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HomeMy WebLinkAbout0146 LITTLE RIVER ROAD { 1. � s Town of Barnstable Building ui ing r Post This Card So That rt iS.Visible From the StreetApproved Plans Must be Retained on Joband this Card MustSAM be Kept Posted Until Final'Inspection Has Been Made Permit _ r c llj R Where a Certificate of Occupancy is Required;such Buildingshall Not be Occupied until a Fi I!Inspection has.',, Permit No. B-19-3971 Applicant Name: Keith Petipas Approvals Date Issued: 12/13/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/13/2020 Foundation: Residential Map/Lot: 054-024-005 Zoning District: RF Sheathing: Location: 146 LITTLE RIVER ROAD,COTUIT �= Contractor::Name::'* ,KEITH William PETIPAS Framing: 1 Owner on Record: BAKER,CLIFFORD E TR Contractor License: CS-082869 2 Address: 120 BRICK MILL ROAD ' Est PrcoiLt Cost: $65,000.00 Chimney: BEDFORD, NH 03110 Permit Fee: $381.50 Insulation: Description: Kitchen: remove old kitchen and replace with new`cabinets& , Fee Paid,F $381.50 appliances,sink,install &vent a hood,add some lights,replace a window(from 2 to 1 window wide). Half bath new'cabinetry & Da 12/13/2019 Final: sink,flooring,toilet. Master bath: replace flooring; new,tiled shower, new tub, new cabinetry&sinks, new toilet. Basement: Plumbing/Gas Frame in a workout room and add electric. Garage=cover_:ceiling ((( Rough Plumbing: with sheetrock, replace exisitng lighting with LED;add some - Building Official lighting, fi Final Plumbing: Rough Gas: a ` Final Gas: Electrical Service: Rough: Final Low Voltage Rough: Low Voltage Final- Health Final: Project Review Req: BASEMENT"WORKOUT" ROOM IS NOT TO BE USED FOR Fire Department SLEEPING. O Final BASEMENT MUST BE 2015 IECC COMPLIANT. cJ CV -Q" t • Town of Barnstable Building Post This Card So That rt is 1hs�ble.,'From the;Street Approved Plans Must be'Retamed on;Job and,this:CardMust be Kept DAlL�1S4`ABLF € '. a3 `� 'Posted,Until Final Inspection Has Been Made � � � s � �� • s Where a Certificate"of Occupancy is Required,such Building shall Not be Occupied until a Final Inspeci�on has been made ey+m l mit Permit NO. B-19-88 Applicant Name: Roland Langevin Approvals Date Issued: 01/1S/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/15/2019 Foundation: Location: 146 LITTLE RIVER ROAD,COTUIT Map/Lot 054 024 OOS Zoning District: RF Sheathing: Owner on Record: BAKER,CLIFFORD E TR A Contractor Name ROLAND LANGEVIN Framing: 1 Address: 120 BRICK MILL ROAD Co trator Li e se CS 103861 2 BEDFORD NH 03110 � �' � i q EstE Project Cost: $5,458.00 Chimney: Description: Air Sealing,weather stripping and door kit, rigid i kneewall, � Perrnit Fee: $85.00 cellulose in attic,vent chutes,thermadome, r7738 damming;bath = Insulation: exhaust Fe Paid ` $85.00 �" xt Dates 1/15/2019 Final: Project Review Req: Signed installers certificate required to.close � �� � [� C�7J��lV\ Plumbing/Gas ? � 2 Rough Plumbing: RIx k ' Building Official Final Plumbing: k Rough Gas: This permit shall be deemed abandoned and invalid unless the work au horized by the permit is commenced within si�months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documentforwhich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local' ng by I ' and codes. Electrical This permit shall be displayed in a location clearly visible from access street(i road andzshall be maintained open for public�nspection for the entire duration of the Service: work until the completion of the same. , The Certificate of Occupancy will not be issued until all applicable signatures by the Building antl.Fire OfficialsaoRre provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 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 Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Town of Barnstable Building : ww. ,Post This Card So-.That it:is.Visible Fromthe Street; A proved Plans;Must;'b•e Retained on--Job and thi, Card MustbbeKe t,� �n�v3rAsts p m i. u p ,i o lnp p.^. „oi lFirk�`�.So.x(9 r." :.di�'ht hYB1lYr.r inu4l rw�V�pYY i!UAiirnliaflli DgifMirrtt4�(.. ;tmn ANY .� i.ip rin�+;pY p.ilimNfu.�i,nS.i. Yi YOU ,I t-,.!u�ii ,u!. '.::W.4. r wuwfWuwwlw rWw .,w_.y 4d411, .' .wu, aya fib.. u 4 .,e ,...:-. °""� PostedlUntU Final:Insp,ection Has BeenaMade: _�"' .'F � `-�r= �` '°� �w•�� ` �� �=n;x �" "" �'�� ��"�~' � l639%!1� -.aza c �,^.:�r<�e, ""s.u .e,�z`'�&. a T" ,,� �,-'.