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A, 22 , 1�',. *I'll, -, , "f � , ", $ k j � J� , . � , - , ,- . - 01 , 11 L_J ...�, ,,�, I . , � , :" ,ii'4, , , , _,,i_� ��% .�: - '.� i :V �, I,�:- , : . - ,,il� ,4o - , `�-: _ - !Q , , 1 - ­ %1� '. , . _1 -k � /,i ,� If - .�,i,,,-r,., Q7 �,"jqj ,vk-­`A� L-T4 , , -��.; 4 iI,�."-,- , 1�_'_, � � IV" t - 1 3 *§j 0",; I 1 ",, ., 'i,,, ,., , , - % ,,, 1 , , , I, ,­,,,F,� " !�� If V,_ . `I, ,,I � -, _111-I'lo -�P .'I,- _j - , "I ,;"T , � � , - - ,A 11 ,- - - C"�' - v,oryp",.*� tt� -, ,�"'11- �- r��!, lo �__ _., - 4 . -.,,�, �, , ,_,�,,,'.P��,�- �'41:�'fi�'_��'�' ��'Xy"-Z'�'f�­' t­A4�'If�f"' '_`� I I I!.-I.--`7�',�.'2 �- - , I !I-,,, '. � ­ r ,. It - , , . . � ,, 03 2017 11,37AM Tupper Construction Co. 15087785010 page 1 (0?! ), TUPPER g CONSTRUCTION CO. LLr- 546A Hlpgins Crowell Rd,WEST YARMOUTH,MA 02s73 _ -n. PHONE: 508-778-0111 FAX. 508-778-5010 ico WWW.TUPPERCO.COM Date: b f.31J 7 Town of Barnstable Thomas Perry CBO . 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits .Dear Mr. Perry This affidavit is to certify that all work completed for permit application 8 Issued on `3l-�7/1 7 has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Address: L Richard Tupper License # CS-69058 _ I . Ne+,60� 2� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel c9� Application # Health Division Date Issued _Z?" 7 � Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board o BOO Historic - OKH _ Preservation/ Hyannis eVKCA Project Street ddress Village v Owner ok- 1<wvrell Address �c� 1, l alb Telephone Permit Request 6Lavj cellala�e ,nfk/ �" h u Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /✓�l/®� onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ur' Two Family ❑ Multi-Family(# units) Age of Existing StructureAffi Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 2---.- existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: &@ra's ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name G � f� Telephone Numbe&N 7­7S 0141 Addres G�� '� license # 6—f Ve Home Improvement Contractor#/ �T� Email ll1 ���� . �/� Worker's Compensation _ U1Qd��� A L CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 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. ►„ flown, of Barustable. Regulatory Services AAMSreaIXMUM • Richard V.Scaii,Director. ux�,�� ulildingDivisigj' L .f Toni k*y,Building C6zmnissiomer 2001bin Sheet,HMmis;MA 02601 wwwAos".b2rnstablc maids Office: 508.-8624038 Fax:.508-E 90-623.0 Property Qwner Mu'i, Complete ana,S n.This:-Sceti:on _ if US1ne�ABuilder -- -------- f cx cr or tlie;stibjectj?ro�ny, hcrcbyauthorize to aet,on py ehalf; iu all matters-elative.to work authorizedby this bi.�l -perms ,application fox: VALL {Address-olob) '''Pao1 fences and alai. are the its paiisAbUlk,T 4I Elie apt hcant:. P06, ate not:to be filled i6r utilized before tehtdis:insiAl6draxid allfinal its ect7 us�are perfonned anc acc:epti d; Si uatwe ot,Owner Signature.of Appl ant Print i\latne 1?rutt Nax .: Date/ Q;Faanns:o�v��xF��aassioNpot�t_s AC RO U® CERTIFICATE DATE@7M(DD/YYYY IFICATE OF LIABILITY INSURANCE ) THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO DER.O16 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 Polley(OS)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 endonsement(s). PRODUCERI_NAM CO E Ashley Paiva Southeastern Insurance Agency, Inc. PNON o ex¢t (508)997-6061 FAX 439 State Rd. i VaQSOutheaS ( (508)990-2731 AIC.Nd. p .8pa� t:erIIin$.CAm . P.O. Box 79398 UNSURE AFFORDING COVERAGE NAIC 0 North Dartmouth ma 02747 INSURED INSURER AArbella Protection Insurance 41360 _ . WSURER B Boston.Insurance I3rokerdde Inc Tupper Construction Co LLC INSURE RC: 546A Higgins Crowell Road INSURER D; West Yarmouth MA 02673 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER:2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 9Y 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. INSLTRR _-- .TYPE OFINSURANCE iws%nA .� POLICY NUM _. MW EFF MPH�V�DD LIMITS - X COMMERCIAL GENERAL LIABILITY �� �---�� EACH OCCURRENCE $ 1,000,000 A. CLAIMS-MADE 7XI OCCUR E�?Rf ED PREMISES a acasrre ce $ 100,000 I 9520045208 11/1/2016 li/.1/2017 MED EXP(Any we person) S 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY E PRO- Cr LOC + PRODUCTS-COMPIOPAGG S 2,000,000 I OTHER: S AUTOMOBILE LIABILITY N E L $ 1,000,000 Ea'acei e ANY AUTO A BODILY INJURALL Y(Per person) $ AUTOS OWNED X AUTOSULED 1020005389 12/1/2016 12/1/2017 BODILY INJURY(Peraocidera) $ X HIRED AUTOS $ NON-OWNED AUTOS P� ERtl DAMAGE S 1 - Uninsured motorist131 split limit S 250,000 UMBRELLA UAB x OCCUR EACH OCCURRENCE $ 1,000,000 A 99 EXCESS LIAR CL4IMS-MADE AGGREGATE $ I IDED RETNTIONS 4600058368 11/1/2016 11/1/2017 S WORKERS COMPENSATION AND EMPLOYERS*LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERlEXECUTIVE 8 OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT - S _ 11000,000 (Mandatory In NH) WCC5005b93012016A 16/3/2016 10/3/2017 E.L.DISEASE-EA EMPLOY S 1 000 000 II yes,describe under DESCRIPTION OF OPERATIONStebw _ E.L.DISEASE-POUCY LIMIT S 1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks SehBdut ,,stay be aaached It wont space is rwplred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marits of ACORD INS025 noiann Office of Consumer Affairs and ! Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement C tractor Pee .�. .� . gis�on %018 ra w, 1784U TM, LLC TUPPER CONSTRUCTION CO, LLC. '- , E" ft: a��s>z°�s d7M' RICHARD TUPPER _ 546 A HIGGINS CROWALL RD '-: 4 W. YARMOUTH, MA 02673 A Update Addrew and return card.Mark reason for change, 4114 2oeaos+„ Address Renewal 0 Employment [] Lost Cud ��P�'r�nusnara��f,r�"ltrw.n�Ir.:ellj _ Offlee olComarAt111iin B BmdrreuA HGIulE INPRO Reg"" License or.nostration valid for mdlvidual nse on ly 1 N8NT CONTRACTOR before dre espiratio'a date if found reti n to: Registration: 178434 Type: 0115MofCansamerA6wn and BuslnemRepatton Expiradore i4116=18 LLC 10 -State 5170 UPPER CONSTRUCnON CO,L.I.C. :ICHARD TUPPER 46 A HIGGINs CROWELL Ra J.YARMOUTH,MA 02873 O �'. Nat wit[roat SlSaatur+e �If1rdED PkpF+f DESIGNATE!/ p„q,� FXAIRAiiDH D�1F snsr�Ia pw"- IN i"2MW4 pmwd BUJLDINt3 PERFORMANCE I _ ` 1'E,INC • ta�etYnue�,�tiriDest�IBgp _t Massachusetts Department of Public Seely *"aim� �efewu o POW�.: Board a!Building Regulations and Standards �a ' �931m�jof License:ca4egon Construction Supervisor RMHARD S TUppolt 6"AHMNSCROWEL.iji, I WEST yARI110 Q O AD RW�etepones�sawp��d� , Foroittumoftbimm" r r"�.f!d�•c- '::< Q•- Expiration: Commissioner W3119018 i Q T 91e t~ommnnwaeaYfh of based r l Congress ,Striae 100 BOJW—,A fA 02114-20.19 w orlu"I Co Sae'/d mpenas on Iaspradse Amdav*BWkkw lC0nbUtora/Eleotrri A TO zE FnXD WrM TMM PEMor NG A[Pl•Hi OIt1'i. tfisadPlumbers, Name Busineee/ ,�: i tiomQrt�ly' TupOer Consbuwon CO lit; Address: USA Hklgirm CfOwell Rd City/SleWZip: West Yarmouth,MA 02673 S08-TT8-0111.Phone. #: Are you as U*1WW Reek 14a aDp�Lk ban - - LE t am a emipfoyex wim 1 emploree+t�dl.ndl«stet t��• Type of project(muhw). 201 am a gait paepitewarperlmvsb sod bmao 7. 0 New consftetion any�h:(No warlm- � �►ployeeawamen forme la eequLed] $. 0 Remodeling 3.a 1 am s hofioowner doing in walk wYw1£llo Wwkgn,cetap. 1► 9. �Dealolidon 4.a1 ant a hameowuer and win be hb ft eor<trarrms to=Qgman ff+Yl y. 1 will 1013Buildingamdon ensure trot ell cmmt�eitEer have u�arbers'eamp. i mare axle pmp*ton with so employmL I I-D Electrical repairs or additions S�I am a general m traetor awl t here lured the aah.eoatt�etaa tigced en iheatt6�ed sheet. 11[3Plumbin8 repairs or additiona These seb eonaaca>ra bstre e y Wa*m•".kauneoe.s 13.[]Roof repairs 6.�Wa ass a corporation and b woo=bm axe dud tbcir d&a# 14.1@ Other WeatVterkation 1S2,g!(4?.aadorehagenoempla]�:lNa+mrloetr' bnPerAQGN.e. 'Any*Wks1*414-4=10 bwmnmac agaixd.] +Hoamowate who aubmk Ws 81 mue!elm fill ott3 the aoaioa botow shorvlt{q fbodr wmtteot• ' t�cy inranmarigo�. tt4tmactar9 wu cluck rhia bag amat Utmseeaurg sae BatOg all wmttaad then Kira outside caYtaetan awe sid�it a nrrw atylQavit employ, if fitp R&COnVadwhavo amadditlanal gtnxtshs the game aftlte eub.comAsaetosa sad grata rrLeiberor agrt t�oeo ancb. 01mP1oYclg,1Aey mn)s pmovi&ihe;n•washeaa'Catr4,; ntmlrber lam art eircp6oyer dial lt4pr wor#ers'aoair fn�r�ee MfoMadoa. I�my mpkym Bdfow is dte p*UWandja We Insumnee C&Vany NamwAEIG Policy#or Self-ins.Lie.#: WCC5005593012018A 10/3117 Expiration Date; lob.SiteAddmu. 