that until a Certificate of Occupancy has been issued, Mr. Sirhal is violating the Town of Barnstable's building and health regulations by moving his personal goods into his unfinished home. I am mentioning this final fact to you merely to reiterate how difficult it has been and continues to be trying to deal with Mr. Sirhal during his project. I appreciate your help and willingness to assist us in resolving this matter prior to issuance of a CO to Mr. Sirhal. Thank you again for your help. Sincerely, Robert A. Schulte PHONE CALL FOR 40W I DAT TIME M lab &JAlh J. OF ' _ RETURNED PHONE A EA CODE NUMBER EXTENSION LEASE GALL' MESSAGE WtLL CALL -,. AGAIN v CAME T0. `` SEE YOU, WANTS TO + P.,A 1SEE YOU SIGNED ftiybrSal' 48003 kc Q lg- ( I -r I I Ja. C L LIF 0 f SCHULTE 52 Fox Run Centerville, MA 02632 (508) 790-3856 April 22, 1999 Mr. Tom Perry ' Town of Barnstable Building Services—Inspections 367 Main Street Hyannis, MA 02601 Re: 50 Fox Run, Centerville, MA - Residential House Construction Dear Mr. Perry: ; Last Thursday, I visited your office to drop off photographs of the drainage problem in my driveway that has been caused by Hugh Sirhal's construction project at 50 Fox Run. At that time, I requested and was provided with the file for this property for my review. In going through the file,�IInotice m`fetter addressed to you and dated March 31, 1999 was not included. The woman working at the counter thought you might have temporarily removed the letter, but she suggested I send you another copy just in case your office had not received it. Accordingly, enclosed is a copy of my March 31, 1999 letter. I kindly request that it be placed in your file for the project at 50 Fox Run along with the pictures I provided and my,letter to you dated April 15, 1999. Incidentally, we have received no response whatsoever from Mr. Sirhal to our letter to him(copy enclosed)which is referenced in my March 31, 1999 to you. If you should have any questions about this situation or the,pictures documenting the drainage problem, please do not hesitate to contact me either at 617-342-7366 (work) or 508-790-3856 (home). Thank you again for your help. Sinc ely, � ,� 1� �' .t .. ♦ r+,'f,f rtl:`.C. O }l�.¢ id', . 3t w+, fIrJ 1 �. < e Robert A. Schulte ' 1+ S T J diz rl ki,s ( F✓ t s '� `♦ f5 4 b A .1♦$ j 4' fol- +,%f _ ,ICz ( i' ..1,;.. � 1 I +f �}� �1(/U Encl'osur'e- . #J;Fr; i. .siszE yj 1 i SCHULTE " 52 Fox Run Centerville, MA 02632 (508) 790-3856 April 15, 1999 Mr. Tom Perry Town of Barnstable Building Services—Inspections 367 Main Street Hyannis, MA 02601 Re: 50 Fox_Run, Centerville, MA - Residential House Construction Dear Mr. Perry: As follow-up to my letter to you dated March 31, 1999, enclosed are pictures that show the severe drainage problem in my driveway that was caused by excavation work performed for Mr. Hugh Sirhal during the construction of his house. The picture labeled#1 (on back of photo)was taken from the street looking down the driveway toward our house at 52 Fox Run. As you can see, the"lake" which now forms in our driveway following a rainstorm extends the entire width of our driveway(approximately 15 feet) and is close to 40 feet long at its worst. Picture#2 was taken looking west across our driveway and shows the increase in elevation by Mr. Sirhal that has caused the drainage problem. I request that this letter and the enclosed photographs, along with my March 31, 1999 letter, be included in the Building Services' file for the construction of Mr. Sirhal's house at 50 Fox Run. Furthermore, I kindly request Building Services' review of this situation and assistance in making sure that Mr. Sirhal corrects this problem prior to the issuance of a Certificate of Occupancy for this house. If you should have any questions about this letter or the enclosed pictures documenting the drainage problem, please do not hesitate to contact me either at 