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4380 FALMOUTH ROAD/RTE 28
40 i 1 s i Y } PostalTM CERTIFIED oRECEIPT Ln .. ,-nestic Mail Only For delivery information,visit our website at www.usps.com". 5t ' �c m $ertified Mail FeeEr s,AnA" a� Fxtra ServiCeS&Fees(check box,add Mas pdate) '7 d r ❑Return Receipt(hardoopy) $ IOA 6, Q f d O ❑Return Receipt(electronic) $` f�ostmark O ❑Certified Mail Restricted Delivery $�t� + S Here' r0 Adult Signature Required $ O ❑Adult Signature Restricted Delivery$, � O Postage m $ 9�-`,Z � Total Postage and Fees Lr) IT /�/� Sfie t of o � � � " -- Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted retum receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the, ■A record of delivery(including the recipients retail associate. 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Is delivery address diffe m item 1 0 es / If YES,enter delivery a ress below: o �r� wU�le v(4 It W& Gnni-I 1 y3�d I—a h�Du'I"N �ad , x II I IIIIII IIII III I III I III I II I I I it III II I III I I III ❑Adul Service gn turee Restricted Delivery' iEl gist red Mail Restricted ❑Certified Mail® •Delivery 1 9590 9402 3630 7305 4655 38 1:1 Certified Mail Restricted Delivery f.0 Flgturn Receipt for ❑Collect on.Delivery .' v • Merchandise 2 Article Number(Transsfer_from 3e,- label) 0 Collect on Delivery Restricted Delivery [Signature ConfirmatlonTm .;`! ❑Insured Mail ❑Signature Confirmation 7 P 5 Ld�3 0 Or1 4 9#9 4}4 4 4 5 11 Insured Mail Restricted Delivefj Restricted Deliverf (over$500) ; PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt�� USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 :, �. 9590 9402 3630 7305 4655 38 United States •Sender:Please print your name,address,and ZIP+41 in this box* - Postal Service iv wN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 f _ C OK �zan 7u��ftt fi Certified Real Estate Appraiser . S {{ Phone&Fax 837-7374' f - Town of Barnstable 1 Bui d'n a Post This.Card,5o That it is Visible:From the Street-Approved Plans Must be Retained on Joli and this Card Must be Kept ib �� Posted Until.,Final,lnspection;Has Been Made rn Where a,Certificate-of gccupancy::s Required such Building sFi'aII Not be Occupied„untrl.a Final Inspection, as been made . Permit mit Permit No. B-17-4208 Applicant Name: SANTOS, MICHAELA Ap provals Date Issued: 09/03/2019 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 03/03/2020 Foundation: Residential Map/Lot: 009-001-008 Zoning District: RF Sheathing: Location: 4830 FALMOUTH ROAD/RTE 28,COTUIT Contractor'Name: Framing: 1 Owner on Record: SANTOS, MICHAEL A Contractor License:, 2 Address: 4830wFALMOUTH RD ��� � ��. Est:-Protect Cost: $20,000.00 Chimney: COTUIT, MA 02635 Permit Fee: $202.00 Description: Underground storage/shelter Insulation: i Fee,Paid:, .$ 202.00 Project Review Req; _Date 9/3/2019 Final: Plumbing/Gas Rough Plumbing: _ Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is comm d within six months after issuance. Final'Plumbing: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws=and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are',p ovided:on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: " - 1.Foundation or Footing ' Service: 2.Sheathing Inspection `s Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,liningisinstalled 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �1HE ApplieatioaNumber............................................................. Peewit Fee...... .....................Od=Fee........................ h �Q Total Fee Paid................................ ..V. ... ..................... L TOWN OF BARNSTABE .... PennitApp m1 by... U ..............on........ .......I...1.... BUILDING PERMIT APPLICATION �......Q�... .......................�....�.... Section 1 — Owners Information and Project Location C - Project Address 1 l— k Owners Name Owners Legal Address _ � 3 0 City ( . u t State / . zip &z 3.5' Owners Cell# S7Z?,p ^ _3 v��r�' Ismail Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ . Move/Relocate Accessory Stricture ❑ Change of use ❑ Demo/(errors stractm-e) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify tr$,r&)-J A ►� o Section 4—Detail p Cost of Proposed Construction_c� 5-DAD O Square Footage of Project � Age of Structure Dig Safe Number r #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM CbeckUst ❑ Design Last updated:11r72017 ;yy� Section 5 -Work Description j Section 6—Project Specifics ❑ Wiring [] Oil Tank Storage . ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney ❑Add/relocate bedroom ..----Water-Supply ❑--Public --- —❑_.Private _ Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District r Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this properly had relief from the Zoning Board in the past? ❑ Yes 0 No Last updated:11172017 5 mat-12" o.c. ea way #8-24" oc 6-#5 cont. w 8" x ' #5 - 12"oc 10" foundation w 6 - 15 horizontal 1' x 2' footing w 2- # 1011 5 horizontal & #8 verticle 36` oc. 1-OII O 3' x3' x 10" w #5 4-6"round steel grid 1' o.c. columns @ 9'6" oc STRUCTURAL CROSS SECTION "CON, Iae. 4830 RT 28 COtuit, MA 02635 48'-O" O O N 6i u - APCON, Inc. 4830 RT 28 N EXISTING RETAINING WALL Cotuit, MA 02635 , N THE DEMPSEY GROUP, INC. Jos. 8 Beaumonts Pond Drive SHEETNO. , OF FOXBORO, MA 02035 CALCULATED BY- 121-n DATE 11-��•\'� (508) 543-54" tdgstructural@comcast.net CHECKED BY DATE SCALE "..:SSA .... ...:.. ..:.. ..: 001. rz l e . 1.. I�OIkD l L : .. ...:.. :. 87 14 .........:.... . �2...' 5....;. ..... .. .: ... "M _ ............ .... 'L�. 2� ......... .. ,3�Cf3 1S lk-5 ...\...:-:.. G 350.01' .� m S42 43'18"E r• �; ol , t11 :�• W�o �' m U- 2 Q cmz L0T 21 9 ST1�G " rnCrI. Co 9 E ELL y � LUA N l w 1600 NK i d4 0 �o 00,0 TA E pR� lb 230 I - ALOE lo- ROUN %•'- VF 15 LET ,S gel co I A URIv a 350.00' . ;...;. N42 51'20"W .e �. m A o .o m a d0 �. I ►�Z��G�..�Z '� � UC� �' ��tz, V W C OX— 4 "cc . " oo •w¢2- 100400*5• m \ ,mice V oc.. 4-6**rou nd sted - ,grid 1"or4 , 6700 Cubic F F 4"Schedule 40 PVC Supply& Return connected to existing forced hot air system-40 cfm V r, r OEC 1.� Ventilation plan 37gV1SNHVH -40 ntMO-° 330 0 CROSS SECTION APCON, Inc. 4830 RT 28 COtU1t, MA 02635 1` oz � d 4 I �� a ❑ CR099 SCCiION E ExEmwc cniro m ems1 1Z¢ .'w`=w.w.e-eemu • STRUCTURAL CR055 9CGTION pQ JUL iwoa�wo oan�cEl a vvriro wieE FIRST FLOOR PROP05ED FIRST FLOOR PIlVI Michael Santos 4830 rt 28 Cotuit Ma. 02635 Underground Storage Accessory Structure A-1 Title:Santos residence Job# Dsgnr: RJD Date: 10:58AM; 30 NOV 17 Description: Storm shelter bunker Scope: Top slab design Rev. 580000 User.KW-0606547,Ver 5.8A,14Dec-2003 Multi-Span Concrete Beam Page t (c)1963-2003 ENERCALC Engineering SoBwaie santos rmi0ence.emCalculations Description Top slab-LC1 - Max pos mom General information Code Ref:ACf 318-02,'1997 119C,1206316C,AN NFPA 5000 11 Fy 60,000.0 psi Spans Considered Continuous Over Supports ACI Dead Load Factor 1.20 Pc 3;000.0 psi Stirrup.Fy 40,0.00`.O psi. ACI Live Load Factor 1.60 Concrete Member Information Description Span r1 Span$ Span ft 960 9:60 Beam Width in 12.66 12.00 Beam Depth in 8.00 8.00 End Fixity Pain-Pin Pin-Pin, Reinforcing Center Area 0.31in2 0.31in2 Bar Depth 6.00_in 6.00in Left Area 0.31.in2, Bar Depth 2.00in Right Area 031in2 Bar Depth 2:00in Loads _ Using Live Load This Span?? Yes Yes Dead Load ktft 0.100 0.100 Live.Load k/ft 0:260 0.260 Dead Load kfft Live Load klft 0165` Start ft 0:700 0.600 End ft 9:000' 0.000 Results Beam OK Beam'OK. i Mmax @ Cntr k-ft 5..73 2.94 @ X= ft 3.78 627 Mn'Phi k=ft 7:95 7.95 Max,@ Left,End k-ft.1 0.00 7.66 1 .6 G Mn"Phi k-ft I no 7.95 � r Max @ Right End. k-ftl .-7.66 0.00 '9V 5'(- Mn'Phi k-ft 7.95 0.00 Bending,OK. Bending OK k ` GtG Shear @ Left k 2-86 3.37 Shear @,Right, k 4.48 1 J-8 Reactions&Deflections DL @ Left k 6.36 1.20 LL @;Left k 1.52 4.00 Total @ Left k 1.88 5.20 OL @ Right k 1.20 0.36 LL @ Right_ k 4:00 0.84 Total @ Right k 5.20 1,20 Max.Deflection in -0.645 -0.018. @X= ft 4.22 5.89 Inertia i Effective in4 ;355.39 3.55.37 Title r Santos residence Job'# Dsgnr: RJD Date; 10:58AM, 30 NOV 17 Description Storm shelter bunker scope: Top slab design Rer. 580000 user icw asossa�,/er 5.8.0,1-0ea-2D03_ Page :2 (c)1983 2003 ENERCALC Engineering Software M V'tl'Span Concrete Beam Santos residence.ecw:Calculabrns I Description Top slab-LC1 -Max poS room Shear Stirrups Stirrup Rebar Area in2 0:40.0 0.400 Spacing @ Left in Not Req'd Not Req'd' Spacing @ 2*L in Not Req'd Not Req'd Spacing @.4*L in f Not Req'd Not Req'd Spacing @.6*L in Not Req'd Not Req'd Spacing @ VL iri Not Req'd Not Req'd. Spacing @ Right ini Not Req'd. Not Req'd Query Values Location ft 0.00 0:00 Moment k-ft 0.0 -7.7 Shear k 2.9 -3.4 Deflection in 0.0000 0.0000 � THE DEMPSEY GROUP, INC. Job A'til`�U 8 Beaumonts Pond Drive SHEET No. Z of FOXBORO, MA 02035 CALCULATED BY '��� DATE - 17 (508) 543-5499 tdgstructural@comcast.net CHECKED BY DATE SCALE .... .'.......:..CAA- . .S ... .. . . .._ � .. .. ._ . . .. .. .. � ... ... � ._ ^..�/1t?�1, . k} t ;.MGM o .. ... .. : .:.. . . .. ... .... _ C 131 w .: .61Tit _ :._ .Q0 (�- �. -., 'l .► _.... .►a coo_. .. . . ...... 0 1`S Sf.. _...:...N� ... r� Kam. ..:.. ... r OU ... .... .:.. .. ... .. ARDM&`fAll•1 f56roY SEe�h196t11Pa°dM1 1 Waiter A.McKinnon Associates,Inc. Consulting Engineers Structural Inspection Report Structural Inspection Information: Client Name: Michael Santos Job Number: 2018-101 Street Address: 4830 Falmouth Road Property: Residential City: Cotuit. Insp.Type: Foundation State: MA Zip: 02635 Description of Property: - Single-Story Subterranean Concrete Structure, 1000 s.f.+/- - Constructed in 2018 Engineering Assessment and Recommendations: At the time of our inspection it was noted that the perimeter foundation wall is in satisfactory condition.No signs of cracking or differential settlement were present along the perimeter of the foundation or at the top of the wall where the concrete roof is bearing. Documentation was supplied to our office which included original construction plans along with photographical documentation of the forming and rod placement of the foundation. From this documentation it was determined that 2-#5 rebar were utilized at the top, middle and bottom portions horizontally along the foundation wall. In addition, 48 rebar was placed as dowels from the continuous 12"x24" concrete footing to the 10" thick wall. The dowels from the wall to the concrete roof slab were engineered along with the entirety of the roof slab design by another independent structural engineer. From the documentation provided along with our on site inspection and ' evaluation of the existing conditions we have deemed the perimeter wall to be in a structurally safe condition. Walter A. McKinnon Associates, Inc. Page 2 278 Washington Street Weymouth, MA 02188 Project Number: 781-331-5898 2018-101 Wafter A.McKinnon Associates,Inc. Consulting Engineers April 16, 2018 Barnstable Building Department 200 Main Street Hyannis,MA 02601 ° Subject: Structural Inspection 4830 Falmouth Road Cotuit;MA To Whom It May Concern, On April 6, 2018 Walter A. McKinnon Associates conducted a visual only assessment of the existing structure at the above referenced property location. The purpose of the inspection was to review and assess the existing foundation walls of the concrete enclosure that has been constructed. The concrete slab roof was designed by another engineer but did not evaluate the walls as part of the design. Through visual.inspection our office has conducted an on-site evaluation. Attached is our prepared structural report detailing the issues of concern and our recommendations for any repairs and/or.maintenance items that are required. If there are any questions about our assessment or recommendations made please feel free to contact our office. Sincerely, OF � AE ti oo . r Michael K. Schilling;P.E., M.ASCE Walter A. McKinnon Associates, Inc. Page 1 278 Washington Street Weymouth, MA 02188 Project Number: 781-331-5898 2018-101 LOT 23 0 , s.i � 0 o as z� o LOT or. \ 22 0 \ 92' \ `S' \ R = 3365. 63' s . \ L = 7.85' ` 2OT 1 \ 6 LOT 20 \ o. 0 1� O FLOOD ZONE "c"_ FO UND_A TION CERTIFICA TION REs ZONE., "R_F_" TOWN. BARNSTABLE SCAE.-1 '=60' PL, REF 34636 C ELEV N S A I CERTIFY THAT THE ABOVE }'ANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON . THE GRO UND AS SHO WN, AND ��`�� OF e�q3- P. 0. BOX 265 ITS POSITION PAUL . UNIT 1, 4OB INDUSTRY ROAD ��--- - . � AIT. � MARSTONS .MILLS, MASS. 02648 CONFORM TO THE ZONING-LA If ` M� . y SETBACK REQUIREMENTS OF N u � TEL.• 428-0055 BARNSTABL ' �p�� °FCISTE��� . Az FAX 420-5553 PA UL A. MERITHEV JOB DATE. 7� 5106 1 mrrAIRk"A51D 5 LOT 23 1� S.iT 32.991 w o / 2.3' w, cSp LOT _ 22 0 \ 92' \ 3365.63' L = 7.85' ` moo. LOT 21 \ 1p LOT 20 \ �s o o- �0 _ 0 5�q 0 60 0 FLOOD ZONE `"C"_ FO U_NDA TION CERTIFICA 77ON RES ZONE ,,RF,, TOWN-BARNSTABLE SCALE-1 "=60' PL. REF. 34636 C ELEV N A I CERTIFY THAT THE ABOVE FOUNDATION IS LOCATED ON YANKEE SURVEY CONSULTANTS E,, . THE GRO UND AS SHO WN .AND N OF eiq�'- . P. 0. BOX 265 ITS POSITION _ ��`� PAU � UNIT 1, 403 INDUSTRY ROAD ---- �IARSTONS MILLS, MASS. 02648 .CONFORM TO THE ZONING LA W. A. " " MERITHEW SETBACK REQUIREMENTS OF No. v� TEL. 428-0055 BARNSTABLE FAX '420-5553 JOB PA UL A. AIERITHEV DA TIP. 7�25/96 Nv��BER 51005 fl 71 All P use onstruction o ew En Ian 4830 Rt.28 Cotuit Ma.02635 (508)420-9200 12/19/2017 Town of Barnstable Building Department Mr.Edward Powers 200 Main St. Hyannis,MA 02601 RE: Storm Shelter Walls Mr.Ed Powers, This let er is-tto confirm that all aspects of the footings and foundation walls constructed at my residence • located,at 4830"Rt 28 Cotuit,Ma.per drawings provided either meebor exceed all applicable codes. • ' Furthermre,;as a licensed construction supervisor#CS-065318,I personally either installed or directly supervised all aspects of the installation of all footings,rebar,wall construction and roof structure. k . arify thze use;,thisunderground storage/storm structure is only intended for dry storage of food,water 4 an essentials for a catastrophic event requiring life safety and is not intended for every day use/ :a occupancy ¢ If the aea y. er questions or if further information is required,please feel free to reach out to me. Thank you,t MichaelFA--�Santoss BUILDING DEPT, DEC 19 2017 TOWN OF.BARNSTABLE r �• • • • • "l Srt+�c�P5 I co 00 qe GQL 105 trot-;2' oc. mi Yy i �a *. verticie.35'ocw xIx leol u Wins ` '.oc I c. I' r �'�.'§•-'� e,,,�+�+,�--,,. a.�^•,�� .°`vim `sa.ti "'^ '„ �,� � .�.Tom,. � .. .'�� ��a, -��..'� '-��.. '^ice-"�^°r,� ,`"_u, +��„ 'i� TM� +,.. �- �.-�, '�'"a, '�'�•w"'�`a =`_ Y `,"` k++ �..�a.,�'.q„''r'".�+��rr.�1,_,�"'-y.�".;�,•w r _ `��a�`�a1���t \. "�. `�€�"'�`� .a" ,.y^��,���'hj:-s& is , 77 'i"'i' yNMM'.'w-=� •'�'.�a.,. ..:�;,r,a ��-�'��' '`� �a �`"�'"a�.1Y�""' „.. � '`'^i'�*s ,',t';' M"'t1`- ' +�,. • Rry. .�ot'ti'-__-y.�Y`i`�..,.:.,� y� '�-;°�•'rt""�^� , �. .•yp �YY �,r« �..3�fi.+,��� Lx:;.-if-� a� �`'"--^ .�M'�� :. ��''`.w,+.\ _ � ,�a♦.. +a r'�..,�.... 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(508) 543-5499 STRUCTURALrENGINEERING CONSULTING CIVIL ENGINEERING INVESTIGATIONS REPORTS:: p December 15,2017 Mr. Edward Bowers Building Inspector Town of Barnstable Building Department C/o Mr.Michael Santos 4830 Falmouth Road Cotuit,M.A 02635 Re: 4830 Falmouth Road(Route 28)-Cotuit,MA Underground Concrete Roof Slab TDG#.17280 Dear Mr.Bowers, This letter serves as certification that the concrete roof slab recently cast at the imder�ound storm shelter at 4830 Falmouth Road, Cotuit, Massachusetts was constructed in accordance with a drawing produced by Michael Santos(owner)that was modified to reflect.additional slab and beam reinforcing,recommended,by this office,and.. inspected and photographed by;Bob Paulino of this.office:following its:.placement:(see attached). Consequently,;it is our opinion that the.:roof slab:is now capable of supporting 41l;dead.loads and proposed,superimposed,surcharge soil loads. No other representations regarding the Aesign.,or:construcfion of.this structure are proffered$y this: office. Should.you have any questions about this.letter.or,if we cats be of further assistance to you in this matter;please do not hesitate to contact us, Respectfully, THE DEMPSEY GROUP,INC. Richard 7.Djins , .E. President 6 I)EEfiP EY STRUCTURAL No.29t73 GIST. `� 1t3IVAL lr r� o t. � g 4 � g ' 4F NMI milmillillimillill MISS 3 t� j Ili w � e> . �\ . �oi � 2 2 A s' aeV,'"`". �'44 CT.a ". _ �,' Vie•.., r i y z.i•.. ...M..�. ..,:. ,...�`.."'"'.."""`.�'=;, "c fit+; '-s.•� r " n LIP ; E 4 wr;. i 0 0 0 0 i� r P x 4'LED Flush mount fixtures Lighting Plan ---'� 1 - i I I I i 1 i 1 G s _:is „y,_ -" a�!'•�i��`:.G � t�:r;Y�r}';+t�.�= 1 , � J M 16 d d +5.0 v ^�. Y IN At Inn . .,,,, ;,.,s - S t •.� T �.� �r� '�C'� �t Mks ,,_,�f-��� �� �. yp 9 ti ;4 ✓ s� ., ,.� #r S� : �, a s.r# �{ aW a t€ s k # i x {iK as t ga4aA# 'ar 41 .4 � z� N it €J' t w �ytA M 4 z r ip{f ihl li�ii( s�'*s IL ' i e ti n-. a f �. c�= qY 5A 2� s � "'AR *,�.��_ ✓r. .r,, FF ,rov r� � � ,, c s /t 1 W a » �l -' � s.. ..,.�JF�""`- +�+ .✓,�"""✓ � �-�'a'�'�.;.wia.�':-fir ;gar�. w u _ } � a I I - -,y w` ^-- .�_.. .^— .'� `�Tt✓ ice ' ` r 17, "`---4 i --� - ---��� Mal i n � _ , _ r _ n Section 9—Construction Supervisor k . Name Telephone Number ' Address City State Zip r License Number License Type Expiration Date Contractors Emall Cell# I understand my responsibilities tinder the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specif c inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor F Name Telephone Number a Address City State Zip Reg�n Number .. -- Expiration Date I understand onsibilities under the roles and m 'ours for Home eat Contractors in . mry reap gu]atz Imguovem accordance wifh 780 CMR the Massachusetts State Building Code. I understand the camstr can inspection p ucedzaes,specific bg dions and d=nnentation req-ed by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C.- Signature Date Section 11—Home Owners License Exemption Home Owners Name: /" ' I A-a r}rJ 3 w ; Telephone Number- Q �� �6 Cell or Work Number f I I understand my responsibilities under the races and regulations for Licensed Construction Supervisor in accordance with 780 State Building .Code I understand the constr=m' ecdon CMR the Massachusetts mrsp procedtmms,specific inspections and docALL.Usataflon required by 78 the Town of Bamsiable. Signature Date APPLICANT SIGNATURE Signature r Date //L///7 Print Name �1 � 5�W Telephone Number -3,4 -,?366 F E-mail permit to: d/Ct 00(Nc , COYA Lastupdatcd:1012017 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ lEstoric District ❑ Site Plan Review(ff required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for allrovd Section 13— Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf; is all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date i Print Name i i Last Wdated:I 7/2017 �r i rl no nju i (�" (; A ��q Cosoil L , f t I' r �. _. ._ __ L �r ... _ y ___ _ ...- �_.. � .. _e..� _ _ .. o .. ..- ._ .. ., f yi�j . III I t j' . _ - ---- - - -1l .� ._. .. _ __.._�.. .._ � _ _--_ . __..�_..... __.. .. __ .__. .___ . . s .. - - i _ � . .- --- -- -� .___ ...,..- ____ ,.�. �_--- __ ___.-_._.- ___._....y_.�.-- - - - -- -- - - - -- - { - -- __ -___ � _W.._- � - ---�.._.._ �...---^--- - .__ - _..... _ ..�._ ._�.... . _ .___.....,., . _..- - - -.... _ ._._ � , � .. _ .._.. .._.__.�.. �.4.1. _ .___, -.a._.._�..._---_._ ._ _ _ ._—--.____.,..._......_.___..� _�.__.__ ____R_.__.�� — - -- - __ —- . ..,._ ___ � _ _ _ _ _.. _ _... �_____.__...,_�---r _�_._ ___ _ ___ _- __ .. �. -- -- . _ - �� --r-.- - - — - - - -__-___ _ _�__.___ _ rY..._____.�m.______._ ...._ ...._- -- _ _. t 1 i ' �. _..__ .Y.__.. _..� _-__�._. _-- _. ._�. __._._.� ____.____....__� .._�� ___-___...� _.___.. _.._...,_.._ _.._..� _ _ _ _ � � _,__ _--_ __ .. s �___._.__ ._.__.._._ _ _._._.._..._.__.._.- . ___..�_._.._........_.....__.._r_ _ __ .___ �.... _a_._.._.___�.__ _ _ _.___..�.___..____r,._._ _.�.__.__._._._..._._ _. __. _ .. __ _ __ . - _ _ -_ _ _ � ___ __-- -., .._ _ _ _�__ .._,_�..._ ___ __f__ _�� _. __ ._..d__-_ . __ __- - -_-. _� .- _ - - TOWN' .OP -BARNSTABLE Zoning Board of Appeals w....«,MacPhearson« ....Howe........................ ......._._._._........ Deed duly recorded in the Property Owner Mary Anne Gauthier County Registry of Deeds in Book ..................... ...... _._.•............................................:............«............................. ....... Page ............•......... ..,.w. _«,.•... w.Registry Petitioner District,of the Land•Court Certificate No. ... .w................... Book . Page _............... Appeal No. .198 ..^2«5.... ................. .... .......... .Marsr,h....L6.............._.........«._. 19 84 FACTS and DECISION Petitioner Ma«ry «Anne «Gauthier « - filed petition on F ebruarY.....� s 19 84 ' I requesting a X XiXV-permit for premises at 4 Q�_F .I.�J.4?U�17:::. :.-......................................, in the village (StreeN`-- I of _ ....Cot.U.E t 5: ....«.._ .-.«.....w...................•,........••.:...., adjoining premises of .«...... .. . (see attached list) _ «.......... «. :. Locus under consideration:- Barnstable Assessor's Map no, ....w,.2.4...•.•..............•...... ....... lot no. . Petition for Special Permit: Q Application for Variance: 0 made under Sec. of the Town of Barnstable E Zoning by-laws and Sec, _•.....:.............................«...w..............._........ ... _ -0liapter 40A., Mass.-Gen. Laws , . t for the purpose of ....Shang.e,...pf....a....ttaz�-conf•o.rmi.n.g...,use.•.f.r.Am...•r..e.tai..l..wt•o..«offs. �e....:............ .......... «.•..............•......w ............_..............,.