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Home My WebLink About0028 CROCKERS NECK ROAD QozG -0 93 - oo t a . 1 I%F S 1 ] t i i �.x f `t all a-x�� NOVEMBER 30,1997 COTUIT:For Sale by Owner, 5 bedroom, 3 bath North ern Energy Cape_wlin-law t apt.,,-2 car garage, in town , location, free golf, 1.3 acres, $285,000. 428-8706 �. /,z lee"-'e �Z"f jn. rr-'& V? pe�o�� C�Ar PI -emu ; 1 ) .e_ e o-?-a �c � Gt�N ' � C��$P� t�� CS'�. ��S r p..�- f10 us 2, f �1(YI91 dam- CP�� f'Le,u!}�-� �'e,2 ©c .IAJ94 `��' I iI i . , i i I I { i - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �a�... Parcel_ ,� � a Application # Health.-Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee o1 Date Definitive Plan Approved by Planning Board a c V � Historic = OKH Preservation/ Hyannis Project Street Address o2� 01"Qr 'ors yer, Il Village Owner �1 AAddress rJr,6�0� /S 46 OOl y i� Telephone Permit Request61-ou - '(Y-\- �&L� Tlra- Er ic4oh f .4_:t� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation QS-00 Construction Type Lot Size >> 31 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) o Age of Existing Structure oKlr/' Historic House: ❑Yes No On Old King's Iighway o�es No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other 73 ' � , „ k .� Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) ' Number of Baths: Full: existing new Half: existing newer Number of Bedrooms: existing —new �;,� T Total Room Count (not including baths): existing fc�- new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric Other P Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: WYes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Yexisting ❑ new size LShed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use OCC-0 19L.Q01 Proposed Use CLfy1Il y g w APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name dt 4A IM - y—IVP-) Telephone Number Address C_f"�i �� LG� 6�� License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / SIGNATU ATE F FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: k# ` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL =r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. IRG BARNSTABLE BUILDING DEPT. DA rs L\j FIRE DEPARTMENT - TE �\\ TN SIGNATURES ARE REQUIRED FOr�MITTIN Nb V; , 6d c�4 r v 5'0„ J IMPORTANT - UPGRADE REQUIRED tO,( STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN `0 ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. CARBON MONOXIDE ALARMS MUST BE INSTALLED PER l MASSACHUSETTS BUILDING CODE t , Oft 12ft 24ft 36ft floor g planner Ls J C�- xv -C Y- Oft 12ft 24ft 36ft floorgplanner f y E n �K) o c�- 7 1 L A 1� 1 � 3 Da i - 1 � f FN f. Oft 12ft 24ft 36ft floor g planner �T s fi, tO d ................ 1 Oft 12ft 24ft 36ft floors planner f } Oft 12ft 24ft 36ft floorgplanner I Town.of Barnstable CF THE Tp� Regulatory Services BAMSPABM Thomas F.Geiler,Director P MASS. $ i 039. �m a Building Division lf0 nnA� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 28 CROCKERS NECK ROAD, COTUIT, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 1.i c, Page ;1 p or as Document No. being shown on Assessors' Map 020 as Parcel 093002, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for TARA ERICKSON, SISTER OF OWNERS, RICHARD AND JUDITH LYN-HORTON, associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any.fashion, which rental would be a violation of the Town of B,arnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department, This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of C' 2040 TOWN OF BARNSTABLE OWNER(S) By: Building Commissioner Imo, THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date - Sill 2010 Then personally appeared the above-named (owner), ��K�a L � +'IZ�,gwp�JGtd�i i �"Qnd made oath as to the truth of the foregoing instrument,before me. Vommission ublic Expires: Nd"Pu0k OF, My commiss6u®s May 10;2013 The Commonwealth ofMassachusetts .Department of Indtcstrial Accidents I ' Office of Investigations IS �� 600 Washington Street . Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Coretractors/Electricians/Plumbet- Applicant Information Please Print Legibl Name (Business/Organization/lndivi dual): Address: Ogg &0 City/State/Zip (: __3 Phone #: OUE--,7/3 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am'a employer with 4. 0 1 am a general contractor and 1 6 New construction employees (full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner listed on the attached sheet. 7.-Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp, insurance.$. 5. [] We are a corporation and its 10.0 Electrical repairs or addil required,] 3. 1 am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs.or-addil myself. [No workers' comp. right of exemption per MOL 12.E] Roof repairs insurance re uired. t c. 152, §1(4);and we have no. q ] employees. [No workers' 13,❑ Other comp. insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or,not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number, ` 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sN information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy,number and expiration dat Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties o: 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 of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do he e ertify under the pains d penalties f perjury that the information provided above is true and correc� Si natur - Date: C Phone.#: area to be completed b City or town official Official use only. Do not wide to this Y lY p City or Town: PermiULicense # Issuing Authority(circle one): 1. Board of health 2. wilding Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing.Inspector 6. Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their eirnployees. Pursuant to this statute, an.employee is defined as "...every person in the service of another Linder any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, constriction 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, MOL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,-if necessary, supply sub-contractors)name(s), address(es) and phone numbers) along with their certificate(s) of in Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confumation 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 pen-nit or license is being requested,not.the Department of Industrial Accidents. 'Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be.sure to fill in the permit/license number which will be used as a reference number._In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit, The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not besitate to give us a call. The Department's address, telephone and fax number:, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617.-727-41900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia stable Fri r TD N�os1� eglxZatozy Sez vices n •!!Ijp fll r tas ; laillr Director • s,�xxsr.�st.e, Building Division i65gw .a �PrEO �k Tom Perry,Building Commissioner: ru trcet<Hyannis,MA 02601 R-w'sw.town.barnstable.ma.us Office: 509-962--4038 Fax: 508-790-6230 HOl\,MOWNER LICENSE EXEMPTION Plcase Print DATE: 10B LOCATION: number street work_. one# name home phone# CURRENT MAILING ADDRESS: c>?_9 Or ib states zip code . cityftnwo ,' . The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to cngagc an individual for hixe who does not possess a license,provided that the bwner acts as superylsoz. . DEFINMON OF E0MyIEMVKFR Pcrson(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to bc, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who coaas'tzucts more than one home in a two-year period shall not be considered a homeo zter, Such "homew oner"shall submit to the$3mlding Official on a form acccptablc to the Building Official that be/slte shall be responsible for all such work performed under the build pg permit. (Sr-ction 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the Statc Building Code and other applicable codes, bylaws,rules and regulations, The undersigned"homeowner"certifies that helsbe understands the Town of Barnstable Building Dcpartrpcut minimum inspection procedures and requirements and that be/she will comply with said procedures and TSIatu cmcn ts, o omcowncr ' ..Approval of Building Official Notc: Thrcc-family dwellings containing 35,000 cubic fact or larger will be required to comply with the St$tc Building Codc Scction 127.0 Construction Control. HOMEOWNER'S EXEIYfFTION llrc Codc stairs thak "Any homeowner performing work for which a building perrrdt is requimd shall be exempt from the provisions a cs a anon s for hire to do such e homco 'a cn g p ( of this seeGon•(Seetian 1o9.1.1 -Licrosing of eons4vetion Supervisors);provided that if[h vm g work that such Homeowner shall act as sup—Pisor." Many horneownaa who use this exer vdon arc unaware that they arc assuming the responrl lities of a supervisor(sce Appendix Q, Rules&Regulations for Licensing Canstruetion Supayisors,Scction 2.15) This lack of awareness bften results in serious problems,particularly when the homeowner hires unlicroscd per=ons. in this case,our Board cannot proceed against the unlicensed parson as it x ould with a licensed Supervisarr. Th e homeowner acting as Superyisor is ultimately responsrblc. To ensvn that the homeowner is fully aware of his/hq respannbilities,many communities require,as part of the prrmil application, [hat the homeowner eerhfy that hdshe understands thc respermbilities of a Superyisor. On the last page of this issue is a.form currently used by several towns. 'You may care t amend and adopt such it forrr)ccrtifiealion for use in your community. YH�Er Taw)) of Barnstable ti Regulatory Services Y 4 a�aHsrtsr Thomas F Geiler, Director �a9.. o 9� Building Division Toni Perry, Building Commissioner 200 Main Strcet, Hyannis, MA 02601 ' rvwpv.town.barnstable.ma.•us Office: 508-862-4038 Fax: 508-' Prop r y Owter MUs t Compk and Sign. This Secdoa fUsznp: ABui.lder Z , as Owner of the su.b)ect.property herebyauthorize to act on my behalf, in all matters rd 've to work authorized by building permit application for: (Address of rob) Signature of.Owner Date Print Name e i ,a lying fog errr� Conn ase complete the If�'roo Own s pp g p p Homeowners License'Exemption Formhe reverse side. Cape Save Inc: 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 DATE 1 Thomas Perry CBO Town of Barnstable Building Division A 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for 28 Crockers Neck Road (#201402960) has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey . NOISIA10 91GViSNVU 10 NiV10.i . f CAPE COD t INS U .LATION, El NYOY D[A9S iipm[G;3 SPflATFQAM 7YSP[NDSD - - SAM DYFTSYS YISY[ANON CHINOS - - 1-800-696-6611 'Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 0260.1 r Date: N 1 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Perfonnanee Institute (BP°I) inspector.All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Villa"Ye Q Insulation Installed: Fiberglass . Cellulose R-Value Restricted Unre t ted ^ Ceilings Slopes ( ) ( ) ( ) . ( ) ( ) a En f k� Floors 01 Walls .50AAY ( ) ( ) ( l y ) ( ) AAA, Sincerely He ry E Cas y Jr, President (_;° e Cod I , ulation, Inc. r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 02-0 Parcel 002- Application #O&V6� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �� ',rZ�ek�'6 s ;Vglek Z-✓ Village T z) / Owner ti/ya�j��r/-6� ©,� Address Telephone c f ?G7 G}-f Permit Request Z&4::r 4! 2 z 71- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1,4,e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Nf Two Family ❑ Multi-Family (# units) ' Age of Existing Structure Historic House: ❑Yes Ao On Old King'`s.Highway:cQ 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: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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 )'_7Le0,R Telephone Number Address � ��,� G�l�' License# A'!, 1/J1 yoU ?ti Home Improvement Contractor# Worker's Compensation #w��®�.S-'L S�y0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v SIGNATURE DATE 'F& fr FOR OFFICIAL USE ONLY APPLICATION# i' f. DATE ISSUED a MAP/PARCEL NO. `h I`I'Y I� ADDRESS VILLAGE OWNER k fs' I DATE OF INSPECTION: ,y� ��FO.UNDATI.ON�r��;-,��-�;�,�,�;�� .,��;�-•9 ur FRAME yi INSULATION iR• FIREPLACE h. ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' e DATE CLOSED OUT ASSOCIATION'PLAN NO. t OWNER AUTHORIZATION FORM (Owner'sName) owner of the property located at (Property Address) d�lD (Propert Address) hereby authorize (Subco tractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. , Owner'sVgn ure La Date, _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www,mass,gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciansl?lumbers Applicant Information .. Please Print Legibly Name (BusineWC rganizadon(Individual): Address: % City/State/Zip: Are you an employer? Check the appropriate box: 1, I am a employer with—a, 4, ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors , 6. .❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑ Remodeling ship and have no employees 'These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' I 9. Building[No workers' comp, insurance comp, insurance.t ❑ g addition required:] S. ❑ We are a corporation and its 10,0 Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their myself ' 1 I.❑ Plumbing repairs or additions' y [No workers comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12•❑ Roof repairs 3a.❑ I am a homeowner acting as a employees. [No workers' 13.R Other/,�/ general contractor(refer to #4) comp,insurance required.]• 'Any applicant that checks box#1 must also fill out the section below showing their workers compcnsatiot#policy information. t Homeowners who submit this affidavit indicating they are doing"all work and then hire outside contractors must submit a new affidavit indicating such, tContmcwn that check this box must attached an additional sheet showing the name of the sub-contractors and stato whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers comp,P Y olic number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. i Insurance Company Name: Policy#or Self-ins. Lic. #: /�C,9a� y a� h a f Expiration Date: a /, Job Site Address-_o1�F _ ,��p�G� f�/�(, '`� r,—Z!:_City/State/Zip: W 4 © 2- ,S Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration 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 un the p and penalties of perjury that the information provided above is true and correct Sigpa c Date: Phone#• �,� OfQ9cial use only, Do not write in this area,'to be'completed by city or town official77 57 ��J . City orTowne - Permit/Licens-e # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4, Electrical Inspector 5. Plumbing Ins ector 6, Other p Contact Person• Phone#: CAPECOD-27 - KLIGETT CERTIFICATE OF LIABILITY-INSURANCE . DATE(MMIDDYYYY) F6/13/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN.-THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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 Ileu of such endorsement(s). PRODUCER CONTACT Rogers&Gray insurance Agency, Inc. NAME: Bar bara DeLawrence _ PHONE 434 Rte en E- IL Ext�— FAX 877 816-2156 South Dennis,MA 02660 EMAIL �A/° No: !