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HomeMy WebLinkAbout0112 LEWIS POND ROAD � l�. �,� �is ��n� ��, � 1 '�� ALTERNATIVE WEATHERIZATION o Date: Town of Barnstable Q 200 Main St. .a Hyannis,MA 02601 Re;Permitf 1 K� insulation/weatherjzatibri inrork at — "has:been completed',:inaecordgue with-78:0:C1 :., •,``., Timothy Cabral, President CSL-105454 58 DICKINSON STREET I FALL RIVER,MA 02721 1 (508) 567-4240 ( ALTERNATIVEWEATHERI7ATION®GMAIL.COM . Town of Barnstable Building �Post.;This Card So That rt is?Uis�ble From"thee Street A `'rov"ed Plans,Must be;Retained.on�-Job andthis CardMust;be:Ke` t '' MRNfTPABL4 • s ,� Pp �► '�"� Posted UntilYFinal • ;�2 .,;� l:� .€ ,.,:. ° , ., .�.i. .. ./ '•.. a ,"��,.� � � ,`'1'�- p y+m inod� Where�a Cert�ficate;ofOccupanc „jis;Re u�red,such:Bu�ldm ahall Not be;Oceu 'ied-until a"FinalIns 'ectio�n:has�beenmade ., 1 �j jjjlt Permit NO. B-18-1654 Applicant Name: ALTERNATIVE WEATHERIZATION,INC. .Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/23/2018 Foundation: Location: 112 LEWIS POND ROAD,COTUIT Map/Lot 020-010 Zoning District: RF Sheathing: Owner on Record: HENDRICK DAVID J&PATRICIA A Contractor Namie ALTERNATIVE WEATHERIZATION Framing: 1 ti �£ INC. Address: 112 LEWIS POND RD A 2 T- Contractor'kddnse 17,5683 COTUIT,MA 02635 ��� Chimney: Description: weatherizationEst Protect Cost: $4,137.00 �F Insulation: P,.e rh e'e: $85.00 Project Review Req: r Fee Pala: $85.00 Final: Date 5/23/2018 Plumbing/Gas Rough Plumbing: <Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved apph anon and the approved construction docume's for whK thfis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shallbe incompliance with the local zomngby laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be•mamtained open for public Inspection for the entire duration of the Electrical work until the completion of the same. h r 'r ` Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Esuildingiand re Officials are proud doe"this permit. Minimum .of Five Call Inspections Required for AlAll Construction Work: :. . .� . . Rough: 1.Foundation or Footing Final' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: jl Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT b Application number .............................. D. B(�IL II�G.OE_PT - ate lssued........ non ectors Initials.......... ........................ MAY 2 3 2018 TOWN OF BARNS TABLE Parcel2018 I .... TOWN OF BARNS f C� EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /la2- NUMBE /STREET VIT:L AGE Owner's Name: �Q 19V �t�c�/'i Ulm Phone Number s 797 ^off 3 94 Email Address:iWtA @ m&jl Cell Phone Number Project cost$ 7- Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 0 CMR Owner Signature: Date: TYPE OF WORK E Siding F-TWindows(no header change)-:# Insulation/Weatherization © Doors (no header change)# Commercial Doors require an inspector's review 0' Roof(not applying more than 1 layer f shingles) ,, ) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name h'J� 0' L � k-bvvp— Home Improvement Contractors Registration(if applicable)#/7J^(- 0�.� ' _} (attach copy) C Construction Supervisor's License# j"� (attach copy) � Email of Contractor �-f�. Phone number)y 0,p ',JZ ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am--9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CAM the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APRtI 'S SIGNATURE Signature Date 6Z?1z-9 All permit applications are subject to a building official's approval prior to issuance. Town of Barnstable Al y 40 ,,� 3 Regulatory Services «_ BAMSTAB E, Richard V. Scali,Director y INIASS: °o' � 3�.