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Town of Barnstable 11Clil PostThrs'Card So;That itis 1hs�ble From the'Street A ' ro'ved=Rlans"Must-be'Retamed on..Job ban this Card Must:be:Ke t 1z,r, IA1lNtl'fABLL", p p 4 ..gip • Posted,Until,Finalvins p s634 Perm earl Where a,Certificate of Occupancy�s Regaired,-such Bu�ldmgshall Not be Occupied until a F�nal.lnspection�has been made � ,�<, s .�.-a' ;: .n=. ... ,.�� ,t ...,rh-.;r.�.,. „.:.:,w.,ate._._:..,�,�,>•�;. ,.�,',{�;.,.,.. ,. .Y .... .��.�..,� ,,,.: ... �. .:��,.� .,;:«tom, ..�. :., ,,x. �.: Permit No. B-18-2996 Applicant Name: John Vreeland Approvals Date Issued: 10/02/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/02/2019 Foundation: Location: 300 GREEN DUNES DRIVE,CENTERVILLE Map/Lot: 245-027 w Zoning District: RD-1 Sheathing: Owner.on Record: FORTUNATO, FRANK L&MARIE` Contractor Name; JOHN VREEL4ND Framing: 1: Address: PO BOX 325 Contractor License CS=107947 2 WEST HYANNISPORT, MA 02672 'Est Rroject Cost: $ 25,694.00 Chimney: Description: Roof mounted solar PV installation consisting of 31.129.0 watt Permit Fee: $ 181.04 modules and connected with microinverters.The total system size Insulation`. will be 8.99 kW DC. Fee Pald:~ $ 181.04 r Date 10/2/2018 mal.F /a Project Review Req: ' - s !, Plumbing/Gas Rough Plumbing: Building Official Final Plumbing. Rough Gas:This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after°issuance.. Final Gas: All work authorized by this permit shall conform to the approved application and the;approved construction documents-for which 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. Electrical 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 work until the completion of the same. I Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Buildmg and Fire Officials a*e promded'on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection _ 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: 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: Fire Department "Persons contracting with,unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final C (�MAu SST `` Town of Barnstable ldl ., ng Building Post"This Card So-That�t?§V�s�ble From the.Street Approved Plans Must lie Retained onyJob and`this Card,IVlust be Kept° M w � e* MASEL Posted Until Final l`nsp;Iup� n Iias;Been Made y 'x fi � , a#"" $` i {�i • 39 •t s ' g �'r$* ., `: r a t P�/rllllt Where a Certificate ofancy is Required;such Buildmgshall Not;be Occupieduntil a;Final lnspecto�,has:been.made Permit No. B-18-2745 Applicant Name: Russell Cazeault - Approvals Date Issued: 08/23/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration.Date: 02/23/2019 Foundation: Location: 300 GREEN DUNES DRIVE,CENTERVILLE Map/Lot 245-027 Zoning District: RD-1. - Sheathing: Owner on Record: FORTUNATO FRANK L&MARIE Contractotdgame�.pAUL J. CAZEAULT&SONS INC. Framing:. 1 Address: PO BOX 325 " Contractor.L icense 103714 2 WEST HYANNISPORT, MA 02672T K4 #Est Project Cost: $5,250.00 Chimney: Description: Remove existing shingle roof on one section on.i upper roof,and one Permit Fee: $35.00 section on lower roof. Install new asphalt shingles �x Insulation: Fee Paid; $35.00 Project Review Req: Date 8/23/2018e. Final: Plumbing/Gas E 11 a Rough Plumbing: $ y a ��v � s- 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. Rough Gas: All work authorized by this permit shall conform to the approved application and- construction construction documents'for whhcR this permit has been granted: � - � � .: �, A� Final Gas: ct All construction,alterations and changes of use of any building and struuresshall 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 r ?work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by thhe Bu lding and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing �� a� `� 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 �y Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. `J v ��� Final: Work shall not proceed until the Inspector has approved the various stages of construction. ✓ "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set.forth in MGL c.142A). Fire Department - Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT MAP 245 \ PCL 18 , ti MAP 245 O MAP 245 PCL. 139 E ` PCL 130 tiy1 e� ao. F MAP 245 GARAGE UNDER PCL. 19 \ CONSTRUCTION �s / LOT AREA O MAP 245 r, &� PCL 26 0 5 0 ;n S y 5 C) r_- A O CERTIFIED PLOT PLAN LOCUS 300 GREEN DUNES DRIVE BARNSTABLE (WEST HYANNISPORT), MA ESN OF REF LAND 'COURT PLAN #15694-D O�� JOHNcyG PLAN PREPARED FOR DEMAREST,JR, N !qN FRANK- & MARIE FORTUNATO iN�o• S 368O59P 0¢ { u SCALE 1"=6& DATE 3/10/2018 3�c ASURV - OR ASSESSORS MAP: 245 'PARCEL 27 DATE RE ND SURV I -HEREBY CERTIFY THAT THE STRUCTURE D EMAR EST LAND SURVEYING SHOWN ON THIS PLAN IS LOCATED ON THE 338 MAYFAIR ROAD ., GROUND AS SHOWN HEREON. SOUTH DENNIS, MA ' 508-364-9049 FILE=18037.DWG TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �i� Parcel / Application # 6 � Health Division. SOO�s� � Date Issued � l� Conservation Division r L 2I �.