«.,..... ...... .................. ....... ......,«. «......,«w...« 4 Locus is presently zoned' in RF .,.,....«,.• ..... .w.,..« _..... ....•.... « .......... - a Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and N' by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with..Town Clerk. A public hearing by the Board of.Appeals of the '.'own of Barnstable was held at the Town Office Building, Hyannis, Mass., at ...,w 8... �....w..............)ON P.M. ....M�.GG.h....l.,... ._.. _....,... ...._. 19 81+ , upon said petition under zoning by-laws. Present at the hearing were the following members: z .......... _.......Pia..Ga.....N•i9ht.x.11g, 1. w..... ...........41on,..Jans .an.. . _...«.._ ' Chairman ..«..............«. ......................•.•...................+« i . ...«.w...v.. ...n.•...««..«........................._............ ._ .......«.«m«.ww 4 S At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. y .. ..........._.3APPeal No....1.93A-.'25................... Page .......... . of ... kk March 1 , On ...........................«........................................................,............................,. 19 ................., The Board of Appeals found F fi The petitioner represented herself at the hearing ,and told the Board that .she is i seeking a Special Permit to use part of the front building (back room) for solar design consultation office located at 4380 Falmouth Road,-. Cotuit in an RF zoned district. This would be a change of a non-conforming use - the present use is 3 and has been retail for the past fifteen years - -known as the Cotu1t Shop for the past seven years - selling antiques,, crafts, etc. ; the locus is three houses y before the Texaco gas station heading toward Falmouth. The retail part is comprised of two front rooms - the petitioner desires .to use a back room for a separate office (12X12) to house a solar design and consultation office - to be all design work - i coastal design. There seems to.be some confusion with th-e petitioner's application at one point she had requested a real estate use - now tells the Board that she does not want a real estate office on the premises. The petitioner intends to employ # two (2) people on the site, but will actually have an installation crew that will i fi work from the actual work place - there will be no inventory or large trucks on the site no supplies to be delivered-to the premises --instead they will be delivered directly to the work site. The petitioner had already established an office on the premises last August and was in fact in--violation of the current zoning by=laws. She was advised by- the Building Inspector that she was in violation and had to seek a Special Permit from the Board of Appeals. . Kevin Mullaly spoke in objection to the g petition - he told the 'Board that. he H-ves on lots 25 and 26 and that he in fact owns a portion of the petitioner's driveway - he also tells the Board that there are facilities on the premises that would allow two families to reside on the site the front building has. living -quarters as does the back house which has been rented since last August - he tells us t hat he feels this is 'rn violation of the by-laws.- he is concerned with sewage, parking, etc.: - the petitioner intends to occupy the apartment that is on the premises when the current lease expires. The petitioner also desires to have two. (2) 3X3 signs on .the premises identifying solar as well as crafts. The Chairman asks the petitioner if she would be able to abide by F the following restrictions, the petitioner - tells the Board that she will do so: iI No supplies delivered to the site The two front rooms to be soley for the retail of crafts - the back room of the premises to be used as a solar design consultation office only : i I, ...........................................«,.......,.,,.«.,.............,..............«.....,........................,....:., Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed i in the office of the Town Clerk, f • u Signedand Sealed this ........._.......... day of ........................................................._.. 19 ....................... under the pains and penalties of perjury. o Distribution Property Owner ......................_................................ ;...... j Town Clerk Board of Appeals Applicant To ,nf—BM1ist,#le i Persons interested Building Inspector Public Information By _ = ' "««....1....w«««.«.«... «.««•«..««.w 5 Board of Appeals Chairman I i i 1 At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board, AppealNo...„.....,1,984..�2 ........... ......„................. Page3......,„._._......., of _..._..3_.._„„. March 1 84 ' On ._w._,.._ _........... ............................................................ 19 ............... The Board of Appeals found The petitioner agrees to the restrictions imposed and the Board voted to take j the matter under advisement. I The Board voted unanimously to deny the petition .for a Special Permit as this would be the creation of two or more non-conforming uses and would be detrimental i to the neighborhood. ' i • s "z. i I, .. !...�.v.iv�............................i �.�r✓.„ !X S..............»........_. S.„..! Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals 5 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 . .... ......,._ L�rl. ..........................._ 19 d'� y�............. under the pains and 3 penalties of perjury. ,� ) Distribution: a Property Owner ................................................ ...... .............._............_........... .. „ ........... Town Clerk .Board of Appeals Applicant Towns.:ofB irnsfa le 9 Persons interested { .-_� � �wD ; Building Inspector Public Information By Board of Appeals Chairman a . .i f ' ypQ 1NE Tp� ZONING BOARD OF APPEALS i BARN9TAHT6,i - y MA65. q t659. `mo TFam A• PARTIES IN INTEREST 1984-25 MAR ANNE GAUTHIER Mtg. of 3/1/84 COTUIT FIRE DISTRICT LUCY JESSIE PRATT 4390 FALMOUTH ROAD, SANTUIT, MA 02635 KEVIN & KAREN MULLALY 4364 FALMOUTH ROAD FRANCES PIERCE 4340 FALMOUTH ROAD. JOHN & .HELEN BISGOURIS 14 RUN POND. ROAD, SOUTH YARMOUTH, 02664 THEOHARDIS CONSTRUCTION CO. , 24 GREAT POND DRIVE, SOUTH YARMOUTH ANGELO & HELEN KALDIS 88 CONSTANCE AVE. , W. YARMOUTH, MA 02673 MASHPEE PLANNING BOARD YARMOUTH PLANNING BOARD SANDWICH PLANNING BOARD " Town of Barnstable Building Department Services Brian Florence, CBO - Building Commissioner BARNSTABI,E 200 Main Street Hyannis, MA 02601 �NSW•-�"'-- •""""15 ! �J '"I0.51V"5"ILLS•OSiF IU-•W6i91"MNIS E J -- 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230. Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and Abate: Tim Cooney,4380 Falmouth Road;Cotuit-MX, 02635,and all persons having notice of this order: As property owner or tenant of the property located at 4380 Falmouth Rd.,Cotuit,Assessors Map 024 Parcel 024,you are hereby notified that you are in violation of Part 1 of the Town of Barnstable General Ordinances, Chapter 240-Zoning, and are ORDERED this date 8/12/2019,to: CEASE AND DESIST all functions associated.with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 8/2/2019,I observed a violation of the Barnstable.Zoning Ordinance Chapter 240 Section 240- 101(B),240-14(A) Specifically,I observed an open sign on the main sign along Route 28 as well as an open sign on the entrance door. Store is set up like a mercantile use with art displayed with pricing and an area with sellable environmentally friendly merchandise. This change of use requires Site Plan approval. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: must cease,the sale of any products at this location until the proper permits are obtained through Site Plan Review and Zoning Board if needed and a change of use building permit. And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of Barnstable, specifying the ground thereof within thirty•(30) days of the receipt of this order (in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires will-be.taken. By Order, / �r` Jeff Carter Local Inspector Town of Barnstable B^" Building Department 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 � Initial Site Plan Review Issues & Concerns Applicant: TURTLEBACK,LTD SPR 092-18 Property Address: 4380 Falmouth Road,Cotuit Informal w/Applicant. Map/Parcel: Map 024,Parcel 024 Zoning: RF,WP Overlay Proposal: Applicant is seeking staff input regarding proposal to operate online retail business&office as well as a retail store for sale of earth friendly products and beach gear;provision of coffee/soft drinks and light pastries/sandwiches from outside vendors. Storytelling and non-amplified acoustic open mic events for students of the music school located'on site is also proposed for the space. The above application was reviewed in a site plan review staff meeting with the Applicant on January 8, 2019. Present Brian Florence, Building Commissioner, SPR Chairman Brian.Florencegtown.bamstable.ma.us Richard Scali, Licensing Director Richard.Scaligtown.bamstable.ma.us Amanda Ruggiero, Assistant Town Engineer, DPW Amanda.Rug ig eroQtown.barnstable.ma.us Deputy Chief Dean Melanson,•Hyannis FD dmelanson@hyannisfire.org Tom McKean, Health Department Director Thomas.McKean(a,town.bamstable.ma.us' Hans Keisjer, DPW Water Dept. Supervisor Hans.Keisjer@town.bamstable.ma.us Anna Brigham, Principal Planner, Anna.Brigham e,town.bamstable.ma.us Paul Wackrow, Principal Planner, Paul.Wackrowntown.barnstable.ma.us Mike Trovato, Economic Specialist Michael.Trovato@town.bamstable.ma.us Mr. Timothy Cooney, Applicant turtlebacktim@turtlebackltd.com Ellen Swiniarski—Coordinator Ellen.Swiniarski(i�town.barnstable.ma.us Mr. Timothy Cooney explained the background for the Turtleback Ltd brand and the mission of the company. He said that he has learned that people want to be involved in making changes in the way people think about conserving resources and reducing waste and are unsure how to help. He explained that unlike the a more known local coffee shop brand, Turtleback will be associated with a meaningful purpose. Operating in a location near Cotuit Center for the Arts claiming to have 35,000 visitors each year, he hoped to reduce traffic with the provision of food and coffee that can be accessed via a footpath at the back of his property connecting to the,Cotuit Center fort he Arts property. He said he would like to work in cooperation with local non-profits such as Riverview School and others to.obtain their products (pastries/packaged sandwiches) and provide a place for people-to discuss art, world issues, etc. No alcohol is proposed. Brian Florence, Building Commissioner, SPR Chairman Tel: 508-862-4038 • Advised that the property is located in a Residential District and there are no existing special permit or town records that clearly indicate the nature of a legal non-conforming use at this location. A land use attorney is recommended to assist with providing this.validation. 1 i • If a legal pre-existing non-conforming use is determined to exist, it may be possible to apply for relief through the Zoning Board of Appeals to change from that non-conforming use to another nonconforming use. • As a prerequisite to filing an application with the Zoning Board of Appeals, a formal site plan review application will need to be found approvable. As a part of that formal site plan review application, an engineered site plan depicting, along with other requirements, the installation/location of required parking, use of each building, Title V requirements and floor plans prepared by an architect(existing/proposed) will be required. This plan, once found approvable is then used to file with the Zoning Board of Appeals. • If seating is proposed, there may be additional code requirements that the architect will identify and need to be included in the floor plan. Anna Brigham, Principal Planner- ZBA Tel: 508-862-4682 • The Zoning Board of Appeals will want an accurate plan as a part of the application for relief. • Site plan review will need to list all of the uses and s.f. of each and demonstration that the parking requirements are met. Tom McKean, Health Department Director Tel: 508-862- 4640 • Expressed concern regarding Title V capacities and the addition of another use in the WP. A formal site plan application will need to identify in a chart uses/flows for each and demonstrate how flows will be met. • For any onsite food preparation,the kitchen plan will need to meet commercial standards. Richard Scali, Licensing Director Tel: 508-862-4778 • Subsequent to obtaining relief from the Zoning Board of Appeals for the use, applications can be made to the Licensing Authority for the following: • If considering a caf6 use with seating, a Common Victuallar License will be required as well as an Entertainment License for any open mic event. • A floor plan that includes seating and entertainment area will require approval from the Building Commissioner (prepared by an architect). • Advised that public hearings require notification of abutters; this area has been historically sensitive to noise/traffic (CCA). Amanda Ruggiero, Assistant Town Engineer Tel: 508-790-6400 • A stormwater system that retains all drainage on site will be required if modifying the parking in the WP Overlay. • Proposed pathway to Cotuit Center for the Arts will need to be indicated on the plan. Mike Trovato, Economic Specialist Tel: 508-862-4791 • Provided contact information to Mr. Cooney and offered to work with him off line in support of his business proposal. 2 turtleback - Google Search Page 1 of 2 _..... . ._. .......... .._......... , . . ... G®ogle turtleback q Slgn in Q All Q Shopping Images O News r69,Maps i More Settings Tools SafeSearch on About 3,800,000 results(0.75 seconds) See turtleback SponsorediA (3jj 3 l Scotty s Music School , SFVincemde' Paul Society [Galaxy S10+ i iPhone X/XS ] iPhone 8,7 I Galaxy Sloe Heavy Duty Leather €,Exec... i [.Holster Clip t Leather ... Pouch For Flip .. • I Turtleback Limited $29.99 j 6$29.99 $29.99 $29.99 $29.99 { ..____.i ,. ... ... Turtleback Case AllernativeWirel.. j Turtleback Case i q Turtleback Case AlternativeWirel ,Website 3 Dvechons:i save E 11 ] t 11..._-_......, L .. ®Special offer 1 ! ] ®Special offer - i Special offer _ _..,.,off t, _ Special 5.0 1 Google.review Clothing store m Barnstable J Turtleback Trailers Massachusetts https:Hturtlebacktrail-3rs.com/. Addres' 4380 Falmou� t� h_ Rd,Cotuit,MA� At Turtleback Trailer,we custom-build jeep camper trailer that have all the home amenities and 02635 J ample storage space to fit the essential camping supplies. C'^ Expedition Trailer Trailers Turtleback Adventure Trail•Turtleback Adventure Hours:Closed Opens tOAt T.- A user suggestedthese.hours Mon,Sun Closed' High Quality Off Road Trailer For Sale'l Turtleback Trailers rTue-Sat.,O141�9-6668 https://turtlebacktrailers.com/our-trailers/expedition-trailer/. 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Over 9,500 of the hottest titles from top publishers of children's and adult books-built to last with Turtleback Hardcover Binding, Facebook Feedback Turtleback Trailers-Home I Facebook https:/twww.facebook.com>Places>Phoenix,Arizona>Shopping&Retail- Rating:4.8-68 votes Turtleback Trailers-1424 E Broadway Rd,Phoenix,Arizona 85040-Rated 4.8 based on 68 Reviews"After a few years trying to work out my style of... Gallery, Ecofriendly,Reclaimed Material,Gifts/Cotuit/Turtleback Ltd https://www.turtlebackltd.com/ Turtleback Limited is dedicated to spreading awareness of social responsability and provoking thoughtful change.Good energy,coffee,clothing,stained glass,... https://www.google.com/search?source=hp&ei=s7Q 1 Xa6gLMPmsAWVsbj... 7/22/2019 Town of Barnstable Building Department -Brian Florence, CBO, F Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date t Ma,3q:9,4 Parcelt z Applicant Information Applicants Name \ p l `'\ - C ca V\' Applicants Address mail Address Telephone Number Listed Unlisted ❑ QVt(4 �WLk�Ck VA ody3q I Wz'- Business Information New Business? Yes No --------------------------------------- Business is a registered corporation? ------------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -------- Yes No If yes then a Home Occupation Registration is reequired=See Building Division Staff Name of Business Q Q, l��✓l-•���� G� Business Address Type of Business l C.2�1 / V y`AA C, -Building Co issioner Office Use Only Conditions 0 biw l9v c T71_PV1_CAJS Building Commissioner Date _2 l Clerk Office Use Only r q oFTNer _m_ Punted On 7/10/2019 pla�i�nt Cal I ,Repo Com k .. &MST �q Y L 0 n Y 4380 FALMOUTH ROAD/RTE 28, COTUIT t67q �0 s e °'EOMa+ d t Case# C-19 559 Case#: C-19-559 Address: 4380 FALMOUTH ROAD/RTE Date: 7/10/2019 28, COTUIT Owner Info: n. Property Info: GAUTHIER, MARY-ANNE MBL: 112 EDGEWATER DRIVE EAST � o I' 024-024 EAST MA 02536 V FALMOUTH Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning Medium Priority Walk-in Complaint Summary., Rear tenant informed staff that new music school tenant is advertising on Craig's List for bands to play at the new Turtleback Coffee Shop. The owner.of the Turtleback Limited is alleged to.have told the rear tenant to clear out a common area and keep parking available for the anticipated grand opening event scheduled for the week-end of 7/13-7/14119. At no time did Turtleback reps discuss, proposal or inquire about the ability to open a coffee shop. There is a special permit on file and any change requires ZBA relief. This is a residential zone. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: carterj Filed by: andersor Comments: Comment Date Commenter Comment Date: 7/10/2019 Town of Barnstable Printed On.7/10/2019 Complaint Call Repor# STABLE�a 4380 'FALMO''U'TH ROiA.,-, 'a E 2�8 CO" �v j�T fEOMp+° Case# C-19-226 Case#: C-19-226 Address: 4380 FALMOUTH ROAD/RTE Date: 3/27/2019 28, COTUIT Owner Info: Property Info: GAUTHIER, MARY-ANNE MBL: 73 COUNTY ROAD/Wunda Farm ` 024-024 BOURNE MA 02532 !� n 744-392-1928 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Unlawful Commercial Activity, Low Priority Walk-in Complaint Summary: New applicant for front building informed staff that a music school is being operated out of the rear building that formerly strictly residential. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: florencb Filed by: andersor Comments: Comment Date Commenter Comment 3/28/2019 andersor This property has been recognized to have NC rights. Long history in file. Former sunroom sales/music school in front building. 3/28/2019 andersor Also, new music school has no permit for sign. Sign appears to be larger than previous sign in violation of sign code for residential uses. Date: 7/10/2019 , Town of Barnstable ru - Y77 b agms i m ' 'aaP1Jm t. Town of Barnstable Building. ,�",."'r, 'd'�`a "' �i,.>�'.. `,�,... "x' �'..'a v ."A',' �''�.#;. :.a* 1§ ^a;.. �y �.:•�,` "'k . ,1^a '. <; �... ..;_ � y, j t - Post`Th�s"Card SoT,hat'"it�isUis�bleFromthe Street :?A roved:PlansMust be,Reta�ned on Job and,this Card Must be Kept * �ARNNS'L'AB1:B. •' m; PostedUntl Finallrispection HaBeen MadeF" _ ib�9. au:. ' a�Cert�ficateof:Oecu anc =isryRe�uie •s h Buldm shall Not be Occu ied until a Fina#Ins ect�on has beenmade Permit eWhere Permit No. B-19-2181 Applicant Name: Approvals Date Issued: 07/OS/2019 Current Use: Structure Permit Type: Building-Sign Expiration Date: 01/05/2020 Foundation: Location: 4380 FALMOUTH.ROAD/RTE 28,COTUIT Map/Lot 024-024 Zoning District: RF Sheathing: Owner on Record: GAUTHIER,MARY-ANNE g, to Framing:%, Framing: 1 Contractor,License " Address: 112 EDGEWATER DRIVE EAST 2 Est Pro ect Cost: $0.00 EAST FALMOUTH, MA 02536 J Chimney: Permit-Fee: $50.00 Description: 9 sw round wood carved sign . e�Paid $50.00 Insulation: Turtleback Limited Nj t Date 7/5/2019 Final: All other signs to be removed. No other signage requested.or { , ��, Plumbing/Gas permitted for this use or any other at this site ;tiL�x Rough Plumbing: T K Zoning Enforcement Officer Project Review Req: b, Final Plumbing: �.,. ..r This permit shall be deemed abandoned and invalid unless the work aQthorize6.Ktfiis permit is commenced within six month after issuance: Rough Gas: All work authorized by this permit shall conform to the approved applieatibrfand thesapproved construction documents fo�wh ch this permit has been granted. All construction,alterations and changes of use of any building and structures�shall be in compliance with the local zoning,'by taws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street o oad-and shall be maintained open forop blie inspection for the entire duration of the g work until the completion of the same. �- , Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fir Officiais are'or'' ded onthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work: - Z . Rough: 1.Foundation or Footings 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A)., Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town .o.Barnsta:_ble °FYI r Building Department t Building Coinn issioner i T LE. MAMSPABLL—It - i+s^.C4:t•fn�M=L•Wra5a1(wt'K' . MAS9L pa xufT.ius•Rukft�t•cO Miax;b .jA.n6jq:. '�0� 200 Mani Street; T�yanm$,PEA 02601Mj rFo tM�a wwiv.toNvn.barnstabl.e.rna.iis Office:.508=862-4039 Fax:50.&M-6230 sign i?er'Mit Application Zoning District Permit# Historio. District 0 Ogo FC,�w Loca#[ n by Street address and v'rlfage Applicant Map-&.Paircel Telephone Number � iq ' Ern lFc�e�c ,C-k�'�w�. S%gn #1. Sign #: Wall _ 0 Wall Freestanding [ Freestanding, L� Electrified* C:2- 'Be.ctrified* Dimensions Sign #1 24 Y 3A .