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Home My WebLink About0076 GOOSE POINT ROAD x .. r e �v= R, o �®ING®E . n C MAR Energy, Inc TO 042020 N�OF BARNsr Insulation Affidavit ABLF HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. Project Address: Permit Number:20-492 Charles Pearson 76 Goose Point Road Barnstable Massachusetts 02632 Location Material Addt'I Thickness Final Assembly R-value Attic Floor Green Fiber Cellulose 8" Enclosed Knee Wall Floor Green Fiber Cellulose 8" Knee Wall Dow Polyisocyanu rate(R-14) 2" Knee Wall Floor Green Fiber Cellulose 12" Basement Rim Joist 6"Owens Corning Fiberglass Battini 6" Sincerely, - Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com 781-205-4516 tftE Application number........ .......�...................�.. BUILDING DEPT, �5 Fee ........................ .`�................... ................... MAS&ESL = FEB 18 2020 Building Inspectors Initials.... .) .................. �bsa A. _ TOWN OF BARNSTABLE Date Issued.... .. ... ..... ..`................................. Map/Parcel......... .^ ........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 76 Goose Point Road Rm �lt Ceyiln ter i l le SCANNED NUMBER STREET VILLAGE FEB 2 41010 Owner's Name: Charles Pearson Phone Number 508-775-3744 Email Address: Cell Phone Number Project cost$ 6366 Check one Residential yes Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize q(/Mf Ul pix, E-ne!� to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK E-1 Siding ED Windows (no header change) # Insulation/Weatherization E1 Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to t CONTRACTOR'S INFORMATION Contractor's name HomeWorks Energy Home Improvement Contractors Registration (if applicable)# 181138 (attach copy) Construction Supervisor's License# 103822 (attach copy) cel l:508-207-2713 Email of Contractor neil.donaghy@homeworksenergy.com Phone number 781-305-3319 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY/S IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstab Signature Date_W V ;/ APP ANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. I SCANNED PEP 14101Q PLAN VIEW Name: Pe6t(`0y'\Site ID:, -�� _ _ Finished Sq. Ft: �kS70 - Phone: ' O�i — -3 7 Year of House: I -7 a Electric Acct#: Address (o r aa5 e C�v, A i#of Floors: Gas Acct#: S`y D/6 a (f n v) 4--ee v t} unit#: --- #Occupants: Housing Type? /o DUCTWORK INSPECTION Ducts Insulated?p ,a 2' Duct Linear Ft. f uct Square Ft. Duct Air Sealing Hours , Duct Insulation c. Duct Insulation Removal ( .} /u BASEMENT INSPECTION 7i — -- Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG _ :.; Crawl Ceiling (7vc C� �1 � 71 Crawl Rim Joist Bsmt RJ w Sill Bsmt RJ NO Sill or Barrier sgft. Bsmt Door °- g N Blower Door? WALLS&GARAGE Drill Location? L. r Siding Ceil.Height Existing Spec'ing S .Ft. Framing Exterior Wall I ,c=63 x ( x 13alloor0platfor Exterior Wall 2 (`. 4 ;� p�s 7 , 3 rCrts --� x x Balloon/P a o m Overhang x x Garage Wall x x Ba ooP a orm Garage Ceiling --; -- x _ x 3 �O Insulation Removal ' C G� I ? .�_ Sweeps: soft .. i"—--� j V WX Stripping: _ 'V f WORK SPEC'D BUT NOT CONTRACTED RQAD BLOCKS PRESENT? MANDATORY) Attic Basement Crawls ace Other., K&T Y N Moisture Y N ombustion Sfty Y Kneewall I lOverhang/Garage Asbestos Mold>ioo sq.ft IY CO Detector Missing Y N Ductwork I lExteriorWalls Vermiculite fj U N I Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: � ,a o'e t S- 4) I vl ata// tr w. KW WALL AND KW FLOOR Blind Spec? ❑ OR --� KW SLOPE AND GABLE END Blind Spec? ❑ Why? Why? FRAMINr Q.FT. t>€ WALL �-X 1 )� �RAMING EXISTING SPEC'ING 5 FT SLOE X x FLOOR x x/-� /f� t GABLE x x ' ACCESS x 7 —1;n Of it TRANS X x TRANS x( (JT ATTIC ATTIC SLOPE x X SLOPE _ EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? Y/N KW Venting .•� _Vent BF BF Hose Dammfn Sho hingAccest Tem Acces KW Venting Vent BF Temp Access a: t w �. �• 11A-- 61 �v J 20 AC ------------ Ff- zr y:: ��'��'�" �� --�--✓ ��," �=�� — � /3r� Win' JS �fk� InwWW Wall X X Reed Ught 0 1—Hose® Vent BF fgFV1 Chun.CH Damming IY Roof V t Air Handler® Temp Access T�Pull Down OS Hatch® Wall Hatch"/ rt Door o/ fr Roof Vent RV12RV Vol. x. .0058 �19(1 story) x x ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Blind Spec? ❑ x'zs.a iz story) = Existing Spec'ing ScifthFloored Existing Spec'ing Scift 33.6(3 story) floore 1I i e C e� tS a russes Cross BaMng Floored c' Mixed Insulation Duct.Work Cath Sloe >6"lose None Walls — --- Access Access r).t Venting Pro avents Vent BF BF Hose Damming, enttng Pro avents Vent BF BF Hose Dammfn /s rot WHFBox: , f . /\V\ 1 Temp Access n Sheathing Access to t `^ R.L.Covers: Sq.Ft/300= 4 t, (Exist.NFA Venting)_ (Needed Sq.Ft/300=_ (Exist.NFA Venting)__(Needed Existing Venting? NFA Venting) Existing Venting? NFA Venting) Roof Ty Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,Massachusetts 02118 Home tmprovement Contractor Registration Type: Carporotlon Registration; 181138 HOME FORKS ENERGY,INC. 1 1 ..' ExpYraGDn: �1 OTi2t}27 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address.and Return Card. 34p s,o •tnets�' Office of C—MW affairs a BUSM"S ReOUIREIOn Registration valid for individual use only HWAR RAPROVEMENT CONTRACTOR °D' TYPE:Ca oa�aoon before we,expiration data.t1 found return tee Rsgistretlan ExQlration omcs of Consumer Atkirs and Buehtass Reguation 181135 93JOQJ2D2; 1000 Wash o Street-Suite 710 HOME WORKS ENERGY.INC: aoriton,M ntAXVEGGEBERG 101 STP,TtON LANDING S F 110 valid without signature MCOFORD,N"021156 tlnders01Xelary Commonwealth rat Massachusetts Construction Supervisor Specialty Division of Professional Licensure Board of Building Regulations and Standards Restricted to: it- i' CSSLdC-Insulation Contractor Constructkort�s perAspr Specialty ri CSSL-103832 E;(pi es: 1 011 3/20 2 1 SCOTT VEGGEBERG` r 8 COVINGTOiN ST#1 E R r BOSTON MA 92127 Failure to possess a cur Aition of the Massachusetts State Building Code is c. ,or revocation of this license. Commissioner Jg r. c '� - For inforrnatiu-i about this license Call(617)7273200 or visit www.mass.govtdpl � I HomeWorks FIT Energy, Inc To whom it may concern, Scott Veggeberg is a current employee of Homeworks Energy Inc.and operates under our insurance policy. Policy numbers that Scott is covered by are as follows: Commercial General Liability:793006065002 Automobile Liability:6244378 Umbrella Liability:7930060660002 Workers Compensation and Employers' Liability: MCC-200-2000552-2019A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company. If you'have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.alenn(@homeworkseneray.com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy- . Office of Consumer Affairs and Business Regulation 1000 Washington Street Suite 710 Boston, Massachusetts 02118 Home ImprovemeCon;tractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. -- a Registration: 181138 l' Expiration: 03/02/2021 101 STATION LANDING STE 110 MEDFORD,MA 02155 � , Update Address and Return Card. SCA 1 20M-05/17 ��e�onzmzc»zwealll a��i�ad�cuteClit Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registrationj«e Expiration Office of Consumer Affairs and Business Regulation 18.1=k-3 ,_[03/02/2021 1000 Washington Street -Suite 710 HOME WORKS ENERGYJINC"3r: Boston,MA 02118 ELVIS VERDEZOTO 101 STATION LANDING STE-110 � �'��(� - t MEDFORD,MA 02155� '� Ot Val without signature Undersecretary Construction Supervisor Re:Address 7(P 6005e PQN J&aL(or)application# Name Scott Veggeberg Telephone Number 508-273-7593 Address 101 Station Landing City Medford State MA Zip 02155 License Number 103832 License Type Expiration Date 1 0/13/19 Contractors Email NSA Cell# 508-273-7593 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 l l Office of Consumer Affairs and Business'Regtaiation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Horrte.Improvement:Contractor Registration Type:; Corporation Y Registration; 1811.38 HOME WORKS ENERGY,INC > Expiration: 03102/2021 101 STATION LANDING STE 110 ` r• ' - MEDFORD,MA o2155 S F . �- ;..fix 1:,,• -- . -., Update Address and Return Card. Office of C.onsurner Affairs&,Business Regulation o HOME IMPROVEMENT CONTRACTOR Re isfration valid forindtvidual.nse only TYPE;Corooralion before the expiration date. If found return to: Realstrat'on Expiration Office of Consumer Affairs and Business.Regulation 181138' 0310212021 .1000 Washi o Street•Suite 710: HOME WORKS ENERGY,.INC= Boston,M. 0211 C i MAX VEGGEBERG 101 STATION t.ANDING'STE 110 o valid without stgnature MEDFORD,MA:02155 undersecretary Commonwealth'of EVlassaC�hUisLRts ' .�,� � ,��.+�iv€slt�rrtlf Prafesstonal LtcerisUre - ' at titsf.;B+uildiit6 R, rgiiiitioiis,ir►dh$tartdards "�,IbGnkructapyr;S v � .. rl•��.,�s§' '�qfV ''roT'fir�,ri.T t� �i"SS . •Sr�•h��$ y� ,�fj;x�c r.• �r •s" i .�,s�a � �[>k�td.�; C' 1•. .1A '�t''>�x` sd rt?i!". i �k� 113� r�� yf.-u 9 :.1: ��n�1 � Jl"ti''ri 1� �r��i.4,'�'J�->`,-• ' t # ' p e& a a r p , "F� Insulation/Air Sealing Permit Authorization Specialist: Keith MacDonald Company: HomeWorks Energy Email: keith.macdonald@homeworksenergy.com Address: 101 Station Landing Cell: 5083991843 HomeWorks Medford,Ma 02155 _ _ Phone: 781-305-3319 Customer: Charles Pearson �^ — Address: 76 Goose Point Rd Email: 0 Centerville,MA 02632,USA Site ID: 3856993 Phone: (508)775-3744 I,the owner of the property identified above hereby authorize HomeWorks Energy Inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: Date: 9/28/2019 Charles Pearson - Page 1 of 0 R.. r- r� ass save n (, EnfV, Inc PARTNER 1015tation Landing.Ste 110,Med,,'ard,MA 02155 ('721)305-3319 ext.120 Customer Name:Charles Pearson Email:Not provided Phone:508-775-3744 Premise Address:76 Goose Point Rd,Barnstable,MA 02632 Mailing Address:76 Goose Point Rd,Barnstable,MA 02632 Project ID:3899689 Date:Sept.27,2019 Job Description Measure Description i t - ',Location ..Quantlt .� UnitjY x otai Cosf 4 y , ,T ¢,CustomerCast AIR SEALING Other 15 hr $1,200.00 $0.00 P' ATTIC FLAT-8" OPEN R-30 CELLULOSE Other 920 SF $1,324.80 $331.20 VENTILATION CHUTES Other 02 each $321.08 $80.27 VENT BATH FAN THRU ROOF Other 1 each $118.75 $29.69 ATTIC DAMMING- R-38 FIBERGLASS Other 76 SF $186,96 $46.74 PULL-DOWN STAIR:THERMADOME, BUILT-UP Other 1 each $237.65 $59.41 KNEEWALL FLOOR-8" DENSE R-25 CELLULOSE Other 264 SF $528.00 $132.00 KNEEWALL FLOOR- 12"OPEN R-42 CELLULOSE Other 92 SF $154.56 $38.64 KNEEWALL:2" RIGID BOARD Other 255 SF $981.75 $245.44 ATTIC DOOR: INSULATE &WS Other. 1 each $110.00 $27.50 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agreesto perform the.above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected Upon completion of the work. Customer Signature: Dater Customer Phone: ,rb 7 S- r 4_ Specialist Signature: _�— Date r _ �f j 619: "� ej — LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance nhth the sponsoring utility Masssave Home Services Program offers. Proposals can be sent to:inbox@HameWorksEnergy.com Page 2 of, p ass sage E,-1eFg y1, Inc PARTNER 101 Station Landing Ste 110,Medford,M4 02155 (731)305-3319 ext.120 Customer Name:Charles Pearson Email:Not provided Phone:508-775-3744 Premise Address:76 Goose Point Rd.Barnstable,MA 02632 Mailing Address:76 Goose Point Rd,Barnstable,MA 02632 Project ID:3899689 Date:Sept.27,2019 BASEMENT SILLS: R19 FG BATT Other 132 SF $289.08 $72.27 CRAWLSPACE: R-30 FG BATTS Other 62 SF $141.98 $35.49 CRAWLSPACE: 6MIL GROUND COVER Other 396 SF $304.92 $0.00 WEATHERSTRIP DOOR &ADD SWEEP Other 1 each $80.00 $0.00 WALLS- INTERIOR DRILL& PLUG CELLULOSE Other 160 SF $320.00 $80.00 Project Total $6,299.53 Weatherization incentive ($3,535.96) Air sealing incentive ($1,584.92) Total Program Incentive $5,120.88 Customer Total $1,178.65 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described wo;k,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: � '" ;�.4 0�✓ Date: Customer Phone ¢¢- Specialist Signature: Date: -141-'aG�3 — LIMITED TIME OFFER: The prices and incentives