905 W Main. St Centerville MA 02632 Attach a copy of the rtorkee:'eo Cilyfstate/Zip: mpensadaat polte9 declaration page(shouting f1Se Pofy acln►ber and eVirarioln date). Paihm to mm coverage as regard tinder MdL c.152,§25A is a criminal violation and/or one• ear im punishable by a fires W m$1,S00,00 Y prla neat,as well ss eiv�ilptnlaltiea in the#ism of a STOP WORK OR MR and a flea of-up to 3230.80 a �y the violator.A copy of this sta MUM eta be"Sided to the Office of Investigations coverage verification y gstioas of the D1A for ntsurassoe •he-ebyiNisa 6 p4my taunt the tofamade j� D> Babatgeasi►waacedeo s. ww 3/20/17 �:st�a.neb111 _ ` O�9dalraga axlyi. Dos rml wife&thin m 4 se he wmWANW kp do�aim e,�icfsl City or Town: Perms 0 Issuing Authority(circle one): - 1.Board Of health L Building Depsrlsnerrt 3.C3ty/Toura Clerk 4.Elecb�ltal 6.Other etor S.Plumbtq IgRmter Contact Person: Phone S roy Town of Barnstable -:Pe b 1 '5-0-1--cf7'? o,BAttCSIXB�� ' Ls6 J8 PE^Rfl Rebulatory Serdces Fee mks rduze - MAM q$ Thomas F.Geiler,Director �Eo�� ��►Y 042015 BU.dmg]Division. TOWN OF BARNSTAWrerv,cm EuxxldiugCom-sioner 200 Mafia Street;Hydmis,MA 02601 www-lowi barnstable-n-A uu Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERAM APPLICATiOIN - RFSIDENTTLAL OIV'I.Y �� Ivor Valid UixhontRedX-Press Imprbrr Map/parceiNumber &? PropertyAddress_ /y /A Jl �' % / S`�- j r, � j /L Value of Work S �Iinimnmfee of S35.00 fortivoziz nmde zeslde� rS6000.00 Oraner's Name&Address j� tI C G yam, / y, Conrractor'sName "r �rf� - ! G�n5 rL/��1Ij(�,� L/ TelephoneNumber Home Ix3Vr0v=evt Cox=cr0rLicwse 4(ifapplscablej la53(Q E=11 AiAT�jGrLC/,��PLo z (y r C0nS-xPCtioaS14=visor'sLicebse r(if 4p&able) WOrkman's CompensadonInmrance ` Cbeck one: Q I ama sole proprietor 5amtbe Homeowner i haveworker's ConVewationj=urance Irmxxaace Company Name [ � �,'�� ��j(,���j � Co I Workman's Coca.Policy- W �(� v/ "! ��tA Copy oflusuranee Compliance Certificate mast accompany each permit. Perms Re clerk box) r roo 'cane nailed)(strippir old sbasales) Allconsmxtiondebris wMbe takento < . ❑Re-roofowaL dcaue nailed)(not strippi y Going over exis�f layers of root) ❑ Re-side (� ReplacemeraWindows/doors/sliders_U-Valm (m:m .35)-ofwihdows ofdooxs- ❑ S=oke/CarbonMonoxide detectors 4 floorplans marked with red S and inspections required; Separate Electrical&Fire Fe=fts required. °�4lsere recuired Isswcce ettmis permit does act axemptc0mpxi3aee tcsttx O*w towma depaztiaeutregti t�srs,fie$istoric Conserva�oa ere ***Nate: ProperryOwn wxtsignPmpertyOwnerLetterofPermission_ A copy of xegteired.f e Home Improvement Contractors License&Constmction Supervisors License is , SIGNATURE: C�1Jsersldeco7blt�AppAamtiloeaRljier03OSWi2&ws\TemAor&ylatrrsctF slCxiteatOottookl$2c 7WIVAUQa4BSS.doc Revised 061313 Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2017 Tr# 263597 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 184.5 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address 7 Renewal ❑ Employment Lost Card SCA 1 ^,• 20M-05/11 VI2G�C47Y/9'LN/2U/eCL�CI'L C���JCGC�GLJG��.Zd 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: egistration: 112536 Type: Office of Consumer Affairs and Business Regulation Expiration:. 3/23/2017 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 FRASER CONSTRUCTION CO. DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Undersecretary Not valid without signature Q � � � Massaehusattg .IJeparfinent of Fut�tic Safety i 130AM of Bu(Iding Ragldattans and Standa(da f Cnnstritcttnil suiter+•ism. � License;C9-0S76B8 '"� 1:1 r1 I04 l WAVN VIE W Z.Af i` c EAST T'AL?40Y1T*XEyplmlfoll � Commiasloner 06/07120JS t FRASCON-01 PAAS '4�, Z'� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYY1T 912912014 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). CONTACT PRODUCER (508)676-0309 NAME: Ashley Paiva Viveiros Insurance Agency,Inc. PHONE r 375Airport Road AIc No. o Ezt:508-689-2713 (A:C.No): 508-324-4553 Fall River,MA 02720 ADDRESS:APaiva@yiveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC INSURERA:Granite State Insurance Co INSURED Fraser Construction LLC INSURERS: PO BOX 1845 INSURERC: Cotuit,MA 02635 INSURER D: INSURERS: 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. I SR AlJULJWtlKJ E P TYPE OF INSURANCE LTR tNSR WVD POLICYNUMBER MMfLDD E I MMfOO LIMITS GENERAL LIABILITY I EACH OCCURRENCE S COMMERCIAL GENERAL UABILI Y ) PREMISES Ea occurrerce S CL INIS-MADE OCCUR MED EXP(Anyone persan) S PERSONAL&ADVINJURY $ GENERALAGGREGATE $ GEN'LAGGREGATEUMrT APPLIES PER: PRODUCTS-COMPIOPAGO $ POLICY PRO- D LOC $ AUTOMOBILE LIABILITY COMBNED SINGLE UTAIT Ea acddent) $ ANYAUTO BODILY INJURY(Per person) S AALL UTOS AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ NON-OWHIRED AUTOS AUTOS NEC I L $ (PERACCIDENI) i ( S HUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAINIS•MADE AGGREGATE S DIED RETENTION S $ WORKERS COFdPENSATION VIC STATU- OTH- AND EMPLOYERS'UABILrTY X TORY LIMITS ER A ANY PROPRIETORIPARTNERIEXECUT]VE YIN WC009930601 912612014 9126/2015 E.L EACH ACCIDErrT $ 500,000 OFFICERIMEMBEREXCLUDED) � NIA (Mandatary In NH] E.L.DISEASE-EA EMPLOYEE S 500,000 Ifyes,Describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POL'C"UhVT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedu(e,{imore space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED 114 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601- AUTHORIZED REPRESENTATIVE l O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street `% - Boston,MA 02111 _ www mass.bg,ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organ' ation/Individual): Address: G City/sWe/Zip: 1 t r'J Phone#:�7— qa a 9 Are y u an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with ) 0 4. ❑ 1 am a general contractor and I employees(full and/or part-time). have hired the subcontractors 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' 9 ❑ Building addition [No workers'comp.insurance comp.insurance.+ required.] 5..❑ We are a corporation and its ME] 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.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. `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 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 thepolicy and job site information. Insurance Company Name: (�i.(�( d L �( � �tJ(,��(� co B Policy#or Self ins.Lie.#: V Expiration Date: Job Site Address: _ ft�,� lxaln City/State/Zip: �o/i, . Oz G - Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Si afore: 1 Date: / �l Phone#: 6 —<>2cWQ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Fraser Construction, LLC \ 31 Bowdoin Rd. Mashpee, MA 02649 Email: inf fraserconstructionca ecod.com - P www.fraserconstructioncp;pecod.com FAX 1-508-428-0123/ PHONE 1-508-428-2292 HICLO12536 CS#97668 RE ROOFING (PROPOSAL �. .. ..yip..x�..nrrcm go-+. "s"•r �'.w'�.+R fl 4r'�..`.�.ws.:4!.apµ.'-4" _ s � .,� ks.-w-r•-.�.+.YR.twCwry r..«$a.fa.....+F-w. s.�e�s.w..;+ih..�+w�w.� � Date E 4 30 15 . _. Name _ F' Melissa Russell, C t'O Dan Email p' a 1issa059.1" ` ahoo;com Phone {` 774 -,521°-9920, > Job Addre.4s- 1905Vest Main 8t, Centerville FRASER CONSTRUCTION.hereby proposes to perform;the following services In-a �, neat, professional manner inaccordance with the manufacturer's specifications ar`id`-, local building code. y CertairiTeed Shin le O tions It-It;, «" Shingles Lan&r ark P Algae Resistant 10 ytars Wind Warrant" 1304MPH ' Weight/square 2401bs � Shingle design Tw6-Piece xl` Color Palate Standard Valleys ".Closed-cut Investment $6;500 q Permit $50 Total 1 $6,550 *All above shingles quoted with CertarnTeedr50 year non prorated 4-Star warranty . ,Y Color: blrz4A 4�y Initial: • 'Ironclad, Lowest Investment Guarantee Any contractor can price your roof for less by cutting corners and utilizing cheap . materials and unskilled labor. It's important to know what is and isn't included in the roof you choose for your home. You don't want to be left with an inferior roof built by an untrained labor force. That's why Fraser Construction offers the Ironclad, Lowest Investment Guarantee. Not only do you receive a state-of-the-art roof built by highly skilled craftsmen, you also receive peace of mind knowing you obtained your roof for the lowest investment possible. If you later discouer a comparable roof for less money than the one we constructed for your home,Jwe-iuill pay you the difference plus a $50 bonus. All we ask is the comparison be "apples4o-apples:"' "We have no quarrels with{the man with lower prices,for he knows what his product is worth.".; I,. w..r..a �.—.•.1...+r-r.,....rr tee.�—.ate__ t PAYMENTS'ARE.,DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3'initial payment,lremainder tonne paid"upoh"completion J a ..f f ¢Payments accepted area ' CASH - CHECK-7MASTERCARD -VISA ;AMERICAN EXPRESS6 *Any payments not immediately paid upon job completion will be.charged 0.005%for every dayafterthe given 5 day grace period upon#day of job completion. r r. �•p r * Please note that roof prices reflect removal of(1) layer of-existing roof unless otherwise indicated`in contract. If additional layer or layers are removed additional charges will>be assessed. Possible Extra-.-After.�the sliirigles are..removed from the.roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge.,,lf it'is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels,turning the plywood over and then re-installing the,plywdod: If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials 8s Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION guarantees the labor for LIFETIME of roof. FRASER CONSTRUCTION guarantees the shingles against Blow-Offs for 15 years. Please note that all pricing is contingent upon current market pricing. If contract is not accepted within thirty days of date of proposal, change in price may occur due to deviation in material price. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays-`'are beyond our control. Owner should carry necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION,jLLC: Carries Workman'sCbmpensation and Public Liability Insurance on the above work, certiAate.availalile_upon request. DATE O CCEPTANCE: 6 �J Homeowner '_Fraser Construction;" LLC t e y� k. Roofing Product & Installation Details SuQply & Install- (Soffit Venting) Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge with existing soffit vents. Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air,intake and exhaust that creates a uniforrn.flow of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside,of,thexo`of deck. Supply & Install- Ice & Water shield .,t Waterproof Underlayment"Systeml(3ft. on eves and valleys„ 18"_on,sake all s,_ws and.skylights)' •Icerand Water Shield is a self-adhering roofing underlayment used on critical roof areas such as eaves, rakes, ridges, valleys, dormers.and skylights to protect,roofing structures,anel:mii rior spaces,from water penetration caused by wind-driven rain and-ice-dams. Supply & Install- Surround-Underlayment (A 1`ypar.Brand) A smart;alternative to felt;'itis,water's toughest opponent, creating a secondary,water barrier that reduces the. incidence of leaks caused by storm damage, wind-drivenrrain' ice dams and worn roofmg,materials. It is.a waterproof; synthetic polymer material that will protect your home against moisture intrusion. s ro. Supply & Install- CertainTeed Swift Start - With.self- adhering asphalt starter course.Aon a1teves, and rake ,edges. -CertainTeed requires this product for Integrity Roof Systems and upgraded wind warranties. Supply & Install-Aluminum-.&-Neoprene Soil Pipe Flashing Supply & Install- CertainTee&Ridge Vent High performance,ridge vent�.with external baffle. Supply_& Install-Pre-Cut CertairiTeed Hip fridge shingles Shingle Ridge meets theFhip and ridge accessory requirements for the CertainTeed'integrity Roof System which is comprised of underlayment, shingles, accessory products and ventilation all working together. The Integrity Roof System is designed to provide optimum performance--no matter how bad the weather conditions are. (As recommended by CertainTeed) Clean & Remove - Debris from work area daily. Town of Barnstable J Regulatory Services Thomas F.Geiler,Director s�xxsT�,at� Building Division TOW QFvSTL� v� z `�� Tom Perry,Building Commissioner 1°rFn 0. 200 Main Street, Hyannis,MA 02601 7012 MIMI 21 P1°1 3: 415 www.town.barnstable.ma.us Office: 508-86274038 508 790-6230�- Apgroved . Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: 1 y`Psi( �Q0. ��(2—( I Phone Address t U of es- (ro� Village: o�2— Name of Business: I ' ' S ( C&�,e— .Ui Type of Busuiess: Map/Lot: -I 8b [ INTENT: It is the intent of this section to allo t e residents of the Town of Barnstable to operate a Home occupation vvithm 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 usual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no umcrease m air or groundmater pollution. After registration xirith the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the.permanent resident of a single,family residential dwelling unit,located imzthnn that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary m residential,buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not uivolve 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.h azardous 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 con tauming the Customary Home Occupation,and.not Hztlun the required fi-ont yard. • There is no exterior storage or display of materials or equipment: • There are no commercial vehicles,related to the Customary Home Occupation,other than one vain or one pick-up truck not to exceed one ton capacity,and one truler not,to exceed 20 feet Ii length and not to exceed 4 tires,parked on the same lot containi ig the Customary Home Occupation. • No sign shall be displayed indicatmg the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,thee street address shall not be Included. • No person slmall be employed um the Customary Home Occupation in ho is not a permarment resident of the dwelling unit. I,tlme undersign read and agree with the above restrictions for my home occupation I am registerumg. Applicant: Date: Homseoc.doc Rev.01/3/08 YOU WASH TO.OPEN A BUSINESS? For.Your.Information: Business certificates (cost s4ono 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 to operate.) Business Certificates are:available at the Town Clerk's Office, 1.'`FL., 367 Mein Street, Hyannis,"MA 02601 [Town Hall) DATE:J31 I L}" I ZZ _ Fill in please: fib 1� r 1 . APPLICANT'S YOUR NAME/_S:- P� pL `! + r l 11,��44 BUSINESS YOUR HOME ADDRESS: �10 �/�/. V A 1,1 5l 3t�y 3flb : Ge�✓1-,— yl l l VY1H �0 3 Z_ f - . .TELEPHONE # Home Telephone Number' L p � NAME OF CORPORATION: l NAME OF NEW BUSINESS ln A Cu ��co Sit'1 �P TYPE OF BUSINESS J IS THIS A HOME OCCUPATION?_ t/ YES .NO �i ADDRESS OF BUSINESS.Q , IN, t R r AP/PARCEL NUMBER ...'[Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules.and regulations of the e g h Town of Barnstable: This form,is intended to assist-you in obtaining the information you may ',need. You MUST'GO TO 20D'Main St..-.(corner of Yarmouth -Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this tovun. 1: BUILDING COM15S R'S OFFICE MU , This individuq he b info pd f�any ermit req �rements that ertaln toah�s LIST COMPLY WITH HOME;OCCURATIOPV L S•A p type of bus►ness:RU E ND REGULATIONS.-.,FAILURE TO Aut ri ad Sign re*..* COMPLY MAYRESULT IN FINES. .�MMENT 2. BOARD F HEALTH �n�.�Ne This individual has inform d M per it egrti ants that pertain to this type of business.r - - thorized<Si• ture* COMMENTS: _ MUST 0M PLY S MATERIALS .i n ATl. . 3. CONSUMER AFFAIRS[LICEIVS G AUTHORITY This individual has inf r f the licensing requirements that pertain to this e of business. type thorized S'gnat ra** COMMENTS: Town of B"arnstable *Permif Expires 6 months f%qt issue date XeP-Rf-SS PERMIT Regulatory Services, Fee . Thomas F.Geiler,Director 3 FEB 2 7 2008 Building Division / F BARNSTABLE Tom Perry,CBO, Building Commissioner TOWN © 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230' EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 't 1 011 ofi 7 Property Address / D T ('4) e S T im G C., S'� CC., to, y, Ile E3 Residential Value of Work , Do(). Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address SS e I 9 b 3 cJ e s T 1M G Contractor's Name I he k6me 0eigaT At J jMie Telephone Number• 9 b) 69 v;y Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ 'I have Worker's Compensation Insurance Insurance Company Name /U�W i/a rn r3 s kIre J�A g, C-a Workman's Comp.Policy# 1.7a 1 ,3 U 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) []--ate-side (� Replacement,Windows/doors/sliders. U-Value -r S (maximum.44) 9 *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 is required. _ SIGNAT&RE: E€ewise06•l"3Q6 " ' The Commonwealth of Ayassuchusetts Department of IndtsstrlalAa s"ldents ti Offhce of Livestigatio ns d 600 1 Mishingtoz st'reet Boston,MA 0.2111 ypq�9y�) ryp�/� /p/pA' ry OWN 549y - - /YV9�/Wodd ass.go Idia + Workers' Compensation Insurance Affidavit. Buiide>i s/Contracto;rs/Eiectriciaus/Plumbers ARplicant Information Please Prat Ledblv NaMC(Business/Organization/Individual):_ Hf*,m e fe, t90 Address: . City/State/Zip:4114-ot 44 �. � Phone#: 00 Are you an employer?Check the appropriate'box: Type e ro'ect re aired 1. I am a employer with �D 4• ❑ I am a general contractor and I . pJ ( 4 ) employees(full and/or.part-tune).* "have hired the slab-contractors 6 ❑New construction listed on the attached sheet. "' 7. Remodeling 2.❑ I am a sole proprietor or partner- ❑ g shipand.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.$ 9. ❑Building addition required.] '> 5• ❑ We are a.corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or,additions . myself. [No workers'comp. right of exemption per.MGL ❑ insurance required.]t c. 152, §1(4), and we have no 12. Roof repairs. employees. [No workers' 13.`° Othe t` cJ o c, r Pomp. 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 anew 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 isproviding workers'compensation insurance for my employees. Below is.thepolicy dnd job site �. information. / Insurance Company Name: r ew to A% y t All it �h t• e u Policy#:or Self ins.Lic #. jr 02 0 g' Expiration Date. P Job Site Address: . .. f/1'l orf City/State/Zip:(. Attach a copy of the workers'.compensation policy declaration page(showing the policy number and expiration date).- Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification 16 hereby cent u /er th pains an77. llies of perjury that the information provided above is true and correct. Si attire: Date: 2`d U Phone#: 6 ( - 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#: ion and s . Massachusetts General.Laws chapter 152 requires all employers to pro�iide 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-o-r-trustce of andividual�partnership association or other legal enti ,em ip Dying 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-contiactor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of Liability Partnerships(LLP)with no employees other than the insurance. Limited Liability Companies(LLC)or Limited 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 ns regarding the law or if you are required to obtain a workers' Industrial Accidents. Should you have any questio 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 provide&a.space at the bottom the event the.Office of Investigations has to.contact you regarding the applicant. of the affidavit for you to fill out in Please be sure to fill in the''permit/license number which will be used as a reference nuriiber. In addition,an applicant that must submit multiple peimit/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)."AI cop y 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 io any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this.affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions• please do not hesitate tc 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 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 v.mass.gov/dia r ,.