� Application Fee `� dd Planning Dept. �F ,WtwP`�� Permit Fee Date Definitive Plan Approved by Planning Board TOWN OA Historic - OKH _ Preservation/ Hyannis Project Street Address 3 Pyiy- Village Owner 4R 7p*L_ 1�✓9�0'�'l� Address 31!)-b 1)V Telephone -7 7 07 3-7 t Permit Request (tall i" -��1 1 'A � Z4 C&I�Z- P6 Square feet: 1st floor: existing-6-proposed 336 2nd floor: existing 11 proposed Total new `3� L Vim. Zoning District Flood Plain Groundwater Overlay Project ValuationJ, `Construction Type A Lot Size Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure / Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ,XNO Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other S Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing Onew Total Room Count (not including baths): existing D new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other h f]A- Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing Xnew�si e��ool: ❑ 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-__�_ -4- �- - - - F" " (BUILDER OR HOMEOWNER) Name (Uffl4 Telephone Number Address I License# ® - 9 6 G CH A- Home Improvement Contractor# 13 Z 3 Email O-Ir 6S _ (-Cfwt Worker's Compensation # 6 Zz U o 9 r7999r)7 17 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 : 5; s in-fic- SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' h PINE 4R } WOOD PRODUCTS 259 Queen Anne Road',I .Harwich MA;02645 (508)430-2800- 1 , pineharbor.com I 'barns@pineharbor.com Frank Fortunato November 2, 2017 300 Green Dunes Drive M , MA 02648 . flfortun@massmed:org' 508-778-0737 Proposal to construct 14>x 24' 1-car garage with the following specifications: Administrative • Site visits and design consultations'as needed • Document and proposal preparation • Draft plansand amend as needed • Application and administrative for building permit, including�fees Stake out areas with owner'as needed. Y • Dig-Safe authorization • Private utilities must be staked and moved by owner .• - No engineering fees included if necessary for'civil engineering • Obtain MA 8th edition code 110 MPH wind compliance,engineering , Sitework-' Prep - Finish • Remove all trees, brush and stumps as required-4-51trees included • Scrape out all roots, organic material+and topsoil from area a • Grade location as needed for foundation preps • Max 10 yards fill included - Extra bought fill-will be charged at $28/yard • Landscape and driveway.by others ` `. "A, • Not responsible for unforeseen site conditions(example: underground tanks: larae concealed boulders.etc.) • After foundation/slab is poured re-grade area with finish rough grade-no landscaping • install crushed stoneMperimeter.with metal edging,extending_24"from building . Slab • Excavate for slab as needed • Form and pour monolithic concrete slab foundation to code using 3/4" 31000 PSI concrete • Anchor bolts in slab as'per code�requirements • Call for slab inspection • Compact interior and grade slab as needed Initial. Page 1 of 3 Pine Harbor Wood Products-259 Queen Anne Road,,,Harwich MA,02645 • All wbrk to be completed in a timely manner • Electricity for construction provided by owner 9 Site to be kept clean and neat • Any changes to contract to be in writing or confirmed e-mail • Removal of all job related debris • Not included: Paint gutters landscape electric or plumbing sub-contract labor • Final walkthrough with owner before balance due • All town inspections to be completed e Not responsible for damage to driveway due to construction vehicles Final Estimate Subject to Structural Engineering Review Costs and Payment Schedule Total Job Cost $32,522 Deposit for plans and permit acquisition $1,522,,-P-A Payment at start of site work $9,000 Payment at completion of frame/boarding/trim $13,000 r Balance due at completion of project $9,000 THANK YOU FOR CONSIDERING PINE HARBOR.WE LOOK FORWARD TO WORKING WITH YOU. All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike manner according to the specifications submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado&other necessary