- •$� Building Division ArEo M .t a, Paul Roma Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, DAVID J HENDRICK as Owner of the subject property hereby authorize A( �-fiv f zoq-h�,— to act on my behalf, in all matters relative to work authorized by this building permit application for: 112 Lewis Pond Road Cotuit, MA 02635 (Address of Job) l Signature of OW Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\lNetCache\Content.0utlook\L7U69LF2\EXPRESS(2).doc 01/25/17 I The Commonwealth of Massachusetts , _ Department of Industrial Accidents I Congress Street, Suite 100 . Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auulicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): I.❑✓ I am a employer with 16 employees(full and/or part-time).* 7• ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8, ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance3 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY. Policy#or Self-ins./Lic.#:08849257 00 Expiration Date:4/4/19 Job Site Address: �� City/State/Zip: -- / the policy n Attach a copy of the workers'compensation policy declaration page(showingumber and a iration date). Failure to secure coverage as required under MGL c. 152,.§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify under tl a pains and pen es of jury that the information provided above is true and correct. Si nature: Date: pt7 Phone#:508-567-42 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r ALTEWEA-01 S E HA AC'C>LY DATEIMMrp MYY) ' CERTIFICATE OF LIABILITY IN$U:RANCE 0312312018 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. ! i IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be-endorsed. If SUBROGATION 1S 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 ACT Christine Costa !Mason&Mason Insurance Agency,Inc. PHONE pAx 458 South Ave. AID,Na,Ext):(781)447-5531 c,NoI:(781)447-7230 !Whitman,MA 02382 ccos#at6Dmasoninsure.com ! INSURE S AFFORDING COVERAGE NA{C S I j INSURER A:Evanston Insurance Co. 36378 INsuREo INSURER a:Safety indemnity _13361 Alternative Weatherization,Inc. !INSURERc:Star..Insurance Company _ 119023 2 Lark Street INSURER o: Fall River,MA 02721 ! !INSURER E j INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. i INSR r. ..._ - ADDL)SUBR POLICY EFF POLICY ExP i TYPE of INSURANCE INr�D i y8D POLICY NUMBER j��MlDDty , i {�y COYN- Y3 I LIMITS A i X 'COMMERCIAL GENERAL LIABILITY 1,000,000f EACH OCCURRENCE (S ` j------)-- I , _ CLAWS-MAD OCCUR X ' X 3C42088 ! 0810712017 O610T/2015 i PRREEM SES EaE��nncai_ 5 100,000j MED EXP one '$ 5,000; PERSONAL&ADV INJURY .__....._......._. $ 1,000,i100 1 GENL AGGREGATE LIMIT APPLIES PER j GENERAL AGGREGATE 5 2,000,000j �. f PRODUCTS-COMPtOPAGLi b 2000,000 X ?POLICY -.._i dECT _._.....L� j , aOTHER, j $ AUTOMOBILE LIABILITY j ! 1 ;COMaIh'dEmSiNuLELIMiT S 1,000,000' y ANY Aura _ X j 6237702 041081201811 04108/2019 BODILY INJURY(Per person) S �0pp ONLY j X AUp7�0pSU�fiLyED i 130DILYINJURY(PerattinanE $ X ?AUTOS ONLY r X I AUTOS&LD!Y. I j ?eaPfEAMAGE 5 i 5 A UMBRELLA LIAe I X occuR ' j ' 1,000,000 _ EACH OCCURRENCE S j i X ;EXCESS LIAB j CLAIMS-MADE i X X ;XOBW7126517 ?06107/2017 Ofi10712018 AGGREGATE j 1,0001000i DEC I RETENTIONS i C WORKERS COMPENSATION j � I I X .PER ! 1 OTH. j AND EMPLOYERS'LIABILITY 1 STATUTE ER Y/N j WC0849267 0410412018�0410412019; I 600.6,0011, I ANY PROPRIETORiPARTNER/EXECUTiVE { I ,E.L.EACH ACCIDENT 5 _ OFFiCERfM MBFFR EXCLUDED? , N j I.NIA. I (Mandatary i^tJ ) E.L.DISEASE-EA EMPLOYEE 5�— if yes,oesmoe uncer i DESCRIPTION OF OPERATIONS oeiaw 'E.L.DISEASE-POLICY LIMIT S 5 0010001 I � E j 3 i t i 3 , i 1 I 3 I i j i 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101,Additional Ramarks Schedule,rrmy be attached if more space is required) 1 ;Action Inc.and NGRID USA,its direct and Indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary& ;Noncontributory basis per the terns and conditions of form CG2001(04113),for Ongoing Operations per the terms and conditions of form CG2010(04113),for ;Completed Operations per the terns and conditions of form CG2037(04113)and Waiver of Subrogation applies per the terms and conditions of form WEGL0241-01(04-11). a Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02116). i :Excess Liability is a following form. j i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROI/ISIONS. 