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Town of Barnstable Building
t Post This Card So That it is,Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
Posted Until Final Inspection Has Been Made. Permit
.63a _ 1 c 1lj
° Where a Certificate of Occupancy is,Required,such Building,shall Not be occupied until a FinaGl'nspection has been made.
Permit NO. B-19-188 Applicant Name: Carl Rebello Approvals
Date issued: 01/18/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: .07/18/2019 Foundation:
Location: 23 JOHNS PATH,COTUIT Map/Lot 027-124 Zoning District: RF Sheathing:
Owner on Record: Grinsell, HEIDI A Contractor Nam ,Carl J Rebello Framing: 1
r License: CS`-084358 -
Contracto
Address: 23 JOHNS PATH4 2
MARSTONS MILLS, MA 02648 Est. Project Cost: $4,728.00 Chimney:
E
Ip
Description: Insulation &Air Sealing. Permit Fee: $85.00
i Insulation:
Project Review Req: Fee Paid,` $85.00
Date ,x 1/18/2019 Final:
J Plumbing/Gas
d
i Rough:Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within's x months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and theRapproved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
_ gx Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building arid Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame inspection) Low Voltage Rough:
6.Insulation
7.final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department .
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
BUILDERS. DESIGNERS. ENGINEERS.
October 26,2018
Town of Barnstable Building Inspector
Attn. Jeff Carter
200 Main Street
Hyannis, MA 02601
Re: 12'x 20'Storage Building
Joe Couture
23 Johns Path
Ma 02648
-
cc, 1c 4—
Dear Jeff Carter,
The intent of this letter is to state the footing base and hold-down requirements have
been reviewed for the proposed prefabricated detached storage building located at 23
Johns Path. The 12'x 20' storage building shall be placed on a 12"thick crushed stone
footing-base:-An anchoring system by"American Earth Anchors" (3",bullet model) is to
be installed at each building corner. This anchorage system is found to bean adequate
to resist uplift due to a basic wind speed.,V„it of 140 mph per the Massachusetts.
Residential Building Code 780 CMR 9th Edition.
We trust that this information is helpful to you.
Very truly yours,,' , _ �y
_
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Everett W Skinner IV,-P.E. sr � w``
President wa
Www.TheBarnYardStore.com
MAILING ADDRESS(All Locations) SHOWCASE LOCATION(Route 83) SHOWCASE:LOCATION(Route 6)
9 Village Street,Ellington,CT 06029 120 West Road,Ellington,CT 06029 84 Stony Hill Road,Bethel,CT 06801
(860)454-9103 1 Fax:(860)454-7419 ;(860)896-0636 1 fax:(860):896-3381 (203)740-7433 1 Fax:(203)740-0916
ALIlet Anchor
r
-T, "",-8teetArrowhead
Anchoring Temporary or Permanent Structures.In
Soil, Sand, Asphalt, Even Underwater.
• Designed For Easy Installation In Hard Soils
Only 1.25"wide for minimum soil disturbance-Holds Up To 2,000 Ibs
• Die Cast 356 Aluminum alloy Heat Treated T6 Aircraft Quality
• Anodized To Mil-A-8625 Type Ill Specifications
• 1/8"Galvanized Aircraft Cable 36" &60" Long
• Designed After Our Highly Successful Mil-Spec Anchors
• 3"&4"Wide For Minimum Soil Disturbance-Holds 2,000&3,500 Lbs
• 11 Gauge Galvanized Steel
• 1/8"Galvanized Aircraft Cable 36"&60" Long (3" Arrowhead)
• 3116"Galvanized Aircraft Cable 48"&60" Long(4" Arrowhead) 0i
r
DRIVE ROTS
• 3" Aluminum Bullet&Steel Anchor Use
.1/2"Round x 36" Long Steel Rod c:
• 4"Steel Anchor Uses 3/4" Round x 36" Long Installation.Steps
Steel Rod
• Do Not Use Rebar-Will Stick In The Anchor 1. Drive Anchor With Drive Rod
• Install The Anchor At The Same Angle it Will ram'- "' 2. Remove The Drive.Rod. ,
Be Guyed Or Tied Off At h' 3. Pull Up On The Cable To Set
•
APPLICATIONS ,•
• Sheds Antennas
• Enclosures . Canopies j
• Retaining Walls • Vineyards
• Shelters • Carports
• Towers 0 Fencing
• Erosion Control • Playground Equipment
STEP 7 STEP 2 STEP 3
X PulloutResistance
Loose Loose Fine
Anchor Size Minimum Vertical I-lard Pan Dense Sand& Medium Sandy Medium To: Uncompaeted
In Inches Depth-Feet Soil Gravel Gravel--, ;,,Fine Sand_ Sand
' 11it! 1.1700 600 350
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ce
Ill : 11 1,700 600 350
lt
a 11 t 900900 475,
N4e'- Anc. ur5 Dire. (r)5-jjed or) all (ff) �,A ,jn Cvrtleo,
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_ _ Town n of Barnstable _ _
�.... .. ..� .. . ..��� ..� �� -� �:� , �. Building
''PosttThis,Card So That it is Visible From the Street .Approved Plans Must be Retained on Job and this Card Must be Kept
MASS _ ,., .� e '`' }a s s • .t
,Posted Until Final Inspection Has Made. '- � Permit ,
Where a Certificate of Occupancy is Required Building shall Not be Occupied until a Final Inspection has been made t.