� - r CEEiTIRICATE NUMBER 4 PROOLICER AIL Ot5F2344t0 01 MARSH USA INC " t9 GHRTIPICATfi!S ISSUfiD AS A MATTHR OR'INFORMATION ONLY AND CONFERS NO RIGHTS UPON•THE CERTIFICATE HOLOER OTHER THAN THOSE PROVIDED IN THE ham NO POLICY.THIS CERTIFICATE DOES,NOT AMEND,EXTEND OR ALTER 7Hfi'COVERAGE FAX(212)948-0902 AFFORDED BY THE POLICIES DESCRIBED HEREIN,= 3475 PIEDMONT ROAD,SUITE 1206 ATLANTA,GA 30305`. COMPANIES AFFORDING COVERAGE Ili i00492-THD-IPUSA-07-08 IPUSA COMPANY A STEADFAST INSURANCE COMPANY INSURED HOME DEPOT USA,INC. COMPANY 2455 PACES FERRY ROAD NW ®.. ' ZURICH AMERICAN INSURANCE COMPANY BUILDING C-8 --— COMPANY .A.- ATLANTA,GA 30339 C AMERICAN HOME ASSURANCE COMPANY .:.COMPANY' - rk1EER" ESA,.:. ,s � `� �a -.NEW' 'H PHIRE INS yCOMPANYon Calf 1HISI IS'TO CERTIFY THAT 0CLICIE§OF INSURANCE DESCRIBED HEREIN;HAVE BEEN ISSLEO;TO THE,:(NSURER NAMED-HEREIN FOR;';THE POLICY PEROo NOTWITHSTANDING ANY REQUIRE OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENTWITH RESPEOI'TO WHICH THE CERTIT.FICATE MAY 9ElS5UEDOOR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN`IS SUBJECT TO ALL:THE TERMS;CONOITTONS ANO EXCLUSIONS OF SUCH POLICIES.AGGREGATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .T ,•TYPE OF INSURANCE, POLICY EFFECTIVE POLICY EXPIRATION " .TR �,. . . .. :POLICY NUMBER . DATE(MMIOOIYY) DATE(MWDDIYY) LIMITS q . �CEERAL LIABILITY IPR 3757 808-02 03/01/07 03/01/08 COMMERCIAL GENERAL LIABILITY 'LIMITS OF POUCYARE EXCESS' GENERALAGGREGATE $ 4.000,000 PRODUCTS-COMPIOPAGG $ 4,00Q000 "`. CLAIMS MADE X]OCCUR 'OF SIR:$1,000;000 PER OCC' .::' PERSONAL a AOV INJURY $ 4,000,000 OWNER'S a CONTRACTORS PROT EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE(An aria ere $ 1,000,000 AUTOMOBILE LIABILITY MOD EXP An aria person) $ EXCLUDED BAR2938883-04. '03/01/07� 03101/08 X ANY AUTO COMBINED SINGLE LIMIT' $ 1.000,000 ALL OWNED AUT09 BODILY INJURY SCHt DULEOAUMS , (Perperson) $ RIREOAUTOS ` BODILY INJURY gNON•OWNEDAUTOS (Paracaident) $LF-INSURED AUTO YSICAL DAMAGE PROPERTY.DAMAGE $ GARAGE LIABILITY . AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ . EXCESS LIABILITY AGGREGATE $ IPR 3757 608-02 - 03/01/07.'. . 03/01/08 EACH OCCURRENCE ' ' $ 5;000,000 X UMBRELLA FORM AGGREGATE $ 6,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSAT ON AND 2921209(CA) EMPLOYERS LIABILITY 03/01/07 03101/08 X TORY LIMITS ER I, 2921210(FL) '.' 03/01/07 03/01/08 '.: EL EACH ACCIDENT $ 11000,000 THE HERS/ XECU X INCL 29ZI211(AZ,ID,MD,VA) 03/.01/07 03/01/08 EL DISEASE uMir $ 1,000,000' PARTNERS/EXECUTNE ' OFFICERS ARE: EXCL 2921208(AOS) .03/01107 03/61/08 . EL DISEASE-EACH EMPLOYEE $ 1,000,000 oTH.R .. 2921213(QSI) .._ _ 03/01/07 03/01/08 _ • WORKERS'COMPENSATION°`:.2921212(KY,MO,IN WI) 03/01/07 03101108' TEXAS EMPLOYERS., TNS-C44842086.(TX) ' 03/01/07 03/01/08 EACH OCCURENCE 25,000,000 EXCESS LIABILITY SIR SCRIPTION OF OPERATIONSrLOCATIONSlVEHICLESISPECIAL ITEMS 2,000,000 ): ��: ��~n � F -�•-- "� �`� �r, �. CA,f(L EC4��KTI�OOf .*{ $y� ����� ,•�:�`s.�,.+� � ��,.y4s� '__' 9d32ii�"zfb+-'^Y•�'iw•',S�'.�.? iii 2AtIzC3+a'P - YZ "�elili'fS4aii2 'i2, S�i' `S4'Yy' q. • _ SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIgATION DATE THEREOF THE INSURER AFFOROWO COVERAGE WILL ENDEAVOR ra MAtL-tea DAYS WRrrtEN NOTICE TO THE .FOR EVIDENCE ONLY _ CERTIFICATE HOLDER NAMED HEREIN,SUi FAILURETO MAIL SUCH NOTICE SHALL IMFO6E NO OBLIGATtON OR f ft S I �:-.� 1 i tl I .. c ' r, r n t'4i{��iN.W i"-1f31 4{ ! :i.. . . . r, 9 Fl a Q d'� ,I 2/`28/ COM "*PANIES AFFORDING COVERAGE . PRODUCER MARSH USAINC cowPANv homedepot.certrequest@marsh.com �.` ILLINOIS NATIONAL INSURANCE COMPANY' FAX(212)948-0902: 3475 PIEDMONT ROAD SUITE 1200 . .ATLANTA,GA 30305 comPANY p ... :. NATIONAL UNION FIRE INS CO ... , 100492-THO-IPUSA-07-08 IPUSA • . :...z.—.:,.,f.�.-..f .. ... . .....—,,.�.ii-.��.��,.II g.:.,,�:,,.—:.�---,.p;d.-....�.."..--,:,�...,�,!-.....1..:1,�...i-oI,.l..*�.,j-.....:�-�t*.,,.-..,,�,-..'.,�.,�.:..',...L.1.,. t%. INSURED . . COMPANY .HOME'DEPOT USA•;INC. . .G _ ILLINOIS UNION INSURANCE CO 2455 PACES FERRY ROAD NW BUILOING.C-8 . - . ATLANTA,GA 30339 coMPANY .- t r i tt,�'T' r 1 ,,Li. } Y i S. r A t c ; , : i T .. ! \ L t \ t_ R Y Y j .. '.:....e. , -' ., - 2 . .. . . •Y. - . . . . .. .,... .: . .. .. „, .. ..: ..t 4 i I. . . .. .., . . " -, f. —k. �• .. . .., ..Ai . ... —. ':�::.' rt..: . t 'S t _ { •'r :t t , — . . ... I . ! M,, .. , :1 c . .+' , � ..1. . •, `.:..."*—....":...":*�.:...::"-.-..,.......,.....-:.I---....,'..�.:,".....,..;,,.�.:*::I 1-..l:t1.,:..'.I.....,."...".—.,..... �..",..t1..,...C.,.:'.�:�.�.,.��'�.:.-..,t.........-,."I!e-':-f.1.:p:..;�..,..f,,.,.-�;.-*.':.,.,l,,I,..,.'.".,.��,-...-:-.%.��-.s� i .. .. .. .. ,`. :t x,,, -! a,,..,- s"3"'k'"'°�..' "F,hy�<:€n�".t •µ'u'".Y 'ty'r+' .fi7y ^x'''yt • 'y�3�>,'Y ��Fi'EatP.^"�+ �:.u�4`>}F,�, wP',•,N' .1'i. .a ' f GE z � gT KHQLdEf� AI, �. sf , `' '" —.W. `zv ,Mw' �„ .' a� �..� . . . ==y '. FOR EVIDENCE ONLY cti .. . , ••. o .. .. r . �� .! F�i J . 4,. k!z�qi INARSH USAINC BY F E t ck ' ,.�,� ' i-G,f �il 91 r "4+ra'si• F }}'"' „ ,� sLt+r .. ..r< t i' t.: +r y j w1,W s I "h F ..�P r -rrG C. t.t`4�7!� ,3,r#:<"t ! :'—I- . _t.s...: F .. .�.I:.,,:. ,.f, ...F::Manl.Radasiewskl .; '��^`� 'a ` `:3>,�. :� �� II 1 x� iE i, t r. I t 4;a, tt.., n :j isr; r� Et� pit it` r F h t .t r III c i :[ t t"-r R'"tt[ 1•'::�y 'T tl ��if ��(' i I t r� x' �� ill€' �.I€€�#� F• ` '�� " NFRG MFG CODE: SIL o z rn �. t7 m = era a q � SERIFS 1200 Dual Glazed' rn NFRC a > S 0 Vinyl Double Hung,y o �l �m.:=,° m o 3 a Low E GI tQ National Fenestration � Z �f[�t x m o D "" • j o -+ G� Elating Council p O �� a y 3�20 O �M G 5. Ft,nti'!tN � O .o < „ ENERGY PERFORMANCE RATINGS o 0) m `� u-Factor -P) Solar Heat Gain Coefficient, -Zi .� - �c . m Co n 'o 035:..._ 0.33. d rL ADDITIONAL PERFORMANCE RATINGS - z Visible Transmittance 'r a w 0.57 these ratings conform to applicable NFRC procedures for determining whale raturerstl stipulates that g PP P performance.NFRC ratings are determined for a fixed set of environmental conditions and a I to A t~ roduct size.Consult manufacturer's literature for other product performance Information. . rn tie. 1,9 o A .. . .. - www.nfrc.org. - .. oaa ; y " '' ' This.window is ENERGY STAR@ qualified '..ro i Cr o Z � op� f° -e 0 0o C'� of0o N a in all 50 States. C7 f0.A O Uj C J ti. H C - 1200R Design Pressure Rating Ratings for sizes up to 40" x 12" : DP-30 Ratings lorsizes up to 44"x 60" :DP-35, Ratings for sizes up to.48"x 72" : DP-25 I QUALITY CERTIFICATION �y Rev.121 BONEI.HPR0VH&l&NCO\TRACT Sold,FurWdwd rod lastoCed by: 8raacbllisme: S Dete:a ZS'-a' - TEDAt-Rome Senicer,Inc, We.The Home Depot At Hc+a o SwAcoe 345A Ca mwwd Sutee,Womaroee,.MA 0tb07 In B RhK>®Dtt 4 Job p:3�aa?3C�S. ToU Free(SM657-513%Fwc508-75d•Z839 0 Fedeal lu I M26MO ML1s0 CaWO PTOooe Ltd t6427 . O CI lic N SWIZ:LfwHasa tayro men:Cbnaeeta&rb il2de r9 IsstalledoaAAl m.- °bZ C -'.kM 11c_ Mk city state zip Pbeebarer(s): Lnt 4 D0s orDxhve"t Ide.0 blown Work Pk. Haaa]?Maee r: ( ) 344-38ia Home Addrne Of diWacat ficon k"Is on Addren) CUy Swe zip lE mad Addrear(to revels a updatsr end peoatoflaru from The Home Depotk Project Iafumatiom: b'SS'a'You(?=bu=" U:e onaers of the prng q booed rut drc above imtelktioo eddresh offer to oont ad wilb THD At-Howe Sauces,Inc,("Starve Depot)6o farmah,ddnw end atraage for the iOstalletiom of ell metedab �\ as dactsibed on the sttxbed Spec Shoal R 15 S 5 ,tacarporeted herein by reference aad meEa a pert hereof �, Rene Dapst reverser the rightto cancel 1hh ooshul K upon re laspectLan of 16e Job,Home Depot determines that Is amw perform ib obHptioos doe to a structural problem with the boats,prlcmg errors ar bourase rwk regWred to complds the job%is wit Included lathe Spat S6pet or Contract, - DEPOUr PAYNIEIITOPrIONS \^� (3s w10 f-swie"Aw aedfirodkaPpmrL) . \\ CO'NTR4"Ofo"14T' 55230.96 1. �leRQe3ar77SFcsul3er+rce6lmeytMder t fLHbSDEPOSIT S � y t�C..nsdamroramv pq�aa opwoe•grde9ae stirs •�,,•+ B.Ai 1NCE DUE - vise UNWO cd amw A_-kw L7M ONCONP71. TIO.'4 L 3'�1 DO �rHnryxtt�emym,emmelam •it,l MDepoeaeffeeera tbltdaua2SSioft7oorrarotAarwol doe spon (INwAncraet O—abaAawal 0UL&H)CCWa.Y) eawoeFas of thrr eostracC AVWI&ae Cn t a am&KDCC Orwi) [�] Indicate Psmest Method For P-nd: tame: Z BAIANC$DUE ON COMPI.E770N: Name ee s rpPesr oo rsd: z nViour elgaelare below,ilWe agree to allow Home Depot b x charge the above rtdereamed credit card for the depotrt b6cated. `V&m 1w g m*.&cbxk a payment,yin a 4crim a efdm 0' bON b%rvaaae cam rW Raerd m Nate raRw6r4 deRaode tardeoldthsigpt¢s Deb / ty !mt rarde aem rde afro—t m to Paints 13.pryswor ea a Lc7 0ACIC kwudm.Wkw oe me hfiMw*e anal yxv ebxl m iHL or HDCC AsIhe292atiom Coder A oats ea demaok lad Omar.scab_7 ev a-2b M bore ' car.xouctuaoa<nowpeaateotUreo�rd.