40 Sylvan Road i Waltham,MA 02451 — 1 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) C1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD y J k � _ ori�trt�or�S1ii 'tYfssrr -�; � r� �w p� . 4 401 I Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma, ihusetts 02116 Home Improveme, ��ntractor Registration r p Type: Corporation, r Registration: 175683 m ALTERNATIVE 1NEATHERIZATION, INC, Expiration: 05J2812019 2 LARK ST FALL RIVER,MA 02721 . `.. r, Update Address and return card. hard. Mark reason for change, ..__ ,. ....._��...,.._ :A£idr �Pt�s .nwa1_ 1=�x,�, writ f�l Los .J>rr.� ri%l iil C0�If.IL�..LIfi�JliG'f` .. .V.......,.Y...... Office at Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Conoorzionbefore the expiration date. If found return to: Reanstration OtRrae of Consumes'Affairs and Business Regulation uA. 1756W 05/28/2019 10 Park Plaza-Suite 6170 ALTERNATIVE WEATf 3ER12ACION,INC. n,MA 02116 y ' . TIMOTHYCABRAL 2 LARK ST FALL RIVER,MA 02721 Undersecretary Ot V C S3 >�urL' ewes voj(, r V�� NA i THE HANOVER INSURANCE COMPANY NOTICE OF CANCELLATION Town of Barnstable Public Works Department Highway Division 382 Falmouth Road Hyannis, MA 02601 May 1, 2007 Bond No. BLN-1704369 WHEREAS, on or about the l lth day of May --- -, 2005_ THE HANOVER INSURANCE COMPANY, as Surety, executed its bond in the penalty of One thousand one hundred 00/100---------------------------------- Dollars ($1,100.00) on behalf of David Hendrick of 112 Lewis Pond Road Cotuit MA 02635 as Principal, in favor of Town of Barnstable as obligee (Nature of Risk Street Permit Bond), and WHEREAS, said bond, by its terms, provides that the said Surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its liability in accordance with the provisions thereof. NOW, THEREFORE, be it known that THE HANOVER INSURANCE COMPANY shall at the expiration of 10 days after receipt of this notice be released from all liability by reason of any default committed thereafter by the said Principal. Signed and sealed this lst day of .May 1 , 2007 THE HANOVER INSURANCE"COMPANY ` Melissa Kerswell, Attorney-m-Fact Reason: Per Agent's Request J<A y3 cc: David Hendrick cc: The Fair Ins. Agency, Inc. (32-01618) Assessor's offioe (1st floor): F T Assessor's map and lot. number .... !�P....�..... /� Cam"' �o�TNE. o� Board of Health (3rd floor):""""` �G r1 Sewage Permit number ...... 7 ................... `f.,.�.. ..-...���............ Z 33ASd9T11DLE, • Engineering Department (3rd floor): Y4°a House number 4t '63q. ♦� APPLICATIONS PROCESSED 8:30"-9:30. A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ....... ............................................... .................................................. TYPE OF CONSTRUCTION ..........WOP ............ .:. PrV .!'!.e...:....................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....j* L. �an)j� �� C'oTv... ............................................................................ ProposedUse ..... ...... 'RL ........ `S,I, eL ...........+..................................................................... Zoning District ............... .. ...............................................Fire District .....l�oTv.t. .................................................. Name of Owner P.t .V.....T....... k-..........Address � � "19ij�pee- S o;o? .. . . ... .. Nameof Builder ...7f1ty!,ii!...................................................Address .................................................................................... ``. po 5�.