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4463 FALMOUTH ROAD/RTE 28
a t 4 t i s' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9 Map, r A Parcel .3 k Application Health Division Conservation Division Permit# f Tax Collector Date Issued A Treasurer st Y Application Fee 7" 00 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address zftl:� firdtk'l U774 12b 6 Village &/4� A,n6k) CArwa( his 1d6 P of Pau- liu 0 it Owner _- cv.. �46(_tt. bowl'ICL F. ikyr-! egs22& Address b-130 X 106 MAIL PA .DL4(0) Telephone 6 _g Lh - 0760 04T /ci c Permit Request J6 Z 12- v Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District/ Flood Plain Groundwater Overlay —Pr�Valuitifbe3ieco_©p Construction Type 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 MINo On Old King's Highway: ❑Yes UNo e Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other MAO AWPL SLf}/A -P r04f04)6 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I Number of Baths: Full:existing new Half:existing <j new- t!k GJ Number of Bedrooms: existing new CD3:3* Total Room Count(not including baths):existing — new First Floor Room unt r Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑OtherCZ19 Z Central Air: ❑Yes O oo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 211,116` r Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: _Zoning_Roard of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 6f No i If yes,site plan review# - = T Current Use Proposed Use �Z y BUILDER INFORMATION Nam Telephone Number cJU� `�' 0 -Addre s License# C� / 4 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _% - ,� c-_�--- JR -LL .ram; t * FOR OFFICIAL USE ONLY E PERMIT NO. i DATE ISSUED ; IV K i MAP/PARCEL NO. ADDRESS VILLAGE . f OWNER c_ s DATE OF INSPECT FOUNDATI FRAME Q d w A I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL a r FINAL BUILDING F L DATE CLOSED OUT _ ASSOCIATION PLAN NO. 4• ' i Jyjassacnusezrs Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 rvww mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumabers Applicant Information Please Print Le 'bl J?f�1U 8lie �i�h0 �f I�/dZL ll�`vi�(� . Name (Business/Organization/Individua2); i�SID9I pL ri. Address: f® spy 18D® City/State/Zip: AZdP1>, nl� Dg4 vi Phone#: .5N q-n T)60 •EX T / 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 employees (fall and/or part-time).* have hired the sub-contractors 6. ❑New constzuction 2.❑ I gm a sole proprietor or p mt2er- i listed on the attached sheet : 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition worlang for me in any capacity. workers' comp.insurance- 9, ❑ BmUding addition workers' Gump,insurance 5. ❑ We are a'corporation and its 10.❑ Electrical r airs or additions equiredj officers have exercised their eP 3. I am a hoineowner 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' " comp.insurance required.] 13.�Otheriz'6Cf dVAI '',Any applicant that checks box#1.=ust also fill out the section below showing their workers'ocmpensatioa poBcyinforrnatiaw . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside mutmcton must submit anew affidavit tadicaiimg such 7Coatract ns that check this box must attached as additional sheet showing the name ofthe sub-contractors and their workers,comp,pobey informatiaa. ram 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..Lie. #: 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 f me up to$1,50000 and/or one-year imprisonment, as well as civil penalties in the form oi'a STOP WORK ORDER and a fine of up to SZ50.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do herehy certify under the pains and penalties of perjury that the information provided above is true and correct. CSi atue , ;Date: ci Phone Q4 9 7 7- 7 7 64 Official use only. Do not write in thin*area,to be completed by city or town ofjcial City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Flea!th 2.Building Department 3.City/_T owc Clerk Q.Electrical Inspector 5.Plumbing Inspector . 6. Other ContactPerson, Phone#: 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 wader any contract of hire,'., express or implied,.Dial or written." An employer is defined as,"an individual,partnership, association, corporation or other legal entity, or any two or more of the faregoing engagers 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 07 on the grounds or building appurtenant thereto shall not because of such-employment be deemed to bean employer," MGL chapter in, §25C(6)also states that"every state or local licensing agency shall witbhold 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their certificate(s) of 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 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 Depar>ment 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 tuould motet tue3r 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 permitlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write "all locations in • : (city or town),"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each ' year.Where a home ovmer 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 lie 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 Teli'44-1 617-727-4900 ext 406 or 1-S77-MASSAFE. ' Fax r 617-727-7749 Revised 5-26-05 w-v�w.ri2ss.go v/aia I, NSTAROne NSTAR Way SW 330 EL EC TR/C Westwood,Massachusetts 02090 GAS _October 27,2006- Mr.Paul Thomas 4462 Falmouth RD Cotuit, MA 02635 Re: Service Confirmation Loc: 4462 Falmouth RD Cotuit, MA 02635 To whom it may concern; The purpose of this letter is to confirm that there is no power to the red barn at the above address. Please feel free to call me at 781-441-3367 if you have any questions. Sincerely, David Lentini Customer Service Engineer KeySpan Energy Delivery 127 Whites Path Energy Delivery South Yarmouth, MA 02664 October 24, 2006 Paul Thomas P. O. Box 2004 Cotuit, MA 02635 RE: 4462 Falmouth Rd., Cotuit (red barn) This is to confirm there is no natural gas service to the above address. This was verified by a Keyspan representative on October 20, 2006. If you have any questions, please call me at 508-760-7481. i Sue McMullin Operations