Permit No. B-18-3425 Applicant Name: Heidi Grinsell
Approvals._" -
Date Issued: 10/29/2018 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and over Expiration Date: 04/29/2019 Foundation:.
Location: 23 JOHNS PATH,COTUIT Map/Lot: 027-124 Zoning District: RF Sheathing:
Owner on Record: MATTON, HEIDI A Contractor Name: THE BARNYARD ENTERPRISES INC Framing: 1
Address: 23 JOHNS PATH Contractor License: 127550 2
MARSTONS MILLS, MA 02648 Est. Project Cost: $`12,500.00 Chimney: '
Description: Installation of 12x20 shed Permit Fee: $85.00
Insulation:
Project Review Req; 'Fee Paid: $85.00
Date: 10/29/2018 Final:
Plumbing/Gas
Rough Plumbing:
g
Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance• Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents.for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection .,..
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final'
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
J,,o L ,*Z V S X-r-Z T
�'ME Town of Barnstable *Permit# 6
Tres 6 months j n date
Regulatory Services fee
* BmweriBLE **
y� 1Mnss 1�, Richard V.Scali,Director ® �
Building Division
®�/ 0 3
* Paul Roma BuildingCommissioner 2016
200 Main Street,Hyannis,MA 02601 TOWN
www.town.barnstable.ma.us ` /l9
NS ���2�
Office: 508-862-4038 Fax: 508-7 30
r-.
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number ti .
Property Address 3� 0 hA � L".d u
, '
(Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 .'
Owner's Name&Address
Contractor's Name �5 kz Telephone Number g ' _S_Cf (rC90 1?
Home Improvement Contractor License#(if applicable)g I � Email:
Construction Supervisor's License#(if applicable) /0,5_9 bl'�,
❑Workman's Compensation Insurance . ~
7 k one:
am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# VI/ 6 4! �-- n I 7 / 7 <9 2C
Copy of Insurance Compliance Certificate must accompany each permit. .
Permit Request(check box) h
❑ Re-roof(hurricane nailed),(stripping old shingles) All construction debris will be taken to
El-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 Pertitits'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 si operty Owner Letter of Permission.
. A copy f the Home I r vement Contractors License&Construction Supervisors License is
requi d:
SIGNATURE:
QA"FILES\FORMS\b it ing p it s xPRES .d c ;
06/20/16 .
The Coznwommalth ofMassad rusetts
Dep= xeut&fImhzstr-d Act des
Q e-Of
600 Washington�Yi reef W
_ Baston,MA 02111 � f
1 nw-masmgov/dia
Workers' Cumpensa ftm Insurauce Affidavit~BBmlderslCantractars.Mec{rician hxxnbers
AppUcant Iofk=fiGn Please Frm I I�Y
Na=0usiueft0,3Miz3fiM&&VidMD__ 15"A (7016
Address: / t, �-v ,4- LZY
ci�istar r phone au:
�' - -
Are You an employer?:Ckeekthe appropriate bon Type of project(required):
I.❑ I am a employer with 4 ❑I am a general cmtractoar and I
ogees(full and/or pame * ]rave hired the sub-contmcfors 6- ❑New o coon
�fi
2. I am a sole proprietor;orpartuer-- listed onthe attached sheet 7- ❑Remodeling
ship and have no employees These sub-cantractors have g- ❑Detnolitioa
Ia and have avo�ss'
wot�ag far me in any capacity- erg � .�# 9..El B.uil�addition
worimw comp.insxua„ce comp.