� ADDREss:bdelawrence ro ers ra .con I INSURERS AFFORDING COVERAGE _ NAIC q INSURER A:Peerless Insurance Company INSURED _ INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INsuRERc;Evanston Insurance Company South Yarmouth, MA 02664 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP _ I INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD If DICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C:RTIFICATE 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 H POLICIES.LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCEINSD POLICY NUMBER MM IC EFF MOL IC YEXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE L X� occuR CBP8263063 04/01/2014 04/01/2015 tv�A�E TO RED— $ 1,000 000 PREMISES(Ea occurrence) _ $_ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY__ $ 1,000,000 G N L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RO- (—� ECT 1 ___f LOC i=2 PRODUCTS_COMPIOP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT T - Ea accident $ 1,000,000 3 ANY AUTOWNS 14MMBCKVMK-.,, 04101/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED .X SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS X NON-OWNED. AAITOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIABM OCCUR $ EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE XONJ453514 04101/2014 04/01/2015 AGGREGATE $ DED X RETENTION 10,000 Aggregate WORKERS COMPENSATION $ 1,000,000 AND EMPLOYERS'LIABILITY PEAT TE. �RH ANY:PROPRIETORLPARTNER/EXECUTIVE YIN WCA00525904 06/3012014 06/3012015 OFFICERIMEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ _ 1,000,OOQ (Mandatory in NH)If Yes,describe under E.L.DISEASE-EA EMPLOYEE $ 11000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT .$ 11000,000 Ij ES9RIP710N OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) orkerq Compensation includes Officers or Proprietors. I' Jdi io al Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, ERTIFICATE HOLDER i Massachusetts -Depat'tnwrit of.PBbhc Safety of Building Regula;fons end Standards r Ct nstnrct'c n Su c Visor _ l� P l License:,CS-100988 `11-1ENRY.E CASS11)'Z\ ~, S SI10.ROW WEST YA11MOL`1'l1` Expiration, Commissioner 11111l2015 '. "` R Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 _ Ire,•,• .p�� ', Boston;, MassachLIsetts 02116 _ w Home Improvement CQA\raptor Registration Registration; '1535U7- , Type: .Private Corporation ••�r Ex iration; IV15/2014 Trtr 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ';;•� , __ _.- --...._> _... S0. YARMOUTH MA 02664 . . ., :;.r;.•;:;�';".: t :'Update Address nod return calrtl, Mark.roasun Cur chu ige, Address Retimal j Em to mew . Lost Card (Aliev of lbn Nil III r A Chi!r$& Business ltvgulntiuu License or registration valid for individul uso'buly OME IMPROVEMENT CONTRACTOR before the expileatlon date. If found return to; egistration: 153•�67 \ Type; Office oF-Consumer Affairs n rd Business Repilntion I �f xpiration; 1211:5/2014 Private Corporation 10 Purl(Plnza-Suite 5170 } , v�:•.:.:.• Boston,M'A 02116 s -- (OD INSULA'l•I.QN Y (:ASSIDY ' - 4'00N CIRU 1luderscrrelary. of Val* withe f ' not re , ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Vol,/� Parcel VB Applicatior le) Health Division Date Issued E4 1Y Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address C � e c - Village Owners �`� Address S� P Qi (�P Telephone-(�d 2 Permit fT Reque t i Sec(, II& K-) taq a f I iktz r to 16crtc?p cc-/,/ , 'Akd IQ J6 allit- lovre /V d- i C ; KL-70 i g id q-o c pg c e VO4 S .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �-4UW' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ITS'/ Two Family ❑ Multi-Family(# units) Age of Existing Structure 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 �Y Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count . a r `- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other !Vr � Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: OYexisting D'hew=;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) ICI eC� �e C e dove �� Name Telephone Number .� V Address C H�`°�' i rt fall 'J " ` License # /0 J Home Improvement Contractor# / S V Email Worker's Compensation #r )�C v0��_� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE "Y FOR OFFICIAL USE ONLY f r APPLICATION# DATE ISSUED MAP/PARCELNO. 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. Building Permit Authorization I, Richard Horton as owner :. . hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office:508-398-0398 to take all necessary steps to obtain a building permit to perform work at my property located at 28 Crockers Neck Rd Cotuit, MA 02635 Signed ' Date i 7 The Commonwealth of Massachusetts Department of Industrial`Accidents: Office of Investigations I Congress Street,Suite 10.0 7, Boston,MA 0211.4 2017 www.massgovfdia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print WON Name(Business/Organization/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth,MA 02664_ Phone#: 508-398-0398 Are you an employer?Check the appropriate box: T}pe.of project a (required): 4. 1 am general contractor and.1 1, ✓� 1 am a employer with g 6. ❑New construction employees(full and/or part-time):* have hired the sub-contractors 2.❑ L am a sole proprietor or partner- listed on the attached.sheet. 7. ❑Remodeling These sub-contractors have Demolition ship and have no employees 8: workingfor mein an capacity., employees and have workers' Y9. (� Buitding addition [No workers' comp.insurance comp.insurance f required.] 5. We area corporation and its 10.M Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 l fQ Plumbing repairs or additions. myself. [No workers' comps right of exemption per MGL 12.0 Roof repairs insurance required:}t c. 152, §1(4),and we have no e nployees.T.No workers' 1,.0 Other .insulation comp. insurance required.] *Any applicant that checks box.01 must also Fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors:must submill a new affidavit indimunpuch. Contractors that check this boxmust attached an additional sheet show,i.ng the name of the sub-contractors and state whether or not ihose;entities Have employees. if the sub-contractors have emplovees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy:and job.site information. Insurance Company Name. Wesco Insurance Company Policy#or.Self-ins.Uc:#: WWC3 85633 _ __ Expiratiorl'Date: 04/09/2015 T -. Job Site Address: � City/State/Zip: j Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required Linder Section 25A of MGL c. 152can lead to the imposition of criminal penalties of.a titre up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage"verification: 1 do her,eb ee! ,under the #ins and penalfies ofper' +that the in'ormation provided abov, is.pe and correct. Signature;: Date _ Phone#: 508-39g=8398 Official.rise only. Do not write in tins area,.to be co#npleted by city or told official.. City or Town: _ _ - Permivl.Acense# . Issuing Authority(cirde.one): 1 Board of Health 2e Building Department ICity/Tovvn Clerk 4.Electrical,Inspector &Plumbing Inspector 6.Other Contact Person: Phone#: ACOI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDON YY) 166 . 1 1 4/14/2014 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'13 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 endorsements. PRODUCER CONTACT NAME: Colleen Crowley Risk Strategies Company PHONE o (781)986-4400 FAG No:(T81)363-4420 15 PaCella Park Drive ADDRESS.ccrowley@risk-strategies.Com Suite 240 INSURE 3 AFFORDING COVERAGE NAIL t Randolph MA 02368 iNSURERA:Selective Ins OF. America INSURED I"SURERB-Safety Insurance CoMany 33618 Cape Save, Inc INSURERC WesC'.O Insurance Company 7 D Huntington Ave INSURERD: .. . . .. INSURER E c south Yarmouth MA 62664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1441475243 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVEBEEN 1SSUED.TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD IWICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR _ _....POLICY'EFF POUCYEXP.. . - - - LTR TYPE OF INSURANCEPOLICY NUMBER -MMIDDI MMIDD LIMITS GENERAL LIABILITY .; EACH OCCURRENCE -$ 1,000,000 nCOM MERCIAL GENERAL LIABILITY PREMISES Ea occurrende $ 100,000 A CLAIMS-MADE.a OCCUR 1994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000 PERSONAL&AIDVINJURY .' .$ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POU .Cr X FxCT 420 X "LOC $ AUTOMOBILE LIABILITY COMBINED.SINUCC-071= Ea accident.. .. 1,000,000 B ANY AUTO 80DILY INJURY(Per person) $ - ALL OVMED X :SCHEDULED 208200 ` 1/6/2013 1/6/2014 .BODILY INJURY(Per accident '$ AUTOS AUTOS X X NON-OVWED PROPERTY DAMAGE HIREDAUTOS AUTOS Peracadent I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 PEO RETENTI9N$ ex 1994480 6/16/2013 0/16/2014 $ C WORKERS COMPENSATION Officers: Included For X- VCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN T-RY LIMITS ER ANY PROFRIETOR/PAR.TNER/ENECUTIVE Coverage .E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREX.CLUDED7 a NIA: (MandatoiyinNH) - 3085633 /9/2019 /9/2015 ..E.L DISEASE-EA EMPLOYEE $ 500..000 If yes,describe under- DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks.Scbedule,If more space is required) Issued as evicdence of insurance. Issued as evidence of insurance. Thielsch Engineering, Inc,. is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcoMact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, ;NOTICE WILL BE DELIVERED IN Cape Light 'Compact ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret song PO BoX 427/sCH AUTHORIZED REPRESENTATIVE 3195 Main street Barnstable, Mh 02630 chael Christian%CLC ACOR (z26(2010/05): ©1988-2010 ACORD CORPORATION. All rights reserved. INSACORD 25(2 01 The ACORD name and logo are registered marks of ACORD L r.,.,�'✓_Ls L; Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5.170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/20.16. Tr# 249649 CAPE SAVE INC. _ WILLIAM McCLUSKEY 7-D HUNTINGTON.AVENUE SOUTH YARMOUTH, MA 0266 Update.Address and return card:.Mark reason for change. sc t z}sasis Address Renewal. ; Employment ;_ Lost Card r"!�r i_rc.rniis�cicrii�f�r.!`"l�ts'�r.•!u<�ir%; ' Office of Consumer-Affairs&Business Regu{a on License.or registration valid forindividuluse only *OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: `t3e fstration: 171360 Type: Office of Consumer Affairs and Business Regulation r : ^ !: g - :r Expiration:.`.3114/2016. Corporation 10.Park Plaza-Suite 5170 ma`s Boston,MA 02116 CAPE SAVE INC. WILuAm McCLUSKEY 7-O HUNTINGTON AVENUE SOUTH-YARNIOUTH,MA 02664 Undersecretary Not vali ithout signature 9 a'4 lama cs c .> C�??14i::FSI blip#'�!l ski T�'75i},"SL'tiai!'•' CSSLA02776 .. W ILLIAM J MC"_ USIUEY: ; 37 NAUSET ROAD West Yarmouth W 62673 w, ..:i;,. 06/28/2015 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION VqO W� I.L3lx' OF PA�'1RerTen a' / �� Map Parcel Application #z ol, ��11 Health Division Zi Fr) ? r' ?: Date Issued 3 �' t Conservation Division Application Planning Dept. Permit Fe Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address 7,4 Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q Construction Type Lot Size Grandfathered: ❑Yes ❑ 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 ❑ 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: existing _new Total Room Count (not including bath;): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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) L1__T_, 1J919d57 Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation # a- 'e, ALL CON CTION D RIS RES I G OM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE r ir. `s FOR OFFICIAL USE ONLY APPLICATION# j_ DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH 'FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • T + omsrnrtlt of sassacJ�iaaslfis I.gmrImmt.a}"Indus� lccr eats Office 4Inuestigations 600 leasllifxgdOn Street Bostom 02111 n*w► rnas.�govldia Workc+rs'C�mpen tion I urauce Affit � B iersJJCOjjt"Oc►n+Eleac �risfflumbers Applicant Infarnatlon se Print ffily- ....... Nam>v }: J n.Yortorl Citylt�teJip_� Phone# —�3=- o G Are you an employer?Check the appro boz: Type of project(r dj I_❑ I a�n a employer w€th I am a getzerai conttactiu asad I employees(full audtor pact�asue}: Dave Ivrec3 ti►�sa�b car : 6 ❑I�ie ctsam 2-❑ I am a safe edor or: listed on the ittached sheet. ❑Reu�<odelang: I amid have no employees Tl a sub-ccanr actors laaxfe . ❑13csuolitism w forme in employees and have wodcers' og any c .. ❑Burf sfeng asidifion [N4 wt}fd9et 8''comp tncam nre � .-tI......ismnGGe_ d - ❑ Ue are a corpcxation and its:!::: 6-❑Electns al reps sa or additiosts 3.❑ I am a ho w doing.all work o%geis have e��ses. l i_❑Pltuubmg rrpatrs ar a3dttaasis f[No worecs s�omp right of es �s>at periGL i 2❑Roof tics c 152, I{ } andwe Have txcx nstnce reijuir�dj - Cher Insulation employees.jNo vFcrrka I {3 codnp-:insur req�uterl.] *Any gphammt thzi.dicks box#1 mug also M cut die secticu belaw sbawtmg Ater€wedeW camrpens 0-policy iafataaatetm E€ameaw�s wha snbmn This at iDdi t g try are dGingaawak wditumbire mmide carnctars a m a sal it a new sffidasit-iaalics�ag sash COWrX�ns AM this mast attached sn additianO t the maims of the eanteeeatus and stare vrher:ar mat:tinse ett9atiea have _. shaver eng4ayees.If the sub is Mare employee%dxy must grorvi la their wmrkeis caner.policy member, I a ei ensp7oyssP the is prone n=rrrr ers'coii peresalu?►�ir�snt°rcr�ce,far } rap a+yees Below is tine*44 and" safe :: fn,fotmahan. ._ _. Iustuame Name_....AE I C Ctimgaiiy Policy#sx Se]f-fns Lis;;`# WCC :5 0 0 5 5 93 012 012 imfi e;Oate_ ::' 10/0 3/2 013 Job Site As 28 -:Crocker. :Neck'::Rd ,.: Cotuit :City/State/zip:: MA, 02635 Attach a copy of s'co: ffiperisat iou polka dectaratiob page(thawing the policy.number and expiration date}. Failure to as hired under See6o 25A of MGL:c. i 52 can leed to the 1,1311ppasIft of crinunal pertaf#tea of a fine :up to CH OD. or ss�roe isnprisorment,as well as cavil p l#fs in die:f6m of.a STOP;�J4 ORKORIIER nd a fine of tip 250.M a agaiust:tli vrolatas, Be advised that a copy of this shay be fdi�werded to Office:.of Ire oYls of DIA for. once coverage�,et ficati(m* I a h bj' f�'mt the pay earl a�gities rla► that the irrfnrmadivn prcr►� a�above is and caviiea g' f Bate. 2 :22 2013 Phsie*. 8.I-011 t)jQacl at antY.not a ire this ar+eo,iv be ca►npteted Zia?city ar t 40 j Ct 'or Toga PcrttlLis ease# Issuing Auti�ar]<ty.(src��►ae}. 1 Berard of Heahh..2 Buffing Department:3 Cio-T°own Clerk 4 Electrical Inspector 5::Pldmbing Inspector. 6.Other:... Contact Person. Phone#: _ 6 G Dec. ,.• 20"12 4:37P� 4, 8524 P. '12 AGuxu. CERTIFICATE OF LIAIBILITY' D2/19/2012 ' 'II��Ui<'�►t'11�.V. G S2/I9/2012 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,EATEN©OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OPINSURANCE DOES NOT CONSTITUTE A_CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder It an ADDITIONAL INSURED,the poticy(les)rnust he endorsed. K SUBROGATION IS WAIVED;subject to the terms and conditions of the policy,certain pollcles:may require an endorsement::A statement on this certificate does not_confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lora Lowe NAME; Southeastern Insurance Agency, Tnc:: arcac.Exz, (.508)997-6061 c Na (508);9907273.1 439 State Rd. EMAIL _ _ ... : . ..... _ ADDRESS. .. P.O. Box 79398 PRODUCER CUSTOM IDOL N. Dartmouth, PIA 62747 INSURER(S)AFFoRo)NccOvERAGE NaiCa INSURED ... . . _ ._ .... ......... INsuRERA: Arbella Protection Insurance Tupper Construction Co LLC INSURERS: AEIG _ I.........................:�._................._....___........ 27 Roberta Drive ._._..__..__.._.__..._......._.._..-_._.