Coordinator Keyspan Delivery Company OF lyF Cotuit ,Fire Mtotrirt C Water Mepartment 1926 `o'9ae 4300 FALMOUTH ROAD, P.O. BOX 451 JU Y COTUIT, MASS. 02635 PHONE (508) 428-2687 FAX (508) 428-7517 October 16, 2006 Town Of Barnstable Building Inspector's Office 200 Main Street Hyannis, MA 02601 To Whom It May Concern: This letter confirms that there is no town water connected to the barn, owned by Paul Thomas,at 44.62 Falmouth Road. ` Sincerely, Wit Sheri Leavenworth Business Manager "Cale UNITED CASUALTY AND SURETY INSURANCE COMPANY LICENSE AND PERMIT BOND For County,City,Town or Village Only. Not Valid for Contract,Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: Bond No:002120 That we,Parish of Christ the King c/o Rev.Msgr.Daniel F.Hoye,Pastor,P.O.Box 1800,in the Town/City of Mashpee, MA 02635, as Principal, and UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation duly licensed to do business in the State of Massachusetts, as Surety, are held and firmly bound unto the Town of Barnstable,South Street,Hyannis,MA 02601,State of Massachusetts,as Obligee,in the amount of Five Thousand Dollars and 00/100($5,000.00),lawful money of the United States,to be paid to the said Obligee,for which payment well and truly to be made,we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas,the Principal has been licensed and/or issued a permit for the purpose of opening and/or occupying a public way located at 4463 Falmouth Road(Rte. 28),Cotuit,MA 02635 by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordinances(including all amendments),pertaining to the license or permit,then this obligation to be void,otherwise to remain in full force and effect for a period commencing on the 2nd day of November,2006,and ending on the 2nd day of November,2007,unless renewed by continuation certificate. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal,in care of the Obligee or at such other addresses the Surety deems reasonable,and at the expiration of thirty- five days(35)days from the mailing of notice or as soon thereafter as permitted by applicable law,whichever is later,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 2nd day of November,2006. Pr c al—Parish of Christ the King c/o Rev.Msgr. 1 F.Hoye,Pastor Witnessed + UN CASU LTY ND SURETY SURANCE COMPANY By �o i y By Todd S.Carrigan Attorney-' Fact ss: ACKNOWLEDGEMENT OF S Ty STATE OF MASSACHUSETTS County of Suffolk On this 2nd day ofNovember,2006,before me,the undersigned officer,personally appeared,Todd S.Carrigan, who acknowledged himself to be the aforesaid officer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation,and that he as such officer,being authorize to do,executed the forgoing instrument for the purpose therein contained,by signing the name of the co y himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hanfnd_offigial seal Timothy M.CarrikanV4otary Public Expires 9-3-2010 Timothy M.Carrigan Notary Public Commonwealth of Massachusetts My Commission Expires September 3,2010 ucsidp c UNITED CASUALTY AND SURETY INSURANCE COMPANY No: 187902 Bond No: 002120 BOSTON,MASSACHUSETTS Principal: Parish of Christ the King c/o Daniel F. Hoye,Pastor POWER OF ATTORNEY P.O. Box 1800 KNOW ALL MEN BY THESE PRESENTS: Mashpee,MA 02635 Obligee:That UNITED CASUALTY AND SURETY INSURANCE Town of Barnstable COMPANY,a corporation of the State of Massachusetts,does hereby make,constitute and appoint Todd S.Carrigan of Boston,Massachusetts its true and lawful Attorney-in-Fact,with full power and authority,for and on behalf of the Company as surety, to execute and deliver and Effective Date: 2°d day of November,2006 affix the seal of the Company thereto, if a seal is required, bonds, undertakings, recognizances, consents of surety or other written obligations in the nature thereof,as follows: Contract Amount: N/A Any and all bonds,undertakings,recognizances,consents of surety or other written obligations in the nature thereof and to bind UNITED CASUALTY AND SURETY INSURANCE Bond Amount: $5,000.00 COMPANY, thereby, and all of the acts of said Attorney-in-Fact pursuant to these presents,are hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY at a meeting duly called and held on the 1st day of July, 1993 which Resolutions are now in full force and effect: Resolved that the President,Treasurer,or Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writings so executed by such Attomeys-in-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY,at a meeting duly called and held on the 1 st day of July, 1993: That the signature of any officer authorized by Resolutions of this Board and the Company seal may be affixed by facsimile to any power of attorney or special power ofattomey or certification of either given for the execution of any bond,undertaking,recognizance or other written obligation in the nature thereof;such signature and seal,when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,UNITED CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officer and its corporate seal to be hereunto affixed this 22nd day of February 2002. UNITED CASUALTY AND SURETY INSURANCE COMPANY Timothy M. Carrigan,Tr asu er State of Massachusetts,County of Suffolk ss.: On this 22nd day of February in the year 2002 before me personally came Timothy M.Carrigan to me known,who,being by me duly sworn,did depose and say that he resides in the State of Massachusetts;that he is the Treasurer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, the corporation described herein which executed the above instrument;that he signed his name thereto by the above quoted authority;that he knows the seal of said corporation;that said seal affixed to said instrument is such corporate seal,and that it was so affixed by authority of his office under the by- laws of said corporation. Donald J.Hemberg,Notary Public My commission expires 7/18/2008 I, Timothy M. Carrigan, Treasurer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, certify that the foregoing power of attorney,and the above quoted Resolutions of the Board of Directors of July 1, 1993 have not been abridged or revoked and are now in full force and effect. Signed and sealed at Boston,Massachusetts,this p and day of November 2006 Timothy M. Carrigan,Tr asu er 11/13/2006 14:53 FAX 508 394 0367 SP S YARMOUTH -Z 002/002 NOV-13-2006 01:39P FROM:OCEANSIOE CONSTRUCTI 5084207841 T0:150eM40367 P.1 31/13/2006 14:33 FAX 508 394 0367 SP S YAnOUTA Q 001/oul r . 