required] 5_ ❑ We are a corporation and its 10-0 Electrical repairs or addi ions
I❑ I am.a homeowner doing all woric officers Have exercised their m 1L❑PIumbingrepa=or additions
myseLf[No wodoers'oomg �,ht of esempfion per MGL a 0 Roof repairs
insurance required-]l C.152,§1(4.and Wehavemo
employees.[Nowodoess' 13_❑Other
comp.ins wxn required-)
# nyW ica3tdatrhedmbasftlmnstalsaSIIvoEthesectioabeIaa sha iug�eawodcess comp�mfi�•paTuyia�aemsavn
#F�a�eovraerstrho sabngt this�dav�lug they sxedaing[dlwa�sadtheahax oubider•+�++*=re„rr�.ct submit snemsffidaeiR mdiamng satFt '
fCaatcacfoas this ch—Ir this bus must xftrhed zm additional sheet sbouTag the n—of the sab-caitzaom zad stge whether or not these switieshwm
employees.Iftheanh-co-atrattfl6haveempIoyee-% FLeYnmstpmvide&ek wadEea'v=p.palicy-, er.
I rem an eniplq er that is prtt�adirrg x�orkcrs'catt�rerrsa(iate irtsrerartca f nr�c}a earpJoy�ees Beloav is rite pa cy anti job site
informatib , )
Insumce Company Name:
Policy-4,cr Self-ins.Lim 4: `C,jr ExpiratianDafe= 0110112ADIP
dde � �Job p 4 �
Attach a-cnpy of the workers'corapeasatienpoEcy declaration page(showing the poficy nmcuber and expu-ation slate).
Failure tza sew coverage as requirednuder Section 25A of MGL C_1572 can lead to the imposition of criminal penalties of a
fine up to 1,540 00 azYd Tor otie=yt sr impris m x me nk as well as> ail penalties its Ihe form of a STOP WORK ORDER and a f me
of up to 0_00 a dap agahut the violator. Be x&dsed that a copy of this statement maybe fx vmded to the Office of
Investegaiaans ofthe DIA for gipmance coverage verifrmfiom
I AFo kett- by cerfrfg pains an rah6es o petjexy'thatthe inf orma€tvr}prmi&d abmr ig true td carrect
Date- V-/
Phone i
O,�rd use anEy. Do fait wrke titn Hers area,€o be ctmpTeted by city arto�x-n�xf
mWI� jSeraL
City or Town: Percense�
Lwaing Auflority(made one):
L Board of Health MI BmT&ag Department 3.CAyf rown.Clerk 4.Dectriad Inspector S.Plumbing Enspector
6.Other
Contact Person: Plane 9-
6
Taformation and lastrueflons
h6mmchmetts Cebm-g Laws chapter 152 req=es all eugloy=to provide wOIIM&c mpensRIMon fur ffieii azoploy=
pnrsranttn this she,an flay='is defined as."_.evay person in the service of another under any contract of here, �!
express or i mpliect oral or
Air MTTvyEr is defined as"an incfiyiduaI,parfn=sh�p,
assocfi6on;corporation or ofbex Iegal m3 iiy,or any two or more
of the foregoing engaged is aJoint .and inGhaimg the legal rrF=:Edaiiyes of a deceased employes,or the
receiver'or t mstee of an MffIV hmL partueashIP,associaton or other legal eabtY,cmPloymg employ- However the
owner of a.dweIIiiig house havingnot more tbm f n-W apartments and-who resides ffierei a,or the occapant of the -
dwelling house of ano�er who employs persons to do maims ce,caustinct on or repay work.on such dwelling house
or on the grounds or budding aPP
ud=mtth=tn shall not because ofsach employment be d=ae;dto be an employer."