in thistvntract are subject to change in accordance with the sponsoring utility Masssave Home Services Program offers. Proposals can be sent to:inboxt'�)HomeWorksfnergy.com Project Summary Name: Charles Pearson HomeWorks Energy,Inc. �� Phone: (508)775-3744 101 Station Landingi IL� Email: 0 Medford, Ma 02155 Site ID: 3856993 781-305-3319 HomeWorkS E"t"eigy;Inc MASS SAVE Cost Incentive Air Sealing $ 1,584.92 $ 1,584.92 Weatherization $ 4,714.61 $ 3,535.96 Duct Sealing $ $ - Duct Insulation $ _ $ _ Mass Save Rebates Cost Incentive Preweatherization-Incentive $ $ Slash&remove tyvek from KW 255 $ 63.75 I-Additional listed work may be a requirement of the insulation proposal.HomeWorks will only remove those line items if completed prior to install date.All work performed beyond Mass Save carries no incentive SUMMARY Cost Incentive Mass Save $ 6,299.53 + Beyond Mass Save $ 63.75 TOTAL PROJECT $ 6,363.28 $ 5,120.88 Total Copay $ 1,242.40 Customer Deposit Applied $ 50.00 FINAL COPAY (due on completion of work) $ 1,192.40 HomeWorks Energy,Inc.agrees to perform the above summarized work(Mass Save&Beyond Mass Save),furnishing the material and labor specified for the contract price(Total Project).All work is subject to change,and homeowner's approval is required for completion of any and all work. Preferred Day of Week for insulation install: T, °c Customer: Date: 9/28/2019 Charles rs Specialist:. Date: 9/28/2019 K ' h MacDonald -- — -- eith.macdonald@homeworksenergy.com 5083991843 v.13 BP � ,'•:ty j"''�? w �'r^eR'TP �e S a� i 7" JE 1 li of i.a•, �� P,/ TOWN OF BARNSTABLE Open Space °Residential District x r r Form 1 n � � y - � •. ,:, y Lair -rs-- - i� Open Space Restriction and Easement the Planning Board of the Town of `Barnstable, -pursuat :to Whereas, c Chap ter 40A, Section 9 of the 'Massachusetts General Laws' and' ,7 of the Zoning Bylaw of the Town of Barnstable, has Sida�tjp,n 3-1 ranted a Special Permit for an Open Space. Residential Development., g said ,Special Permit as modified requires that land designated and �ppen Space in the development be specifically restricted in its use -an v it is the intention of this grant to convey such Whereas, xestri_Cti,ons over said-open Space,which shall remain in perpetuity; C and, Q 9 .':Whereas, it is the intention of this grant to be. excepted from the t P..a . limita,ti.®n of term of conditions. pursuant to Chapter 184, Section - 23.yof the Massachusetts General Laws, as it is a gift for a, public; purpose under Article 97 of the Amendments to: the Massachusetts Constitution; and,.. C I Whereas, the preservation of open .space.' is' a stated .public 'purpose of 'the Town of Barnstable, now, therefore., `BRIAN ".T., DACEY, TRUSTEE of LAKE ISLE WOODS DEVELOPMENT -TRUST. u/d/t/ May:;5„ 1.994 which trust is recorded at Book• 9329 Page 195 and as Docuinemt. No. 622 , 093 with Certificate of Title No., 134765 referred fito `as ""Grantors" , for consideration paid and in consideration of an approve of an Open Space residential `development, consisting of <C Regis`;ter-ed and Unregistered parcels of land, the Registered land being shown on a Plan of Land named LAKE ISLE WOODS, entitled "Defini't ve: Plan" Open Space Subdivision,, in (Hyannis) Barnstable,; Mass. , beinga Subdivision of Lots 3-28 as shown on LCP 36669-B, J ` 'Scale 111 660J' o Date; June 15, 1994 , Baxter & .Nye, , Inc. Registered 'Land Su-rveycrs-Civil Engineers, Osterville, Mass. , ,which plan is registered as. LCP 36669-C and, the-Unregistered land being shown on a� a'yPlan of Land named LAKE ISLE WOODS, entitled "Definitive Plan" ;Open Space Subdivislon; in (Hyannis & Centerville) Barnstable, Mass. for Brian T...- Dace Trustee Lake Isle Woods Development aTrust, Scale 1"=60' , Date; ` June ' 15`, 1994 , `Baxter . & Nye, Inc h.: .Registered Land Surveyors-Civil Engineers, Osterville, Mass. which :plan is recorded at. Plan Book 505 Page 78 , grarits ' to the TOWN OF :. BARNSTABLE, a municipal corporation with -a mailing address of 367 Main Street, Barnstable (Hyannis) , Barnstable County, Massachusetts.' ` • 02601, hereinafter referred to as the "Grantee" or "the Town" , the perpetual right andi:easement to enter upon Lots entitled Open Space ';• ben designated as Lots 29 and 44 as shown on LCP 36669=C and 'Cuts g -III w r 29B, .and 4�as shown on theplan of land recorded °at Plan. ' . •! � ' '•_,. Book 505 Page�78 hereinafter referred to as the "Open, Space Lots" , ect to the rights and reservations contained herein, in, order - the r to, maintain the said Open ,Space Lots in accordance with the 3 - , ;` standards required by the Planning Board of the Town, of Barnstable, , and to remove any offending improvements not-- authorized by said � ' Tanning Board: Any costs incurred by said Town -in performing any P tiaintenance work as hereinabove set forth shall be reimbursed to Y ;the Town within thirty (30) days after an.. invoice from said Town for said cost has been ,submitted to the LAKE- ISLE-,WOODS OPEN...SPACE TRUST. In the event said cost is not°.paid in- full within-said time period, the Town may assess each'lot iri said Open. Space development -two single family residential, lots as shown on consisting of thirty the above mentioned plans its proportionate share- of said cost 'in the same manner as a betterment assessment or' may take other such action as the Town deems advisable. In order to ensure that' said open—Space Lots shall be kept in an `: open and natural state and not be built upon for residential use or, }, w developed for accessory uses, such as parking or roadway, the F} Grantor hereby agrees that: 3 K. Except as set forth in Paragraph B, neither the Grantor nor 17� his successors or assigns will perform or give permission to others to perform the following acts or uses on the premises. 1. Paving or construction 'for .road or parking ' purposes unless shown on the approved definitive.