'T'®wn of Barnstable Regulatory Services $ } Theme F.Geller,Diractor WAAL BuRding DiviAon tom Daly,BuMag Comadesionar ` 200 Mda.Streets Hyannis,Aim 02601 w7ow,taw�.baraatnbla.:oaaass • Offiom 508-862-4038 Fax: 506-790-6230 5011x0w?MR 3dt18 Plasu Print DATI �y� 303 LOCA:TON: �5��3 �i CQ 7Zdt 7 aemiba aa=at �• �tobasowr :� � � h� (Srt Pd�° G 9hrmi ro worx phana st ccrittrr nt�►>r�r0�lxt�a;�i Q( l0 d"I. �'A[fL -Tim CW04 exavtlon Ibr'jgMMgZW was extesvied to include 29AM-22 vied dwellAU of six taocta or Iasi and to allow ltomaowmera is aagt:an iadividaat for hire who dogs not pastes,a Llama,prow•dadREZA tl:n� t o er ac g t- DZFVarWN 0>C3al0tblH'+OVe!M Peraoe(s)wino VWZ6 a garoel of land on which Wake resfdao oa hd mda to reside,of whieb there b.w is intEnded to be,a one oa two-family dwelling,aumbed or detached alluctags accessory to such use and/or faam stroateru. 4 Person who eonstr`uots more tbau one home in it two-yearpaiod shall trot be considered a homeownet Such ,homeowner"shall submit to the DuU&g official on a fb=accaptable to the Building CyfEcial,that h9dW shall be ;MRRAWjf0I all Ala ssrorkro®rlar�sed under tine btailtiirri3neraait_(8ea91cn 109.1.1) The undersigned lhanwwnae'asaimaea reapom ibi3ity flu camVUauce with tho State 15uj&v,g Code cad alit,:, applicable coda,bylaws,ruler and ragulat ens. T�ynde�igiaad"hotaaeawaet'stistifaea that Waha m lerstaada the Tali h of Bawl®Building C"artmeu =Wh mua iaapa don proadum-w d requirmnsaft ttnd tbat helaba will couply with said procedums and requirements. 5d�attrreeflEiomoowns'� Approval of lduD&S 0941al Note: Tbrae-bwfly dwellings co:aWhin8 35,000 eabic feet or Lrger will be required to convly vvitb:tbo state]unsling Code Secdon•127.0 Construction C:ontroL• tlu9Ad$4)9*/A MIS F.I�AaPr!<O1V The Coda state that "sty horeaoa�var perfo:ma ark for wbteh a Duildiaa par�i¢is raqufro8 shall be atantpt tEa provinona of thta=don(5aa400 109.1.1-: kWAM fsuparrimaoa):FroMsd"that if tbs boaaxaoca W snpgm a pms®(e)for hirr to do inch +ve�tFiata>ehI3amaawaarahsilactasiuparvticr.° • May h0au►owaw VVh0 Uae Alin sxa*Von are imawan twat May ere assundoa dw raqnadbtlides of a aMpsr+iaer(sos AFPMdix Q, Rolm�Raaulats`tun for Uceadstd Cansauadai ituparviwle,&cation],3� Thin bc�esf awm ofAea results im serious praDisma,patlioWariy wbN the bu lawn hirea unUcamed parrcna. is%U ca".our Board cant proaa9d q*M*r talom#d person sa tt woaid wirR e.hammed 2vparviaor, Tag hounwrm actin;as SupuvUar is ultian*regen(Wa. Tosaausetbalthehcaseo%noisNbauraofhitraw"sparstiZs lies,amycommsddearetis:iae,ds pan ofdoparudtrppticarar., a=the homem nor ondiy as Wan is duvioda Ana awyoujbwdas 611 supe„dsre. On lee bopme of WE lave fa a fam Cur ay used by aeveaal tow"• You may Cara t smand aad adopt a wh a ftw1ba tloeo eo(ar use is Yost ooaMmit3. Qforma:horeinxampt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION OF BARINSTABLE Map 1 Parcel 0 3 / Application # Health Division '` 4 'Date Issued Conservation Division Application Fee �O �.•s. .�u Planning Dept. Permit Fee ��`���� � �g�,gip, -- Date Definitive Plan Approved by Planning Board Historic =OKH _ Preservation / Hyannis Project Street Address y y 6 3 X t A� (f-4 V`r,0 R D <d i Vi q.4 e z Village (Vlo (- Owner T ° If Ali (014aLiC BiSHP-R 6 JrAll Address qq 4:3 rA l t,14OLrdai 4D M4 .`f' Pp 0V 4-00 /d�4V4f' .P-P1 /144y R)0eil f ptvi'41MA elephone d Ll y Permit Request ������ zIJV II 2 p oea l-f ;1i ?/¢ t e- 0, P t Il l!M Ic /�i I d Q of 'y!d il.�e1111c P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District R 1' Flood Plain Groundwater Overlay Project Valuation 3 S"aO Construction Type L0 0 0a F11A hM41 Lot Size A C ir°Z' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family t� Two Fam ly L�77 Multi-Family(# units) L,��� J Age of Existing Structure 7 e Historic House: ❑Yes UrN/o On Old King's Highway: ❑Yes G2l0 Basement Type: ❑ Full Crawl ' ❑Walkout ❑ Other Basement Finished Area (sq.ft.) �� Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new (J Half: existing new Number of Bedrooms: existing 0 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: l/existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: U"existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Corn ercial G(Yes 0 No If yes, site plan review# 0Je4 4J °r2o�ei i 4 ditf � S4 hY,e `��j R f�� .,/`ho Current Use Proposed Use V Lf I t c1)'F � i e d APPLICANT INFORMATION Vey . . 1' lil Ile YWd/ (BUILDER OR HOMEOWNER) - Name jkl Telephone Number Address l �t' f'J mHe t e a 9 1i License # ( ff 0 6 Y ll Home Improvement Contractor# 7 Worker's Compensation # LIU'A � .NYC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ll SIGNATURE A AIN ATE �� j�Af FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Y ADDRESS - VILLAGE ' ~ t 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. s ' 31.12 2014 16:49.00 Girard Insurance Guard Insurance Grog 1/1 DATE(MMiD AC4ORa CERTIFICATE OF LIABILITY INSURANCE DMYYY) 12 30 2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polieypes)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT NAME: ROGERS&GRAY INSURANCE AGENCY,INC. P14ONE FAX IAJC.N AIC NO); 434 Route 134 ADDRESS; INSURER )AFFORDING COVERAGE NAIL k South Dennis MA 02660 INSURER A: AmGUARD Insurance Company INSURED INSURER R: CAPIZZI HOME IMPROVEMENT INC INSURERc: 1645 NEWrOWN ROAD INSURERD: INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMEVT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ LrFIi TYPE OF INSURANCE PN CY E POLL EXP g POtJCYNUMBER OLI MQUCMMDNM L IB GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE O RENTED CQMMERCIAL GENERAL LIABILITY PREMISES a occunenw $ CLAWS-MADE DOCCUR NEO EXP(Any one person) $ PERSONAL&ADVINAJRY S GENERAL AGGREGATE $ GEN'L AGGREGATE LI.11T APPLIES PER- PRODUCTS-COMPIOP AGG $ POLICY1-1 jELaT LOC AUTOMOBILE U1hBKJrY CfEa 81 ND�SI I 5 ANYAUTO BODILY INJURY(Per person) $ ALL U-NNED SCHEDULED BODILY INJURY(Per acadent) $ AUTOS AUTOS HIRED AUTOS NON-OVMED PROPERTY DAMAGE 5 ,AUTOS araWdeMT UPABFELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAh%!SNAD,_E AGGREGATE $ DE. I I RETENTION$ 3 A WORKERS COMPENSAMN WC STATLL ..