MGL chapter 152,§25C(6)also staffs that"every state or local Iuenskff agency sh fl withhold fhe issuance or
renewal of a Iicease or permit to opera gs operate a business or to construct buildin in the corumonwealtiz for any
applicanjWho has notprodnced acceptable evidence of crimplianm veil$the insurance coverage requn ed_"
Additionally,MCrL chapter 152,§25C(7)stairs-Neither the mmm mwcalfh nor;Ly ofitspolitical subdivisions shall
=ter ink any contract for theperfusm.ance ofpnbho woricuntd acceptable evidence of complian=T ith the insm-ancer•_
„PTjh:r,mems of this chapter have been presented to the co—*tza�¢aofhodty."
Applicants ,
Please fin obit the•wort ='compensation affidavit completely,by checIdag the bones ffiat apply to your siinaiion a4 if
nmessaxL snPPly snb-contractar(s)name(s), addresses)and Phone micober(s) along with their cMI ti dcate(s)of
mmnan.ce. Limited Liability Compames(LLC)or LfinitcdLiabiI4 Pm n==hips 9 P)wjano employees ofiier than the
members or partners,are not regqi:Dd to carry walkers'compensation.insarance. If an LLC or LLP does have
employees,apolicyisrequn-ed. Be advised that this aifida kmaybesubmittedtofanDepartmentof Industrial
Accidents for conEai afion of mi mmmce coverage Also be sure to sign and date the affidavit. The aidavit should
be retimaed to the city or town ffiat the application for the permit or liccose is being regnestexL not the D epar[mem of
Trrh,cf r 1aT,4-cddcnts. Shouldyou have any questions rcgardrag the law or ifyou ate regraredto obtain a worl='
compensation policy,please call tbz Department at fiie number listed below. Self-insmed companies should enamor their•
self-insurance license number on the appropriate line.
City or Town Officials
t _
Please be sore that the affidavit is comp let$and prime IegibIy. The Departmenthas provided a space at the bottom
of the affidavit for you in fM out in the event the Office ofluvestigatins has to contact you rega¢ding the applicant_
Please be sine to fill in the pen�it/Iicense mmaber which will be used as arefer.=ce number. In addition,an applicant
that must submit multiple pen: ittlice ce applibaiiams in.arty given year,need only submit one affidavit indicafDng=ent
policy i r. =azfion(if necessary)and under`rlob Site A-d&css"fhe applica*-should�-all loins in (may or
town) ' A copy of the-affidavit that has beep officiaIIy stamped or madced by the city or t ovm may b e provid ed to the '
applicant as proofthat a valid affidavit is on file for fusnre pmmifs cr licenses_ Anew affidavitmust be filled out each
year.'V i=a home owner or citizen is obtaining a license or permit not related to any busio_cc or comme aial vdut=
(i-e.a dog licen orpennit to bum leaves etc.)saidperson is NOTre�d to complete this affidavi
se t
The Office of Tnvestigafims would hlCM to thank you i a advance for your cooperation and should you hate any q' =
please do not hesitate to&c us a call
The DcparfmmfS a d&-=%t 4ephcne and fax Ilumber-
Ther
tip of Mwsmchnsz t
mt cif 1z al Agent%
�R4 man
$off=MA Oil II
T(,-1<4 617' -4 �406 W 1-9 ,MASWE
Fax 617 727 7749
Ke vises¢24-07 - - g�
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• SABNSTAIRE, • _
�} Town of Barnstable
Regulatory Services
Richard V.Sca14 Director .
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA'02601
www.town.barnstable.ma.ns
Office: 508-862-4038 ' " Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
C4 ►VI Si I -(VV)44b�- ,as Owner of the subject P=operty
hereby authorize Is Id S to act on my'behalf,
in aIl=ttets relative to work authorized by this building permit application f for.
(Address of Job)
du-
Si9nItLIte of Owner Date -
f
'GYr,✓� �-�
Print Name. s
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the `
reverse side. x
Q:1WPFHXSTORMS\build ng pemit:E m= CMMS.doc
Revised D40215
Town of Barnstable
Regulatory Services v
Richard V.Scab,Director
Building Division
RMNSMME, Tom Perry,Building Commissioner
Fes+ 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax 509-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number stmet village
"HOMEOWN :
name home phone# w mt phone# .