617-342-7366 (work) or 508- 790-3856 (home). Thank you again for your help. Sincerely, Cow Robert A. Schulte Enclosure a SCHULTE 52 Fox 3'�.ini Ceiitei�:ille,N .0?A-11 (508)79b-3856 March 31, 1999 lNr,Tclm perry Town of Barnstable Building Services—Inspections 367 Main Street Hyannis,MA 02601 Re: 50 Fox Run,Centerville,MA - Residential house Construction Dear Mr. Perry: . Thank you taking the time to speak with me on the telephone yesterday regarding the house being constructed at 50 Fox Run, Centerville, MA. My home is located next door at.52 Fox Run (we are the other house set back from the street with a long driveway.) As we discussed,the individual building the house,Mr..Hugh Sirhal,had his excavator raise the elevation of his driveway(which runs parallel to ours)approximately 12— 15 inches. This increase in the elevation has crested a drainage problems ut the center of our driveway. After the snow we received earlier this year, a small"lake"approxinuitely 15 X 25 feet awl 6--8 inches deep formed across our entire driveway. It has been there frir the better part of three months and gets march worse after each rainstorm. We have obtained several estimates for the repair of our driveway and it has been recommended that we install a drywell drain to alleviate the drainage problem, We recently sent a letter to Mr. Sirhal requesting he inform us in writing of his intentions regarding the repair and restoration of our driveway. As you requesad, I have enclosed a copy of the letter sent to Mr. Sirhanl for inclusion in your file on this property- We understand that it is the responsibility of the builder to correct and/or repair any structures built or alterations to the land which cause damage to or which adversely affect an adjacent property. It is our hope that Mr. Sirhal will promptly respond to our letter and will repair our driveway as he originally agreed. However, we felt it was prudent to stake our concerns regarding this matter known to your office prior to the issuance of a Certificate of Occupancy for the property. If you should have any questions about this letter or require pictures documenting the drainage problem, please do not hesitate to contact me either at 617-342.7366(work)or 508-790-3856 (house). 'Thank you again for your help. sin ly, Robert A_Schulte Enclosure Y COPY SGl�JLTC 52.Fox Run Centerville,MI A 02632 (508)790-3856 3 SEN�,,,,T AT CERTIFIED U.S.MA&AND FAX Larch 26, 1999 tHugh-R:Sirhal' + Washington Financial Group Summerfield Park 800 Falmouth Road Mashpee,MA 02649 Hugh: We are pleased to see that your home construction is progressing. 'However, as we have heard nothing from you following the damage done to our driveway by your excavator, we now felt it' was appropriate to contact you regarding its repair and restoration. As we are sure you recall, you told us on several occasions that you would repair any damage to our property than was cause by your contractors during the course of their work. We have obtained several quotes for the completion of this repair work and would be happy to provide you with copies at your request. 'The quotes range from$2.400 to about $3;000 and include the price of installing a drywell drain. Installation of such a drain has been recommended to alleviate the drainage problem that has,been created.by your decision to raise the elevation,of your driveway approximately 12" above ours. We are sure that you have sew the large"lake" y which has developed across the entire width of our driveway. In the event you have not noticed this,we would gladly provide you with numerous photographs which document the condition. Additionally,we estimate that it will cost approximately$150 7$200 to prepare and to reseed the lawn area that was covered with dirt by your excavator. The lawn on the northeast side of our -'' driveway has-been killed as,a result of his work. We kindly request.a wd tea response summarizing your intentions regarding this matter within ten(10)days of your receipt of this letter. If we do not receive your written response within this timeframe,we are prepared`to take appropriate action to ensure that you meet your responsibility a to repair this damage. Robert A. Schulte . Anne O.'