�e�; �4 v-� ss Name of Architect ��F12��......C-�:. . `�.........................Address .................................i........�...................................... Number of Rooms g .........................Foundation ......P l , Exley for ..... -A p/.5�!.. l Q .................................Roofing ....... �G/ ........ .............................................. Floors ......��o� ��'�� Interior � =—........................................................ ................................................................... Heatng .......: :.....................'...;.::..Plumbing= ...:.... . ' ................................. Fireplace ......../!�5 `f)..............................................Approximate Cost ..... �d pd0 ............................................ ..... Definitive Plan Approved by Planning Board ________________________________19________ . Area ........................................... Diagram of Lot and Building with Dimensions Fee ..........................:.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name' Construction Supervisor's License .................................... HENDRICK, DAVID J. A=20-10 t � - 2 31573 Two Story No ................. Permit for .................................... r Single Family Dwelling Location ......112. . ....Lewis. . ....Pond. ...Road.. .. . .... .. .... .... ..... ....... ........... Cotuit .....................................................................I......... Owner David J. Handrick .................................................................. Type of Construction Frame.................... ..;............................................I.............................. Plot ............................ Lot ................................ Permit Granted .....January...U.,......19 88 , Date of Inspection ....................................19 j Date Completed ......................................19 a ti -;�4�a rm . A�essor's%offioe (1st floor): �A // � aG" AYSTEM MUD P tNE Assesaor's map and lot number ....1"Y........... ............... 3 �Lk Board of Health (3rd floor): Sewage Permit number ......5 .?,..7?3............................ .. . t,, m t 13AUSTAILL. �W10EN AL CODE AV.,;, � rasa Engit eermg Department (3rd floor): �� �( ),&N REGULATIONS oo,,�,b39.a House number ................................P..... .. .......... ` o Apr 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 ......1,.?..V.�. ......................... -� „ .... ..... . ................. .. .. TYPE OF CONSTRUCTION ..........V,)Z3D ............ }^ ................................. ....... ............................ ........ ..��. ... . .......................19 .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... Lew\5 "Polo`D �� ! PC 1 6.!. ............................................................................ .................................................................. ............ Proposed Use s ,.► .1.4°...... ►` '!'��. ........ s,,.4.eL ............... .............................................................. Zoning District ..............................................Fire District ...... t �...........................(.�.................................. Name of Owner � ...... C\V............Address ..QR.k.....1: .... 1��� �... ►')�� d S ......................... Nameof Builder ... F!^'!.l'...................................................Address .................................................................................... Name of Architect .. .......6tP�:..:.....................Address ....�Jcti.Je�a� c�..`...�f�SS ....................................... Number of Rooms ..........