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HomeMy WebLinkAbout0129 LONGFELLOW DRIVE 1h WI, -A7 Pop .......... am 17,11 n"y" :,, '", , ��.­­-V 4 3";,M I�1!111'1, 10"'6.0 66, WE I vim MY k1W iUeirj"� MW—hu" I I,FMI ih qN 'i Y w2i 1�,OR 1 pg� A'A" 14m A N, Ig�i A W, pill, AA MV;, i 79), —s-Ogg T�l P�Lgg % U R" oil M Mel SA _01 Al" MW 'grg­v jg RRIN't RV !, 3� _Oi W40% .V1, ONE g4l, FFNKIN Imp, ,wffi' MUNI M fW Aqeqii�,r­.t`� PRO' 'R 4,h CIA 04" RM ��,fnwlvw MAIN 1,wg wqgm� In N, zl,. -2.1 Y"Es 'y I PWII'�, wV .k"04 A")w-A-,- � P yn,4 mm Elva cg�,Iq* plif ,14 Town of Barnstable *Permit# ' Expires 6 nun m issue Regulatory Services Fee it. s Thomas F Geiler,Director �1 h Buildin' `Division g Tom Perry,CBO, Building Commissioner. 260 Main Street,Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT'APPLICATION RESIDED UL ONLY Not Vdfid wtthou[Red X-Press Imprint , Map/parcel Number: [. _ 1 aCQ Property Acidness`� .� l°� G�\ow Residential Value of Work ` �1 �' Minimum fee of$35:00 for work under$6000.00 Owner's Name&Address b- X CA ram , Z �' Ln y Conractbr's Name S Telephone Number. '�(�� Home Itprovement Contractor License#(if applicable) V t) \Q? Construction Supervisor's License#(if applicable) ❑Workman's Coo pensation'Insurance ::-PRESS PERMIT Check one;; 0:.I am a sole proprietor. Nov the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name `�9,� �j Workman's Comp.-Policy# Copy of Insurance Compliance'Certificate must accompany each permit. Permit Request(check box) 0 Re-roof,(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) 0 Re-side i #of doors eplacement=WWindow)doors/sliders.U-Valu (maximum.35)#of window_ s Where required; Issuance of this permit does not exempt.compliance with other town department regulations,i.e.Historic,Conservation,etc. Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. _ li SIGNATURES 1—Zpll r C:\UsersldecollrkliAppDatalLocalUvlicrosoft\Windows\ nary Internet Fi3eslContent 0. ljD D 7AAZ\FXPRESS.doc . Revised Q72110 s The Commonwealth of Massachusetts ! Department of Industrial Accidents Office of Investigations t 600 Washington Street 1 ililti _ %j_ - Boston, MA-02111 t � . www.mass.go /dta , Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers .Applicant Information Please Print Legibly Name (Business/Organization/Individual): LAX'Le-� C�/ f'�� Address: ��� �/` r" �j lA 1 k-. City/State/Zip: C, (IV`Q- , Pone �&7$ &zn�2_ri . Are you an employer?Check the appropriate hp Type of project(required): 1.❑ I am a employer with 4. g I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all_work right of exemption per MGL ., 1 LEJ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4), and we have no 12,❑ Roof repairs , insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 6160-sb Policy #or Self-ins. Lic. #: LJC na0 q-1 as- / Expiration Date: Job Site Address: /.29 Zf',L/LS 11ot,> ,®l` City/State/Zip:r-&e'krrt.ULtfIF 6)&3 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). oZ Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct ' Signature: Date: p Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License#' Issuing Authority(circle one): 1. Board of Health 2. Building.Department 3. City/Town Clerk" 4. Electrical Inspector 5. Plumbing Inspector, 6.Other Contact Person: Phone#: Information' and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the- owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter•have been presented to the contracting authority.." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant.should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would.like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia i t 'lie Co �/ I. T Degortme't of Fedresiraal Accrdetc - face of Irrvesligattohs j_ 601) asJm##gto Street Bos[»�AAA1. 1.02111 wtvcv nrasgors/dra ' ,13r -; �,r ." ," 1�' s� mens; Og�AC1tT�l1)f'P D��L6a1C13/VOIIG� . IIi .mam YS� i.:p�c� ►slPl` heyrs Priik em I y iai. r. �.. p n 1vY r _1S' 11'--�"Ir',.��',,,`--i......11�tt,.`,��'!!.�V 2� I Gj().H+—)r I. .. CltltIte Vaiamempieyer�Chectcdtea baz, �w Type of pc oect�� = Lam a employer v�th 4 I am a general contcactn�and I a�/Oi hcred�the �s ew�� t1aYe 6; ❑N 1 r © � n- 64 �p hsteclon the attached sheet. f sP�aW �o e�lopees 1'l�e subacta�s La�*e gIohao F wag facace m aay aad have�orfcecs N ,� M411[7tf!° LLLL p.tn ' c�P,. T 4' ❑Bmldmg addc>xan' l j 5 F We ace a cocgocatcau sud its 10 Elect1.rical ePaics ar additi'ns '3 © I a 'doing ail a ce s have eaer�sed t.then 11 p airs ar additi meif[Na coaap raght of esemphcm gez M11.JL ;' { insurance"refff m]i 5 c 152 §1(4),,anti we bate as 1'❑Roof repairs ' 13[]Other�►I°Yees [1+To vvorl�ess y` corm-'Ip=Ahb6 regcnted� ix�#l"**_-. Woattw fie�m. ngth�reaakeis'c�iz — � am�pensemonpuLcy�nfa aia� 3 r ; s a- s� all wis4 amd OTI af hee anme c�uace1.�s aaest sabmu a affidasit mdtca snct� tbuc�ecicti{cs v, ry �-,;- of.--: coaascm�sndststeeLeth .arn�ithose n '.K'*5 a''k 4 £ L F ,"s >@.:.Y` fi '�r..�. �, ,e S b-R�:' E:S r ['HTR�HS. WIDP,.pOltCp ID�FI'Z. mfideS��Y�E Z i r< j'"'a �- F t��'^ ti t a- y a s u I—'. att t tkat rs p ,� ,a►orkers'cow uuctra ece,Oraecp satpinyt3es. 'Beinry is 8ce policy° d jo6`site foammali[on di'111 -_f ._-j. i �:.� '..5 ,/.ylw�. J BMi.II�e �. ' Poluctr or Set£ ' Inc.# Eggtcahoa Date Job Site Address cty/StatelZtp A#tach any of�tivo 1--..I com�nsa4roa p1.1 omp declarat—wpa a fs1!o g the pohcy uum cr and:e icon .a Faclnte fio secmje co as 11 'required tinder Barham 25A of MGL G 152 can lead to the imposctaon of rninai Penalties o a fine to:1.S 1.1,500. andlor owe year ,as we11 as ctvcl Y 1:11, 1. Penances m the farm of;a STOP RTORgC}IZDEI{and,a,ke of ap to 5250 00 a relayamst tice vcolator Be advssed that a copy of thcs statement may be'iiozded to tiie 1Bffice of of tfie�IA ftu I do k s�arh. i - vY 'xndertke and ofpstaury tkat EheattforI.ncataon providedAl trrta end carrec� 3 '+ .1}ate.. j11 ' .. - 1. K s�r * j h r .m :, Y t3/ t__use of D11.1 in riot tartfa to thu urea,to bg concpi1.�ed by�J'or town o�tCta� J h Ol'1.�QiPA.) PC17�t�eltenSe i . i { f s 4� tz f q ar+r�0..1 4{b#.i{:Q�e�11 5 ys#He Z,$t> gIfeparf�eat 3.t /Towg Cart ElectrYcal Inspector Se:Plnmbg`Inspeetor { ^ ,, h' t o a r d - ,: 1K �� s r. x i ' II�L i i p Ia, k Y ^+M i`.lyys^C."Illt„brrr�'.i' (f 1T/ YeR t > 6 �_, . � ':",-�' 11`11*,`--�r, t m .,:: " . I . . .. I - as-/ V / aV a V.• ��u� r.ry ry� r - �v � _v��, __.. y_ _-. _ _- (MPA/DLYYY(Y) ,a CERTIFICATE OF LIABILITY INSURANCE __--_-1_-- __ 11/4/io 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. r IMPORTANT If.the certificate holder is an ADD11IONAL'INSURED,tine poiicy(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 end orsemengs). 1 PRODUCER CONTACT NAME: Christal Johnson Robert E Bouchie Jr. Insurance _--- ietcoN�EUJ xt).._45081 564_5560 .