Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0173 HIGHLAND AVENUE
0 Vi73 H � 5 .t �I I -?,AseoLent 7 � h i Mr. Perry Building Dept. RE: 173 Highland Ave. Cotuit We are concerned neighbors of the above referenced address. _ It looks to us that they are doing quite a bit of work at this address. We noticed that they did have the orange sticker on their window, then noticed a building permit. We are concerned that in the lower level they are`remodeling for an apartment. Many, many studs and sheetrock was delivered today 3/7/2016. If this is the case, why were the neighbors not notified of this? This will generate more traffic etc..... Doesn't seem fair,to the rest of us. • - This home was a very quite home as is the rest of the neighborhood, lately it's been a nightmare over there. ' Thank you, and we do hope that you investigate this home from top to bottom. Respectfully submitted` P Y ,, ighland Ave Residences � �- TOWN OF BARNSTABLE BUILDING PERMIT AP#LICATION Map Parcel Application`# Health Division )I -+ t o -3 ���L®jN Date Issued (a O Conservation Division ® e AIati n Fe - Planning Dept. � �01Vl ermit w, w/V OF Date Definitive Plan Approved by Planning Board Q�REVSTAe Historic - OKH Preservation/ Hyannis GF Project Street Adder 73 Village DN _ /a Owner M a "/` Address Telephone f D Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 �OPO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft;) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name / G>?_ !� ' . Telephone Number [ Address C. � 7 �V 't�� License#' ,, ,Q, ,�`^ Home Improvement Contractor# Email � �`�' L �` ' ', /I� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE G DATE f FOR OFFICIAL USE ONLY • APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: fi FOUNDATION Y FRAME 0 , 2 (6 �t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL ' I GAS: ROUGH FINAL FINAL BUILDING T DATE CLOSED OUT ASSOCIATION PLAN NO. ' 7Tie Commornvealth ofMassachusetts Deparonent of 1rindrtstrial Accidents u - Offwe ofinvM igadons >•miu mass govIdui Workers' Compensatinn Insurance Affidavit.Bgilders/CanfractnrslElectririans/P'liumhers NameM � �c tyl tat-iz p_ 1�� , 0/0DZ Phone �6 � Are you an employer?Check the appropriate box~ Type of project(required): 1_❑ I am a employer v«th 4- ❑I am a general contractor and I 6. [-]New construction employees(full andlor part-time).* have hired the sub-contractors 2.❑ I am a sole propne-tar or partner- listed on the attached sheet: I- ❑Remodeling, 'These sub-contractors have ship and have no.etnplayees. � 8. E]Demolition. w°d`" �`g, forme any capacity- employ and have worlworkers'es i 9. �Suildiag addditiou, [NO wmr�lers'comp.irnm ance comp.msuranc-1 r d_j 5. ❑ We are a corpomfion and its 14_El Electrical repairs or additions r'-3.'W am officers have exercised their.a homeov��er doing all work 11.0 Plumbing repairs or additions myself[No work='comp- right of exemption per MGL 12.❑Roofrepairs insurance regi&ed]i c.152,§1(41 andwe have no employees.[No workers' 13.❑Other comp-insurance rewired_) ;Amy R"hcant that checks box#1 Iasi also fill out the sermon below shmsing their waaere compensation po'icy inf m2don_ l ameawnen who submit this affidavit;r&Y=g dwy are damg 0 wort and then him aatside contmcmma nmst submit anew affidavit indication such. ZGantracton that check this bra must attached sa additianst sheet shooting the name of the sub-coat wA oa_and state whether ar not those en tities bave employees. I€tbesnb-cantmctmshave employees,theymnrstpmvide&eir workers'comp.palicg number- lam an Below is thepaticy reed job site information. Insurance Company Name: Policy it or Self--ins.Lic_4: Eatpisation Date_ Job Site Address_ CitylStatdzZ p: Attach a copy of the workers'coutpensationgolicy dedar idon page(showing the policy number and expiration date). r Failure to secure coverage as required.under Section 25A o€MGL c 122 can lead to the imposition of criminal penalties of a fine up to$1,50D O0 ani for one-year imprisonment,as well as chril peualties.in the form of a STOP WORK ORDERand 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 verifxcs#ion.. I do hereby cc far u a pains and n dfP rk�thattha irrforma€ivnprmirkd above is barb and carreet Si�ature: j' /� Date ✓ 9^ �� e t7,(jmal rise army. Do not write in this area,to be crrmpleted by city ortown afficiat City or Town.: PermitUcense# Issuing Anthority(cirdeone): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Fnspector S.Plumbing Inspector 6.Other Contact Person: Phone-#: tii'ormation and Instructions M,Lss „setts GeheraI Laws chapfir'152 requites all employees to provide worker'compensation for their employees. ParsuanttD this statute,an empoyee is deed as."_.every person in ffie service of another under any contract ofhire, 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 incTn�the legal representatives of.a deceased employer,or the receiver or trustee of an in.divid al,partnership,association or other legal entity,employmg employees. However the owner of a dweIIurg house having not more than three apartraents and who resides therein,or the occapant of the - dwelling house of another who employs persons to do maintenance,construction or repair wow on such dwelling house or oa the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sfz:tes that"every state or local li_cPT.CIT1g agency shall witlihold 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.MCrL chapter 152,§25C(7)states"Neither the commonwealth nor 2ny of ifs political subdivisions shall enter iota any contract for the perf=aace ofpubhc woik until,acceptable evidence of compliance with the in surau ce._ requirements of this chapt Er havE Been presented to the contracting m thodty." : Applicants Please fill om± the workers'compensation affidavit completely,by checking the boxes that apply to Your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone numbers) along with their cer fa-cate(s) of mmarance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or pa taers,are not required to carry workers' compensation insurance If an LLC or LLP does have employees,a policy is required. Be advised that this affitdayif maybe submitted to the Depa-tinent of Indtisin7al Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit The affidavit should be retried to the city or town that the application for the permit or license is being requester not the Deparment:of Inn strialAccidents. Should you have any questions regarding the law or ifyou are regoaed to obtam a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-ius ce license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and prhded leginIy. The Department has provided a space of 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 m the penitllicense 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 mdicathg current policy kfb=ation Cif necessary)and under"Job Site Address"the applicant sho71ld write"all ocations in (city or town)-"A copy of the affidavit that has been officially strmped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for futai permits or licenses. Anew affidavit must be filled oiit each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc-)saidperson is NOT ruFdrrd 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: Thu C�DnjMa.a th of I\fissachusttts , De-paifmnt cif Iiidustia1 Agents Office at I.vegfigatio= 600 WaRhftetml St =t ��on=I�fA Elul l� T(,-1,4 617 727-49QO cxt 4-06 or 1--977- ASSSAFE Fax 4 617` 27-7749 Revised 4-24-47 masg�trdta AWC wide to Food Consfructlorr is I-I' Ir grid ftrens:IZO trz tr-end Zone° - - - Massachusetts Checklist for Corgi Niance(rga ch4R mot.2.c l)r e r*wnr^ 1.1 SCOPE- • Wind EzpQsure Wind Exposure Category..............._Engineering Requ6Ed For Ertire Project_...