-. OTH - ANDEMPLOYERS'UABILITY .TIN R2WC527200 12/25/2014 1212S/2315 x T M .. E ANY PROPRIETORRARTNERJEXECUTIVE NIA E EN L EACH ACCIDENT 5 1,000,000 CFRCEWMENBEREXCLUDED? (rdandatory inNHI E.1-DISEASE-EA EMPLOYEE S i,DDD,DDD If ye d RIes Ab-uidw DESCP ON OF OPERATIONS bd.,) E1.DISEASE-POLICY LIST S 1,000,000 DESCRIPTION OF OPERATIONS IL.00ATIONS/VEHICLES',(Attach ACORD IDI.Addigmul Remarks Schedule.ii more space is required) Thomas Capizzi]r is covered by the Workers compensation policy. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE NTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAT UP ®1988-2010 ACORD CORPORATION. AU rights reserved, ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ��e�(in»an2¢ncaecrl�l n�VL'G�c,�Jtcc�ccle� Mee of Consu_ner Aiiairs�:)i3usiness Utegutation License or6"egi5ts ation validvalidhflforlDdiVi Sul use only ME IMPROVEMENT CONTRACTOR before the expiration slate. Nfound return Eo:' Office of a onsunie"r Afffairs and Business RegL9ation V,Explration: egistraiion: 100740 T 1pe: 10 Parr Plaza-Suite 5170 6/23/2016 Supplement('ard Boston,MA 02116 CAPIZZI HOME IMPROVEMENT,INC. � y� ' JOHN STRUMSKI r 4' 1645 Newton Rd, Cotuit, MA 02635 UJnderse.retary j Not Valid without Signature Massachusetts - Department of Public Safety Board of Building Regulations and Standards � Construction Super,-* sar License: CS-0648jy ISAMFNAVE -Buzzards 1132Y Mg 02532 Expiration Commissioner 0691692016 i Page 7 of 7 Capizzi Home Improvement Inc: Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, i 0 C�e, �� , OWN THE PROPERTY LOCATED AT 3 JOBS FISHING ROAD IN MASHPEE, MASSACHUSETTS. - I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT JO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING ODE: SIGNATURE OF OWNS cr* T : _ �___ r OWNER'S ADDRESS: P.O. BOX 1800, MASHPEE,MA 02649 OWNER'S TELEPHONE: 508-477-7700 - - LESSEE'S SIGNATURE: - - - - - LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: . 508-428-9518. RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: r The Commonwealth of Massachusetts (Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.govIdla Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Letribiv Name (Business/Organization/Individual):CAPIZZI HOME IMPROVEMENT, INC Address:1645 NEWTOWN ROAD - City/State/Zip:COTUIT, MA 02635 Phone#:508-428-9518 Are you an employer?Check the appropriate box: Type Of project(required): 1.0 I am a employer with 40 employees(full and/or part-time)." 7. ❑New:construction 2. I am a sole proprietor partnershipd h r or and no employees working for me in ❑ - - 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.[:]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition .10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.®I am a general contractor and I have hired the sub-contractors listed on the attached sheet.These sub-contractors have employees and have workers'comp.insurance.# 13.❑ROOf repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[ ther L4 152,§1(4),and we have no employees.[No workers'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: AmGUARD INSURANCE COMPANY._ Policy#or Self-ins.Lie..#:R2WC527200 Expiration Date:12/25/2015 Job Site Address: `� / City/State/Zip: : 6L fib/.. . Attach a copy of the workers'compensation policy declaration page(showing the policy number,and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and penalties ofperjury that the information provided above is true and correct. Si mature: Date: Phone#:508-4 i-95 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 i Contact Person: Phone#: e TOWN OF BARNSTABLE Building Department - Foundation Permit Date / h r10 Permit # 20063860 Name Mew.ow 41*7opof.s,ic d,c db� �P �ww �?�vs+ft. fl Location dNb 3 roqGmeum Insp. of Bldgs. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map el o3l Permit# �®7151_ Health.Division (� .�Y� ' 1 ; Date Issued Conservation Division Fee02�' l Tax Collector Treasure �� _`P r9C SYSTEM MUST BE I , d,LLED IN COMPLIANCE Planning Dept. WITH TITLE 5 �°�f�CNI�ENTAL CODE AND Date Definitive Plan Approved by Planning Board EI 014KI REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 0J Village Z e5, 3c5 Owner /`t4721S& 7 0,5 7-i Address Telephone Permit Request 811c.Ae X&D. e0i V, t�i Alk/ i2yom > 3x zU it/O if1 Nek-1 l32Z &jg& X .=y2 ,r ll> >c J� /c°oiyrst� SG-#W Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Q®a Zoning District Flood Plain Groundwater Overlay Construction Type zv� 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: 0 Yes l"No On Old King's Highway: ❑Yes Ito Basement Type: Dull ❑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: 0 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Yexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Cl Yes 17 No , If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name r �'(g�� ,q-�"���`3/G/� Telephone Numberd� Address/dv al-uZZI 174Z Z_ al /12D License# 0616 /9 L� X Home Improvement Contractor# //y 7A Worker's Compensation# (V C' o//77,i-�_, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 40—-5-- 0- _ FOR OFFICIAL USE ONLY PERMIT NO. . DATE ISSUED MAP/PARCEL"NO: ,. - - ADDRESS VILLAGE 7 OWNER DATE OF INSPECTION: - FOUNDATION 9 � 1 rg�®( FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH °-'' :,;. FINAL FINAL BUILDING r. DATE CLOSED OUT r^7 •� ' ' ASSOCIATION PLAN NO. r r I x.e a.Vie,:s. c•a,....�nir+,�i�bq,+v+p- ;"^r'1 '.Ay1-'.rrttii�'?1y:-!,:,.:�'�""'�'..`L- ..fF* qr f�,y1,+.}s,.;.�4+'r~-••••+c:-ti..•.,:.{'""r<vwirfi;r•,e;J' "`�.,.,�a�.:--»t'��'�-��Y1�--::'"�" ,. SINE 1p� The Town of Barnstable 4-TI • RARNSTABUF. • web 16 9. Department of Health Safety and Environmental Services A,Fo N►e�" `' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: S l/,Vll`.P�l l- r�� u Map/Parcel: na L4-03 Project Address: 3 F4111110 U 4 Builder:t..l, bb C VIS-C+ -1�25 j � z The following items were noted on reviewing: 4C711' �/1/atlC S1-oi��GC'_ v-ootrn �� `. �l�J����FA�i mn I�'rX llo� - �-X . or) r'In(O /0 /X / r 1 Sri o flss crop Gu 'Ir nee.) , it J Please call 508 862-4038 for re-inspection. Inspected`b)y: l 4 Date: !