$chulte } TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE 9Q JOB. LOCATION 50 FvX Run/ Number Street address Section of town "HOMEOWNER" RF_at:cCA S. StRhML__ Sob- 42c-)_0492. S08- s'34-•31J Name Home phone Work. phone - PRESENT MAILING ADDRESS P. 0. sox S C07u/7- MA 0.0 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. e DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 OfficiE on a form acceptable to the Building Official, that he/she shall be responsib_. for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. HOME ME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home OwnE shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing' Construction Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, pa rticular ly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as .'it` would with licensed Supervisor: The� Home ��Owner' acti as supervisor is ultimately responsible. W. To ensure that the Home Owner is fully !aware of- hiis/tier responsibilities, ma: communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page 'of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. r, • y Engineering Dept. (3rd floor) Map 2Z-7 Parcel / SI Permit# ,�0 House# • So Rb �j Date_ Issued // Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) q6- D9 X/fJe Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - 0 EEPTIC SYSTE ~9 �d Planning Dept.(1st floor/School Admin. Bldg.) E PP Y g. �" 19 1P- M LLED IN E Definitive Plan Approved b Planning.Board WITH Ti ALE. AcsePe /a -�J E ONMENT/A ND TOWN OF BARNSTABBEwNREGUL S Building Permit Application Project Street Address 50 Fox RUn/ Village C t i rye v�LLi ,s ,n 6t1r Owner ,PA9eFUA J. Xlek Z- Address ' A6. Sox ld'7 8y77117' mA o263d� ,.Telephone SOB - 42n-o442 oR S06- S 3 9 Permit Request First Floor_ 1:7 gq CGw4t i,icLg 6�7 ) square feet Second Floor 1, G29.oo&Xamewc. Arnc) square feet Construction Type Wont r}. C�P-.,l,��-, s�F� � r Estimated Project Cost $ q Zoning District R c Flood Plain N/A Water Protection N/A Lot Size 3 9, l 9 q Grandfathered ❑Yes ❑No Dwelling Type: Single Family p' Two Family ❑ Multi-Family(#units) Age of Existing Structure N/A Historic House ❑Yes &No On Old King's Highway ❑Yes &No Basement Type: ❑Full ❑Crawl &Walkout ❑Other Basement Finished Area(sq.ft.) o. op Basement Unfinished Area(sq.ft) i . 1 43 Number of Baths: Full: Existing u/A New 2 Half. Existing u/A New 2 No. of Bedrooms: Existing N/A New 3 Total Room Count not including baths): Existing N/A New First Floor Room Count Heat Type and Fuel: ❑Gas 90il ❑Electric ❑Other Central Air ❑Yes dNo Fireplaces: Existing #3/A New Existing wood/coal stove ❑Yes EfNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) QdAttached(size) r.00 ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name - Telephone Number Address License# r Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERM IED FOR THE EOLLOWING REASON(S) qj� ►. FOR OFFICIAL USE ONLY • - •. _RJR PERMIT NO. .., DATE ISSUED71 y' MAP/PARCEL NO. ADDRESS + VILLAGE OWNER _ t , DATE OF INSPECTION: { r FOUNDATION FRAME lad r) . MULATION - FIREPLACE t ELECTRICAL: ,,% ROUGH FINAL PLUMBING: _: ROUGHS; ' FINAL GAS: . R Lmi-T- r~ FINAL y t 4� 'FINAL BUILDING, i,-- . - ' i DATE CLOSED OUT , ASSOCIATION PLAN NO. �' ' ti I - ��PA. "47 floor) Ma 2 Z7 Parcel 191 Permit# / Engineering De-, fl ) p House#'- So - � Date Issued Board of Healoor)(8:15 -9:30/.1:00-4:30) 9B�S19 � e.Conservationth floor)(8:30-9:30/1:00-2:00) � SEPTIC SYSTE E G . Planning Dept.���t floor/School Admin.Bldg.). �^ LLED IN Definitive Plan Approved by Planning Board �S a"'� 19 �� M WITH TI �.