�: a.� s. ''a.._ ', c�_u`"i: g. .tw s w?.P � �•�"� � ^�:.'t'"r'�► Where a Certificate of.„Occu anc aisrRequired,,such'Bu : r , „ . Permit Permit NO. B-18-2277 Applicant Name: ROOFING AND SIDING OF CAPE COD, LLC. Approvals Date Issued: 07/18/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/18/2019 Foundation: Location:. 146 LITTLE RIVER ROAD,COTUIT Map/Lot: 054-024-005 Zoning District: RF Sheathing: Owner on Record:, BAKER,CLIFFORD E TIR Contractor Name: DZM[TRY LABKOVICH Framing: 1 Address: 120 BRICK IVlI1L ROAD . Contractor License 'CS•102600 2 BEDFORD,NH 03110 Est Project Cost: $3,980.00 Chimney: I 7 Description: Re-Roof i ZU,a Perrnrt-Feb: $35.00 " Insulation: Project Review Re , . � ,Fee Paid." $35.00 1 q / Final: u Date 7/18/2018 k Plumbing/Gas A Rough Plumbing: Building Official _ Final Plumbing: on This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixe months after issuance. Rough Gas: a - All work authorized by this permit shall conform to the approved appljcation'and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this$ermit. Service: Minimum of Five Call Inspections Required for All Construction Work: a< a ;i� r x 1.Foundation or Footing Rough: '.' g 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. rY'" 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" (asset forth in MGLc.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 2�fr Application number 1 DateIssued................................................................. 1 � A � y. ��, ' Building Inspectors Initials......................... ............ Map/Parcel........1a1/ ...1/ .. � . V&-Y4N- OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: i�6 b46_ ­R(Vtk CON,- (�� �pn ER � STREET VILLAGE q Owner's Name: I�C;YIi �CLkq . Phone Number Email Address: G&L I Z Q) mvao ,(j,%N Cell Phone Number Project cost $ 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 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding 0 Windows (no header change)# 0 Iniulation/Weatherization 0 Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than 1 layer f shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Tk Vl Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# 1 O Z 600 (attach copy) Email of Contractor kS'oc� �qm0o 1'`" Phone number 360-2 T r 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. APPLICATION NUMBER .........................................................:.. *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 CMR 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 APPLICANT'S SIGNATURE Signature Date C6 le All permit applications are subject to a building official's approval prior to issuance. _ The Commonwealth of Massachusetts ty Department of Industrial Accidents Office of Investigations 600.Washington Street Boston,MA 02111, www mass.gov/dia Workers' Compensation Insurance Affidavit-Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLdblv / Name (Business/Organization/Individual): Address: I,�G�S CAWFlo City/State/Zip: Phone#: � Are you an employer?Chec he appropriate box: Type of project(required):. 1(r I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h' $ 9. ❑Building addition [No workers' comp.insurance 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 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �-� Insurance Company Name: Policy#or Self-ins.Lic.#: ,wc 1,;�g V7 Expiration Date: F y Job Site Address: f R(V-" RiV City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as-civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under a aims andpenalties ofperjury that the information provided a ove is true and correct - - 7 �f Si mature: Date: Phone#: IMY- 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to`operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their . self-insurance license number on the appropriate line. ' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 - www.mass.gov/dia I� ' �anrrriznazraen,�C�ny�l�c�J:»c�rceelli Office of Consumer tiffairs&Business Regulation j HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 170787 :7 12/18/2019 10 Park Plaza-Suite 5170 ROOFING AND SIDING OF CAPE COD,LLC. Boston,MA 02116 DZMITRY LABKOVICH ' • ;.F CG��. j 68 WINSLOW GRAY