insurance.Our workers are fully covered by workmen's compensation insurance. Note:This proposal may be withdrawn by us if not accepted within 30 days. Sign re: Date: l 2 Signature: Date: Initial: Page 3 of 3 Pine Harbor Wood Products-259 Queen Anne Road, Harwich MA,02645 T 4 MCGRPOS-01 DEAT( ~ C� DATE(MMI)DNYYY) CERTIFICATE OF LIABILITY INSURANCE 03/09/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. B SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WEFT RogRte 134 ers&Gray insurance Agency,Inc. PaH�ONN Ext: FAX No:(877)816-2156 434 South Dennis,MA 02660AIE .mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Insurance Companies INSURED INSURER B:Travelers Indemnity Company 25658 McGrath Post&Beam Corp INSURER C: dba Pine Harbor Wood Products 259 Queen Anne Rd INSURER D: Harwich,MA 02645 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS AMLA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0I DAMAGE TO RENTED 1 OO,OI CLAIMS-MADE �X OCCUR 16602016N4981ND17 01/31/2017 01/31/2018 occurrence) $ MED EXP An one person) $ 5,01 PERSONAL&ADV INJURY $ 1,000,01 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,01 X POLICY ippa LOC PRODUCTS-COMP/OP AGG $ 2,000,01 OTHER: $ B COMBINED SINGLE LIMIT 1,000,01 AUTOMOBILE LIABILITY accident) $ ANY AUTO BA4487B68617SEL 01/3MO17 01/31/2018 BODILY INJURY Per rson $ OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS BODILY X AUTEFS ONLY X AUTO ONLY PPeOr aPExRde^t SAGE $ UMBRELLA U A13 HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $ WFICER/ME ry IMB��EXCLUDED? N/A (Mandaton NH) E.L.DISEASE-EA EMPLOYEE $ H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation certificate to be issued directly from the carrier CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main a ACCORDANCE WITH THE POLICY PROVISIONS. St Hyannis,MA 02601 � AUTHORIZED-RE—PRIESENTATNE -)/ 7 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kalene Sears ROGERS & GRAY INSURANCE AGENCY INC P"CONNo,Ell: (508)398-7980 FAX No: E-MAIL ksears ro ers ra com ADDRESS: G g g y 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED INSURER B: MCGRATH POST& BEAM CORPORATION DBA PINE HARBOR INSURERC: WOOD PRODUCTS INSURERD: 259 QUEEN ANNE RD INSURER E: HARWICH MA 02645 INSURER F: COVERAGES CERTIFICATE NUMBER: 172638 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUER POLICY NUMBER MMI DY EFF POLICMM DD Y EXP LTYA /YYYY LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTE ER" /� AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? NIA N/A N/A 6ZZUB9F79895717 07/08/2017 07/08/2018 (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZ//�ED REPRESENTATIVE Hyannis MA 02601 (�-� t� I C Daniel M.Cr*ey,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I A Z/h-e, o-� ✓�/ oi . l Office of Consumer Affairs and usiness kegulation 10 Park Plaza - Suite 5170 Boston; Massachtasetts 02116 Home Improvement for Registration-, Massachusetts Department of Public Safei McGRATH POST & BEAM CO. Board of Building Regulations and stancian JAMES McGRATH License: CSFA473W$ 259 QUEEN ANNE RD. Construction Supervisor 1 6 2 HARWICH, MA 02645 Family JAMES R MCGRATH i 204 CRANVIEW RD `. BREWSTER MA 02631 1 � RMAJIMG�n17tC P-1ZCK CA-- Expiration Commissioner 03/1412018 i {office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvemc` otractor Registration .1 Type: Corporation �;�1 Registration: 132935 McGRATH POST 8�BEAM CO. 121 � �,.4 Expiration: 10/30/2018 259 Queen Anne Rd. Harwich, MA 02645 A , E t, Update Address and return card. Mark reason for change. SCA 1 0 2OM-05/11 ❑ Address ❑Renewal ❑Employment ❑Lost Card r Vsie�rvmmeanu��i o�C�/�aaaao/u�aet� office of Consumer Affairs It Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type. Corporation before the wglration date. B found return to: Emanation Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 r f329�5 10/3012018 Boston,MA 02116 McGRATH POST 8&:OEAM CO. DB/A Pete HabofWbod Products James McGRATH I 259 Queen Anne Rd. Undersecretary Not valid without Signature Harwich,MA 02645 4 , The Commonwealth of Massachusetts Department of Industrial Accidents VW 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): &GrA 35f cam Address:AM Qu-cm Ant 'KoaG'I City/State/Zip: S Phone#: \500-N.10-98ffi 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 t 6. New construction employees(full and/or part-time).* . have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. Building addition [No workers' comp. insurance comp.insurance.: required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' - 13. Other comp.insurance required.] *My 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: aran birich i�oww P olicy#or Self-ins.Lic.