� : E a E -� ►-./te1/PcsP� /a -7 ONME.NTA ND ' TOWN OFBARNSTABI3N EGUL S RAu - Building Permit Application Project Street Address SO Fox RUn1 Village C&j7kye VILLZ Owner QA 9-54CA J cT'iRH,a` s Address A d. Sox If-71 ,M17- mA r. ,:Telephone Sob 42e a4A2 nR So$ S39 - 31 f e y s i 'Permit Request i 1 i First Floor I J A% C4*0ke ��Iccuc,E'� square feet Second Floor 1, 429.vo(rxccJb,+c. AMC) square feet Construction Type LaDn'1 I rniaceEM �Pt.,��w•� ��„� wii� s�si Qc Estimated Project Cost $ q 9' Ran Zoning District R c Flood Plain N/A Water Protection . N/A Lot Size 3 9.-1 9 q Grandfathered ❑Yes ❑No Dwelling Type: Single Family p' Two Family ❑ Multi-Family(#units) Age of Existing Structure N/A Historic House ❑Yes LYNo On Old King's Highway ❑Yes &No Basement Type: ❑Full ❑Crawl [H'Walkout ❑Other Basement Finished Area(sq.ft.) o.oo Basement Unfinished Area(sq.ft) I, 143 Number of Baths: Full: Existing U 1A, New 2 Half: Existing u/A New 2 No.of Bedrooms: Existing MIA New 3 Total Room Count(not including baths): Existing N/A New First Floor Room Count Heat Type and Fuel: ❑Gas &(Oil ❑Electric ❑Other Central Air ❑Yes f(No Fireplaces:Existing w/A New Existing wood/coal stove. ❑Yes dNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) dAttached(size) GOO ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 11 f g BUILDING PERM IED FOR THE EOLLOWING REASON(S) J f _ 4--\ The Commonwealth of Massachusetts_.l — — Department of Industrial Accidents ,. --  weeolloYest/gadeos -- r. - 600 Washington Street ----`J Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit i/name: ReAutA &fR?mtH_ Ii fk)(4ht 1: tj tFtl._ �ocation: F X JW nJ ci CtV ib-✓r -r 1 hone�! 608-4-2.-O Lf L ❑ I am a homeowner performing all work myself. S'b 8 - S-3 q -31: ' ❑ I am an employer providing workers'compensation for my employees working on this job. comaanv name:. :.:. . address s:::::::::::> >> . . :.::.::. .:...:.::::..:.' ....::::.}.:.. }.... ..:..;::..:. ..::. drys " .. .. titione#i.:::;': .,:: assurance ca_ ;..::'' bli mw ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contract=listed below who have1. ` the following workers'compensation polices: M comosav name ...:......... ::.:>::;'<><::<:;::>:<:»::»';:.;::V...::.::..::}:.::'.:;:::.............................................................::......... ..................................................................:.:::::::::::::::::::.:::::.:::.:::::::::::::::.;..}.:.;:}. iad esSsf::.....::ii is::..:1. ;: >; isi is isi;:i;i; is;!;;i.i??;;;ii!�i:%i;`i!;isii i!5;:<;;! ;i;:;:;i:`i;S it i':<y:< ;?S?: i i%;i�i%`''ii ii ;isi!i':?i:`.i..... asi nisi i 'i'i:iasisi;i:;i i'i i! i?�: :i:,`: %? r;;>% :`%>?i:;ikk? .}:.}:.;:.}:.;}};::::<:::}:?>;>::>:::....:.:.::::..:. :.....::::::::.........:::::::..*,:::::::...:........::.::.;:........:.::..:............................ �.:.. :::::::. :::::::::::::.....:................................................................................ .'----............... 1::.......................................n.......:..° :.. ...:„ 0 :::::.::::::.::::::::::::::::::::::::::::::::::::::::::::::::::::.:.::.::::::::.:::::::::::::::::::::.:::::::::.:::::::::?..:....................................................................................................... ...... �. .... :::::::::.::::............2..' :::::.::::::::::::::::::::.:-i::.:::::::::::::.:::::::::::...::::.:::.:":::::::::::::::::::::::::::.:.:.::::::::.::::::...::: xlty: :>::::>:::<::::::: ::>:::::::::::>::::>:::<::::<:: :::>::::>:<»:.,::::<.....:: ::>::::>:::<::<::>.>.<<>;:::»::::::»::::::......:':'::::::::::: ::::»::»::.....:>:;:»>::>,:::>:;:>::::>::;::: titme.#.::::..;,.::::;:?::<.::.}:.}::?.;:.>}>::.;:<.:.:;.}:•}:.:.:.}}:.}:.}:.}};;:.,}:?.:<.}}:;.::.:........ ... ....- ... .y..... ...M.: sa. }:viC:MV:'-.- <::f:i:::::;:;: ::::fY%:;i;::;::f:::::;:::::Y:%:Y:;iiY.:; :::+r:R:.ri:`:?:$:.!+!i'?!!t:iiifi:i<::'isiiiiiiiii'ri'ist:iiiii:ii}?':}Jii}:k2i:'ii::i iiii:•'::iii::iiii::iiiiiti:i:.