�roaualoot Daomk )E1malYatveot - - - . £ exe`rr you Wrrk bah O Parch—agrees x ta4aoe duedaa trm3aa' also arm gm; be r)am j and severally etku �iobligawd mind LWIc lctiaa Carifxate ma pay eery g&• a :'his agceemed mad its attacdaowts,iochoding em)tir®xiog agtoomeat,comrain the oxWl:ts agr6aneot betweeen dw pa du and can M be sn oded er modiW wless in writs g Jo a sepume egmeavent s4oed by bahlArdeL NOTICE TO P111CHASER Do cot ripo this owtratt before Fro lead 11, You ue entRW Io a cmplet ly wed-ia cagy of the eootrecl at the lime - 1 yos stga, Keep it to prvhd)roar rrgbtr. Ao not dp a COmp>dloa CrrtlBraM before Ibb project is eomplele. Laic mi pprohibits hoar toppair contractors from rreegqaerdng or sccepthrg a Compleflos Certtileate idgaed by Me sweer prior to .. MeachWcempleftoofthe work tobepedonudoader the eantraet Yon may and96cramactfoonyffime prior tomMWgbtof the tHidbiethreas day-sftcr the doe ofibb"atractSet .i Native of CamorCidn for am espbaatioe of tMs rtpht-There.R9@ be a m*dm charge egad to 10%of the ceehsat -- •-__ ---_ _ amauml Njobbesseelled by PurchaserAF'CERthe thirdbusbiessdaN hue BEFORE.materials are ordered.There wA pp• be a seniee charge equal to 25%of Me eonbs t smmosat if Job to cancelled by Parchuer AFTER metrtisd arc ordered. O1 BYMY.ODRSURNAIUREBUDW.L'ATM-DNtSTANDn1AT THE AGRE.MAENT MAY 13ESV"B3ECT'OREVIEW - N. OF UfY WR CREDN HISTORY AND L%T AUTHORIZE HOME DEPOT.TO.VERHY AM REV1E% YIYADUR I ' CREDIT RECORD w7TH AN IKDEPEYDh1T CREDW REPORTING AGLNCY A1M RELEAS7;7wx FROM All -- co: LIABILITYINC(IlZ M ROMINADVERTENT O)MSSIONSORERROR& I BY MYMUR SIGNATURE BELOW,DWB AGREE TO BB BOUI7)BY THE TERMS OF THIS CON'TRACE D%E M AC10•tOWLEDOS RECHBT OF A COPY OF THIS CONTRACT ANM Tvr'O COMPLETED COPMS OF THE NOTICB W OFCANCELIAnON. SUIRMITIED8Y• xr- Data ACCEPTED BY;L 'm*" Daft: 'oZ•23 — I l 5� 3-� Ga�� � /l/o vcs� � �_ , _ Vf .`:�'7..`�;�;:::;`.;<':%2.#t.•`:;`:;::::; :{5�'`t' +Y"���:u�:2'�:� � `•`•'�:•`.•`.'�:'%t`� ` '+��ti}�� "�''''�tir': #•�:: #` %•`: `4?':%'�2� 1+`': �' ``Y`! :,...,:.`iiii.'..ti,,.:•,`.':%�` ? ..yy'.�'':' ING ......:..:................ UTTING GREEN ««< <:.• < > .. .::. ... :�.. NE IGHBOR ...................... :.:::.....:........ .. ......::.: :::::: :..:. x•:::>::> :::RUNNING ILLEGAL BUSINESS—ALSO Niiiil :::. ........ ESS--ALSO HA S 2IL S ILLEGAL G L PORTABLE O ABLE SIGNS T S OUT IN FRONT F R O ADV. 2 TYPE S OF BUSINESS.ESS � 4 . � -Il.i T. PWILL CHECK.s :`` ... u s S a 3 8 -w 3 q e� S c _ p C� TAR e Y Q P T z W / 0 i�A- M1 /L c� N•P v �To c...4 2 O oa. � J ht tip•'•' z£« 1 ° o vd 3�.z o yr ad J/3 L 3/3 3 So �G 7� /Vv 3/3 o G 3 � r • �+ ,TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o�Y/ - Parcel &I _ «� Permit# Health Division __ 7—3 6z Date Issued Conservation Division -Z G Fee Tax Collectors SENT` , Treasurer �� /ca� /f ` INSTALLED IN COIWPLIA' , . ENVIRONME 6 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board f TQWN REGULATIONS Historic-OKH Preservation/Hyannis c Project Street Address t C? ,Village Owner. ��''r`( YV�CG�'c• �`0�1 Address '. t Telephone •Permit Request C©v,s rv(24 �'rA,.felq� 11,E XL/0- Square feet: 1st floor:'existing, proposed `l�� d floor: - ' g %4ov � proposed Total new '7 S-� Estimated Project Cost ob Zoning District Flood Plain Groundwater Overlay Construction Type °C' -.Lot Size 31 'Cdo3 Grandfather s ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ) No On Old King's Highway: ❑Yes bpQo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other ri o Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing — new Half:existing new - ---- Number of Bedrooms: existing _ new } Total Room Count(not including baths):existing new ---- First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric r ❑Other �- Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing 49 e'w size Pool:❑existing O new size Barn: i 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# _ t Current Use Proposed Use BUILDER INFORMATION I Name e`r C�6 V��VVj a a Telephone Number Address 3 IR- License# .C'_ 3 o y� -Z a-2--- ar S yn Home Improvement Contractor# Workers Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T0- SIGNATURE c' DATE FOR OFFICIAL USE ONI:Y r _ PERMIT NO. DATE ISSUED» MAP/PARCEL NO. ADDRESS �- ~' ` VILL!AGE ' OWNER ..r "�' . � K ` • # ° s • . � .. - DATE OF INSPECTION: FOUNDATION FRAME ° - •? � - : � t INSULATION FIREPLACE ELECTRICAL:` ROUGH" '� FINALt !` -- _ PLUMBING: ROUGH4 FINAL` GAS: _ ROUGV fn a FINAL' '1 FINAL BUILDING •` r 4 . t t c r. •f R . 1 w to® + , DATE CLOSED OUT w ASSOCIATION PLAN NO. f (1YUr iiir.i iy i:irn Jrir�rl.:ri f+' F OEPAR101 OF PUBLIC SAFEiY CONSIRUCHON SUPERVISOR LICENSE 'o x' ,.' '• . Nu®ber: ' Expires: Restricted io: 1G KERRY M MCNAMARA PO BOX 1144 OSIERVILLE. MA 02E55 j oM I� c�v M.FNT �z R "EG 5. A. I�1. r oatr" �tPgulctTrig e�ula ions arial5taridaOas One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME, IMPROVEMENT CONTRACTOR Registration 118118 Expiration' 02/01/99, Typ,e - PRIVATE CORPORATION eo„.,,,a„..1a HOME IM TRACTt Registration 118118 CAPE COD &�ISL.ANDSz�PROP,r:--MNGMNT f Type - PRIVATE CORPORATI KERRY M .. MCNAMARA "�__ Expiration 02/01/99 ;. 37 -WHITMAR- RD- MARSON5 MILLS MA. 026'48. -- CAPE COD & ISLANDS PROP M. _ - _ KERRY M. MCNAMARA G�ca�ao ?,,}dHITMAR RD ADMINISTRATOR iinnqwi. MILLS MA 02648 PLAN REF` 151173 (FNo) ��� ��. . 9• RES. ZONE: RD-1" 1 22- E 28 FLOOD ZONE. "C" r1 Ito(J'f 1 � 6 • ERR 1� � �ZODNFVD 'E C y t�j (FND) t•/ �1'GC• �N- LOCUS A" 63 2a.a• W GARAGE PLOT PLAN, � - 2 1,.T a OF LAND (� YLALG s 3.... . o LOCATED IN: ;HOUSE; T�/� .... _ 1 6 ... rs z. TE LLE' :a.o. .3• � CEN R VI 2 y PREPARED FOR.- ..... KERR Y Ma cNAMA LOT 7 \... A.M. 249119 ;... AREA=31,603f SF NO VEMBER 25, 1998 .. 235 34 GRAPHIC SCALE 15 30 60 %� N1- 1 4 44 E AM. 249118 { IN FEET � ) 8 _ N28 1 inch = 30 It_ 19/2o it OF _ PAItkn ` G YANKEE !'UR VEY CONSUL I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE o a �_ UNIT 1, - 40 `INDUSTRY Rf IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL ��EW STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN � Na.� P. O. -BOX 265 9F�fSi1R� . THE C ONWEALTH OF MASSACtlUSETTS �c MARSTONS .MILLS, .MASS. // 2s 9 aaf t�Nuoa TEL.• 428-OObS FAX 420- PAUL A MERITHEW, P.L S. bAT -�.�: . ,., ` J � �_ �� .. s .i + . 3 3 ' n 4� . . d N .,� � '� ,U .. � ' :p .. r _ � „i . i 'eii'� .., .3� 1 `Plt�h- w1° tp xi V C�CO j4S ehoO 3 t� o4A— f- 1 rvGlf.'- 14 t mH 00 CD a - wm - r> 1M _ J - S lA P 2 1 4Co �c CO l[J .,c,.t<:. s -..Y:, �.�;v.,--,.. �,a. P•i _ i:,;r:.: "'s' f _>E k- l•�. L �•`. i- a,.. "_.y", 2.. _ - -- fix? 4 'q�'t'` T �} ; 3.'.,.i.+':'r: -•i�Q'- -qua. - x!- P - �4 - '>4���. _ _ , ..^"Y-1�.�.> S. - _�F_ "..}'. mot',`t�a� z.i:"'..`3"� -"i-' f Ji-' �•'C 'ii -� +�Ys'' �:'TT.` 5`n �i-- .r-�� - .��5✓,�. �W�i}: - .. -41 ,11 SOn— ''t: - �X _ i e -r r CC r -a LO «9 1� L8 � IF ��ff".tf1eC�' '� �`�s�st.teg�'��`\QaR .� ~_._�-..��.:�..• ffl XA- - y { ' s : 1.4 r x _ ° ._ _ Qno•� S�,ea-�1_�� ��z" ply. " _ "'.:_ .:-' .._ •-.`:,.'mil-.:- _ .ft- � 1�1 .:....-. r.<.:.. ...,-.•':•�.. 7..=..- ...-•tiro-: ..•.- �.F .�4•- -•'=5,i`��a �...- :-�g.e, •'�- n .t ��-,�-�$: .A � ��� `�y.�� Y03;-,K -'rc t� EvS�ka`� .s,�� � .l;�.y:• —?i� -5�-•�_e. � �, i-_ .�...�ti'-t€`w.�F :s <'z nC +sx• ; ."¢=" G � gs •� `.,�,a. _ s qg x-,R' bk �3 `•.,".e%:. Y�. _yk-r_ �"`�. ;�?1 ^£.��'` _y. - - - s> �a„�-a a-. ..•SJ yr,�.e. .. �. ru ?Yf ;,�� ;� .sY^. .r'�'�`r �: ...'E. '9''2:-•. - - - ._'i- <jF� -a.'S_.:��'f•i:_ +,C. d 77 � 42 !♦ "' Q ate - 1<ry m m x W A i 3 Fe wil—li `moo v view In co NT m z c�a-c�r • �- Uov��z• Cova�raeJc t4�s��c.,t z 0 TJ __------�-� 1-4 Roo -tP a - S ve revs. tit- fy- LL- .p fF! i L1. - U O . The Town of Barnstable ansrrgr�.E. ' Department of Health Safety and Environmental Services Fo ' Building Division 367*Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph'Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date ' rn AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Q °I e Estimated Cost S1 &O-b Address of Work: qOS— LA/ , OV,�� $ Owner's Name: C-Y`c CA/ Y- Date of Application: 2 l I hereby certify that: Registration is not required for the following reason(s): Work excluded by law blob 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 hereby apply for a permit as the agent of the owner. C-C.DQ yyt l S, Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav <;�-\ - --- The Commonwealth of Massachusetts _.... -- " _ Department of Industrial Accidents . 600 Washington Street -"-.vJ Boston,Mass. 02111 Workers' Co ensation Insurance davit .Il///////!//////AI::�///!/////////////Y////////%M��������������������������—i � �,-�� , 0 name: )\ , \G�-k,y-.C'.e- location: ''\\ - i l V city s4{^f-" ( ,"-# phone# 14 Z 9-6,�0-3 ❑ I am a homeowner performing all work myself. . ❑ I am as ole rietor and have no one worlds in ca aclty ❑ I am an employer providing workers' compensation for my employees working on this job. .i�.l:.::�-.;:--:.i:.j..:-.i: ;:': ...... ::::::::: :::;:i:?':::;:::::;.::.:':i::::::::.:::.:::::::i:>:::':;::;:.::;;..:.':;:;::;::.:::;:>:.:':'.::.;:.;;:..}�.:::::::..::.;.::.::::..:::::: ¢omaanv name.... .. ... .«. .....::>::>::>;::>::: . ::.;.:::.:....... . .:. . address.:... a , ...%.... .. .... :..;... . . ;;, : »:: .► y a �' cr .....I .. hone# > .. ..... ::J::.:.. insurance co:::: �xJyt.. .::. t w,::. . ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractom listed below who have `- the following workers'compensation polices: . .. cow env name. ei�`:::.<;:::;:::;' :::::: i::::'::i:': ::::: ::::':::::::::''::::::::`::::::::: ::::::::'::::::::::':':::::::::::::::::%::::} ::;:':;;::::':''':::: •:::::ii::::S: :`:22::: :::: :::::::::::::::L:`: :::::`:;:::;:;:::: ;: ::::: :;::: ::::::::: :;: ::?:: :::::::.: :::: ::::i::::S:'.';;:Si::�:2 address.: ....... ,:.:... ... :.,... .... :,:........ .....:.. .....:::::::::. ::.:.. :.[... :.':,,:.::'.:;'.;::;;;;;>;I:.;:.;:;;'.;:.:::.,'<:..:..;;:;:i;}}};::::;::;'.;:.;>:;,.:}:.:is ii}ia n}>;:;:...;.:.:?.i;::::......;:J:.:::::::::..... ........... ::..::;;.:::::::.:..::.. ....................................:::::.::::.:::.::::.::::..::::::::::::::::.:.. ..... ............................. ................... ...............................::..................................... . }....................::::.:.•::.::.::•:;;:.}}}:.;:.;:.:.;:.:.:?.:::;:.;:.;;::•;:•;:::.;:.:.::.:.::.;J,... :::::::::::::::..:::..}:.}:::.:::... .........................................................................::::::._:::::::.::..................................:,: ... ..:::::::.::.:::::::::::::::...:...................:.::::::.:::::,........, }..........i..:..,......cc I :.:: ::::::.::::::.:::::::................................................................::::.:::.::::::::::::::::::::::::::::.J:....... .......... .......::..::.::.:::..........................:.::.::^:::::::::::::::::.::::::::::x<......... :.:.:.;;:::.;;;::<::;::::::::;:::::;::::::::;;::::::;:::::;:::;::::::::;;:<:::>::>:«::;:::>:<::»::::»::>:<:::>::>::::>::>::>s::> >;:>::::>::;;:«::<:::it pet: r.::::::::::::::<:::::»::;:;;:;::;::>::;::;»::::::>::»<,:<,:::;:.:<;:<:::::>.:.>.:>:.}:.JJ:.:.;:?::. .J'�•J:.J}:.JJJ::•:.:.:.::::;;: .. ......... .................. .............. ................. ................ ........v...........................................................................:.�.�......::::::::..::%•:......�:.::Y........:.w::.......:......:::::::::::::::::..: ..:{.:. ay.:: :v;:.:!•i:.:iY.i};i:.i:.?:.:;::•::??•i:.:::::::::�`::i�:::;i;i;ii;;:i::!.i:.:i}::::::::::::•:?.iY..::::::::v::v:::.:::::........... lunrarrce..ca... . . _. ........................................:::.:: ..> > :::::8};;:::,n8mei-::::'::::` i 't :::::': ` ? ::: ' : :`: :: < `'' '�'`' ` 2'j9 f 2�:: Y 2 ' ` ::..`,:::' ?>' ?::5 "` <+ 222` `............................................. 5 ?--- aoa ny . . .. . .......... >:J.::::: :....: :.::..:::::::............::::::. : .. ... ......:.:.::::::.::.:..:: . ... ::.;:.;::.;::.;:::..::...: ......:..........:.:.......:•.:....... .:'.:. ...::.::.;:.::..::.: . ........:. ddress:a ..:: .....::::.::::::::::::::. : :.:. dtw pfieee#. :::>::»»::;:.::: _ .-1 .:..:::.:. .::::::::::: .............. .........:::::::::::..::::..::.. ... ........................ .. ............... ....... ......... :?:;:::::i::::::::......;::::::::::::: isi2;:;;;::;:::::::::: ':i`:i::S;::i::::}:•:;::;}J;':::?;:::•iJ:::::::::::is5:::i::::::b:>::.:::':::c::::::�iif::::i:::::::;::i::i;;:;;:!;:.:;.;•}:•::»:::;::;:::.;;•}:??.;:::.::a:.;;•;.;;:.;:::}:}':.:::;.:.:;'::::::: :.;::::.::._:.�::.;;::.;:•:::�.:::::x esnrance.co.. ._._.....-K........ ...-,....._.................................. oliev.#__.._.................._:...:...::.:.:::::._:.::::::.:::::::::.::::.::..:.:::.:::..:_,::::,: _. Fafiare to seems coverage as mgafted wider Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sae up to 51,500.00 and/or one years'imprisonment as well as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Invesdgations of the DIA for coverage verification. I do hereby cent. under the p ' and . of perjury that the information provided above is tru.an.eo eet Signature Date !� 1/(OVS - - Print name G f-4 C �"l-A,g Phone# `�C �0.s 123 official use only do not write in this arse to be completed by city or town official city or town: permii/license# Bug-ling Departssent ❑checkif immediate tense is required Melectme Boatel ❑SeL:ctrnen's Once ❑Health Department contact person• phone#; — ❑Other uevimd 9/95 PJI) 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 con --C. 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 receive: c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa; 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 permit/license number which will be used as a reference number. The affidavits may be retinned 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 Once of Imresuganons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Appeaftj Tabl@JL21b(=ndz aed) flucriptire Paeicam for One and Two4hudlr Resideadal Buildings grated with Fossii Fuds MAXIMUM MINIMUM Qlaaag aLaag �;i,g wall Floor Basetment Slab Heati4cooiiag Area'c'�S) U-value= R value R value) R-valuLJ wall PIES p=kw Rrvalue' &value' 5"1 to 6500 Heatimw Deem D&W Q 1ZY. 0.40 38 13 19 10 6 Now R 12% 0.92 30 19 19 10 6 Normal S 129A d50 33 13 19 10 6 iS AFUE T IS9A 0.36 38 13 25 WA WA Normal U 13% 0.46 36 19 19 10 6 Normal V 1.59.5 0.44 38 13 23 WA WA EMU w ,3% 0M 30 19 19 10 6 iS AFUE X 13% 0.32 3E 13 23 1 WA WA Normal Y 13% 0.42 33 19 2S WA WA Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 1119/. OJO 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY 42): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-for s-t980303a 780CMKAppendixJ Footnotes to Table J5.2.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall. For example,an R 19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement- described in Note b. 'The R-value mquirements•are for unheated slabs.Add an additional R-2 for heated slabs. • If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more- than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a . NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 PC) b 2 -- -- it A It A fiRAAP ML—Injl C�ELI�� �"ots•i f G � I \&ALL SSA S ; C oil r iA16 t J V� S,LL ' FL662 s ` s .. ,�j (' Su413 7�tcl� • / •4 A •« e � � of Barn-stable J ll� S111AJ LC-S otJER FELT- PAPER P/- y �orSTS PI)RI)LA M r7z k x lST/NG Ct-G . -1-01S T PO PO 0 .SPEFL -J'oiST' IYAN&EW-, ,1J -IEAGr-RS (-rYP XISTIN ( lj,)AL(- To BE 9F-17)oVED- S//Fg7 i FL o 0 e V/Srs P. T Si�L ,� I y" , 1 •;1 FRAM I N G SECTION - - - - - - ALL DIMENSION LUMBER SHALL BE Kb SPF NO.2 OR BETTER. x COLLAR TIE I 2 x RAFTER 2 x CEILING JOIST SHINGLE '� O.C. W/IS LS. FELT ' ; I �Ix PINE FACIA R-30 KRAFT FACED FG BATrs R- UNFACED FG BATTS SOFFIT VENT W/6•MIL POLY VAPOR BARRIER (i st 12wc FLOUR) PINE SOFFIT f i _ i 2x FLOOR JOIST (a ��� f I;OC1,0905-t__` '"WEST MAIN STREET CTY] 10 TDS] 300 CO KEY] 156967 ===MAII;ING ADDRESS ----- PCA] 1.011 PCS]00 YR]00 PARENT] 0 MELODY, ROSALIE A MAP] AREA149EB JV] MTG]9208 PO BOX 402 SP1] SP2] SP3] UT1] UT21 .53 SQ FT] 944 HYANNISPORT MA 02647 AYB] 1960 EYB] 1960 OBS] CONST] 0000 LAND 34600 IMP 44700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 79300 REA CLASSIFIED #LAND 1 34,600 ASD LND 34600 ASD IMP 44700 ASD OTH #BLDG(S) -CARD-1 1 44,700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 905 WEST MAIN ST TAX EXEMPT #DL LOT RESIDENT'L 79300 79300 79300 #RR 1813 0166 0833 0322 OPEN SPACE #SR KENNESAW AVENUE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]03/91 PRICE] 1 ORB1249/019 AFD] I A LAST ACTIVITY] 12/27/93 PCR]Y R2'C9 019. P E R M I T [PMT] ACTION[R] CARD[000] KEY 156967 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT TOWN OF BARNSTABLE �i:-- Zoning Board of Appeals tin FEB 2 a 4H 9 37 Mine ...&.�tosa7.a. ..L1ody............................. .... Deed duly recorded in the_.. _...................................._.............. Property Owner County Registry of Deeds in Book _......................... W-114 JuiRm F.,....1:i=-,Wy,....Trustee.,..................................... Page ........................I ....-....................................................Registry HKW, Realty Trust Petitioner District of the Land Court Certificate No. ........................I ........................ Book ........................ Page .................. AppealNo. _......19flb.-lfi.............-........................ ..........._................................................................ 19 FACTS and DECISION Petitioner .......William F. Hurley, Trustee, . filed petition on ................... 19 HKW, Realty Trust K "Main St. requesting avariance-permit for premises at _t.........._................_..................:...............West -1).......................................I in the village (Street) adjoining premises of (see attached list) Locus under consideration: Barnstable Assessor's Map no. .249......_.................. ....... lot no. ......19 Petition for Special Permit:: F Application for Variance: rA made under Sec. .1 (.2.)............................. .................... of the Town of Barnstable Zoningby-laws and Sec. .............................................................................._._..................................... Chapter 40A., Mass. Gen. Laws for the purpose of .._................to....alloTni...real...eatate,41)rofess]..ona1....Off iceas...in....sW....?.Kist-J4M... residential structure .......................-............._........................................................................................-._................._....._...._...._................