�rC Dimensions S'[grn #2 Square feet Squi fe feet ON Reface Existing Sign NewJR:eNace' Sign Width of Building Face ft. X 10. X .10= *Lighting Type l-e- ` e L A wiring perwit.is required if sign.is ele . .w. Signature of Owner./Authorized Agent Mailing address _ , �--�•�e cam. c��-��s r °,*THE Tay Town of Barnstable ' Building Department BARxsrAsLE. t Brian Florence,CBO 9 MASS 039: Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed'. sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph.. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) .2). Dimensions of the proposed sign and any designs,logos, or lettering 3) A cross-section with dimensions showing edge detail. __ Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". ' 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors,materials and method of affixing it to the sign and to the building. Minimum scale 1"="V. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. l 5. 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D GUITAR LESSpNS ���NI!1 !11 11 Ilt��� ,� Vi s y __ 4 �1CiSIAICI V i viif i�{ij fit! NMI �� �0 ����� �, �ii�' - �l �s 9� -�J� � �� � � . j��� so� - ��3 � q�� r Date: November 30, 2006 To: Building File From: R. Giangregorio Re: 4380 falmouth Rd, Cotuit—Mulitple Uses on Site Owner: Mary Anne Gauthier M&P: 024-024 Zoning: RF Overlay: WP The Building file contains the following information: Building Permits: 1974 Permit# 17174 Remodel garage to Art Gallery 1984 ZBA 1984-25 Change nc retail use to office—denied 1988 Permit# 31644 Demolish fire damage to cottage 1988 Permit# 31778 add two dormers 1988 Permit# 31793 Rebuild SF after fire damage 1990 Permit# 33655 Enlarge deck 1994 Permit# 5870 Add patio 1995 Permit# 376 Relocate garage to this site 1998 Permit# 29287 Sunroom and replace windows 2006 Permit# 20061645 Change existing shed roof to gable ZBA decision 1984-25 states the following: • The NC retail use.(at the ZBA hearing)was identified as the Cotuit Shop—a retail antique shop. • The retail use consisted of 2 front rooms. • The two rear rooms were proposed to office & design for the solar business. • The applicant at one time requested a real estate office use. • An office use was established in Aug. 1983 without zoning relief. • The BC advised applicant of violation and advised ZBA relief. • The abutter declared that there were living quarters in the front building and the back house. Conclusion Limited to: • one nc use (garage art gallery use has been abandoned). • An apartment use in the primary structure.?? Subject to BC's determination • Cottage use. TOWN OF BARNSTABLE � );ihNJ? 'Zoning:Board: of. Appeals hCF �{i�,1, Maahearson 6 Howell MAR _ __ _�._... ....... _ _ _.._. __. _ . Deed duly recorded in the _ �84 15:..A 9 3 Property Owner 7 Mary Anne Gauthier County Registry of Deeds m Book _ Page _ Registry Petitioner District of :the °Land Court Certificate..No. __.. :.......... Book Page _ :Appeal No. 1984 25 _. ... �. . �?, _ 19 ........_ ....... _. Ma.r�h:._l. 84 . FACTS and DECISION: . Petitioner'.Mary Anne Gauthier filed:petition.on _..._ _ rX:_.�..1, 19 8 Februa 4 requesting a X j(RV-Ipermit for premises..at".43$Q::..Fatn5?i1.1;ll RQ.a.d.......... _ in the village (Street) of _ cotu i t , ,adjoining premises of (see at list) Locus under consideration: Barnstable Assessor's: Map. no. ......................... lot- no. Petition for: Special Permit:. ®. .: Application for Variance: made under Sec: w _ _... . w of the Town of Barnstable Zoning .by-laws. and See. ...... ...:............................_.._.. apt A., M.Chapter 40 ass.-(den Laws for the purpose of _Change:.:n:£ a_..ramn-conf arbii:n g.: • Locus..is . presently 'zoned ii_ : RF..:_.. ...`._::. .. _. ._..:._ ........_...... Notice of this hearing was;given.by mail; ,postage prepaid; to .all.persons deemed affected. and ". by publishing in Barnstable"::P'at r i of newspaper published in Town_of.Barnstable a _copy of which is attached to .the .record .of these:proceedings filed,with Town, Clerk; A Public,.he by .the Beard of.;Appeals of*the Town of Barnstable was held at the Town Office Building, $yannis; Mass at g �:__ `...w 'P:'JF :L1�rc.h.„1, 19 84 , won said petit' under.zoning.by Taws. Present at the hearing -were `the: following members chard L:..g,4X_ Chairman . _ .: At the conclusion of the. hearing, the. Board took.said petition ender advisement. Alview of .the V, locus was made by;the.Board: Appeal No...194. 25 ,_. :.. _..:� . ._ ... Page of 2 3 March 1 , 84" " Qn" _ ._. - __._ ... _ __.....__. ._. .M_ . _ -.; . 13 _: The Board of Appeals..found. The petrt:ioner, represented` herself at the heari.ng..and told. the Board. that she:. is seeking a ..5p.ec.}a1. Perm:i.t_ to use: part of.:the _front .bu`i ldi rig :(back:. room), for ,a solar • design- consultation office: located. at -4380. Falmouth .Ro6d,. Cotuit :in.. an RF;zoned. district This .would.:-be a change.-Of la non-conforming :use. the present. use and, has. been c.eaai l: for the :past fifteen years known as` the Cotutt Shop, for the past seven :years selling antiques,., crafts, etc ,' - ;the::locus' is: three houses beforethe, Texaco. gas station heading-toward_:Falmouth. The=retail`: part..is comp r"ised of two .front rooms - the::pet i't i oner. .desires. .to..use .a back` .room for,.a:.sepa rate office (12X12) ao; house;: a. solar design and consultati"on :of.fice _-`.to. be all des:ign .work.: coastal design.: . There.seems to::be. some confusion_.wiah ".th.e petiti.:oner's ,application at one P oi-nt>she: had requested a..rea1 est-ate' use -;now ,teIis the Board .that she does: not .want a-rea.F`estate :office on the premi:ses. Th'e.petitioner intends. .to":employ two .(2) peopl.e_on' the site, b.ut wi.1.1: actua}ly have an installation .crew. .that wi;l l wo.r.k from; the ac"tual. work.place - 'there" wi"l l be no inventory. or large:`trucks: •on t"he .site no.:suppl i.es to be del ive.red to .'the prem:i"ses :=instead they wi. . 1 b' delivered 'direct ly to the':work site. :The Petit}Deer had .already estab`1.i shed 'an .off.'rce on the ..premises.* last "August and was in fact in-violation of "the •current. zoning., by=laws...: She was-adv:i sed"°by. the Building .I nspector that :she'was; i n V i o`l ati on and: had ..t seek a Special ,Permit. from .the Board of Appea"1s. Kevin: Mullaly spoke. in`.objection.to the petition he told the Board that, he Lives on lots, 25. and:16 .and.`tbat he in fact .owns :a.. portion: of the 'pet i t.i oner�'s d r i:veway :.he a l�so. to l'l s: the Board .that there a r,e facilities:on 'the'.p.remises that .would. a.11ow .two families: to.,reside:on the site the f ron t .building has. living .quarters as does -the back house wh i'ch has :been.:.ren ted since. last Auguste- he _te.11s us t hat he feels. this is . Ln. violation:.of the .by-laws, he is concerned with sewage,: p"arking, ete. ; the petitioner intends to'occupy. the apartment that. is on the.p.remis.es When .the . current lease ..exp.ires`.` . The petitioner also desires `to :have twa (2) 3X3 signs on the premises .. identi.f.ying`:solar as well as crafts. The Chairman ask s "the. petitionerIf. .she. .would.be able to ;ab•i de. .by:: :the: fol lowing r:estri Ct irons, the "petitioner - tells the.: Board -that -she will do. so:. No; supplies . deli:ve,red :to the site _.." The..*two. front rooms' .to be ;s6leV for the:: retai T. of crafts. the. back room'of the premises to°be .used,, as a solar desigri consultat.ion .office only Clerk. of. the. Town. of:-Barnstable; .Barnstable.. . County; Massaehusetts,".hereby :certify that twenty (20) days have elapsed since the Board:of Appeals 1. ri o a eal of said decisio as.:been filed . rendered its decision,in theabove entitled.petition that a a . n pp . n.h. e in.the office of,the Town Clerk: signed and Sealed this . .... :_.. ... day of _,. .. ....:.. 19 under the pains and penalties of....perjury. Distribution:— Property Owner. . ............ - Town Clerk Board.of Appeals Applicant Town n. le Persons interested Building 'Inspector Public Information By Board of Appeals Chairman At the conclusion of:the hearing, the Board took said.petition under advisement A view of the I ocus. as-made by the Board. . ____ _ :Appeal No 1984-..22 5 P age 3 of 3 �n March 1 , _ I9 8 The Board of Appeals found The e`.peti'tioner .a.grees to: the .restrictions %mposed :and :the .6oard voted to .take the,matter :under :advisemen.t. The ;Boa-Cd" voted unanimously "to .deny: the pet ition .for .a Special Permit 'as thi:'s 7. would be:'the creation of two. or .more- n on cohfo rmi,ng' us,e5. hd-would: be detrimental ` to the nei:ghbothood. ass: T Clerk of the Town rn bl C of Ba. , sta. e, .Barnstable County, Massachusetts: Hereby certify'-that twenty (20) days have elapsed-sihce the.:Board of Appeals. . rendered its decision in,,oe.above oitit]14 petition: and that: no .appeal.of said decision has been filed: in the'office-of.the Town Clerk and"Sealed this _...... _ ._.:day of :� _:/�! . 4;�..._ _... 19 �" under the;'pains and penalties of perjury: n Distribution.:= Property, Owner Town .Clerk .-Board.of Appeals %Applicant. . ` To_: arras,a`le Persons interested.. Building Inspector. Public.:Information By -Board::'of Appeals Chairman i N� u✓�Mne, � aw-u.irr �oF1"E rti Town of I.. : &MMSTABIZ Building D a IfDM 200 Mall Tel. (508) APPLICATION F Permit No: TG-19-425 Job Location: 225 WINTER STREET, HYANNIS Home Owner's Name; SHAUGHNESSY, TRACY E Home Owner's Address: 225 WINTER STREET, HYANNIS, Contractor's Name: MATTHEW SCIOLETTI Contractor's Address: Hyannis, MA 026013444 Location Fixtures 1st Cook Stow Work Description: (1) Fixture I have a current liabili insurance policy or its substantial equiva Message Page 1 of 1 Anderson, Robin From: Anderson,Robin Sent: Thursday, December 01, 2011 8:43 AM To: '4380ma@gmail.com' Cc: (Kim_Gomez@BHA.Barnstable.MA.US) Subject: 4380 Falmouth Rd Cotuit Dear Ms Gauthier, A few questions have arisen with regard to the uses of your property located at 4380 Falmouth Rd in Cotuit. This is a nonconforming and as such I need to know in which structure your proposed tenant shall be residing and will the lease-be for the entire structure or are there any other uses in this space? There are three buildings on site. Please identify them specifically when you refer to them. Also, as an aside, the new music school must remove the flashing neon-type sign from the front window. This is a residential area and a nonconforming site. Offenders'are subject to$100.00 a day fines per violation, Please convey this information to your tenant and have him comply in order that we may move forward. Please advise. Robin C. Anderson Zoning Enforcement Officer down of BarnstabCe 200 Main Street Hyannis, NA 026oi 5o8-862-4027 12/1/2011 Scotty's Mid Cape Music School 4380 Falmouth Rd. Cotuit, MA 02635 508-775-050 auguitar@capecod.net www.AbsolutelyUnderstandGuitar.com I . The 6 Main Areas of Music PAYMENTS: 2 4 Ways to Know Your Pitch Patterns All lessons must be paid for in advance. 3 The Dumb Machine 30 Minute Private Lesson .......... $30 4 Basic Guitar Chords 45 Minute Private Lesson .......... $40 5 More About Chords 60 Minute Private Lesson .......... $50 6 Picking, Strumming and Practicing DISCOUNT LESSONS 7 Music By The Numbers SOLD IN GROUPS OF 4 4 x 30 Minute Lessons ............... $100 8 Caveman Music Theory 4 x 45 Minute Lessons ............... $140 9 Notation! and Rhythm 4 x 60 Minute Lessons ............... $180 10 More About Notation 11 Silence and The Note CUSTOMARY TO RENEW AT TIME OF LAST PAID LESSON 12 Intervals; 1. 13 More About Intervals MAKE CHECKS PAYABLE TO 14 The Must Know Scales SCOTTY!NEST or A.U. GUITAR 15 More About Scales ABSOLUTELY UNDERSTAND GUITAR 16 Still More About Scales VIDEO HOME STUDY PROGRAM 17 Diatonic,Harmony a la Mode Complete 32 Lesson Program with 18 More About Modes Book and Support Pckg.............$199.95 Print your own Pckg ..................$119.95 19 The Mode Jam Tape Scotty's Musical Sliderule..............$9.95 20 Other Scales, Other Modes 21 Pentatonic Modes ATTENDANCE 22 Music In Minor Keys To maintain a weekly spot on the 23 Modal Music schedule board, you, must pay for 24 Playin' The Blues (and hopefully attend) a lesson per 25 Blues Jam With Dan Lawson week. If you must cancel, you can 26 Triads make that lesson up sometime provided you simply let me know you 27 Chords are not coming. You cannot use a 28 Chord Voicing make-up lesson in your usual weekly 29 More About Chord Voicing time slot. You can schedule them on an 30 Chord Progressions appointment basis sometime when you can do two lessons in a week. These 31 Modulation and Substitution make-up lessons have no expiration. 32 And In The End December 20. 20 i:1 From:Patricia Brown ` 43.80 Falmouth Road,Cotut . To:Maryanne.Gauthier; Landlord of 4380 Falmouth Rd.Cotuit;Ma 62635.,; I have a few concerns pertaining to the rental rear-house at'4380'Falmouth Road;Cotut:, 'Last week)opened the".Occupant"NStar Electric bill-for'November 2'to December 2;2011.; To my-surprise a vacant'house would'use$98 00 worth of.electricity? I was aware.that you run a dehumidifier in the;basement continuously.My.bedroom smells horrible-like must and mold.,Plus,I have to,:listen to°the constant,anrioying,hturmmg;of the'dehumidifier;all day and night:, Hopefully 'xt is a:fa�rly new appliance:as I`am':responsible for.the electric ty,used in the whole louse:;; My primary concern is the ove all-Eleetrical usage see�r►g.:how I am on a fixed income. What else is on my electric bill?Is the:garage.-on mine aswell`'I can'clearly see the electric.wires j going underground to,the garage; ,I have also:beenradvised'through Barnstable,14pusingAuthoritythafthe basement isn't',allowed to be used as storage area or any.other business for anyone who sn't,listed on my rental agreement:. I didn'trealize that yo'werestoring;'stacks of`old,books;.furniture and other items down in the�cellar until I,had to escort the Comcasi.man down,to repa r my cable and telephone wiring. I mini also aware of the,1act that you;are spending approximately 10 tol5.Hours per week in the cellar in which I reside.. This isn't at all farxo.me as.I::am paying for'the Electricityancl I'.feel as if myprivacy is evaded upon; 'Th smatter-has been referred to.Kun;Gomez@ Barnstable Housing,Authority' 146 SouthiStreet Hyannis,Ma. 026:0`T Tel#508 77I:=7292 Email kern:,gomeztc')bha barnstable rr a.us: Sincerely; Patricia A Brown 4380 Falmouth Road. Cotuit,Ma.,02635-2666' Cc:'Kim Gomez Maryanne Gauthier S<: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O R Application# Health Division Conservation Division Permit# Tax Collector _ Date Issued' Treasurer T Application Fee ob Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �. Historic-OKH Preservation/Hyannis Project Street Address q3 Y d rALM 6 U 1 fF Kb Village OCEU 1 7— Owner % CA VE6l E& Address g5R-6 FA LM t)(_)7-H Telephone yad 2216 Permit Request eAkff Z_:�: iZC0 F Cohn rt6,,0 A7`l6/`1 cl�. c��5 X q ✓ �y�Af? 6u7- AbO fZJe7_ F_1YT/ {{oys W17-11 ,, &Lr Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Ao.,W Construction Type ?A5f iY Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportinocumen ation. w Dwelling Type: Single Family ❑ Two Family.. ❑ Multi-Family(#units) C rn Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hig ay: ❑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: Wr`GaS ❑Oil ❑Electric ❑Other Central Air: ❑Yes @ No Fireplaces: Existing New ` Existing wood/coal stove: ❑Yes ❑No Detached garage:O'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 n L/ LDER INFORMATION I Name 11/ Rr "�7"1 Telephone Number �5&� Address 45 b FALffin07-1k License# 4�&17- AU" 4,2 6 5 5` Home Improvement Contractor# l ' Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /'d� FOR OFFICIAL USE ONLY, RURMIT NO. { , DATE ISSUED .,R MAP/PARCEL NO. i f - } . ? ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION nn /� FRAME �jf�l C8I0-7 l h��-t� 4tart moo l�qil INSULATIONO f°�UW`iy� GIAPy mBffjt�p FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL `t i GAS: ROUGH FINAL VfrN 7 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i ` The Commonwealth of Massachusetts ,^g Department of Industrial Accidents �1• Office of Investigations _ 1' i0 ° 600 Washington Street • Boston,MA 02111 c www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): g ig-9 V Address:_ q 3 8fl EA1_M t T-# Rb Lb 7-,j/7~ City/State/Zip: Cb_Tl// Phone #: Lfb F �/,R 6 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 and/or part-time)-.* have hired the sub-contractors 2.ElI am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers',comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑' 1 am a homeowner doing all work right of exemption per MGL 11:❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 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 date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: c' �4- Date: of 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#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency,shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense 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 under"Job Site Address"the policyinformation(if necessary)and 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-8 7-MASSAFE Fax 9 617-727-7749 Revised 5-26-05 www.mass.gov/dia Town of Barnstable ti Regulatory Services snxivsTnstE. ' Thomas F.Geller,Director 9 iawss. � . 039 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 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 other requirements. Type of Work: Ki_i---K6r— &6&,)96 bKre— to�1( Estimated Cosut (v ez ad Address of Work: `�s32Sa FLhc�b �7 Owner's Name: M 0 1 Date of Application: 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 Mwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Signature Registration No. OR DateVy Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 4 a - i Spm 6 ktzo- WALL asor� iRS,D� �'LooR Wi N:),OW5 "T TR�sM�CMS f )OI 4NNO r2A L--r*Ok, h/360 AA L M o MA 3,�, 7T , EA I FRAME 03 =2 x 8 H 4x6 RAFTER 6?39 O,C � ,,z,; 055 H w 4" C. BASE FOAM w INSULATION O w 2x(o TdG PINE ROOF?NG- z H I a , , fx8 FASCIA 4x(o GLUE LAM HEADER i .4x6 GLUE LAM 5/ x8 51LL PINE , I KNEE WALL ( i I. R-15 FiBERG�S. INSULATION CR05S SECTION ` • 4 SCALE: @G,ECT i r DA? Sunroons Etc . I c , sc��F.. _ ' cwRVE�TM� MA 0�330 � i ORAyt�h 8Y. j . (S06) 666-SISO FAX (SOS) 666-nSI I , FsHE Town of Barnstable �o ,�ti Regulatory Services BARNSTABM Thomas F.Geiler,Director y MASS. i639. 6.,0 Building Division $ATfD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' / Please Print DATE: JOB LOCATION: Y39-6 EA L4\&b(J T-Y R-b C`'�l`o/ T nu�m�bexr street village HOMEOWNER": NN�- L7 �� ems " �name 22 home phonee# work phone# CURRENT MAILING ADDRESS: �c700 / AL AA 6 CIA- city/town state zip code I 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. DEFINITION 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 constructs 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �►i1 Sign a of ftorheowner 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 EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing,of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(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 proceed 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/certification for use in your community. Q:forms:homeexempt r Page 1 of 2 Anderson, Robin From: Kim Gomez[Kim_Gomez@BHA.Barnstable.MA.US] Sent: Friday, December 23, 2011 8:18 AM To: Anderson, Robin Subject: FW: copy of complain I have filed with the DPU .1'7aVM4Z,%Gifu 146 Sa4dh Sh J4wmz%i, ✓ iZC2GU1 S =7717292 MOB 77S 9312Yax From: Pat ty Brown [mailto:freeseahorse63@yahoo.com] Sent: Thursday, December 22, 2011 2:31 PM To: Kim Gomez Cc: Patricia Brown Subject: copy of complain I have filed with the DPU Your message has been sent You may wish to print for your records From : DPUConsumer.Complaints@state.ma.us To : DPUConsumer.Complaints@state.ma.us Subject : ComplaintReview Request The following consumer has submitted a complaint through the online complaint form. Industry: Electric Utility Company: NStar - Account Number: 14293260031 Name: Patricia Brown Address: 4380 Falmouth Road rear house City/ST Zip: Cotuit , MA 02635 Home Phone: 508-681-8045 Daytime/work Phone number: 12/23/2011 - 1 y Page 2 of 2 Fax: Email: freeseahorse63@yahoo.com ---------------------------------------------------------- How should we make contact with you regarding your complaint? Please call me: YES Please email me: YES I will visit DTE: NO Please fax me: NO Complaint: I just moved into rental house on Dec 2, 2011.I am on a Section 8 Barnstable Housing Voucher where they and I pay the landlord Maryanne-Gauthier rent. I didn't view cellar as Barnstable Housing hired a separate agency to preform an safety inspection of the residence I am living at 43 80 Falmouth Road, Cotuit,Ma. 0263 5. Until the 18th I never went down cellar till the power went out and I entered the unlocked bulk head and went down stairs. There is not only fire and safety issues here as the hot water tank and the furnace which is gas has clutter which I have photo's in my possession. At this time I realized that said landlord has an office and has.been using my electric to run computer, refrigerator, microwave, dehumidifier,lamps,outdoor bulbs in ceiling,several breaker bars, space heaters and many extention cords. I also have a letter from her admitting that she herself is using my, electric with Nstar!I am also seeing wires going to her rental garage as well. The town Of Barnstable only has two rentals listed and have been told that this wasn't allowed due to a law about Comingling. Please help me. Sincerely,.Patricia Brown I am on a fixed income --------------------------------------------------------------------------=-------- This message was generated at: Thu Dec 22 14:19:06 EST 2011 12/23/2011 . - Page 1 of 1 Anderson, Robin From: Kim Gomez [Kim_Gomez@BHA.Barnstable.MA.US] Sent: Friday, December 23, 2011 8:05 AM To: Anderson, Robin Subject: FW: Fire Dept. came today. FYI �{az.mil om", ,&wed. fawiyg eoeydifzatax J`3ax�r�fix�e.i�uz�Clrrt/fa�zitz� 146 Sau(h Street 3fiyarzrv,�, ✓ a U26el - SM 771 7292 SM 77Y-9312 Yax From: Pat ty Brown [mailto:freeseahorse63@yahoo.com] Sent: Thursday, December 22, 2011 6:16 PM To: Kim Gomez Cc: Patricia Brown Subject: re: Fire Dept. came today. December 22. 