CURRENT MAILING ADDRESS:
city/6own smLe up code
The current exemption for"homeowners"was extended to include owner-opgMied 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.
It DEFINI'ITON 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 Reerformed under the building yermit. (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.
Sigiatmz of Homeowner
Approval ofBuilding 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:\WPFTLES\FORMS\bm7ding permit forms\EXPRESS.doc
Revised 040215
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h Massachusetts Dep'4 trim of P-UbIic;Suety;
Sward ®f guilding kecJa lations Arad Starsda,4E - X s
` LicE'f•15e: CS-105964 a "
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1dAN:V NANIUSHENKO
174 UPPER''COUNTY:ROA—APfi !y s 1-14 :.. -
DENNIS PORT MA 0263! f
M.✓+� - Expiration:
t�t� missJoner 01/0112.018 '
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2/25/20�116r.•.100�:42:06 AM PST (GMT-8) FROM: 100005-T0: -1.5087901414 Page: 2 of 2
s - DATE(MM/DD/YYYY)
.4CORo� CERTIFICATE OF LIABILITY INSURANCE
2/25/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain.policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemen s.
PRODUCER BRYDEN&SULLIVAN INS _ CONTACT
8$FALMOUTH RD PHONE o:FAX
HYANNIS, MA 02601 E-MAIL
+ - ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC 11
INSURERA: LM Insurance Corporation 33600
INSURED - @!SURER B: -
ANDREI YARMALOVICH
DBA BEL ISLAND HOME IMPROVEMENT PISURERC:
204 CINDERELLA TERRACE INSURERD:
MARSTONS MILLS MA 0264$ @ISURERE:
I SU F:
COVERAGES CERTIFICATE NUMBER: 28713782 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.
L TYPE OF rdSURANCE i SR p SUBR POLICY NUMBER POLICY EFF MPOLI LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIM"ADE OCCUR DAMAGE TO RENTFIT-
1 $
MEO EXP(Any one pamm) $ t
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑JJECT LOC PRODUCTS-COMP/OP AGG $
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE 1 $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS Peraccded $
$
UMBRELLA LIAB HOCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
riDED RETENTION a $
A WORKERS COMPENSArION WC5-31 S-384176-026 2t25/2016 2/25/2017 PERTU ER
AND EMPLOYERS'LIABILIT Y Y/N .
ANY PROPRIETORIPARTNERIEXECUTIVE EL.EACH ACCIDENT $ 100000
OFFICERlMEMBER EXCLUOw? a N/A "
(Mandatory m NN) w EL.DISEASE-EA EMPLOYE $ 100000
If yyes,deac(be under
DESCRIPTION OF OPERATIONS bold. - r E.L.DISEASE•POLICY LIMIT $ 500000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aflached If more space is required)
WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA.
This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage.
ANDREI YARMOLOVICH IS COVERED BY THE WORKERS'COMPENSATION POLICY.
. CERTIFICATE HOLDER CANCELLATION
TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1116 RT 28 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
SOUTH YARMOUTH MA 02661
AUTHORIZED REPRESENTATIVE
LM Insurance Corporation
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD.name and logo are registered marks of ACORD
28713782 1-384176 16-17 WC Ashish sorgaonkar 2/25/2016 1:38:27.PM (ESY) .Page.I of 1
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{ Cioc nsume airs f (dVu m s. ,- 10 Park .Plaza - Suite 5170
R 4 Boston, Massachusetts 02116
Home Improvement Contractor Registral
j Registration-
sa Type:
i BELI ISLA
ND
v.
"
Expiration:
IMPROVEME�
IVAN IVANINSHENKO
204 CINDERELLA TER. IV
MARS TONS MILLS, MA 02648 r
Update Address and returi
± SCA 1 0 2OM-05/11 [] Address ❑ Renewal
Bice of Consumer Affairs&Business Regulation License*or registration valid for individual u.