`:iif:': riii }Ji:L;:.:><::iiiiiii:Sii .. ..................::::.�:•:;:•:::ycy:::: .%.............. rv:':}i}::............:...:...............: .... r.v..:v. ...................................:..::.........:::.:::•.�.. (��.;�:.:. ... • •. }:::}:.iY:'is J:?:}i::?3}}}ij:--.JiY:3}}}i}i:.iiii}i}}::.:?i}}i>}}}i>i:.}'.i:............i:<.:?::•.�:::::•:•::}::::::}}::::::::: :,X.is ..................................................................:...................................:.::.:..::.:.:.::::.:.:::: :. ::::::::.::::::::::::.�:::.:::::.::::::.:�:.�:::.�:::::::::: ::: .:::: :::::::::::::::: itrattce co........_ __.... _._ ...... b1 !! kr{: :'.. •:. caab$nv nam :(/ I%.::::::.::,:;..,I"..:.:...I:...,..}:.;..............:.... ;. i. :::w«r :: »::> :;.:::;.;....:r address)"' " bheiie:#E .:: ::.::::.:........ !;K ni: '':::c3�::(oY ::. ?} (� ... ............................................................................ ....................................................::.:..........,..........:..:......:....:yo}:?:?•>}:;:::?'0......?.... k :u::::>:>: ::•::.::::::::::::::::::::::::.:..:.:•..............................................................-.1...... }'.::!....:;??;}:}}i:•}Y:...:....:.......:•::...•:r........:...% -:-:....:.:.:...r. v::...,.....................q..r:::v.::.:...},e",:::::.i.. :::::..:.:.......::.:::iii:.:}:}i h;•}}>}i}}:•}:4:^j}is:i}}::.}}}ii:i}:•i:•i;.i :}>}:•}:??^iiiiiirij{4:y;'r}}ri•:K b ...................:::.:.::::::::.::::r::::.•:...::.::.:..:.........................................:........................:...,......::..•ta.�:::::::. . ::::::,i:::<::< ii:.?4iii:•iiii}:}isi:>il::.i::.i}}}ii::.i:^}::.::..:+..... :o::::::.:::.:::.:.:::«:....iiii:.}:}}}}}::!::?::<?:.}::::: .nirnranct.ca. o }.... afime to secure coverage as required under Section 25A of MGL 152 can had to the imposition of criminal penalties of a Ste up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand ad copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify the p ' penalties of perjury than if provided abo77Z4196 coned Signature ' 8 D - Print name Phone# official use only do not write in this area to be completed by city or town official . city or town: permittlicense# OBzdlding Department ❑Licensing Board (3 checkif humedide response is required ❑Selectmen's Office OHedth Department contact person• phone#; -- ❑Other uevi�ad 9l93 PJI) - - _ r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all P employers to provide workers' compensation for their P employees. As quoted from the "law", an employee is defined as every person in the service of another under any comrac: 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 re=ver c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the inm=ce requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ot(Ice of Investggatlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 710 CUR Appenft! 'TableMMIb(eondaaed) Pmcriptive Packages for One and Two-Fan*Residential unudlop Anted with Fossil Fuels MAXIMUM MINIMUM dlaang Glazing Ceiling Wall Floor Bent Slab Heating/Cooling Aral(Y-) U-value= R-value' R-valuef. R value, Wall Perimeter Equipment Efficiency p�Be I I I I R-Wua` R value' 5"1 to 6500 Heating Degree Dan' Q i 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S l2% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 WA WA Nortaal U 13% 0.46 38 19 19 10 6 Normal Y 15% 0.44 38 13 25 t.,% WA 85 AFUE W 15 iG 1 0.52 30 19 19 10 6 95 AFUE ' X 19% 0.32 38 13 25 WA WA Normal Y 18-A 0.42 38 19 23 WA WA Nomml Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 "AFUE 1. ADDRESS OF PROPERTY: 5r0 '• Ca�n�i w/o QAh-WCOr 6J/ gA-rtnn,wrr cu/8A1c.TMr�T w/v BArc+ewr - G�+U+gc d C,APAtie w/o 4AWALrc w/Gkrnz 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 2, 67,r;ob 4,114.s'b 3 12f 00 3, !o�•o0 3. SQUARE FOOTAGE OF ALL GLAZING: ' Zu6-70 336•go 318. 