-plan; 2 . Construction or placing of any buildings, permanently affixed mobile homes, ' signs, billboards, septic systems or other advertising, utilities or other structures on or above the ground; 3 . Dumping or placing of soil or other substance on the iground as landfill, or dumping or placing`of trash, waste , or unsightly or .offensive material; 4 . No trees, grasses or other vegetation on the premises shall be -cut, removed or otherwise destroyed, ' except for the selective clearing of shrubbery, trees, and other vegetation • for the purposes of - beautification and maintenance of vistas'; 5. ' Excavation orsdredging or removal of loam, 'peat, gravel, soil, rock or'other mineral substance or natural deposit 'in such a manner as to affect the surface of the premises except for the purposes of beautification and maintenance fi of walkways and vistas; 6. Use of the premises except for outdoor recreational purposes, or --purposes permitting the premises .to remain predominantly in its natural condition; ' l.afi' r " 7 . Activities detrimental to drainage, flood control, water or soil 'conservation, or erosion control; or a "m ` g, Other acts or uses detrimental to the preservation of the premises in its present- natural condition. .- g . No use shall be made of- the premises and no activity thereon shall be permitted which is or . .may. . become t inconsistent with the intent of this grant-,: being.-the preservation of the premises ' predominantly; in, their present condition, the protection of environmental systems and scenic enjoyment. g - The provisions of Paragraph A notwithstanding, the following . uses and activities shall 'be permitted 'on the premises: 1. The creation of� walking paths, riding trails , or bicycle q paths for the use of the Open Space Development residents `� ;• for recreational use; 4 2 . Any active or passive recreational or conservation ' purposes as may be permitted by the Planning Board of the - , � Town of . Barnstable, except that any recreational structure should not be'' located ,in the perimeter buffer' * strip and shall be shown on the definitive plan; 3 . Such other recreational or conservational purposes as may be permitted by the Planning Board of the .Town of ! Barnstable, evidence of which shall be the recording of a Modification of the Special Permit permitting such uses a. 4 . Any farming, agriculture, horticulture, silviculture, k forestry and/or park use; and 5. Cultivation or harvesting of crops, flowers and hay; the planting of trees and shrubs and mowing of grasses; and the construction 'and maintenance of fences or other x common elements necessary in conjunction therewith; 6. Landscaping, excavation and filling, well-digging, removal or cutting of vegetation, 'creation of paths, installation of utilities, fencing and plowing, provided. that such activities are normally associated with the permitted uses in .Paragraphs 1 through 5,. above. - 7 . Such other changes or activities requested by the grantor and expressly consented to _ by the Grantee as are consistent with the purpose of .this restriction. y T,-- ,Grantee through one or more duly designated officers, employees or. Nagents shall have the right to enter the premises at a asonable time and in a reasonable manner for the purposes_= of re;, 1n5pecting the premises, insuring compliance with the terms of this triction and preventing, abating or remedying any -violations °zes tihereof. The right herein granted shall be •in- addition to any 'otiner remedies, by appropriate legal proceedings or otherwise, :which may be available to the Grantee for the enforcement of this . - - restriction. This open space restriction-easement does not .grant.- _public access to .this property except for those as-.described ab®ve The Grantor intends that this grant be •an easement . in gross in perpetuity. shall be binding upon and may be enforced against This restrictions aj the -Grantor and his heirs, successors and assigns by the Grantee as holder of this restriction and ail'references herein to 'the Grantor nd' Grantee shall include references to their respective successors a and assigns. This conservation restriction shall be in addition to and not in lieu of any other restrictions or easements of record, For title reference see the deed recorded at Book 9329- Page 192 and at Certificate of Title No. 134960. For, property address, the 'premises consisting of vacant land at the junction of Phinney's Lai&- and Old Strawberry Hill Road, inr Centerville ' and Hyannis, Massachusetts. f Witness my hand and seal -this 13th day of Sept ber, 1994 . 4 a an. T. Da y rustee of the Lake Isle Woo Development Trust - COMMONWEALTH,+OF MASSACHUSETTS � f , 'UARNSTABLE,. ss. September 13 , 1994 -Then personally appeared the above-named Brian T. Dacey, Trustee of ''Lake Isle Woods Trust acknowledged the foregoing instrument to be . his free act and deed, before me. _ Notary P19lic . My Commission Expires: 5/1_1/1995 w. Martin J. O'Malley, Jr. LOCUS MAP 'LAND USE.SUMMARY - - `sX9jLo p OPEN SPACE V"tr iwo u 46 �a a JFVB B 449 5 ff y x.en,a ¢ �4` �Q.v .arnm•E�L''iCs+�4, j x aua up - 3 9 a n, *43 -'OPEN SPACE 44 k 41 . 40.,. _ �.•(y� - .. r p 39 w a32 36 nSY' $9 57 62. a�ti 31 'O �aH 'iivm 3 3 Pr un _¢ 3�A �o,i wnr P.H k �a,o 33 •,'Y 9 61 n -'£ _ OP 36 Q� aumm�[NANNwo anum ... �. 1, u511 37 `�� - OPEN �yyy Y A� d l F-GwdCl2t2t- 19 n gg 35 59 n 9 2 m, 4 . 34 ,xm s 9 a m ww •xx�fart m 30 OPEN SPACE 29 A - q3. u,,oT'...n.ero`a'u o.,m DEFINITIVE PLAN "•_- QC °y u aTt' 8� ""i°LANES I OPEN SPACE SUBDIVISION . NTNNEY S a M— —LE, , BARNSTABBLE , MASS.Z. r BRIAN T. DACEY,TRUSTEE - - LAKE ISLE WOODS DEVELOPMENT TRUST ~ e LAKE ISLE WOODS eta aENc:,•_iy OiIE,UNE tat9Bi' i - Bn1liFA i E LNG REaSTERE�LA1m NiVET00.L ` �� Aa^Ea crva E aNmiz - OSIERNLLE .eum�t, ' 14ap >. Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom MapIF Abutters Map Size ❑ Zoom Out In y he Rr ! � o= 7PG Map: 252 Location: , Owner: SfiaAIa w Fb ad , Location In - ¢ Map &Parce Location � �• Acreage Current Om Mailing Addl 4 ' .. Appraised 4: Extra Featur a, Out Building �: Land ° Buildings . ° . � F Total�Apprai Assessed V / Extra Featur f. Out Building Land Buildings Set Scale 1" = 421 I Aerial Photos 7 I Y MAP DISCLAIMER ' Total Assess Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA,vl.2.3685 [Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=252089&mapparback- 7/27/2010 Town of Barnstable *Permit# OC&;6�o Expires 6 montlu from issue date Regulatory Services Fee .� Thomas F.Geller,Director Building Division 5J►sla� Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barastable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (� " �. Property Address ProP e Se, PyIA) d� ['Residential Value of Work 14r � Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ka r 11's kar"-,bp Contractor's Name kfjeu.�I �" /14i"/j oGii� Telephone Number Home Improvement Contractor License#(if applicable)_! . Construction Supervisor's License#(if applicable) K�Workman's Compensation Insurance Check one: X-PRESS, PERMIT ❑ I am a sole proprietor ❑ j am the Homeowner - MAY 13 2008 I have Worker's Compensation Insurance` �C�.G� /U��,.Lv�- � �� • TOWN 0F BARRISTABLE Insurance Company Name 7 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to - ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side I - Replacement Windows. U-Value 0 o 3 0 (maximum.44) *Where required: Issuance of ibis permit does not exempt compliance with other tovm department regulations,i.e.Hist¢ric,Conservation,etq ***Note: Property Owner must sign Property Owner Letter of Permission. o e Improve Co ac ors License is required. SIGNATURE: ��'�-- -°-- Q:Forms:expmtrg Revise071405 6/7e �omvazo�zcvea/Cfi o�./�izasac�ivaet�a License or registration vand.for individul use only � Board of Building ding Regulations and Standards before the expiration date.,If found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards One Ashburton Place Rm 1301 Registration: 119535 Boston,Ma.02108 Expiration: 7/24/2009 Tr# 130185 Type: Private Corporation MOON ASSOC INC JAMES MOON 1137 PARK EAST DR: �,,Q Not valid ithout signature WOONSOCKET,RI 02895 Administrator Board of Building Regula ions and Standards One Ashburton Place"-"Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 119535 : Type: Private Corporation Expiration: 7/24/2009 Tr# 130185 MOON ASSOC INC JAMES MOON 1137 PARK EAST DR. - WOONSOCKET, RI 02895 Update Address and return card.Mark reason for change. DPS-CAI t5 5OM-05/06-PC8490 [ Address F-] Renewal n Employment Lost Car( Renewal ,�; Ell byAndersena WINDOW REPLACEMENT an AnQ-.�.,--..u,pany I Natural Fenastrak n Wood/Vinyl Composite IF R0ngC0tm 0 Dual Argon Low E Double Hung 100-00390547-005 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient - 0 ® 3 031 y ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Ow53 ,'•� Menufaeturorsdpuletes that these ratings eonronn to appllcablo NFRC proeodurea to,uelennining wholo product perfom,anco.NFRC ratings ere detanninad fora fixed set of environmental condlgons and a specdfc product she. NFRC does not recommend any product and does not warrant the sultablllty of any product for any speclfk use. Consult manufacturer's literature for other product performance information, www.ntrQ.O ' SEq This product meets Gre , , Seal's environmental ♦ Q►�� standards governing energy efficiency,heavy p metals in the frame and "' ' ,Q► sash matedals, Y ♦� packaging,and consum r CBRt education materials. + j . ring DESIGN PRESSURE(PSF)� now rry N„ I . ��.i a MmuMn�Awxannm 1 H s `,C 5 RbA DB Sloped Sill DH IN rg Tesred to A4 U2 orAAMAAVO CSA 101 /A44d-03. Me eturer stl 1 t m f nrr to iM1e armecable stendnMa .. Meets or axe M,E.C.,C.E.C.a I.E.C.C.Air InNltredon re lulrmnonts WOMA Hallmark l.mina ction F,og,ant. 4. a L. ZThe Commonwealth of Massachusetts Department of Industrial Accidents Office 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):— mV U/V Sp t;(a C, Imo, Address:_ / /,3 a rIL k as Ill V City/State/Zip: °GKL�d 0-7 8?S-Phone#: 1-fb Are you an employer?Check the appropriate boa: 1:j I am a employer with-_.L_-- 4. El am a general contractor and I T of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [)Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity, employees and have workers' [No workers'comp.insurance comp.insurance.t 9. ❑Building addition required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I1I Plumbing repairs or additions myself.[No workers'comp, right of exemption per MGL 12. Roof insurance required.)t c. 152,§1(4),and we have no repairs employees.[No workers' 13.0Other (tCenxe..-J'� comp.insurance required.) (� m *Any applicant that checks box#1 must also fig out the section below showing their workers'compensation pommy information. t Homeowners who subrnit this affidavit indicating they are doing au work and then hire outside contractors must submit a new affidavit indicating such, tContractora that check this box Heart attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: , eo-co-IJ N j j ha- Policy#or Self-ins.L-ic.#: �Expirati�onDate�: O�/ O Job Site Address:_ 6 f� �pp S-Op/iJ 7' � // � City/State/Zip: C.�s�.