�/ #uildinglorms:review ��� �i � �� �� � { t A The Commonwealth of Massachusetts P Department of Industrial Accidents " �.�°-�" ===�� Office oflncestigatians \ = 600 Washington Stre 7 et - � +r Boston,Mass. 02111 workers' Corrensation Insurance Affidavit 1i47DiiGa2f.tTi��iIIZL2£Iti✓�����������������•��/ 3F@�////// ......,.,. ��������������������������������'�%i%/'" name location ctty phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in may capacity ,,,, ( I am an employer providing workers' coin ensation for my employees working on this job address �� `f�r� cam_ olicv# insu rn n ce co. �i.%......%/iii--i%% I am a sole proprietor general contracto ,'or homeowner(circle one) and have hired the contractors listed below who have the oiloMng workers' compensation polices: co a n v name: address: _. .. hone•#:.::�::: ' city: .. oiiev#•: ..: insurance co. /// ////%/����/%•- .... .. .... . .. .:... . ..::.:;?;i<1i::::>:;:::;;.,;•.:?;::;:;;•iSi::�:;:?:;:;is�i:::ir•it<i� i;`E ;;c:e;i��i�i�?i2:>�'`i•::•i :%;`:?'sitf::;i`i' ::: camnanv n.me: ,t ::::::::::�: :oz:>';::::$::i;:c;:f::i:•.�'<;::::>;>:::':;:R:;i<;;'?iii$SiYi�»::;;< :;;::>::::i;'ia:�:>:;::`:::'.. .. ... _.. address: :,:.: ::_:<:;•;:::;::..... - city: ;:<;::;::;;:::;;,:>;...:;•::•;;:::;;:;..:.:::;•::.,.....:.:.- oiiev#:.. . insurance co. // 0 ;� // 0-1 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal pension of s fine up to understand that or onev of this statement may well as civil pensides in be forwarded to the OfIIce o[Investigations of the DIA ORDER coverage ve iand a fine fl[catioa00 s day against ma I tutdesatand that a cop, 1 do heresy cen f)' der the p ' and penVejs �rjury that the in phone#;formation provided above is trrto and correct Date tur Signae # Print:.a rn Arva f7 .. „t phi use oniv do not write in this area to be completed by city or town of vial s permitliicense# __ ❑Building Department cite or town:' ❑Licensing Board ❑Selectmen's OfUce check if immediate response is required ❑Health Department Other contact person: Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their quoted from the "law",an employee is defined as every person in the service of another under any coati" employees. As . of hire, express or implied, oral or written. partnership, association, corporation or other legal entity, or any two or more of An employer is defined as an individual,p tives of a deceased employer, or the receive= the foregoing engaged in a joint enterprise,and including the legal representative to ees. However the owner of a trustee of an individual,partnership, association or other legal entity, emp Y�emP Y dwelling house having not more than three apartments and who resides 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 appurtenant thereto shall not because of such employment be deemed to be an employer. building PP MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renev of a license or permit to operate a business or to construct buildings is the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coneither the-- contraactg required.ormanc performance work until commonwealth nor any of its political subdivisions shall enter Y have been presented to the contract=r acce ptable evidence of compliance with the insurance requirements of this chapter authority. my { Applicants b the box that applies to your situation and - Please fill in the workers' compensation affidavit completely, of eclang.. an names, address and phone numbers aliuig with a certificate of insurance as all affidavits maybe supplying company of insurance coverage. Also be sure to sign and ' submitted to the Department of_Industrial Accidents-for on the affidavit. The affidavit should be returned to fire crt3'or town that the application for.the permator license�s= ' the"law"or date Should you have any questions regarding if yq - b�g requested,not the Department of Industrial Accidents, at the mnber.ltsted below.�:. are required to obtain a workers' compensatian Policy,Please call the"Department' ����� City or Towns Please be sure that the affidavit is complete and printed legib the bottom of t legibly. The Department has provided a space at affidavit for you to fill out in the event the Of of Investigations has to contact You regarding the applicant. Pleasebe returned t0 be sure to fill is the pezmit/iiaense mrmber which will be used as a reference number. The affidavits may the Department by mail or FAX unless amer have been made• th e Office of Investigations would l�7se to ank you in adv==for you cooperation and should you have any questions- Th please do not hesitate to give us a call. 'Ilia Deparnneat's address,telephone and fax number. . . The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce 01 Iultesduadolis 600 Washington Street - Boston;Ma. 02111 . fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 i{ °F r Town of larnstable Regulatory Services r a vHMMSTAB NAM g Thomas F.Geiler,Director .s63g ♦0 1639 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 5, 2001 Monsignor.Tosti Christ the King Church 4463 Falmouth Road Cotuit, Ma. 02635 Re: SPR 002-2001, St. Vincent De Paul, 4463 Falmouth rd. Ct. 024-031) Proposal: Construction of a 30 X 80 storage facility. Dear Monsignor Tosti; Please be advised that this application was approved at the Site Plan Review hearing on January 4, 2001 with the following conditions: Any proposed change of use shall be subject to Board of Health approval. At the suggestion of the Board of Health, the applicant agreed to create a 5' opening in the new room thereby avoiding potential classification as an additional bedroom. (No door shall be installed in order to appease the expressed concern of the BOH). Sincerely, Robin C. Giangregorio SPR Coordinator NOTICE OF ASSIGNMENT •+ 192906 EMPLOYER: DAVI D WE33 BUREAU FILE NUMBER STATUS OF EMPLOYER D/B/A: WEBBCRAFT DESIGN 341270Y INDIVIDUAL 100; PLUM HOLLOW RD ADDITIONAL INSTRUCTIONS Y FALMOUTH MA 02536 COVERAGE UNDER THIS ASSIGNMENT THE WAIVER OF OUR RIGHT TO RECOVER FROM APPLIES TO MA. OPERATIONS OTHERS ENDORSEMENT IS AVAILABLE ON POOL ONLY. FOR COVERAGE OUTSIDE POLICIES. CONTACT'. AGENT FOR DETAILS.