_.............................................................................................. Locus is presently zoned in......................... RD-1 _....._. ....................................................................................................................................................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at. ........8.:.45. _.... . I. P.M. _ .... February,..2Q............ _............_._ 19 86 , upon said petition under zoning by-laws. Present at the hearing were the following members: RiChaff....L. B.Qy...................... ...._...tail NI ................... .................I ter...Buss....................... Vice— Chairman 13E]eL1...Wirt-anen......................-. ..................-_.._......_...........................I................. ...................................................._................. V At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. AppealNo........29.8.6.-1.6........................................ Page ........................ of ........................ On ......................._ Feb . ....20.,................................................. 19 8.6............. The Board of Appeals found Attorney Johnson appeared for the petitioner requesting a variance to allow an existing residential structure to be used for real estate/professional offices at 905 West Main St. , Centerville in an RD-1 zoning district. The petitioner desires to remodel the interior to accarmodate a six-member real estate or other professional offices and to enclose an existing breezeway - garage to remain as is. Acting Chairman, Richard L. Boy, discussed Section Q, 2 (e) of the Zoning By-Law - which states that no variance shall be granted within 300 feet of the major arteries known as Routes 28, 132, 149 and West Main St. , therefore the Board will hae to deny the petition on that basis. Dexter Bliss made a motion to deny the petition - per Section Q, 2 (e) - the motion was seconded by Gail Nightingale. The Board voted unanimously to deny the petition for a real estate/professional offices at 905 West Main Street, Centerville. I A.0 N L- (fA L.'Q............................._.... s T Clerk of the 'mown of Barnstable Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. 19 under the pains and Signed and Sealed this ....�..Q............. day of. ...............! 1 p penalties of perjury. Distribution:— PropertyOwner ............................................................................................................................_............. Town Clerk Board of Appeals Applicant Town of Ba table Persons interested Building Inspector ........ .................' ..... Public Information By _........_.. .. ........ ............ ✓ Board of Appeals Chairman TOWN OF BARNSTABLE 1997 STREET LISTING V STNO NAME Y08 OCCUPATION V STNO • 94 NAME -YOB OCCUPATION RENICK,THEODORE M 1926 RETIRED 733 G FERRI,ROBIN LEE R ' 95 COHAN,HELEN M 1921 HOUSEWIFE • 1952 COMPUTER OP ' 97 NELSON,BETSY A 1920 HOUSEWIFE " 733 G GARRITY, ULIA L J 1964 STUDENT 98 GOULD,EDWARD J 1924 RETIRED " 733 H HEREDIA, ULIA 1942 ' 98 GOULD,MARY F 1923 AT HOME * 733 H BROMAZ NE,J1920 ' 100 DUSSAULT,GEORGE A 1949 TECH MNGR " 733E 7 BROWNS, ,SEAN N 1953 DISABLED ' 100 DUSSAULT,NANCY M 1950 HOMEMAKER 775 7 HAMMOND,SEAN F 775 1966 STUDENT ' 100 DUSSAULT,TIMOTHY W LAFRANCE,RICHARD W 1958 1974 "STUDENT " 775 DATES,EMMIT G 1977 VINE AVE 775 #1 STULL,WILLARD BLAINE 1925 RETIRED ' 775 1 STULL,LOUTA J 1940 SECRETAR ' '7 WOODRING,ALBERTINA D 1911 HOMEMAKER 775 1 STULL,W BLAINE Y I ' 7 WOODRING,E DOUGLAS 1910 RETIRED 775 10 DIPIETRO,FRANK V 1958 CLAIMS REP ' 775 12 WALKER,MAURICE E 1947 PRINTER WATERMAN FARM RD ' ns 12 WALKER-WARREN,EARLENE 1948 HOUSEWIFE ' CHOPS,KATHERINE BEGG 1968 STUDENT • 775 12 WARREN,JOHN M 1947 TRUCK DRIVER ' 775 15 COUGHLIN,JAMES M 1960 ELECTRICIAN 65 CORSIGUA,JOANNE CHOPE 1928 AT HOME ' 775 15 STILLSON,KATHLEEN M 1970 OFFICE MGR ' 65 CORSIGUA,JOSEPH P 1927 RETIRED ' 775 3 WALMSLEY,SHIRLEYA 1936 ADM ASST ' 65 SMITH,MARCY J 1948 COLL PROF. 775 9 LECA,EDNA ROSA 1963 HOUSEKEEPING ' 68 EPSTEIN,DAVID B 1943 EXECUTIVE ' 775 APT 5 BOWLER,NINA K 1955 1 ' 68 EPSTEIN,DIANNE G 1943 SALES REP • 815 BUTLER,ALBERT T 1921 RETIRED WATERSIDE DR i • 825 CURRIE,KAHRYN 1971 STUDENT 825 SLAYTER,RUTH K 1953 BANK TELLER OUITT,JANIS B 825 07 BONAIUTO,BARRY M 1962 HERO TELLER 4 1946 OA ADM. 825 10 ASSEFA,LOULADEY 4 OUITT,M BERNARR 1959 ' e CARINE,JANICE E 1948 LAWYER # 825 10 WALSH,JOHN N 1946 CAMERAMAN 3 ' 8 PROUT,CARINE RICHARD R 1957 SALES REP " 825 11 BORODINE,MARGARET A 1926 HOUSEWIFE ' 15 PIERCE,DANA M 1945 SALES REP 825 12-A LENCEWICZ,JANICE H 1954 MOTHER 1954 "15 PIERCE,JANICE E 1956 " 825 14 CLERK-CELATA,JESSICA A 1975 825 14 CAMERON,DONNA SALES ASSOC ' 15 PIERCE,JANICE E 1956 ' 825 15 OUGH,MEGAN T 32 KANE,JOHN P 1940 TEACHER * 1977 STUDENT KANE,RITA S 1942 ASST MGR , 825 16 MURPHY KA HEEEN M 37 RICHTER,DONALD F AS A 1950 37 RICHTER,JOAN W 1930 RETIRED • 825 16 MURPHY,WILLIAMJ 1932 HOUSEWIFE 1932 RETIRED ' 825 18 CARNEY,THOMAS F 1930 RETIRED • 45 FARMER,PAUL H 1916 RETIRED 825 19 FOULDS,JOANN 1942 FIN EXAMINE ' 45 FARMER,RUTH P 1920 RETIRED 825 2 PHILLIPS,NICOLE P 1956 RN 1 ' � HURLEY,JAMES F 1956 ARTIST 1954 BUS.OWNER 825 20 BARRETT,GREGORY S 1968 46 HURLEY,LEANNE , ' 58 MCVEY,MARY M 1958 MANAGEMENT 825 20 STEIN,USA M 1963 PHY.THER.AS 1 1930 HOUSEWIFE ' 825 22 KELLEY,NANCY L 1943 SALES 3 ' 64 HOWARD-JOHNSON,PETER 1930 ARCHITECT 825 22 YEOH,LAUREEN S 67 NARBONNE,DORICE 1 1930 BUYER * 825 23 GIOVANAZI,RUTH 1963 78 BASSETT,JEANNE M 1940 ATTORNEY ' 825 24 MCCARTNEY,DONNA 1960 ' 79 CRONIN,LAUREL M 1942 825 3 DELAZARO,OOORICO 1960 LEGAL SEC ' 79 CRONIN,MICHAELJ 1941 , 1970 CHEF j ' 79 MACDOUGALL,BLANCHE B 1913 RETIRED 825 6 LONG,BRENNA JANE 11924 ETIRED 965 TEACH R 1 DEWEY,JOHN F ' 101 HILL,BARBARA J 1927 RETIRED • 825 7 BONAIUTO,ANITA M 1963 LEGAL SECRTRY ' 101 1952 HOMEMAKER , 825 9 POTTER,PHYLLIS E 1924 RETIRED POON,DEBBIE N 1946 REST OWNER • 825 BID BIDWELL,ROBERT H , 105 FRANCIS,LISA BEAULIEU 1959 HOMEMAKER ' 825 1 ABRAMOVICH,EDITH 1954 TEACHER ' 105 FRANCIS,THOMAS P 1955 DENTIST 1918 HOUSEWIFE • 106 MESSNER,WARREN A 1930 SALES 825 1 ABRAMOVICH,MAURICE 1917 RETIRED , 106 ROBERTS,CHARLOTTE 1933 REAL ESTATE • 855 PRATT,FAYE E855 DEGRACE, TH F 1928 HAIRDRESSER , 108 BURGESS,ELDON S 1927 RETIRED. ' 855 10 HAYES,PAMELAA 1928 RETIRED ' 108 BURGESS,PATSY R 1930 RETIRED ' 855 11 PRATT,BEVERLY S1917 RETIRED 1961 CNA/HHA jf ' 855 16 MORRISON,CRAIG E 1945 SALES&SERV WEAVER RD * 855 2 CAMARA,DANIEL 2 195 SALESMAN ' 28 DEFAZIO,ANTHONY 1955 ARTIST ' 855 20 SPENCER,ELIZABETH S 1952 RETIRED ' 28 FASCIANO,JOHN P 1938 RETIRED ' 855 5 PRICE,SHIRLEY 1925 RETIRED ' 41 BEARSE,JEAN MCKENZIE 1915 RETIRED 855 6 BIERWEILER,ALLAN ROBERT 1952 TURF PROFESSION j' 41 BEARSE,LAURENCE W 1914 RETIRED 855 7 LAZARUS,BEVERLY B 1942 ' 49 LANE,ARNOLD C 1914 KEN OWN 855 7 LAZARUS,NANCY S t978 62 MCNULTY,M PATRICIA 1936 HOUSEWIFE 855 9 M_URPHY,VIRGINIA MARIE 1958 OPTICIAN ' 932= SXT-BEXTON„CATHERINE.0 W4__;OUSEWIFE7 WEDGEWOOD DR 932 ILIFFE,CHARLES D 1959xWELLORILLER ' 932 ILIFFE,MARGARET M 1929 HOUSEWIFE ' 30 CALLO,GAILE J 1953 TEACHER 932 MYERS,SARAH T 1971 WAITRESS 42 JOHNSON,AMY L 1979 STUDENT 940 SPEARMAN,HARRY T JR 1971 ' 42 JOHNSON,ELLEGARY M 1955 NURSE ' 940 1 WANEGER,MICHAEL N 1972 CHEIF ' 62 42 JOHNSON,GARY N ' 940 2 LAMBERT,PATRICIAA 1948 ' S1 SLAPELIS,STEUA 1911 FIREFIGHTER 940 2 LAMBERT,PATTYA 1911 RETIRED 1976 56 ZIDZIUNAS,MARY ' 940 3 WILLIAMS,ANGELIQUE K 1966 SALES MANAGER 1908 RETIRED 56 ZIDZIUNAS,WALTER 1909 RETIRED ' 940 4 TILLMAN,DEBORAH L 1953 TEACHER ' 64 BLIUONIKAS,ERNEST 1907 RETIRED w 4 TILLMAN,NINA N 1975 STUDENT 940 4 TILLMAN,RAINA N 1977 STUDENT WEST MAIN ST • 940 7 BUMPUS,BETH ANN 1956 ' 657 LYNCH,MARY E * 940 8 FRAZEL,SCOTT A 1965 TRUCK DRIVER ' 733 LUMBERT,GEORGE T 1960 RESORT MGR 940 MEN MENDES,STEVEN A 1967 DATA ENTRY 733 MARTIN,RICHARD B 1960 942 03 STEVENS,BARBARA G 1923 RETIRED 1795 SALESMAN ' 942 1 OBRIEN,E PAMELA , 1946 733 A BLAIR,JERRY L 1964 UNEMPLOYED 942 2 WALLACE,ERIKA L 1974 733 B CORCORAN,DONNA E 1965 SALES CLERK ' 942 3 METCALF.WILLIAM G JR 1953 STUDENT ' 733 D SCOVILL,LEANDER DUBREUIL 1970 LEGALASST. ' 942 3-1 LAFLEUR,DEBORAH E _ 1956 DISABLED ' 733 E POTTS,RUSHTON H 1949 BOOK DEALER 942 3-1 LAFLEUR,JASON C ' 733 F FERNANDES,PATRICIA LYN 1965 942 3-5 BURRIS,NANCY V 1974 STUDENT 1959 CLEANING *VOTER 80 d SENDER: I also wish to receive the •'o •Complete items 1 and/or 2 for additional services. is ■Complete items 3,4a,and 4b. following services(for an q ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery ) ■The Return Receipt will show to whom the article was delivered and the date o delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Artic Number d E 4b.Service Type r° �;c�{� ❑ Registered Certified W ❑ Express Mail ❑ Insured H,; /p ❑ Return Receipt for Merchandise ❑ SOD 'o a =s 7 7.D iflelivery z ;, ¢ 5.Received By:(Print Name) 841d ee' Address(Only if requested w and fe is paid) t H g 6.Signatu 4#dressee or Agent) PS Form 3811, December 1994 102595-97-13-0179 Domestic Retuifi Akeipt r UNITED STATES POSTAL SERVE �'Q First-Class Mail G tea ._._ ._ _Class M i Paid F LISPS �' ? PerrhiYNo.G-10 0 C; • Print yo na�lne�ac� tess, and ZIP Code in this box • .R.a Town of Barnstable Building