��`VIl`/ 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 S 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 covera a verification. I do hereby ce der a pains a en ' s of perjury that the information provided above is true and correct Si tore: -3,� Date: Phone #: `I D �6® f`-y- s• — FOther only. Do not write in this area,to be completed by city or town official Town: Permit(License# hority(circle one): health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: r From:Shaunna Robinson,Hunter Insurance At:Hunter Insurance,Inc. FaxID: To:Denise Date:9/17/07 12:56 PM Page:2 of 3 . - DATE(MM/DD/YYYYI ACORN CERTIfICAT'E Of LIABILITY INSURANCE OP ID s NOONA-1 09/17/07 PRODUCER THIS CERTIFICAT 5"[SSUED AS AMATTER OF-INFORMATION ONLY AND CONFERS:NO RIGHTS UPON tHE:CERTIFICATE inter Insurance, Inc. HOLDER THIS CERfifFiCATE'DOES NQT AMEND,EXTEND OR -s89 Old River Road, P.O. Box 1 ALTER TNE.COVERAf�E.AFFORDEO BY THE POLICIES BELOW. Hanville RI 02839-0001 Phone: 401-769-9500 rax:401-769-9502 :INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A petional axan a Ineuranoe C. moon Associates Inc. INSURER 8: Beacon Huturl Ineurence co. DBA Gutter Helmet ItISfjRERC: DBA Renewal by Andersen of RT — 1137 Park Eas Drive INSURERD: Woonsocket AI 02895 INSURER E: COVERAGES .f?ir POLICIES OF INSURANCE LISTED 6ELOW HAVE BEEN 165UEU TO 1HE INSURED W.MED ABOVE FOR 1HE POLICY PERIOD-INDICATED.NOTWITHSTA DING ANY REOU IREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOMMENT WITH RESPECT TO WHICHTHIS CERTIFICATE MAY BE 1SSl1EU OR N!AY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,Exo USfONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. - LTR NSR TYPE OF INSURANCE 'POLICY NUMBER ,DATE fM .DATE IMMR?DJYY LIMITS _ GENERAL LIABILITY EACH OCCURRENCE $10 0 0 0 0 0 h X COMMERCIAL GENERAL LIABILITY MPS26619 09/16/07 09/16/08 PREhtISEs(EB:xcurence) f 500000 CLAIMS IAADE OCCUR MED EXP terry one person) $10 0 0 0 —_ PERsonw.a ADV INJURY $10 0 0 0 0 0 • - GENERAL AGGREGATE s 2000000 GENT.AGGREGATE LIMIT APPLIES PER. _ PRODUCTS-COMP/OP AGG $2 O 0 O O O 0 POLICY TFIOT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 0 0 0 O O O A X ANY AUTO B1526619 09/16/07 09/16/08 IEe ecrJdent)ALL OWNED AUTOS BODILY INJURY $ _ (Per person) SCHEDULED AUTOS - ---- HIRED AUTOS BODILY IKIURY $ - (Per.eccident) NON-OWNED AUTOS PROPERTY tWAAGE $ tP4.eccldert) -.-.. GARAGE LIABILITY AUT09KY,-EA ACCIDENT EA ACC $ ANY AUTO -- AUI'I Y. A.GG $ EXCESSIUMBRELLA`LIABILITY EACH OCCURRENCE _ $ 1000000 A }{ OCCUR El.CLAIMS MADE CUS26619 09/16/07 09/16/08 AGGREGATE b $ DEDUCTIBLE -- -$ ---�----- }{ RETENTION $1 ODD Q b I WORKERS COMPENSATION AND TORY LIMITS ER _ B EMPLOYERS'LIABILITY 28586 `10/01/07 10/01/08 EL EACH ACCIDENT _ $500000 _ANY PROPRIETOR/PARTNER/EXECUTtVE OFFICER/MEMBER EXCLUDED? - � - E.L.DISEASE-EA EMPLOYEE $500000 11 yes,desenbe under E.L.DISEASE-POLICY LIMIT $500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OP TIONS/LOC TIONS"!VEHICLES/.EXCLUSIONS ADDED,BY ENDORSEMENT/SPECIAL PROVISIONS - + CERTIFICATE HOLDER CANCELLATION, MOONASS SHOULD ANY OF THE ABOVE DESGRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Moon Associates,., Inc DATE THEREOF,THE ItSU1NG INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN dba Outte x k o.line)t NOTICE To n4E CER`f>FICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL -dba Renewal by; AAd rsan- IMPOSE NO OBLIGATION OR11ABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1137 Park East Drive ' Woonsocket RI 0289'5, R RRESLNrATiVIm. A D EPRESEMrATIVE ACORD 25(2001108) ®ACORD CORPORATION 1989 F 44. • ~ _ bpi.. reMa1 L, Y ANDERSE j - u ti toda. PI....... 5.it V _ 7:. Year home was built � o f 7�± ' 'Customer Name Order# a Adc1ress Phone-Work 04 • k w� r t tate .. Description .t b e x 77 X t 3 � X3S 4 C T p i�i/ V , d X Ple�cse see reverse srce for a ; X cli%ionrzl ter ns rxnd.�-onditi.ans. aw rt Renewal by Andersen`Proposal All of the above replycement v widows and`do ins ro be prwtded fdrih2 sum foaPo ihdi mount statad`vt:: agreement,: labor&MaterFels d . - This proposal will remain valid for 30 days. di f �r I Sales Tax Lvut l' y °`N Date RrnewalbyAnEerren'. !ti ryntenradvrsr� Work Permit Cost s Customer Acceptance Total Amount of Agreement , t You ale hereby authorized to fiirnish all replacement windows and doors required to complete this agreement for dd which the undersigned:agrees to pay the amount mentioned in this ag'reemeniand according to the terms hereof. y3)7t CC❑CKIDeF(nance❑ Deposit Regwred ;� SFr =YOIt,the buyer,may cancel this transaction at any time prior to mid tight of ' s s 'd e °'"f e'd egVanon of this ri ht P the third hustriess day after the date of this transactton.Please see attachedBalance Due on Com letlonnotice of Caacellauon form og C r e ost of Unforeseen.Repairs .r •Dash CunomerAppredal Signature` Any p'amtsng staining or wallpapering which may bt needed u not rrsuluded sn fi: ' this agreement unless specifically noted about' r Renewal by Andersen'•Acceptance n Plea a note that Tree arc unable ro bsd on sung any unseen Batt age.'However if anyunsien damage u duravered duirng initaUanon we,turU rnn pliri and Dare t Rna val6yAndnun•Manbga Signature : charge you for the repain upon your approv6L Af the end oftbe job all w foiirrrrunon debris will be removed and isle"mill ikon your new wrndums and , ,• v, NOT BINDING ON RENEWA4.BY ANDEksEN WRHOUT MANAGEMENT ACCEPTANCE the intWllation area.' Form Dutnbution:IY/hste 'Renewdl.byAhderren,Yellow'=lnstdlGrtwn Pink-Customer A_ '. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30:00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does'not give you permission o rate.) Business Certificates are available at the Town Clerk's Office, Main Street, Hyannis, MA.02601 [Town Hall) , 1 FL., 367 w reams um auaa on 2a ne 7 Fill.in please: APPUGANT'S YOUR NAME: S. •. !� �, BUSINESS YOUR HOME ADDRESS: n- TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS TYPE OF BiJSINES �!f I5 THIS A HOME OCCUPATION? YES _Np.... aye you -een royal from the b.�iitd� i on`? YES RtC9 ADDRESS OF BUSINESS M AP/�ARGEL NUMBER �S2 "!O When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations of t he Town of Barnstable. This form is intended to assist you in obtaining the information you Inay need. You MUST GO TO 2_C0_pAix�St ,-ycorner of Yarmout Rd. & Main Street) to make sure you have the appropriate permits and licenses.required to legally operate yourbustness in this town. 1. BUILDING COM NER'S FI E This individ al h s n-inf r e ny permit requireme�n is that pertain to this.type,of business. Au hpri d ture* COMMENTS: r 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: . 3:.CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the.lice requirements that pertain to this type.of business: C. Authorized Signature.