__ INSURER D: _ West Yarmouth, MA 02673 INSURERS INSURER F: COVERAGES CERTIFICATE'NUMBER: 12/13-.2 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 CONTRACTOR OTHER DOCUMENT W1THAESPECT 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 SHOWNI MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE Of INSURANCE `CftV��ili"-_-.._'.'..."_"" llMtr3 _ : LTR INSA WVD POLICY NUMBER ! MMIDD MMID GENERAL LIABILITY 850.0008743,1110112012 11101/2013 E�kcr c RrIENCE 1,000,00 !!_ v E X COMMERG L GENERAL LIAk3h'TY I ?ROE A GES{E ocsu nr gJ $ 100 00 .......... ._:CLAIMS-MADE i X OCCUR ^AEG EXP iAnY one person) $ 5.000 A i PERSONAL$aDV NJURY $ 1,t300.,00 .,.SEr1E AL,AGGREGATE.... $..... 2,,000,CIO._' GENI.AGGREGATE LIY3T APPLIES PER. I PROULCTS=COMa;OP-AGG $ 2,000,00 . - PRU- _ ....... POLICY TPCT CDC . $ ` AUTOMOBILE UABILnY _._ _ ..... ...._ 566624000O 12/0112012 12l01/2013,Cv�tEtP7E>3SINGLE LIMIT ! ... I;Ea acader'). $... _ 1,OOQ.0 OOQ r ANY AUTO .. ..... ___ .. BODILY NJURYiPerperson! $ ALL OWNEDAUTOS ` BODILY INJURY(Par incident) $ A X `SCHiEDUt.EGALros -PROP RTY GAMA E X rt:RED AA1TO$. !,(Par ac oent). $ : INC X ;NONLOWNEt AI:OS UMBRELLA LIAB QECUR i EA--HOCCUPRENCE, $. .._.1 m.._..-----_......�...... ..... EXCES3LU18 CLAIMS-MP, I j AGGFiEv:,.7'c: $ DEDUCTIBLE i RETENTION WORKERS COMPENSATION 6 -WCCSOOSS9301200 1OID312012 10/0312013 X My"I iTs l X .eR' AND£MPLOYERS LIABILrTY YIN —---- nN ICHAR3 TtPPER 500,00Y wREECLzrvc r i �P ? B ,OFfICERLMESIB REXGCUDEU� NIA': (Mandabry In NH) INCLUDED FOR WC COVERAGE E L D cAaSE^EA EMPLOY C$........ 5OD,OO :If yN5 d6wfb-'o Uncle,'- ... DE�(R PTION OF OPERATIONS widly E DISEASE POLICY LIMIT.;$ .. 5OO,OQ0. ---Bond for theft of money or.I 710689/3 0212W2.012 02/2812013 Limit of° $1Q,AQ0 C property. 0 RIPTIO OF OPERATIONS I LOCATIONSI VEHICLES(Adidi ACOR0101;Additional Remarks Schedule;11 moro space Is requlied) i�Ol.julio@csgrp.com CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE:CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Conservation Servirces.Group :Attn:. Bill: 3ulio AUTHORIZED REPRESENTATIVE 50 Washington Street We tborough,. MA 01581 Lora Lowe O 19882009,ACORD CORPORATION. All rights reserved. ACORO 25(20091Q8) The ACORD name and logo are registered marks of ACORD �lL 7!> PI U 1C" 1 1;1113 re,INC lU1as cl€uS t1 -UePart;�s ai';ci Pu rllG safely y,. 10y - 5 ad,suite 11Ct Hesar f ui6d erg RegUlatio arr fard refs _ (6 t)2741274 t ?�t'Ui0on tip www .c l ies CS-069058 `N RICtCARD S TUPPRr�-` �f, p WEST Y,ARl�f4Lt Fi - '73' u Y F y ppet RU ., . .{SEEo1wisESh6EFD80E3#:ttATi6t AND tMPA1 OAT csassrrxssir�ra r 12131/2014 y j a of �ITalt��B Regulation � ;. HOMFIMPIROVE ,y -; � �� ft4g tlotr •11�5 - y ' tpy Ex¢i' " n 04264 Indnridua a } � y r W.YARMOUTH,,MA 62 13 l3ndecateretary� r � r OWNER AUTHORIZATION FORM ' (Owner's Name) owner of the property located at Crnc KerS (Property Address) Ma = 63�" (Property Address) hereby authorize TC4 / (Su c r r) an authorized subcontracto or RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. 64h;es Signat re Date 02/24/2011 20:26 5087785010 TUPPERCO PAGE 01/01 TUVPE,�RSARMABLE CONSTRUCTION CO. LLC .7.98 MID-TECH.DRIVE,WEST YARMOUTH,MA.02673 +. . PHONE: 508-77M11.1 FAX: 508-778-50,,Olj OAR 12 PrIt 2- 53 VWWV_TUPPERCO.COM D j `Ff March 5, 2013 Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis,. Ma 02601 �— (508) 790-6230-fax Re: Insulation Permit for 28 Crockers Neck Road, Cotuit, MA 02635 Dear Mr. Perry This affidavit is.to certify that all work completed for permit application # B 20130426, issued on 3/4/2013 has been inspected by a certified . Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements'. Sincer ly, Ric ha Tupper Tupper Construction License.# 69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0. Parcel 0q1A.35A plica�ion# � Health Division Date Issued C- Conservation Division µ Application Fee Planning Dept. Permit Fee I? Date Definitive Plan Approved,by Planning Board Historic - OKH _ Preservation / Hyannis Project Strcoiw-� et Address 8 r cS /V 2OQ� Village Owner e1CYtQyd ky+bVl Address a C�®Ce,rAf Telephone �_So 0`-4) 01 I D _ Permit Request A ro0-' m oun I e Y 3Q I ar photyoliai`C '1 S�b` � q -P plush U+11 a4� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation &5 Q Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. lv Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure _ Historic House: ,❑Yes ❑ No On Old King's Highway:,❑Yes,❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other o Basement Finished Area(sq.ft.) Basement Unfinished Area (sqB) 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 ❑ 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. r (BUILDER OR HOMEOWNER) Namc�lt 16�jfl� Uu U Telephone Number i v�g�844 a Address PC CA i ° License # t � o� ! 5 _ Home Improvement Contractor# Q 7(0 Worker's Compensation # Cp -?8 R � - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS�r�S" h/i PROJEC- WILL BE TAKEN TO la l y ce�s � S a�ro SIGNATURE DArE FOR OFFICIAL USE ONLY APPLICATION# m - - DATE ISSUED -,-,., - 5 MAP/PARCEL NO.- ADDRESS - VILLAGE OWNER DATE OF INSPECTION: R FOUNDATION ' J FRAME INSULATION ' w ' FIREPLACE , ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a t GAS: • ROUGH!,. TM. FINAL •FINAL BUILDING { DATE CLOSED OUT - - ASSOCIATION PLAN NO. THE� Town of Barnstable Regulatory Services * BMW ABLe. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 20, 2012 Cotuit Solar Attn: Christopher Peterson PO BOX 89 Cotuit, Ma..02635 RE: 28 Crockers Neck Rd., Cotuit Map: 020 Parcel: 093 002 Dear Mr. Peterson: This letter is in response to application number 201207662 submitted to install solar panels at the above referenced address. Unfortunately,the application can not be approved at this time because the construction documents submitted are incomplete and do not show compliance with 780 CMR. Respectfully,J6 .. L. Lauzon Local Inspector - i jeffrey.lauzon@town.bamstable.ma.us (508) 862-4034 Q:zoning5 The Commonwealth of Massachusetts Pnnto orme, ;Y�I `f Department of Industrial Accidents Office of Investigations 1 Congresi Street, Suite 100 Boston,MA 02114-2017 '` www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Auplicant Information Please Print Legibly Name(Business/Organization/Individual): c ofw, War Address: 8 �q City/State/Zip: ColUiV, LA A OD 5 Phone#: Are on an employer?Check the appropriate box: Type of project(required): 1.[ Lam a employer with 1- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' y p ty. 9. ❑Building addition [No workers' comp. insurance comp.insurance.: required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions q ] 3.❑ I am a homeowner doing.all work officers have exercised their l LE] 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 SO 1 Q{' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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 the policy'and job site information. Insurance Company Name: I I (�\/�i► S p. Policy#or Self-ins.Lic.#: �prI�I,((3-�`� 0 �p-��o`Z Expiration Date: 3 02 6 1-3 Job Site Address:c2 % CYDG�@(S Neck R,J City/State/Zip: Cjfil 4,44 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 cerf rthepginsan enalties o perjury that the information provided above is true and correct signafore: - ..._ L=Z-- ---- __. - ------ 1T).qte1__1_Z-10_12_ Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone M A. DATE(MMM MDNYYY) CORD. CERTIFICATE OF LIABILITY INSURANCE 06/05/2012 PRODUCER (781) 312-7206 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Don Bunker Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 51 Mill St Bldg. F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Boa 221 Hanover MA -A2339- . INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Nal ttil`us Ins.Co. Cotuit Solar LLC & Pegasus. Renewable- INSURER B:Travelers Indemnity Co. Energy Partners, -LLC INsuRER c:Safe In .'.:; Co. 3800 Falmouth Road INSURER D: Marston Mills MA. :02648- INSURERS. COVERAGES --- --- -- 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMfDD/YY) DATE(MMIDONY) LIMITS A X GENERALuABILITY -M131655 06/01/2012 06/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea o $ 50,000 CLAIMS MADE Fx-1 OCCUR' I I I / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN.E.RALAGGREGA•fE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES,PER PRODUCTS--COMP/OPAGG .$ 2,000,OD0 POLICY X EAk M LOC C AUTOMOBILE LIABILITY 6218064 04/30/2012 04/30/2013 COMBINED SINGLE LIMIT ANYAUTO (Eaaaideni) $ 500,000 ALL OWNED AUTOS / / I / BODILY INJURY X SCHEDULED ALTOS (Per person) $ HIRED AUTOS / / I I BODILY INJURY $ NON-0WNED AUTOS (Per accident) PROPERTY DAMAGE (Peracodenl) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO / / / I OTHER THAN FAACC $ AUTO ONLY: AGG $ A X ExoEssNMBRELLA LUI6ILI`IY AN007547 06/01/2012 06/01/2013 EACH OCCURRENCE $_ 2,000,000 X1 OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 $ DEDUCTIBLE / / /l / $ RX RETENTION $10,000 $ B WORKERS COMPENSATION AND 6RQB-4988P86-8-12 03/26/2012 03/26/2013 LIABI X TORSTuAA EMPLOYE _ RS' LITY ANY PROPRIETOR(PARTNERIEXECUTIVE EL EACH ACCIDENT $ 500,006 OFRCERIMEMBER EXCLUDED? E.L.DISEASE-FA EMPLOYEE$ SOO,000 If yes,describe under SPECIAL PROVISIONS below EL DISEASE-POLICYLIHT S 500,000 aTHt7t , DESCRIPTION OF OPERATONW=ATIONWEmcLEmcLUs10NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Solar Heating Contractor Installation of solar panels *Aggregate Limit Applies per project Pegasus Renewable Energy Partners, L'LC included as as additional named insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AGENTS OR REPRESENTATIVES. — A ORS p• ACORD 25(2001108) O ACORD CORPORATION 1988 INS025(0108).w ELECTRONIC LASER FORMS,INC.-(800)32`7-0545 Page 1 of 2 oFt►+E r. Town of Barnstable Regulatory Services 9XAM1e� Thomas F.Geiler,Director �'01fDMA'Iae Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I L k n-r'L f�on4-0 n ,as Owner of the er subject property l P P t9 hereby authorize CVO v �� 50 to act on my behalf, in all matters relative to work authorized by this building permit application for: , CroC.k-a'3 NeCe- CofUl+ (Address of Job) '-'PA A, �� - ,� ► � Signature of Owner Date 2 '0 N Print Name Q:FORM&OWNERPERNMION c � ` ' a�.��L O f Consumer ice o Affand Business Regulation 10 Park Plaza - Suite 5170 Boston,Massachusetts 02116 Home Improve ent'Contractor Registration Registration: 146276 Type: Supplement Card Expiration: 4/8/2013 COTUIT SOLAR CHRISTOPHER PETERSON - � 3800 FALMOUTH RD. MARSTONS MILLS, MA 02648 Update Address and return card.Mark reason for change. DP S-CA1 to 50M-04104-G107216 Address ❑ Renewal Employment Lost Card p _.. --------.— _�ie i�a�rv»zonwe o�✓�aaa -uvea _— Office of Consumer Affairs&Business Regulation . License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration;k146276 Type: 10 Park Plaza-Suite 5170 ` Expiration 4/8/2013... Supplement Card Boston,MA 02116 COTUIT SOLAR' - CHRISTOPHER PETERSOW= , ' P.O.BOX 89 � — COTUIT,MA 02635 - Undersecretary Not valid without signature 9 Massachusetts -Department of Public Safety 1 `-� Board of Building Regulations and Standards Cantractinil Superi fair License: CS402975 CHRISTOPHERCPETERSON `:• ., 41 THATCHER HOLWAY ROAD MARSTONS Nur-ILS MA,02648 Expiration Commissioner 10/07/2014 �r { i i 1 � • 1 � • 1 1 .. i�a t l 1 y i 1 � PE law �rfet III IN r� AI Ik �� 30 I1 OMEMM 41 .:., IiI Li dam .o. r�� 4 T •ice.t"rid$x 9 r r,4 y* + jt n.4 E V _ r R '�"t$' �+`."(•�y�.'+ti � r'�C;:;� i � ! 1 i k- M T TOP QUALITYir Sunrrno u1e;? , SW 255 mono / Version2..0 and 2.5 Frame World-class quality Fully-automated production lines and seamless monitoring of the process A Qualified,IEC 61215 and material ensure the quality that the company sets as its benchmark for =_ = Safety tesied, v 1wgn.mlana a' IEC 61730 D E its sites worldwide. =o Periodic inspection DDD0922Bp0 . . SolarWorld Plus-Sorting [ 'C Plus-Sorting guarantees highest system efficiency. SolarWorld only delivers modules that have greater than or equal to the nameplate rated power. Intertek 25 years linear performance guarantee and extension,of product warranty to 10 years SolarWorld guarantees a maximum performance degression of 0.7% p.a. in C uL US LISTED 1OSE the course of 25 years,a significant added value compared to the two-phase Made in USA warranties common in the industry. In addition, SolarWorld is offering a product warranty,which.has been extended to 10 years.` 'in accordance with the applicable Solarworld Limited Warranty at purchase. www.solarworld.c o m/warranty SOLARWORLD www.solarw.orid:com We turn sunlight into power. SW-02-507OUS 07-2012 Sunmodule7' SW 255 mono / Version 2.0 and 2.5 Frame PERFORMANCE UNDER STANDARD TEST ICONDITIONS(STC)' PERFORMANCE AT 800 W/m2,NOCT,AM 1.5 SW 255 SW 255 tMaximum power. s ry P 255 Wpr Maximum power ... Pm 184.1 Wp' Open circuit voltage V 37.8 V Open circuit voltage V.c 34.0 V Maximum power point voltage V 31 4 V Maximum power pomtvoltage Vmvv 28.3 V'` PP .. ....__ -. _ .. ,. _ .... - - Short circuit current I 8.66 A Short circuit current I 6.99 A Maximum power'Pomt current I " � 815 A' xMaxlmum power pointcurrent I: 6.52 A 'STC: MPP 1000W/m�,25°C,AM 1.5 -Minor reduction in efficiency under partial load.conditions at 25'C:at 200W/m=.95% (+/-3%)of the SIC efficiency(1000 W/m�)is achieved. THERMAL CHARACTERISTICS COMPONENT MATERIALS NOCT 4Ea C) a Cells per module 60 TC1', 4 0.004%/K Celitype Mono crystalline TC�o A 030 /K n Cell dimensions .614 in'x 6'.14:in'(156 mm x 156 mm)` TC Pmvv 0.45%/K Front tempered glass(EN 12150) O eratin tem erature 40 C to S5 C v P g P _w, `Frame - Clear anodized aluminum :Weight 46.7lbs(21.2 kg) W-cury"for ScIa►lMorldSmnmmIile-Phis SWZSSinano SYSTEM INTEGRATION PARAMETERS .10 ait�5'C Cetli temlperdfuti:. Maximum system voltage SC II 1000 V 6 Max.system voltage USA NEC 600 V 5 ? io0ovi/m Maximum reverse current 16 A 6 �aoutiyrr Number of bypass diodes 3 a ,. ULDesign Loads a Two rail System.' f13 psf downward' 64 psf upward ^- ^^- *- --Xlow/tO 170 sfdownward E e �7_,OavrAW UL Design Loads' Three rail system 64 psf upward 113 psf downward • IEC Design Loads Two rail system 50 pSf upward IIID4Ur!'1016Igo PA. - 'Please refer to the 5unmodule installation instructions for the details associated with •these load cases. ADDITIONAL DATA 3744(951) - _xa power tolerance, N. 0 Wp/+5 Wp 1-Box IP65 11.33(288) iConnedor M MC4 Module efficiency 15.21% Fire rating(UL 790) Class C 4130(1050) ` 0.6 15.3 _ 0.6 15.3 Version - 2.Sframe 65.94(1675) bottom - N mdun5ng . holes - .512.65 1.34(34)I 0.6 15.3 VERSION 2.0FRAME VERSION 2.5 FRAME Compatible with"Top-Down" Compatible with both"Top-Down" L-x4 mounting methods and"Bottom"mounting methods ktA#� - 4.20(107)t x Grounding Locations: Grounding Locations: I 4 corners ofth eframe 4 corners ofthe frame 122(31) 1� 39.41(1001) 4locations along the length ofthe module in the extended flange ' 1)Sunmodules dedicated forthe United States and Canada aretested to UL 1703 Standard and listed,by a third party laboratory.The laboratory may vary by product and region.Check with your Solarworld represenfafive to confirm which laboratory has a listing for fhe product. 