#: (Q? 7_V B Q FA 895`l Expiration Date: 00 Job Site Address: 611-0 96V� P City/State/Zip: 1U �i 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 viol Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f Jjor surance coverag verification. 1 do hereby certify der th an of perjury that the information provided abo a is t e and correct. Sig-nature: Date: �7 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): I 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector . 6.Other Contact Person: Phone#: �I Assessor's office 1 st Floor):c 1 Assessor's map and lot num 41 _ y 1 V' �.t T atm o*,rNc>o Conservation(4th Floor• WN TITLE 5 Board of Health(3rd flo ENVIRONMENTAL COCE AGE® • Sewage Permit number ' .r-. t ssa»rante Engineering Department(3rd floor): TOWN �. House'number 300 - R Pq f S Gc b �. YSS P Definitive Plan Approved by Planning Board 19 C h / APPLICATIONS PROCESSED 8:30;9:30 A.M.an -2 00 P.M.only I �I y TOWN OF -BARNSTABLE BUILDING INSPECTOR � °APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION �� L¢-films-2_ 23 1s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: n Location l�-1 G& P Proposed Use �! �e- Zoning District `V Fire District Name of Owner &L, Fx" /`G -� R 496ress J y ` Name of Builder. /9xJGf j �w�f15� Address Name of Architect Z4 6a2_4 6"7—e7L- Address Number of Rooms Foundation f f ` Exterior �1 �� r"-� i� Roofing0 �� Floors S � -��' � �y �//�r � � Interior G Wa-0- /S �� Heating t'`'G��' Plumbing rZ Fireplace Approximate Cost 3� Area � = � 57 �: Diagram of Lot and Building with Dimensions Fee i r t 1 1/ ©6 c IE /7° 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 Construction Supervisor's License ;.� FORTUNATO, FRANK & MARIE A=245 e 027 No 3-6�- a Permit For BUILD DWELLING Location- 300 Green Dunes Circle + Hyannisport Owners Frank & Marie Fortunato Type of Construction Plot Lot j Permit Granted L August _ 17, 19 94 ^ .' .t - Date of Inspection: r' - Frarn 19 Insulation /�� v�_ 19 Fireplace �' 19 - Date Completed q� 19 c. . J i i f. ti ' i COMMONWEALTH OF 6ACHUS TTS �^ R DE.17AKI-M�T OF INDUSTR2tui►ACCIDENTS ' NW 600 WASHINGTON STREET 36 �6 ; 1 jatnes_' Cac,paei: BOSTON, MASSACHUSEITS 02111 ;amrn:ssione: 'CORKERS' CONTENSMON INSURANCE AFFIDAVTT` = r giomsee/permittee) wiEh a principal place of business/icsidence at: f h =OQ _ � 5 l o (CacyrlSammi) do hereby certify,under the pains and penalties of perjury.thac lfj am an employer providing the following workers'compensation coverage for my employees working on this job. i Insurance Company Policy Number oilam a sole proprictor and have no oneworkin for me.g M 1 am a sole proprictor,general contmaor or homeowner(circle one)and have hired the eontraeaors listed below who have the following workers'compensation insurance policies: - Name of Contmaor Insurance Company/Policy Number Namc of Contractor Insurance Company/Policy Number Name of Contnaor Insurance Company/Policy Number Q 1 :m a homeowner performing all the wort:myself. NOTE.Pleue be aware t5zt Wbile borneowoers WG,emaloy persons to 20 caintenanee.eonstructioe or repair vmr1 on a dwcliint;of not more 6zn t:rcc uniu in waicb tic homeowner aiso resicu or on=c prouacs appurtenant tbcreto are cot ccacrally consiccrcct to be cTalovcrs tWccr the ori:crs' Corr oc:satiorl Act(CL C 152.scc- 1(5)),application by a bomcowoer for a license or permit may mce,^CC LJe Jes a1 Eaters O{3a em V alOtr uaaer the' orkcrs'Cotr-?cosatiocAet en:,.c:t:.;:5:c.c:1er..%V4 be ion- _ �, _:ccc to L:c`. c�;-c-.tor incus::i Acadcncs'Of cc or Ins umn` for co---2gc �cr c::ca zr.c 'cc:rc c^"c.--rc ar rcca:-cc cnc `, p peraicc : co 1'c`•e or:r:nc crcc rc S:50C.0u a.:dor im-_r=nme-rt or uc to crc�c: �.c c%::zcn-:6cs i.-t the form of a Stop Worn:Ordcr=d: fine ors 100.00:d v if:ins;mc. 5 Sicncd this d day or , 19 S F ?ps o, oti LOT 16 34765 # S.F. J y O FUTURE o ADDITION ' h' \\--II o0 a3.r � 1 • lb eou ev Z t FOUNDATION o h LOT / 7 35375 S.F FurU b RE o ADD/TION A '� Ci X,�w OF M4s� C. FRANK G WHITING .o No.29869 `J w 9 G/STE�`�� Jti C TV,15 I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL .KNOWL EDGE INFORMATION AND BEL I EF THE ?p4.9S, DWELLING SHOWN HEREON CONFORM TO THE HOR'I ZONTAL SETBACKS OF THE ZONING BY-LAW FOR THE PROPERTY LINES SHOWN HEREON , RD-1 DISTRICT. WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT TOWN OF BARNSTABLE ZONING REPRESENT AN ACTUAL SURVEY BY-LAW DATED SEPT. 14. 