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to
})
Registration:, 1?247t3•-. Type. Office of Consumer Affairs a usimss Reg
10 Park Plaza-Suite 5170
Explratiors:. Tp� S' Supplement Card Boston, 21.16
BEL ISLANDS HOME IMPROVEMENT
j IVAN IVANINSHENKO
204 CINDERELLA TER
MARSTONS MILLS,MA 02648
Undersecretary, of valid out signature
}
Assessor's office '(1st floor): . �i�: yo*THETO
' Assessor's map,and lot number .....� :.-F .... . T........,... ��Q ♦�
Board "of Health (3rd floor): S
Sewage Permit number .............................................. Z BARNSTABLE. T
Engineering Department (3rd floor):. SEPTIC SYSTEM MUST BE 1 o,� °• •`�
M House number ......................... .............................................. INSTALLED IN COMPLIANCE
D pY a
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only WITH TITLE 5
TOWN OF BARni► EAN®
�Ns
BUILDING INSPECTOR
74
APPLICATION FOR PERMIT TO .�Ll� .:. � ...C.r.QC��S.'.!. .. �Q .......................
TYPE OF CONSTRUCTION .��......e!! � .........11e .wje&% .......4
..�,I�. ...................I%P&
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according
to the folowing information:
Location ......�C.. T... ..4J ...&o ... al..��...1...... :... .
Proposed Use ...... /.. . �........v. ... /��.. f.V..US .......................................................
ZoningDistrict r...............:...........................Fire .District .......... . .... .�„.....................................................
iC���l Ile.*Q�. //0!-.,?..'0&dress ��.. r�. ily,0*0.02..Name of Owner .... ••
r S �G f1r11/4!�:. Address/0D.�-�-.�fl?/C1.c.
Name of Builder � .�... ` ..
Name of Architect ../... ` �,�.f�.v .........................Address /✓•/••�.:.' � �? .. lS...........:............,..
Number of Rooms ........
...... ................................:......................Foundation�.�/rd.C�
Exterior /Z...Q'A• ...GU�?f� .G'ee "shy. ./ afing .� Q. .. 1 �,.��......:.....
Floors � ..lw..�ey/� .....lwL�.� C+....... ...L/�;"2 ...........Interior ..../.Z..� � ....45//�4%..rli !'1...............
Heating ,, '!�fI" . ............................../..................Plumbirig C..1 ��....... r...4 i...!'.t...........!....
Fireplace .......4.1012&........................................................Approximate Cost .....<:1, J..00ox
Definitive Plan Approved by Planning Board 19
____a____- - 7---- . Area ...... ................ .............
�
Diagram of Lot and Building-with Dimensions Fee ............... ............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. Name7. ...C.�>&.
aaAcoit...... ..... .. ......
Construction Supervisor's License ..�1..........
"-BARRSTABLE HOLDING CO. A=027-124
y No`...2967.3.... Permit for ...1z...StorY...............
f -
Single Family Dwelling...................... - -
.... _
Lot ��98 23 ► .
Location ....................�........ ... 9.hri..s:.Path"...... ..
...... ..........M................... 5. � C.." F
Barnstabl
Owner e Ho... ..C.o..............
Type of Construction ....kx.amp...........................
•F ..... ........................... .............. ......................... • • ' -. - -
Plot- .'.......................... Lot' .`.............................. a f
Permit Granted .........Nu y.... $p..............19 86 '
Date of Inspection ............................... ....19 s
I` .Date Completed ............ .. .t:19 x
—1 °
, .. ' -
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ry r� - ' 0
I, 1
:- _ _. '__ y . _„ '�. S 1'"S� '" �F � �`ttie f' a , 1 •. .. .. .e. •PR�:..y...'4 4V:...i.:....r..-r.y. -. :,. :, �
1 f
yoFM TOWN OF BARNSTABLE Permit No. .29673
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
..
' ��'tnr►r HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Barns able Holding Co.
Address Lot #98, 23 John's Path
Marstons Hills, 14assachusetts
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 IIN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
m September ... 19 86
. �
Building Inspector
TOWN OF BARNSTABLE
t
BUILDING DEPARTMENT
i RAMIST rAOa TOWN OFFICE BUILDING
' - u
HYANNIS, MASS. 02601
'�to r�r►�
MEMO TO: Town Clerk
FROM: Building Department
DATE: 9--
An Occupancy Permit
nhas
t/been issued for the building, authorized by
Building Permit $k...... C./.,CO .. ........................................_..................._........_.......
issuedto ............................_..................... V!v a ....................... ................ ......._......................_...._....