2)Measuring tolerance traceable to TUV Rheinland:+/-2%(TUV Power Controlled). ' 3)All units provided are imperial.SI units provided in parentheses. SolarWorld AG reserves the right to make specification changes without notice. -ram UP00@@Lao° Ma 01 @W@4IEH NIP pSIlagn p , 11F RE: 28 Crockers Neck Rd Cotuit MAP 020 Parcel: 093 002 TASIAApplication 2012076662 Letter requesting detail of compliance with 780 CMR _ ONU 110Z 31OUsHWAID WMos �® 2013 JAM, 3; AIM 8: 06 COTUIT SOLAR«< _ PO Box 89 Cotuit,Massachusetts 02635 T 508-428-8442 I'MV 2Q41 January 2, 2013 Jeffery'L. Lauzon Inspector Town Of Barnstable Regulatory Services 200 Main St Hyannis MA 02601 Dear Mr. Lauzon: Please find the attached sketch of the attachment procedure for Application 201207662, for 28 Crockers Neck Rd Cotuit. Regard C stopher Peterson BE811gE0° Quality renewable energy system since 1988 y'BEMIM DESIGN, INSTALLATION&SERVICE • SOLAR THERMAL,PV&WIND Cell ; � www.cotuietsofar.com a 2 $ Conrad Geyser � _ � Conrad Geyser s k y4� JUST LiSTED We've just listed this property: �,.r._ - 5 .. ' For all your real estate`-' -�, sA < y needs, please call . f Call today for a Complimentary Home Market Analysis CB Willow ,ashy P.O.Box 1605,Mashpee Commons,MA 02649 477-7 71 MAHING . REAL EsmE • RE�u,EASY.nsY' 0 II your properly Is currently listed wfh a real estate broker,please disregard It s not our mention to Solicit the offerings of other real estate brokers.We are happy to work with them and cooperate fully. 01997 Coldwell Banker Corporation.An Equal Oppodundy Company Q Equal Housing Opportunity.All of films Independently owned and operated.In Canada,each office is an independently owned and operated f t. member broker of Coldwell Banker Affiliates of Canada.Printed in U.S.A.M.,nI VMay Fonn B15-2900 5/97 Town of Barnstable Permit: 2011 Otet Y•,' Regulatory Services ate: 111 3I1 I °FIRE Toy Thomas F. Geiler, Director ti 03.E Building Division Fee: Y BARNSrABLE, Tom Perry, Building Commissioner .� MASS. - �A 1679. 200 Main Street, Hyannis, MA 02601 reo Mt•'t°i www.town.barnstable.ma:us Office: 508-862-403 8 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Zk(X o q4V A Phone:` O L��3- 1"LOD r S�`J Install at: 2, l (HIV ckez Village' Map/Parcel: 070 0 q 3 Z Date: I 13 y Stove A.' e`�/ Used _ B. y e. Radia Circulating YP b C. Manufacturo � Lab. No. D. Model No.: Chimney A. New/ oxistig (If existing, please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? = _ D. Pre-fab Type and Manufacturer E. Masonry: ine /Unlined Hearth A. Materials: T7�P B. Sub Floor Construction: Installer 5 r Name: Address: Phone: Location of Installation: H.I.0 Registration# Construction S,pOrvisor# OR check V Homeowner Installing, no license required l APPLICANTS SIGNATURE j !�- APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111' wWw.mass.gov/dia Workers} Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers` A-ppLicaut Information k .Please PrintLeLyibly Nazne(Business/Organization/Individual): . Z<<'► 0°I •Address• 7 t C f�� Q�� `P Ge- fl f i � D 3 5- ` �-L(lD City/State/Zip: Phone.#: U' 3 Are you an employer?Check the appropriate box: .Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full an part-tuna).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. .❑Remodeling b These sub-contractors have ' ship and have no employees 8. ❑Demolition �voixing for me in any capacity. employees and have workers' [No workers' comp,insurance comp, insurance. $• 9. ❑Building addition 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] � . officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work. . ❑ . g P 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 regtiired] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below 1s.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiation Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify under the p ins enalties of perjury that the information provided above is true and correct. Si mature: Date: Phone Official use only. Do.not write in this area, to be completed by.city or town official City or Town: Permit/License# Issuing Authority(circle one): .-I.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: ��of T�try Town of Barnstable „�. o Regulatory Services aARNs-Aster Thomas F. Geiler,Director MAS& Building Division �PrfD � .Tom Pe Buildin Commissioner �3'+ g 200.Main.Slreet,__Hyannis,MA 02601 Rrvw.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMY-OWNER LICENSE EXEMPTION ]7� Please Print DATE: JOB LOCATION: Z 1.►`O",l�2S I s e�/� CD ' " b numberC�str=tt NE & \"HOME JD V✓'Vv� O name (( home phone# work phone# CURRENT MAILING ADDRESS: Z GKe�S I V G+i a city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department m;r,;murn inspection procedures and requirements and that he/she will comply with said procedures and requirements. I�, tL A-40�1 - Signature of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required.to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTTON The Code states that: "Any bomeowner performing work for which a building pernvt is rcquimd shall be exempt from the provisions of this scction.(Sceticn 1 D9.1.1 -Licensing of construction Supernrisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homcowncas who use this exemption arc unaware that they arc assuring the responsibilities of a supevisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by. several towns. You may care t amend and adopt such a form/ccrifcation for use in your community. Q:f6r7ns:homcczcmpt T T ti Town of Barnstable ` Regulatory Services s��rrsr�st.s. Thomas F. Geiler,Director n "�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I> , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of rob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Town of Barnstable Building Department - 200 Main Street RARNSTABLE. * Hyannis, MA 02601 MASS. 9�A 16g9. . (508) 862-4038 Certif icate of Occupancy Application Number: 201000941 CO Number: 20100209 Parcel ID: 020093002 CO Issue Date: 11/30/10 Location: 28 CROCKERS NECK ROAD Zoning Classification:- RESIDENCE F DISTRICT r Proposed Use: SINGLE FAMILY'HOME Village: COTUIT _Pen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAM APT ISSUED TO R. &J. HORTON FOR TARA ERICKSON, SISTER Building Department Signature Date Signed I �t �w TOWN OF BARNSTABLE Building Application Ref: 20100.094.,BARNSTABLE, * Issue Date: 03/12/10 Permit 9 MASS. �Ar16 339. A�� Applicant: HORTON,RICHARD& Permit Number: B 20100401 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/09/10 F cation 28 CROCKERS NECK ROAD Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 020093002 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village COTUIT App Fee$ 50.00 License Num OWNER Est Construction Cost$ 2,500 Remarks � APPROVED PLANS MUST BE RETAINED ON JOB AND CREATE A FAMILY STUDIO APT. 5'CASED OPENING,CREATE CLC)SETrHIS CARD MUST BE KEPT POSTED UNTIL FINAL ON LOWERIEVEL TARA ERICKSON-SISTER-INLAW INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HORTON, RICHARD u BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 28 CROCKERS NECK RD INSPECTION HAS BEEN MADE. COTUIT,MA 02635 Application Entered by: DB Building Permit Issued By: THIS PERMIT CONVEYS-NO RIGHT TO OCCUPY.ANY:STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARIL-Y OR PERMANENTLY. ENCROACHEMENTS ON`PUBLIC PROPERTY,NOT SPECIFICALLY'PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY.GRADES AS:WELL AS.DEPTH AND LOCATION`OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS • ELECTRICAL INSPECTION APPROVALS 1 1 1 z 9-0 le4 2 2 2��ZG'� 3 1 Heating Inspection Approvals Engineering Dept Fire ept 2 Board of Health Town of Barnstable BARNSTABLE. _ Regulatory Services MASS. 05N9;,s�0� Building Division 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection G YP P Location Zoo CKa kEtr / Permit Number �c'�", Owner f M-r0 Al Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: / �X-K--rt*&1c/T �CSrtS 1AJ Z,JZV-& 2 G 5 Wb( W-r,�<oz,�T Please call: 508-862-4W8 for re-inspection. Inspected by /C DPW t�wzrclgs'w U� Date �' ` s .i� ••..,..'ti;*...yw--'-,,•-.,+,!"'"''��.-. ..,^`�a .,�•h'\.t -.rt..edo"srsr ,yS w "?'*#`'.y "t5..w,J';•.xf •y:. ,,,.:y�fiy-hJvt ri�vvrS. n...: .'. " - 1ME►ati Town ®f Barnstable BARNSTABLE. Regulatory'Services MASS. $. , 039 Building Division .. .•_ pTEO MA'S� .._ -.,_�.... .. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-190-6230 Inspection Correction Notice Type of Inspection Location 2? oleo C k C--V-ls w� Permit Number Owner Ta Al Builder One notice to remain on job site,.one notice on file in Building Department. The following items need correcting:" . k` F� 15G RCS L(�tN,0 7,J 5 (J.) �tzIV cis1�60S r� � a . �7_ Please call: 508'862 inspection. Inspected by G Q U Eq s V,� �,,A/ Date 4 I The Town of Barnstable Office of Town Manager 039. 367 Main Street, Hyannis MA 02601 Office: 508-862-4610 James D.Tinsley,CPA,Town Manager Fax: 508-790-6226 Mary Jacobs,Assistant Town Manager April 9, 1999 Dean Boger P.O. Box 1899 Cotuit, MA 02635 Dear Mr. Boger: I apologize for not getting back to you as soon as I had hoped regarding the issues you raised relative to the Building Division as they relate to your property at 28--Crocke'rN_ ec Road'-in Cotuit. I did look into this matter through the Building Commissioner and offer the following response. According to Building Commissioner Ralph Crossen, his office started enforcement proceedings on your property for an illegal apartment some 2 1/2 years ago when he sent you a letter notifying you of the violation and what needed to be done to correct the problem. Their records show that after a second letter, no action was taken to correct the problem, so they referred the matter to Jack Gillis in Consumer Affairs, who is responsible for further enforcement through the court system. That referral occurred over one year ago. His records indicate that you took out a building permit to remove the kitchen elements in the illegal apartment in June 1997, however because the file was in the enforcement division, it did not catch up with itself. Last month, a prospective buyer came in to the office to ask what she would need to do in order to get a family apartment approved and to start a law office at the property. After pulling the file for the property, she was informed that she would need to go to the ZBA for a variance and a special permit. Mr. Crossen further stated that the prospective buyer stated that the illegal apartment was still there, so he, believing that the apartment was reinstalled, informed her that it needed to be removed prior to the ZBA entertaining an application for a new family apartment. After you alerted the Building Division of your dissatisfaction with their response because you had in fact completed the removal of the kitchen, further research was done on the matter. Mr. Crossen acknowledges that a final inspection was in fact completed by another inspector for the removal on 12-17-98, but due to the prospective buyer's statement, it looked like the apartment was reestablished without authority. Perhaps some information was miscommunicated. Any information contained in the property file and provided to the prospective buyer is a matter of public record, but unfortunately, it was not complete due to the filing issues noted above. I can understand your annoyance at the situation, and hope this information clarifies what happened. If I can be of further assistance, please do not hesitate to contact me. Sincerely, C� Mary Jacobs Assistant Town Manager :c: Ralph Crossen, Building Commissioner Page 1 of 3 Mckechnie, Robert From: Richard Horton [rhorton944@yahoo.com] Sent: Wednesday, February 24, 2010 8:16 AM To: Mckechnie, Robert Subject: Re: CARD IN DOOR Thank you, see you at 2. From: "Mckechnie, Robert" <Robert.McKech n ie@town.ba rnstable.ma.us> To: Richard Horton <rhorton944@yahoo.com> Sent: Wed, February 24, 2010 8:08:41 AM Subject: RE: CARD IN DOOR Good Morning, Just to eliminate any confusion, our meeting must be at your residence. There we will be able to review any corrections necessary. This should allow all questions to be answered at once which normally helps the process along. See you at 2:00 pm today, Wednesday, February 24th. Bob McKechnie -----Original Message----- From: Richard Horton [ma i Ito:rhorton944@yahoo.com] , Sent: Tuesday, February 23, 2010 10:22 PM To: Mckechnie, Robert Subject: Re: CARD IN DOOR just checking....we are meeting ??? at our house? let us know we can meet here or at your office, which ever is more convenient for you. thanks, rick&judie From: "Mckechnie, Robert" <Robert.McKechnie@town.barnstable.ma.us> To: Richard Horton <rhorton944@yahoo.com> Sent: Fri, February 12, 2010 10:50:26 AM Subject: RE: CARD IN DOOR Yes, the 24th will be fine and 2-3pm, thanks, Bob -----Original Message----- From: Richard Horton [ma i Ito:rhorton944@ya hoo.com] Sent: Thursday, February 11, 2010 9:53 AM To: Mckechnie, Robert Subject: RE: CARD IN DOOR Sorry, my mistake, our youngest has a follow-up with doctor at 2:30 that day and I am off cape for a dental appointment and won't get back till 2. 24th? judie --- On Wed, 2/10/10, Mckechnie, Robert <Robert.McKechnie@town.barnstable.ma.us>wrote: 2/24/2010 I Page 2 of 3 From: Mckechnie, Robert <Robert.McKechnie@town.barnstable.ma.us> Subject: RE: CARD IN DOOR To: "Judie Horton" <rhorton944@yahoo.com> Date: Wednesday, February 10, 2010, 3:09 PM Hi, Next Wednesday, Feb. 17, will work. I have put it on my calendar. Thanks, Bob McKechnie -----Original Message----- From: Judie Horton [mailto:rhorton944@yahoo.com] Sent: Tuesday, February 09, 2010 9:09 PM ' To: Mckechnie, Robert Subject: Re: CARD IN DOOR Hello, how bout next Wed 2-3 would be good for us. Let us know. Good luck travelling 2moro! Sent from my iPhone On Feb 8, 2010, at 9:39 AM, "Mckechnie, Robert" <Robert.McKechnie@town.barnstable.ma.us>. wrote: Hi, I will be at a meeting off Cape on Wednesday. Perhaps another day this week or next would work? I am usually available between 10 and 3 ' Monday thru Friday. Please let me know when you are available. Thank you, Robert McKechnie -----Original Message----- From: Judie Horton [mailto:rhorton944@yahoo.com] Sent: Monday, February 08, 2010 9:29 AM , To: Mckechnie, Robert Subject: Re: CARD IN DOOR Hello, Wed early afternoon would be good we would both be available. Let us know if this is convenient for you also. Thank you. Sent from my iPhone fl On Feb 5, 2010, at 11:02 AM, "Mckechnie, Robert" <Robert.McKechnie@town.barnstable.ma.us> wrote: Good Morning Richard, 2/24/2010 Page 3 of 3 There were two reasons for my visit to your property while I was in Cotuit yesterday. The first is because of a notice from an appraiser of fire damage several years ago that was never followed up on. The second is because of an illegal second apartment that had been.in the house and apparently never corrected by the previous owner. I look forward to discussing these items with you at your convenience and will attempt to contact you via phone when I have that number. Thank you for your prompt response, Robert McKechnie Local Inspector Town of Barnstable -----Original Message----- From: Richard Horton [mailto:rhorton944@yahoo.com] Sent: Friday, February 05, 2010 7:52 AM To: Mckechnie, Robert Subject: Hi. found your card in my door jam at 28 crockers neck .Tried calling yesterday got machine, thought maybe email would be easier to get back to you to find out the reason for the vist. 2/24/2010 NTessage Page 1 of 3 r Mckechnie, Robert &/la 2 . 