2011 Dear Kim, I called the Cotuit Fire Dept. Today, as I was instructed.to do by The Board Of Health over the phone. Lt. Mc Carthy came to inspect for a fire hazard in the basement at 6pm today. They were unable to complete said inspection as the door at bottom of bulk head was locked. 'So was the door in my bedroom leading downstairs to basement. It was told to me by LT Mc Carthy they would have to break the down down in the invent of an emergency. He said to call the Board Of Health in the am to let them know there is no access now. Just keeping you informed of the events.happening. Sincerely, Patricia Brown 508-681-8045 12/23/2011 C,. �t Sign . TOWN OF BARNSTABLE Permit * B RNSTABLE, MASS s6 9$Ar�D 39..�A°� Permit Number: Application Ref: 201106338 20070685 Issue Date: 12/09/11 Applicant: GAUTHIER, MARY-ANNE Proposed.Use: MIXED USE SINGLE FAM & COMM Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 4380 FALMOUTH ROAD/RTE 28 Map Parcel 024024 Town COTUIT Zoning District RF Contractor PROPERTY OWNER Remarks 10 SQ FT SIGN FOR MID CAPE MUSIC SCHOOL Owner: GAUTHIER, MARY-ANNE Address: 73 COUNTY ROAD BOURNE, MA 02532 Issued By: POST THIS CARD SO TIIAT IS VISIBLE FROM THE STREET of EIS, Town of Barnstable ° Re gulatory Serv><cesr a+aivsr 0 9 nsnsa Thomas R Geiler, Director Buifding Division , Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 1`J. Fax: 508-790-6230 Permit D Building Official approving Application for Sign Permit i Applicant �� d�i �JT Assessors No. Doling Business As:j�jj� / ����T'elephone No:,�>7;;5 9 Sign Location - . Street/Road:• ��1�z/ �� � � ��/��� i Zoning District: g� Old Kings HighwayP Yes/No Hyannis Historic DistrictP Yes/No Property Name: /l% Teleplioiie:_ j j Address: s / Village: Sign Contractor Name: Telephone: Mailing Address: Description Please follow the cover directions.-You must have an accurate rendition of sign wide dimensions -,uid location. Is the sign to be electrified? Yes o (Note.•ffyes, a Ig-permit is regmred) Width of building face—22.,._ft. x 10= x.10 Check one Reface existing sign V or New Total Sq. A of proposed s' s r E1 Fou have additional si'VIs please attarll a sheet listing earls ogle mth dirnellsions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have die authority of the owner io make this application,. that die information is correct and dhat the use and construction shall conform to dnc pros-isions of §240-59.through §240-89 of die Townn of BannsW)lc Zonninng O,rsiivarncc. Signature of Owner/Authonzzed Agent: Date A r �'��1��' 'r-tom" ,..•r,^'""'�" �, t� !• � i }�}i5• �,..�..y`��i,�. �~��o..-��Jf"..��� 1��.�-ram' ` •�j' 0 �. i .''"" a wrX, +' ej el. q v ng JiA Vv oil ��� ��'+:.\ '. 1j ��� - ~� yvC"` ; ram-�•, ��* ti dire 'F' i 1 i c`k�l�+•Z• le-� �` �r'�i f 1.:- 7� j1.®•* a t c '• � t i PJ�I .S y° .Map Page l of l Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size ®■ Zoom Out ■h JPG Map: 024 Parcel: 024 Full .. Property ' Locatiom 4380 FALMOUTH ROAD/RTE 28 Info 024025 1.0 .Owner: GAUTHIER,MARY-ANNE 025013 FAZ 9a320 Location Information - Map&Parcel 024024 ? 024025 Location - 4380 FALMOUTH ROAD/RT°28 .. q'43e4 Acreage 0.47 acres r" _ Current Owner t Mailing Address GAUTHIER,MARY-ANNE } 73 COUNTY ROAD 17 02402a BOURNE,MA 02532 : a a3ao ——----- x2' [Appraised Value(FY 2011) . .°, r Extra Features $0 }. a4390 Out Buildings $10,600INK ,. Land $71,100 ' > Buildings $275,000 �, Total Appraised $356,700 1s T 0 gz4ga5 Assessed Value(FY 2011) a u'a3a3 Extra Features $0 4 fj a?a3ii Out Buildings $10,600 ' gz4oe2 Land $71,100 Buildings - $275,000 - n Total Assessed $356,700 f IJ Set Scale 1" MAP DISCLAIMER Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v12.4238 [Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=O... 11/10/201 I �oFt , � Town of Barnstable *Permit#. O Expires 6 mont s r m issue date Regulatory`Services W Fee f�2 S RARNSTAsr 9� MASS ,�� Thomas F.Geiler,Director. ArEo Mpl a _ x• _ Building Division"' ,r 0 1 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis;MA 02601, www.town.barnstab]6.ma.us Office: 508-862-4038 Fax:'5087790-6230' EXPRESS PERMIT APPLICATION ,,-. RESIDENTIAL ONLY Not Valid without Red X-Press Imprint e Map/parcel Number 002 ^l902 Property Address �3$ �i4L/�itbVrff 121�" Ce7UT ,Residential Value of Work r�'B®. 0"0 Minimum fee of$25.00 for work under$6000 00 '; 1 Owner's Name&Address MA jzy /CNN no 15/Z ' Contractor's.Name /11��� -C Lf�/1,elf Telephone Number �P y 71--P-6 ff q ' Home Improvement Contractor License# if a licable P ( pP ) Construction Supervisor's License,# if a licable epp Vorkman's Compensation Insurance 3 Check one: I am asole proprietor. X R E S S ERMIT. ., b ❑ I am the Homeowner. I have Worker's Compensation Insurance JUN 010 , Insurance Company Name r_1n 11V L US IItl ,144isiez TO N OF BARN-,TALE Workman's Comp.Policy# /�(l 0©X�5��-..SJ [� Copy of Insurance Compliance Certificate must accompany each permit. r Permit Request(check box) ¢-- Re-roof(stripping old shingles) All construction debr.ts will'be taken to ,� a(/�25 S f El (not stripping.. Going over existing layers of roof) ❑,Re-side Pk a #'of doors' Replacement Windows/doors/sliders'.U Value '(maximum 44)#`of windows *Where required: Issuaiice of this permitdoestnot exempt compliance with other town department iegulations,4�.e."Historic Conservation,etc. ***Note: Property.Owner must sign Property Owner Letter of Permission:'' « " A copy.of the Home Improvement Contr 1.actors tic euse&Construction SupervisorsLicense is .. required. r SIGNATURE.; - ` x Q:\WPFILESIFORMS\building permit forms\EXPRE S.doc. - .¢ Revised•090809 �, 4 The Comrnonrvealt/z ofNlassachirsetts Department oflndustria,'Aecidenis d� Office of Investigations 600 YYashington Street Boston, NfA 02111 fvivw.mass.gov%dia Workers' Compensation Insurance Affidavit: ]Builders/Confractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorAndividual): Ayt/?i, C. 4 Address: /,413yX 7.2 Ci /StatelZi Phone#: ��� ��yy -Sad-776-Mf 7 tY P� �i�%�/�Z/ho�ri� ln/� Are you an employer? Check the appropriate box: Type of project(required): 1.0K I am a employer with I -_ 4. I am a general contractor and 1 6 ❑New constriction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition employees and have workers' working for me in any capacity. 9, ❑ Building addition comp.insurance_$ [No workers comp. insurance ME] Electrical repairs or additions ❑ required.] 5. We are a corporation and its 3.❑ I a homeowner doing all work officers have exercised their 1 LE]Plumbing repairs or additions right of exemption per MGL p,.....-_-,._... ,....__.. ._._..._...•,-.._.-.... _..._..,._..._ -.,..12.O Roof.repairs ........... . .. _........_.:- insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 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: Policy#or Self-ins. Lic.#: CP /w,� IOO X S�7 O t/, Expiration Date: Job Site Address: L13 So. FA LMD vTxf IE!b �aTyi7 City/State/Zip: ba C3,:�_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date;i. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains and penalties ofperjury that the information provided above is true and correct. signature: Date: /VA0 Phone#: Y77 f� c-+��L S-a8 '7710-1�f7 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 In S. Plumbing Inspector 6. Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing.employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair.work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners,are not required to carry workers compensation msurance If an LLC of i) P does have employees, a.policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sire 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 maybe 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and,should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749. Revised 4-24-07 wwtiv.mass.gov/dia Of 1D - `L3ii GATE(MWODRI Y1') L f, Arnowa CERTIFICATE OF LIABJUTY INSURANCE T.AiPB'AN1 06/04 10 - PRODUCER - i'HI$CeRTiftCATf-161SSUfD AS AMATTER DFlPdFORMT.I.OAI ONLY C ND CONFERS NO RIGHTS UPON THE CERTIFICATE aramlich Insurance Agency, Inc Rum,,.TAB CERTIFICATE DOES NOT AMEND,EXTEND OR 3263 Acushaet Avenue ALTER HE COVERAGE AFFORDED BY.THE POLICIES BELOW. New Bedford I-!A 0274E Phone:508-998-3008 I INSUREI S AFFORDING COVERAGE _ I NAIC A -_" INSURED --- y_ — -R_A TravelerS Insurance — {IE04 ---- —.._ N�-----f,=R F gip ' Andre C. Lafferrier P. O. Box 87.2 Ir...r EP{ E, Falmouth MA 02536 - .-_. __._ tldS_REP E COVERAGES � - 7VER GESGFdNSI'x'i;ELrSIcUB_LG:d-Hs ESEE'"ISSUEUT?TH-EINSUREDNnM U ABOVE FOkT-EP ki "PEPOD NCI-A1 U I TWiT.°ALiCIP7:, AN'i PEWU RET4EN TERM OR^GtL ITICN OF.U'd C PJT�4 .Q OiHER COCUIVENT VA H PF_RPECT T'!V.MICH THIS�.'ERT1 ICA"'ENAv B r wStiEi�t)F + _ ,. PEF-,A .THE PdSURANCE AFFGR�EC_1 THE Pv�CI-'_DESCRIBED HEREIN I$SL�JE�f 70 Al-THE TERNS.EcCLUSfGN_ADJU rONUf 1VfJ_GF.SUCH •, P Pi-LiCIES AGCR_GATE LINtl1'S SH;)WN MA'BAH_ F.FN F_0Vt.Eu'3Y PA I)aAtio. r--..- --" I — " L- Tip$"ttf"INSURANCE POLICY NUMBER DATE MM DATE MM/DD Lt1117S EAC"l'd L4JKtC VL _ GENERAL LIABILm rFfi - f i ,:LA Ah._h1?t.r J -r7UR l _ - - - .� --- l_._t__ ___ -- .• • I � 1 PROUuc1 arnvi0•a:41-; 5 -- GENI..^,G"Rcr P>':LI T Cr PL ES YE<^ - J TY AUTOMOBILEUA6ILITY, I• • i tea%�oIII�C st\Gt I,VIT ' I5 . , Ea cl ant? � F—, I aid"Al1T0 1 t `- ' j ilia.il,fd v i AhTJ I 8- L f it!Ilik' (P., -- I - ,,CH-DiA.ED AlrOS > HIRr'.DA-TO„ 1 i Ei L r tPJJ 5' g -I .• PRv,PLRTY DAIAAGE 1 __— .. _J ( �,', .' ,•_ tF'er m.cll3rti ,,. i s ., AUTO C',L GARAGE LIABILITY and"AUTi) �JAUTOO,L` or '; EXCESS/UMBRELLA L ABILITY -- ( - A_GGEGATF -�i)CCUR ER I WORKERS COMPENSATION AND .. ( - A @MPLDYl 9 LIABILITY GWB;700XS57r5-D4 12/24/09 I 12/24/10FEL &,HA_ICE\T — r 100060_ ANY PRCPPIETOR/PPRT\ERiFkE,I.IT VE _ ^_ERIMEMBEPEX-,LUDEC`t - 1 IEL CI EASF_tAEI/�NU.7rE' i 100000 GFFI ifv s d��.ribetrcer 11 - I c C. :E-.E Tk1�*'_it.l 1 5 000� S EGIA_PROvl'I.N.>b-lcrvv DINER �. DESCRIPt10N OF OPERATIONS!LOCATION6 f VEI CLEB/EXCLUSIONS ADDED BY ENDOR8ENENT 1 SPECIAL,PROVISIONB " i CANCELLA` M CERTIFICATE HOLDER SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELtEO BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TD'A9All 1t9 LAYS WRITTEN -. _ .NOT{CE fO THE X-AnFICATS HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL TOWIl of,Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,iT$AGENTS OR f REPRESENTATIVES. - . AUTHORIZED REPRESEN TN'E _ CAC CORPORATION 1988 ACORD''25(2001108) ,;• G oFIHE T Town of Barnstable Regulatory Services 1AHNSTABL- Thomas F.Geiler,Director S, MA93 Building Division, Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwty.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and.Sign This Section If Usirig A Builder I, }� T/ �' as Owner of the subject property hereby authorize ' f�P��le� LA �/ 9E to act on my behalf) in all matters relative to work authorized by this building permit application for: T- (`Address of Job): Signa of er Date Print Name If Pro Owner is applyng.for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORIvtS:O WNERPERMISs10N r Town of Barnstable o Regulatory Service's ` BARNSTABLE, Thomas F.Geiler,Director 1639. ,�� Building Division ATFD �e~ Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 , wl Fax:, 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOM EO WNER": name _ home phone 4 M work phone�! CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a.license,provided that the owner acts as supervisor. °, y DEFINITION OF HOMEOWNER' Person(s)who owns a parcel of landton which.hd he resides or iritendsIto 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 constructs 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/s I.he understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that be/she-will comply with said procedures and requirements., Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic.feet or larger will be required to comply with the s State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that:-"Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuining the responsibilities of a supervisor(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 proceed 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 fomr/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC s massacfiucetts- aajImCnI 44 iPublic'Safc i f Board itf Builtlit g-Reguiatinn.and Stattcla"I's Caxs�t:�'�ttir3�r ls � License: CS `928 , Restricted1w. 00 ANDRE C LAFERRIERE PO BOX 872 E PALMOUTH, MA 02536 ; Exj rAtig..m 3W./20T2 t'r�mmi.��cs+�nrr TM •20247 7T, Office of Consumer Affairs&Business Regdia don License or registration vAhd tor'indh idui use'only ; HOME IMPROVEMENT CONTRACTOR before-the-ekpiration date. If found return to: T Registration: 113944 Office of Consumer Affairs and business Regulation Expirations . 113t)A 1 "fr# 287201 10 Park Plaza=Suite 51:70 Type IndividuaV' Boston,MA 02116 ANDRE C.LAFERRIERE ANDRE LAFERRIERE '12 METACOMET RD. -Mashpee,MA 02"9 Undersecretary Not valid without 0 tore. t i . �Fr=ti.. i ... ..•._•-. ... •. . ,.'... •:.c.,ice ...:�..;A. r.��A .., .. .... �+.. ; ti ,`Y .=..—_�.�i t�x..� Town of Barnstable % BARNSTARLE. Regulatory Services V MASS. $. .. . s639.s, Building Division pTFD MPS 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspectionr2 Location 0 Permit NuftYbe r D G 7 �O i Owner Builder One notice to remain on job site, one notice on file in Building Department. The following iitems need correcting: i i i i �JJ Please call: 508-862-403.S?for re-inspection. n Inspected by by C- Date S—�b ),I lh -7 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost$30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall)., DATE: 11 a-) 0 hl Fill in please: APPLICANT'S YOUR NAME: {. BUSINESS YOUR HOME ADDRESS: r TELEPHONE # Home Telephone Number: 5 ems-Ll.��- 0__C11 1 ...........::::::r:,:::r�,:r:,:.:::::v:_::::n.v:,::,::::::::.....,:_:...._..,_............................... _ r..,,:J.._,.....r..• 1 .. . ........:.. ......... ..... .... .c,...r.:....::.1.::'-: ...:, 4:..:...... - .. - _ .....:: .>: :.. .. ...: .r_......._..__. _ ... _.. _.......r_ .....I!.._...- '--- ..._,.d..,..__. !;.!:r:-.�':¢::;�•'Ltye:!;..v;__.r�_:.._._. - - �:;::4�c!:!i::!>tc:i:;l!!�!a4!!::e!:�:�::=ii'.35t�';':'.LL ,,:,:'::''P'`li�_E�;iE:.::�=�:__...r!;:t�:�!''.r�;!±'-`_7+�_:__!ri!35__t!;!� _`*!';_[!h�:i_�,::_';i[p .] ..__.....n..r.. r... .. _... .. nM1 a - �►MI� FJ�I� -BL Sl E��_.... ._v.. :, ,;.,._:-n„_. r.n _.. .r. r,.rl:, .: _ -' f n . `'rl'C:?;._�"n'F• 5 '�2r'k-�""4'��aTfJs%=' �.. .r.__ .. _. ..._._ ..r _._.,_,v_.._. _._.._..._...:,•_.__.......___...._, '.r,. . .......Fs....,....,.._.... _._. .. ..................:..1,.....�......_.....,:.......r.......T.........�......r....:..l._.i......_..r....i.........6..�.7:.r.r...r,..1.v.......,.A.,....r...v...,..r..r....._..,...v:...,.rr M.rr...r..�1!...n_7 n..r r.,.l..........:......r..:..v,r.._........:.�.,.:..rr!�:�. .r,.,.r,...t...........,..1v,...I....,.._.....r..................._.......I......t......................,...!.r.,....r.r..... .:.rP..r...................,.•.n......I.n....nLr r,r.,......._.,.......v._.r.r..........._,....r..........n..r...r....,.. .r.:.,.,r.,?...I:u....:....:....... . ............. .. ,,:f:a.:.-..:..........:.....,.r...!.l:lr.,!.....iI...:i..,..,(...;..,,.c..,.y4....!.........:.r_.L.....4...,,.;:I..l.:I.1."l,.ar.!.,..(...r:n..;.r..,.....,!.....�n.r,.......rp......_...._..:i....;:...:._v.1:r,v,.....,...,.:!...:nIr..F.1:n.r.1....::.rn..i1:.n.:...C.rvn....:..:...7........_...-,.n..,....:n...-L...........I.J.,...1l.........ir....,..,....,.r.?..„.1.i...r�1.�..:.I,.i.:.!:.r.,h.1,.i1.i..�i...:.:I.:.r:..:.i.h:.,...!...:....:.:;...:c...:.:.:,..4 L:.:..F.i..:P......:.:.nr..,rn r..lr::.i!.il..r.:,..!!.n,,r:.l..`h.rs..:..�..l..:..•A..!...:.!.:...nI...;.F:.r_...rI,.'Ivr...„�..,r.:n!1 .._.- � n,......,.v.��...:......:........:....r:...........:...,..1.., — .. 'u ...... .... _.. ...._._.... ...,... r.r. •n.e:...lnr.vn_._v.....,.. n.......v.v.,.�; rr.r:Ln:u,.,.,,?.. - - ..........:.:...... __._r...._....�. . . � .,.... _fit` _... .. ..e.. .. ..........._...,..... .1 m r. ■_ ............. .t.....1 _� .. , .r., ..i..r.........., ._,isc.::4„n,.,.._,::L::c_nrc:x�.::e::n;!rr:::,:::::nx..,..v...vrr,..n:,.c:::::...:.:r:::!Q...re::..:.,.:!:....v._... .. .._...r..•v.. ......: ..r...,::..h:r. .. . ..... ...n.._. _. . .,..:r:..•� ..v,....4T.r a. ... �.., r.r...., .'!.. ..,i.. ...!..:..::::I:......... .!�:I�. .,R�_.. .. ...r.: .. N .._,.,.v,_,,...L,.._..��... F`...r ........... ....... ,..... ... ......._ i. I Ltln.,. r., !!Ilr When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need: You MUST GO TO 200 Main St.- (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE _ This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** - COMMENTS: - ---"- Seth Gauley 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to cod Cafe boatel Authorized Signature** ^cable and Cup onents. COMMENTS:— old�p0d and architectural com 428-0 362 � rel:508- Builtfrom 774-z69 9 _ . . 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) 169 Clay pOn sethg ule d Road y@yahpO pOm This individual has en infor d of th; ce i requirements that pertain;to 1 Unit 16 MP'02532 Au horized Signature" COMMENTS: b Town of Barnstable Regulatory Services Ort TNE')� Thomas F.Geiler,Director Building Division. ► BARNSTAmX, v brass. Tom Perry,Building Commissioner 'Oleo My� 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: S?=L6 --I Phone#• J��` a� ' 0 9 3 t Address: 'f n C `y- t GC/` ok�q Village: (4�-" 11riA 00"6 3 ) Name of Business: Type of Business: C2 (7 =NT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the - premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more-than-400-square feet of space. - • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned, ve read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: ' Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost.$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission t operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis,MA 02601 (Town Hall) . DATE: A,n . � Fill in please: 1 /� APPLICANT'S YOUR NAME: g'1Yl p I,V+� l?A`V BUSINESS YOUR HOME ADDRESS: ti 2 8D 'i9-C 71L , ab!193L _1_ TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS W © C) 'D- Bev-e TYPE OF BUSINESS IS THIS.A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS L-f'� SD �¢1v��:� I2 l v fig.�' MAP/PARCEL NUMBER 4 a H When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.=(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operat"o r Business in this town. � 1. .BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. �J Authorized Signature** 01,0r " COMMENTS: 2. BOARD OF HEALTH This individual has ee informe t permit a is that pertain to this type of business. Au nzed Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) �— This individual has b en informed-of the licensing requirements that pertain to this type of business. Auth rite Sign ture** COMMENTS: \` 0_ � 0 ,4/ ��� - ass s� ��- ,. �_ X►r w t YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost.$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission tcropera e:) Business Certificates are available at the Town Clerk's Office, 15` FL., 367 Main Street, Hyannis,MA 02601 (Town Hall) -A a a 4M aft DATE:� A� Fill in please: 1 APPLICANT'S YOUR NAME: + 1.. z to �T BUSINESS YOUR HOME ADDRESS: �j ►"�eJ' 7 "7 �f - aec[ 93OWN � � TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS W © 0 v-e TYPE OF BUSINESS v vw IS THIS.A HOME OCCUPATtON:? YES N. ADDRESS OF BUSINESS $O ,41,r.as �2 �o v. MAP/PARCEL NUM.B:ER OAII . �. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd. & Main / Street) to make sure you have the appropriate permits and licenses required to legally operate--d" r Ti s ess in this town. .!'I � 1. .BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. 1 Authorized Si nature"* Or ` COMMENTS: `� IL) .tv 2. BOARD OF HEALTH This individual has aeeinforme t permit a is that pertain to this type of business. Au razed Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b en informed.of the licensing requirements that pertain to this type of business. Auth riied Signature COMMENTS: bid ��"` � �Q:,c.,�-�` �U Iv �.l"' 0% ` ) s FIRST II:LOOS SECOND FL-=2= OPEN Ll NE w j ��J/ I. SPIN° pav SPIRAL cT N/`�' _ _ - ( si.";•` CIDS EXIST N[, P - !$• kCOfA N6p H /Oy' y ), I ,. ' J a 21 a,b` h'•vc,';off. I I� � / R 0 y�.> ��S �1v � �r _ 30^ _ ex's— i o D _ 1 (7 Id ExF�Na �vs,DNS asD eoo,N �. ,. .. PlssDG o�61 f-:xls )Nc, R00 �p i- - CO,vY�^/JI VGA .�XY GON57R tJCtt0H /&,OG INbu EATING ,r,,a+•�-5' ?