�...................................................Foundation .......1...........G......................................................... Exlerior ..... �ti6 }� ...Roofing ......,f �� la................. Floors ..... I .Interior .....�9 !�-..�e... . Heating ...... .... .//.''. )) �...I... g ...........��/T ............................ fir/..........0�� Plumbing Z Fireplace ......../ems......... )...............................................Approximate Cost ..... d j pOo.......................I........ .......:. . Definitive Plan Approved by Planning Board ________________________________19________ . Area ...............I.........f........ �L , Diagram of Lot and Building with Dimensions Fee ........ .................................... ��BJECT TO APPROVAL OF BOARD OF HEALTH II V6D i I l `b OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam .. .�..... ...... .... ..... ................. Construction Supervisor's License .................................... HENDRICK, DAVID J. Nd",...315.73. Permit for ...Two...Stary.......... Single...F=ily....Dwelling......... Location .J.12...L.eXi,5..Pomd...Rjoad............ Cotuit ............................................................................... Owner D.avid. ...J......Handrick. . . ................. -~ .. ....... .. .. . .. ....... .... ..... Frame Type of Construction .......................................... - � ........ .`...i...... . ................. ................................. Lot Plot ............................ ................................ Permit Granted .....January.„ 8 8 `7- .. J Date of Inspection ... ... 19 ..........19 Date Comple ...... {R Y w �A F i Y .. TOWN OF BAUSTABLE BUILDING DEPARTMENT 1h i 4 HOMEOWNER LICENSE.,;EXEMPTION leas print 1. I 0 T " ( $ J d a JOB LOCATION�� �o �� ��j• ,1 x, um e r treet a ress ection._O , town "NOM�OWNER" t Q ome" one o P r pone PREENT MAILLNG ADDRESS ti Su r i ow11L;� ->� II 11 „ r The current exemption for !homeowners was extended to °include 0 'dr .occupi.e '. dwelrli`ngs of: six t n�ts.;or ess: an o'allow such 'homeow0.ers .to engage .an..in rvi ua ;i for;hire who:does. not possess a license; provided"that`the owner acts as 'supervisor. (State Building Code Section .,777 'DEFINITION OF HOMEOWNER: Persons) who owns a parcel. of land on which he/she resides or intends to re- -on.which there is or 'is intended to be; a one to six family dwelling, >attached.or. detached structures .accessory to such use and/or'farm structures. ;A persori`wh0 constructs more than one home` in a two-year period shall not be. considered;`a homeowner. Such "homeowner" shalI submit to the Building official', on a form acceptable to the BuildingOfficial, that he/she shall be responsible zfor. all such work performed under the building permi ection , IThe'undersigned "homeowner". assumes responsibility for compliance with the State Building_Code and other applicable codes, by-laws, rules. and regulations. ,The undersigned "homeowner" certifies that he/she understands the Town of BnstableBuilding Department. h�inimum inspection procedures and requirements ►and that`he/she will comply with. said procedures and requirements:i. HOMEOWNER'S SIGNATURE . APPROVAL OF BUILDING OFFICIAL " Note; Three family dwellings 35,000 cubic feet,`orslarger, will be required to Comply .with State Building Code Section 127.0, Construction Control. a 8 lJ _ i 5t HOME. OWNER'S :EXEMRTION The Code stat 1 e.,., . that: Any Home Owner Performing e' w p rmlt Is required shall be exempt from gheork, ,far which a 'building (Sectlon'1O9.1 •T - Licensing of Construction Su erv�provlsons of this section Home: p s Owner ,engages a person(s) for hire to do such, woroks.)