7 7fZ From: Mckechnie, Robert Sent: Friday, February 12, 2010 10:50 AM To: 'Richard Horton' - - Subject: RE: CARD IN DOOR Yes, the 24th will be fine and 2-3pm, thanks, Bob ,f J a c9 �o -----Original Message----- From: Richard Horton [mailto:rhorton944@yahoo.com] Sent: Thursday, February 11, 2010 9:53 AM To: Mckechnie, Robert Subject: RE: CARD IN DOOR Sorry, my mistake, our youngest has a follow-up with doctor at 2:30 that day and I am off cape for a dental appointment and won't get back till 2.t 24th7 Judie --- On Wed,2/10/10, Mckechnie, Robert <Robert.McKechnie@town.barnstable.ma.us> wrote: From: Mckechnie, Robert<Robert.McKechnie@town.barnstable.ma.us> Subject: RE: CARD IN DOOR To: "Judie Horton" <rhorton944@yahoo.com> Date: Wednesday, February 10, 2010, 3:09 PM Hi, Next Wednesday, Feb. 17, will work. I have put it on my calendar. Thanks, Bob McKechnie -----Original Message----- From: Judie Horton [mai Ito:rhorton9442yahoo.com] . Sent: Tuesday, February 09, 2010 9:09 PM To: Mckechnie, Robert Subject: Re: CARD IN DOOR Hello, how bout next Wed 2-3 would be good for us. Let us know. Good luck travelling 2moro! Sent from my iPhone On Feb 8, 2010,"at 9:39 AM, "Mckechnie, Robert" <Robert.McKechnie@,town.barnstable.ma.us> wrote: Hi, I will be at a meeting off Cape on Wednesday. Perhaps another day this week or next would work? I am usually available between 10 and 3 Monday thru Friday. Please let me know when you are available. 2/1.9/2010 Message Page 2 of 3 Thank you, Robert McKechnie -----Original Message----- From: Judie Horton [mailto:rhorton944(c�yahoo.com] Sent: Monday, February 08, 2010 9:29 AM To: Mckechnie, Robert Subject: Re: CARD IN DOOR Hello, Wed early afternoon would be good we would both be available. Let us know if this is convenient for you also. Thank you. Sent from my iPhone On Feb 5, 2010, at 11.:02 AM, "Mckechnie, Robert" <Robert.McKechnientown.barnstable.ma.us> wrote: Good Morning Richard, There were two reasons for my visit to your property while I was in Cotuit yesterday. The first is because of a notice from an appraiser of fire damage several years ago that was never followed up on. The second is because of an illegal second apartment that had been in the house and apparently never corrected by the previous owner. I look forward to discussing these items with you at your convenience and will attempt to contact you via phone when I have that number. Thank you for your prompt response, Robert McKechnie Local Inspector Town of Barnstable -----Original Message----- From: Richard Horton [mailto:rhorton944gyahoo.com] Sent: Friday, February 05, 2010 7:52 AM To: Mckechnie, Robert Subject: Hi. found your card in my door jam at 28 crockers neck .Tried calling yesterday got machine, thought maybe email would be easier to get back to you to find out the reason for the vist. 2/19/2010 Parcel Detail Page 1 of 3 ny � ' +f*,'. e ; a "' y EtAEIt SrAtf1 Logged In As: _... � _..- y Parcel Detail - Thursday,February 4 2010 Parcel Lookup 2 ±F- / p Parcel Info Parcel ID j0 093-002 Developer LOT 2 .Lot -----..__._. ..._---------.._..-_.. —--- - Location i28 CROCKERS NECK ROAD I Pri Frontage 127 Sec Sec Road Frontage Village!COTLIIT ) Fire District jCOTUIT Sewer Acct j ) Road Index 10383 Asbuilt Septic Scan: ; P Interactive 020093002 1 Mapi , Owner Info _.._- .... _......... ...._ . ._ ......... _..- __ _.: Owner HORTON, RICHARD& Co-owner,HORTON,JUDITH LYN Streetl i28 CROCKERS NECK RD ( Street2 City COTUIT _ state jMA zip 02635 Country - Land Info --... ..._. ....... ... Acres 1.31 !Sin use gle Fam MDL-01 ( Zoning JRF Nghbd 0108 Topography ,Above Street Road i,Paved Utilities Public Water,Septic I Location iRear Location - Construction Info Building 1 of 1 /Year r _ _ Roof Ext "`." ._ qL Built11984 Struct Gable/Hip wall,Wood Shingle _ Effect -.......... - Roof ... AC' 2807 Asph/F Gs/Cm None Area Cover - Type Style Post and Beam Wall Rooms Int I Rooms:4 Bedrooms r I Bath Model Residential or Vin I/Ah p s alt 4 _... Floor y Rooms 1 Grade JxVerage ) Type Hot Air 1 Rooms Total 111 Rooms f Stories 1 1�%2 Stories Heat Propane { Found Poured Conc. i Fuel ation Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=921 2/4/2010 Parcel Detail Page 2 of 3 7/17/2003 Out Building 70194 11/5/2003 12:00:00 AM 6/16/1998 Remodel/Renov 31607 $200 6/9/1999 12:00:00 AM 2/1/1984 B26116 $0 3/15/1985 12:00:00 AM CO 1 1/2S Visit History Date Who Purpose 4/10/2007 12:00:00 AM Karen Perry In Office Review 2/17/2005 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 11/5/2003 12:00:00 AM Martin Flynn Cycl Insp Completed-Update 11/5/2003 12:00:00 AM Martin Flynn Outbuilding Insp Only 8/27/2002 12:00:00 AM Paul Talbot Meas/Est 9/1/1999 12:00:00 AM Martin Flynn Meas/Listed-Interior Access 7/15/1997 12:00:00 AM Lloyd Kurtz - Sales History Line Sale Date Owner Book/Page Sale Price 1 4/29/2002 HORTON, RICHARD& 15101/290 $400,000 2 5/20/1999 RICE, MARIAN C 12281/246 $240,000 3 2/15/1984 BOGER, DEAN M &PATRICIA M 4010/071 $1 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $232,800 $14,900 $54,700 $259,300 $561,700 2 2009 $221,700 $17,200 $8,200 $282,300 $529,400 3 2008 $246,100 $17,200 $8,200 $269,100 $540,600 5 2007 $275,900 $17,200 $8,200 $269,100 $570,400 6 2006 $294,500 $17,200 $8,500 $271,500 $591,700 7 2005 $239,400 $17,200 $8,600 $189,200 $454,400 8 2004 $182,800 $17,200 $7,900 $189,200 $397,100 9 2003 $153,000 $19,900 $0 $106,700 $279,600 10 2002 $153,000 $19,900 $0 $106,700 $279,600 11 2001 $153,000 $19,900 $0 $106,700 $279,600 12 2000 $136,000 $19,900 $0 $67,900 $223,800 13 1999 $131,800 $7,900 $0 $67,900 $207,600 14 1998 $131,800 $9,900 $0 $67,900 $209,600 15 1997 $112,600 $0 $0 $67,900 $180,500 16 1996 $112,600 $0 $0 $67,900 $180,500 17 1995 $112,600 $0 $0 $67,900 $180,500 18 1994 $111,000 $0 $0 $76,400 $187,400 19 1993 $111,000 $0 $0 $77,400 $188,400 20 1992 $126,200 $0 $0 $84,900 $211,100 21 1991 $118,300 $0 $0 $90,600 $208,900 22 1990 $118,300 $0 $0 $90,600 $208,900 23 1989 $118,300 $0 $0 $90,600 $208,900 24 1988 $138,100 $0 $0 $52,500 4)190,600 25 1987 $138,100 $0 $0 $52,500 $190,600 26 1986 1 $124,300 $0 $0 $52,5001 $176,800 http,:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=921 2/4/2010 Parcel D«6! Page 3 of 3 - Photos » » i §#p:%s 1/nr n tp opd la/Parc 1/6{a px?ID=9 1 2 4 2010 0 a� ocw QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/05/98 PARCEL ID 020 093 GEO ID 862 LOT/BLOCK DBA PROPERTY ADDRESS OWNER HEHER 28 CROCKERS NECK ROAD JOHN 0 CATHERINE M HEHER COTUIT 57 SWIFT AVE OSTERVILLE MA 02655 PHONE DISTRICT CT DEVELOPMENT STATUS D DELETED FROM USE CAPACITY (NOTES) ZONING DIST/ZOC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 100188 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT f TOWN OF BARNSTABLE !- i�� '." Zoning Board of Appeals 0""'' John 0. Heher � 'N.3 rJ�� Deed duly recorded in the $Property Owner Same County Registry of Deeds in Book Page Registry Petitioner District of the Land Court Certificate No. Book Page 1983-100 December 7, 83 AppealNo. ......_....... __ _ _..__......_._. 19 FACTS and DECISION Petitioner John 0. Heher __ filed petition on , _November 10, 19 83 requesting a variance- eft tC for remises at rockers Neck Road` - 1 e P P - ------- -- , in the village (Street) of Co.tu i t -� - adjoining premises of ..._. (see attached list) Locus under consideration: Barnstable Assessor's Map no. 70 lot no. 91 Petition for Special Permit: iQ Application for Variance: ® made under Sec.J...Ap.J;_._I°-U.I 5. of the Town of Barnstable Zoning by-laws and Sec. __ _.. _ _ _ Chapter 40A., Mass. Gen. Laws for the purpose of ...-....B.t.LMf f.rOn f_r0UA=_req.u.1-1.WP_nts Locus is presently zoned in RE Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing inBarnstab 1 e 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 7'45 () P.M. December 1 , 19 83 upon said petition under zoning by-laws. Present at the hearing were the following members: Richard L. Boy Frank P. Congdon Luke P. Lally Chairman Gail Nightingale Ron Jansson , /1 At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. Appeal No 19 83-100 2 2 PP Page — of On December 1 , 19 83 The Board of Appeals found John 0. Heher represented himself and is requesting a variance from frontage requirements to allow two buildable lots at Crocker's Neck Road, Cotuit in a Residence F Zoned District. The petitioner meets all other requirements of the zoning by-laws. He has owned the land for 30 years, and- at present there are no buildings on the lots. A single-family dwelling is proposed for the 1.3 acre lot, and the one acre lot to remain in its present form. The lots in the area range from .19 to .1.0 acre. These lots would be for use of the .petitioner's son and daughter. If a variance were granted, it will not constitute a detriment to the neighborhood, nor would it be a derogation of the spirit and intent of the zoning by-laws. The petitioner would create .a 25 foot right of way tothe rear lot. A letter from the Fire Chief has been presented stating that, .at this time the Fire Department can foresee no access problems for the fire or rescue vehicles; however, it will be necessary for the homes to have numbers, specifically, the back house, these numbers to be displayed on Crocker's Neck Road and be visible from approach at either end of the street. No one present spoke in favor or in objection to the petition. The Board voted unanimously to grant .the variance,with the restrictions forth by the Fire Chief with regard to numbering of houses -to be visible from either approach of the street. /.�.'.Jam ca- .!J - QnA) 5"Clerk of the Town of Barnstabl a e, 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. Signed and Sealed this _ . day of ____._ _. 19 iti3 under the pains and penalties of perjury. C Distribution Property Owner Town Clerk Board of Appeals Applicant Town of B le Persons interested Building Inspector — ( — Public Information By Board of Appeals Chairman �/ The Town of Barnstable * aniuvsrnet.E. • Department of Health, Safety and Environmental Services iOTEn MA't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner REPORT ON 28 CROCKER NECK ROAD, COTUIT The following is an historical account of the property at 28 Crocker Neck Road in Cotuit. 1. 2 1/2 years ago the newspaper carried an ad that the house was for sale with an in-law apartment. 2. We sent a letter to the owner giving him 90 days to rectify the problem. 3. After 90 days we saw no action so we sent a final letter to the owner. 4. One year ago the case was referred to Jack Gillis for enforcement action. 5. In June 1997 the owner took out a building permit to remove the kitchen elements in the illegal apartment. 6. On 3/15/99 a prospective buyer came in to ask what she needs to do in order to get a family apartment approved and to start a law office there. We informed her she needs to go to the ZBA for a variance and a special permit. She said at this time that the apartment was still there, and so I told her that it needs to be removed if it hasn't been before any applications could be entertained. She understood and thanked us. Ralph M. Crossen Building Commissioner 3/24/99 g990324a(misc) _ ��G" Q � ,! zr t ��rJ_ �„o. ,, -�� ,�� rL�l.. -_�c��- l�-ace. i ., . ' R , r �} , ._.� A s 7� The Commonwealth of Massachusetts '-=Y: Department of Industrial Accidents _ Office lvffnlvestig,9 fops . 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insu/rraance Affidavit name: JD i-i location �f c�Ce►�1,.� eG city Cu'+U �' /� 6�� hone# 1 am a homeowner performing all work myself. ❑ I am a sole roprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. com any name: address: city phone#: insurance co. policv# - ❑ I am a sole proprietor, general contractor`or-ho_meownericcle one and have hired the contractors Iisted below who have the following workers' compensation polices: .:........ company name: address: dhr phone#: insarnnce co.. - cam anv name: address: city- none .Rolf CV a . ..... Insurance co. VA Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or one yearn'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a Copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification I do hereb y under the psi d penalties ojperjury that the information provided above is true and correct ignature �� Date _ Print name `7�� Phone# oinclal we only do not write in this area to be completed by city or town ofIIcw city or town: permit/license rt ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's OMce ❑Health Department contact person: phone tt; ❑Other. (tenser W95 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelft house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be reannaid to the Department by mail or FAX unless other arrangements have been made. The Office of.Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ' Office of Invesuladons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 i °*THE r, The Town of Barnstable 9�A 'L Department of Health Safety and Environmental Services rEo ► Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio::: For office use only Permit no. Date 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 otherrequirements. Type of Work: //� �mOd/� Est. Cost 0 U Address of Work: C1/0Ci& ' P)!� Owner's Name Date of Permit Application: ly �� d I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. - DATE �� ..... , JOB. LOCATION 62 CtO a�/Z Ale C t Ol (?64w4- Number Street address Section of town "HOMEOWNER" LAN7L t'14 l GZ/Ct/� Name Home phone Work phone - PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occuniE dwellings of six units 'or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to rE side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Offic on a form acceptable to the Building Official, that he/she shall be responsi for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes responsibility for compliance with the S Building Code and other. applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement-z and that he/she will comply ith said procedures and requirements. HOMEOWNER'S SIGNATURE PPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which'=&-buildin: permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a persons) for hire to do such work, that such Home Oa shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor` (see Appendix Q, Rules and Regulation. for . licensing Construction Supervisors, Section 2. 15) . This lack of aware often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Hoard cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home Owner ac as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities, i ^f:nmunities require, as part of the permit application, that the Home Owne_. .. .rtify that he/she understands the responsibilities of a supervisor. On t -ust page of this issue is a form currently used by several towns. You ma,. care to amend and adopt such a form/certification for use in your communit�. y °F IME The Town of Barnstable = BARNSTABLE, • 9� MASS. ��' 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 STATUS REPORT 28 Crocker Neck R d,Cotuit,NU ` "' February 9, 1999 On November 30, 1997 the owners Mr.