* COMMENTS: C� Town of Barnstable THE`1p� Regulatory Services G� P� ti Thomas F.Geiler,Director snAxsi°a�, Building Division - KASM, g Tom Perry,Building Commissioner �1DtEp <►`0 39. 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 Approved: Permit#: BIOME OCCUPATION REGISTRATION Date: Z'�`- O 2 Name: Lle ,AiQL Es r �%�R-SO/'/ Phone#:_ -L�498- 7a,S--374, Address: 7. Village: A✓,,LG& Name of Business: C. P/�� /�/✓i (9 L-- Type of Business: 'e .�w0Y Map/Lot 2,32- ��9 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: o The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. &uch use occupies no-mote-than 400--square feet o€space. ® There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. i The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. ® There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. ► Any need for parking generated by.such use shall be met on the same lot containing the Customary Home.' Occupation,and not within the required front yard. m There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. o No sign shall be displayed indicating the Customary Home Occupation. ® If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. ® No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree wi e above restrictions for my home occupation I am registering. q Applicant Date: Homeoc.doc Rev.5/30/03 : . The Town of Barnstable a�vsrest.E, • . 9� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION 76 �bds�DO� - GP.D L"�iyT �Q l�� GE Location of shed(addres's) Property owner's name Telephone number lLV_X /Z 9 Size of Shed Map/Parcel# �7-1 -98 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg f T PRo oSc-'s sNE� LcT 0js z z Gro ,F; ' ,o �x iz' J Y N`N Zo 7-ell 1 1 I I 1 I 1 1/ 1� - 76 P /a17 I certify that this property is located in Flood Hazard Zone C ( out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . CERTIFIED PLOT PLAN LOCATION �/?ti'cT�I�� ,: 'fs SCALE . . /.. . ... DATE SCPr �S>Z Reg. Land Surveyor 7 PLAN REFERENCE .�?. . . . . .. . . . . . . . . . . /�s �5'!-�w.v �•cr f'L B� /rg . . . . . . . . . . . . . . . . .. ... . . . .. . .. ... . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND plan was prepared under my immediate AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF supervision. C•gR�!/ST�84�, WHEN CONSTRUCTED. DATE � � REGISTERED LAND SURVEY?R Engineering Dept. (3rd floor) Map `;L PaicelPermit# House# 6 . Date Issued Board of Health,(3rd floor)(8:15 -'9:30/;1:00-4:30) yr/fZ YFee - �Conservation Office (4th floor)(8:30- 9:30/1:00=2:00) �� Planning Dept.(1st floor/School Admin. Bldg.) SE � = La � T'x 11 u{,A .:2y kv Definitive Plan Approved by Planning Board 19 pl�x �IN$T ` , '( ;;," � �� LE 5 TOWN OF BARNSTABLE ENVIR AL CODE AND TOWN REGULAu IONS Building Permit Application ' Project Street Address ' 7G 6,0,0Se1--' PP,'Ai T RLD Village 2 TER i L 4rc Owner 011,fRtEs A6 P h zxo y Address Tel hone 7 7.S- 3 ,Per Request CQN.ST.,PuGT— D,r i a oov �iP/�in s 'First Floor 120 square feet Second Floor square feet Construction Type Estimated Project Co $ /4yo• na Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No i Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 Historic House ❑Yes 3No On Old King's Highway ❑Yes Q No Basement Type: LdFull ❑Crawl ❑Walkout ❑Other wirol oogg n,�z CeA.i*,4, E Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z_ir New Half: Existing New No.of Bedrooms: Existing 3 ' New Total Room Count(not including baths): Existing 9 New First Floor Room Count , Heat Type and Fuel: ❑Gas 2'Oil ❑Electric ❑Other Central Air ❑Yes pNo Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Oth r Detached Structures: ❑Pool(size) p'Attached(size) 20 X L 9 ❑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, a d E i-1ARA Dk w oos> PR D a a GTS' Telephone Numb _ ) 7 l- .STD 7 Address 344 License# T �bgnlN•S r'1<3 . Home Improvement Cgntractor# Worker's Compensation NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHO ,NG EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T SIGNATURE DATE 7—•cs"=9� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) } FOR OFFICIAL USE ONLY a PERMIT NO. DATE ISSUED _ E - y - a �: -• "•• .� _, { MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION• FOUNDATION FRAME INSULATION � s .FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL` GAS: ROITGHI1 FINAL FINAL•BUILDING+. DATE CLOSED OUT ASSOCIATION PLAN NO. 'Assessor's Office 1st floor Map 2 5Z Lot 082 Permit# .9/a 4 Conservation Office Oth floor ` 1 19 R Date Issued ® Board of Health 3rd floor r 'PVe - 110En ineerin Dept, Ord floor House# 012� Planning Dept. 1st floor/School Admin. Bldg.): A& on i „ WSTANX i Definitive Plan Approved by Planning Board 19® M A lications Drocessed 8:30-9:30 a.m. & 1:00-2:00 .m. ��$�, 00OA W + ♦. 4 TOWN OF BARNSTABL ��® Building Permit Application ' Lt-SL�wress 76 Village C'E Al TERd.'L t,�— Fire District ef o rr,� Owner el-IOW LES �. �F..,�,¢S d Address s'9mE Telephone 7 7S 3 7A 9-- Permit Request: /e of D Lj} r e Z �//��e Gr,i�y d✓s' ��,�L.s+e c� �r��1�.<<sQ� s�y��e� Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Z�'S^ Basement typeO�,¢�,� Go,,,a. r•✓/�,Q/��.✓C. Historic House wo Finished 00-° Old Kind's Highway Unfinished Number of Baths 2 ��z No. of Bedrooms 3 Total Room Count(not including baths) le First Floor 0-- Heat Type and Fuel Di'G Central Air Nv Fireplaces 1 Garage: Detached Other Detached Structures: Pool Attached -s,:J 6 eE Barn None Sheds Other Builder Information lame 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 BETAKEN TO � •'s •e�i !