1989 ON THE GROUND. ZONE RC PLOT PLAN THE DWELLING DEPICTED ON THIS SETBACKS IN PLAN WAS LOCATED ON THE GROUND FRONT . - 2//0�' .Y-ram ..�+�."DE"^`. _. /O-. BA.�N.STA1�!F _ - �r..-4 n,-� . -; -._. v�#.� ,6r : r: I.y>•'r-tIND- � - .. � • EXISTS AS SHOWN AS OF THE DATE REAR - 10' SCALE: l"-40' MAR. 5. 1992 OF LOCATION. r EAGLE SURVEYING 8 ENGINEERING.INC. THIS PLAN IS FOR PLOT PLAN 10 Seaaoaptf Lane PURPOSES ONLY AND NOT•FOR Byann t s, No. 02601 RECORDING. DEED DESCR1,PTIONS OR (508) 778-44ZZ ESTABLISHING PROPERTY LINES 0 20 40 80 PROJECT NO. 92-230 L - J • r y COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE FaNsroto�ssssasoorrsat a ��s$tstlBol/d/xp MASSACHUSETTS BOSTON,MA 02108 +, OOdohoarsa/ewwrv�tiea I` L I r EN S CAUTION EXPIRATION DATE CONSTR. SUPERVISOR s i 1 / . FOR PROTECTION AGAINST 1�96 EFFECTIVE DATE LIC-NO R TRIO ION 1 THEFT, PUT RIGHT THUMB NONE I C 9 06/30/1993 010219 PRINT IN APPROPRIATE � BOX ON LICENSE. E RA dDALL G SWETISH Af 10 WHEELER R D BLASTING OPERATORS IMARSTONS MILLS MA 0264 ` MUSTINCLUDEPHOTO. m ((H PRINTGAGEDINTHI$OCCUPATION. IONER l n LLL1LLLL1111 Il..ll��ll�� =i a k31. j II I, i u ,J all J — _ • i . 11,I, >_ I imill SMOKE _ ` •� ' �° ! /1 lonll`° d xW II t7trl1,.lG C-O-MM Rre Dept., y REVIEWED LAcaWn k ber/Type f' Beat __. 18t F100f Other IbW �— r( IU all 3 , ,�� Her. .SMOKE 12 `,�I o'1 '�� I y .: �- � � �- - �. ' .. i a : a-4 OJI 1 1,00 . TOVi/- ARNSTAr'tXACHh1� i S .•.i: A-24 _. T 5.0i7� - �:_ ... - - _B. —. __: ,• - z.=i -r`,act r_ a ... r 19 �� ~ APPLICANT Randall Syj�tign DATE r PERMIT NO. ADDRESS10 ee er E7ad, Marstons Mills, l 2 (NO.) (STREET), (CONTR'S LICENSE) PERMIT TO Build dwelling (_jF` 9'T�y&ORY Single Family NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) 300 Gr4aen .Dunes Circle, Hyannisport, ll,A (lots 16 & 17) ZONING RD-1 DISTRICT (NP•) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT.. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #94-337 4300,000.00 BOND AREA OR 3293 sq. ft. (incl. deck) .fifilc"foxad PERMIT 316.30 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Frank and Marie Fortunato Ctrcie, u` c A tC 1' BUILDING r1� ADDRESS f By 4 l Q THI' PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PEF AANENTLY. 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 APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION. HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHI. E FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ''�c.+✓��rJ. �� 1 a fly ' �,,�f� Uo(��'"� ' /a-�1/-Qy /1G-O 2 2 2 cl� „rc c_& TING INSPECTION APPROVALS ENGINEERING DEPARTMENT O y p BO OF HEALTH ol OTHER SITE PLAN REVIEW APPROVAL °moo U WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION j-5 c rz? RC' y a a MEMO TO-' s �t '{>.p';`q sr y is E n&`7.H�� § sr } r � t>•1*• -. a F3u�t� 11r: i 1 DATE Y 93 .�,S7z �•t�k •i4''�g� a tZ !- � � .c. S ,_a t _ s .e�i �,.:ar`€' 7 t y,`: _ t'. , - -:6 Y =An Occupancy Permit ,has been issued for the building authorized by � BuildingxPermit r% '. Please`release'A he' performance bond: r '¢ r = TOWN OF BARNSTABLE Permit No. ..36962...... g 3. BUILDING DEPARTMENT I ""31 I Cash TOWN OFFICE BUILDING Yl q pp i67p• A HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Frank and Marie Fortunato Address 300 Green Dunes Circle (Lots 16 & 17) Hyannisport, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i May24 95 ,x.=.a:19................. ...........:.r;... Building Inspector APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector o Wires - 323044 ,, Wiring Permit#-- COM/Electric # Town of l4g!!!0s�N3/L� Massachusetts `r Building Permit # Date Customer: on(Street.#) 3E ��Ct2s1ULdIVEGlL� Lot# Jn the village of k) utilit pole.rilimpei-or underground number Customer's billing address �' �/A: { Ty Temporary New installation Change of service Starting date Job description` ry c.e )� t)) C s¢ Service entrance voltage 1 Amperage .42 40a� Phase l Wire size(cu.or al:) 4116 R Conductor per phase Number of metters__� Water heater - Off peak: Yes—No— Estimated load:Electric heat . kw,lights kw,Range dryer Motors,H.P..& Phase L Ready for first inspection_ Ready for final inspection Elect 'eal CO—"t0- _ Lie. #_ 1 S I Telephone# .3fnZi-�9/7,� Ad fma,. Additional Remarks: s4 Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERT IC--AT pp hINSPECTOR OF WIRE$ j f M INSPECTIONS I A I DATE l� CHARGE Temporary Service Roughing in— Service and Meter y Off Peak Meter / ��✓ �u Final Approval/C d 7 Disapproved' 01 f< 'For the following reasons T/r- ��j� �� i��S���_ �egz4z4rlll " 4 CERTIFICATE OF INSPECTION �!