- OF MA., APPLY TO APPROPRIATE: POOL OR PLANy AGENT ROBERT N BURLINGAME INS AGCY INSURANCE COMPANY: OR 20 F POST OFFICE SO TRAVELERS INDEMNITY CO OF ILLI PRODUCER: CENTERVILLE MA 02632-0000 MS BRONNYN SIKES P 0 BOX 3556 ORLANDO FL 32802-0000 . (800) 842-9386 TAX IDENTIFICATION NUMBER: 04-277-3868 CLASS ESTIMATED ESTIMATED CLASSIFICATION OF OPERATION CODE TOTAL ANNUAL RATE PREMIUM REMUNERATION CARPENTRY-NOC 5403 13.61 $ CARPENTRY-DETACHED PRIVATE RESIDENCES 5645 31000 11.05 332 CARPENTRY-DWELLINGS-3 STORIES OR LESS 5651 11.05 CLERICAL OFFICE EMPLOYEES NOC 8810 21000 .18 4 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 50 STANDARD PREMIUM 386 EXPENSE CONSTANT 0900 214 ESTIMATED ANNUAL PREMIUM 600 DIA ASSESSMENT 4.070 OF STANDARD PREMIUM 15 EST. ANNUAL PREMIUM PLUS ASSESSMENT $ 615 INSTALLMENT BASIANNUAL REQUIRED DEPOSIT PREMIUM $ 615 COMMENTS COVERAGE EFFECTIVE 12.01 A-M.. ON 11102/00 WITH A30VE INSURANCE COMPANY. DATE OF NOTICE 11/ 2/00 PREPARED BY PAULETTE HOFFMAN EXT 514 VOLUNTARY DIRECT ASSIGNMENT � # k EMPLOYE" COPY MASSACHUSETTS WORKER'S COMPENSATION ASSIGNED RISK POOL /J A •'JfZ2't7rylr,//RO'Itl//P..(ZGUL C�✓��UtM. Llc. #046189 HUK T41PkUlUEi CU�TRRCT6r Reg. #119766 Registration:: I19/eS.. Expiration: 8128/UI (508)495-0719-W (508)540-2761-H �.= Ty ; HA bb craft, EBE Ck4lT �ESIC desn UYIG I WEBB Meeting All Your Construction Needs 100 PiU� 80ClOR I� ADMINISTRATOR - 100-Plum Hollow Road DAVID H. WEBB East Falmouth,MA02536 1 BOARD OF SUPERVISOR ucense. c 046189 Number CS � EXPIllo.1=912002 Tr.no: 3747 Restrided To 00 DAVIDRD 100 PLUM HOLLY 025 Administrator E FALMOUTH, _ z MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # MAScheck Software Version 2 .01 1 Checked by/Date CITY: Barnstable STATE : Massachusetts HDD : 6137 d CONSTRUCTION TYPE : 1 or 2' Family, Detached HEATING SYSTEM TYPE : Electric Resistance DATE : 10-16-2000 ` DATE OF PLANS : 9/21/00 PROJECT INFORMATION : ° St . Vincent DePaul 4463 :Falmouth Rd - Cotuit MA _ k COMPANY INFORMA-TION Webb Craft Design t 100 Plum Hollow Rd - E • Falmouth MA COMPLIANCE: PASSES Required UA = 65 Your Home = 65 Area or Cavity Cont . Glazing/Door i Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 312 38 .0 0 . 0 9 WALLS: Wood Frame, 16" O . C . 440 19 . 0 0 . 0 27 GLAZING : Windows or Doors 48 0• 320 15 j -DOORS 20 0 . 200 4 r= FLOORS : Over Outside Air 312 30 . 0 0 . 0 10 r" ------------------------------------------------------------------------------- COMPLIANCE STATEMENT : The proposed building design described here is M a, MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .01 DATE 10-16-2000 Bldg . I Dept • I Use CEILINGS : E 3 I 1 . R-38 Comments/Location I WALLS : E 3 1 1 . Wood Frame, 16 0 •C . , R-19 Comments/Location I WINDOWS AND GLASS DOORS : E 1 I 1 . U-value : ❑• 32 I For windows without labeled U-values, describe features : I # Panes Frame Type Thermal Break? E 3 Yes E 3 No I Comments/Location I DOORS : E 3 1 1 • U-value : 0 . 2 I Comments/Location I I FLOORS : E 3 1 1 . Over Outside Air, R-30 I Comments/Location I AIR LEAKAGE : E 3 1 Joints, penetrations, and all other such openings in the building s I envelope that are sources of air leakage must be sealed• When I installed in the building envelope, recessed lighting . fixtures I shall meet one of the following requirements : I 1 • Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I DUCT INSULATION : E 3 1 Ducts shall be insulated per Table J4 . 4 . 7 - 1 - 1 DUCT CONSTRUCTION : E 1 I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer ' s installation instructions - Mesh tape may be I omitted where gaps are less than 1/8 inch - Duct tape is not I permitted • The HVAC system must provide a means for balancing air and water systems - . I TEMPERATURE CONTROLS: E 3 1 Thermostats are required for each separate HVAC system- A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided - HVAC EQUIPMENT SIZING E 1 I Rated output capacity of the heating/cooling system -is not greater than 125 of the design load as specified I in Sections 780CMR 131❑ and J4 . 4 - E 3 1 SWIMMING POOLS : I All heated swimming pools must have an on/off heater switch and 1 require a cover unless over 20% of the heating energy is from I non-depletable sources - Pool pumps require a time clock- E 3 1 HVAC PIPING INSULATION : I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels ( in . ) : I PIPE SIZES ( in - ) I HEATING SYSTEMS : TEMP (F) 2^ RUNOUTS 0-1^ 1 . 25-2^ 2 . 5-4^ I Low pressure/temp - 201-25❑ 1 . 0 1 - 5 1 . 5 2 - 0 I Low temperature 120-200 0 . 5 1 - ❑ 1 - 0 1 . 5 I Steam condensate any 1 . 0 1 - 0 1 - 5 2 - 0 ❑ 7 __ -- _.. 1� z�(v� . � . � �:S�r� ��, � �� . � LS ��,, ,� � � r ���u...��--- f � .; r ` CF THE Tp� STAB . 68& = The Town of Barnstable > Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner August 1, 1996 Rev. Ronald Tosti P.O. Box 1800 The commons Mashpee, MA 02649 SPR-72-96 Parish of Christ the King,.4463 Falmouth Road, Cotuit, (024/031 & 32-1). Proposal: Transform house into a St.Vincent de Paul Center for the distribution of clothing and furnishings to the needy. Dear Reverend Tosti, The above referenced site plan was reviewed at the August 1, 1996 meeting of Site Plan Review Committee and deemed approved with the following condition: • Cesspool be ins ected and results submitted to Health Department.. P P P Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Should you have any questions, please feel.free to call. Respectfully, Ralph M. Crossen Building Commissioner { The fotntatont+'ealth of Alassachusetty Department of Industrial Accidents Oficeoflal/OSM211flus t It\-' !' -r, l' 600 Washington Street Boston.Alas. 02111 Workers' Compensation Insurance Affidavit ��...._._..... ... e.�..-......• - _.