-KD NEW Kov= INsr�IL v'�"x& cke�FN wiNDow 'DECOSTE REMODELING AND DESIGN CENTER / F 4380 Falmouth'Rd: ' Catuit. MA 02635 (SM) 4M-5740 MCUR Apppoft i Table JS=b(eondaned) Prescriptive Paduqu for One and Two-Famiiy Residential Buildings Hated with Feesil Fuch MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor I Basement Slab Heaung/Cooling Area'(9A) U-valuer R value' R value' R values Wall Paimder Equipment Efficiency' Package it-value, R value' 5"1 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Nonnal R 12% 0.52 30 19 19 10 6 Norma! S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 23 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13W25N/A WA 85 AFUE w 15% 0.52 30 1910 6 85 AFUE X is% 032 38 13WA N/A Normal Y 18% 0.42 38 19WA N/A Normal Z 19% 0.42 38 1310 6 90AFUE AA I8% 0.50 30 1910 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETE ING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: f , q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requitement. For example,3 ft'of decorative glass may be excluded from a building design with 300 ftZ of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 -• �... � V `-:LCU�CGJL O�aiG'GC7.JOCtG{2LIQ6CG1 ✓ftz a�rv»aar .; Restricted To:, 00 ;) DEPORTMENT OF PUBLIC SAFETY 52434 CONSTRUCTION SUPERVISOR LICENSE 00 - None 19 - Number Expires:. 1G - 1 & 2.Family Homes Pestricted.T.o' ..00 Failure to possess a current edition of the. Massachusetts State Buiilding Code .ANORE C LAFERRIERE is cause for revocation of this license. -d BOX 872 o- E FALMOUTH, MA 0206 ��.► "` `'- HOME IMPROVEMENT CONTRACTORS REGISTRATION ` . Board of Building Regulations and Standards One Ashburton Place - Room 1301 ! Boston, -Massachusetts 02108 { HOME IMPROVEMENT CONTRACTOR. Registration 110301 Expiration 10/13/98 Type - PRIVATE CORPORATION DECOSTE REMOD .& DES CENTER LTD MARY A . GAUTHIER 4380 ;FALMOUTH RD ' COTUIT: MA 02635 i , �> HOME IMPROVEMENT.CONTRACTOR 'Registration. 110301 Type - PRIVATE CORPORATION y f 1 _ Expiration, 10/13/98 s DECOSTE REMOD & DES CENTER 'LT =3' MARY A. GAUTHIER �'I 0 FALMOUTH RD ADMINISTRATOR COTUIT MA 02635 Eastern Casua&-Insul'a"hce Companjl'- WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE NCCI Carrier 16942 Risk I.U. # 340258R Policy No. WC PoOO15.6o Federal I.D. # 042987293 1. The Insured/Mailing address: rn Individual F1 Partnership DECOSTE REMODELING & DESIGN CENTER LTD.' 0 Corporation or 4:380 FAL.MO;1Tti ROAD COTUI'r, MA 02635 Other workplaces not shown above: 2. Policy Period: The policy period is from 10/16/97 to 10/ 16/98 12:01 A.M. Standard Time, . at the insured's mailing address. 3. Coverage: v A. Worker's Compensation Insurance Part One of tfe policy applies to the:Workers Compensation Law of the states listed Isere: Massachusetts _ ... B. Employers Liability,lnsurance` PathTWo .. of the policy applies to,'Work iti each state listed in item 3.A. The limits of our. liability under Part Two a►e Bodily Inj+iry by Accident 1 oo,000 each ac�'dent ;` Bodd In ur b Disease Y 1 Y Y 5UO, Q00 policy Ilrrnt Bodily Injury by Disease 1 UU,000 each employee C. Other States Insurance Part Three of the policy-' H6s to the-states;;rf any,;Iisted here: StJjS S 1tc7 �Xt iI�s2X Aistect.Atyrh (Miter Kit , ' joki "An" 1 'X ; E n d r�t"s m ?rr t. W C r 0 03 0 6 A a . ... D. This policy, inclLities these endorsements and schedules (t1; ,E IND242, WC332; WC350;WC367, WC441. See Information Page III ids athe'r aplicaole er`�tlorsements k^ 3 Total Estimated �mualTprerilum $ a3 51 � m g F Pro Rata Premium (If Apolicebla)$ aa1 aaa z E ' A l�IU t.►A t,. '' ''r •,f�' r X 3 d: �..ra? t m y .r a y e r ' e �,�zry '�� a ����� �x�r•��r � '"� �g �� ''�aY�Y �'��gr w`".�� �f a�:`.,s �' _ Countersigned TETRAULT INSURANCE .,AGENCY , INC. 4317 ACUSNNET 'AVENUE NEW -BEDFORD, MA 02745 Date 10-20-97 By _•: 5 �, Authorized Representati THIS INFORMATION PAGE WITH THE WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY AND ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETES THE ABOVE NUMBERED POLICY. POINTS OF A17AcloAFivT FOUR SEASONS !a` AR I T RAL DETAIL u. CH AC U S NOTE: STANDARD FULL SCALE SHOP DRAWINGS; GREENHOUSES AVAILABLE ON REQUEST _ SYSTEM 9 SiZES - NOTE:DIMENSIONS DO NOT INCLUDE FLASHING. I ) F D Varies due to unit + width. See installation ANA / E manual for additional �, .. / .h . .'dimensions.. X -a",. / a I SURFACE UPON WHICH n GREENHOUSE SILL SITS SURFACE UPON WHICH DOOR THRESHOLD SITS BASE WALL HEIGHT (Above Finish Floor) (BASE WALL INSTALLATION) �C DOOR POCKET 72'/e"OPENING 64 (Centered) NOTE:Thermal Break Shown in Red ■ MUNTIN INSULATED COUNTER FLASHING(BY OTHERS) CAP GLASS CAULKING RIDGE "IF GUNTER FLASHING(BY OTHERS) - is� EPDM GASKET CROSS CAULKING - - OUTER GLAZING CAP MUNTIN OUTER - INNER GLAZING CAP GLAZING CAP INSULATED GLASS GABLE END FLASHING lNSULATEOGLASS x- GLAZING CORD 7, INNER GLAZING CAP ROOF VSPACER(TO I CEDAR BEAM PURLIN ALLOW FOR LA - CEDAR BEAM EXTERIOR SIDING-NO _. CEDAR BOLTSPACER - NEEDED _r .. .BEAM - AGAINST r - BRICK ETC.) - . . 2K4 BLOCKING BETWEEN BEAM S - C.ROOF MUNTIN (BY OTHERS) - FRONT SIL TRIM y MOULDING(BY OTHERS) COPOLYMER CAULKING TAPE A.GABLE END OMITTED RIDGE LEDGER EAVE MUNTIN INSULATED GLASS B.RIDGE HEADER CEDAR BEAM GABLE Sol TRIM - FRONT SILL TRIM GABLE TRIM SHOE CEDAR POST I SILL �'-� r EAVE 4 OUTER CAP TRIM FACIA `S ® —OUTER— - - EPDMGASKET - I GLAZING CAP COPOLYMER rt= — TAPE THERMAL BREAK - - _ MOULDING - 1 f l_ SILL T CEDAR? POST CAULKING I� li TREATED 2 X 4 SUBSILL INSULATED GLASS EXTRUDED !' '„ 33;."_. CORNER CAP FLASHING - '. - BEAM .` » SHOE .. 37Y O.C.TYP, D.FRONT SILL . ' E.RIGHT CORNER F.EAVE ,t 'A'c //�?/OGlS G��KLnKy YY W� L7'.----1 /o�ivd „� J<Y.�tY:i�ti ........_2.._RPMD ._.. RELATIVE. PANEL MIDPOINT ' P/N LAMINATED TMB QEFLECTION.. CALLOW PEEL . =D,+ .� .._.__ ..... .......... CONNLKgM �e C ), ........ �: CJAC�E' /AE�R,4crEK... ......... Vr/HERE..,t y -_.��A55 . .LEN.67H "� _._...: ....... V 3.7_YraOx. . N.3. ...D_.. CONNECTION5 A55IMEPr: ..... gpFc�UATE . TO. ......4WPPORT.....LIsT,cO. ... • �5 a` ..r'1 k .............. .. .. ..... ... -jjPosh .. .... .....,.._ ...:.. MAX iMNM �FQG.T/ON 5....... ... ..........................._........... ... _.. . O F, .LIVE .COAD.....= .SnloW _LOAD ... . . ... ..NSlONS ...6/45ED DN FSSPC? N5. DIM ...... MOD L 5 _ ._. 5H Ft TS.,...9 o rb..9-,I/ Vp9100 DA 1�5 r .. . ALLOWABLE RPo4��0 LOAD MAX) j M N1 !4xiMuM FZ P �/► D nnL. RAft . . K. ROOF .W/ND,.L FAFTEft I�l►FtER(¢)t[ G/.A55 geru/IL AetOwAe�te Nlu.MBEA;....51. .._ . _. ........... .. .... .... ........ .... _......... _._..._ k WK D inl L U REArnoN. pERfr.CrION LENGTH ROAD ... ......RP►►10 LI.Y$_ 0 __Ply�RO. QoyyNW,r¢D (;LB'S CIN [ILLC!N C/N UN L 80 .. 'J30 O.o4 3/x3/ 8D. 80 900 �f4_ o o. . . a.obZ .. ._....... . . ..... _... fl .Jolt aw %x3% 5 �5 6.7.. -o C (�/Ss L. 10 eW.. 2-.: . .. ...6.7. .. 6 Z... . . IQZO. .0.67 ...(47 ... . ..n,:� ��.. ..� �+. :.. F„ � 60' o,I'{ ot�H......13BW . 3 3 /15 y ._ 3 f x5� ... ... 6'�0 .... �....2 .... Ito, ... . o. (35of; NE � .. ....., ....:........ . . ... . SPP ...�. W_ B .. ...f�PAL► O .Go�40 ..... ................a * �o�......... ... �y. ... ST SS oN4r.. .. -cA. Fz evs.._ 1757,C a, :_ .R ........ tG �D.3. Q&GOH M Q�N U. '" w LIMI 1$_.... . FotQ _ �IQD ._.L!✓�E....LC14D. O.:A Nd....4.T3g4. ..�t� . F4R �0�4 /rBAjg'S. .4040 400P /N . �N,4LY5/� ROFEss1oNP�'.. .. Fib oa�°Avlrf. �..-l�.a�E. M�x/MNM _ .: "Ma mil Lmrffs7w.Gem..M.wal _ }'E wT-s PF -t-T�cHkirr�r W. FOUR SEASONS° t .'aUMP-OUT . j. WINDOW� E EN XTSION I 1� EXCITING LIVING SPACE WITHOUT THE EXPENSE OF ADDING A FULL E ' GREENHOUSE ADDITION. Imagine, a Four Seasons Greenhouse window for your home-creating views of the sun and sky and adding extra living space with possibly little or no alterations!Many of the some quality features as our full greenhouse are available with our"Dump-Out", at a fraction of the cost. Exciting and practical built-in items like Four Seasons Pleated -' Shades, Levolor® Mini-Blinds, Window Quilt® and Duette® Shades add a beautiful decorator touch. Even romantic mini-lights can be added.So before you replace your I ordinary windows with the some old thing, consider doing something outstanding for ; yourhome.NowAvaiIableWlthHeatMirrorT'Glass In Straight and Curved Glass Sections. OUTSTANDING FEATURES; SPECIFICATIONS and OPTIONS AVAILABLE: z Bronze or white baked enamel finish Factory insulated, tempered safety z Insulated wood base glaze 1 6 100%Thermally broken frame &Graceful curved glass is Integral gutter and weep system Easy installation 6 Positive bolt attachment of unit to i Built-in shade tracks ready fdt your your home choice of shades t Two operable owning windows with 0 Concealed 18-8 stainless steel ! screens on full height models fasteners ' iLaw-profile muntins clean easily and 4 One piece curved frame r do not trap dirt &Maintenance free finish +mow; 6 Heat Mirror"glass available i 5 year warranty EXTERIOR SIDING ' .''DETAILS SHEATHING - _ COUNTER FLASHING 1 MEAD (by Rthe,$) ; Note: Letters�i SIZeS THERMAL-BREAK / I A ((( explained In char[below.- NEOPRENE GASKET RIOGE BARCAP INSULATFDGLASS BRONZE OR WHITE PAINIED 100%THERMALLY BROKEN �'kIDGEr - I C ALUMINUM FRAME GLAZING BAR CLIP6 '- FASTENERS 1 SHADE TRACK BOLT .(/ / \ LAGS&I INTERIOR FINISH WOOD TRIM(by others)) 1 ALL GLAZING FULLY TEMPERED I �+ ' D I, w ✓ , ''A"INSULATED GLASS ONE PIECE :'• I WALL i GABLE GLASS ENDS n •1:t'� \ - 3'h INSUlABAR j ( BOTH ENDS > YYY JAMB ]ICI G ASS � 6 PREfABAICATED INSULATED GLAZING BAR EXTERIOR SIDING I SILL BOARD WITH ALUMINUM SILL - SHEATHING AWNINGWINDOW. r INSULATED BASE (Provides 0 sq.ft.of ventilatioP) 'n"PlYW00D (Supplied with Models 686610" INSULATED GLASS SILL TRIM CLEAR PINE TRIM ! ON SETTING BLOCKS I'lr"INSULATION ,"LAG BOLTS i NEOPRENE GASKET Special Note: Yl Proper framing support THERMAL-BREAK— members needed fora CAULKING header. Also, additional EXTRUDED FLASHING ' bottom brocing may be ,,•.BOLT ,,.PlYW00D EXTERIOR SIDING ! f necessary according to IF ADEQUATE SFCURINGCANNOT BE ACHIEVED SHEATHING THROUGHRIDGE INTOSIAUCNRAL MEMBERS ��" loading. USE ADDITIONAL SUPPORT AT BOTTOM OF UNIT r A . D C D E F , G. fi Description Model No. Rough Rough Exact Exact Unit Clear HM-66 No. of Opening Opening Unit Unit Projection Glass i Curve t Bays Length Height Length Height Price i Front = w - Gables Window No .58 3 7'-07/8" 4'-81/e" 8'-07/8" 5'-4+/8" 2'-4V4" Height k • Side No.510 4 9'-7+/2" 4'-8U8" 10'-7+/2" 5'-4+/e" 2'-4 Vents ,Y4 I� ' Included f ! It f Full No.68 3 7'-07/8" 5'-111/2" 8-071e 6'-7+h" 2'-4,V4" { Height z Two Side No.610 4. 9'-7+/2" 5'-11+/2" 10-7+/2" 6'-71/2" 2'-4,Y4" Vents Included NOTES: Cmed,front and Late gloms is supplied in Her#Mirror'-66. :Frelohr arid dellvc f y chcrges are aidd sioncl. TOWN OF BARNSTABLEZUILDING PERMIT-APPLICATION Map LParcel pp # Health Division Date Issued 6 Conservation Division Application Fe Tax Collector " Permit Fee LZ Treasurer Planning Dept. -.4, Date Definitive Plan Approved by Planning Board 4 i Historic-OKH Preservation/Hyannis _ Address3cO Telephone o 4 Permit Request gEPAtR Fi2F I)AmAgAFt0 /M7'�Qio,P SF�on�O � o�P ZU0 1/10:4 C I V) AA-61 "AA Q Square feet: 1 st floor:existing proposed .2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7WCIM 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 dumber 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 0 Yes ❑No If yes, site plan review# Current Use Proposed Use = BUILDER INFORMATION Name cJ i i""Telephone Number._ Address 13 License# CT�fi Home Improvement Contractor# Worker's Compensation# ALL UCTION DEBRISyRESULTING.FRQM THIS�i?ROJECT-WILL,BE TAKEN T VM PS FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION c. is FRAME 4AP R A-, �ahUa SO a INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' Ql Q-7igf'L In ck xeikv� DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial,4 ecidents D. Office of Investigations 600 Washington Street Boston, M4 02111 a www.mass.gov/dia t Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers App-heant-Information Please Print Letrib.ly Name(Business/Organization/Individual):. LAdiress ' City/State/Zip t Phone.#: Are you an employer? Check the appropriate box: Type of project(required):, 1.❑ I am a employer with 4. ❑-I-am a•generalbontractor and L�'7 employees (full and/or part-time).* Eve hired the stib contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the-aitached sheet 7. ❑Remodeling 'Ifiese sub contiactors•have ship and have no employees y, S. Demolition working for me in any capacity. employees and•have workers' 9. ❑Building addition [No workers' comp.insurance comp Insurance-,. quired] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their ❑ g repairs r 3. I�am a'bomeowner doing? work 11. Plumb' r airs or additions m sel£ o worke s' co- .` right of exemption per MGL Y n1P 12.❑Roof repairs msurarice required]t r c. 152, §1(4), and we have no employees, [No workers' . •13.❑ Other comp. insurance required.] . *Any applicant that checks box#1 must also fir,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. YContractors 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 providb their workers'comp.policynumber. , I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration 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 may be forwarded to the Office of Invesdizations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct: �Sienatl�ire:.h --:-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): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: - �, � E Town-of Barnstable Regulatory Services ' sn>3rtscesi.�, Thomas F.Geller,Director y MAM 1 63� Building bivis10I1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 50 8-862-403 8 Fax: 508-790-623 0 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 fovr dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ! r_—T A t g Estimated Cost ,kddress of Work: Owner's Name: . Date of Application: I hereby certify that: Registration is not required for the following reas on(s): Work excluded by law MJob Under$1,000 ElDuilding not owner-occupied C`96mer.pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner; Date Contractor Name Registration No. OR Date Z-.Crwuer Name Town of Barnstable arnstable Regulatory Services sARNSTAB LE. : Thomas F.Geiler,Director HASS. 1639. -.�� Building Division ArfD�,tA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 — ------------------- HOMEOWNER LICENSE EXEMPTION :10B_ �LOCATTION-:)_C�- Please Print •� �r �Je�Q .'�L lYfnejT_ (�j7 C number y street village "HOMEOWNER":� (/�� t L�0730�fz J� Y�� 3 7/G name" / home phone# work phone# UttRENT MAILING ADDRESS; 1139 EA Wei 7—/4 1�cl) CoT�i/T I ow&3-S 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. , DEFINITION 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 constructs 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. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatur Ho `eownerA^ 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 EXEMPTION . The Code states that:."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work;that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed 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 ofthe 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/certification for use in your community. R I l i i17 f 1u i I� 4..s-._...-�. - �,e-�...�_ .. .ems .. .��-�..+.,e.,.-.-,��-_�---•-�.�—-s-"--.�_�.�....�s.�-F' i r � • .r 1 ..seed r-�O--�-- -"`- -- _. Ae.� �.�.�..t�.s-a+•++w�+�•.E`.-- I .++_•w+v.-+wrt-+v�� _rs..k..�n+_.Y+�+nw..'^.l�a.-.-". �T+w�IM•'w.�.�,�,.t..�w�w..�.awr+w��.^�.+M,-- y ..- r 1 • � I I r � , I i { r I� Assessor's map and lot number ...QA......,.0. 5.......:....: / I VWM 'ft 'M*JST BE {> -7 INSTALLED IN COMPLIANCE Sewage`Permit number,..................... ... ARTICIE STATE�,,�.......:.:.:....... . WITH 11 SANITARY CODS pNg I1I y0FTHE W T��♦ TON OF- BARNTrAQ-* ' Q ., 89&$9TSBLE, i + ` 9� M6 D,UILDIHG INSPECTOR APPLICATION FOR PERMIT TO WIC? .� .....�'~ A!P� ACo...... .............................. .......... TYPE OF CONSTRUCTION .......... a® ? _A.E A.E. fv�.. .............................. .................... ...... V ; ..................................... ...... . .. TO THE INSPECTOR OF.BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....1 't``c.....,e�. ........... .!. N.... ...... ........................................................................... ................................... I Proposed Use ................................. ........................................ ...............................................................................................:.. Zoning District .. LC...... ..............................................Fire District .. .©..�: ...lrt . . ........................................................ Name of Owner ..`��. .. P.! ... I ►H.X4 .1Y,,4ddress .....�.y... . .{9:8.®. �.� ' ;; .................... Name of Builder .... c.................................................Address .................................................................................... y Nameof Architect ... (ON. ...................................................Address .................................................................................... Number of Rooms ......I .......................................................Foundation ........... ................................................. Exlerior .... : ...Roofing ..............��.�. �� Floors -�i1/l �I. Interior ............ .�� .....�h?.! -.. ..................................J.................................................... Heating ......... .........................................................Plumbing ............._ Jur..-B4.ra..................... Al X Fireplace pp A roximate Cost .....,1 ........................................................ L,,� �- Definitive Plan Approved by Planning Board ________________________________19_______.- Area .,��. .. .�............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF— jcA 4. f r:y 0 1 1 f i I r I .hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Nam` .. ... .... ........... Steinhilber, Carol Ann & R. Theodore 17174 remodel garage No ................. Permit for .................................... to Art Gallkry ............................................................................... Route 28 Location ................................................................ Santuit . ................................................................................ Owner ................... - Carol. . ..Annn&...R. Theodore. S t einhilber .. . ...... ........... .. .. ........ . .... .. . ....... frame Type of Construction .......................................... .............................................................................. Nu Plot ............................ Lot ................................ -Permit Granted June 24 19 74 ...................................... Date of Inspection ........................ Date Completed ... l. �.�7. ' ..C'"'7yi�' y .. .�. 'PERMIT REFUSED .................. ...................................... 19 1 It 71 . ............. ............................................................. e. .......... ..:�........................................................... :e.................................................................... ;'App!o'v ............................................ 19 ............................................................................. . : " ........ 8 ' I .......E...... VI D ;:: >: n -- : 4 DIN ....................: :.:'::::.:•:.:<<:«::'>:::<::......................i',.zzz.:« «::s: •`:y:`•`t.. rs ::z:::;: ''::::<:;:»:<:: »::.; GAUTHIER ....................................... > t>`> €x ,..:FALMOUTH RD. is TU ONY :: '•:• .f::::::• >..:: ................................ :. :.... '< ;zzzz::::>:zzzzzzz aaaaa ..�. .�:. i:.. . . UNITS ON TTHIS PIECE OF ''P R PERTY. aaaaa TSa a aaa O Z NIN G tENAN . . . .z z Riiiii ..�............ �:: s..'.�;:::;.REFER TO R . FOR AEVIEW. its to nl� �..lJ Y •e V n v V O u. /^/ A ,^ W 6' . EPMC SYSTEM MUST BE Assessor's offioe Ost floor): D � . o� t�>�s,•,w t r rq THE A ssess�'s map and lot number ....r71.. ..�...... - .. .:" ' ?N CO�i P >"w,,,CE Q u� >o Board of Health (3rd floor): (t,, �y s ` «ITLE 5 .8'F'r.l.k.9'....� ... �`,..;. •+.:1C3RCR'w.ANT6' k.'4'' Sewage Permit number .. V .1. ............. '�,L �i®�� �r�ti0 t 11ASE9TLDLL, Engineering Department (3rd floor): TOWN REGUL TIONS +�o 039 0� Housenumber ........................................................................ MAI6` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .PI Y-e. . .... / ..... ............... .... .. ........ ............ ',` f TYPE OF CONSTRUCTION .........l�00011.....ir r.v1.rN..C'........................................................................................ .... �cCl�...c�`1J..................19�'�C.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for Qa permit according to the following information: Location ....%. .... fa'?! .vf!` "`......ReR...........................1.- (s. ..l....................................................................... ProposedUse ..., !lC.f..4!1�C;..................................................................................................................................................... Zoning District ............ r..............................................Fire District �.�(J ' .. �r Name of Owner .. ........ .. )?. .... ...Address ........... v.I. ................................................ ' Name of Builder �''U►1� .........................?C.........................................Address .................................................................................... Nameof Architect ........QW11it Iy............................................Address .................................................................................... Number of Rooms .................�..........................................Foundation ......./�o �^fC�.....C:[Zh.G.Yt .......................... Exierfor ........C'eQ.?.)' ..—A.►lv. ......................................Roofing ........... .................................................... Floors ...........�c�i r.p ........................................................Interior ...... Y'-4- e,�v�'f�................................................... .. . Heating ......Plumbing ................... .... G? ........................................ .... Fireplace ........No...................................................................Approximate Cost .............. .Ij.ran.................... ....... Definitive Plan Approved by Planning Board ________________________________19________ . Area ..... .... .. . .: : ................ Diagram of Lot. and Building with Dimensions _ Fee ............ .... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. P.. .. .......................... Construction Supervisor's License .................. s GAUTHIER, MARY ANNE No , .31793... Permit for ....Rebuild................................ 4 .......Single_. . . ..Family Dwelling Location ....4.3.8.0....F.al.mo.u.th....Ro.a.d............. .. .... .... .. .... .... .. .. co.tit ............. ....u...................................... ......... Owner ........Mj�.-Ky..,�nn GC:iut.h.i.e.r............. ........... ..... .. . .. .. 6f Construction Type ..........Frame................................. ......................................................................... Plot ............................. Lot ................................ Granted .....April 11 , ,.Permit Gra ......................... 9 88 W,Date of Inspection .......... .19 Date Completed .......A. ...i�.... .........19"j, I t , I. s i f i 1p L IL t 1 t �Vo- 1® a j.,,f . It 0 s t ry r r .... o ._ i . . . � _ .. .. _. - _ � i _ i , _ f - ._- _.. . -- - - ._ _ _ .__. _. - .�� , ,. i ' .. , .. ... - e .. _ � � _ .. f �/, _. ' t . ___._ ._._._- _ ._.._-__. _ __�___...,J _ f !-- _ _ ..... � r _ r.. -_...�+. t .._ ... _ . . i > 7 � - _ _ ,: _ , _ — '. ; - ' _ ' � _ � + _ _ _ _.____._ -_�_ _.. .... .—,____ ___.._ .__ .. _ _ __._ �_. _,__ _...._._.. _ ._._ ._�.._ __ _ _ I r { t � -� ...a._ .... .. i .. _,._,. .!_..h .. 1 .., 'r _ _ . � t t �.. i .. - _ k � i i e ! ,fi i � � .. _ _ �{ _ k . � FTNE, Town of Barnstable Regulatory Services anrMASS.ne Thomas F.Geiler,Director 9�A 13. ,0$' rEc►9 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 30, 2006 Mary Anne Gauthier 4380 Falmouth Rd. Cotuit, MA 02635 RE: 4380 Falmouth Rd. Map : 024 Parcel: 024 Dear Ms.Gauthier: This letter is in response to your application to do work at the above address. As you may recall, you were asked to provide further information in the form of framing plans and correct an ongoing zoning issue. To date, the information is still absent and the zoning issue unresolved; therefore, your application is denied at this time. If you decide you wish to proceed with the project you will have to resolve the zoning issue and provide this office with all the necessary documents. This would include reapplying for the building permit. If this office can be of any further assistance please do not hesitate to call. Sincerely, ffrey L. Lauzon Local Inspector Qzoning5 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE 07/03/06 TIME: 13:44 ------------------TOTALS-- - _ - PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 20061645 PAYMENT METH: CHECK PAYMENT REF: 1999 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel v Application# d p 16' V l Health Division Conservation Division > Sri o� � ®� Permit# Tax Collector Date Issued 2ckl 0� 011 Ao Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic--OKH 0 ^ Preservation/Hyannis Project Street Address _ y,5 S o FA L M aul f-f b Village ecru Owner MA f—Y ,A A C iJr dl k Address go rALm nopy- coT/7- Telephone Permit Request C- d AAI(7f —20 tS77N6 Sl{-,?F1) 960E A '6A&E �oa� � M�= Four M N7- k 3 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed TMt4.pew Zoning District Flood Plain Groundwater Overlay Project Valuation` ?T490.Dd Construction Type 7: - Lot Size Grandfathered: ®'Yes ❑No If yes, attach supporting do umentaion. IM Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure '— Historic House: ❑Yes Q<o On Old King's Highway: ❑Yes VTo- Basement Type: Wru'll ❑Crawl ❑Walkout ❑Other C' Basement Finished Area(sq.ft.) Md 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: O'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 BUILDER INFORMATION Name Hsi OVA K &qR y ANN k v r/fir�Telephone Number Address -�D FA4AinUrff Ifo) License# 1111;¢- �a ��o _s' Home Improvement Contractor# 1111i- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE —�� DATE o7—1171�� FOR OFFICIAL USE ONLY f PERMIT NO. DATE ISSUED ' i • MAP/PARCEL NO. f � ADDRESS �' VILLAGE OWNER, DATE OF INSPECTION: FOUNDATION FRAME INSULATION . i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ; d. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J t s, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 7 Application# l� Health Division D � -7 2q/ f Conservation Division ! '��� 3L J 27-1/a/-.,- Permit#, Tax Collector oi Date Iss ed � .yl i '� ,ba015 Treasurer t /`-' /a/ Application Fee �� Q Planning Dept. Permit Fee Date Definitive ,Phan Approved by Planning Board Historic--OKK A Preservation/Hyannis C ' Project Street Address V3 © EA L M/) ()T P Village Orr i V /- Owner t\n A e- t A !\/N6'� ?`7 A r )7- 1-t! K' Address Telephone rid" u,20 31,71 Permit Request C N :A Square feet: 1 st floor:existing .7 O proposed 2nd floor:existing`f' proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9,. Construction Type n Lot Size V-9 Gran faat Yes thered: L ❑No If yes, attach supporting documentation. I ."elf Dwelling Type: Single Family 0' Two Family ❑ Multi-Family(#}units) J I .Rft tw Ago of Existing Structure 7i� es T Historic House: ❑Yes W-No On Old King's Highway: ❑Yes MIo Basement Type: OmFull ❑Crawl ❑Walkout ❑Other Y Basement Finished Area(sq.ft.) t 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 ti Heat Type and Fuel: ❑'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes t]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 BUILDER INFORMATION Name o\,o,f4;N Tele phone,Number �. r •� r - F � � -> =i��• f<��. Address - (> License# V . .7 Home Improvement Contractor# Y%; Worker's Compensation# A i 4 ALL CONSTRUCTION DEBRIS RESULTING FRORTHIS PROJECT WILL BE TAKEN TO r . . SIGNATURE < , -,. tf ` "%%E - ,. DATE .a , .� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ( > The Commonwealth of Massachusetts Department of Industrial Accidents a _ Office.of Investigations ' a 600 Washington Street y Boston,MA 02111 www.masSgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Org nization/Mvidual): ���� -1-It re f Address: �3 g0 City/State/Zip: Cfo7_1 T /VA Phone#: / 6 Are you an employer? Check the appropriate box:. Type of project(required): 1.El am a employer with 4. ❑ I am a general contractor and I 6, ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, El Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electricals airs or.additions required.] officers have exercised their repairs 3. '1f n a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.ElRoof repairs insurance required] t employees. [No workers' comp.insurance required.] 13.❑ Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nformation. _ asurance Company Name: 'olicy#or Self-ins.Lie.#: Expiration Date: ab Site Address: City/State/Zip: Lttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ; me up to$.1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and aline f up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: ienature: Date hone#: Off cial 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 Ins 6.Other pector 5.Plumbing Inspector Contact Person: Phone#: Inf ormation and Instructions V Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as`_`an individual,:partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev.,,er 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 not because of such employment be deemed to be an employer." or on the grounds or building appurtenant thereto shall MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if. -. necessary.,supply sub-contractor(s)name(s), addresses)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Lini ted 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate`line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).„A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as of that a valid affidavit is on file for:future permits or licenses..A new affidavit must be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete,this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Departmentof Industrial.Accidents Office of Investigations 600 Washington Street . Boston,MA 0211 L Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia °FZNETp,, Town of Barnstable Regulatory Services BMWSTABLE, ' Thomas F.Geiler,Director Mass. 1639 ``� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 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 other requirements. Type of Work: �L�f� -/�N Estimated Cost �,e w, of Address of Work: 15�3,PO r—AZ A11, Z?Y /ED �y,2ZL 7-- Owner's Name: AA A e/ d tv/vE- 6 A F Date of Application: SEr; _ c�� 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 Vwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. � 0�>��_ Date Owners Name Q:fotmslomeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.0.0 ResidmtialAddition $50.00 Altemations/Renoyations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WOMBEET -NEW LIMG SPACE ' square feet x$96/sq,foot= x.0041= plus from below(if applicable) ALTERATIONSlRENO'PATIONS OF EXISTING SPACE square feet x$64tsq,That= x,0041= plus frombelow(if applicable) 9ARAGES'(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft.. ' >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75,00 >1000 sf-1500 sf 100.00 >1500 sf-Same as newbuilding pezmitr , square feetx$96/sq,foot= x.0041- STAND ALONE PERMITS Open Porch x$30,00= (number) Deck x$30,00= (number) FireplacelChimney x$25.00 (ziumber) Inground S7hnMIng P Dol $60A0 Above Ground Swimming Pool $25.00 Relocation/Moving $150,00 (plus above if applicable) Permit Fee P Two J=ib(amolvaq preectig�in F=ekalse for don aad 7wo•FOR4 RatdentW EugdluV gated 10t%+rang lbda NNA7tfMUM SI b •HealnivcCo ng C � Cefittsg Ws11, Floor .8 � gpiasetet F•�1� 'ad mcfe6 V•nide� R•vutuar A ntae R•iaivas A � R tstnet ° 3I01 to 4100 Matflow HegrrrDt .0,+�0 13 19 10 B Fiorasal 12'!a R 1Z•!. 0.31 13 19 1Q d. • . •t3.,718 g iZ'la' O.i4 3d WA 19 2S IAA _i omwt- ----- .V•w •,' ....t.•,•1S"la • •• 0.4:4� 3i �' 33 NIA ''�A 9SAF'GT1:r a SVISMO3 3a •'1$" 29 W. NIA °rasa- X NaIA Z�asassl y agy� 0,41• 38 !9 31 AiIA 33 13 19 10 30 d y ,• � .18yi 0.4Z 8 18% t1.i0 19 19 1.-ADDRESS OF PRGPERTY; ' •• ;• _ . 2 SQUARE FQOTAOE OF10 •. 3. SQVARE FOOTAGE 'OF ALL'4trAZING. • • .:. 4, #3 Dr=BD BY#�2)' ' 1/4(}LAZII�tC�AREA( ' , 5. SF,LECT PACKAGE(Q--AA'SGC chart t1�20YE�; 0'i'I£R O g OLVED bmMOD6 OF DFTERIvIINING M, ROY Pa , ARE AVAILABLE, ASK US FOR TMS ngORMATION. BUp,DII�G�SyECTOR APFROV?.�: ' - ' YES: gdacros-�Sa343a V . . °F fNE T°t, Town of Barnstable Regulatory Services snRivr LE, ' Thomas F.Geiler,Director 0 9.QED NIP'I A`e� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,M�.A 62601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This ection If Using A Buil r . L — 6 v — R- , as Owner of the subject property hereby authorize K V,5 to act on my behalf, in all matters relative to work autho by this building permit application for. vrk ( dress of Job) Signs a of Owner ate Prin ame Q TORM&OWNERPERMISSION RESIDENTIAL ADDITIONS OR ALTERATIONS If located: ❑ North of Route 6- any work visible from outside-needs approval from OKH In Hyannis-If work visible from outside-Check to see if it's included in the Hyannis Historic Waterfront District-if so it needs approval from them ❑ If ZBA relief(Special Permit or Variance is required for project: ❑Copy of ZBA Decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. • r APPLICATION PACKAGE MUST INCLTJDE: ❑ Map/parcel number . Approval S' -offs from: ealth Conservation(if exterior work) Tax Collector Treasurer VCtreet address owner's name& address (� Permit request-full description of proposed project) ❑ quare footage-proposed project L stimated project cost [ omplete-Dweftg-information for Assessor's Office. uilder's information Signature Plot plan(shows location&setbacks of house) ' ❑ Plans—5 sets measuring 11"x 17"fully dimensionlized with foundation, floor plan, cross section, framing schedule&smokes,with a Red S (SB or SH) Home Improvement Contractor's Affidavit _ Worker's Comp form must,include: Insurance Company's name &Worker's Comp.policy . number. Copy of Insurance Compliance Certificate must be on file. B!��o=str �riaupervisor's License & ome emn#-Specialis 'Ys License meowner's License Exemption Form. Application Fee El Permit Fee _ er must sign Property Owner Letter of Permission, CHIMNEYS ❑ Need Home Improvement License ❑ No.plot plan required PIERS &DOCKS ❑ Need Construction Super license AND Home Improvement License .. Owner cannot pull own permit Tev.ioosoa cFTHE 1pN, Town of Barnstable Regulatory Services ♦ BARNSTABLE. 9 ntAss. g Thomas F.Geiler,Director q. �A i6g 10 rsv a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 30, 2006 Mary Anne Gauthier 4380 Falmouth Rd. Cotuit, MA 02635 RE: 4380 Falmouth Rd. Map : 024 Parcel 024 Dear Ms.Gauthier: This letter is in response to your application to do work at the above address. As you may recall, you were asked to provide further information in the form of framing plans and correct an ongoing zoning issue. To date, the information is still absent and the zoning issue unresolved; therefore, your application is denied at this time. If you decide you wish to proceed with the project you will have to resolve the zoning issue and provide this office with all the necessary documents. This would include reapplying for the building permit. If this office can be of any further assistance please do not hesitate to call. Sincerely, Jeffrey L. Lauzon ` Local Inspector Qzoning5 i f +` The Commonwealth of Mas act usett ti Dcpartntcnt of Industrial Accidents ' � ) ;,, •" �� Ofliceol/Qyesl/9al/ons ~ Bamon,Afars. 02111 Workers' Compensation.Insurance Affidavit Aonlicaan nformations PleasePRiN•i'le Y���_; �''��_ _ "�' name MA 2V �hiKE y.d.�>Tlfi�2 location :3 E6i-*00-rk A cite LA,,LC MA phone 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity L n.: w!^WiaJY� �A� . . -.a '....���...5.�..w- i,_."_m,�\ _. .4. __ --•1..�tf�c (, 1 am an employer providing workers' compensation for my employees working on this job. gonilinn name! P, STD ' _-MoAFL,nrc--d-4 Sir.V LT� tat dress: cite: '7—ie/T phone 0, 70�8 1-1—?1/4O insurance co 57 h/1/ M,5'i.A1 Lzl' nnl' y to PVC P o J. 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnatn•name: address: - city. done dt insurance co, noiicv It • �.._,; ., -�--.. _. ..rn�u.-•t,..•:raves-?-�"r?"�!ne;«s�;+;e:•+�� - 'eras+ne�4''o��:Esc-+W:rasesxx��r•�-+n+-•.r.+e.�,-*�e...r�.•^^� nc mranc•name: address: , cit•: r phone#1. curt ice co. policy!! :Attach additional sheet if neery,_.�Y: '••ram +'�-� r+_� =Tir+� „� " �^''` " Failure to secure coverage as required under Section 25A of 111CL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one 1 cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification I do hereby certifj-under the pains wid penalties of peduoy that the information provided above is true and comcc Signature Dom. Print name M,¢Pc A-yAm 6&)7--tiOR Phone ofTicial use oniy do not write in this area to be completed by city or town official cin or town: permit/license ti nBuilding Department Licensing Board p check if immediate response is required OSeleetmen's Office �liealth Department ` contact person: phonelh nOther Irevised 3,95 P3A) Assessor's offioe (1st floor); TE pFHTo d .... ......D. • Assessor's map and lot number ... .. �`� . .:® o ` Board of Health (3rd floor); d� wo� Sewage Permit number ........ : IMUSTULE Engineering Department (3rd floor): AG 'oo N Gq \0� House number ........................................................................ ?fpYPYa APPLICATIONS PROCESSED 8:30-9:30 A.M. and: 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING " INSPECTOR APPLICATION FOR PERMIT TO ..Qb.eMAIL 4X..............r/..Y.'x.. ........P��M p 0 .(�................... TYPE OF CONSTRUCTION .........�Oft� .e..... d0 ..... J1 �►�'................ ................... l.C /.....4> TO THE INSPECTOR OF BUILDINGS: The undersigned � hereby a,ppplies for a permit ,faccording to the following information: Location .....!7..cl..Q..0........1. .t✓..l!?,P.V..T.Ft....)Q. ee6v oJ..................................................................... ProposedUse ..... .. .............................................................................i................................................... Zoning District r...............................................Fire District ......1..A?J.:t Name of Owner .!`!.4`4ti �.?!!:e.. L. �/< I '.......Address ....�30.0...�c���f> ......(. .�/..v% Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area Diagram of Lot and Building with Dimensions Fee Q �� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..................... Construction Supervisor's License .................................... GAUTHIER, MARY ANNE Na ...�.164.4. Permit for ...D.e.mo.l.i.s.h............ Cottage . .......................................................................... Location ......4.3.8.0...F.a.lmo.ut.h...Road. .. .. ....... .... .. ..... .... . ....................C...o.....tu-..i-t............................................. .. Owner .......!ja,ry..Anne Gauthier . ......................................... Type of Construction ,Frame............................ . ............................................................................... Plot ............................ Lot ................................ Permit Granted ....... 89 Date of Inspection`............................ 1.9' Date Completed ............ ..............19 L r! TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE- JOB- LOCATION 3�D 14�2/moC C_0/ram17 umber treet address ection o town "HOMEOWNER" IVP C a eHome phone WorK phone PRESENT MAILING ADDRESSe ity townState Zip code The current exemption for ."homeowners" was extended to include owner-occupied dwellings. of six units orless -and to allow such homeowners to engage. an in- dividuaI for hire who. does not possess a license; provided that the owner acts as supervisor. (State Building Code Section . ,DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on. which he/she resides or intends to re side, on which there is, or is. intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall 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 bui*lding. permit. (Section . The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department "minimum inspection procedures and requirements !and that he/she will comply with said procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,` or larger, will be required to comply with State Building Code Section 127.0, Construction Control . e J, y HOME OWNER 'S EXEMPTION The Code state that : "Any Home Owner permit Is required shall be exempperf�omin9heork for which a building ths (Section 10g. 1 . 1 - Licensing of Construction Supervlso�s)Slons provoldedi that cffoa Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act. as supervisor . " Many Home Owners who use this exemption are unaware that they are assuming the responsib.11ltles of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2.15) . This lack of awareness often results In serious problems, particularly when the Home Owner hires unlicensed persons. Ir this case our Board cannot st the unlicensed person as It would with licensed Supervisor.. TherHomedOwnernacting . .as, supervisor Is ultimately responsible. To ensure that the Home Owner Is fully aware of his/her responsibili communities require, as part of the ties, many certify that he/she understands the responsibpiltles,catlof ,a supervhsoHthat teome OOwther e last page of this Issue is a form currently used by several towns. care to amend and adopt such a form/cer may tification for use in You y Your community. Assessor's offioe (1st floor): _ © SC SYSTEM MUST RE OFTNETD Assessors map and lot number ...... ....� ...... ,)'.. ^°, nlike' C cP •. Board of Health*(3rd floor): XY°' , eTLE d Sewage Permit number ...F$".N Q.... p,, y y��*¢ {��(�� �t Epp 'a, .........................�1�t� w4tl`BF B��IL ��C.4 '�{`tiY IBASaA9STa LE i Engineering Department (3rd floor): V TOWN REGULATIONS 1639 Housenumber ........................................................................ agar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P,M. only TOWN OF BARNSTABLE BUILDING 'IRSPECTOR n . x APPLICATION FOR PERMIT TO .......Add........j......Q'.pr.!?1.�T.....c�1?�.......�.ede �� �Yo�l .... ..................... ...... � TYPE OF CONSTRUCTION ..............WD.©d. X.JIB? ..................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationA......�.or......................0c; .)._}1 ..................................................................... Proposed Use vY..o?.�........... 4h�.. ,r�4�....`���.`'�........................................................................ Zoning District .............. .,R.R....F............................................. District .......... Y Name of Owner .kaTy..RY.in-e.l�Jatct� .lPC................Address ............64 XX ./ .................................................... Nameof Builder ........O.W..Y)..C.Y'..........................................Address .................................................................................... Nameof Architect ...... Y:..........................................Address .................................................................................... Numberof Rooms ..............I..................................................Foundation .............