2a 2qq. 30 4. %GLAZING AREA(#3 DIVIDED BY#2): /0.4-2'/. -7.q3 X 10. 18 '/, q,c 3 i 5. SELECT PACKAGE(Q--AA-see chart above): Q NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION.. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a o Facsimile Co Sheet To: Louac Company: Phone: Fax: -79D- �z3� From: HUMAM K SIRHAL Company: WASHINGTON DEVELOPMENT GROUP, INC. Phone: SM539-3155 Fax: 508-539-3055 Date: Pages including this coverpage: bD • N.C. S. C��ISi�tuC7c�/ MM eLIAL- UAA tJ J 0 L/ T/: 'd -10HYIS A H WdVT:SO 86, 62 D3Q . NOV 23 '93 11:09AM H K SIRHAL P.1/1 Facsimile Corer Sheet To: Lai►SE Company: Phone: N.i- 4a2.L Fax: Tgo- �23� From: HUGH K. SIRHAL Company: WASHINGTON FINANCIAL GROUP . Phone: 508-539-3155 Fax: 503-539-3055 ®ate: 11 JZ 3/R 6 Pages Including this cover page: i So--Fvx:R_u_�=� (x17�>R�ru.E uesr Ql$. 1:f�'J t,uFurew►i1�a✓ V&I U\,ouaz C.o�iC�c l� Fvf M S P. o. BoX q 8 MonwMour &—ACJA MA o2�5°3 7Z2 . �� � -7 4.3 o l009jLEA'S COMO. lnls. CA,A10L S7. �/tuf.'1 ►.,vs. Cd. �k�rxw U� �6 Pol.. * -7-7111-71988 icy�a PS �o►T,ac,s A ,6 scar 't FOA, 7h',J w� . of /3/kZ.✓�i7t�tE PujtL,s/.Jl9 /nitPr'u't7t� G'i/r3►�� cj'iQ Rx21u��sr A✓ �xTc-�✓s��,J oc �� /StI�L��.JL, PtMMor FoR S1� Fax .eucJ LOT 4 ) Cevn?LV/LLZ MA � ,:�-L� l o 6/Igg8 '17M,nl+t )roj FbL- You/— CovAMA;)u 1 /� �vhi�n!(Z /liv2i S�et,� RpPR�At_ J R t CCA r—aa4 . __ � � Re[fiastopassessaaawroA! i COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY glo OF ONE ASHBORTON PLACEls�fto�tai66�ltd1� ( _ taso�►isto!l�rosauon MASSACHUSETTS F'" �i6719A,YQFF7Kt '� - btl/AJORase. 1 � LICENSE � CAUTION EXPIRATION DATE I I FOR PROTECTION AGAINST 04/a 9/1 9 96 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS I - ®6/30/1 9 BOX ON LICENSE 93 005645 PRINT IN APPROPRIATE ®NE •' o �m BRIAN T DACEY ° 62 FERBROOK LANE BLASTING OPERATORS z CENTERiIILL MA 02632 T MUST INCLUDE PHOTO. F PHOTO(BLASTING OPR ONLY) i F Y O.0 PAID I i NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY t HEIGHT: STAMPED-OR-SIGNATURE OFT OMMISSIONER (� rSIGN NAME IN FULL ABOVE SIGNATURE LINE THIS DOCUMENT MUST BE IGNATURE OF LICENSEE CARRIED ON THE PERSON 01: THE HOLDER WHEN ENi 4��A2 ER y OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION: c COMMONWEALTH OF IvMASSACHU$ETTS =? DErAR ,MFN-T OF LNDUSTRIALACCIDENTS 600 WASHINGTON STREET �mDoei; BOSTON, MASSACHUS= 02111 s,one' WORKERS' COMPENSATION INSURANCE AFFIDAVIT ` : l� 7 � l en=/permittee) 1 principal place of business/residence tic (Gry/Srure/4) rcby crrrify, under the pains and penalties of perjury,than im an employer providing the following workers'compensation coverage for my employers working on this inee Company Policy Number am a sole proprieror and have no one working for me.. zm a sole propricror, in contnaor ,r homeowner(circle one)and have hired the oontrnaors listed below ave the following wor cn eompcn==rion insurance policies. — - of Contractor Insuran¢Company/Poliry Number of Conrmctor Insurtrice Company/Policy Number of Conrm=or Insurane Company/Policy Number n a homeowner pe:iorming all the work myself. NOTE .Plcuc 6c aware that w do bomeownen wCo emoiov persons to do muntenaaee.eotutruetioe or tsp:ir work on a of not more teat three unto is watci the iorneo-mcr ciao restart or on the Frouccu appurtenant 6creto ass not Fener,11- •ea to be cr-_fliovrn uaarr the Woricen' ComDersauon An(CL C 152.sect• 1(5)), appiieation by a homeownet for a license it may enticnce the ico sunu of al; empiovrr uaaer the Woriten'Cort:penution Act tans mat ; copy of ties stat=rn,will be forwarccd to the Dcoarrnent of IndusaiaJ Accidents' Ofnce of lnsumntx io m—c on an,. my taiiurr to secure ernrarc as mcuirce uncer Seenon.5A of.MGL 15: Can lead to the imposition of c'=3v �aloe I of; f,nc of ur to S1500.00 ancior impruonmc.t of up to one and c%-u pc-aitio in the form of a Stop i o'r owe' and a 100.r70 a day a€a:ns: mc. a,"7 6 VS --- :- ^ ...... 7s7 s� . .,.