-_ to n r i • 1 P . c 12h,ne � �- 7CiL I am a homeowner performing all work myself. X- 0 1 am an employer providin,workers' compensation for my employees working on this job. company name- address: city Phone#• -- insurance co 77 polic}'# ..;:r...-...ass.:c!aer........,r�w.r...ew•ry..- ...!•+w. a+• •! .�x++��^�!f"..•,...•.�•`.' .. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address• h•• nhone#• insurance co policy# _ � e -... +(.l7:.- .l��ya_e--'s "�"�•Y^.F^T:p�_._...T.�.,,yre•++�}�x�'�.14'CT,�r':+ .:;4'!.T'::.;"�+•��^'"t�'`�,?•;^,�,"•u�.�9 company name: address: rity nhone#• insurance co nolicy.# Attach additional sheet if necessatyr' 3:0-_._), i ::.aF� .:'� :_'r_.+,.. .,.•,rr.. :�'.ii:aua��� ^�kvsr_ :�..r•:�;:.rw Failure to secure coverage as required under Section 25A of DIGL 152 can lead to the imposition of criminal penalties of a fine up to S1500.00 andiur one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this stR' ') y be forwarded to the Once of Investigations of the DIA for coverage verification. I do hereht•c the a'1 at d pe a s of erjun'that the information provided above is true and correct. Si_naturc Date 2 3 Print name Phone#, a�oMciai use only do not.write in this area to be completed by city or town official city or town: permitAicense# riBuilding Department OLicensing Board check if immediate response is required OSclectmen's Office ` [311calth Department contact person: phone#• nUthcr • h,.. (m•ised 1'95 P1A) - t� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of anc�tliii�under anv contract of hire, express or implied, oral or written. An emp/nrer is defined as an individual, partnership, association, corporation or other legal entity, or anv two or more : the foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased emplover, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house havin- 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 suchivelling hour or oft the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for and• applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha• been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to;your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. - .. -....y. -...'. City or towns' Please be sure that tite 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. Pleas. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. t `" ......_-.—rv:.n... .--�....wv.••.�...va�.•.—..vw�:y.e�... _. a..w!+�e...v.—•�.w.�wv.n.s.vtf+.rrri[r."•row�•� .n. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations F 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone -9: (617) 727-4900 ext. 406, 409 or 375 s- �; - NOME'.-INPROVENENt, CONTRRCTOR I -� �, �Regtstratios�1046ri r ' ��� ��TYPe h INDIVIQUAL I Ezptrat�o Ql/24/98' CDNSTRUCTION C01I ,+ADMINIS1fiATOR �3821 t�,28 suit@ 1� r l ? F � ,'°��������; +;�NarstonrMills Na•02648-' �� 1 Engineering Dept.(3rd floor) Map Parcel 62,1 Permit# / House# Date Issued (p Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) eel J Conservation Office(4th floor)(8:30 9:30/1:00-2:00) \mG�Oksj E 'TIC SVSTEU 4 *a BE 19 MTN UT-WRONUSN' NO TOWN OF BARNSTABI! rL-:C � F° ��1 Building Permit Ap is ion Project Street Address , Village Owner C Addressz4k e�" Telephone pp Permit Request First Floor ;1 square feet Second Floor �26 square feet Construction Type •Q Estimated Project Cost $ / Zoning District Flood Plain Water Protection Lot Size S(,3 S11 p, Grandfathered ❑Yes 5�No Dwelling Type: Single Family 000 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes folo On Old King's Highway ❑Yes aof�o 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 No. of Bedrooms: Existing!_New Total Room Count(not including baths): Existing New First Floor Room Count 41 Heat Type and Fuel: ❑Gas ZOil ❑Electric ❑Other Central Air ❑Yes Efo o Fireplaces: Existing New Existing wood/coal stove ❑Yes 0*&0 Garage: idlletached(size) k Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) if s ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial JXYes ❑No If yes, site plan review# Current Use Z Proposed Use e i Builder Information Name �� Q Telephone Number Address XL � ZA&t License# 4 , Home Improvement Contractor# Worker's Compensation# -- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T SIGNATURE DATE BUILDING PERMIT 4NIED FOR THE FOLLOWING REASON(S) s t: da..s Yn i'''z'+-�'c men— M;fL!'.r',Ft ��"S'ew=.. t't„',ROvmw r//v —9,01- T 1 t t w S, r '� lSf U�nee.,, { � �a �l Gnler 4wP3 ka �4 c� I 3-10-00: 9:28AM;CI 2 ;453 4775 2 C7CL OUCH. HARBOUR III Winners Circle, P.O. Box 5269 HA & ASSOCIATES L.LP Albany, New York 12205-0289 .� Tel: (518)453-a4500 CEP Division#2 Fax (518)453A775 FACSIMILE TRANSIV MAL ❑ Confirmation Requested Call Sender upon receipt of this Fax f Transmittal sleet plus additional pages Date: 10-z Time: � h CHA Project No.: Sender: - 1'�P 4�a�ci1 Tel. No. To(Firm Name): An K140r- Fax No. Z h ,Attention: PIease C211 the sender with questions or in the event of' . i 9 rncaarpit'te fax transmission Comments: D��c m�I Pt�Ry E aJ Cl.of F0 t s A l:i"L Coymt�c d'ljv (7%,,0LJ C L94Tr it _ — f41& 1111 P f 01Ul l TliF Locorfo AT QruiT WAfFA D tS?'Rtar.'1 rn o►N t"C IF VOU Idavc 4" D.UESTIOUS P,FASF CbLa mr- fnle� ,Fe�++vCNiCk O m4*1 THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND 'MAY. CONTAIN INFORMATIO14 THAT IS CONFIDENTIAL, PRIVILEGED AND/OR EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error,please notify us immediately by telephone (collect, if long distance) and return 'the original message to us at the above address via the U.S.Postal Services. Thank you. �/ "Satis,/ying Our Clients by Meeting Their Needs Through Dedicated People Committed to Total Quality_ 10-00; 9:28A%I;C1 v1 ! 