✓��✓F�u Pro'ect Cost Fee &ATO Ua SIGNATURE DATE 7 iA' BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T c FOR OFFICE USE ONLY a 7/20/95 9124 `r 252 089 , ADDRESS 76 Goose 'Point Road VILLAGE CenterYL l l e Charles E. & E. Pearson ;. OWNER _ DATE OF INSPECTION: Y FOUNDATION , FRAME Y - INSULATION + FIREPLACE ; ELECTRICAL: r ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: f i DATE CLOSED OUT: + - r y ASSOCIATE PLAN NO. - r ° I t a 11%02'94 17:02 V6177277122� DEPT IND ACCID Zoo Cotfzanolut/pa tilt of Maijaclzitietti 2apartinent o�J�ndu�EriaC./�ccedentd 600 Wvl�ton,Shf l James J.Campbell &Ion, Mmac" 02 f f f Commissioner Workers' Compensation Insurance Affidavit (aornsec�pemaree) with a principal place of business at: (ccr/srMA/zip) do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () 'I am a sole proprietor, general contractor r homeowner ircle one) and have hired the contractors listed below who have the following wor ers' compensation policies: Contractor insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number (Z}� I am a homeowner performing all the work myself. 1 und:rst<nd t.at a copy of&,is s:ztement will be fone;zrded to d:e Office of investiratiorts of the DIA for coverage verification and that failure to secure coverage as reel;ed under Section 25A of MGL 152 can lead to the imposition of criminal penalties eonsisdn¢of a fine of up to S 1,500.00 and/or cn years' imprissorment,s well as civil penalties in the for:of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this j /-/TFEry 7-1-1 day of 19 pis Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOVNI OF BARNSTABLE BUILDING PERMIT # n, • s�errsraste. : The Town of Barnstable �e� 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 For office use only Permit no. Date AFFIDAVIT HOME E"ROVEMENT 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: Rd�Lq r,e S."�,'r✓4 E Z o✓.,✓�v✓s Est.Cost Address of Work: �7 G ��oos ,p a-✓ Owner Name: �//�R L f_S �, d'F�cPs o�✓ Date of Permit Application: 7- 10— IF-5"- I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied ✓ Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the oHmer: Date Contractor name Registration No. OR Date . Owner's name • TOWN OF BARNSTABLE BUILDING ' DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . ....... DATE JOB. LOCATION Number Street address _ Section of town "HOMEOWNER" /��QL"Es : .:.. .:..:: ._ Name Home phone Work phone PRESENT MAILING ADDRESS City/town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an. in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. 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 to six 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 no be considered 'a homeowner. Such "homeowner". shall submit to the Building 0ftficia: 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 Stat 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. 0, Construction Control. w HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a_zuilding 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, particularly 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. To ensure that the Home Owner is fully aware of his/her 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 th 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. �t ,*THE.p�� TOWN OF BARNSTABLE i ]DAUST'" 19, i ° NMI 16:59. BUILDING INSPECTOR • 'Fp MPY a• '.. a APPLICATION FOR PERMIT TO . .1.. .'.... d ............................................................... TYPE OF CONSTRUCTION ....N S!�1.4`?<?. ...... 1: ............................................ ...................... .. . ....f ....19Z2. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location ... .� .... `..e.s�......... .5�.......�-?C�i.?.�... �.!. ..................... Proposed Use . -4?. ...�&.-N' ..�} .................................................................... Zoning District ........................................................................Fire District ....0 iz.�,)... ...: !.. .!. ............................ ........ . �- L Address — ` �.. I�E ' Name of Owner �.,�.`J7. ....�`7..��:. .1�.:��..C... ..�.��.....Y�:4�.... ................. ............. Name of Builder�f�� .. ...... �.....Address .... .. ........................................... Nameof Architect .................................................................Address ........................................................................... ........ Number of Rooms ............7.....................�&..PIL ...............Foundation �.4�!�?..�.�-'�.... �trJC.�Z�.....�-... Exterior ... Y�� .�=c.....� ?L12 ... Roofing ��l ?V>. ........................................... Floors .:1�� ..N ..I... .p.. .. ..Interior ..... ......'.�). 7" ®G ............................. .1t,.. C- ! 4�'.�. Plumbing C.O. ..S '� / /� - Heating .... �..........\�.....C.._....�..... ... ..... .. g ..L �.�.sL�......�......�...........4t.ka.!S.(:.:... ....... CI0� ' �:.............. ....... . Fireplace 1� ".C.•. . ........... ... ..................Approximate Cost .... „r..®a.0. .�-. Difinitive Plan Approved by Planning Board -------------------------- Diagram of Lot and Building with Dimensions /=re a vJV /w 0 V) � oIL C� 0 z < z 6 W >: LLJ d 0 0 m m LL w 2 O F, J .>1 r) X H w ` - _5wx 22 W N t1) F- W cn V) 0 i- C\ a .- v p z �4fdi; E.� o r4 Q Q, C� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 'Name _~r~l~__* -~^=l^ . ' .14854 I 1/2 story , No ................. Permit for .................................... ' � single family dwelling . ----.--.-.---.--.,.--,..,-~...-.-.- ' . 1� Goose- Point Road ~ ' � Location ..�w�-.��.-------.----^-.. Centerville ,.-.,-.-.~..-.~~-.--_..--.------- Donald Bartlett Owner .--.-.----~.-..-----^---'' frame Type of Construction .......................................... ----.-.---.~--.----...---,-.~--.. Plot ............................ Lot ..................��.--.. ' -~ l ` �Parmk Granted ---.Darcb..22'---.]V 72 ---' -' � Dote of Inspection . lg . � , Do^o Completed -100 l� �� ~ Vt ^ ^ 7 PERMIT REFUSED .----.'--,--...-----.--.-- lq ----..--...._...------,-~..~-.-- __---_.---------------.----. .,----------.,--.-..--,..-.-,_.-.' .---------_-----.-----.----~' ' . ~ °~ - ~ Approved ................................................ lA � -------.---------.....-,~...-.,. ----------`^-----~'--^^-^^-^^'' � . ~. . � -