&Mrs.Dean Boger advertised an apartment within this house in a for sale"ad". On December 1, 1997 we notified the owners Mr. &Mrs.Boger that they were in violation of Zoning and they had to remove or legalize the illegal apartment. On January 6, 1998 we notified the real estate broker that this was only a single family home. On May 22, 1998 we sent a final letter to the owner to remove their illegal apartment. June 2, 1998 we notified the owners that we were going to seek Criminal Charges because of their failure to cooperate. On June 10, 1998 after a telephone conversation with the owner on June 9, 1998 we notified the owners to take out a permit to remove the kitchen. To this date no permits have been taken out to remove the kitchen and the apartment is being misused. At this point we are requesting enforcement action in court. Ralph M.Crossen Building Commissioner g990209B ' TOWN OF BARNISTABLIE DEPARTMENT/DIVISION VIOLATION REPORT �• �� NAMW LAST, FIRST, DLE) j RACE SEX o -PiL _ems ADDRESS (permanent) City wn ZIP x 0 STATE TELEP4eNE # EMPLOYER ADDRESS LOCATION OF VIOLATION TIME DATE DATE & TIME OF INVESTIGATION PHOTOGRAPHS/TAKEN JRANGER NAME VEHICLE/BOAT INVOLVED (YEAR, MAKE, MODEL, V. I .N. , REG. #, STATE) EQUIPMENT, I .D. #S (FISH & GAME ETC.) HELD EVIDENCE TAG # MAKE, MODEL SERIAL # OFFENSES CH/SEC. ORDINANCE/REGULATION DETAILS & OBSERVATIONS: SUPPLEMENTARY REPORT DONE? ---[CITATION #S, TYPE WITNESS: TELEPHONE # SUBMITTED BY( - DATE. Q-FORMS-VIOLRPTI P 339 592 428 ` US Postal Service *the Town of Barn c Receipt for Certified Mail • sAnrrsrne><.a. • No Insurance Coverage Provided. ,°� 10�k Department of Health Safety and Environ>I>r Do not use for International Mail See reverse) Eo;a+" Building Division Sent ° 367 Main Street,Hyannis MA 02601 Street&Number Post Office,State,&ZIP Code Office: 508-8624038 Fax: 508-790-6230 Page $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to June 10, 1998 = Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ C#2 Postmark or Date Dean and Patricia Boger. E P O Box 1899 u- rn Cotuit,MA 02635 a Re: 28 Crocker Neck Road,Cotuit,MA Dear Property Owner: This is to follow up on our phone conversation of June 9, 1998. In regards to the second kitchen area in the basement,all the cabinetry must be removed from this area and then removed from the premises. A building permit must be issued before this work is begun. This permit must be applied for within 14 days. Failure to do this will result in criminal prosecution. Sincerely, Thomas Perry Building Inspector Aan SENDER: I CERTIFIED MAIL P 339 592 eCCommpleette home s,4and na for additional services. falso iowing services, e the o ■Print your name and address on the reverse of this forth so that we can return We extra fee): card to you. ■Attach this form to the front of the mallplece,or on the back if space does not 1.❑ Addressee' Address Z ■WMe Return Receipt R estWon the mail 2.❑ Restricted Delivery y e► pt equ piece below the article number. ■The Return Receipt will show to whom the"de was delivered and the date n o delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number IC E . 4b.Service Type ❑ Registered p Certified ❑ Express Mail . ❑ Insured c Pt ❑ Return Recei ❑ COD. 7.Date of De- ery j• .� t✓f✓ ,� o a 5.Recajvep By;(Print Name) 8.Addre e's Ad (Only i sted. and feel's pX � N a g .Signature:(Addressee or ent) X W PS Form 3811,December 1994 102595-97-e-0179 Dboostic Retufn Receipt • 1AItNSfAH1.E. • _ �F 39. The Town of Barnstable 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 June 2, 1998 Dean&Patricia Boger 28 Crocker Neck Road Cotuit MA 02635 RE• 28 Crocker Neck Road Cotuit Mac (Map#020 Parcel#09"" Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring your home to a single- family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to seek a complaint in District Court. Sincerely, �jll!/A: �1. Z,/" Gloria M.Urenas Zoning Enforcement Officer GMU:kl g970618a THE . F.OLLO,WINGI IS/ARE... T,.HE, ,,BESTI IMAGES F.RO,'MPoOR QUALITY-OlkIG' ' INAL (S) j I m DATA _ �oF THE � � gn W203 49�8 ostal service Mail = Receipt for Certified • t3ARNSTABLE, • MASS $, No Insurance coverage Provided. 039. �0 Do not use for Int mational Mail See reverse ArFOMA'tA The Town of Bar tto Department of Health Safety and En` rest ber Buildin Division P otece,State &Zl�code g Qa�35 367 Main Street,Hyannis MA C Postage $ _.'2 � Office: 508-790-6227 , Certified Fee Fax: 508-790-6230 Special Delivery Fee Restricted Delivery Fee December 1, 1997 co Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Wham. Q Date,&Addressee's Address O TOTAL Postage&Fees $ .2 . 7 Dean&Patricia BogerGo postmark or Date 28 Crocker Neck Road € Cotuit,MA 02635 U. a RE: 020 093.002 Dear Property Owner: Our records indicate that your house at,28 Crocker Neck Road,Cotuit,MA,is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family You must contact this office immediately to tell us what direction you wish to take. Sincerely, �rli _ L-eJ�PJ Gloria M.Urenas ---- Zoning Enforcement Office m SENDER: I also wish to receive the .O ■complete items t and/or 2 for additional services. foilowing services(for an a ■ - Complete items 3,4a,and 4b. the reverse of this form so that we can return this extra fee): GMU:Ib • ■Print your name and address on card to you. ® ■Attach this for,to the front of the mallpiece,or on the back if space does not 1.❑ Addressee's Address Z o ■permit. rmit. turn Receipt FIN on the madpiece below the article number. 2.❑ Re tricted Delivery y CERTIFIED MAIL Z 203 41 r.+ ■The Return Receipt will show to whom the article was delivered and the date Consult pos aster for fee. d C delivered. m 4a.Article Number f= 3.Article Address to: � C a � T n^ a.. 4b.Service Type m E ^ C .- ❑ Registered ❑ Certified"` a 8 \�/( ❑ Express Mail ❑ Insured f9703IIa p a 63S ❑ Return Receipt for Merchandise ❑ COD a I 7.Date of.Delivery c X L/ 1- 5.Received By:(Print Name) 8.Addressee's Address(Only if requested a and fee is paid) Fll��la l,J b. 6.Sign re (Addressee or Age t) o X io 102595-97-B-0179 Domestic Return Receipt PS Form 3811,December 199 f Iutatr(tc CLASS I PCS I NBHD KEY NO. 200 01CT . 07/09MK 1011 . 00 03AS R020 093 31b77; UNITADJ'D. UNIT ACRES/UN VALUE Description B0GER, D M St PATRICIA �+I Mqp- PRICE PRICE #LAND 1 67,900 CARDS IN ACCOUNT - 59999.9S 59999.99 1 .00 60000 . #BLOG(S)-CARD-1 1 :. 112.600 01 of 01 12000.0 25560.0 .31 7900 #PL CROCKER NECK RD COT #DL LOT 24 MARKET 190600 13200.00 13200.00 1 .00 13200 3 #RR 0383 INCOME SE PPRAISED VALUE 180.50C ARCEL ` SUMMARY AND 67900 LDGS 112600 -IMPS OTAL 180500 CNST ` 124277 DEED REFERENC Tye DATE Recorde4 R I O R YEAR VALUE Book Page Inst. MO. Yr.ID Se1B3 Price -AND 67900 4010/071- V02/84 A 3LDGS 112600 OTAL 180500 I 1 BUILDING PERMIT 3P-BLDS FEATURES 8LD-ADJS UVITS Number Date Type Amount 13200 B26116 2/34 ND CND I Loc %R G Repi Cost New Adl Repi Value Stones Height Rooms Rms Baths I a fi:. Panywell fac. 100 91 123767 112600 1 .5 9 4 3.0 10.0 BY/DATE. / SCALE. 1 /0 0.7 5 ELEMENTS CODEJ CONSTRUCTION DETAIL 18 SINGLE FAMILY DWELLING CNST GP:00 - -*-------24-------# STYLE _ 12 SALTBOX 0.0 ` FWD ! ESI uN ADJAT _01 D£S IG _N ADJUST ___ 5.0 12 12 XTcR. IA( _ LS _ _10 tP8D/SHIN_G_L_E ___ ____ 0.0 1 EAT/AC TYPE 14 . EAT P US'P 0.0 ,1 NT .fINISH 04 W _______fQALL O.D *--37---24•-------* NTER.LAYOUT 12 VER.INORRAL .0 ------___ 0 NTER._ IUALTYBOVE_ EXTER. 0.-0 1 Loa $TRUC7 01 000 JOIST 0.0 ! E LUOR COVEit 04 ARPET--------------0.0 00r-TYPE it ABLE=ASPH SH 0.0 BASE 25 L tiff AICAL--- -0i VERAG_E_----------- O�Q OU�VDATION +71 __ __ OUREO CONC 99.9 i -------- LAND COTUIT LAND TOTAL MARKET 815 PARCEL 67900 180500 •--«--37------------X AREA 4439 VARIANCE +0 +3966 STANDARD 25 ��t-•uG' 7�`'�� `7t cr 1L �G�-mac_ ��. NOVEMBER 30,1997`"—" COTUIT:For Sale by Owner, 5 bedroom, 3 bath North- em Energy Cape,w n-law _.apt,2 car garage, in t � location, free golf, 1 1 acres, $285,000. 428-8 , Chi :7 , pe2bfe'2T� �C�rc�.� 4k� ^� �aQd..r 8�b2op� rN Ce (�(1€ZL �UjPaO ��5 S��p2�t -2NTIt �e, ;) �� C1475P� �gj Gam_ R.PSr p� t14c(S2 ' JJ 1� �J We've just listed this property: 08 Mb� USA For all your real estate -' me -, needs, please call. { .S Call today for a Complimentary Home Market Analysis CB Willow RealtY P.O.Box 1605,Mashpee Commons,MA 02649 47`7-77 a REA Esr G Mat�vG — EM Rm Easy" If y"pmpsny is wnently listed with a real estate broker,please diatrPrd.It is nd our mten y to eelcit the MUrU a of other real wham emkere.We are nappy to work with them aM coopers 019W Coidwell Banker Corporedw.An Equal Oppodun4 CarnPerry.6Q Equal Nousiny Opp-rwity.All 5 We—Independemry owned and OpereMd.In Canada.each otke is an iMependemly owned and operated memeer esker of(gltlwell Banker Atilialea of Canada.Printed in U.S.A.M.Iri y Form p1S29W N7 t FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( • uilding Commissioner or Inspector of Buildings O Board of Health or Board of Selectmen O Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: HORTON, Richard &Judith Lynn . Property Address: 28 Crocker Neck Road Cotuit, MA Policy Number: HP971535 Type of Loss: Fire' Date of Loss: 2/25/2006 File#: 104209 Claim has been made involving loss,damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice.under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location,,policy number;*date'of;loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. J. F. MCNAMARA Adjuster 3/7/2006 Imigmeming Der) Map Paicel 05�; 00.2, Permit# -,nt (6 Q House# Date Issued ceQ Board of Health(3rd floor)(8:15 -9:30'/1:00- �" �. t _ ann ep . or¢Seh ldg.) SEPTIC SY ST BE INSTALLE IANCE De-- 19 W f ; ENVIRONM 9. DEAN® TOWN OF.BARNSTABLE TovvKt,RE TIOI S Building Permit Appli tion , Project Street Address 28 C'Ao G/t eAJ Village Owner ue►p \J `. l 1J ,St�VL Address DO1111 "r, " Telephone 'Permit Request RemiuGY C- GNL-PJ C-' kAh J 'First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ®D F Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No / Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) �( Age of Existing Structure JqV Historic House ❑Yes �J No On Old King's Highway ❑Yes '(A No t Basement Type: 'S Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 5, New 1 Total Room Count(not including baths): Existing 9 New First Floor Room Count Heat Type and Fuel:'14 Gas ❑Oil ❑Electric ❑Other ` Central Air ❑Yes \�No Fireplaces: Existing New Existing wood/coal stove Im Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) X C A K ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W No . If yes, site plan review# A Current Use Proposed Use Builder Information Name Telephone Number �'��-- D Address gw cx4 aep�, x)eck AX License# �--- coy� vi 1 !/1 w 0"2 cgS, Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '1.2 --7� BUILDING PERMIT DENIED FOR THE 01'. OWINQ REASON(S) � h.t • A: �~ VVV///AAAVVV t FOR OFFICIAL- USE ONLY _ ^, PERMIT NO. DATE ISSUED MAP/PARCEL NO. I - w { 1Y i$ ADDRESS �' VILLAGE OWNER DATE'OF-INSPECTION: FOUNDATION - - - - • FRAME INSULATION ` :FIREPLACE y , ELECTRICAL: ' ROUGH FINAL i r PLUMBING: IO UGH - r FINAL i t n N t GAS.'" HI�UG1� .. FINAL FINAL BUILDIN � .. - • . DATE CLOSED O o l r ASSOCIATION PLA-9,5O. 4v , 1 T TOWN OF BARNSTABLE ,. DEPARTMENT/DIVISION VIOLATION REPORT • NAMF,b,i LAST, FIRST, DLE) RACE SEX ADDRESS (permanent) / City wn ST TE ZIP �2?2 z �� ;;k" 0 STATE TELEP E # ------------ EMPLOYER ADDRESS LOCATION OF VIOLATION TIME DATE «f9 417 ,-�� DATE & TIME OF INVESTIGATION PHOTOGRAPHS/,,//++AKEN RANGER NAME �/ 4111,011T ,j VEHICLE/BOAT INVOLVED (YEAR, MAKE, MODEL, V. I .N. , REG. #, STATE) ) EQUIPMENT, I .D. #S (FISH & GAME ETC. ) HELD EVIDENCE TAG # MAKE, MODEL SERIAL # OFFENSES CH/SEC. ORDINANCE/REGULATION DETAILS & OBSERVATIONS : SUPPLEMENTARY REPORT DONE? FC TATION #S, TYPE WITNESS : TELEPHONE # SUBMITTED BY: T;ATE- Q-FORMS-VIOLRff UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS 111111 Permit No.G-10 1 • Print your name, address, and ZIP Code in this box• Town of Ban1"1e Building DIWOU 36TMOM N Hyannis,MA 001 d SENDER: o ■Complete items 1 and/or 2 for additional services. I also wish to receive the rA ■Complete Items 3,4a,and 4b. following services(for an d ■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 maiipleoe,or on the back if space does not 1. ❑ Addressees Address permit. ■Write'Retum Receipt Requested'on the mallpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. c VL 3.Article Addressed to: 4a.Article Number g o E t x'�e 4b.Service Type Q C) ❑ Registered Certified 0 1 ❑ Express Mail ❑ Insured S ¢ �,i �. 26 3 ❑ Retum Receipt ❑ COD a7.Date of Del ery T z �� 'l� o fY � 5.Re 've By;(Print Name) 8.Address e's Ad 7(Only t e sted and lee 's pa t g .Signature:(Addressee or ent) �� aj ~ X PS Form 3811, December 1994 102595-97-B-0179 CROIqStiC RejWn Receipt ,i P 339 592 428 _ US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to Street&Number Post Otfice,State,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee N Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address WTOTAL Postage&Fees $ 0 Postmark or Date . 12 C0 d Stick postage stamps to article to cover First-Class postage,certified mail 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 m window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the:, aa) return address of the article,date,detach,and retain the receipt,and mail the article. in 3. If you want a return receipt,write the certified mail number and your name and address rn 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. a 4. If you want delivery restricted to the addressee, or to an authorized agent of the C 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 E receipt. li return receipt is requested,check the applicable blocks in item 1 of Forth 3811. ti 6. Save this receipt and present it if you make an inquiry. a I OFF� '.t` I' the Town of Barnsable • snRtvsrns�, Department of Health Safety and Environmental Services �EDMA'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 10, 1998 Dean and Patricia Boger P O Box 1899 Cotuit,MA 02635 Re: 28 Crocker Neck Road,Cotuit,MA Dear Property Owner: This is to follow up on our phone conversation of June 9, 1998. In regards to the second kitchen area in the basement,all the cabinetry must be removed from this area and then removed from the premises. A building permit must be issued before this work is begun. This permit must be applied for within 14 days. Failure to do this will result in criminal prosecution. Sincerely, Thomas Perry Building Inspector Am CERTIFIED MAIL P 339 592 428 R.R.R. �Y t • BARNSTAEM • 6,1 �• The Town of Barnstable rED MA'S A 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 June 2, 1998 Dean&Patricia Boger - 28 Crocker Neck Road Cotuit MA 02635 RE: 28 Crocker Neck Road,Cotuit.Mass.(Map#020 Parcel#093) Dear Property Owner: . We are sorry you have chosen not to cooperate with this office in restoring your home to a single- family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to seek a complaint in District Court. Sincerely, 140-7, Gloria M.Urenas Zoning Enforcement Officer GMU:kl g970618a RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Crockers Neck Rd. Cotuit C 20 93 73 LAND - BLDGS. ~ OWNER TOTAL RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND BLDGS. 1, 86 HeherJohn 0e & Catherine M. 1 22 5�F VO'1 4 4o8 U 0 TOTAL r /I /^) 2.10 a LAND Jr Sw tT /7 v C v I eau BLDGS. J o/ TOTAL LAND i BLDGS. TOTAL LAND BLDGS. TOTAL LAN D soMog O LOT U302 44 PNrjite NL BLOGS. TOTAL . LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS AMY rn BLDGS. LAND TYPE #C OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT i 0 O 1.2 d G u _7 a 0 u 3 0,Z o 0 LAND CLEARED FRONT BLDGS. .REAR TOTAL WOODS&SPROUT FRONT LAND REAR 0 3.oZ j U 3a S 0 BLDGS. WASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAND 3 4 BLDGS. LOT COMPUTATIONS L�ht FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND 1' BLDGS ROUGH TOWN WATER 0) . HIGH GRAVEL RD. TOTAL _ LOW DIRT RD. LAND _ - I sweuaY NA on BLDGS. STATE DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY NO. 200 01CT 07/09f 1011 ,. 