� h.at�suchtlHometOwner shalt act as supe.rvisor. '�. Many.,.Home. Owners who Use this exemption are unaware that they are the respons'ibil'itles - Of a supervisor (see Appendix Q, Rules and Re assuming. ;for. Licensing Construction Supervisors, Sectlon 2.15). ;. ThIs_ lack of aw r g. a Ions often;resuI.ts_ In serious.-problems, a eness Unlicensed particularly when the `Home Owner hires person§. In' this case our Board cannot proceed agaIhst :the unlicensed person as It would with a s - � licensed sed sor. `Ow ery Supervi tier acti, r n��s ..mayresponsible• To ensure that the 'Home. Owner is fully aware off hls�her res 'on communittes require, as part of the Permst a Ilcation, p stbillIles. , many certify that he/she..understands the responslblllttes: of 'a supervisorhat. t ome Owner last�page :of this Issue is a form currently used by several towns. On the care to amend and atlopt such a form/certifl.cation for use in"your community. e i A 0 �' • TERRY J� DUNNING TERRY COUNSELLORS AT LAW September 2 , 1986 Mr . Joseph DaLuz . Building Inspector Town of Barnstable Barnstable , MA 02630 RE: Lot 5A Lewis Pond Road , Barnstable (Cotuit ) , MA Dear Mr .� DaLuz : The above-referenced lot is shown on a subdivision plan dated June 8 , 1960 recorded in Plan Book 162 Page 85 , and Lot 5A contains 26 , 200 square feet according to said Plan . This letter will confirm that according to our title lot 5A has not been owned ou conti usl with lot contiguously s on either side of it (Lot 4 and Lot 6A) since February 9 , 1965 through the present time . Please call if you have any questions . Very truly yours , TERRY , DUNNING & TERRY BY Elizabeth A . McNichols EAM/pb ROUTE 28 •P.Q.BOX 560 •MASHPEE,MASSACHUSETTS 02649 •TEL. (617)428-8000 •TEL..(617)255,0816 MICHAEL A. DUNNING / RICHARD L. TERRY / ROBERT E. TERRY KEVIN M. KIRRANE/ELIZABETH A. McN1CHOLS/ PAMELA E. TERRY I..�. ...+r�w,�+s�k�.s^v..e_�:.y„Y'�r�4Mi"��F�..rww.-.�.�r� ......;.-....r.1F!R'r�..�� r'°.M4S4•,1W,.f;N '°�+F�r�'r,w�..�pi. ,u�fq....nr. � ,..... �..� + �. �"'SF ,. < nr'a'R y ,FT�E TOWN OF BARNSTABLE 31573 Permit. No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash „;,,,,,,,,,,,,, � •6Sq. •l�OUY� HYANNIS.MASS.02601 Bond .x CERTIFICATE OF USE AND OCCUPANCY Issued to DAVID J. .HENDRICK Addrdss 112 Lewis Pond Road, Cotuit 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. June 30 88 // ............................. 19................. ..........�........'.............. Building Inspector F' TOWN OF BARNSTABLE BUILDING DEPARTMENT S 11ARISTAIM um r TOWN OFFICE BUILDING • 1659' HYANNIS, MASS. 02601 �o r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: ��//9 e le- An Occupancy Permit has been issued for the building authorized by Building Permit .................... . ............................... f—/j4'4/LV/ issuedto ................... ................... .�.../ ..................................................................... .................................................. U Please release the performance bond. i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^ C DATA TOA-20-10 WN OF BARNSTABLE, MASSACHUSETTS ����� PERMIT" { DATE 19 {tbi �D/e APPLICANT, U!7"t=E --_ PERMIT Nan n ADDRESS U-tdi,l', INOJ (STREET) 2 � ICONT R'S LICENSE) PERMIT TO ;Su:iic ci'. �J.i.�.nk; '; =) STORY i.i`:._: C',vu11 in NUMBER OF I (TYPE OF IMPROVEMENT) Np, -� DWELLING UNITS (PROPOSED USE) AT (LOCATION) ?.:.r' L.tc',vif; Pi:i)i +C ;•a_:, (, ( ZONING N0.) (STREET) DISTRICT BETWEEN (CROSS STREET) AND ' (CROSS STREET) SUBDIVISION LOT 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_- EASEMENT WALLS OR FOUNDATION: - REMARKS: (TYPE) AREA OR ,.i. :.. VOLUME •' - r'JU.� PERMIT (CUBIC/SQUARE FEET) '--' ESTIMATED C057 FEE OWNER J.'.,I ..