- ......................................................... Exterior ........`a' ? r... �//.!7 15..........................................Roofing .................. ................................................. Floors �a(�1 .......................Interior ............ Heating /./.= , !�C.lS1.✓/�. Plumbing 4--b.. ,�� A ..........4--b... ..p................................................... Fireplace .........1.x ..................................................................Approximate Cost ............ . ! !....................................... >.. Definitive Plan Approved by Planning Board -------------- .0 ...C ���r ----------------�9-------- . Area Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. G ....................... Construction Supervisor's License ... 1. -1-L,.......... GAUTHIER, MARY ANNE No ....3.177.8 Permit for ....Build Dormer .................................. Single Family Dwelling .................................................... ................... Location ...-4380 Falmouth Road ............................................................. Cotuit .... ............................................................................... Owner ...Anne Gauthier ................................................ Type of Construction .....Frame..................................... . .......... ................I................................................... Plot ......;..................... Lot ................................ Permit Granted .......April....6.A.......... 19 88 Date of Inspection ....................................19 Date Corppleted ............ ........19 10� 0.1 r � t 9 Assessor's office(1st Floor): Assessor's map and lot numlber o� o d2 ft SEPTIC SYSTEM MUST'BE �0{TME�0` f' Conservation(4th Floor): f� 1�" •� 1�S�'�� q`I INSTALLED IN COMPLIANCE ��P •w r Board of Health(3rd floor): `�f -e'`�¢^"y"�" WITH TITLE 5 SLDL ewage Permit number - � /:v2� ENVIRONMENTAL CODE AN t sea�e K � rua Engineering Department(3rd floor): •TOWN �:E 1,11--710N �o ew House number r + Definitive Plan Approved'by Planning Board 19, APPLICATIONS PROCESSED 8:30#-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION VVbalb Al t/M 1 yr 1.l+1 &L-A-S S /-15A/Y -1-;0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies}for a permit according to the following information: i 4 Location ?J�b ��I nn n 1/� lP c>I CfAfil�t .t Proposed Use Zoning District Fire District (jDr(�l� Name of Owner Ha rr�s /wi)i e 6.9 y-iLh, e r Address L43FO F2 (o* ,•,� Name of Builder ))eas�e Address /1�sio OL �Q v/ Name of Architect �— Address Number of Rooms Foundation k Exterior LV m I n v h'L Roofing �-' Iy u i A --J<)ns over V Ay Floors sLA P, `,, Interior Cq_ Heating Plumbing Fireplace Approximate Cost ?1� Oo..6D t ` Area ©S' Diagram of Lot and Building with Dimensions Fee ©. tq r r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License ' GAUTHIER, MARY ANNE No Permit For ADD PATIO i ROOM - Location 4380'7Falmouth Rd, Cot ui t Owner Mary Anne Gauthier Type of Construction Plot f' Lot i r Permit Granted July 15, 1994 i Date of Inspection: Frame 19. A Insulation 191 a ` ` Fireplace - 19 i Date�Comp`, d 19 ;. 4 i ' •t ' } # j] y; t 11*�C rt��k +' ' C.IT 4 k * `� 1 y, "-.-• - *gig-� J. op 61 t �� � t .. t } . � �li..f. i r�•�I �� t � i { i [ .' .Ilx , r: �� �.� � { ,�r k i, '# ° r �' �' t • I;' } j l' is ' i t t l..! c fi 7'�. a -•., � �` ji (, i o I` ,� .��. .� , t Yf. i# .�. 't r �, r? I { p�,y,�. 1 f *{ � "� .� { ; '' � 'l �• t, I �. ] }' •ice. i � t " . .. ' i ¢ 1 � ,�7 A ,,.. .�I. r. ' �I_ 1.j ` y � �� p , ., k �' `y 4 } _.� ,� �.. .fr; � �.. � � .y'• k .\ { �L... `,•�'�""k+ r y !'`� it ~\\\x .. �/ � t4I° �p 1 ± k 1 r t i 1 � � i. i .. r xp � i 1 V { a � '• r ` ) DECOSTE REMODELING ' AND DESIGN CElliTEIZ 4380 Falmouth Rd. t; Cotult,MA 02635 t -r,T.r,r- t i 1_ qq j i. i J , ? e 1 � e •.y i �i fj ! • j � � , , f I , 71 V �' a j � �v;✓ ; 2 0 it • � i �, ' DECOSTE REMODELING AND DESIGN CENTER �. — -- �e � 2 ;4380 Fa i q �'C tmoutlt . I Cotu MA °� �'. is �4 VG�7�7 i •. '� t :*.'.4,.a . . se•,•f._ .'ice FAY .r'iene� inn c�wn � , ? t I =M AM COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY aa�t�rrt OF ONE ASHBORTON PLACE'. r 1, :-sachu^.o►''"'1�RyiRr' ` MASSACHUSETTS BOSTON,MA 02108 �!'nlsrnnr:r•�f;rrartfn*r�^r L I C F N;L'- +rrhisllcnr.rn. EXPIRATION DATE ,� CONSTR. 0 P E R V I S O R CAUTION 0�/27/1 99t5 ���1�� (� FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE LIC NU. II LEFT, PUT RIGHT THUMB NONE 06 3I-)/1 9 9 3 0 0 5 9 2`i PRINT IN APPROPRIAT-E 6 ° BOX ON LICENSE. r AflDRE C I_AF1=R12IERE TIQX f17Z ° SS h H32-38-GT19 1: FAl_NOUT11 PA Illi3/, 1 DLASTI( OPF((1AT%ijES` tisr!(1,1( D ik'110�0: _.P�Inin lnin,'llrl!i Onn bI�LY1 F 1 r!nr vnl n,I,pnn.Cinrlrn III,III rrrn-n At In rttl u-1n11,y rJL1L 1• IIEIGI-IT: •unrmrn-pn.p.ir:rinn➢Irr:r n¢rnr.ves^vnlrn DOB. r r) 1 .—I Su;rJ ru,n.0 fit rul r nu<,.Ir rdr:rrnnnlr l.lrlr rnnrurnr,rnnn-rn^rnrx rac:rrnnn:Fnr uri Wit r riff 1101 Drn VIM fl 111 I)II IM--flll;l I lI-'In rf",J r I'.nr;i n III!II':r',rr-!IPA rll:rJ ���..\ .��I.• //I/)1 Jlll�ll,l:n.i�Il j. �IlJ llli'�rl.i:'III lit ADMI1,1 1;1 RfiiOFt , r ACORN,, INSURANCE BINDER ISSUE DATE(MM/DD/YY) ^ �� THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE/8/94 REVERSE PR COMPANY Merchants & Business BINDER NO. Men' s Tns. Co. EFFECTIVE DATE TIME EXPIRATION - DATE TIME 2/7/94 12 :01 AM XX I M PM 3/'7/g4 NOON CODE TF 4+5 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED Q SUB-CODE COMPANY PER EXPIRING POLICY NO: ,} j ss INSURED DESCRIPTION OF OPERATIONS/VEHICLES/PRO ERTY(nclu ing Location)uance On Business Personal. Property andd DeCoste Remodeling & Design Center Liability usual to sunroom sales DR.A: Four Seasons Sunroom 4380 Falmouth Road Cotuit, MA. 02635 COVERAGES TYPE OF INSURANCE LIMITS 1 I {PROPERTY CAUSES OF LOSS COVERAGE/FORMS AMOUNT DEDUCTIBLE COINSUR. BASIC BROAD X SPEC. Comm' 1 Package Policy $2 000. $2 y�.�50. 80 GENERALLIABILITY ...-._..._-__�._.-......_._...._...._._......_..._.....:._....._._._....._.•..__._•.._.,_..__..,_..._...•.._�_."..........—._�.,...__.,_ X COMMERCIAL GENERAL LIABILITY CGL GENERAL AGGREGATE $2,OO 0,O C O CLAIMS MADE X OCCUR PRODUCTS—COMP/OP AGG. $ OWNER'S&CONTRACTOR'S PROT. INJURY PERSONAL&ADV. $ 1 ,OOO,00®2 B 000,OOO EACH OCCURRENCE 10000,000 FIRE DAMAGE(Any one fire) $RETRU DATE FOR CLAIMS MADE: 50,000 AUTOMOBILE LIABILITY "^"""'—""" MED.EXPENSE(Anyone person) $ r- ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per person) $ p SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS MEDICAL PAYMENTS $ 3 GARAGE LIABILITY PERSONAL INJURY PROT. $ UNINSURED MOTORIST $ -----. ._.._ AUTO PHYSICAL DAMAGE ..._._ __„-_,,, -,_. .__�.. — DEDUCTIBLE ALL VEHICLES SCHEDULED HI _" ' """ $ SCHEDULED VEHICLES COLLISION: ACTUAL CASH VALUE I OTHER THAN COL: STATED AMOUNT $ EXCESS LIABILITY """"-""" "•' OTHER UMBRELLA FORM EACH OCCURRENCE $ I OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: AGGREGATE $ SELF-INSURED RETENTION $ WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYER'S LIABILITY DISEASE-POLICY LIMIT $ SPECIAL CONDITIONS/OTHER COVERAGES DISEASE-EACH EMPLOYEE $ $1 ,000. Property Damage Deductible as respects Products and COmpleted Operations coverages NAME&ADDRESS -- �.----____ _ _� Four Seasons sunrooms MORTGAGEE X ADDITIONAL INSURED 5005 Veterans Memorial Hwy. LOSS PAYEE Holbrook, NY. 11741 LOAN AUTHORIZED REPRESENTATIVE ACORD 75-S(7/90) CACORD CORPORATION 1990 3 9 INFORMATION PAGE--AR 57 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CS . WZ HARTFORD FIRE INSURANCE COMPANY 15269 HARTFORD PL..AZAv HARTFORD CONNECTICUT 06115 POL I CY .NO: 77 WZ CSE799 01 RENEWAL ------------- 1 . NAMED INSURED AND DECOSTE REMODELING, & .DESIGN CENTER MAILING ADDRESS: I.:.TU 4 380 FALMOUTH RD THE NAMED INSURED IS: C:OTU I T v MA. 02635 CORPORATION FE I N NO. : 04 2987';Z9 3 OTHER WORKPLACES NOT SHOWN A1C+:)VE: 4380 FALMOUTH RD s COTU I T v NIA 2. POL,ICV PE:RIOD4 FROM 1t —iF, >: TO 10-16--941 iZ.*Oi A.M. STANDARD TIME AT THE INSUREDS MAILING ADDRESS PRODUCER'S CODE: 083475 PRODUCER'S NAME: MASS.WORKERS. COMP REINS POOL ALME I DA & CARL.SON INS 92 TUPPER Ri.AAD SANDWICH: MAxs 02563 PREVIOUS POLI-CY NOM 77 WZ CS579,,a POLICY PROVISIONS FORM NO: WC .00 00 00 (MAr v M I v NM v TX ONE.Y.� v WC 00 00 00 A BUS L NESS OF NAMED INSURED; SE'L:.L:S GREENHOUSES AUDIT PERIOD-. ANNUAL ------------------------------ .....e... .��.� .t�_.-. TOTAL 'E.ST I MATEI") ANNUAL PREMIUM POLICY MINIMUM PREMIUM $500 MA COUNTERSIGNED Iw'Y ORM WC 00 00 0 ➢ (PRINTE,01 IN U.S.A.) CONTINUED ON, NE.X o PAGE �?� � � �`� s � � 3� 5 G� i -� -_ -- - _ _ _ � - - -- -_ - - - - _ . _ __ . it �r� � t � ,o � �;�� �y� J � � �' ,� ��� � ��. ��� �� � � � �� `� . .� . �u Assessor's Office(1st floor) Map Parcel Permit# q Conservation Office (4th floor)(8:30-9:30/1:00-!2:00) 1 e Issued 3 6 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee Engineering Dept:(3rd floor) House# O.W"D SEPTIC SST BE i9 WI ENVI�3CIiME AND TOWN OF BARNSTABLE ,g Building Permit Application Project Street Address Jr 3t6 FAL> j)t)i if Village COT U I 1 Owner AQAy:u A-NNE Address #3Ss6 FALMbo rtt- &b LoTv/t Telephone qM—q 3.38' A Permit Request RePLAcie--7 'rROtrr BVMP-007� I&INDOW (SX b'�) Wr-rN- A- 3x!Z' 5uNRsoM MbViAl(, I*Je- AVAIPOLTT 12 1--,aFrT 5& - oc mpusF_ . &&VA14 AAA iNS9t�-Lkl&4 - iN1FiN 90OF (>XOR C-)CI ST/NC 86 bRvz�i4 V E�A PA VD 6165E7S AA1b )'ZobR First Floor eX 15T c NG square feet Second Floor �XI,Tl6; square feet Estimated Project Cost $ #%D, o© Zoning District Flood Plain Water Protection Lot Size /oorXaod Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family 1/"�' Two Family Multi-Family J Age of Existing Structure Basement Type: Finished Historic House Unfinished a/ Old King's Highway ND Number of Baths , %- �Xt 5TiNS No.of Bedrooms F x1 5Tixc, Total Room Count(not including baths) Lo 1;xi 5Ti ►y.c First Floor 4RHs EXi5T/Ng Heat Type and Fuel CkS Central Air SO Fireplaces "Y0 Garage: Detached CkiSTI r"; Other Detached Structures: Pool Attached Barn None Sheds - Other Builder Information Name Kemcdet,,,s -+des aA- Telephone Number 1/3&-3 Address t) PAi,-&X00-rH• ` -b License# 05 a® 5,7 ag , QT1ziT Home Improvement Contractor# %/0 3 Worker's Compensation# W6 P000 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�ARntstftB�C SIGNATURE s DATE 3- — l BUILDING PER T DENIED FOR THE FOL WING REASONS) t J ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED L + 3 MAP/PARCEL NO. 5555Lr 4 rrr f ADDRESS VILLAGE =" OWNER k r DATE OF INSPECTION: t FOUNDATION FRAME INSULATION s - FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ,,R6UGI3.1 FINAL — GAS: -R"OUGH'- FINAL x ; FINAL BUILDING Pl i o ' DATE CLOSED OUT.w ' ASSOCIATION PLAN:'N0. r 5��� /d rim 6 f�Ahl iNs�D� p�aofZ � 'T-rKol,44.5 ors ONO r;zA MA j� \e?pamxcE _ EY/SYYNQ� - r 1 1 � � :AA/ r rV ,crvi�r�i W6s Coz'v�T:�A E�iIlST4L�3l.� yl.4s�s. ... O- --/l/S P4,4AI 4&A7 AeaCAYEv - s'F All �� ;`( �' - �E�.t.IST�+E�F�•iCSJ7✓TJ S[.�.�h��T.l�G1Fy r W43 + f Town of Barnstable �P•.°tIHE Regulatory Services ; " Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 www.town barnstable-ma-us Fax: 508-790-6230 dice: 508-862-403 9 HOMEOWNER LICENSE MM ON ' / YleasePrint DATE. .JOB 1ACAT10N street village number U l l �N workpbone# "HOMEOWNER". �; -home phone# ' name e CUPMENT MAII,1r1G ADDRESS. state zip code city/town 11 of six unitsor less and e current exemption for"homels"was extended to include owner-occup ceR'i ded that the owner acts as to allow homeowners•to•engage as individual for hire who does not possess a license,p s�'o— e�s_or. DEFINITION OF HOMEOWNER who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to: person(s) attached or detached structures accessory to such use and/or farm structures. A be,a one or two-family dwelling, eo-vmer- Such person who shall submit t than Buine lding Official on form acceptable to the Buile jaa two-year perio shall not be ding Official,that he/she shall be "homeowne>"shall submit to the B g re onsible for all Stich work gjormedunder the b Iding ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other ,applicable codes,bylaws,rules and regulations. ,homeowner"certifies that he/she understands the Town of Barnstable Building Departn=t The vadersigned minimtma inspection procedures and requirem-ents and that he/she will comply with said procedures an . requirements. . Sigma Homeowner Approval of Building Oilicial Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section W.O. Construction Control. HOMEOWNER'S TION The Code States that "Any homeowner perfon�S work for wbich a building perntit is required shall be exempt from the provisions Of this section(Section 1Q9.1.1•Licensing of construction Supervisors);provided that if the bomeowner engages a person(s)for hire to do such work,tha{such Homeowner shall act as supervisor:' Mmy homeoyvacrs who use this exemptibn are unaware that they are assuming the responsiln7itic of a supervisor(see Appendix Q, Rules&Regulations for Lieens 8 Conatxuction Supervisors,Seetioa 2.iS) This lack of awareness often results in serious problems,partieutarly whe4 the hotneowaa hires unlicensed persons. ]n this case,our Bo ard•canuot-proceed-against the unlicensed person as itwould with a licensed Supervisor. The homeowner acting as Supervisor is uldnaataly responsible. communities require,as p art of the p ermit application, : . To ensure that the homeowner is fully aware of bisihcr responsibilities,many that the homeowner certify that hd re sbe uadcrstands the responsibilities of a Superi*isor. On the last page of this issue is a form cuaeatly used by several towns. You may cane t amend and adopt such a formlcmtification for use in your community. { oLL WALL Fr ONO r2A U R, h�38p )r,t L Moves Rb 4 v( ✓ r MA A Vdf LP 3-4�.' IL s£ `&ub a ?N u rr-a 7 "`a'!�'a' ".#rvFa' waro-.j-..! ' r •e�'n r'Y s. ' s: �'$CR'zs••4a J ,ry 'r t•t §c' ! "t�� 'a. S 4 l Ct'+•x*,a� '$Y+ i ; ' s_t , a t ^v rS r.T r r .k r+ IVQr✓ a 7AN .2c�L t t r a " r•` +,'1^.` - x �34 {'ttom{l, A # r • �. • u f� C1!` S w .r s I r.. =w a > t'4 Y :• k,S+Etta } l,"' 'r I ,,><-Ji•1. a t r' a .r - ;. k w-3 v 'zt „ s i Y-.:» s .:C �r�•+�,# c. k� 4 t t � r t!yi :-. �!i,� �''.w StY ,�. !3• Io y - ,k6, M 4 '7v a.;$ +7 to r,,. .Cr i 3•i°.tx;F a 1 JOWW OF BARNSTABLE �c1 + BUILDING DEPARTMENT ; , , r ,, t t'r { .. if fl ;4t7~x �:.y,'..17J r, 1 r l;tiY,� ram" A t3..s d !SrF� t Fs a51 t> t :HOM EOWNER� LICEIV wr �, , � °�M t4 tf��A�t t #%• Xr E r ' x rS'4' tJ ,'p'i� ,t ?,d" r -Yrl. pz3 Please 'C t � r f s ; � F , t •+;. ++�� sf6 p„yyrint � '' a ir. at,..,:r • aJ ',�.�a�.:,'ap,£' 'kTtt a} •: ,y= # E,f ":': P i.4c •.!I�fr YS, I L -4, 8 rt a i .ari ti ,rc, - }, yy 4, .4 G'}p t �y �{}' y�{fp�y q{ ey.� ��TfS(`.y'} '4+_2 E 'ynTll , ^f E✓« �:W�: p�:Fa t. 31I a}+T "{�y3y ! 6 :,fA LiIY '��.: + PY } arY k`pRa, .rl Fi� 1 �Iiu*"� da ( JV, a"6;.i 7, , %M1 t�I!:f`.; J't,�:.�,( 1 Ff:}'r:. i F k��5 }i'it •. ! i 4 _k I Y +F.� j'H t, 7, •1 r 1x ta•a,:'r1O''� . iW- S Aa�a ^/ ( aiC4�i "a.tf Pa'L+r,•t nntttt.�..�arK yyF+uu hfeaYf a 45f�3 � �rB+S ,s.� A~ Md✓x.� ,�9�V�1p y,e+�ij' .9,�'h'!er t5. fii X•paTE'rh , � 9 Y r '4a1kta ; 'r r ?k t,Ic^ r K•i a} t cr J �k A 1 I r e h i �"^F`C 3f t *S'"r. 51:� ex'S'' 4 "/' ; 1. T����s� 4'7' ��.v y a gy�pspyy ,�v r f'� -+ a .1 y. r• Z k• ;y''r 6*t r m elyt ,'.^{cl a t�+, "�a reJ� V' a „ 1� 4`,_4•' '0 T 3' J+ t fhr:F3 fit ree ' ,'4.", own,, + .' �� NO�MrppEOWNER!' a5r , , 1�y1'I��� af'e.'»�`(YS'� r+ '17tE t3�'iaadS t tr £me,11 J ome!�"' ;'4t ���3"�F ,' p one t >� NT`MA ` i;; a or >� ,one;t:q FF74S kl4v !4 4 PRESE ILTNG R:ESS f �: 3 r. y +� -1.57 ADD �� � r ;v ', t i'i �r>�xa M , a ti'"r �r�tF� r+�r ti, ;. a,! ae. �Ltd �° � t a �':�. 'f 3✓a' s 4 ', oW f I t •••{1(iiil///���///fp(+ ''�qr t q t p 1///1���/ r ,: y y alk;Y." 1 i. �i1 : .r r t'PVl (#T M+j k51"•.S 1 4� 4:� ��rlt�r. a.J' •.:�.2a a �,t r R I..n T r tie current r � exemptio f ra., r ,ab i li 5 ,,� �.". t tr pf,CO a s� or ,.h Hers". t r omeow T r � was extended,'to in.clu�e'Qwner. occupied < . dweIslings of six; units or_; ess an . o allow'such�°hom a i v + t y. v j eowrterso„ ua for hire who:does nod ossess `a7 Iic' , ::' a° • - � -.en rKact s asslipervisor�' ' tYr,. . ' p` ense, provided that T 4F • ;(State Building Code Section the owner +3..�^ M .Y'.3 2 .L F�.. r • • Ck !. '. 9 ti 'n C i. .EFINITION OF HOMEOWN W } " y jPerson{s) ::who owns pR., 1 of .: y ' sid ' land w 'ides, ;L F K a arce J i= ,T on h i ch he/she res i des, or"2i nten`ds to' red e, }on which ;there i s,+rtor i s i ntended to'be a oneto i`x .fami l 4't �attachedlor:,detached :structures`.accessory .to. such use r A person".who construe s�more th.any one home' in Y ,dwelling, 7�e;considered 'a homeowner. ;r an°d/or farm structures;' F r7« � Such 'homeowner'. shall 'submf e$r;perfo shall not onaform -acce table to� �r P p theSBufldin Official ° thatFti"e%shesh�aBildi�g Official; f ,forall " 9: such work er rmed - Y ,> fo .sunder thee'bui-idin I1 be 'responsible 4r aQ`, t `x 9 Permi e ; r n = ec ion The undeftfgned °homeowner _ Builds +assumes :res �. Yr : � •!� - YNr„ leg' Code and other a Possibility for coma a' ` zf r r, applicable codes, b pliance°with the; xThe aundersi ned " -'>„ by-laws rules and regulations tState �+ t eown B$znatableguildinghpe Department,,certifies that he/she understan p ent, fiinimum inspection procedures andthe' Town of requirements ►a►1d that he/she will comply..with said procedures ' and" . . .. requirement ' • ,NOMEOWNER'S `SIGNATURE • APPROVAL' OF BUILDING, . Rt Note• '"Thr • e mi 1 d e fa Y well in s 3 to comply with State Building.Code Section 127.0, Con 9 OOO cubic feet,`or larger, will be required �. str . ,uction Control• .8 r.• W. "• ',c_'.,,`""'s e_e`r.,�r"�'t ",':'±s9zA'�4'•.--._.. r-3„ .-....'.. I, �• , y .f -` w»vt' a:,- .. �1"_�:,,x a .4�''<Ea E}W v � :w t. 7 r r;a?r st'.,:€e'�.a+, s�d �i,+3�`t"��}it � �,e�-�•- „c } , fI C h� 7 a�Ns fe 1 _ et'�sa .z- • f �''�'. `Fk. - ! ;, Yy ¢.1tp� � { � a 4�1 F .. M a '1 • INE OWN °° M s HO ER''S,:EXEMPTI.ON 't,t�,'<'_ The" Code sta4e that 7�r°'t4ny Home perm I t < ;.. Owner per form I n work`:m Is required shalt - be exempt from the prov/shonslof thi'sbsectlon ; (Section t909:;1 .9 Licensing of •Constructlon Supervisors) Home Owner engaged a`�person(s) for h I re to'do such Work .that 's provided `that;;if,ra=' + shall ?sct as supervisor.°° �F uch Home"Owner ill. Many Hortie Owners .5 »" � � ; `}; R � t whom, se Ahls'4exempt,lon;, are ;unaware W � =� � hii they respons iti l I I t I:�sO that`` h�eY; hare ` assutn I n f�R supervlsor (see `Appendlx a �r g- r fork,Llcansing ot�str�l�ctlorl Supetvlsor�, Sec;t;lon 21 '�!§ Rules'.and„Regulations' often results 'In serJ �s',pb:le s �a )• ,ThlsI'ack�of' awareness w+unl*Icensetl wk,� 4 , • �,Aarf�icui'arIY, wh9n ,.Ahe Y`flome ' persons ,�t In <this .case our 'tBoard cannot`" r cee: Oena:lnstj 'the`: un I I censed person as" 1 t wou i d w I t Pi, I I censed 8upery I so MTh' rFas�;suervisor is s' tofie��x g . d a I t f mate ly `respons i b l e "r """ "`f Owner act`I ng • v f 't 9 «f e N tit J ` + 4 ' r ensure; that the'4H Owns commuh]:V[ s�requixe x «=y, er its full Y„�eware of hls/her, res as,_part= ofthe permit application'; x tpat$!he',It�,BS�k ?any ., ; ,certaty°that he/shet;unde°rstands the, responstbl I Itles c1' last+jpag® oft {r , �4 J$ p,F; Ho ; Owner�ih hi8 Issu® is a form,currentl su` ervlsor me 1 On the care toj,am- d, and ! i,,_ ,+ Y used 'b' atlop such a form Y�sever`aXi' :towns. , {You x k k, , /car•t l f i cat lonY for use ln" Your, common 1 ty• s r ` Zt. e 1� ° `� ,t.yr'a f l ' •7 t � �x d-{, h 'i � r � Y } ,�� ,� r l t� r rs g' t l i-, �4=l-:t d� r r�. p f A � � t y b ��`�, e ;t �*T 1s, n 4jr tf;i t t°h'#-rill atI 7ilt� `�`'£.f'r."..�.•k„w...-+.5: in n 1-. - r r 72{ i , t( fib,i i � ���,� +y+�"t4 � '�� s �,.'. � f• +N t i '�: T �...� .4.. ..,,..ww..a ,v w.a„r �r r r kt'� d . , ,} f }. ,. o-i 4132 l6 � h � � �# =x �*a t. t f I � �r a �� f u g-n aS ld t. ,t m .�., , ! ,. C#1tt , H, } r, s ,w �- k ��d a 5.. F 4 9 }. ;. «. e t g1t- '^ �':f "� a�,J 3 ;t�iJJ.1 r4 "_r ,&'41, ti,7' T� i' ra } 1 \ ,I •f s t� - � + �. � iR a� (t'aa f,'�ddC° •t! r}�{"� t���}I� � fai r '�� 93. 'n t '' 'ka• t'-J d� �..-� ?d'� ,}" s.. +.� f f + tad, } 5" j I Y i r g'OG i Al ll F a I (/ •ice, - r {.:, , ...T.ffi,,�_......-d..�..s,�.A.. _..®.,....,�.,.N.ti,z..t.:o..�w�....m.-....,H..�....R�...N.„.....�...,,,,�...........a...,. _. ...-�..z-. .��__ _....,.,_»._..............,......s...,........v_.,�.-�...-.-.Y�...,-.•..�.�w-...r,:�.....,..<...._.,.,,..,..e,,....q...,�,•.......�•.Q...a,..e..+�.,n,.r.�.�...e��'�.:�.e. � � � r ,m 1> NO. 1242 = 8'% X 11 35*16' ISOMETRIC Assessor's office(1st Floor): Assessor's map and lot number 13 Board of Health 3rd 1 floor)- pp tr o Sewage Permit number v ,, ��,� �,� �•-=, ,: ' ASd9SADLL i Engineering Department(3rd floor): rua House number �7�11 �/ r � 7 , ' l ' ' ��s. . 1639. Definitive Plan Approved by Planning Board 19, ��.�;, � x*; ; o WAY a �V 6j1 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO d,-cl< r1/arot �C,ed ar�� su-> r>01 TYPE OF CONSTRUCTION bdU0d 6n -d/%d— bJey-s 19 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �� �a�- 7V6 '�3�b `F Location ,2 1 m 0 y !Jf Proposed Use b Zoning District i Fire District el Ay Name of Owner -e1^ Address /,no Name of Builder Pbu)7 e-y- Address Name of Architect ME Address Number of Rooms— /ir Foundation f1J� Exterior Roofing Floors /V�{}' Interior Heating �y Plumbing Fireplace ��� Approximate Cost ®1 Area Diagram of Lot and Building with Dimensions Fee f � ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations-of the Town of Barnstable regarding the above construction. Name 4el,2i4 Construction Supervisor's License i GAUTHIER, MARY ANNE w REBUILD/ENLARGE t No„� 3 3 6 5 5 Permit For= DECK Single Family Dwelling L'ocationy 4380 Falmouth Rd. Cotuit - Owner Mary Anne Gauthier Type of Construction Wood . Plot Lot ' f Y Permit Granted .April 9 ;19 90 Date of Inspection" 19 3 Date Completed' _19 • r _t C r ' fi . • a _ I s`y:>,�-y„�.q-.r^zK+.rw:,ra.';"5?