- Date fl97 To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day been ins ct and approval granted for connection to your service i t Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION ° Permit Good For One Year From Date Of Issue e CA 46 INSPECTOR'S NOTICE f y���i� � ^ �\ �[. 4 1i._ �. _ �. ` � , :l t 1 ,i Map "t Parcel 0 2-7 Permit# 04R 0 House# Date Iss ed a 9 Board of Health(3rd floor)(8:15=-9:30/,1:00-4-3E� /-3 3 zi ee S - Conservation Office(4th floor)(8:30-9:30/1:00-2:00) al RJR , Planning Dept. (1st floor/School Admin. Bldg.) .. oFa"E . Defini ' ,,Approved by Planning Board 19 ��� �TP�LL LI_ANCE Wi C/ _ NVIRON ODE AND TOWN OF!BARNSTABLO TOWN REGULATIONS Building Permit Application Project Street Address �UtJ U Village _ T�,r �1 o el � a ' Owners it� 4���.�N�►"�� Address ,a,;,.Crke Telephone �� 3 Permit 21 Request Re N s � �, q L � 7C ruQ „.,Lq -rM its ckj%e� First Floor square feet cond Floor square feet -Construction Type �, .+ e _� �`1S 2`,�� a v1 h Loy Estimated Project Cost $ -r�0 Zoning District Flood Plain Water Protection Lot Size ! -7 Grandfathered ❑Yes WrNo Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes !do On Old King's Highway ❑Yes No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New t No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: �ool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal X Recorded❑ Commercial ❑Yes dNo If yes,site plan review# Current Use ���'l�1 e 0cm Proposed Use 1 WSK,11 E.01 Builder Information Name i j ID Vb., S'� Telephone Number 6.00 222 - 2 Address Y 2 License# ro .311 TV �g Home Improvement Contractor# j o-7 ( �d 6 1m) Worker's Compensation# 'j Pu Q -21 j X S 11 • S'- l 9 J 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 SIGNATURE DATE hd BUILDING PERMh DENIED FOLLOWIN ASON(S) 1 - FOR OFFICIAL USE ONLY PERMIT NO. Okm ISSUED 1VIAP/PARCEL NO. ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION- FRAME - INSULATION J r FIREPLACE . f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t FINAL GAS: -'.' ROUGH "' FINAL FINAL BUILDINGrn DATE CLOSED OUT"i Ri ` ASSOCIATION PLAN-NO. ® _ - 4 as tV' f . � The Town ' fBarnstable • BARrrsrest.E, • , Department of Health Safety and Environmental Services ArEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 568-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 4 For office use only Permit no. Date AFFIDAVIT I 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. t ) ` Type of Work: q.• �'�`� Est. Cost Address of Work: Owner's Name Date of Permit Application: 1pd I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I here ply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name rZ The Commonwealth of Massachusetts ll �' Department of Industrial Accidents =- Office oflnruffooffons 600 Washington Street 4 Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: cityLIN is 1 �� .hone# I M 1 ❑ I am a homeow6er performi g all work myself. ❑ I am a sole rc netor and have no one workin%%in%%%anv ca acity � // I am an employer providing workers' compensation for my employees working on this job. con an name.: D V address city ' C � {�� ! 02 1� phone# insurance co.❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: cotnnanv name: address: insurance co `� = ohcv# oinyanv name: . ..: " address: e1ty: phone#. insurance co. ;:.. olicv Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of s fine up to S1, 00.Oo and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi r the pains and penalties of perjury.that the information provided above is truo d c rreect Signature �'��—� Date a _ Print name C � 5� Phone#-� Z2 2 �� 1 M'Mo official use only do not write,in this area.to be completed by city or town official city or town: perntit/license# []Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal- of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the perniitllicense number which will be used as a reference number. The affidavits may be retmned 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 Office of Invesulauens _•._.' 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 a r i - - S6-' '- \ ` \ N /8'52' "E N 18'5 - - _ \C •. , --- ---- _ 1 , s cam,+ - / • 1 \ I I ? � -k �.\ I .1. - q e \ �• / 1 m ; e O \ • I n J r ^' -------------- Al J 14 \ - \` i -. o '- :R. p5E► VE l03 0`._� \�' \I PROP NG - OF 1 - ON \ po 1 71 \ 19'39'46"W A-•------ ---- _ ' ` \--- - ---$-- -----' '. --100 s \ ------ EDGE DF - ➢AVENEN .- ' - 1l •6 .