00 03A8 'RO20 093 - :4 ;b 31A777 UNIT ADJ'D. UNIT ACRES/UNI%- VALUE Description BOGER, DE M & PATRICIA 4' MAP— _ PRICE 'FoF�ICE • . #LAND 1 67i9(]0 CARDS IN ACCOUNT — 59999.99 59999.99 1 .00 60J00 . #BLDG(S)-CARD-1 1 - 112,60fl O1 ' of fl1 12000.0 25560.0 .31 7900 #PL CROCKER > NECK . RD COT ` #DL LOT :2 ' ARKET 19060.0 13200.0 13200.00 1 .00 13200 3 #RR 0383 INCOME USE APPRAISED _ VALUE A 180.50C ARCEL' SUMMARY AND 6790C LDGS 112600 —IMPS TOTAL : 18050C CNST ` 124277 DEED REFERENCE Typa DATE Recorded R I O R " YEAR VALUE Book Page Inst. MO. Yr.iC Sales P6ca AND 67900 1 I 4010/071, V02/84 A ' 1 BLOGS 112600 TOTAL 180500 1 I I I BUILDING PERMIT Number Date Type Amount 3P—BLDS FEATURES 8LD—ADJS UsAITS 13200 26116 ' 2/84 ND CND I Loc °b R G Repl Cost New Adl Repl Value Stones Reight Rooms Rms Balls A fix. Parlywall Fac. 100 91 123767 112600 1.5 9 4 3.0 10.0 BY/DATE. / SCALE. 1 /0 U.7 S ELEMENTS CODE CONSTRUCTION DETAIL 18 SINGLE FAMILY DWELLING C14ST tGP: 00 -- *-------24-------* STYLE 12 'ALTBOX 0.0 vi ——-—————— ——— ——----—-------—------- FWD ! DESIGN ADJMT 01DESIGN ADJUST 5.0 12 12 EX TER.�iALLS—— —10 LPBD/SHINGLE —-_ 0.0 ! i8 AT/AC TYPE 14 : EAT PUMP——------ 0.0 NTER.FINISN 04 RYWALL ——-----——- 0.0 •---*--37---Z4-------* NTER.LAYOUT 12 VER I-NORMAL ---- 0.0 ItiTE-9 QJALTY 1 1 SOVE_ EXTER0 ---- 0.0 ! LOtTR STRUCT : 07 6-66 JOIST—---- 70.0 E F LUOR COVER—- —04 ARPET —------_-- 0_.0 —OOE.—TYPE ---— —01 ABLE=ASPN SH ©.0 BASE 25 LECTRICAL --- —111 k VERA Mt—--------- 0.0 UllyDATION i71 OURED__CONC-- --49.9 -------------- -—— ---------------------- --------------- NEIGHSORH€3OD : 03AB COTUIT—------- LAND TOTAL MARKET 915 A PARCEL 679001 180500 •-- --37------------X AREA 4439 VARIANCE +p +3966 STANDARD 25 , Town of Barnstable Regulatory Services Thomas F.Geiler,Director • '"�' S. Buildin Division 059 9 a6g9• `�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 y Office: 508-862-4038 A-0- Fax: 508-790-6230 �11�1 ba PERMIT# ®f � FEE: $ c '�- 02) SHED REGISTRATION 120 square feet or less 7 Qp(,Ke2� c4v` Location of shed(address) Village. Property owner's name Telephone number � L W L Size of Shed Map/Parcel G Date Si ature Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? G Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 UNITED STATES POSTAL SERVIC�k�5 0 - I. ss Mail 4 c � ostage&&"Pees paid _ r�fit ris., lI$J?S„ Permit No.G"-10' .Print your nari}pq,,�a'dress,and ZIP Code in this box• i a Town of �o Building W3,16ij 367 Main St. Hyannis, MA 0 01 l - � d SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. w • ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Atttaac'?this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address � d ■Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date ., o delivered. Consult postmaster for fee. a 3.Article Addresse to: 4a.Article Number CL 1 �� c a B 4b.Service Type ❑ Registered ❑ Certified, to i W ❑ Express Mail ❑ Insured V-1 IX I ❑ Return Receipt for Merchandise ❑ COD 0 7.Date of_Delivery Z , o 0 5.Received By:(Print Name) 8.Addressee's Address(Only if requested c ( w and fee is paid) t � /�i�CICiA V1. d Pl2 6.Sign"re••(Addressee or Age t) 0' W PS Form 3811, December 199 102595-97-6-0179 Domestic Return Receipt _ 1 0203 49r5 '-4�8 Pstal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Int rnational Mail See reverse S t to T `(Street& tuber P Ott'ice,State &Zl,Code Yk-4,_ O a(0 3 S Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee L Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to whom, Date,&Addressee's Address Q TOTAL Postage&Fees $ `7 wh Postmark or Date 0 t1 Cn a Stick postage stamps to article to cover First-Class postage,certified mail 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 a�i return address of the article,date,detach,and retain the receipt,and mail the article. '' Ao 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 addressee,endorse RESTRICTED DELIVERY on the front of the article. 0000 M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811` ti 6. Save this receipt and present it if you make an inquiry. t o2595-97-B-oi a oFTMe r MAQQ an�wsrnai.E, • E A�� The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 1, 1997 Dean&Patricia Boger 28 Crocker Neck Road Cotuit,MA 02635 RE: 020 093.002 Dear Property Owner: Our records indicate that your house at,28 Crocker Neck Road,Cotuit,MA,is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as. possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family You must contact this office immediately to tell us what direction you wish to take. Sincerely, _ Gloria M.Urenas Zoning Enforcement Officer GMU:lb :N CERTIFIED MAIL Z 203 495 448 f970311a S TOWN OF BARNSTABLE' Permit No? _--- 26116 ----- - ------------- ;-z Building Inspector ; nedaerAac Cash t---------------- K------------ -.. 1A OCCUPANCY PERMIT Bond ------------ Dean M. Boger Issued to address 28 Crocker Neck Road, Cotuit Wiring Inspector (/ '� ¢ 2 Inspection date -7 /d Plumbing Inspecto J s, Inspection date Gas Inspector Inspection date Engineering Department Inspection date? Board of Health �� ,r/� / � ,� � Inspection_,date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT.fBE, OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE. WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS,STATE BUILDING CODE. 19W .................................................................................................................. U Build o- Inspector FROM TOWN OF BARNSTABLE 9 Mr. Francis Leine BUILDING DEPARTMENT A!'vi THY} 'A.it�.x'.rl PFC ais'M ez I 3bwn Clerk 367 MAIN STREET HYANNIS, MA 02WI Phone: 775-1120 , SUBJECT: FOLD HERE' - x' - •• DATE • - _. _ 'sr 'July 24, 1984 MEISSAGE Wyk has been.caraled wider hermit #26116 Dean rM. Dogerj Please rel+ �&cnd. SIGNED DATE - RE-PLY 77 Ne7•Rml - RECIPIENT:RETAIN WHITE COPY,-RETURN PINK COPY • - - PRINTED IN U.S.A. SENDER: SNAP-OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 1.G '-7 t,_.� 1 1 t LET a i 1 S1 T 1 N tZ,o tv j K.1 157 1tiJt- i FC)0J JDATtOtit 45 , 1 . 4 3 r—ULj N L;> Tt O PSI G E R F C j t O tJ J (�T ►1 F IQ .+ N E . Imo, 't2'p/N.0 Tr.�1{,.r 4e/a.9 T A P-') L r-_ t.ti A Zo.op' rlcl?�, Zl, 1� �� S�Ac.E-- 1 fit./M. NA r W "N P-'A-/ + Z7-70' l� L.NML-1LJ7 /�� ►�AS�j, r On the basis of my knowledge, iniformation Lnd s G ►�OG!<�� belief, I certify to The Town 2;� Oqrn,TAaa that as a result of a survey made on the ground on, a 2i 04L , I find that: q }"The structures) are located on the site as �P�SN OF�qs .;.;shown. WILUAM �9�yc ;;The title lines and lines of occupation o.- the a WA M.WICK n j cite are as -shown hereon>.;.1%e. site is situated in Flood GoneNo yQaar�C No. 19771 " 'Al�� Fc� � . Coim�aurity panel. No. 2`SDao� 7, ST6 yp suR4E ;Date: ,2 2 Assessor's map and .lot umb�... .:' -i-1 IC S, THE t Sewage Permit' number .... G �..... _ { p .. d fig. ,q��8';M�� r ' [s Q fi EtJVISONIVdEN`l TIA v g• , Z MAUSTADLE, i House number .. .. ........ ...... �5 au 'tl< 9O NAB& . E-•,3+��w g Oo�i639 6 , r ` DMA A, TOWN OF BARN�STAB:LE �'? i• k { �' - �'"� it :� a ,.' ,�'�, ^ BUILDING - INSPECTOR ' APPLICATION_F;OR PERMIT TO . ..............�••J/%fy•• ��1 / '„•.: �., l " •••••( ... l . .TYPE OF CONSTRUCTION ` ....... y ,J .. . .......... ........................................................... ..... ...........................19.. TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the,following information: Location ... ��'4! C ..:.......................................... . -Or ..... ........... ............ ................y............. . ................. . Proposed Use ..:..�. ................ .... ... ........................... ........................ J" . .. ZoningDistrict .... ...............................................................Fire District ....................................: ............... V.SName of OwnerE.✓.... � �'�'� Address'... �... ��/ .� !....... Gi' .... ....... "' h .................Address ...G�SJ„ s'r��/ ;J`�„•• ��w, e.Name of Builder ..... � ��(.�,,, .. .. . ...... ... . ... ............... oX c•l6_ Name. of Architect Q T .... � � �..Address ?.+7 �Ncvi!��' i! /�c� vie' ...R/n i�reN„V 06_0.Z �/ Number of Rooms ..................Foundation, ...............� ................................ Exterior CCfI 3. 6i5�ize? ' S�/r /+P�/ i� .& ................... ............ .......................Roofing Floors _ ...: ......Interior ........ ;/�/t'• .. .`..../�.....`.... ......... 'Heating . .CGJNtl G.�/�J�G.f� /V�'�9� /�/h? ..............Plumbing* ..... .:,/ ........................................................ Fireplace ..... Approximate Cost ......(? .................................�.� /�°•��. ,l a e os -----19--------. Area ....�(� Definitive Plan Approved by Planning Board ________________________ �... ., . ................. Diagram of Lot and Building with Dimensions #. ' Fee, .... . _. .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH ` ri OCCUPANCY. PERMITS REQUIRED FOR NEW DWELLINGS I hereby'agree to conform to all the Rules and Regulations of-the Town of Barnstable regarding the above' construction. . I « �Name . 2 ..... C�.................................. ` Construction Supervisor's License :................................... tBCG21T, DEAN M. , No ?26116.... Permit for .....12 Story............. I w S llingin 1e Family Dw� ... ... `............... .................. .......I. ....... location „28 Crocker Neck Road •... .......... - a a y s r ie cotuit !�` ;- .... .. .. ...... .................� ................ Owner Dean M. Boger...: '. ........ r .1 j �� :' r: _ .Type of Construction' ...........Frame ........ tz + ~ Plot ....................... Lot< r........ ...................1 ..... _ r'p } - / , 1. �r• ,/•, - Permit Granted 2..February 28, ... 19 84 ; Date of:Inspection..:.!........................ >:.19 F Date Completed .7:n . ..........19 t ' r ' ' ' N r P. ✓. �•? !t•M1 J / � {�' / `� +f /tom. X' .. % If . '� x' - �•= � ,��„-_ • - _ � if _ lrllfi. , • �t�.�E a %• �� 000-1 J � f N . i `Qn 57, 1 04 W � . � N .1 r� 1 47>4, •�210 N N 0 37,0' °01 �aLI �i j lti1G. W�.�U �OU1.,J DA T L!J rl j .. S FIJ T 1 O,-1 G I�i F i C AT t Ot r U L-OT Z G�2v{ (� 14:;✓ s 'ry t'(' 1��r:J ti T a s�L �., iti A*'.�5 . 5 Zolop:': : irk 0, Z1, W M• Mr W A �/ J' 1 j . ►SASS, �A L M v l..i"1• ►n1, z7.70 + i t ! G I�OGK� •� On the basis of my knowledge, information. and belief, I certify to 7A-_ T17 own of�orn?tu6lc that as a result of a survey mad n the ground � on z ai B¢ , I find that: ; The stxucture(s) are located on the site as �N OF 4,qs� .� ,,shown. line 'of occupation of the o� � © . ... The title - lines and s � w�M.An1 yN 'site' are as shojm hereon. WARWICK m � he- site is situated in Flood Zone 9 No. 19771 H t �Fe� �4° Gcam .ty Parie1 No 2,.as.000r mid ..,Oate:,�G�l=�.�.j 2 Z Assessor's Office(1st floor) Map An-z-,0 Parcel it# /3 oZ Conservation Office (4th floor)(8:30- 9:30/ 1:00- 2:00) , Date Issued Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:45) /;?4 Jk� Fee v Engineering Dept. (3rd floor) House# SEPTIC M MUST BE INSTALS MPLIANC�„ A ` E 5 19 ENVIR® TOWN OF BARNSTAB LIE Building Permit Application Project Stre ,,;� e, cl, C e:�,Z. AIRk Village "771i Z j Owner r J4-( 1'--�64 A_.� /g o 6&-r2 Address Telephone 41 l� 0 — Y 10(1 Permit Request <2A71 66; — 5 q j 11��.Lt✓'p Eti 51c X .vbiz hlkLG A First Floor square feet Second Floor -J 7 square feet Estimated Project Cost $ —2�� CC))-C Zoning District C 17 Flood Plain Water Protection Lot Size l /�C4 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use �jr_, — 5 X.6?,,- Construction Type C ,^, i;-e A.,C�z c Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure f 0 j Basement Type: Finished Historic House Opv//+ Unfinished t Old King's Highway kllf Number of Baths 4/14 No. of Bedrooms Total Room Count(not including baths) First Floor 7 Heat Type and Fuel ? Central Air ? Fireplaces A&;1/6- 6,P iIU;IE Garage: Detached Other Detached Structures: Pool Attached U 6S' Barn None Sheds Other Builder Information Name l bv Telephone Number Address 070 7-eao i License# 5 df G `30J Home Improvement Contractor# Worker's Compensation# '30L NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE cl)^ / (V`le �o BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ' FOR OFFICIAL USE ONLY PERMIT NO: • _ _ ..` ' DATE ISSUED MAP/PARCEL NO. ADDRESS x VILLAGE i ONER DATE OF INSPECTION: t FOUNDATION FRAME,' INSULATION - t � FIREPLACE• ELECTRICAL:' ROUGH FINAL OMBING: ROUGH r'. FINAL GAS: ' t ROUGH , FINAL 1 , FINAL BUILDINGSrq w _ DATE CLOSED,`OL T ; F ASSOCIATION PLANTNO. 1 , r _ i s � '� .YQ'��d66G7fldB�d MME'' "PROVE SPiskr�t#oA�0180 L `"� fi+pe`�INU VIuynL �` s . � �0rqut 4Brookd Y } Sul �t�. '��4fJvl.,f.0 '.., Ikt INI 635 ; �•aw_y��r �- ✓�ie i�omvnwoauseall,�z a�..�Ga�cfiu OEPARTNENT OF PUBLIC SAFETY ! ' Ec. CONSTRUCTION SUPERVISOR LICENSE !s Nudber Expires: Restricted To: 00 s: 3 `BARRY V GALLUS -170 TROUT BROOK RD COTUIT, NA 02635 The Town of table KPAL S Deartment of Health Safety and Environmental Services p s°�' ,• r Building Division 367 Main Street,Hyannis MA M 0I Ralph Crosses oT= sob 790-62Z7 B".1aing Commi: Fax 508-775 3344 For office use only Permit no. Dau AFFMAVIT HOME IIVi3'ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERmrr APPLICATION MGL c 142A requires that the"rCCOnsttuction,alterations;=ovation,srpaiA n odernizatiln+ConHel3Z°n, improvement,,rentrnat, demolition. or construction of an addition to any Pvc'obting owner 00�� dingc=aining at least one but not more than four dwdUng units or to strut=which=ad#ccnt contractors.with certain meptions,along with other to such residence or building be done by registered _uirezacuts Type of Work: 4 4 C7& ) " bolT76-ro Fst Cost al S eft Address of Work: (;'0a I Oaner.Namct ph,--t Date of Permit Application: 1 '6 I herein•certify that: Registration is not required for the following rcason(s): Work excluded by law Job under SI,000 Building not caner-occupied Owner puling own per:n# Notice is hereby gignen that: OWNERS PULLING THM OWN PERMIT OR DEALING�N�OT HAVE . N CONTRACTORSS M , FOR APPLICABLE HOME 24PROVEMlE�Tr WORK ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hamby apply for a permit as the agent of the owner: 96 tractor name Registration No. Date OR The Commonwealth of AtassaCl •eit, Dc purtntent of Industrial Acci �, Of/iceol/ovest/gaUoas 600 11 ashington Street Boston,Muss. 02111 Workers' Compensation Insurance AMdavit ,ennlic��n nfot•maiione Please PRiNT'�` y_ ' •�._ . . . ._. .. . name: (7% 2 �.�/�6, kt 6,ci My 7-i4l?6o r— (-a Tb t 1 Goo location: �y�(')7`t) 1 l nhnnc#I am a homeowner performing all work myself. I am�aa sole proprietor and have no one working in any capacity rl I am an employer providing workers' compensation for my employees working on this job. Company name. address• ci phone#• insurance co. op licy# I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: ci phone#- insurance,co- policy# j:^✓^�-T:=-- ..`.'-:-r: .---.-. write:s:+.4.._,''`i`-'�"•'•:. 'R;^ifj'••!�se�.�•� - _ •�R;+.•,•;r.+�!R�e�=F�^4�^'_' ,944.>-*R..?-••-^'�! 1rc.nmrany name: address: city: phone#• insurance rn olI lia# _ :Attach additional•shert if nice •,:�7:-•was:�. r_+'�-.*r�+t r*t:-`:. ="c�c. .