__ _�,____r.._......._.�_�__�:.._ _.,� c r � , �'� �i� �. �- a�� _ �� �� � ���e�� �� R � p , 4 i (% j i �, - �h -- •. -- - -- - iJ uI `_j LF -- - ----- -77777 - " -- .--- --- 1 . J 1 i a .. f ;I i i r I i iLl i �j� i .. a r r v- : r F x - ,�. • 4 -�� �E Nor-. ---- - r —SST . a • e�;9 • , a , x r xi- F. ` 5- ,. ,'. .�.. ,.. '- ,. ' SZ•K 14� wc»� OELK. _�.L.:..�.. ;+'. "� So 5 0 44 I, ;ox5� �j IS-GT L-o t!.•8' _ - too rtye bJo�: y 4 ,.. o a _ INCTTE KiTCNEtis - 1a ^ - W �J Ne WASH \n H -TN .f r Q m V e x .-4 FWJ)>•SL�.NT N V�•v iL � 'rrrosss777' � �'. �. .• � .fT s - H10 �/4L JOIS?S- � CA0.PET' a Z r z ' 0 J. 4.. ILf.W F• C_O�J�.2 gr_.43 -_: t. I - .�. r :� .. 00 EEC aWaWTA - �� 13�_o. ' ..6•. Q �' 7.I-A" ~ Q RAFG1 J :. Z �tI I �'-0" i - 8'-8• '7 &' � 4•-tom �e-o_ 6. .. � �'.�^ o 4,_�..V ' �� 4' m.•o �:. : :9 _ 34••o 1 Co._ o.. a _ 30 a5 ( Sv#4't i yoky5 - - . .. � - Cam). GlYI - � S'•O KNE E.-W^LL /• ,. Z ® y� ro PNouE I. r`e+ 'C Arc-C ( VIAHL I T \'- I ,b a2 P WAL�Ixi c- — zl z'-e- «Ker '1 y 50� �yJ , CARAC IPu�e_b1.1. I �• Idl Fu-ruec cA:,7GT i u ——WA— ROOM I z'- .rt �' G^ z'-c' Y«racr I _ LK•IN $OTTOM JF W�N�Ow I -1V BED ROOM 2_ i - BCD ROOM J' - I 'rU.. I .v I wn�IN i S'-O' KNCe WALL $-B• �03 hC E CA R'�CT -TV r I CAR�2=T Z' KUCC WAIt,. �I11 - � Ir 3o 57 1- 97 b 7 30 t7 • � ..Iw _I _ _ �i ,.I — G Ir. —� G_r1•--. .— 7..0_.-__ 7'-0..,_. —.."-- r.� _. �'�!,—__.--. .+a� I{ ryl z'- Z4',Y 2-V Y I'L' 1� II I � I �� � > '4•�o'� CO NC 2 ET E �V/�_.''i� I 1 1 O" F G.L`T I F'I LL� I a --- , ,- _ f r' , c ' x V-2 Sl-IEGTHIIaG ,. , D x - js � „•dam � •a �+ , �' y.� .. 1 t _ / /" )A r•'.flj Q.F$_/.�< / Jl� O -.__A�VAl-Il IR.+Q- _ - %•, rf_v.A - hY'f \VOOD FL CVI r.1u :91, I :I Dov.Nsp,�U�T-S• �,:x- 1/2" SH EET20uG.- vit tJ Cicv ry+�L� tit- ..G S:l�T.HItJr k. 7 . ; d ..,. '� ... -4 I •� .ram:':)Oh2.� FrcJ 1 I � T TL w i,. {r ..CI NIS��F.1--ooR !• A { I^, --_____- C.l 10 "R-_.A2 .. . r Y" ¢ 1 i x , 1 1 y s �2x6 SILK oll SILL P`uF '�'8 r ?,1�i•'Co1JG 2.51J�9�--, �I _---'---- l ' _ .. � � _ e � ____...e-_ ---�--- ___._ - ._. _ _ l , . r LAW OFFICES ROUGEAU, BUTLER & LARGAY A PROFESSIONAL ASSOCIATION 720 MAIN STREET - HYANNIS, MASSACHUSETTS 02601 (508) 771-4230 - RICHARD N. ROUGEAU FACSIMILE WILLIAM F. BUTLER, 111 (508) 778-6866 RICHARD P. LARGAY March 21, 1995 I Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: Request for Determination of Buildability of Undersized Lot Locus: Lot 4 Fox Run, Centerville, MA Parcel Identification: Map 326/Parcel 72 Land Area: 0.929 Acres Dear Mr. Crossen: This office represents Christina B. Largay as Trustee of Lake Realty Trust regarding the above-referenced lot of land. I am writing to request a determination from you, that for zoning purposes,the subject property is a "non-conforming lot" exempted from the current minimum lot size provisions of the Barnstable Zoning Ordinance. The facts regarding the subject lot are as follows: 1. The lot was established on a plan of land dated 1978, and recorded at the Barnstable County Registry of Deeds on August 16, 1978, at Plan Book 326,page 72. The zoning was RC, and minimum lot size was 20,000 square feet. 2. The subject lot is 0.929 acres in size. 3. On February 28, 1985, the minimum lot size in this RC Zone was changed from 20,000 square feet to 1 acre. 4. That at the time of the change in zoning from 20,000 square feet to 1 acre, said lot was held in ownership different from that of any adjoining land located in the same residential district. 