Please release the performance bond.
X.
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TOWN OF BARNSTABLE, MASSACHUSETTS RMIT
A-027-124
JOB WEATHER CARD
+ DATE July 1�5' 19 "Q PERMIT NO. ;'�
- APPLICANT 29673
Uw11eT ADDRESS Li'J f'4 :�L':.J9nF ; ()ifi0'"bf;
IN0.) (STREET) (CONTR'S LICENSE)
I S , . 1 1.. i NUMBER OF
PERMIT T01111C� ihi't:.li]:11 ( 1� ) STORY .�11.1P',j.f: �'•'1![i:_.i`y LWt1.1_>.L1F�� DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) LOL 98, 23 John's Patti, 1Y�Li3T5COCiu x'lj13u ZONING
DISTRICT—
(NO.)
{ (STREET)
1
i� BETWEEN AND
; (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
4 REMARKS: Sewage #86-562
t
tsc;r ci
{ AREA OR 766 z:;q. 17%. 5z,o o.clo FEEMIT $ 4U.60
! VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
6a.r 'i`.vI:able f1oidi11,
OWNER BUILDING DEPT.
L. F
iUl, 1:I.:u: 1't ilA Sre et, t jc 1..ifIio BY
I ADDRESS
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
j 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 CONDITIONS
I OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. -
I '
j MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED-,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL .,
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. -
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CAR® S® IT IS VISIBLE FR^M STREET.
B NG INSPECT PPROVALS PLUMBING INSPECTION APPROVALS 'ELECTRICAL INSPECTION APPROVALS O
2 1z 2 p
3 0l
3 HEATING !NSP/ECTINZ APPROVALS REFRI-GERATION S TION A.PPROV ALS
i
41 .
wCRK SnAL NCT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSETIONS IIF$ICATED ON THIS CARD/
:NSPECTOR aAS APPROVED THE VARIOUS I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE tHE CAN BE ARRANGED FOR BY TELEPHON2�
STAGES OF CONSTRUCTION. 0C.D111T IC Icc11Cn •C Mr%TPn AnnVF_ OR WRITTEN NOTIFICATION.
r
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Lai 9 9
r
Lof 9 8 �
1-of 97IQ
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324 3 z ,
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a 2 3 ;
!�O Z 8 b6.R°43z.ao V �p op
IZES. Za�� Fcaoa zavc, C.
. FOVNDATtoN CERTIFICATION
-rouiN. MA2S*a,JS M)t1-IS PLAN REF• 9?Z- 97-
DATE 113/P SCALE 1 'D 40' ELEVATION
I HEREBY. CERTIFY THAT THE ABOVE
FOUNDATION I5 LOCATED ON ya,tL�cEE �C SLRVE9
THE GROUND AS SHOWN, AND � iN OF cons(.cLTanrs
ITS P05ITIO/V DOES PAUL moo.
CONFORM TO THE ZONING A ']'p RASPB�Rt2 L�,
LAW SETBACK REQUIREMENT ME141THEW y
32
No. 088 � -
OF ,SA(RNSTAl6 s lea M,ARsToN 5 M )LLS� MA
fCIST1 O z(04&
PAUL A. M&'RZTHF-w R.P.L.S.
I
B rriste s Walk��-/� A �
��k��• .9dS-.RXXf
April 9, 1986
TO: Joseph Daluze
Building Inspector
Town of Barnstable
Town Hall
Hyannis, MA 02601
STATEMENT
Re: Contiguous ownership of the followinfi lots in Plan 272 ,
Page 92, dated May 1 , 1973 "Wakeby Estate in Marstons Mills:
Present Owner: Lots 30, 32 , 34 , 50, 52 , 66; 68 , 76 ,
86 , 97 & 101 - G. Johanna Pol
Date Acquired: February 27 , 1986
Date Recorded: February 27 , 1986
Title Reference: Book 4941 , Page 144 .