- b 't Y q - s F" D UAIrZS G I R CL _ ... J DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number—,"_ Expires: s' Restricted To I Pw RICHARbA THOMSON POI BON" � ATTIEBORO' 'MA 02103 j sr/� ,s al ��•,�+�✓RB T007w/�� u '�.. I F=;HOME IMPROVEMENT CONTRACTOR Registration 107180 'ks s ` Type ' INDIVIDUAL F �07/29/00 s ,�Expiration 14 • �?t,:r } 4r y 2 '� t "fit 3c} S'y4,, ¢ RICK THOMSON ° s Y Pf L� Al ox 1671/ 350 Pleasant St , ,Atleboro MA 02703 ADMINISTRATOR � �t j�. Y i O E. - - --. -11"Ya'1w.12f1,rtAd.;//3 'aao t.ee•Ste-.'�!s.sv - F'LA1 ,cat _OCA. ='�•= 3 • �f(.�O�Ay pRI•C.G l crrEa S Nt:A.GA"A rew- 1 11YIXlli'Y11C..Cv&.LV. 14 6►.6.ALV--'Te el , RAACE) z ' r.l..lr-L ,- Cb-+L S@"T.ws rwd' • I _ .T'ORdLpCJ41Of.F�6 .. _ I -5-YBI�rl.D JITS w4r7 i O L43L-rarl IN .F'lEFPCK1Gp+TL'D �n. r 146. -.t:A.L�.-,Tr-la. STN RASSC4415 I f'1dJG` -r _ JJ uia A9TilL AIdD 2 UAb W 1=RS Fi►IdEL fC -r -TYF�JCsaL -T - wbi�H.tmn,Wum ; r s�A,z uN_ v i�tLfaHEJ0.�'J YTT' t�f �' h: 'i r ► . S-sb)�H.Eb LTb NUTS 71 ey,b \ '-+--i "p 2..�.111..5NFJt9 - B 1 $A4A.GAW•STEM- (pR►1!L PAJ.EL CAM' 20 MI"NOINYL-I..JNC)Z. 2C .-•I:L.�-•Gc-�ES� u . 1O v1, -7W CKNM 46 fj' � - ! I NMYL'LIHJEA 144L.f3^IV. STEEL. 14 6•r.Gst.� Ai'LL� 4� C.02 NlaJL VANEL_ /� a..� a MAN- LOR.aENc 14 G/._.4ALv A7TFLL . `4Y r 2-YI C2: I,CL�-� 27ML.Tu-CK NG�sri .. _L�7-sue y��L�Fo9 - / fir• µuTe JwD 2 vv Y: L•MJE4 TtiP.P_J►.cAdJEL E).1� - I_-f\ Y E L_ , G<EC.tA N P�ECrsa►JG - • 'GR IAf�1 OG AG�O�.I GORUER� qo'E� 4 I�.ZY t=L. CORf`lER OCTAGON STAR GaRNE2 A Ir . r�.sgtA.,.eoLTr..Wns A.v 14 b►-4AL•/yTetL, c-.ds5..ecz 7YTcd.a_ - LOICHIUL a sd /.IOTe.:s�A4-E'. Ss J.PrltAxir4ATELY J. ' C ►fOiJB 6"L, USE 144A-bAIY•�iTECI� I dfE N61GNS AS S�iOHN. ui . \ 2O MIL TNICK►�-W-11 .. .. vein. u.Jee j PRE-FAMC-AZT11B.0 �O se n ``� STAAt AS&EM81-Y O. nip O 2-0 mtL- ui D A•S O.IA.. DIcnC c VINYL uHd6e - _ � _ _. � '• �,1'a �2 riVt:i2V. t� STAIR uNE7 F'u•I.p FO2 LOLA.�IoJ RECTANGLE 90�EL, . �or,: 4 hems ;a _ 0•T.aLF LAZY EL GdIWE� (� ! 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F% r4•.,I%JZ.Io•.uTrtiPoGG EL_ GGZ � re ► l/ ER q) T NNb COPOMENT NOTES II6TKLATIOM MOTE8 L T�[�yCr;L:4.14 I�wPL wJFalrS►TIoJ TYGAL- PA eL e4 1 11 wll •o.9i.t..l f. toreN tree eAt.rlAl eoMorAfn9�to 1_ THE BASIC DESIGN OF THE POOL Is PREDICATED oN A TYPICAL 4 F'w.iC:_GG • IIL...___. ��p �`� • �1 . ASTN A" 1 rltb A 0-163 gwlrAAfsN cDAtfn3• IM6TALLATIOM IIEINO IN SOILS NOT COIRTAIMINS ORGANIC Curs• PEIIY, ll. IW U, SOIL OR HIGHLY EXPANSIVE SOILS. =1 All .1..1 AN.q 1.. IPAMI .tstf- . At tr.A. br Ac..H• 2- TN6TAL1. AN S- THICK CONCRETE COLLAR AT THE SASE OF THE OVER- Z~MIAL FILL� • YA. trs Nt.r lAl coot-ifts to ASTN'A-323 rf Ulf HVX ASTN _iH HI U.QIta- L - EXCw Tow AREA AROUND THE FILL PERIMETER.OF THE FOOL. THIS IS A-163 .2-6-d C-ti-S. - SHOWN ON THE DETAIL SHEET. 3f All bolt. .M th-d-d coApon.At. Ar. Nnut Hklure. 3. 4ACIPILL VITN CLEAN EARTH FREE OF ROOTS AM DEDRIS.. INST/1LtFD � �� � `�- - ♦rw AAt.rf Al ConterAl nq to ASTN A-307. INUt. - ASA3GA1 IN LAYERS NOT EXCEEDING••. EACH LAYER sMALL DE ruDDLED AND .M .r. XtlnC PIAt d. FA.t:.1.9 rA.A.r. Are .t-d-6 CAREFULLY TAMPED TO ELIMINATE VOIDS. FILL POOL VITN WATER DURING RHII TY►.Td{.rT - I + J 10. t_S� h �102 1'.S���SB :Inc PI.a.G. DACHff ILLIMS. WATER LEVEL SMALL NOT DIFFER FROM DACIPILL LEVEL BY (NOWZGVTA.L 6RAZt)� t \�1 ULv�LrJ�i.t .Lrj �w jJK _ PWRE THAN ONE FOOT. L• �'=d4ALV. 1 J 'Jr NLr7 .1 wu I. fel nt. a .A/A•t.b 1. w-FrAr er.c., Ar. _ � -.. c e.tN claw . :1N.c r/cb PAI.t AN I.r M..101 nq. •. A COSRETE WALK" OR FINISHED SHAM SMALL GLMM AWAY FROM ,1� /{� COPING AT A RATE MOT LESS THAAN 1/.• PER FOOT. I/V/-"y� KIDI�IGY _ IJ_ aJ_ I.�u- 2TIF'EE►���1 TG=-t �--�TI��• `R3 3N YAIrrA7 AKr atoll N AI.I..s 2.000 PSI 1� �'D��� - .tr.Mtb b7 •..13n. S. THIS►00. HAS MDT sEOt DESIGNED i0I w P �L/ c tiDIOARDE LOAD[MO. ,.�� :� JS•^ (.K.W� ! ; s A- GRADE SITE AROUND POOL AND USE INERT DACKFILL TO LIMIT - LJ - V.r.I X ESUIVALENT FLUID PRESSURE OF RETAINED SOIL TO 30 PCF OR LESS. s �o ?� l ?os o ss• 44 LOT / 6 P ..? \ 34765 f S.F. b� o ADD l T ION a F CONCR ' y _ FOUNDAT/ON ,prwy s` -LOT 17 0 35375 t S.F. `.. FUTURE �b ADD/T/ON y ,_; ,'' •:r:� ";it-ti,^i - � F a l:f I CERTIFY THAT TO THE BEST N�o�?o•Yg. OF MY PROFESSIONAL KNOWLEDGE 8' INFORMATION AND BELIEF THE ?oo..fls• DWELLING SHOWN HEREON CONFORM TO THE HORIZONTAL SETBACKS OF THE ZONING BY-LAW FOR THE PROPERTY LINES SHOWN HEREON RD-I DISTRICT. WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT TOWN OF BARNSTABLE ZONING REPRESENT AN ACTUAL SURVEY BY-LAW DATED SEPT. 14. 1989 ON THE GROUND. ZONE �- �.