�._.... ADDRESS - " " BUILDING DEPT. THIS PERMIT CONVEYS NO RIGHT TO OCCJPY ANY STREET, ALLEY OR SIDEWALK OR AN" PART THEREOF. EITHER TE PERMANENTLY,,'ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED® PROVED BY .THE JURISDICTION. STREET CR ALLEY GRADES AS WELL AS DEPTH.AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED, D UNDER THE BUILDING CODE, MUST BE AP- FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE.APPLICANT FROM THE COND17!OYS. OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF -THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON J08ANiO THIS WHERE,APPLICABLE SEPARATE 1urJ ALL ''CINSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HA,BEEN CI A'A FO Ut\'DA710N5 OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS Rr'_ PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 2.'PR10�TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIE[ UNTIL MECHANICAL INSTALLATIONS E 4'S -A_T yr- I _ 3boINA� i'JSPECTION BEF'occu .iRE I INAF'INSPFCTl'GN HAS BEEN MACE. —_.,, !•1 — .-- — --+---"""' _ POST THIS CARD SO IT IS VISIBLE '�R BUILDIf O� STREET dGl EET INSP ECTION PROVALS - - PLUMBWG INSPECTION APPROVALS _ ELECTRICAL INSPECTION APPROVALS( r3 �' 2q • 2 T7 Jr 2 HEATING INSPECTION APPROVALS E INEERING RTMENT 1 _ 7 OTHER BOARD OF HEALTH G �pr .VO.RK SHALL NOT PROCEED UNTIL THE INSPEC- I PERMIT 'W! LL BECOME NULL AND VOID !F CONS •RU'CTION `iOR HAS APPROVED THE VARIODUS STAGES OF ORK IS NOT STARTED WITHIN SI,', MONTHS OF.D,•TE THE INSPECTIONS INDICATED ON THIS CARD CAN BE -ONSTRUCTION. r°ERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. I ' i i tDWARD S . NOWAK s v rn ADELA C. NOWAK Town _ Conservation Land I -o I 0 2 a- / I Q e e of _ . 25 I 20 1 _ , 2 2.9 _ o 26 o a I f I G R I I certify that the building 28 is located in Flood Plain Zone ` ce 4 Insurance 3 C as shown on FloodI �C.O T _ 5q 1 15 000 00 O': 25 B t Panel N -/ _ ' Rate Ma Community N 26 200 S. F. .and that Flood Plain Zone C d- _ ?' om N / d �- _ is not a -special `'Flood Hazar Area. CON2__ N L 0 oco 1� _. LOT .. �. 3 na L---- N _ s io _ _ 0 e ro s OOGoI e is er H 20 Date ' __ , -- 6' — _ tl a;n. ,x6 - ( e d e ` ' _ Land' Surveyor I6 v ; 3 � , EACH F p , @ LEACHING IT _ — , f t _ o stone. 38 a _ �38 i DI T.JO X 9 �.' � --T— _ _ RESERVE a � 6 \ 40 42 Ipo _a— - .: ; 40 I certify that the house Icij TA K 32 -42 ated on the - lot as shown . t_ .., . �. ., ., is loc � 22 1 W . . ,` and that its location conforms _, deck � deck i f to the minimun setback requirements . , -44 15 Test ----- — i Bylaw, Ho of he Barnstable-Zoning k r Test r _ara e I / £ _ — HolCONCe L . ..., 46 N 44.5 48.5 , -. . �- !� i I / 14 �` FOUNDATION 17.0 Date egis ere ro esszona i 24' v- Land Surveyor 4o — 38 >,II I �7. 47. � 48 I /26/88 Add Certifications catlons and House Dimensions lit w 10/28/87 Revised House and Grading lit Retaining. (' � 9 1 I all .I _ DATE _ DESCRIPTION Drawn Checked •; R E V I S I O N S NOT 'E S N c old road line ti -' \ f 9 12"siak �� 9 7 \� a.a PLOT PLANPLAN1 . ZONING DISTRICT: R F . # 46 FLOOD HAZARD ZONE: C . 7.6 Pole s 2 OF PROPOSED SEWAGE DISPOSAL SYSTEM • F PARED FOR _` \, =— PRE ASSESSORS MAP NO . : 20 . 10 . -0- � R 0 I R g A D ' 4 HOUSE NO.. 112 F -MIMI PROPERTIES o T o out ' 5 . THE NORTH ARROW IS DERIVED FROM RECORD PLANS W �967 own L y L EOAD USED 40 w rde FOR LOT 5 A LEWISLEWI S .POND I OR DEEDS . ,THE " NORTH ARROW SHALL : NOT BE �-- L HEATING PURPOSES . IN I FOR ORIENTATION FOR SOLAR _.--_--- `� �! K PAGE `85 . p /n� IV T RL E MASS . , � 6 . REFERENCE. PLAN BOOK 162 _..- COTUIT ' L7 H S � , GROUND � �� 'A UAL ON THE �� 7 . CONTOURS AND ELEVATION FROM CT - - SCALE. 1 30 DATE: � NOV. 24 , 1986 INSTRUMENT SURVEY :'BASED ON AN ASSIGNED ELEVATION BENCH MARK Spike in oak tree C holmes and me rath, in � Ei.-49.10(assigned) � v S civil i 1 engineers and land sur eyor I 9 . , 200 .main- street . , falmouth, ma . 02540 S. CHECKED.. .,... DRAWN., R.S a JOB N0 .$6320 DWG .N0.41,2 14 SHEET 1 OF1 i