(A+C,No). (SDa) 569-5531 1352 Route 28.A AIL ADDRESS: info@Bouchielnsurance.com PO BOX 400 PRODUCER —_ —__ CUSTOMF RI D.fl: ..132.6 .. . Cataumet,. MA 0.2534 - - .. - INSURER ($)AFFORDING COVERAGE. NAIC(t _...... ., INSURED - - INSURERA:Atlantic, Casualty Insurance Co., 42846, . BBL. Home Improvement. LLC INSURER 8:Pilgrim insurance'Co 21750 98 Rockg`Gutter Street.' INSURER C:AmGaurd. Insurance. Group Middleboro, MA 02346 INSURER0:_ INSURER E: INSURER F: COVERAGES _ - CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED..;NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION CF.ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS .,CERTIFICATE(MY.BE ISSUED OR MAY PERTAIN,THE.INSURANCE AFFORDED-BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL.THE TERMS, XCL EUS16N5AND CONDITIONS OF SUCH POLICIES.LIMITS-SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fNSR: ADDLSUBR POLICY EFF POLICY EXP LTR :-! �TYPEpFINSURANCE - POLICY NUMBER MMIDDIYYYI')-INDAIODIYYYY) LIMITS _ _�__�1SitSOID L —_— GENERALLIABILITY -. EACFI OCCURRENCE •S 1,OO.O,0O0 -`...- A , COMMERCIAL GE NERALLI/{f31i.11'Y:: .L123000rJ79 ,4/7/10: 4/7/11:.PRMSESDAMAGE �EaoecEence).. IS.. ..50.1000. ... ',CLAIMSMADE X .Q%CUR l::ED GW>(Aiyorn pc sat) S ..CJ,.OQ r4 1.r.000,000 PERSONA L&ADV 'JURY S i li N L AGGREGATE s G6ERA G 2,000,000 GENI AGGREGATE LIMI T APPLIES PER :PRODUCTS-COI,tP/OPAGG S� 2,000 OOO. -X:POLICY. pf20- LOG ' FCT AUTOIAOBILELIABILITY -- - CONIBINED SINGLE LIMIT (Eaacc.d.rt) B ANYAUTO PGC0001007975 4/•10/10 4/10/11. BODILY INJURY(Per Parson; S 100,000 j 1t.t.OkAINE D AUTOS X SChIE0ULL0AUTOS BODILY INJURY(Per accrd nq S 300,000 PROPCRTY DnrnAGE s 100, 000 I X HIREDAUTO$. (Pe amden..) X.NON 0VMED AUTOS S S UABBRELLA LlA13 OCCUR � LACIJ OCCURRE NCE •$ • Ci. - AIFASA?ADF. EXCESS LIAR - AGGREG TE S _....._._ I_._.. . .. . DEDUCTIBLE S RETENTION 5 C WORKERS COMPENSATION BBGJC121597 '4/25/1.0:-4/25/11.}� N1CST'ATU- UTH , AND CMPLOYERS.LIABILITY Y - 1'ORY I'NITS' ;..ER ` ANY PROPRIETORlPARTNLRrLXECt1TNE 'I" Et E..AGIACCIDENT s 1,000,000 UFRCL-Rb:EPBEREXU_LOEC7 (Marxlatoiy m NH) --" Et DISEASE-FA E AIPLOYEE S 1,000,000 It yes,describe under DFSCRIPTION OF OPERATIONSbeio"y EL DISEASE-POLICY LIMIT S 1,000,000 )� DESCRIP,TIOROF OPERATIONS/LOCATIONS/VEHICLES (Attacfl ACORD R11;Arklitional Rennrks Soliedule,if more sj)3ce isregtirttf) - Manuel S Barros is included in his Workers Compensation Coverage. Ens; 781-271-2.009 Attn.- Kent' '. CERTIFICATE HOLDER' ' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Lowe's Home.-Center ACCORDANCEWITH'THE POLICY PROVISIONS. 3.2 William C. Gould Way Kingston, MA 02364 �AUTHORIZEORE PRE SENTATIVE ( _ _ JRobert E Bouchie Jr. ----_ 9988-2009 ACORD CORPORATION. All rights reserved. ACOORD 25%(2009109) The ACORp name and logo are registered marks of ACORD 1 ti . iMary L. Chabot Thompson Rd Webster MA 01570 iI Y 12 ° A 508 826 5757 RRPEPA.com: , ' 1�°il Certificate of Attendance and Completion I " ■ Renovator Initial per 40 CFR part 745:22 Manuel Barros Jr. i hr' 48 Rocky Gutter St ° Middleb"ough MA 02346 ' Course&Exam Date3/04/10 lY N' Expiration Date:3/04/15W. ti y Certificate#RI-18867-10-00184 : • _Date 310 3t 6 5 x f h a Ba/deo. �.o`�s License or registration valid for individul use only', ! HOME'IIVIPROVEMENT;CONTRACTOR Before the expiration dater If found return to: T Board of.Buildin Ile ulations and Standards Registration 153118 - " Ope Ashburton Place Rm 1301 Exptral�on 10/30/2010 Tr#, M 275148 02108 +' Bost on; a. 4 7ype OBAll f.. B B.L. HOME IMPRQVEMEf�tY i MANUEL BARRO F 38 CHARLOTTE FtJFthICE W.WAREHAM MA�`REi Administrator. e i NI ass otf ahlie SaetsAV SgCUAOJ ssey�AAAAAA o�ia3aR Boari)of 1Jttilcflt ,(Ze�tt�$tion5 St:�ndard � Consl tructtota 64;e.Visor License asu931l slq;Joao!;V3ona..t ao;asnga st Ltcet 9215t apoa ulptma a;u;s's43sng3t.ssey� aq;Io uoi;apa;uaaana a ssassod o;a[nitt 3 Rest'rtete$f ;c : MANUEL S BARROv $8.CHARLOE FURNACE RD. sautog fptana Z I=9i .''UV WAREHAM MIR 42576 pa;3u;saaull 00 x 00 01 pa p ilsaa �, Expiration: 7/17/2011 f i t oaei.. Tr#: 17850 z wy; r; r x Y. Oftice�f�ou°�ni' `�'t'f�r &°B�si es i License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,153118 Type: Office of Consumer Affairs and Business Regulation x Ex iration: 3 /2012 DBA 10 Park Plaza-Suite 5170 p Boston,MA 02116 B. HOME IMPROU w t t r t MANUEL BARRO$JR , 48 ROCKY GUTTER ST" MIDDLEBORO MA(f3E`i Undersecretary w� ou t aAxxsraB�. ,• . , , Mnss. :: ,63¢A, ' Towm of:Barnstable. MAr - RegulatoryrServiees Thomas F.Geikr.,;Director, t Building Div><s><on Thomas Perry,CB0 J Build ing.Commissioner 20.0 Main Street; Hyannis,MA,02601. . www.town bkmstable maxs Office:..508=862-4038 Fax: 508-790=6230 .ropertyfOvvner 1Vlust Complete and Sign,Ths.s. Secrion' ' If Using A.Bulder . � \L�'7 Y1�:,Cs�`1 ,as Owner.of the siibJectproperty 1 hereby authorize `�- a T. £ t r to act qn mp`behalf; . mall matters relative to' or -author zed bv'thts bi ilding perrrut application.for: 3 x. . ,:(Address of Job) . Signature of Owner Date . Print Name If Pro a Owner is a 1 n for ermit lease coin lete the Homeowners License.Egem 'lion Form on the P �Y PP Yi g P P P P reverse sides >. } C\Users\decollikWppData�LocA�Mi rosoft\Windows\Temporary Intel iet Files\Content Qutlook\DDV87AAZ\EXPRESS:doc Revised 072110 Owe ;� � �(o✓v�__ .��,. over, GOVI j rCA(-+-0/- +16 rylL r 32 William C. Gould Way, Kingston, MA 02364 Phone: 781-217-2000 Fax: 781-217-2001 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registratiom..148688 10 Park Plaza_Suite 5170 Expira€%i?i}- #7f1820.1.1 * Boston,MA 02116 7yp�_SUpplement Card LOWE'S HOMES C�1R �11iG, JAYMI RODRIGUEZ 136 TURNPIKE RD:SIfITi100 4 �`" SOUTH BOROUGH MA OY772 Undersecretary Netwalid without signature ' 1. {i TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING raa HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department 4kol i DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #......_. h �T� L ......_ _...... ......�. »_ issued to ....................... ................................................... ................................................ ......................................._...._..........„ . .............. . .. ....... Please release the performance bond. BU,-DY PER ET N0 ASSESSORS PARCEL NO. . n CONTINUATION OF ROAD BOND Y The undersid ed ow-ner/contractor hereby a-ree to ma��.tain t:�eir road bond in force until the following work items are co=leted to the satisfac--on of th 'Section of -the Deoar=ent of Public wor_;=: g r - ' yry I loGL and seed shoulders as soon as weatier pe=its: Other (e---mlain) ,t} (GwiiL=, C:,:;�r.nC :.;3) { r nz .name ) ------ -- �' t1''tMy '=�'� '..... :� � ��r4WW�' �V�'.':.. 'F11;C'ryy'""`vaC.talri..•oV�'•'€`+i'sd�A.,�'p`a+"s�'• TO�NN OF•BARNS ABLE, MASSACHUSETTS ` _,ERMIT'.­'� A- 89�-112 � ® M36454 DATE �J? F`ill7i�1 .�� 19 �� PERMIT NO. • APPLICANT' ?'r. •f3 ten:•' ADDRESS 3821 Route 28, Marstons Mills #004560 1' (N0.) ..`•.•.