Prior Owner: New Advernture Realty Trust Two
Date Acquired: January 31, 1986
Date Recorded: January 31, 1986
Title Reference: Book 4908 , Page 213
Prior Owner: Concetta M. Iafrate
All Lots except Lot 97
Date Acquired:. May 24, 1980
.. Date Recorded: May 29, 1980
Title Reference: Book 3103, Page 163
Lot 97
Date Acquired: October 6 , 1980
Date Recorded: October 6 , 1980
Title Reference: Book 3167 , Page 24
J
7
Present Owner: . Lots 8 , 162 182 20, 222 242 262 282 361 422
44, 46, 54, 56, 58, 602 702 72, 742 80, 82 ,
88 , 902 982 100, 102 , 104, 106 , 108, 110 -
William E. Dacey, Jr.
Date Acquired: February 27 , 1986
Date Recorded: February 27 , 1986
Title Reference: Book 4941 , Page 146
Prior Owner: _ New Adventure Trust Realty Three
Date Acquired: January 31, 1986
Date Recorded: January 31, 1986
.Title Reference: Book 4908 , Page 205
Prior Owner: Joseph P. Ressa
Date Acquired: November 27 , .1979
Date . Recorded: November 28 , 1979
Title Reference: book 3022 , Page 62.
I, John F. Sullivan, Esq.; hereby certify that the above
owners of the aforementioned lots at no time during their owner-
ship contiguously owned other lots in the above mentioned
subdivision.
Resp ctfully submitted,
n F. Sullivan, Esq.
JF$:ne
..4
Y.
11
Assessors office (1st floor):
Assessor's map and lot number .............4... ......Z�.�......, °FINE Tod♦
. ..
Board of Health (3rd floor): 3 t3�- vao vYl e�Q o�
6 - s6 �. S
Sewage, Permit number Z BAHB4TeDLE, t
.:......................................................
IL
Engineering Department (3rd floor): z 3 D Lr 90° rb 9'
.. a\e�a
Housenumber ...... ................................................................. oypr
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only €
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICI►TION FOR PERMIT TO .!/`c .... � ...5. ./ ,� S//; .f C' /G��.!.........................
TYPE VFCONSTRUCTION -li lF'.....�`-.' ` 1l/��....... 1 +^ 1 z.......f...... ................. '�'i'
....... 7 .. /----------------------19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....../�f T„� ',.`/ f�/`J:r..../ f ....�....... 1..,
Proposed Use ......�.:.Z..i ........ ......�% t��,...�_..Z �r.... T.��J:�.F .1.......................................................
. ......... ..
l Zoning District ........................Fire .District �� �
Name of Owner .,...'..:.....t --. Address ..........
,�'�'."�'!� S�f'�f>/�'.��1/_����//`�, :...Address*!Q� �
Name of Builder :............. >....._.............. ....... .. ..
Name of Architect ��'f /r� ��f ....`.../.................Address
f ....... n.... . .. ............................................
Number of Rooms �*I ` �p ...................
"7- .....,.Foundation�'�-.��-l'�..�::. '� �
r
Exterior ...<.>.............�.:.....::.............:... -... ........�...Roofing .. �..�. ....... .... ..��....-.�..............
Floors lyr f7 l� X ( �C`.�t-.!....!f L.f� ..........Interior .. /. .../� 7 �/....... .'� `.�:. .!� ..............
Heating ...........................Plumbin /......., .. f../.. !7`
................
g .........
Fireplace ...... / .........................................................Approximate Cost .... -
Definitive Plan Approved by Planning Board ---------- ------------a----19__7.3 . Area ........... � ............. /�
Diagram of Lot and Building with Dimensions a =
g 9 Fee ........... �i............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I
/r
f
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
i
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. -
t �-�9�'_
Construction Supervisor's License ........, 1.:/..f.. .......
BARNSTABLE HOLDING CO. A=027-124
No .29673..... Permit for Al...S t O.0................
Single Family Dwelling
...........................................................
Location ....Lot 98.,..... ...
23 John. .'. ...s Path. . .........
.... . .... . ...... . . .... . ..
. ........................................................ ...o .
Owner ......Barnst. ...able...Hold...ing..Co. ..
............
.... . ...... ........ .... .. . .
Type of Construction ....Frame
................................................................................
Plot ............................ Lot . ..............................
Permit Granted ........July..18'...............19 86
Ct:te of Inspection ....................................19
Date Completed ..:....................................19
i