Division 367 Main St. Hyannis, MA 02601 S °k IKE The Town of Barnstable .nxrrsenaILFE : • 9cb 10�' Department of Health Safety and Environmental Services 'OrFv nw+° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 8, 1999 Kerry McNamara 37 Whitmar Road Marstons Mills,MA 02648 Dear Mr.McNamara, Confirming our conversation today you will 1) not construct your putting green at 905 West street without ZBA approval, 2) remove all items from your garage that are not accessory to the single family home there. You will also notify me as soon as you make arrangements to move the contents our of the garage. This will happen within 48 hours. Sincerely, Ralph Crossen Building Commissioner RC/sc Certified#P 339 592 444 g990408a P 339 592 444 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sentt Stre3-Nu er Q Post Office,State&ZIP ode O a6 GL Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee in rn Retum Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address QTOTAL Postage&Fees $ C4) Postmark or Date E - o` u. W a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the d return address of the article,date,detach,and retain the receipt,and mail the article. in N 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,.and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. Li 6. Save this receipt and present it if you make an inquiry. Cl) a °F WE A The Town of BarnstableBAMSMIZ - 9�A 16J9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 8, 1999 Kerry McNamara 37 Whitmar Road Marstons Mills,MA 02648 Dear Mr.McNamara, - Confirming our conversation today you will 1) not construct your putting green at 905 West street without ZBA approval, 2) remove all items from your garage that are not accessory to the single family home there. You will also notify me as soon as you make arrangements to move the contents our of the garage. This will happen within 48 hours. Sincerely, Ralph Crossen Building Commissioner RC/sc Certified#P 339 592 444 g990408a 13 SECTION 3 DISTRICT REGULATIONS 3-1 Residential Districts 3-1 .1 RB, R�D and RF-2 Residential Districts 1) Principal Permitted Uses: The following uses are permitted in the RB, RD-1 and RF-2 Districts: A) Single-family residential dwelling (detached) . 2) Accessory Uses: The following uses are permitted as accessory uses in the RB, RD-1 and RF-2 Districts: A) Renting of rooms for not more than three (3) non-family members by the family residing in a single-family dwelling. B) Keeping, stabling and maintenance of horses subject to the following: a) Horses are not kept for economic gain. b) A minimum of twenty-one thousand, seven hundred eighty (21, 780) sq. ft. of lot area is provided, except that- an additional ten thousand, eight hundred ninety (10, 890) sq. ft. of lot area for each horse in excess of two (2) shall be provided. c) All State and local health regulations are complied with. d) Adequate fencing is installed and maintained to contain the horses within the property, except that the use of barbed wire is prohibited. e) All structures, including riding rings and fences to contain horses, conform to fifty percent (50%) of the setback requirements of the district in which located. f) No temporary buildings, tents, trailers or packing crates are used. g) The area is landscaped to harmonize with the character of the neighborhood. h) The land is maintained so as not to create a nuisance. i) No outside artificial lighting is used beyond that normally used in residential districts. RESIDENTIAL PROPERTY AP NO. LOT NO. - —� FIRE DISTRICT SUMMARY STREET 9st Main, St. -w Centerville LAND .249 95 re 19 C-0 1� / BLDGS. V U OWNER 6L,,E-�it � L�.yyL,Ly�I�..._ TOTAL � _ RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 7 LANDBLDGS.a, � TOTAL-1-Q . 0 - .:10 .._1 .._..�.-...- B — a LAND ,53 &&,...Ros&l .R=-I=&O— _314.7.-3.31 $.4.0, 0 a 1 - Srn F ET JX D, BLDGS. lod , Milner D. $ Rosalie A. (z int) & TOTAL LAND Roth, Janet (2 int) (jt tens) 12-3-80 3203 34 $1 . 0 � BLDGS. TOTAL E O O LAND T i BLDGS. TOTAL LAND BLDGS. i TOTAL LAND BLDGS. TOTAL LAND TERIOR INSPECTED: �/� BLDGS. aTE: - J \` �. C _ TOTAL - i LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL SE LOT 944O Z_ ®gyp50 LAND RED:FRONT BLDGS. :'REAR TOTAL IDS&SPROUT FRONT LAND REAR 01 BLDGS. fE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND O. 7 % v�J ' BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL 3NT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND _- SWAMPY OUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST ail Fin. Bsmt.Are# Beth Room Base c�4c, _ / / � •"�� BLDG. COST III.Walls Bsmt. III.,. Room St. Shower Bath Bsmt. PURCH. DATE lab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. ally Attic FI. &Stairs Toilet Room Roof RENT + ails Fin.Attic Two Fixt. Bath Floors INTERIOR FINISH Lavatory Extra 1 2 3 Sink - >..�� + r/2 r/x, Plaster Water Clo. Extra Attie ERIOR WALLS Knotty Pine Water Onlyg Yw idin PI ood No Plumbing Bsmt.Fin. , iding Plasterboard Int.Fin. S Shingles TILING ( ' k. G F P Bath FI. Heat 4- 770 , On Int.Layout 7 Bath &Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace k.On HEATING Toilet Rm. Fl. Plumbing in. Brk. Hot Air Toilet Rm.FI.&Wains. / � Tiling of O Steam Toilet Rm.FI.&Walls 0 r�� ��, , Ins. Hot Water St. Shower 2-2,Air Cond. Tub Area Total 3� , Floor Furn. y• z ROOFING COMPUTATIONS Ingle Pipeless Furn. S.F. S ingle No Heat S.F. Ingle Oil Burner S.F. 7-2 ' Coal Stoker S F Gas S F OUTBUILDINGS OOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 1 7 8 9 10 MEASURED Flat Mansard FIREPLACES S.F. Pier Found. Floor I Fireplace Stack Well Found. 0.N. Door LISTED FLO RS Fireplace / Sgo.Sdg. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof j No Elect. DATE Shingle Walls Plumbing d ROOMS Cement Blk. Electric . Ile Bsmt. 1st f TOTAL � / / Brick Int. Finish P ICED 2nd 3rd FACTOR I k CAUw^ REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. R1EPPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. TOTAL P RTYADDAE55 _ , ZONING' I DISTRICT CODE SP - DISTS.I DATE PRINTED I STATE I PCS I NBHD I- PARCEL ID IUMBER CLASS 9,05 WEST MAIN ST_R,£tET-10 RD-1 �30C 1UCfl 07/09/95 1011 00 49E3 R24- 9 019. 4 LAND/OTHER-FEATURES DjOPTION ADJUSTMENT FACTORS- -. T - Land By/Date Size Dimension Y LOC./YR.SPEC.CLASS ADJ. COND. P UNIT -ADJ'D. UNIT ACRES/UNITS VALUE Description MELODY, R O S AL I E A MAP- /ICD. FF-De th/Acres E PRICE PRICE I L AN D 1 3 0 i 7 0 0 -CARDS IN ACCOUNT L 10 18LJG.SIT 1 X .53 =100 145 39999.99 57999. 99 .53 307 J 4dLDG(S)-CARD-1 1 41P500 01 OF 01 A IP L 905 CST MAiIV sx CST 72200 BATHS 1 .0 U X t N C= 100 3500.0 3500. 00 1 .00 3.5JO 3 0L LOT 7 MARKET 7460C FIREPLACE U X D C= 100 31 00.*OC 3100. 00 1 .00 3100 J IqR 181.3 0166 0833 0322 INCOME A iSR KENNESAW AVENUEt SE D NPPRAISED VALUE D 72,200 A U ARCEL SUMMARY T S AND 30700 A T LDGS 41500 m -IMPS F E OTAL 72200 N Y CNST E DEED REFERENC Type DATE Record R I O R YEAR VALUE A S Book page Inst. Mo. Yr.DI Sales Prior AND 3 0 7 C 0 T 2491019 I I93 /91 A 3LDGS 41500 U 4359/Cl4t 112/35 A rOTAL 72200 _ 3457/33 03/82 BUILDING PERMIT 4 S T I M A T E D-8 3 � LAND LAND-ADJ INCOME SE SP-bLDS FEATURES BLD-ADJS UNITS Number Date Type Amount 30700 6600 < Class Const. Total Year Built Norm. Obsv. i. Units Units Base Rate Adj.Rate A t Age Depr. Cond. CND Loc %R.G Rapt Cost New Adl Rapt Value Stories Height Rooms Rma Bathe l�fix. PartywaN Fac. 01 C 000 100 100 60.20 60.20 60 60 34 56 105 100 58.8 70653 415 JJ 1 . J 4 2 1 .0 4.0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1•U 0 IMP. BY/DATE: / SCALE: 1 /0 0.83 ELEMENTS CODEJ CONSTRUCTION DETAIL $ SAS 100 60.20 944 56829 bKUbb AREA 944 SINGLE FAMILY DWELLING CNST GP. JO: FOP 35 21 .07 16 337 *------------32-----------# STYLE -- J3IANCH 0.0 T FOP 35 21.07 80 1636 ---T ------ - 0 ------------------- -- R 8 *----12---* E3I�ty ADJ�1T J0 0.0 FFG 30 13.06 238 5201 - - -------- ---------------------- U 4 FFG ! XT=R. dALLS �'� flOD FRAfi9E 0.0 REATIAC TYPE— 74 IL ------ ------ 0.0 T ! FOP i hT=R.FIUISti -J0 ------------------©.0 11''U '- 8 8 f NT !f CAY50T- -St ------------------r_tl ! EASE ! ! ! ,'�dfi il.-ITA-TY 72 3 ANTE AS 99TEE9- U.0 j R 32 *---10--* _ A 24 LJ STRUCT �U ------------------(�_©_ L D 2 t? W! 20 20 ! L�JR CTiV R- -30 ------------------- .0 E Total Areas Aux 384 ease = 944 1 1 ! t70F 1`Y 'E ---- SY ------------------�s� BUILDING DIMENSIONS ! ! -LEC.TKXCAL --- 301 -----------------.- fl.0 T 8AS W20 FOP SO4 E04 N04 W04 . .. ! ! ! � ---------- ---------------------- OUIVDATIQAI ---- JU � 99.9 A SAS SO4 W12 N.32 E.32 S08 FOP £10 ! ! i -------------- --- ---------------------- FFG N04 . E12 S24 . W12 N20 .. FOP � *-4-*---20-------X *----12--- j13 4VEO C��fTERVILLE -- L Sub W10 N08 SAS S20 ! 4FOP4 LAND TOTAL MARKET *---12---*-4-* PARCEL 30700� 72200 AREA 14295 VARIANCE +0 +405 - _ STANDARD 25 Building DepartinenE Complaint nquiry Report Dte: Rec'd by: /U J Ci ���'e _ Assessor's No.:� a — Name: Complaint , Location Address: WP Originator Name: Street: State: tip: _ Telephone:D/E ComplaintI Ile ❑ 7 �C �-'U Description: Inquiry Description: For 09ce Use Only Inspector's % / Inspector. m Action/Coments Date• 00 , a� C Follow-up ,414 Action LY,•- �� ° Additional Info. Attached a,�rt'ent F� CON,Disuibudon: White-Dep Yellow-Inspector -z � Q�c�� �•. Pink-Inspector(Return to Office Managed