RD W.YARMOUTH,MA 02673 Not Valid witho6i signature Undersecretary OFMassachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102600 Construction Supervisor DZMITRY LABKOVICH 68 WINSLOW GRAY RD )i:I,. "�� WEST YARMOUTH MA�02673 �r�ti`— Expiration: Commissio er, 03/27/2019 ` ( Hoofing and Siwvj of 'Crape Cod,LLL BBB 68 Winslow Gray Rd West Yarmouth, MA 02673 508-360-2749 e-mail. rsoccgyahoo.com rocs fin andsidingofcapecod.coni HIC REG #170787; LIC # 102600 Job Address: Name: Clifford Baker Town: Address: 146 Little River Rd Job Phone: 781-789-2977 City: Cotuit Other Phone: State: MA E-mail: ceb_12@yahoo.com ZIP: 02635 Estimator: Dmitry Labkovich 07/07/18 We hereby submit specifications and estimates to furnish and install new roofing as follows: l. Strip existing roofing and remove debris. Calculated (l layer). 2. All gutters will be cleaned out, grounds cleaned up and nails extracted with magnets. We utilize magnets so as to minimize your exposure to personal injure and/or property damage from nails left behind at the job site. 3. After removal of roof, wood deck will be inspected for splitting, rot or other deterioration. Owner will be advised of need for wood replacement prior to commencement of wood replacement work. 4. Along all eaves of house. Ice & Water Shield waterproofing underlayment (36 " wide) will be directly adhered to the wood deck. Waterproofing underlayment is installed to eaves to.protect against interior leakage and subsequent damage from wind-driven rain, ice and snow dams,and freeze back conditions. (BAN` Timberline, with Lifie-Titpe Warranty Labor and Materials- $3,980.00(Garage) yacceptahle, initial here ____ Color: Weathered Wood S% DISCOUNT if paying with check or cash. ASK ABOUT OUR FINANCING OPTIONS!; 'Subject to credit spprmal. :lsk for detaits. Job is estimated to commence approximately ._ _3_ ►►eeks after deposit received unless otherwise noted here: Work is scheduled to be substantially completed in approximatel%: days If acceptable, (both) initial here: Start and completion times are approximate and subject to change due to. but not limited to, the following circumstances:weather delays,additional work on previous jobs,permitting delays.etc. This is the entire agreement. Any discussions or verbal agreements are superseded by this agreement. Such agreements,even those of the smallest nature,must be in writing to be recognized. Any work above and beyond the specifications outlined in this proposal will be priced on request. Ml additional work. including travel time and lumberyard runs. will be subject to extra charge. In the event of rot repairs. roof repairs or any related work requiring immediate attention, we will proceed without customer approval. We look forward to working with you;please call if you have any questions. Sincerely, ROOFING AND SIDING OF CAPE COD,LLC ROOFING AND SIDING OF CAPE COD. LLC %till provide cleanup on a continuing basis and all debris will be removed from site. All products installed by ROOFING,AND SIDING OF CAPE:COD. LLC will be to manul'acturer specifications.All work will be performed by insured professionals. All material is guaranteed to be as specified and the above work to be perfonned in.accordance with the i drawings and/or specifications submitted for above work and completed in a substantial workmanlike manner. There will be no refund for special-order windows, doors or any other non-stocked materials after three days ftvm approved proposal. All warranties will be null and void if account is not current and paid in full. Cheer to move all personal objects, furniture,etc., from work areas. All items against walls should be considered for removal during any exterior siding jobs.additions. etc. to guard against damage. In die case of any roofing and & ridge"venting. dust and debris should be expected and any items in the attic should be removed. ROOFING AND SIDING OF CAPE COD. LLC is not responsible for any damages if said items remain in place. Curtains. drapes and window and door treatments mad• need proper reinstallation or replacement by jobs co ntracted ontracted with customer due to sizing on any c�indo►s or door replacements and is not included in� ROOFING AND SIDING OF CAPE COD. LLC Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. 