�d•-(STREET) (CONTR'S LICENSEI a. PERMIT TO v' Bu 1 Dwelling �1i STORY' ' Single* Family" DwellinjUMBER OF 4• WELLING UNITS 1T F IMPROVEMENT) - N0. (PROPOSED USE) AT (LOCATION) Lot #31, Longfellow Drive, Centerville D ZONING CT RD-1 - STR (NO.) t' (STREET) - r aY 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 i (TYPE) REMARKS: Sewage #93-657 Appeals #1992-70 fS A f1. - - - Bond AREA OR 864 5 • t• + _ VOLUME ESTIMATED COST 6� 000• 00 FEE MIT 69• 2S rl' (CUBIC/SQUARE FEET) - OWNER Cotuit Trust - �t-�-- 5 a ou e , !•!aZ 17T1a Tillis BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEP?RTMENT OF P.UB LiC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ., MINIMUM OF T'-iREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE' INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND z' 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. Z. PRIOR TO CO.ERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL - MEMBERS rT TO LATH 3. FINAL INSPPE��TION BEFOREE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. ' POST THIS CAR® S® IT IS VISIBLE FROPM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �' u �� n Gff J , c 2 2 ✓Ml//,v/ 2 r a , u _ 1 3 ' HEATING INSPECTIO APP OVALS -ERING tjT ll ? O�D EALT OTHER SITE PLAN REVIEW APPROVAL me'µ - d 4 PERMIT BECOME NULL AND VOID IF CONSTRUCTION .£ WORK SHALL NOT P='7CEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVcD`iE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE r�ti ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT 1S ISSUED AS NOTED ABOVE. NOTIFICATION. y S, L, �.:u4. - - h,.,..r'$_. e'•',�?sjJ; <Su <,'... 1 ����.a'ff�'0" ... �.. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I MRC DATA `���� � �.,. : -� ems_-" o. � � �._eC F� �_— _ -�---_� � games� Ga� �� �c---,:ss�� � �� } !,,` a d� F`� . OF BARNSTABLE, MASSACHUSETTS U NoI�®I � DATE 19 'pr, PERMIT NO. ~ ® 36454 APPLICANT ADDRESS 3i}GZ I'?.')UZe- :.! � i':i.Al`_iI-i_)- :`ilS..T.. ;;0U45f](� (NO.) (STREET) ICONTR'S LICENSE) Dviii 111.?<J I;_'T 1 STORY .?.zi a ...::1 Lc:...�.._. :)`r!�{=ii.:-T'i.(NUMBER OF PERMIT TO '"L"- DWELLING UNITS (TYPE OF IMPROVEMENT) NO. )PROPOSED USE) - i3�0�Cil, J� �fJ:'ilj _ i:.`.J !ice L',ii =_:;ll Vt_i.L ZONING AT (LOCATION) —DISTRICT (NO.) (STREETI 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) ziewacJi-, '493-65"1 REM4RK5: iionlCl AREA OR 864 sq '-L• - f!10 li PERMIT c VOLUME ESTIMATED COST FEE So =D (CUBIC/SQUARE FEET) OWNER L.o'F..'�.1.L 1rusZ _ ;,� f BUILDING DEPT. ADDRESS `" RClia..l'. G 121� ...i..lJ-1Jt';.�1 c5 BY 1 v'� J' / i (; ) THIS PERMIT CONVEYS NO RIGHT TO OCCUPY .ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY 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 M EMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. F INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FIRUOM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 I HEATING INSPECTIO APP OVALS 5 �=NG ERI C 1 EPP`ARTMErij 0 D EALTH OTHER SITE PLAN REVIEW APPROVAL �P6 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'HILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIDUUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUEDOAS NOTED ABOVE. NOTIFICATION. ,,TNT TOWN OF BARNSTABLE Permit No. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Nl 6Tp 9�0+uY` HYANNIS,MASS.02601 Bond ........x....... CERTIFICATE OF USE AND OCCUPANCY Issued to COTUIT TRUST ti Address lot #31 139 Longfellow Drive, Centerville a 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. G M� '10...... ....., 19...94.......... k% f .. .... -�P - Building Inspector 'rye f f>tucac Gtfrw�»1I-. _ _- - � _ _ .- 'A�rtvat,'f•'Sl•ft fZf• : .r ' - ` - �' . .; �lt�e•lvf,A:�t - .. .. !