®- PLO T PLAN THE DWELLING DEPICTED ON THIS SETBACKS IN - PLAN WAS LOCATED ON THE GROUND FRONT 20' BA�W.STABL.E. _.MASS. - nY ,,'T.VEY•iN AUG.--11. --1-29.* AND EXISTS AS SHOWN AS OF THE DATE REAR - l0' SCALE: 1'-40' MAR. 5. 1992 OF LOCATION. EAGLE SURVEYING 8 ENGINEERING.INC. THIS PLAN IS FOR PLOT PLAN 10 Sea6oard Lane PURPOSES ONLY AND NOT FOR Byannea. No. OP601 RECORDING. DEED DESCRIPTIONS OR _ ($08) 778-442Z ESTABLISHING PROPERTY LINES 0 20 40 80 PROJFCT Nn. 09-9jn PI I`�TE RcBC}R WOOD;P'RO'D'UGT$' PINEHARBOR.COM 1-800-368-SHED 259 Queen Anne Road Harwich, MA 02645 p: (508)430-2800 f: (508)430-1115 barns@pineharbor.com ENGINEER'S STAMP 3 < ,& _ �y Y ,✓ PRO JECT: f . .. 4 x Garage CLIENT: v Yµ I r o t ona o t Frank ADDRESS: Green Dunes Drive - x s s IIIIII IIII y, Iilil ID; PHONE: u v ^s r �:- 508 778 07�s 37 I I I I a"h I I s E-MAIL: �q r R� flfortun@massmed.or ADDRESS OF PROPOSED WORK: �: � ,;,� � � � � � � k, •� �` � 300 Green Dunes Drive ,.. . West Hyannis, MA 02648 REVISION DATE: 12/18/17 DRAWN BY: GB Scale: 1/4" = 1°-0" Unless otherwise noted Page A.1 PINE �C�R *06D.'pRODUGTs PINEHARBOR.COM p y� 1-800-368-SHED Front Elevation Left �levat�ol I 259 Queen Anne Road 1 SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1-0° Harwich, 30 02645 00 p: (508) 430-2800 f: (508) 430-1115 barns@pineharbor.com ENGINEER'S STAMP Architectural Shingles 12/12 Pitch PROTECT: 14' x 24' Garage CLIENT: Fortunato, Frank ADDRESS: i IIIIIIIIII IIIIIII I II PVC Trim 300 Green Dunes Drive West Hyannis, MA 02648 IIIIIIIIIIIIII IIIIIIIIIIIIII , PHONE: Pre-dipped white cedar shingles - Cape Cod Gray 508-778-0737 IIIIIIIIIIIIII IIIIIIIIIIIIII E-MAIL: i I I LI I I I (I I I I I I I I I Pre-dipped white cedar flfortun@massmed.org shingles - Cape Cod Gray ADDRESS OF PROPOSED WORK: 300 Green Dunes Drive West Hyannis, MA 02648 0 0 0 0 0 0 o a a o a y 14'-0" 24'-0 REVISION DATE: 12/18/17 DRAWN BY: GB Scale: 1/4" = 1'-0" Unless otherwise noted Page A.2 PIT TE HARBOR WOO. 0 PROOITCT.S' PINEHARBOR.COM 1-800-368-SHED 3 Rear Elevation Right Elevation 259 Queen Anne Road SCALE: 1/4 = 1 -0 SCALE: 1/4" = 1 -0� Harwich, 30 02645 p: (508) 430-1115 f: (508) 430-1115. barns@pineharbor.com ENGINEER'S STAMP Architectural Shingles '12/12 Pitch -PRO)ECT: 14 x 24 Garage CLIENT: Fortunato, Frank Qp ADDRESS: i 300 Green Dunes Drive PVC Trim West Hyannis, MA 02648 PHONE: Pre-dipped white cedar shingles -Cape Cod Gray 508-778-0737 E-MAIL: Pre-dipped white cedar flfortun@massmed.org shingles -Cape Coo Gray " ADDRESS OF PROPOSED WORK: 300 Green Dunes Drive West Hyannis, MA 02648 14,-0„ L 24 ,_0„ REVISION DATE: 12/18/17 DRAWN BY: GB Scale: 1/4" = 1'-0" Unless otherwise noted Page A.3 PINEI3 N"OR 5 Floor Plan .wooD PRODU�Ts. A5 PINEHARBOR COM SCALE: 1/4" = 1'-0" 1-800-368-SHED 259 Queen Anne Road 3 Harwich, MA 02645 A3 p: (508)430-2800 f: (508)430=1115 -e 10 x 20 Grade Beam barns®pineharbor.com STHDIO @ all posts e ENGINEER'S STAMP PROJECT: 14' x 24' Garage - CLIENT: Concrete Floor 2 O 4"-5" Fibermesh 4 FOrtunato, Frank A2 � A3 N ADDRESS: 300 Green Dunes Drive West Hyannis, MA 02648 a PHONE: 508-778-0737� ------------------------------; 6• � A5 � I E-MAIL: i o flfortun@massmed.org .8' x T-6" ' ADDRESS OF PROPOSED WORK: ' Overhead Door ' I 300 Green Dunes Drive West Hyannis, MA 02648 REVISION DATE: . - 12/18/17 E DRAWN BY: CML -c Ato 39M, GB x: • 1 a A2 / Scale: 1/4" = 1'-0" IZ �7 Unless otherwise noted fiv pvlei Gtll►'LC I✓t s Page AA PINE �A�RBCR TimberpanelTM Frame ( i: e,bpanelTM Frame w-7SCALE: 1/4" = 1'-0., 1 ......... ..SC : 1/4 = )'-O PfNEH -368-S ED 1-800-368-SHED 259 Queen Anne Road Harwich, MA 02645 p: (508) 430-2800 f: (508) 430-1115 barnsgpineharbor.com ENGINEER'S STAMP 2"x10" Ridge 2"x4" Cellar Ties 2"x6" C 16 OC Rafters N w/ H2.5 A Rafter Clips ` 1"x12" Sheathing PROJECT: Shiplap Pine Loft • 4"x6" Loft Joists 14' x 24' Garage a CLIENT: 6"x6" Plate Beams(I Fortunato, Frank I I I IIIIIIIIIIIIII 4"x4" Wind Bracing ' ADDRESS: 4"x6" Window/Door 300 Green Dunes Drive IIIIIIIIIIIIII IIIIIIIIIIIIII Posts (Fir) West Hyannis, MA 02648 O 00 4'"x4" Purlins (Fir) IIIIIIIIIIIIIIilllllilllllil PHONE: i 6°x6° P°sts (Fir) 508-778-0737 l l l l LI I I I I I I I I I I I I I I I i l l 2"xis" Sills (PT) 5/8"Anchor Balrs 4' OC E-MAIL: P V 4 Q )( posts)Straps a STHD10 flfortun@massmed.org co P , w/ (1) #5 Rebar at Top of Wall ADDRESS OF PROPOSED WORK: 300 Green Dunes Drive West Hyannis, MA 02648 10" 14'-0„ 24._0„ REVISION DATE: :r 12/18/17 DRAWN BY: McKENAE GB criL Scale: 1/4" _ )'-0° Unless otherwise noted OM h/lit/yl ( �!( / Page A.5