0%%mer to carry fire. tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by ROOFING AND SIDING OF CAPE COD. LLC. Owners who secure their own construction-related permits or deal with unregistered contractors will be excluded from access to the guaranty fund. This Contract not valid unless signed by Corporate Officer: e.•r tance o hr_Fs The above prices, specifications and conditions are satisfactory and are hereby accepted. ROOFING AND SIDING OF CAPE COD. LLC is authorized to do the►%0&as specified. Payment will be made as such: 1/3 Deposit C�,4-4--• C. c./ 1/3 Beginning of work 1f3 upon completion Date: ! $ Siunatures' -�HUB INTERNAPONALa :. M oa fi'. 3;�'i 4� '�"" • r p� `K.. `i i+ �:yf. i ":s �tK ba,..4'+. 1: »4 ♦; a ^.a } r a lift \ NMI ��� �•. :.��. '.®�. yip \. _ se» \ `Z. \\ .� IN p 0, SHOUMAKYOFTHEASOVE DESCRMEWPOLICTHE EXPIRATION DATE THEREOF. NOTICE WILL BE VELF14EFIED OR \° ACCWnMCEW"7HEPOMTPROVMOft& NOR Roofing &Siding i tam Cod LLC m\ MA W673 "N \ 1 e \\* zt t�p;�` ra� � ...r� �� \ � �dN' .. w�➢:¢-, ^.rack ir.F a ii " �..` .<�wt o 1 \ �;a `\� '��C, '� \;° NV. ���\\� �\. 00 I IKE r Town of Barnstable *Permit# l3 Expires 6 rt ptles ram issue dale Regulatory Sell"Vices Fee y t�YF; 9 4:sir tflASS, 0' - �v � �p i63Q. , • Thomas F.Geiler, Director Building Division Tom Perry,CBO, Building Commissioner f 1 nn'' 200 Main Strect,.I-lyannis,MA 02601 1 c)\N www.town.barnstabIc.ma.us Office: 508 = BA� Fax: S - - 08 790 6230 t �_ XPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press lutprint Map/parcel Num ber} t P a ' G Prope�tc���y�ddress _Zee-, Residential Value of Work Minimum Tee of$25.00 for work under$6000.00 Owner's Name& Address C_e>/-.7. l Contractor's Name jj -��`, '� � G Telephone Number_'(�r� Home Improvement Contractor License#(if applicable) - e Construction Supervisor's License#(if applicable).: D19,orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name f d4_��j,,5; � n_ Workman's Comp.Policy# eq p Copy of Insuranee Compliance Certificate must be on file. Permit Request(check box) ff-Re-roof(stripping old shingles) All construction debris will be taken to ti - ', ❑Re-roof.(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.1-tistoric,Conscrvation,etc. ***Note: Property:Qwner must sign.Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE� Q:Porms:cxpmtrg Rcvisc071405 . _ f Page 10 of 10 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street , a Boston,MA 02111 ,r zJ www.massgov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Ptg u1— 1�2 Z e aU Address: a 1 n s City/State/Zip:nS e(-V I MPr021a SS Phone#: So = 2$ - 1 I -1-7 Are you an employer?Check the appropriate box: r6. ;EJ of project(required): 4. ❑ I am a general contractor.and I New construction1.,� I am a employer with �2—. employees(full and/or part-time).* have hired the subcontractors Remodeling listed on the attached sheet x � . 2.❑ I am a sole proprietor or partner- Demolition ship and have no employees These sub-contractors have 8- ❑ working for mein any capacity. workers' comp.insurance. 9. Building addition [No workers' comp.insurance 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their right of exemption per MGL I I.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work g 12.�Roof repairs c. 152, §1(4),and we have no myself.[No workers comp. employees. o workers' insurance required.]t13.❑Other, comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who-submit this affidavit'indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. x P 1 /Insurance Company Company Name: Policy#or Self-ins.Lie.#: //�� Q� ���7���.L� Expiration Date: �i Job Site Address: a to City/State/Zip: 0,� % 7`/ �/"��� Attach,a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t pains and pen 'es of perjury that the information provided above is true and correct Date: Signattre Phone#: r icial use only. Do not write in this area,to be completed by city or town officialty or Town: Permit/License# uing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.)Electrical Inspector 5.Plumbing inspector 6.Other Phone Contact Person- # Boar o uzl rng egula4onsAan an ar s One Ashburton Place ' Room 1301 Boston_ Massachusetts 02108 Home Improvement&tantractor Registration Registration: 103714 Type: Private Corporation INC Expiration: 7/9/2010 Tr# zsss47 PAUL J. CAZEAULT & SONS Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 =y _ Update Address and return card. Mark reason for change. :-CAI U 50nn-07107-PC8490 ❑ Address- Renewal Employment Lost Card Board o( ' a Building,Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before.the expiration date. If found return to: Registration: 103714 Boar d of Building Regulations and Standards Expirati.bn_779/2010 Tr# 269847 One Ashburton Place Rm 1301 _Type Ppvate Corporation Boston, Ma. 02108 'AUL J.CAZEAULT&=SONSINt . 