/tLtJlTf1:Gf.TR?TJC _ ��`\ ... •y , "f _ ���_.t�.r�� y. � IY•i.; � .�..' y}7 N.. •��;�yG�i-"• .':..• .... �. •; '7 a� j J�': :;i ! ••l r •c-��.!•►-v`4 '1 '` ...`i 1 +utitu'•r^ :' 'yZ✓+Cl� ;� 2�ra►t>,at.-:. •+ � ..�„i• a � - '� r+--•-•tom--s• _. _ +�- _ ,,7'�...- -4 a r}•i���. ' T T'•: <.;�. •��r : .ly'' .JM1 .51 i "• it _•Ly`fb.''-v*'+.K,j;l r -%'�.:' _ p, •'• � :�.:�;,�•' - �'_i"_.' 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'J r _ ... .r l' >: • Ewa i,'t N•�':�^f��FS•t;Y .s%. is ',t: -` 1 , ��� 1-11�N1110N•NOIvILr,S.•�r _%_�.q.4 *;. ,'� .. •:!, �.t ,.;' ���� '•L � � � T , _ r:./. .uas' •YMOM�wIf ow..aK •wry• �.�`i ).(�* 1 w• ,��t: •� ,'tom: , ,i I r � i ltt' y yP h �- : WAR _lilt! ills r 41 ZONE tMAW 1 vow i. - N4' a 1 m bit. - - i 1Ptr� i1 - '�'= - n . r r S 3 t,t F y t t» Y-ti 4 'S z Z:. - r� tl e• - 1 ti ti our way inn r c,. . _., .r.. >. � r: ;:,,. �#k5 . . ..fit,. Jac: �d� ur K��• <•. s- ,> �, �. 1 K' <3.l ..v:r ..I•• .0 t• 1 -1 t ..1rt1- C :'33. .t.• � } ^ ., -. . � � .t,.,:1. .;. :•4y '-+t�3�..::;... .t... ,,.:. . ..e. :. .Y. o-... tlott` -� ARDTTO, SWEENEY, STUSSE ROBERTSON & D UPUY P.C. ATTORNEYS AT LAW MATTACHEESE PROFESSIONAL BUILDING 25 MID—TECH DRIVE, SUITE C WEST YARMOUTH, MASSACHUSETTS 02673 EDWARD J.SWEENEY,JR TELEPHONE(508)775.3133 OF COUNSEL MICHAEL B.STUSSE FAX(508)790.4778 GARY A.NICKERSON DONNA M.ROBERTSON MATTHEW J.DUPLIY 3188 MAIN STREET BARNSTABLE,MA 02830 GARY V.NICHOLS ROSALES d ROSALES RICHARD A.DALTON December 31' 1992 THREE CENTER PLAZA CHARLES J.ARDITO,P.C. BOSTON.MA 02108 OF COUNSEL PLEASE REFER TO FILE j NUMBER Mr. Michael DeBenedictus G2029D 139 Longfellow Drive Centerville, Massachusetts 02632 Dear Mr. DeBenedictus: Enclosed please find a copy of the Board of Appeals Decision regarding your variance request. If no appeal is filed within 20 days of the filing of the decision, the variance will be recorded at the Registry of Deeds in. Barnstable. If you should have any questions, please do not hesitate to call : me. Sincerely, Matthew J. Dupuy MJD: lcs Enclosure r: Town of Barnstable TOWN CLERK zoning Board of Appeals BARINS"r• Bulk variance Decision and Notice .92 (EC 2t MI :20 . Appeal No. 1992-70 Summary Granted with conditions Appeal No. 1992-70 Applicant: Michael DeBenedictus Address: 139 Longfellow Drive, Centerville, MA 02632 Property Location: 139 Longfellow Drive, Centerville, MA 02632 Assessors Map/Parcel: 189/112 (lots 31 & 32) zoning: RD-1, Residential D-1 District a.. Property Owner: Michael DeBenedictus Applicants Request: Variance to Section 3-1.1(5) Bulk Regulations, Minimum Lot Size and Minimum Lot Width Activity Request: To permit construction of a single family home Procedural Provisions: Section 5-3.2 (3) variances Background: This decision concerns the petition submitted by Michael DeBenedictus, who had appealed to the zoning Board of Appeals for a Variance to the Bulk ry;, Regulations, Section 3-1.1(5), Minimum Lot Size and Minimum Lot Width, to allow for two lots to be considered separate for the purpose of zoning and development. According to the Assessors Records, Map/Parcel 189/112 is a combination of the previous subdivision lots3 (J'and #32 (section 4-4.5 of the zoning Ordinance) . The. single lot is 0.46 acres. At present, the lot' is developed with a single family home in the area that was previously subdivision lot #32. The lot was granted a Bulk variance #1988-16 from the required minimum lot area of 1 