-.:__.. . ........ ............1C 12 APPLICABILITY -Number of Stories(a iFuf which e=eeds B in p - Roof Pitch _ Y_. a e »-(Fi9 2) - -- 512:12 Mean Roof Height _ --- a-(Fig 2)___- - _It !�'33' Building Width,W (Fig 3) SuRdin Length,L ..-(Fig 3)_-__ _.. ._-` _ _$ s Sir Building Aspect Ratio(LAIV) _ -' --(Fi9 4) c 3.1' Nominal Height of Tallest DpenmgZ (Fig 4) -- _- -.—.-- <SIB, 1-3 FRAMING CONNECTIONS ` General compliance with framin conned7ons...._ 9 _ Z1 FOUNDATION s 1 Foundation Walls meeting iequiremerrts of 7BD CMR 54t)4.1 . Canes._. ....----- - . Concrete- ._..: _ ... - --- -- --; - e Masonry --- - - ----- —, - - --- - 22 ANCHORAGE TO FDUNDATION'-. p ' 51B`AnchDr Botts*imbedded or5/3*Pro rieta'ry.Med-ianical Anchors as;n altemative in concrete only Bolt Spacing-general :(Table 4} _ in , - _ Bolt Spacing from endfjoint of plate - --(Fig 5) Bolt Embedment-'concrete__.--.. -(>=►9 -- in.>_7"'. Botf Embedment-masonry-.-,) .� _.. (F►9 +- in->.15' Plate Washer-, _._: ..--_-._.-(Fig b) 3.x 3.x Y7 3.1 FLOORS a (per 7BQ CMR 55 � Floorfrarning member spa=checked _: _.-.__._ Chaplet Ma)jmum Floor Opening!Dimension_ .- (Fig 6) _ __ _ft<_1Z Full Height Wall Studs at Floor Openings less Phan 2'from Exterior Wall(Fig 6)_.. ' Mboxirnt:un Floor Joist Setbacks Suppoif ng l-Dadbearing Waifs or Sheanvall Maximum Cantilevered Floor Joists Supporting Lhadbearing Waits orShearwail _(F►9 B)--•-- --:- - _ft -`d` •FloarBmdng at Fndwalls _' _ -- _.__[Flg 9)-:-_ Floor Sheaii�ing Type _ M -` -- - ---(per 78Q CMR Cfiaptfx Floor Sheathing Thickness -(per 730 CMR Chapter 55)......w._ - in. Floor Sheathing Fastening (Table 2)_ d mails at in edge/ in field 4J WAILS Wall Height L.aadbearing uralts:�."_ _ _ j _ Fig 10 and Table 5)-_-_- -_ _ft 51 Q' Nan4_oadbring vraits- _ (Fig 10 and Table Wall Stud Seaming : __ _ -_.(Fig 1Q and Table 5) Wall Story Offsets (Figs 71£8)- - _, _ft �d . 4-2 EXTERIOR Wood St idS LnadbeadPg vM,! ft in. Non L aadbeating walls._--- - ---.--.-. :{Table Gable End Wall Bracing Full Heig`irt Endwall Studs_._-___._--------:.•(Fig 1Q)_ _ .. _ , M,__ WSP-Affic Floor Length _._ - - {1=tg 11)_,-_.. _.__-__ ft�_-Wf3 Gypsum Cang Length(if WSP not used)_. __.:(Fig 11) ...._...._.....__ _ft?_Q_9W r— - ai-id 2 x4 t.anntintious Lateral Brace @ 5 it.o-c-_(Fig 11)_----------------------__.._ or 1 x 3 ceiling furring strips @ 1 T spacing•min-wMi 2 x 4 bloddng @ 4 fL spacing in end joist r r truss bays Rouble Top Ptafe Spice Length ___--- (Fig 13and Table e)_._________�__ __ _ft _ Spfrce Connection(no:of 16d common nalls)' (Cable 6). f(FVC Guide fo Mood Corrstrudiarr in Nigh end Areas. II D fnph i-F'ind Zone ' Massachusetts Checklist for Compliance(rso CitjIFt53Dl_Zl.r�r Loadbearing Wall Connections - LaLaral (no.of 16d common naffs)_—__ _ (Tables 7) Non-Laadbearing Wall Connec8ons Lateral(no_of 16d common Load Bearing Wall Openings(record largest opening but check all openings for corripirance to Table 9) Header Spans _.____---._ _—___..___.(Table 9)..__:__. _ _tt in 511, Silt Plate Spans _.-_-- _—_ -._._.(Table 9)_.__�.�_-_-__�—ff_in. 911, FLA Height Surds (no. of studs)--_----(Table Non-Load Bearing Wail Openings(record largest opening but check all openings for campflance to Table 9) Header Spans.-_-.__-____—_-_-_ ___..__._ .(Table 9}—__.._ ____ _it• irL 512' SM Plate Spans_.-- -_—.(fable 9)_._ --� —ft_in.512' Full Height Studs (no.of studs) ---(Table 9).__ Exterior Wall Sheathing to Resist Uplift and Sheaf Simultaneausvll W"mum Building Dimension,W Nominal Height of Tallest OpeningZ .................. Sheathing Type-- —_._.___—__ (note __— Edge Nail Spacing.— ._ _.(Table 10 or note 4 if Feld Nail Spacing--.....—..' --,--(Table 10)_ in. Shear Connection(no.of 16d common nails)(fable 10).--.__�---—-------- -_--_--_- Percent Full-Height Sheathing._______--(Table 10)-_ —% 5%Additional Sheathing for Wall with Opening>.6'8"(Design Concepts)------__.__-- Mmdmum Building Dimension,L Nominal Height of Tallest OpeningZ___._---------------------------------------------------------___<6'8' ` Sheathing Type 4) --_----_-__-- Edge Nail Spacing (Table 11 or note 4 if less)__ Feld Nail Spacing._.._— __. _(Table 11) in. Shear Connection(no. of 15d common nails)(Table 11}._...._., .____ —__ Percent FulkHeight Sheathing_ ___..(Table 11)_ —__% 5%Additional Sheathing fix Wall wrlit'Opening>6'8`(Design Concepts)__—._ -- Vi I Cladding Rated for Wind Speed? 5-1 ROOFS Roof framing membem spans checked?_—_— .(For Rafters use AWC Span Toot,see BBRS Website) i Roof Overhang -----.--- ------ ------ (Figure 19)----:-__.. i15 smaller of 2`or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors ---U= pff Lateral 12) ----_..—L= pif Shear— Ridge Strap Comnec Bons,if collar fees not used per page 21... (Table 13)_—.________.._.-_.T= plf Gable Rake Ouliooker-__............: 20)-___--- fit_<smaller of 2'or L12 ' Truss or Rafter Connectons at Non••Laadbearing Walls Proprietary Connectors Uplift 14)w_ U= lb. Lateral(no-of 16d common nails)_.(fable 14)......................................L= . lb. Roof Sheathing Type 78D CMR Chapters 5B and 59)............ Ro sheathing Thickness____._.—. _ _------_____ —in?7/Ia WSP Roof Sheathing Fastening--___ ___._.__ -(Table 2) Notes -1. _ This Mist shall be met in its entirety;excluding the specific exception noted in Z to comply with the requirements of 78O CMR iD121.1 Item 1. If the checidist is met in Its entirety them the following metal straps and hold downs are-not required per the WFCM 110 mph Guide: a Steel Straps per Figure 5 b. 2b Gage Straps per Figure 11 c. Upfrrl Straps per Figure 14 ri All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure 18a and Figure lab 2. 'Exceptio is Opening heights ofup to 8 fL shall be permitted when 5%is added tc)the percent full-height sheathing requirement&46 m in Tables 10 and 11. 