5. From the change in zoning in 1985 to present,this lot has been held in separate ownership from that of adjoining land located in the same residential district. Mr. Ralph Crossen Building Commissioner March 21, 1995 Page 2 of 2 Based on the foregoing,I believe that under Section 4-4.5 of the Town of Barnstable Zoning Ordinance this is a lot which was lawfully laid out on a plan which complied at the time of recording with minimum area frontage,width and depth requirements of the Zoning By-laws; and as there has been no common ownership with that of adjoining land located in the same residential district,this lot is "grandfathered" and may be built upon for residential use if the lot conforms with Section 4-4.5 (3) and(4)of the Zoning Ordinance. Please let me know by return letter as to whether or not,in your opinion, this lot may be built upon for residential purposes. Thank you for your attention. Very truly yours, 'chard P. Largay RPL/jhf r t� Q �T : . . : The Town of Barnstable MMMAWA Department of Health, Safety and Environmental Services aa't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner September.30, 1994 Lake Realty Trust 69 Shirley Point Road Centerville,Mass. 02632 Attention:Mr.Largay Re: 50 Fox Run,Centerville,MA (Lot 4) Dear Mr.Largay: Our records indicate that a foundation permit was issued to you for Lot 4,50 fox Run,Centerville on March 24, 1994. You have requested an extension to this permit. Unfortunately I cannot grant you an extension for the following reasons: 1. No Plot Plan 2. No Building Plans 3. Incomplete Application If you still wish to do your project,you must submit a new application. Sincerely yours, Ralph M. Crossen, Building Commissioner RMC/df I Q940930D �� QQ - . : The Town of Barnstable MAM • auuvarnat�, • 0 9. � Department of Health, Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner Lake JRealty Trust 69 Shirley Point Road Centerville,Mass.02632 Attention:Mr.Largay Re: 50 Fox Run, Centerville,MA (Lot 4) Dear Mr.Largay: Our records indicate that a foundation.permit was issued to you for Lot 4, 50 fox Run, lCenterville on March 24, 1994. You have requested an extension to this permit. Unfortunately I cannot grant you an extension for the following reasons. 1. No Plot Plan 2. No Building Plans 3. Incomplete Application If you still wish to do your project,you must submit a new application. Sincerely yours, Ralph M. Crossen, Building Commissioner RMC/df Q940930D f The Town of Barnstable �r�� MASS,6 a �0� Department of Health, Safety and Environmental Services 0. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner September 30, 1994 Lake Realty Trust 69 Shirley Point Road Centerville,Mass. 02632 Attention:Mr.Largay Re: 50 Fox Run,Centerville,MA (Lot 4) Dear Mr.Largay: Our records indicate that a foundation permit was issued to you for Lot 4,50 fox Run,Centerville on March 24, 1994. You have requested an extension to this permit. Unfortunately I cannot grant you an extension for the following reasons: 1. No Plot Plan 2. No Building Plans 3. Incomplete Application If you still wish to do your project,you must submit a new application. Sincerely yours, Ralph M. Crossen, Building Commissioner RMC/df Q940930D /� nn K The Town of Barnstable MAW ��' Department of Health Safety and Envi►-re -mental Services 19. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 5'0,-'A 0-6230 Building Commissioner March 30, 1995 Richard P. Largay, Esquire Rougeau, Butler.&Largay 720 Main Street Hyannis, MA 02601 Re: Your request for determination of buildability of undersized lot Lot 4 Fox Run, Centerville, MA Dear Attorney Largay: I agree with your ietter of March 2 i, 1995, that Lot 4 Fox Run, Centerville is a grandfathered lot under 40a Section 6. Sincerely, Ralph M. Crossen Building Commissioner RMC/km ill III III III . IIII _ - III III - - il `k` it I.. l ' , , ��� i ; li, � � � I i' � ,,�, � - ��. .� � I �� s .1 � I,I i � �'I ;, p', .� , '�� �; �: l� � !:, it III i�. kli I{ ��� tj� �i r ili ;'� �fi � . ,�. ,11. ��I �! � Ij? �i� �tf - � r �� �� I�i �;j � l ��! ,�� ;., 4. 3 , 9 J SF !� t CF 7. vlO Z : 3 H F1Ar` D ' ��, Pc'TER 0H , No 2:;.7µ3 3 ,l p / 9 � 7D, •S� i f . YJ y O/ • o : . I t. t wf t f+ " fir - .�._. , � � .. � �f-y TC-�:rr.�+-�v-'�rl••�y�--�--_ �11 �•� i � i I . aJy .MI ;. . 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