2 ;451 477S # 2i } CLOI.JGH, HARBOUR & ASSOCIATES LLP ^ s ENGINEERS, SURVEYORS, PLANNERS &LANDSCAPE ARCHITECTS 1 71 PARK AVENUE P.D- BOX 626 VVEST SPRINGFIELO. MASSACHUSETTS 01090-0626 TEL: 41 3-746-0796 • FAX: 413-745-0995 November 4; 1999 Mr.Tom Perry Building Dept. Town of Hyannis 367 Main St. Hyannis Port, MA 02647 ' RE: SPRINT SPECTRUM L.P.SITE#BS13XC622B FINAL CONSTRUCTION SITE VISIT FOR SITE LOCATED AT COTUIT WATER DISTRICT, MAIN ST. HYANNIS,MA 02647 CHA PROJECT NO. 8131.55.72 Dear Mr. Perry: A progress and a final inspection have been conducted at.this.site.. Based on the final inspection, it is determined the site has been constructed in general conformance to the previously approved plans and applicable Massachusetts State Codes and Engineering Practices. If you have any questions or continent concerning this matter, please do not hesitate to contact me at(518)453-3945. Very truly yours, OF THO �sy CLOUGH, HARBOUR& ASSOCIATES LLP pi G Engin ers,Surveyors,planners ST L & a dscape Arlakftects rA Thomas L, O'Brien, P.E. Partner cc Nola Lencsak, Sprint Manwah r, Bill Daniels, Atlantic Western Kevin Nulton,Brown, Rudnick, Esq. Kevin Washburn, CHA,Rocky Hill Bernie Buff,CHA File M A8131'%CormspondencelHarwich.doc des Thmughout the Ea Am m Unked S s r, '4 1.11.i,P.i` ComplainVInquiry Report _ Date: - -O ORec,d Assessor's No.: Complaint Name: Location ��� IZ 7_` Address: - M/P t Originator Name• street: state: zip: Telephone:D/C Complaint Q Description: Inquiry a Description: For OR=Use only Inspector's Action/Comments "Date: �(-o��'- Ck-> Inspector. i fi. Follow-up Action Additional Info.Aaaclied QPY Di=buaon: white-Depa==rarFile YeB0w-Inspector Pink.Inspector(Return to office:lf=.7;Cr) . . STATLy' fllGhr�f'AY ROUT' 28 VARIABLE W10 n R - 1199.81 A 167.50 T - 83.89 S 57 44' 33" W JIJ.49 16.65 200.00 96.84 � DI z Wt70D FRAM E I � I r� I I A DWELLINGS I Q ( A o GARAGE DECK o o '•o`s63 � o; o . •� I , of s o LOT I PLAN ON FILE AT BARNSTABLE REGISTRY OF DEEDS /N TUBE 167 i0' VEHICLE TRACKS p AREA - 26,202 S.F. 137.03 N 57 44 33"E 200.00 ass o�a9 E q. • STATE' h'ICh'�'AY ROUT' .2B R _ .1199.81 VARIABLE W10 A A 167.50 T_= 83-89 y S 57 44' JJ' W 313.49 L 16.65 - 200.00 96.84 WOOD FRAME F u DWELLINGS o I - _ .l• a .. � �" �.: ` q �.. 5999 -V 0.I []--GARAGE c \�� n II 2'I DECK of V LOT 1 PLAN ON FILE AT R ^• a i g.l BARNSTABLE REGIS IR Y to OF DEEDS IN TUBE 167 10' VEHICLE TRACKS u o AREA = 26,202 S.F. l 0.602 AC. tb 0 � } N 57 44'JJ` E 200.00 N 57 44' JJ` £ 16B.00 �._ c. -01 yy :56 Oz 39� E 'e. J2.00 u ,iB4 71 I o EDGe•OF BIT 1 PARKING t 7r= CA VZP cp ch • ' �q Da N 00 v� � — . I r STATE HIGHWAY ( EALM ❑ UTH, ' R ❑ AD ) ROUTE 28 _ 0 216.65 1 � _ 1 I ► � i _ ST W. o `--� -- - 1 RUM 00 `� { J I00 lZ - Z � - vo 0 I � , SITE PLAN OF LAND 1 _ FOR CHRI S T THE KING PARISH 4463 FALMOUTH RD . (ROUTE 28) , COTUI T, MA nj LOTS 4 6 5 - PLAN BOOK 482 PAGE 78 ASSESSORS MAP 24 PARCEL 31 1 1 , I PREPARED FOR OD i ( I WEBBCRAFT DESIGN 00 1 A ROMAN CATHOLIC BISHOP OF FALL RIVER I ro 200.00 I o �o,�, pE �g,Yg o DATE : DECEMBER 20, 2000 SCALE : 1" = 40' 184.71 WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C P.O. BOX 417 CENTERVILLE, MA 02632 - TEL: (508) ' 775-0735 FAX: (508) 775-0754 .... _A::.: ...-..:...,-•i �..y:?� -..+ ....a:r...r.,.....�:.,+}+ _ .kM... ,,s� s'.,y,7�" �tt «.'b �',^.� - - 4. ..Y �3 1O'la3" r r ENTRANCE DROP 3" DOOR _ x.. HOUSE YI Z �.1 2X6 TOP RAILLn ' 2X8 PT 24` S'4,, 4.8., 5.4., {: 4X4 POSTS FRAME 16" ON CENTER Y ..:Y._ DROP 6" fr' SONS TUBS ? si E•S i € 2X8PT USE JOIST HANGERS d ' 6/4X6 PT DECKING 4X4 PT POST QROP Z®" CEMENT ; i CE1rttNT PRINT 2" HAND RAIL WHITE PRO � TN Plgce SAND'ALL RAILS + ' PLR!NS FOR. Ch ei5T tP ielP69 ThE-4 Shop �isT�iuce ;FT 28 �fI1�DuTl� CoToi 7 3 - - _ -- -- SCREE: 1/4"=12„ APPROVED BY: DRAWN ®m S►•t.LEB STEVEN M. LEBRR0N QRTE, RUG vjss6 DESIGNER �RIaPDSED: HAND BGAP RAMP H M R �. vRRMou T SS. r—e • 3 9 4—814 5 �.� 'old...v:. -. .... - t ..,e�. yp?�.r> w,,. -,r. ..� ,�....� z..-. ;^'.+r.-_. - . -.Vr a- ,' *, .za. s �'• - +'i � R .1.k.... -♦. t. ?i,. .4u-. lF�.,�r.�[.. ..aE.:-....y,.s.->. v, 1. ,. ., :. ... e' '. .. .r" fa .. + .'"..w•l. �- .-,r? :.;- ..,4 wi. w,' F !«.. .._....fC. 3�ta i7^�':.',' -:s � ... s s'�'. '�•`b-'' .:^t h 'b �,-:. . :;u a n 4 Roo k" L° C_ r L�V G ! IO ' �� V iviG[ln OL 4�s � -1� C? t�lU � . — ------ . l7 APPROVED BY SCALE: �y t1 _ ` [REVISED RAWN BY DATE: C, OU • r', , t�;t - DRAWING NUMBER eX �s !'I �5 AU1-1se PLA I r I Low v,sTs �p.0 t-uw vew Dooms i - �� � i D66 r -G�Cn I-C� l 7'u w� �Q41P. � ,• _ I - Y� - f _ lew 13TC428wQ �oor RCIo 1cd vct+. L r a r a L P 7- --�-4-.e ——Dry— qA_`f 3°_ _ SCALE: )I1 f ! APPROVED BY: DRAWN BY - 7'TM DATE: ) C1 �I 4FJ REVISED L O�14/OU 1CL-0 DRAWING NUMBER • � Xlo t2,dat - x Xf- ET i �C... ----___ � . . .._...... lrt4�t!:.--.. Leao�a 3 COX L �. IG OG " q - • -- _ � 113 o 6. V'i�- j R3o 2x)o JG'� y c. Pt'OL�wmoo _ E r� -- - -— -----. New R o o L l Ot' Co rt c &Lt Ell \n/ L I c 1 i I .� j - N S ANN , 9 ae N'i '91 Locus fP 5 ' y nrP'r^.T .., .• ,n13RTY 9y J PR1P8 .If'OR JUPOISTRY UST LOCATION .1114P ZONING CLASSIFICATION - RF , ASSESSORS MAP - 24 2S y�9 96 BA • A� 0 5 Cal 20 �jo F���G1`�; 161 p THIS PLAN BASED ON A PARTIAL F1E11D SURVEY AND THE FOLLOW/NG PLANS OF RECORD. 010 F ,CGS o0 00 LPS,'�P0�-`� �0 L PG PLAN BOOK 161 PAGE 91 �10 v'v ^ '_ Pp�S�05 2!�' C't s PLAN BOOK 60 PAGE 11 Q� 0 60 ILL d 7 JBE 167 • � s 03 � o�. � N OF 6 6y LOT 5 A 151' y� E �" THE REGISTERS FOR DEEDS THE RULES AND REGULA n0 S AREA _ 13, S.F. 5s3 l e A q5 /1 PG \ / 00 on\ Xx \ 0 •• \ �o \ \ � / * E ' � / .� APPI,IG�TION I�AT.�: A4Tf gfrmrn- it As \ 77-<. �►�r'�" ull ���� J'� \' / LOT APPI�O IIAl N T J?,-, QUID T� 10� AREA = 13,670 S.F. IAA RNS' ARL PLANNING 1-7OAA9 of \ 1002 .40 R _ 4.7.12 30.00 \ LOT 4 \, ""...._" T = 30.00 AREA = 43,soy S.F \ o LOT 2 >.00> AC. \ AREW '3,9.11 S.F. 1.009 AC. 0000. --- \ 56 56 �0 d G / a AV y EO Q P 'cp 0-' P Q� � jOT 3 PLAN REFERENCES: BOOK 161 PAGE B AREA = 44, 773 S.F y� �a yy BOOK 60 PAGE 11 1.0,28 AC. TUBE 167 3� �66..0 o3 g 1o� �' —�- �~ �/ I'I.AN OF LAND r7 - i m 8 FT. 1 --- -- i rob-8 fil y IN c I�A11?N,S'TA1�l J, � ,S'ANTUIT J 1LIA. 0 566 I� FOR OWNER 8 APPLICANT: ROMAN CATHOLIC BISHOP OF 1�0117AN CATHOLIC 13I,SA 5� CHANCERY OFFICE OT I'ALL 1�IIlI'Ti� 1FALL RIVER �9' S„ µ! -� - g POST OFFICE BOX 2577 FALL RIVER, MA 02722 DATE.- JANUARY 15, 1991 5 61 A-1 _ SCALE. 1 INCH 40 FEET ✓ � ' �/ J e Q 2 ;:E �IO J s LAND USE TECHNOLOGY, INC. IRC. 1977 ` 35 ROUTE" 134 P.D. BOX ?-37411 • ,,� SWAN RIVER PLAZA '•.�y q••••...••' p ,•••�. SOUTH DENNIS MA. 02660 J. r �: O;1EARI 1 90—45 06—00