3_ The bottom sty plate in exterior triads shall be a minimum 2 in nominal thickness pressure treated#2-grade. rY AFVC Guide to Wood Gorrdruadon in H4gr[r KndAreas_110 mph iH,ind Zrze - - - - Massachusetts Checklist hr Comp lance(7so CI Rs3.ol?I J)r a. From Tables 10 and 11 and lomftn of wail sh-eathIng and Building Aspect Raffo,deternune Percent Fuff-Height Sheathing and fail Spacing requirements b— lNoad-Struc6rral Panels slsaU Ile minimum thidaiess of 7116'and-be'mstalled"as fo-Eloilrs i. Panels shall be installed Wb strength axis parallel to studs. IL e L Utior¢onE W, W-a$ouWoveT--aid b� a� K On single Sbiy construction,panels shall be attached to bottom plates and top member of the double top per• - plate and to band joist at bottom of panel-Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Hor:ontal nail spacing at double top plates, band joists,and girders shall-be a double row of ad staggered at 3 inches on center per figures below:Vertical and Horizontal NaiTtng for Panel Attachment 5. Glazing protecflon:a)'new house or horizontal addition-required if projact'ls 1 mile or dQserto shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition-not requlr'ed unless them is e)densive renovation to the first floor c)replacement wtridows-needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 11D MPH,Exposure B maybe obtained from the American Wood Council (AWC)website r • V�-Ir3t7xns��>=rsrs ox - . vsr=sa urt� . ATS-t= u n r t• t , itt rt �•r- Y r 1 F: r i a u tr 1 t r t� [9 d i p a1 ti / t � •-�� �1 III ii U 1 • Ir it p t u rat 1 I - 316i ou i all It It [ t t it !1 ,_ • _x STAGGERED fJAiSE STAGGERED • z — 2uvLPRln u+r PAREL r}r71 IDC.� rx W F�MGESPAUM DUAL See Dahl[pn Naxf Page Vertical and HDThmrilal HalTrng Qeti311 Vertiml sod Horizontal Nailing for Path Attachment for Panel Atlachrna:-it ' I z • snxrtsreara, « �z .. ' ,. Town of Barnstable Regulatory S-ervi ees ------ . �.3I1�-17II-GCtor - Building Division ` Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and.Sign This Section If Using A Builder 5 � t I, , as Owner of the subject property hereby authorize to act on mybehalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date4ti Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. �� > ti , � I Q:IWNFILESTORWbuilding permit forms\EXPRESS.doC Revised 040215 ` ` s Town of Barnstable Regulatory Services oFIME firyr� Richard V.Scali,Director r ► Building Division ` MARNm''mM ' Tom Perry, g Buildin Commissioner MAM 165 .�� 200 Main Street, Hyannis,MA 02601 rEp • www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print a-DATE: JOB LOCATION: 173 number t n �7(''(' village ; _�J �^ "HOMEOWNER": R4wa_ ~ /✓J 2t �l ���!7J �' / J name U � Come p one#,. work phone# e /1 l CURRENT MAILING ADDRESS: l�—Q . ��6D 2, 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 procedure d requiremen th he/she will comply with said procedures and requirements. Signature f omt)lner 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 Con struction 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 to amend and adopt.such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 n r '' t•'ta,tti�;F 173 HIGHLAND AVENUE COTUIT SINGLE FAMILY RESIDENCE PROPOSED EXISTING U m 1 a OFFICE c i i� H I 0 O EXISTING BOILER AND 1 rn WATER HEATER N q qq� 00 w p Of 1'-11• ¢ 3•-3• m W Q FIREPLACE CK of IJ.I N if ` z LLJ � w N (n m 1 m v�� 0 ZfdIOIL TANK 1111'"'fff���f� N 4-3• PROPOSED EX15TING y PROPOSE.-Y"BASEMENT RENOVETION PART PLAN MAYA AND ALEX KATZ r t FUTURE SHOUR 8' 8" 5'-2" WATER s M E8ETER w OFFICE O to $ rn K5E a I w `O� o 1.01' ~ > w CA (1 O 2 " 2'-0" a MAIN SEWER -rEJEC4TO 1 " 0 S s � 8'-5" 5'-0" w PANEL AND NEW SUB ASHEPENAL As 0 I O a 0 s BASEMENT CONDENSATE L V-0" L FROM A ti T—� AND NEW BOILER DOWN RCLOCATE TO DRA N REFRIGERATOR PROPOSED BASEMENT RENOVETION PART PLAN 173 HIGHLAND AVENUE COTUIT SINGLE FAMILY RESIDENCE 2-28'X53• 6'X80.9.IDER 2-28'X53' W/261X26' SEMI w/s'x34•& s'xls• W/26-X26' SEMI CIRCLE SEMI CIRCLE CIRCLE 2-4'X4' SCYLIGHLS ~ 00 00 ❑ � M q � X � X fG � N j I M M 28'X80'DOOR W/24:X30' SUNROOM GLASS 9'-8'CEILING 6'X80'SLIDER 30'X36' 28'X30' 28'-10 I� m n N a® LEAVIN / DINING m h n MASTER BEDROOM 2 CAR GARAGE q 10•-4•CEILING I 5'-3. ' 3'-2. 4'-6 �I _ A-ft �nV y RREPLACE 1 . 7'-8'CEILING 11'-8'GEEING 28-f80' DOOR a 30'X53• 30•X53' KITCHEN BATHROOM 3.XW'DWR W o m 24'X30•GLASS 30'X53' 24'X53' 3'-0' `V 2-24'X53' -X38• m I � 5'-0' 34.-4. EXISTING FIRST FLOOR PLAN MAYA AND ALEX KATZ 1J 173 HIGHLAND AVENUE COTUIT SINGLE FAMILY RESIDENCE 18'-6• 14'-5• ` s. q BEDROOM BEDROOM o 11 IIlTI1 IIITIQIITIs .. EL— In N o ,-0. BATHROOM y y FlREPIACE —s• O c 11 H ITT II II IT I SECOND FLOOR RENOVETION PLAN MAYA AND ALEX KATZ g nv" E.7 _ PI l i. i iliii i1 111 i i1 it i11i i i ii i1l i111 H 11 ill f T WIN OF BARNSTABL 21316 JUL ! a 1, 21 CIO oc- 14 Gt L --j cs s 1 - - 1.r"t7C) c (ook)c A-C S s. ct � 9 Town of Barnstable Building PostTh�s;Card°So That rt isUrsible Fromdthe Street A rovedPlans Must be.Retamed on,>Job andthIs Gard.Mustbe * eARN4TeAiS1.B, -' ppz � '�"� • Ase Posted Until'Final,lnspectron Has Been"Made R Where°a.Certificateof Occupancy is Required;such Building shallrNot be`Oceup�ed':until.a Final Inspection has beenmade k Permit Permit No. B-16-483 Applicant Name: KURT R PARTLOW Map/Lot: 021_014_004 Date Issued: 03/02/2016 Current Use: Zoning District: RF Permit Type: Sheet Metal Expiration Date: 09/02/2016 Contractor Name: KURT R PARTLOW Location: 173 HIGHLAND AVENUE,COTUIT Est. Project Cost '$0.00 Contractor License : 000010290 Owner on Record: 4 En KATZ,ALEX&MAYA z � �' Perrnit,Fee $85.00 . Address: 173 HIGHLAND AVENUE Fete Paid: $85.00 .. . . .a„� �.,,� � a s COTUIT, MA 02635 Date 3/2/2016 .. r Description: INSTALLATION OF 1 FAN COIL UNIT LOCATED IN BASEMENT SERVING 1ST FLOOR WITH SSUPPLY REGfISTERS AND 3 Project Review Req : v � � � � �Q ' � ��• Building Official This permit shall be deemed abandoned and invalid unless the work authorized by th Pe mi is commen-eeFYI d within x months aftecissuence. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. AII construction,alterations and changes of use of any building and structures=shall bein compliancewith the local zoningby laws and codes. treetor road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. This permit shall be displayed in a location clearly visible from access s The Certificate of Occupancy will not be issued until all applicable signatures by theBuilding and Fire Officials are providedJJon this permit. Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ) ; 2.Sheathing Inspection ik,� � ; 3.All Fireplaces must be inspected at the throat level before firest flue Iming is installed . •4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) r F 6.Insulation 7.Final Inspection before Occupancy _*_ Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGLc.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f I1. Commonwealth of of Massachusetts Sheet Metal Permit Map61L Parcel-- a Date: 12- 2-2 2-015 Permit# Estimated Job Cost: $ Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# 1.0 2 q o Business Information: -Property Owner/Job Location'Information: Name: ('I I C-6 n-) P, M 2 I 1 Name: Street:, n ( z_ lf I I I F�j Street: 1 -7 11—�'i a h 1 .4 kid Ave City/Town: �.