• '� s ",� ':^ ;,;v. Failure to secure coverage as required under Section 25A of 51GL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do herebt•cert/f}}• der the pains and pen ies of prijuYy that the information provided above is true and correct Sisnazure L�- ate Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# riBuilding Department Licensing Board 0 check if immediate response is required 0Seleetmen's Office (311ealth Department contact person: phone#;. nOther (revised 1'93 PJA) information and Instructioro Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an emplo.vee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An einplitver is defined as an individual, partnership, association,corporation or other ,cgal entity, or any two or more of the fore=oint, engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the-rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter i'S2 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commomvealth for any applicant who has not produced acceptable evidence of compliance with the in coverage required. commonwealth nor any of its political subdivisions shall enter in Additionally. neither the co ) p .to 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. (' _ .�,..:5-r,':v: '�;:;•f+f:.'.\?i ,.,.._. �'`....;•'y...' .P�' � 1 *�uw. ,.��tC r�{.!�. J"�L'..i,;f:r 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 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 affida�it. 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. .•.^�^ww. J.O�1Af ..... ,. �' -M �.� 't.-.i ii a. ;a'�"r' '1' '; 12r"„w.S'airri�' r .�.►�•T �n+ft;�.'1.'�••� i'. :�.�• Ciro or Towns Please be sure that the affidavit is complete and printed legibly. 17he 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 maybe returned to 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. ;. ,►�Yf�w�., A.rwrwwM�i►�TYn.14.'lt'...,..:..: .... _ .y• _,wC•.�.s•�i)�N(.' ,�VI,l�1��-T��. • 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 fax#: (617) 727-7749 -. phone#: (617) 7274900 ext. 406, 409 or 375 N � 0 'n PRO•�lJ�S r D �faL1.. � ^ I I 1 6T G,rR F4AsT eawC 0 6fzA1 4 AAtiIr4 Y PRO P, STD. r/ 994CASr �` 'I BR , _ � pa .40W( tgoa iAL OWL . > SaLrTtf- Ta "w- FL-m5l Ay it 100'� tt:x r,! �r ITV / �2•r Pi'' �, 0� Ac -� 0 tx v ' N j 3 W Z N { T = p ,A• LOT' z G9 o iz ►JCLI�' RoA• L� f i N 647-rOIIr �a. F' ij ;-T/ar3LV , MASS • I i oo . fit/ M, f-A• W&rl .I1tGK A 475vG. 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MM6 ` �p 1639: ♦� SEE MPY Ar\ TOWN OF BARNSTABLE� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��/t'�r� � �°�� r y� � ` ....4141...................... TYPEOF CONSTRUCTION ....�.` � `�9 ......... .................................................................................... 7 .........................,9.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..1'1�UC Cr f....G..l C'/(....IV.......CJG7L�i� /I.....0 �.3 ..... ProposedUse ....a/.y le....� �z✓�/`!l�/14 ............... ................................................................................................. ZoningDistrict ....1..!. ........................................................Fire District .... ...,......................................................... Name of Owner� l� /,�( �K......................Address ��/ � �G ! �./f..... .......� './/........:................................................... Name of Builder �� /'!A.:. L.✓..`.................Address Gr �%'P��f C �'�� _ 13oac yl3 Name of Architect .�� v �.. � ' "..Address !t/O! ....�.?Rc✓/sH t/?" oSasS` Number of Rooms ''u!`............................................Foundation .............. . .............................................................................. .Exierior C641,6 �0 S�//ic.+�'lC/ /Y� C"� ....... ...................................�.............................Roofing ......... .............:......................................................., Floors 1 lS�r- ............................... .......Interior .......0--,664 /.J/� 1�C L....... .............G�............................... Heating y !C�<rWb...� �'ff.............................. rldlh •............Plumbing .......�.....!�!9`f ......................................................... Fireplace . � e.e......:fW...i..U..4...�.v..v< CN ` ................Approximate Cost ............�..................... Definitive Plan Approved by Planning Board -----------_____ .............. ------------- 9 — -• Area ...,................ Diagram of Lot and Building with Dimensions Fee . OX.:-l��J.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH > ,a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable_ regarding the above construction. Name ......,...��t4!.........., �... .....:.................. Construction Supervisor's License .................................... BOGER, DEAN M. A=20-93 00�- S ry No ...... :.. Permit for .................................... Single Family Dwelling ...........:................................................................... Location 28 crocker$Neck Road cotuit V r ............................................................................... i Dean M. Boger Owner .................. r Frame - Type of Construction .......................................... .................... ............................................................. t Plot ............................ Lot .............................. Fz F �. Permit Granted F�rur'..28!.... 19 84 ................... ..... r Date of'Inspection m. .... .. .. .. Date Completed f r /f a V J i a r. s - Town of.Barnstable CF I Tp� tia Building Department Services Brian Florence, CBO w ansxsTnst:E. M" . $ Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family.Apartment Affidavit 1,being on oath, depose and state as follows: .� My name is �L��'�"''G �' I am the owner/resident o e � n I property located at: "Z C no C KQ,yS 1�,2, The following members of my family will be the sole occupants of the Family Apartment ate ''i' aforementioned address: Name &relationship to owner: Name &relationship to owner: SA Cry 2 S 0 VX The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building gommissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. tj The apartment has been transferred to the Amnesty Program(Appeal No., ) Other Sworn nto unde the pains an penalt' of perjury this day ofq-hu 2019. Sign We Phone Number Print Name ►L c li 1� � 12`1�' "� q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department Brian Florence, CBO t `E$ Building Commissioner TOWN OF BARNSTABLE '9 tb3 ♦0 200 Main Street, Hyannis, MA 02601 ZQ J Q FEB _S P 2 19 www.tow n.b a rn sta b l e.m a.u s 4, Office: 508-862-4038 Fax: 508-790=6230 DIVISION Town of Barnstable Family Apartment Affidavit I,being on oath,depose and state as follows: My name is %&�u` &lam CAI 40__V/�nN I am the owner/resident of the property located at: a� 0,OC i-d, V f ct' _- ACC The following members of my family'will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Atk/4 - ✓�V1 G'b' Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn der the ins and penaltiel of perjury this ol? day of_�Tah WK 2018. L Signa e _ / / Phone Number Print Name e a�Ul }/� � l �Q (3 �- q:forms/fainaffid.doc rev 11/22/2017 i January 31, 2018 Brenda Coyle Permit Tech Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 Re: Family Apartment at 28 Crockers Neck Rd, Cotuit, MA Dear Ms. Coyle: Per our telephone conversation, I am detailing our use of the in-law apartment in our home. The ultimate purpose of the apartment will be for my mother at some time in the near future. In the next 4-5 years, we intend to use the apartment for our son who is a freshman in college at Northeastern. Our intention is for him to use the apartment during the times when he is home (winter break December- January and summers May-August). In addition, he will be completing three 6 month co-ops as part of his education. His first co-op will be here on Cape and functions as a full time job. If you have any questions, please feel free to contact me at (508) 367-6498. Sincerely, oCD Richard L. Horton Ze cn 28 Crockers Neck Road ►v Cotuit, MA 02635 '�, Town-of Barnstable %Regulatory-Services oF1HE�y� Richard V.Scali,Director DUILDING DES Building Division ABA• Paul-Roma,Building Commissioner AN 12 2017 � t% 200 Main Street Hyannis,MA 02601 EnTOWN,01 1< t 1�V �� , ' E - www.town.barnstable.ma.us � Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state-as follows: f My name is LCl I am the owner/resident of the Y 'property luGatecl at: r- 4V - . The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: k,-�O Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said. Family Apartment is permitted. I understand that I am required to file an Afjldavitannuallywith the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning-Ordinances Section 240-47.l Family Apartments'. I agree to notes the Building Commissioner immediately in the event of the sale of this property. --- z If there is no 4onger a Family-Apartn enfat this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnes� Program.(Appeal No Other Sworn to under t pains and penalt' of perjury this W j 0 41k day of A 2017. b Signalde Phone Number Print Name q:forms/famaffid.do c rev 11/08/12 r a Town of Barnstable t Regulatory Services =� o of rWlr Richard V. Scali,Director Building Division MUW ssBLF. Thomas Perry, CBO,Building Commissioner iOrE16,39. 200 Main Street. Hyannis, MA 02601 _ www.town.barnstable.ma.us `` • LL Q Office: 508-862-4038 Fax: 5 8-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: 4 �My name is �� C`l V'2 I am the owner/resident of the nrnperty located at' o1C`(S r C The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address Name &relationship to owner: Lg c-( {) i U,6 Name &relationship to owner: ,The Family Apartment will be.the primary year-round residence for the..above-identified •' ='family members. In the event that the listed relatives vacate said--apartment,I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no.longer a Family Apartment at this location,please explain: ... .. i UGGlI ulJlliz4[iilcu:- The apartment has been transferred to the Amnesty Program(Appeal No. ) Other . Sworn to under ains and pe.alties of perjury this o?I day of a i1�aV 2016. Signature Phone Number Print Name q:forms/famafid.doc rev 11/08/12 Town of Barnstable oFt ,q�, Regulatory Services Richard V. Scali,Director , 'ABCE RUMSTABLE. = Building Division Thomas Perry, CBO,Building Commissioner '' } 200.Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us A. Office: 508-862-4038 �ax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and.state as follows: My name is �1 cj. 4zj I am the owner/resident of the property located at: Lj�g &Jec� f The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: h._ S I Y) j�S Name &relationship to owner: 5 Is'kv" The Family Apartment will be the primary year-round residence for the above-identified family members. In the event*that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.'I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain:. The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other A Sworn to under`t.]iaains and penal ies of perjury this_� day of 2015. -"` SKgria e Phone Number._, Print Name Yr q:forms/famaffid.doc rev 11/08/11 , , Town of Barnstable Regulatory Services toy�� Richard V. Scali,Interim Director WN OF Building Building Division i BLE sw MAS& Thomas Perry, CBO Building Commissione 039. 200 Main Street' Hyannis, MA 02601 rf0 MA'S A www.town.barnstable.maxs Office: 508-862-4038 DIVJJ ��- 30, Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: c9g d .s The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: haq�,;,( Name &relationship to owner: /1 SS Coj 6 1 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: . The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties f p this day of Jal 2014. / )V'F"'�k 1 Signatur Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services loy�, Thomas F. Geiler,Director ti Building Division TOWN OF BARN ARNSTA ! Thomas Perry, CBO,Building Commissioner. . ATMAM E1639. 200 Main Street, Hyannis; MA 02601 www.town.barnstable.ma.us f Office: 508-862-4038. `Fa50,8-790-6230 a ,f' Town of Barnstable-Family..Apartment Affidavit I, being on oath, depose and state as follows: ivMy name is J �` d1 - I am the owner/resident of the property located at: ag, C ✓S 1 y The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ✓ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing:.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to f le`an Affidavit annually with the Building Commissioner listing the:names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit ` and/or the Town of Barnstable Zoning Ordinances.Section.240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location;please explain: The apartment has been dismantled. _ The apartment has been transferred to the Amnesty Program.(Appeal No. ) Other orn to under the pains and penalties of perjury this day of UQv) 2013. 413 Sig a e Phone Number Print Name -74 Zi J.e� I71 q:forms/famaffr d.do c rev 11/08/11 Town of Barnstable Regulatory Services of Thomas F. Geiler,Director Building Division 4' _' } ' Thomas Perry, CBO,Building Commissioner A i6gq. 10$ 200 Main Street Hyannis, M 34 A0260I , ill 07 rFc nn�+s , y , www.town.barnstable.maxs i Office: 508-862-4038 ' " Fax: 508-790-6230 / Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is " ' �_ I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: � � `��'65� S�S AU Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. , The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this ' day of ,PK\U< 2012. Signature Phone Number Print Name 1-Z k C�A Ar� 4V_Q/+0 A q:forms/famaffid.doc rev 11/08/11 } J: Town of Barnstable Regulatory Services of rokti� Thomas F. Geiler, Director (� a Building Division 9■UWSTA M Thomas Perry, CBO, Building Commissioner ! 1 tier' ¢ is : 20 `6Ar i639. A`` 200 Main Street, Hyannis, MA 02601 ED Mp`l www.town.ba rnsta ble.ma.us Office: 508-862-4038 DTI ax: 508-790-6230 Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as folio My name is. I am the owne of the C property located at: f CJI�Wns_ A U-Q//\- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: /a Ya cV t' LCn V- Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled, The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and a alties of perjury this day of_'J , 20111. 01- 0 Signature Phone Number Print Name l( ar .. Town of Barnstable Regulatory Services E BARNSTABLE. ; Thomas F.Geiler, Director 9 MAs i. 1639. Building Division TfD MA'S A ,, Tom:Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT } I(We), the undersigned, being the owner(s) of property situated at 28 CROCKERS NECK ROAD, COTUIT, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book lh K v Page q 0 or as Document No.— being shown on Assessors' Map 020 as Parcel 093002, hereby agree; certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and.authorized use is for TARA ERICKSON, SISTER OF OWNERS, RICHARD AND JUDITH LYN-HORTON, associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances)which would require compliance with the Family,Apartment Rules and Regulations. This unit shall not.be rented as an apartment or as a single room, or in any fashion,.which rental would be a violation of the Town'of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land . Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department: WITNESS our hands,and seals this"_day of 20 .40 TOWN OF BARNSTABLE OWNER(S) Building Commissioner THE COMMONWEALTH.OF MASSACHUSETT BARNSTABLE COUNTY, SS Date I I 12010 Then personally, appeared the above-named (owner), TIC ems" _6 L' r-I?M"dwo It -d rQnd made oath as to the truth of the foregoing instrument,before me. Vommission ublic Expires: u 0 1 WMIK It NctwEBAMM T6tMay i i ' t i r � '� t �;