acre and from the required minimum lot width of 125 feet to permit division of the lot into two lots as per the original subdivision plan titled "Subdivision Plan of Land in Barnstable", drawn by Ed. Kellogg, Civil Engineer February 14, 1958. • Procedural Summary: The application was filed in the office of the Town Clerk and at the zoning Board of Appeals office on October 23, 1992. A public hearing, duly noticed ' under H.G.L. Chapter 40-A, was opened on December 10, 1992, at which time the hearing was then closed and a decision rendered. The petition was heard by •� Appeal No. 1992-70 Board Members; Gail Nightingale, Ron Jansson, Dexter Bliss, Elizabeth Nilsson and Chairman, Richard Boy. Attorney Matthew J. Dupuy represented the .petition before the Board. He submitted to the Board a Memorandum dated December 08, 1992 in support of the petition. He explained the history of the lots. Both were purchased in 1969 under separate deeds, one being developed with a single-family home, the other vacant. - The Variance previously granted had expired before -the petitioner was able to sell the property. He cited that no conditions have changed since the granting of that variance. Attorney- Dupuy summarized the requirements of Chaptek"40A and the facts.. related to the lot that justify the granting of relief sought. The Board presented questions related to the property in question, and the hardship it posed on the petitioner. The public was asked to speak and no one spoke in opposition or in favor to the request. Find of Facts Based upon the evidence presented and the testimony given at the meeting of December 10, 1992, the zoning Board of Appeals unanimously finds as follows: 1. The Board did grant a Variance. to this lot on February 25, 1988 (Variance #1988-16) . 2. The petitioner purchased the properties in 1969 as two separate lots, each with its own deed. one lot was developed the other lot was vacant. 3. The petitioner was unsuccessful in selling the lot under the previous Variance granted due to the economic conditions that have effected the real estate market. 4. Not having the availability of a second lot to sell -would pose a financial hardship to the petitioner. 5. The lot is unique in.that it is the only lot within the subdivision that is undeveloped. 6. Granting the relief sought is consistent with the spirit and intent of the Zoning ordinance and would not be detrimental to the neighborhood effected, given that most lots are only approximately 1/4 of an acre and no opposition was expressed by abutters. E Conclusions Accordingly, based upon the information supplied, a motion was duly made and . seconded that, Appeal No. 1992-70 be granted subject to the following conditions: Decision ano Hotice Appeal No. 1992-70 ` 1. The petitioner shall divide the land as represented on the original subdivision plan titled: "subdivision Plan of Land in Barnstable* drawn by Ed. Kellogg, and dated February 14, 1958. E 2. The applicant shall have prepared an Approval Not Required (ANR) Plan for endorsement by the Planning Board and recording. The. vote was as follows: Aye: .., , Gail- Kightingale, 'Ron Jansson, Dexter Bliss, Elizabeth Nilsson and Chairman, Richard Boy Nay: None orders s. Appeal No 1992-70 is granted a variance from Bulk Regulations, Minimum Lot Area and Minimum Lot Frontage Requirements. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, and shall be filed within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. This variance must be recorded at the register of Deed and the petitioner has one year in which to exercise the variance. . F t � .`L� • MICMASt,. A. S,Ac-MCTro cEtT"S4114 SIB +►544t9 'CeAmr. ' ~AT ,F-T I L.�. 'ricer, S �' DUP .�.jp 6 :.--•- - N55•oL oo a +9 94. 4'4tsy 3 u� �o aa, za ••---. e14rs•43 •..... y{.iL' ...:•...... 49.L' ......•.._- a4.9 t' ti Noor 3?- C,FC�S `e D 4 7 Jo♦ S + 3L=y EC N f ���I� � o �p�oL4= '�9•.y. f A St`=�G.00 Eri yTiiu6 :h O P a• { �1.6 tip rdo'. c p ............ _ l.•15.51� �•�I�LG Oi� ...�. 3: �3q �� 1 4l :�•" Q.•.347.9a' ` �Oo.00. p•�5. \ LOw.IG F'ELLo�/ w'�Y ti A� fYd •, Q rra I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON THE LOT AS SHOWN AND CONFORMED TO THE TOWN OF BARNSTABLE NI ;GZ'ELATIOpS, REGARDING SETBACKS FROM STREET LINES AND LOT LIN . AT 'H AS ONSTRUCTED. .�`JANUARY 2199 65 T E. A 0 , :P .S. DATE r/ .43.. 28.82 , 49jg t^y EXISTING p FOUNDATION gamy 0 0 423_ 1OO24¢Sf LOT 31 a 24.43 n 5 Ra367.96 LONGFELLOW . DRIVE 30 0 30 60 SCALE IN FEET THIS PLOT PLAN WAS . MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER NO CIRCUMSTANCES ARE OFFSETS TO BE USED FOR FENCES, WALLS, HEDGES, etc. FOUNDATION LOCATION PLAN ROBE LOT 31 (# ) LONG�FELLOW DRIVE o �.� E. RAYMOND y No. CENTERVILLE (BARNSTABLE) M IA, � 4 �`�Q'STE��` ��� ARO ENGINEERING INC. FLOOD •• • �9t LARi4'. %r ZONE C 39 STRIPER LANE 250001 015 C E. FALMOUTH MA. 02536 COMM. No. EFFECTIVE DATEAU',• 19.1955 AR 2,994`- SCALE: I" - 30• DATEJANUARY 2,1994 ��•- � . \y� �r 4 e�:'3 �'e Lp � � �:. ..�,na..� ///"`///��� a ,1 AAessor's ffice{1st Floor). Rq_/1 �1, � �n�i�����-��� �� ��tl���I.I�I��o� Assessor�Map and lot number y •C. WITH TITLE 5 ��THE Board.aeHealth(3rd floor): — J MENTAL f:®LbE AND Sp#4ge Permit number _ � �EC,ULATIONS • Engineering Department(3rd flp�•pQr- = ssaasTsntt ryes �. House number , (,7 e Ua L /V C) o y�V AV �. Definitive Plan Approved by Planning Board :.,. '^'`'`�. 19� 0� J� �J APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:06 P.M dhly l�ABLE r OF BA]R S pD - •LDIHG IHSPECITOR - Alf� r.;S.-J 8 3t1 ?: - 1rc' ' Gf �J A LICATION FOR,PERMIT,TO� TYPE OF CONSTRUCTION 1 Z 19 93 CPPLICATIOhf FOR PER"..;IT Tr ------- TO THE INSPECTOR OF BUILDINGS: TYPE 0.=r01.'.RTRUCTIOf _ - ------ - The undersigned hereby applies fo a permit according to the following information: If?,/ 1 Location / L) Proposed Use::,OR ow F t, urdersrr?nr'd rier3ov app,f!.S fur a I" f1 :f`C ';g t( !hV f2110 11'n .ji`ormn'f or- Zoning District Fire District Loca';or (U Name of Owner OI-f�tc�d - Address Name of Builder - Address - Name of Architect _ Address A.idrL s Number of Rooms - Foundation,40e'&Je _ 1 _, P.�dras s Exterior Roofing Floors l/l7/ - Z Interior Heating /" Plumbing Fireplace Approximate Cost - Area ~Diagram of Lot and Building with Dimensions Fee Al et. . :r :rarer of'...pt,rd Buiidirg wI" Dirn ' 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. OCCUPANCY PERMITS REQUIRED FOR NEW DWEI..:Lk;t S Name I hereo q7 ee to conform to all the p:IE and 2egulavons of trio l' ,y n •3.ir^stAb!e reg>.rdino ' ?.lC7ve co,-f;�.r;tG n Y Construction Supervisor's License COTU,IT TRUST 30454 F No� Permit Fo`r 1 za Story _ ` Single Fami y ,DiW lling" ` Location Lot #3�1� Longfellow Drive , CenterV, Ile�� t M U Owner Cotuit�T,us-h - Type of Construction lFr' r Li - t� Plot Lot / �: � � � • 1 Permit,Granted January 2 5,' 1r g 14 - ' E �21O/9 �/JG1 ` Date of Inspection 9�J�- tJ f- 1 Date Completed �r �� 19 ZIP } 0 � sz