�71rGt -� 7) n Ci /Town: Telephone: `�r�9 qbl' �2 2 1 Telephone: Photo I.D.required/Copy of Photo I.D. attached: YES NO staff Initial J-1 eunrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. fL/2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. & over 101000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: � HVAC-)( Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents. Air Balancing Provide detailed description of work to be done: . c U u� ��� �� �- 5e�v�l r L i ol h T E K, • a G i INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch:112 Yes No❑ i If you have checked Y I indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Onl Owner Agent ❑ ! Signature of Owner or Owner's Agent I - f By checking this box[],1 hereby certify that all of the details and information I have submitted(or entered)regarding this application'are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO ' F ogress InsRections Date Comments f Finalluspection Date ` Comments Type of License: 3Y Master ° nue ❑Master-Restricted i Ny/Town ❑Joumeyperson . . Signature of Licensee , ' Detmit# . ❑Joumeyperson-Restricted License Number: �ZrfU :ee$ ❑ i Check at www.mass.00vldnl !' i ftnabme of Pwmft Approval i f AC40RD CERTIFICATE OF LIABILITY INSURANCE F DATE(M=DNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 12/2911075 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CO TAC Larry Cowan Cowan Insurance Agency Inc. PM ON 41 978 5214669 359 Main Street E-MAIL2. larrj@cowaninsurence.com PRODUCER T42! Haverttill MA 01830 -QUsMMEg in a. INSURER AFFORDING COVERAGE NAlA INSURED IN : Associated Employers Insurance Company Kurt Partlow dba Custom Sheet Meta(Construction INSURERS! 38 Creeper Hill Road INSURER c, SURER 0: North Grafton MA 01536 INSURER 1 R COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AODLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE OCCUR MED EXP An one person) $ • PERSONAL B,ADVINJURY $ GENERAL AGGREGATE GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG III POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per accident) NON-OWNED AUTOS $ UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X 1.A OFFICERIMEMBER EXCLUDEANY D?EC�� MIA WCC50050l i9142015 03/2512015 O3I2S/2016 E.L.EACH ACCIDENT t100,000 (Mandatory In NH)describe underE.L.DISEASE-EA EMPLOYEE $100 000 Oyes E E.L.DISEASE-POLICY LIMIT $50O 000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Agach ACORD 101,Additional Remarks Schedule,N more space Is required) , Sheetmetal&HVAC contractor. Kurt Partlow owner of Custom Sheet Metal Construction is Included on the Workers Compensation policy, CERTIFICATE HOLDER CANCELLATION Maya Katz SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 173 Highland Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE IMTH THE POLICY PROVISIONS. Cotutl,MA 02635 AUTHORIZED REPRESENT ',�F C 1M-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are aegis marks of ACORD The Commonwealth of Massachusetts �\ Department of Indust ial Aecaidents Office of Investigations 600 Washington Street. a Boston,MA. 02111 www.mass gov/dia ' Workers' Compensation Insnrance Affidavit: Builders/Conic-actors/Electricians/Plumbers licant Inforanation /Please rint Le 'bl Name(Businesdorgm&ati /lndividnat):. (�V� �^/1 C� U1� -�v� � \ n[AcS�- _i • Andress: $ r Cify/State/Zip: �1�cA-� i� (� — Phone Are u an employer?Check the appropriate box: Type of pi oject(required): 1. I am a with 4• ❑ I am a general contractor and I employer 6. ❑New construction-. employees(full and/or part-time)"* have hired the stab-contractors 2.❑ 1 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. employees and have workers' $. 9. ❑Building addition, [No workers'comp,insure ce comp•insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1171 Plumbing repairs or additions on del£[No workers comp. right -of exemption per MGL 12.❑Roof repairs urance • ins required.]t c. 152,§1(4),and we have no employees.[No workers' 13:❑Other comp,insurance regWred.] *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they ate doing all work and than hire outside contractors must subffit a new affidavit indicating such. tContracton that check this box must attached an additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers,comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees Below is thepolicy and job site information. . Insurance Company Name; /T Se)L /�/ �o Policy#or Self-ins.Lie.#: W CC�r/ �' 4A I t'4Zy O S� Expiration Date: 2- 5 � / l,�7 Job Site Address: c I Agt City/Statemp: a.0 t F' Attach a copy of the workers'cojbpensation policy declaration page'(showing the policy number and expiration date). Faihtre,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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify under the pains•and penalties of perjury that the information provided above is true and correct Signataae• �r Date:: • ' Phone# -2 7 Lr— (e 7's 77 r Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# -.Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Cotdact Person: Town of Barnstable Regulatory Services e��x � Z'bomar F.Go11ar,birectpr , Budding Division Tom Peery,Riming C'ommfesioner 200 Main S=ct$ysmilt MA 02601 www.t0WJLh$M9tsbk.ma.ns Mice: SW862-4038 Fax .SOS-790-6230 Property.Owner Must Complete and Sign This Section If Ed=A Builder � m6uml ,as Owacr o£the subject property hereby authod= �-u-' / PG� GftLll C�GCd � to,act on my behalf, lel on _in all matters r 6fwc to work autko&ed by this bWIding pcstnit 73��. (A )d z of Job) Pool fences and alarms are the responsibility of the applicant. Pools am not to be filled before fence is,installed and pools are not to be utilized until all final inspections are performed and accepted. .Sigaatiu f Owner Signan=of Applicant Maya kfa�7_ Vint Name Print Name Dace Q:FQILMS-U�Vt�RPE�tA9S510NPOpI.S - . Cape Save Inca 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 3/8/16 Thomas Perry CBO Town of Barnstable ) �~ Building Division ` 200 Main St. , Hyannis,MA 02601 ' • - l - - -- �, `5a RE: Insulation Permit 16-198 , Dear Mr. Perry This affidavit is to certify that all work completed for 173 Highland Ave,Cotuit has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Oki Parcel y Application.# Health Division Date Issued Conservation Division Application Fee SO Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �3 N fl y, Village C-o �" Owner (ha °` �� �+ Address C,,M r UotcFj+er Telephone S®'R 5150 Permit Request 31 116,1%c, -4-. -N,e, GL*ic.- P44_ 1� 19 4,��,��ss Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new `- Total Room Count (not including baths): existing new First Floor Room-Count ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coalstove: J?Yes No 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 Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )(No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name m I I 0.ra Telephone Number Address 7,) A� i&n+l n 4 4- �✓f, License # �L Ida �46 S. 1 tfft_o WA ('Ifs Q Home Improvement Contractor# Email Worker's Compensation # Jg JC 313 6 A�U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO f,,4� SIGNATURE DATE 5A 6 FOR OFFICIAL USE ONLY v APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION 4 FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 , 7 DATE CLOSED OUT ASSOCIATION PLAN NO. t s r: aue*rsr R�charr2'V' ScL,D3Yior IVISIO TomPeiry,R'uldi Coxubfa Toner 200 MainSttae Iiyannis, +gA 8601 ww�Yt�Na.#�airns�ile�na.as' ' Off7ce: 508'$62-4Q3$ . '° Fix: S08?90=623� Propezty er.. xpe�e a ;ga-.Tics $eclo sa A Beer_ die+eby aVffib Sze' . in;all'ar�azters re�atFve to w6A,2-iEtbon7P �ry'li bu ld,m. g hermit"a ph ai on; ,.., -Po���f�nce�and:ais.