►.+st..:�A R.k"A`r'+Fronfd A.'�'R-7f,,,A7,Y+-.v�p.c.st...'...,r.,a,n--.�-�.,-?s• ,wG«.er+s�d*rM'r^4iz7�{"wh*..aLNll�.`>.^,.KCti.;%Ad".' 4 ..:a.,._ �.... ems,`.:. 1 Assessor's office(1st Floor): ,p i/ Assessor's map and lot number /lamO D o?`7 ��� of THE too Board of Health(3rd floor): Sewage Permit number i asaasrsncc S Engineering Department(3rd floor): 1� G -� �° rua House number '7��1 /!1 1639. Definitive Plan Approved by Planning Board 19 °��r a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO R,e_b u l f d deck /ay 9)V)4q arc Fi ed aY'zfJ4 O' TYPE OF CONSTRUCTION 6X Sd."l� C31 19 TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the following information: �� yak S_7Y6 Location Proposed Use ' Zoning District Fire District /✓/ t Name of Owner Pa Y'`/4f7 h P bp,u th) -e r- Address l w,9 07', 9¢. 6 L1-IL Name of Builder ®av h 2 v- Address Name of Architect 11114 Address 11� Number of Rooms /i1" Foundation Exterior � Roofing A/4- Floors Interior Heating Plumbing N/� Fireplace !�/� Approximate Cost Area Diagram of Lot and Building with Dimensions Fee f T nnsti{v� r { OCCUPANCY{PERMITS REQUIRED FOR NEW DWELLINGS I.hereby a6 ee,t conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ,� a 1 Name A,/ r Construction Supervisor's License GAUTHIER, NiAR`I A!:.NNE A=024--0 24 REBUILD/ENLARGE No, 33655 Permit,,F6r== DECK Single family Dwelling Location- 43-80 Falmouth Rd. Cotuit Owner Mary Anne Gauthier Type of Construction.Wood, Plot Lot Permit Granted April, 9 19 90 Date of Inspection 19 Date Completed 19 A'ssessor's offioe (1st floor): nn .;1. Assessor's map and lot number ...C.,y. .`�, . Board of Health (3rd floor): Sewage Permit number L B9Sd9TSDLE . • Engineering Department (3rd floor): 0 NAA9• House number 3 �0 ........................................................................� APPLICATIONS PROCESSED 8:30.-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �-�.YN,2?.11.. 5. .............. n.e. TYPE OF CONSTRUCTION �Od�P �00 ��01 YH-C .................19.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a _p/errmit according to the following information: Location .....!'t.,�.,.o........1. �..1?.?..l)..1✓.Tf1..... .......................Cvhv.�t.................................................................. Proposed Use .....1�1 V.(.!?. ...........................................:.......................................................................................................... ......... Zoning District r.............................................Fire District .........:... Name of Owner 7')'��. )!I Y►. .. �I. I..�Y.......Address .... �?Gf.. ... dhl�U IC,.Y,......(...0 �./ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................................. ...... ..,.................................... Numberof Rooms ..... ............................................................Foundation ....................................................... Exterior ....................................................................................Roofing .................................................................................... • Floors ......................................................................................Interior .................................................................................... Heating ...................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ' Definitive Plan Approved by Planning Board ________________________________19-------- . Area .................. ....................... Diagram of Lot and Building with Dimensions Fee Q �� ... SUBJECT TO APPROVAL OF BOARD OF HEALTH f 'I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .!.... p.............. . .. ......... ,... .... .... Construction Supervisor's License .................................... GAU�TJHIER, . MARY ANNE A=024-024 No 31644 Permits for ..Demolish ....................... ..................Cottage.................................... Location .....4380„Falmouth Road ............................. Cotuit .....................................................................I......... Owner ...Mary..Anne. Gduthier.. .. ...... Type of Construction .... ram...e ......................... ............................................................................... Plot ............................ Lot ................................ February 29, 88 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 a f•. 4 Assessor's offioe (1st floor): ofI EtO Assessor's map:and lot number �..... d� 7 �f Board of Health (3rd floor): • Qp `�G e�Q o" Sewage Permit number ..U.P.. .�.Z../.....�.� ..................... t S9Sa9Y0DLE Engineering Department ,(3rd floor): �ooe,rb3q• House number ........................................................................ •FOYPYd\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 'P.M.' only, ' TOWN OF BARNSTABLE BUILDING INSPECTOR - s APPLICATION FOR PERMIT TO .. � ~r .'`"'.v` ! .� ..... c ' f ...... TYPE OF CONSTRUCTION .........r)0Q.�..... me............................................... ........................................ ..................19 .. TO THE INSPECTOR OF BUILDINGS: The .undersigned hereby applies for a permit according to the following information: Location .....1..- U.....f Ea?.�YYI,IUU ........RX...........................d. V.I.,/,... ...... '........................................................... ;Proposed Use ... !Y•f,.V),� ....................................�....c..................................................... ', Zoning District ............ .... ..................... Fire District ............... �/. .. ............ ........................................ 2 vl t �.. f z�✓ Address rOv I -Name of Owner .. . ...>.'?................��/.�............. ...........� .........�................................................ -``Name of Builder O .6-e.Ir.........................................Address ................................................................................... ... Nameof Architect ........ '...........................................Address .............................J...................................................... Number of Rooms ................. ......Foundation ....... 60,)---.rtk .......................... Exterior ........lr. ?.!( .. I.. ..I S......................................Roofing ? Floors ..........�ar.P��.........................................................Interior ......... GC o�h.........................:......................... Heating ........ ...................................................................Plumbing .................�...C/7 .e....................................,........ v x Fireplace ........A/0.....-�. ............................................................Approximate Cost .............. �. *�Q®!................... F Definitive Plan Approved by Plann ng Board _______________________________19-------- . Area `_ ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL B•OARD OF HEALTH l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree ree to conformto all the Rules and Regulations of the Town of Barnstable regarding the above 9 9 9 - construction. Name .../::fit!/,c/ffi.�';?U�:..r....:.. .......................... d _ Construction Supervisor's License Attie ................... J GAUTHIER, 'MARY ANNE A=024-024 14 - o� y,--6;t y.- No ....;U7U. Permit for ...Rebuild.............. ..........Single Family,. Dwelling........................... ..... Location 4380 Falmouth Road,,,,,,,,,,,,,, Cotuit ............................................................................. Owner ....Mary.. G e�Annauthior .............................................. Type of Construction kX=9............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ........Agri 1 .......Ap.ri1....l..1..........;19 88 Date of Inspection ....................................19 Date Completed ......................................19 /1f1111r FrE C4 0 a TOWN OF BARNSTABLE, MASS. " 19 A.dNw O ram. Ct to o�•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO � v cu o ..... .............. ..........................................._.................................................. --- 03 O A— (PROPERTY OWNER) (ADDRESS) a o UJiC o:o �., a TO .................._.____......................_........................................................................................................................ EI^ -s'd (BUILD) (ALTER) (REPAIR) �a _.__.......... ............... _....._... C C (TYPE OF BUILDING) (APPROXIMATE SIZE) W o � LOCATION .............................................................................................................. ..............................................................................................................................._-- ...� (STREET AND NUMBER) (VILLAGE) D v 03 NAME OF BUILDER OR CONTRACTOR _........__....__._.. ._......_......................._....... ..._.................................._........._............_..___ A d o° APPROXIMATE COST S. tmcs I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN ,4OF BARNSTABLE REGARDING THE ABOVF,,"CONSTRUCTION. o M4 D 0 aa � N (OWNER) (CONTRACTOR) Asap � Cs o O O -........_.............._.............. BUILDING INSPECTOR Subject to Approval of Board of Health. I 61,x". E.i. - .b4°'':*tn +-,0 �. •.Cl..o •^:Z�rx. Ft «:�l�:l.`,fih �'w ,;'!g..� +<i» �::3'�F ..._ • .{3.. 3`,,., �x tom,.• .xi3 ,.^:�' 3`'s i.':.,':'f8"'�d 3'C.Ke ,t.' 1' ;.,t Y.`. A� :Cn �,Tt �,3t3'`': F - , M # r t 1� r 1* • i Assessor's. map' and^ lbt number ... ....�'.. �3.. ........ Sewage Permit number ...................../......,.�..... .. F7NETp«yow TOWN- OF '.BARNSTABLE Z BABBSTABLE, i J o�Ya�e�� A' DUILDIHG INSPECTOR APPLICATION FOR PERMIT TO ...................................... ................................................................................ TYPE OF CONSTRUCTION ............. t ''4 � ' ..............................:...................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location f ! ifeVq ProposedUse ...........................I .......................... ................................................................................................... Zoning District ".. ' ...................Fire District ........0� � i —r • .�.��,..� L1"�.,t1 1. �rU��a , Name of Owner R• 5 C' t ff`'N1fbAddress ��16Xt`14"t �1.'�'.. `? f� '_ ...... Name of Builder ....�!fjN.V� .......Address .. .......................................... ................................ .................................................. � A Nameof Architect ...�f.C?A(...................................................Address .................................................................................... Numberof Rooms ...... ........................................................Foundation ....... ......,:........................................... Exterior ... .k:. }............................................................Roofing ..............s - . .. C.......................................... Floors r`t ...........Interior ..... .................................................................. .! : .... �.;!A G:,�.'.................................. -`Heating ..... ...... t`... '........................ ................:..............Plumbing ..................................... �:?�� `.'.!�.!4.E"►.4.................... ... Fireplace 4 pp...............:ti. .......................................................A roximate Cost .....Ao. ... ........................................ Definitive Plan Approved by Planning Board --------- - ---- - 19-------- . Area ..V7.11,04 ....... Diagram of Lot and Building with Dimensions Fee f SUBJECT TO APPROVAL OF BOARD OF_ A/0 4 V� �7^ f t hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above - construction. q- M1 ..............' �.4_,, ��s.a,. .✓ ?�........... Steinhilber, Carol Ann & R. Theodore 17174 remodel garage No ................. Permit for .................................... to Art Gallery ............................................................................... Location e�8 �30` ` ,ham................................................................ ......................Sam........ / ......... Owner Carol Ann & R. Theodore Steinhilber ...................................................... Type of Construction frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ........June..24................1974 Date of Inspection ....................................19 Date C'om leted 19 PERMIT REFUSED ................................................................ 19 ............................................................................... - .................................................. . .......................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's offioe Ost floor): b oFTNETO Assessor's map and lot number ..... � 'r........-2.�.................. Q� Board of Health (3rd floor): o" 88 �1YQ..... d Sewage Permit number ........ t BAUSTSDLE. S Engineering Department (3rd floor): o rb 9• e� House number ........................................................................ ` ` �o war a• APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Add ..... ......C/ Y'P�2J/ ............................ .W!..................... ..... TYPE OF CONSTRUCTION ..............AV �W� ... YJ1??G...................................................................................... rfh......c �.............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following .information: Location ............ ........R..or......................00ut.. 1 ................. ..................................................... - .h .. ���:.: ......................... ..............Proposed Use ...........�.V.l.h.. .................... • Zoning District ...............K....... ..............................I...............Fire District �tt y� .. ................................................... 1�1 are! t+r,h I P r 0' 1(v I� Name of Owner �..�.�.!:S..I..'!........................Address ................�./................................................................ Nameof Builder GQu>.►1.1V ..........................................Address .................................................................................... Nameof Architect ...... Y............................................Address .................................................................................... Numberof Rooms ...............f!...................................................Foundation ...:........................................................ Exterior ........(1 ..........................................Roofing ................. ................................................. Floors ......................... .........................................................Interior Heating h/� _ �U S7ly� .............................................Plumbing ..........�..K-04-.................................................... Fireplace .........NO..................................................................Approximate Cost .......... .�,q?2t....................................... Definitive Plan Approved by Planning Board ---'----------------------------�9-------- . Area . ..,... .,... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f fy ' OCCUPANCY PERMITS REQUIRED FOR NEWDWELLINGS j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name .../e �"!�' -` C ......................... I� Construction Supervisor's License .. ....:.......... GAUTHIERj MARY ANNE A=024-024 0 A 6.2 No ... Permit for ....aVUld...aor.me.r. Sincfle Family..Dxelllrig...... ........................................ Location 4380 Falmoqt;b...Raad.............. ............................... Cotuit ................... ........................................................... Mary..A ..... Owner ............ ... Q.zk1jthi.er......... Type of Construction .......F.r.ame....................... ............................................................................... Plot .............................. Lot ................................ Permit Granted .......April....6.r.. ............19 88 Date of Inspection ......................——*.......19 Date Completed .......................................19 r' office 1st floor Ma Lot y Permit#Assesso s O e t Conservation Office Oth floor a? i- 0jrr ) Date Issued 11 Board of Health Ord floor o2 ('M& ��� Engineering Dept. Ord floor House# °° ,,'" � Planning Dept. (1st floor/School.Admin.Bldg.): i R&MSTASMMAW i Definitive Plan Approved by Planning Board r 19 019. (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) SEPTIC SYSTEM MUST SE INSTALLED IN COMPLIANCE TOWN OF BARNSTABLE NTH TITLE 5 Building Permit Application ENVIRONMENTAL CODE AND Project Street Address 3 IR-0 ! I me I JTIti C4 Village 14-�rtl i 1'i" Fire District Owner M9 ry 4n n g— 6,go-9, cr Address Telephone g339 Permit Request: M' Oyg- G a ra�e— '1"n :'rc'9-r--V- 'V' a ko y"g. •1-0 n u lgx li`ravnvbAnor� Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistin2 Information Dwelling Tune: Single Family Z Two family Multi-family Age of structure Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information *Name Telephone number Address License# Home Improvement Contractor# Worker's Compensation # I. 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 Proiect Cost X 00 Fee CO3-0 c/2) i SIGNATURE DATE /yw� o`; _ 1 g gy`r i BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 4/2 5/9 5 3•q•6fr9— FOR OFFICE USE ONLY 024.024 ADDRESS, 4380 Falmouth Road U-LAGE Cotuit Mary Anne Gauthier ` OWNER - DATE OF INSPECTION: t ? t FOUNDATION 2l c,� S 1 FRAME F { INSULATION ' FIREPLACE - ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING: - DATE CLOSED OUT: :.s # I ASSOCIATE PLAN NO. VIA a �a r� � `• as"" . t". 0 ' TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE i/ A-Pr, L JOB LOCATION H .0 r o "Number Street address Section of town "HOMEOWNER" � R ANNE U 14 i E Name s'=S756b Home phone Work phone PRESENT MAILING ADDRESS b City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the o acts as supervis wner dr DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building off icij on a form acceptable to the Building Official, that he/she shall be res onsib- for all such work Performed under the buildingPermit. p (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Stz-- Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. 777 11;02'94 17:02 V61 7 72 7 7122 DEPT IND ACCID (s3100. Collunon.c.uealtfi 0/ Ma.1Jac1zu4ett6 2gpa�t.,d 01J-,L&ia6,.Ac 600 WaI ngtoa.. tmef ac __. ... . James J.Cam Uod pbell ton, M am "&6 02f f 1 _ Commissioner Workers' Compensation -Insurance Affidavit c � with a principal place of business at: (GtjdSeateJZEo) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () i am a sole proprietor and have no one working for me in any capacity. () l am a sole proprietor, general contractor o homed (circle one) and have hired the contractors listed below who have the follow ers' compensation policies: Contractor Insurance Company/Po[icy Number Contractor Insurance,Company/Policy Number Contractor Insurance Company/Policy Number (f� t am a homeowner performing all the work myself. 1 unders[znd t`st a copy of this slternent will be for.zrded to the Office of invest gations of the DIA for coverage verification and that failure to secure cove-age 2s rEG'Jired under Secdon 25A of MGL 152 can lead to the imposition of criminal penalties eonsistine of a fine of up to S 1,500.00 and/or er years' impri<crrnent as well as civil penalties in the for:of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of f 19 93" Ucen a Permittee Building Department Licensing Board Selectmens Office Health Department 37 66'- TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 I : . . : The Town -of Barnstable • BA grABM 1 tee$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. � I Type of Work: RD(/� �' R A Est.Cost ®DO Address of Work: y 3S 0 rjL mo vZ k &j Owner Name: 14ery An n P G.a vzh i e r Date of Permit Application: 2 t'f /fit p t-e L ' 16 I heretry certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied ✓ P%,,mcr pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR ,�.41!�/ ��- i - Date Owner's name Rr'1 r �. y��.� i �`` , �+w I � - . ..- � . ;. sG�6 l A ✓ ` ,\ 1 _ .' � r .mow � l/ i i r' r 30 135 G� 17 . `I 1 `W I /O `S ' `� � ice..���.C�.a�� _.�+L,;;�•=':'L;��."�-+'''!f`.�.�. .�r�.��;/��`��`�1,f_:-" r I E y EX�'�s'y"�ps✓G ` � � SUNPVOM cE r�`y T�.0 T" h, 7'" , 'O--6.moo '©�! 7> 83 g ove 1 It Poo R ` I ;M >- vw 5Tl P 5' r XM U I NON10VC \ '✓ �1D,i , ,, II� � i I ,., �� I I•/ '.', if ' � ,• � ;+l .� � I �,J , q �/i v��'S � • j i k � QV - � �V � N��i tA &0 I�l C�� f�7\ ND EE-A/ "T!N"r g>✓D Or>y� �`JS I f /' �I 'I Fly ) ,Ism FDo ov6p, )F-XlSTjNc-) K'oo+ `•. CoN-twLJI,Ii6 ,2X L1 C.411,16-r -uctfoN /eo'OC ` a. NE W L Tlnf D 1: 5? .t 'lo" DECOSTE REMODELING. AND DESIGN CENTER _ 4380 Falmouth Rd. Cotuit, MA 02635 -5740 (508) 428 I 'V 4 1 � �Xrs7'.��s✓ A / ���� •� R�ROE~. � 1 y . j cJ5A!t- `r,ry 7O7... It i4.4�e4A11V C#407*/-,— . �.. r-Y) � y � y i _I R �9 Al Y/Z, -�- G# j .45)7 /A-1 d� IJ a