�t iesp®ns caiaat P�o�s are:scot to,beech or uec becreEgces .and alb dal` iz�specuoz�s are perEoed;and accepct Sig atnrz.o =Sj ---,of<Appl cant . ,Pnnti;NanQe. =Date- ACOREP DAT1:(MMIDDIVYVY) I6-� CERTIFICATE OF LIABILITY INSURANCE 10/14/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER,THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: Colleen Crowley Risk Strategies Company ' PHCIN E (781)986-4400 FAX, No:CA (781)963-4420 15 Pacella Park Drive _ . - EE-MAIL :ccrowley@risk-strategies.com ADORES Suite 240 INSURER(S)AFFORDING COVERAGE NAICf Randolph MA 02368 - iNsuRERA:Selective Ins. of America INSURED iNsuRERs Allmeriea Financial Alliance Ins Cc 10212 Cape Save, Inc ' ' INSURERC:Wesco Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15101402127 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WFTH 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. INSIR LTRR TYPE OF INSURANCE POLICY NUMBER ADDLSUBR POLICY EFF MPOMIM EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED A CLAIMS-MADE OCCUR PREMISES E.cccurrence $ 100,000 S1994480 10/16/2015 10/16/2016 MED EXP(Any one person) $ 10,000 PERSONA-&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ -2,000,000 POLICY TACTIX LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLIFLIMIT $ 1,000,000 Ea accident ANY AUTO " BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED ' AUTOS X AUTOS AWNA46796600t 11/6/2015 11/6/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED .+, - - ., PROPERT DAMAGE AUTOS Per accident $ X UMBRELLA LIAB IX OCCUR EACH OCCURFENCE $ 1,000 000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION Nil S1994480 10/16/2015 10/16/2016 $ WORKERS COMPENSATION officers Included for X AND EMPLOYERS'LIABILITY - YIN — STATUTE ERH ANY PROPRIETOR/PARTNERJEXECUTIVE Coverage E.L.EACH ACCIDENT $ 500,000 NIA OFFICER/MEMBER EXCLUDED? *. N❑ C (Mandatory in NH) !rr YWC3136274 4/9/2015 :4/9/2016 'E.L36ISEASE'EAEMPLOYE $ 500,000 if yes,describe under DESCRIPTION OF OPERATIONS below - 1 t E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more apace is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of Named Insured as required by written contract. 4 s , CERTIFICATE HOLDER ? CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing 'Assistance `Cczporatioa THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 460 West Main Street ACCORDANCE WITH THE POLICY,PROVISIONS. Hyannis, MA 02601 . ° AUTHORIZED REPRESENTATIVE Michael Christian/CLC 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) : .. « . µ:• ^ The Commonwealth of Massachusetts - Department of Industrial Accidents a _ .� 1 Congress Streets Suite 100 - F Boston,ALL 02114'2017 ' www mass govldhz Workers'Compensation.Insurance Affidavit:Builders/Contractors/ElectricianslFlumbers.� � - ,TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual);Cape Save Inc • Address:7-D Huntington Avenue ' City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: _ _ Type of project(required): 1.�✓ I am a employerwith 20 1` employees(full and/orpart-time)."' - "! 0 New construction 2.❑I am a sole proprietoror partiiership and have no employees working forme iri w $ F1 Remodeling any capacity.[No workers'comp.insurance.required,]. $.a I am a homeowner doing all work myself.[No workers'comp._insurance required.]t 9. Demolition 10 E Building:ad'dition 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 11.0 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. 13.❑Roof repairs Tbese sub-contractors have employees and have workers'comp..insurance.1 6.❑We are a.corporatiosand-.its officers have exercised their right of exemption per MGL c. 14.[R]Other Insulation 152,§1(4),and we have no employees:[No workers'comp.insurance required:] *Any applicant that checks box#I must also fill out the section below showing their workers'compensatiowpolicy 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. 1 f employer providing workers'compensation insurance for my employees. Below is the policyand job sate I am an em.lo er that is rov an ormation _. w __ _ _ . Insurance CompanyName.Wesco Insurance Company Pol ic #orSelf-n. _s.Lc:# WWC3136274 04/09/2016Y Expiration Date: Job Site Address:.173 Highland Avenue City/State/tip: COWit 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:maybe forwarded to the Office.of Investigations of the DIA for insurance -. coverage verification. I do hereby certify under th pains and penalties of perjury that the information provided above is true-and.correct a Si afore: Date: 2/5/16 Phone#:508.-398 0398 Official use only. Do not write in this area,to be completed by city or town of j�iciat - City or Town; r= ' Permit/License# Issuing Authority(circle one)... r 1.Board of Health 2:Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing Inspector r 6.Other Contact Person: ' Phone#: f Office of Consumer Affairs and Business Regulation a 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Co-ndactor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. x WILLIAM McCLUSKEY - -- 7-D HUNTINGTON AVENUE ,h SOUTH YARMOUTH, MA 02664 -- ----- - --- ttt t: -% Update Address and return card.Mark reason for change. scA 1 C. 20M-05n1 Address Renewal 0 Employment E] Lost Card oT e�rruoiuyeurault�of II Office of Consumer Affairs&Business Regulation License or registration valid for individul use only *Expiration:��gX,4412046 OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ;71380Type: Office of Consumer Affairs and Business Regulation Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. " WILLIAM McCLUSKEY i ME 7-D HUNTINGTON AVENUE. � __ � \�\Xz� SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature (� Massachusetts Department of Public Safety t�l .Board of.Building Regulations and Standards '4oristriiGtiCrri.auger—IV Airr-Specare.r License- CSSL 102776 1;= WnXIAIVIJ,MC CCU 37NAUSET ROAD West Yarmouth NA Expiration: Commissioner 0612812017' i <. 0zJ-7 h q,3 Town of Barnstable *Permit# y�' p Expires 6 months f om issue date a7 Regulatory" Services Fee 66 , _30 i( 2—BAmffmi;LE MAC Richard V.Scali,Director . ArFD Mt►t A '� , Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 DEC 2 8 2015 www.town.barnstable.ma.us Office: 508-862-4038 TOWN OFSAP3,685TA 23.E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY J ,/ Not Valid without Red X-Press Imprint Map/parcel Number ®-2 f! � /� / �D 7 7 ' 173 � / C.i i l Q 4j/C tt` , 60Au PropertyAddress j VResidential Value of Work$ /3.600 Minim m fee"of$35.00 for work under$6000.00 Owner's Name&Address Al,, l Na a )R ;E s Contractor's Name & rt C 'I • Telephone Number M—Z-6 7 11 j 7 f'5a 37 Email: sG�V7' ) �e•�fj` Home Improvement Contractor License#(if applicable) � � 1 / Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation.Insurance' Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) . Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to � co ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is repuired. 'SIGNATURE: Q:\WPFILES\F S\building permit formsT RESS.doc Revised 040215 f ' 27ie Comxrarrivealth o,f�assal'dlusetts � -�4- Depara rent o,f lrrdusdrial Accidents Office o,f 1mvstfgafions 600 WashbiGgion Street .__,. Baston M4 02111 fPrvt-v mamgt ri dia '"Torkers' Campensation Insurance Affidavit:Buitders/CiantracturslElectricians/Plu nbers Applicant Information Please Print . 'bl Name(Bus-ess,'Orgmizationll&vid=W- '✓ C. *j� L.t� � �4 �. �Lt C Address: t, (J . G 4,et d, City/State/Zip •&t/"'t.r` At 1`/' y t1�ne �= Are you an employer?Check the appropriate box: Type of project(reequired): Q I am a general contractor and I 6. New construction 1.El I am a employes with 4. employees(full ancVor part-time)-* Have hired the sub-contractors 2.❑ I am a sole proprietor or partner- hilted onthe attached sheet. 7. Q Remodeling slip and have no employees. These sub-contractors have g_ ❑Demolition working for roe in any capacity. employees and have wodcers' [No Workers'Comp.insurance COmP-cn¢vtranp�� g- ❑�IIthdtIIg addition required-] 5-P a corporation andits10-Q Electrical repairs or a dditians 3.❑ 1 am.a homeommer doing all work fficers have exercised their 1 L Q Plumbing repairs or'additions sel€ o workers' right of exemption per 1'MfGL �' � - 12.❑Itoofrepairs r insurance required-]i c.152,§1(4)and we have no employees.[No wod=' 13. {)tfier comsp.insurance required_] #Aziy appBc=&at chec1s box Al mast also fill out the sectionbeIow shumug their workers'compensation policy informstim- Homerswho submit this dfiAndt indkat g they are doing all wort mi then hire outside contractom—st submit anew affidavit indicating sash_ fC'aatrsars that ct check ibis boas must attached as additional sheet shoticmg the name of the sub-contractm and state whether ar not tbase entities have emplayees.Ifthesub-contnutucshave empIoym%theymust'prn-ide their morken'comp.policy number. I am an euepi5por that isprmiding workers'cooly a isai-an iusurauce for my employees Below is Me policy and job site iuforraadom I - Insurance Company Namie: Policy f or Self-ins.Lic.:ff: Ecpiration Date: Job Site Address /73 Citylstawzip: Atttach a copy of the worker coonpeusation policy declaration page(showing the policy number and respiration 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$1,50D 00 anWor one-year imprisonment,as well as'civil penalties.in the form of a STOP WORK ORDER and a one of up to$250-00 a day against the violator. Be ad Ased that a copy of this statement may be forwarded to the Office of Investigations of the DIAL.for insurance coverage verification I dl'o hemby carf}r er thepabis arad wattles of ury that t he infarmaffartprmi&dabmv is true arid correct Si>mature: ]date: �— Phone Official use corral}. Do stot write in this area,to be completa by city orlown official, City or Tanw: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citf1Town Clerk d,Electrical Inspector S.Plumbmg Inspector 6.Other Contact Person: Phone#: Mformatzon and Instructions Massachusetts G&aeral Laws chapter 152 requires all employers to provide workers'compensation for their employees. p tD this statitc,an.mpIoyee is defined as."_.every person in the service of another under any contract of him, express or implied,oral or " An e7rpTaye3-is defined as"an iadividnal,pasfnersbip,association,corporation or other legal entry,or any two or more of the foregoing engaged is a joint enterprise,and inchidmg the legal representatives of a deceased employer,or the receiver or t mA=of an mdividnA partnership,association or otherlegal entity,employing employees. However the owner of a dwelling house having not more than three aparbnents and who resides therein,or the occapant of the - dwefliag house of another who employs persons to do ma;•ntEnan ce,construction or repair work on such dwelling house or on the grounds or building apparten artthereto 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 constrict bnldkgs in the commonwealth for any applicant w•ho has not produced acceptable evidence of compliance with the insurance.coverage required_" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor;iny of its political subdivisions shall enter into any contract for the performance ofpubho wotic until acceptable evidence of compliance with the i 0SUran ce. requirements of this chapter have been presented to the confracting artfhozity." Applicants Please fill out the,woIj='compensation affidavit completely,by checIang the boxes that apply to you sitnation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificates) of „siaraance. Limited Liability Companies(LLC)or Limited LiabilityPa-amships(LLP)with no employees other than the members or partners,are not required to carry woikers' compensation insurance. U an LLC or LLP does have employees, a policy is regake& Be advised that this affidayk maybe submitted to the Deparfrnent of Industrial Accidents for confirmation of insarance coverage. Also be sure to sign and date the affidavit. The affidavit should be retcnned to the city or town that the application for the permit or license is being requested,not the DepmImmf of hidUl.ctri al Accidents. Should you have any questions regarding the law or iEyou.are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-fished companies should enter their self-insurance license number an the appropriate line. City or Town Officials Please be sure that the affidavit is complete and priced legibly. The Department has provided a space at the bottom the licant 'ous has in contact you ding app you to fill out in the event the Office of Investigator Y regarding of the affidavit for _ Y Please be sure to fill in the peunitflicemse number which will be used as a reference number. In addition,an applicant that must submit multiple pen it/license applications in any given year,need only submit one affidavit indicating cmrent d t s oud write"all locatives in (city or ec � and under Job Site Ad,_ress $e liCan_..h v' lion(if n aPP p ohc, mfonna r �-�Y) » ed or maiked b the or town maybe provided to the gown)_ A copy of been officially stamp Y �Y applicant as proof that a valid affidavit is on file for fuse 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 (Lt. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigation would hke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give vs a call. The Department's address,telephone and fax number: The CG.mMcmWealtlr of Masaclhusi--tt3 Degaitamt of ludmtial AoDidonta C Ce 4Mvesfigatio= 60G,vla;& i Gil Stmd Bastou=MA 02111 TrL 4 617' 7-4900 ext 4€16 or I-9 -MASSAFF, Fax 9 6I7-727-7749 Revised4-24-07 mBS gog�ra e 1BAMMBLE '�"� 1639. T of Barnstable 9� ��� own . ArEp�� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner .200 Main Street, Hyannis,MA 02601 s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign'This Section If Using A Builder w A I, as Owner of the subject property hereby authorize a /LAC _Znc_ to act.on my behalf, in all matters relative to work authorized by this building permit application for: /73 M f �a4 l (Address of Job) &4f , Signature Owner e Date Print Name If Property Owner is applying for,permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\MTRESS.doc Revised 040215 Town of Barnstable Regulatory Services �oFtlu:To Richard V. Scali,Director Building Division * �� . * Tom Perry;Building Commissioner MASS. 1e39. ��� 200 Main Street, Hyannis,MA 02601 pIFD � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# 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. 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 ear two-Y 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. 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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 I � Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094476 Construction Supervisor LINAS REVINSKAS 87 CAMP OPECHEED CENTERVILLE MA 026 o Expiration: Commissioner 10/02/2017 f � /e Fe,�r»aa�rrvecr�l/r.a�C���cr�Jccc/re��/t License or registration valid for individul use only ,�, g L\ Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: � IOME IMPROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Regulation egistration: 152372 t_ � e 10 Park Plaza-Suite 5170 xpiration: 8/23/2016 DBA Boston,MA 02116 BALTIC COMPANY LINAS REVINSKAS 87 CAMP OPECHEE RD � . CENTERVILLE,MA 02632 Undersecretary Not valid without signature I c, TO Permit No. TOWN OF BARNSTABLE 30018. . . of o� . .. . ......... BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond ...... CERTIFICATE OF USE AND OCCUPANCY Issued to Jahn McShane Address Lot: #4, 173 Highland Road Cotuit, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. April 16, 87 ............... 19................. 440� L:-�_ .................. Building Inspector ..° °�. TOWN OF BARNSTABLE I BUILDING DEPARTMENT _ »T°T� 1 TOWN OFFICE BUILDING rur. HYANNIS, MASS. 02601 �OIUY M. MEMO TO: Town Clerk FROM: Building Department DATE: �/O— — t k. o„ 4XI An Occupancy Permit has been issued for the building authorized by BuildingPermit #n.3D_©I.O.. _............................................................................_..........................._.................._.............. issuedto ...... :_:r/ `„/�laa ! -�.� ........................._......................_.. ........................ _.__.. Please release the performance bond. April 16, .1987 Building Inspector TOWN OF BARNSTABLE Hyannis , MA 02601 RE: 173 Highlands Road - Lot 4 Cotuit, MA 02635 Dear Sir: , This is to inform you that the fireplace will not be used until a glass enclosure is installed. Therefore, I request that an occupancy permit be issued. Very truly yours, „ Norman E. Weill THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM ^ACC DATA t TOWN OF BARN$TABLE, MASSACHUSETTS BUILDING PERMIT,' DATE 19 PERMIT , v APPLICANT .iQ/lTl i'i.`.:a.b - ADDRESS 1(._(`ti (NO.) (STREET) '(CONTR'S LICENSE) NUMBER OF PERMIT TO iitA i': i)W 1. 1"-_ STORY - '% I C1+.�=•'i.i '` DWELLING UNITS (TYPE OF IMPROVEMENT) -� N0. ;PROPOSED U'SE) ' Y' ZONING AT (LOCATION) .tl. <<�. x � �)4%.`'!lS +.t '.itp.C`� �`�f�i.Ri DISTRICT . (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION ``` LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY 't.t` 'FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i TO TYPE USE-GROUP 1 BASEMENT WALLS OR FOUNDATION t (TYPE) t REMARKS:AREA OR >-•w:!:.a2 ri'r(')--irli't t --' VOLUME 144U .;��. iC. - `t`t 1 Q. (j�J�t I ( {`11J PERMIT I .J:.tiS .. STIMATED COST $ FEE (CUBIC/SQUARE FEET) \\ y .. .OWNER JUIIt+ t'(l:J�l:�ltc !+•�\\`, v. '/.�- - i. i - tt� -:=8U6L-DIN'G DEPT. ADDRESS fiU:: Uhl, ( :iCcLVi .:.;.,. ` il: BY -f r` THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIT'ONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS,,WHERE APPLICABLE SEPARA,"E INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEE / PERMITS ARE REQUIRED FC 2 N ALL CONSTRUCTION WORK: /, ELECTRICAL, PLUMBING All'- I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATION:. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL _ MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS-BEEN.MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - - POST THIS CARD SO IT IS VISIBLE FROM STREET. )))BUILDING INSPEC ON APPROVALS PLUMBING INSPEWN APPROVALS ELECTRICAL INSPECTION APPROVALS 71 Al 3 HEATING INSPECTION APPROVALS ENGINEE DEPARTMENT 1 - OTHER 2 BOARD OF HEALTH ! %/ C— WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS. 'U'I.l_ED ON THIS CARD'r`,I 3E TOR HAS APPROVED THE VARIODUS STAGES OF WOLRK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGFD FG, BY TELEPHONE OR WI:'1 .:N CONSTRUCTIOD I PERMIT IS ISSUED AS NOTED ABOVE. INQTIFICA"lON. Assessor's offioe.(lst floor}: Assessor's map and lot number ........./// nn °�♦ Board.of Health (3rd floor): `�C, SEPTIC SYSTEM M o� Sewage Permit number INSTALLED IN COM t .............................. -.. 9 1i Engineering Department (3rd floor): y,�� 73 � .� n� - ' WITH TITLE BAWSTABLE, NAM& House number ........................... r ".l. ....................... ENVIRONMENTAL C M aye P APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 .P.M. only TOWN REGULATI® TOWN iOF 'BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO (!rlll� ..?u4e. ....... . .. ................. .................. TYPE OF CONSTRUCTION .......... .............. .. ..... ole -Z�-"— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:, Location ........°...7......... i.7`........ G2 G2`vi....................... � .................................................. . .... r Proposed Use,,%;Zg4v',.4. ....... .... ZoningDistrict ......... ................................:.................Fire District ...:.....................................c.................................... �.Name of Owner ... . ..... � ................:.......Address �... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number: of;. Rooms ...............7................ ....Foundation ... .... .........41�� Exterior1 Roofing.... ... .... .................................. .. ........... ............................... Floors .................. .................... ..... .... .................................Interior ..... _�-- .__s Heating ................... ......Plumbing "....... . ............... .. Fireplace ............. .. �� -7............................Approximate Cost .......... ... ...... ...... Definitive Plan Approved by Planning Board ---------------------_----------19-------- . Area . .. ................. �iagram of Lot and Building with Dimensions Fee f SUBJECT TO APPROVAL OF BOARD OF HEALTH �< �` C2—, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar the above construction. Name( .. .. . .................................... G9/� � Construction Supervisor's License ...................... ............ MC- 9HANE, JOHN No .... Permit for ...1.1..Sto y................ ......Single. Fam.i.I.v..Dw.e.11.ia&.................. Location ..... Lot ��4 173 Hi.. .................. Cotuit .......................................................................... Owner ........John McShane 4.7 .......................................................... Type of Construction ....Frame............................ ............................................................................... Plot ............................. Lot ................................ Permit Granted ......Oc.tob.e.r...9.,.............'19 86 . . ...... . .. Date 01 inspection//7 ......1,19 ol�j Ir Date Completed ... ..........19. 4 /,le-7 C Assessor's offioe (1st floor): Y �o THE o� Assessor's map and lot number j Board of Health (3rd floor): �,C► d� Sewage Permit number ^ .. 2 BAHd9T4DLE, ........................... NAB Engineering Department (3rd floor): moo 039. e� House number ..�.�3.............?.....�...... ''rFaNii-I 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 �(�'I��% f ........................`........... J TYPEOF CONSTRUCTION .......... ...................e.....'�./.,..�,.. .r. :1?.:............................................................... ? ... . ..Q.........................19f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:. Location ......................�.......��r�. .................................................................................................................... ProposedUse ..eg .X ..... .... .... .. .....�.....................`................................................................................ ZoningDistrict .......... ... ....................Fire District .........................................r..................................... Name of Owner ...�- G `' 1....�� .......Address, , .. ..... ....d V ('e" i ee r Name of Builder ....Address Nameof Architect ry..................................................................Address .................................................................................... Number of Rooms ................ .........................................Foundation ... ........... Exterior ...�....... ..1. .... ................................Roofing ...............a. .> ............................ Floors Interior �' �!L. ( ............................................. .... ............ ..... ...... ............................. Heating ..... t�/ i ..................:......................Plumbing .......�.. .-.. ...................-......................:..................... Fireplace . ............................Approximate Cost Definitive Plan Approved by Planning Board _______________________________19________ . Area .......................................... Diagram -of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . g �k 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. ` ti Name ...4........ ...!!.... �. ........ ..... Construction Supervisor's License"✓.'..`. o............. ter. :A ............. McSHANE, JOHN / A=21-014-004 30018 1 Story Na ..........:..:... Permit for .................................... .......... Family Dwelling ............ .. ..... . Location ...,Lot ��4, „ 173„Highland Cotuit Owner ...,John McShane ............................................ , Type of Construction ......Frame......................... , ............................................................................... Plot ....'........................ Lot ................................ ` Permit Granted ........October 9, 19 86 ............................ F Date of Inspection ....................................19 iG1 ,f' Date Completed ......................19 ' on application. d to the mailing address on the nt ❑Lost Card ❑Other Mid ONE IMPROVEMENT CONTRACTOR ;Registration 168871 °Type - PRIVATE CORPORATION Expiration 06/24/94 Markdood Corporation Tijoothy M. Pearson Seaboard Lane ADMINISTRATOR Hyannis NA 0241 ZIP I ` COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY " 1 OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 of tt,bz !_;C-t"I z lE CAUTION EXPIRATION DATE FOR PROTECTION AGAINST r - EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS PRINT IN APPROPRIATE - BOX ON LICENSE ° BLASTING OPERATORS -.,.-,I:::: � •;.- MU HOT LU PHOTO(BLASTING OPR ONL1� FEE:., : ;, (_� ., -. - NOT VALID UNTIL SIGN BV LI SEE AND OFFICIALLY �I J '•, ' STAMPED. OR- F THE COMMISSIONER UN HEIGHT: I I DOB: SIGN NAME IN AB SIG5AT�URE LINE THIS DOCUMENT MUST BE SIGNA RE OF LICENSEE CARRIED ON THE PERSON OF THE HOLDER WHEN EN- COMMISSIONER OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. • ':.EX'S�Ct..G� 4iadua is _ - r ,a, t, - - �'��?{ t S/TMILD.C0LUF'i n '6w-•� �y�5ln }yr, Ii � - - 4P EAk' •.CAP 7 j*; r i 3f4 ]!# 7C2P.. f pJ]13�-�Ihl AAC.1'�f]yed S� I i � .C�v.N:Jvl4LIYfq_ 1w fI :�4EETS3C�Gµ; I AWL)5rAUS-SHF_!�!E.`7 j_ 1 '1 I NN i 8car �ANELRA Oti+ trtb -- '�^s !L • 1:.5 .FLooR NI 1� I ZZ r-KWF CON T� i t� . 1, •�.SN. 7r� 4 :.. l dui rii i, l . - t� YifiIAN P�E���Ethl.L(�%1TJC,i SUQC7h6LM���S� ::.__. _ ` . ..r _ la 's 1 Preliminary plans ap. layouts by D.C.D.are for the use,of,their Customers only : Any Cal X � KEY n � Z. _ �. - .; � . • i _,_ "its J � , LA LL-{...C1J L..: i 12. -- -- -- i� n Fu to _ u CUT..NC1v UP_Eyl NeilSTJ N7 -- Su►tit4tt�S -To .W-TC4 li'x\ N� '90USE • VML K V.5• �.0,G. ,• ; • i - 2811 •� . LJ,I'T_. 'LEV 7 I 2)'-(0IRA 77 I % waeyi y4iT•O E { - -- - _..— r ZRlMIO MATCk F,-AUJ v 1a0u6E IN � III I "tfe. PL (WOO{'? III iI, ( �X{fiN�..suS.F7C�R" I -191 Alt � Y '. '- •�I II �ICI-ICI �{ '/, AA" 11�,mow�•.yr :g. II ..l LLL ELL i Preliminary:', plan, ana ::0)youts by aC.D.are for the use. of their Gusto, i r r 1 _ l s P I I 1 i r ti -Tr_ aL; aat ln�: aae�fi 'w',1 I a'Jiw; Ji ' rya, I ' '' i R... •• .- `� .. F Y ITA Prelimi:nary • plans ?nd 'layouts by 'D.C.D.are for the use of thei r cus.tomers. only . Any other use .is strictly Pro v 2aI4 ;I t _ Ca'.P61110—r 9% kfi SU 2Q0/y� to _ -•---- - � ..t ' in utw iAE&rxR 114L i I +� WN.r]Q\V I 42"4vct%A WAIL I sllllll COLUMN a ,, i fZ£pu�CE w� 5'SLIfJ>rL' I a:. I I k ,!r I , J - ' Preliminary plans and`14youts by. CtCA.are for the use of I C1448 � j a . ... ..:... emu_ Assessor's office(1st Floor): cZ �.0 Assessor's map and lot numb " Consdrvation(4th Floor,. _ • ` LC:`-�^at���edls Board of Health(3rd flo Sewage Permit number O &MVIR0 r'"'ENTAL ®� � � 'oo .a,Q Engineering Department(3rd floor): Ito mil"'.� f House number s� 1' �' . t 7�/ '. REGULATIONS Definitive Plan Approved by Planning BoUrd 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 /�UI Gd o.. .�,L �a SDI✓1��4Cy� ��,� �x� v �. TYPE OF CONSTRUCTION i�S b e Ql 0 19 r�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l �6 9 Ltd (n-v e- Q T'u f ' Proposed Use S`-c ' � Zoning District I ► J Fire District Name of Owner.iris Address- Name of Builder w a 72 w, `,' 4-o•J Address S-CA La 4.w.W[%(`- Name of Architect Address Number of Rooms Foundation �d`'''�� Cif�! G_ Exterior �� �' "� * Roofing "S Floors 'kk Interior V - ^� per, Heating Plumbing �- Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee c�B OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rd t ove construction. Name Construction Supervisor's License WEILL, LEE & NORMAN ` No 3652'8 Permit For BUILD ADDITION Single Family Dwelling Location 173 Highland Avenue Cotuit a Owner Lee & Norman Weill T Type of Construction Frame f Plot Lot Permit Granted _'r March 11 , jg 94 Date of Inspection:,_, Frame ��!y, 19", ' Insulation 19 Fireplace 19 Date Completed 91 13 19 , Iv .� , s• � f t r ATLC V✓ N N Q Q r � a Q o � 72 v3 Q 4) g4.5o v 52.48 N N a N /G•a2� � W i TOWN OF BARNSTABLE ZONING BY-LAWS DATED FEBRUARY 1986 ��N OF �'7$' R®a.a ZONE: RF PAUL q�yG SETBACKS R.RYLL FRONT = 30' - �" o NO. 32448 a�E SIDE = 15' �o CISTER�� Qy��o HEAR = 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO.NOT REPRESENT PROJECT NO. 3-1210-01 AN ACTUAL SURVEY ON THE GROUND.THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON 9/17/86 in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 40' SEPT 18 1986 SHOULD NOT BE USED FOR ANY ^THER PURPOSE. BSC / CAPE COD SURVEY CONSULTANTS 8 /z_ /1��w 3261 MAIN STREET QA E PROFESSIONAL LAND SURV§fOIR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133