'aul Cazeault *� [Massachusetts - Department of Public SafetN Board of Building Regulations and Standards Construction Supervisor License License: CS 26325 Restricted to: 00 i PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 i i Expiration: 10/20/2011 (o Inn)issiunrr Tr—,: 7088 7tiu tax berver bill/ZOOS 12 : 59 : 08 PM PAGE 2/003 Fax Server A BR D- CERTIFICATE OF LIABILITY INSURANCE DATE(MM1D0lY0 08/11/2009 PRoaucER'(g00)666-0200 FAX (781)261-1111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group Ci.0 - Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 77 Accord Park Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Unit 61 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell , MN 02061 INSURERS AFFORDING COVERAGE NAIL# INSURED Paul .3 Cazeaul t & Sons Inc. INSURER A: National Union Fire Ins Co PA 1031 Main Street INSURER S: Osterville, MA 02655 INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 00ID1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MMIDDIYY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $ PRE CLAIMS MADE ❑OCCUR .. MED EXP(Any one person) $ PERSONAL 3ADV INJURY $ GENERAL AGGREGATE $ - GENL AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $ POLICY JECT JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLELIMIT- ANY AUTO - - (Ea accident) $ ALL OWNED,AUTOS - BODILY INJURY $ SCHEDULED AUTOS - (Per person)- HIRED AUTOS - - NON-OWNED AUTOS BODILY INJURY $- - (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMSMADE - - AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC009757764 08/10/Z009. 08/10/2010 X ORY LA T S OETH- R EMPLOYERS'LIABILITY - A ANY PROPP,IETOR/PARTNER/EY.ECUTIVE E-L.EACH ACCIDENT $ 10000 OFFICERIMEMBEP.EXCLUDED? - - it yes,desUibe under E.L.DISEASE-EAEMPLOYEE .$ 10000 SPECIAL PROVISIONS below - E.L.DISEASE•POLICY LIMIT $ SOOOO OTHER J DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. For Your Information AUTHORIZED REPRESENTATIVE I Ronald Cleaves/REF1 ACORD 25(2001708) ©ACORD CORPORATION 1988 Property Owner Must Complete & Sign This Form If using a-Roofer ! Builder. as Owner / Agent I (Print) of the subject property hereby authorizes Paul ,1 Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building i permit application for: y Cytz�f, /� J z r3.S`/ Address of Job / � � ���� 14' Addr . rel�� Signature of Owner Mailing Address of Owner Tele Phone# ��$ '� ��� � -7 3-Y ®ate (Please return this form to Cazeauit roofing along with your signed contract; .It is needed for us to obtain the building permit required.by your town, to complete your roofing project, thank you) fax#508-420-4555 NSF 1 } . GEORGIA M. PARK 3g0 cp 5.O' Q t 27.3 B' Q 0 : N 'mil S7o,�5 30 m a h C1 m gUI ' ° s 472' q W — — 2zo'O RBS RICTION15. p C� LOT .. 3 31„yy LOT LOT 2. F FLOOD ZONE "C" FO UNDA TION ' CERTIFICA TION` RES ZONE- "RF"___ TOWN:COTUIT SCALE.•1"=60' PL.REF.-473 75 ELEVN�A I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON OF P. 0. BOX 265 THE .GROUND AS SHOWN, AND ��� �`�c UNIT 5, 40B INDUSTRY ROAD IT'S hOSITION— _DOES PAuL y� :. A. MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAWS MER �v TEL: 428-0055 SETBACK REQ mEMENTS OF' ° �° �2098 A� r,,� FAX 420-5553 — BARNSTABLE v,,_z� �♦ -- — fr ir.,a� JOB -- .a- 50624kAAA FND PA UL A. MERITHEW DATE 212195 'NUMBER—__4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �eT� ® Permit# � Health Division o E Date Issued qla, 105 Conservation Division Application Fee. V Tax Collector Permit Fee Iftow ZTi6'0 Treasurer Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address /44� LE Ate Ab Village C CTvlT Owner 42(94 2k-- 0-1 o�a Zkcrz. Address Telephone 6bp- 44zd 737,9 Permit Request &/64 /3 ' K X /11 / lO eCX&e Afj AXCW G✓GlOf 466Ck Square feet: 1 st floor: existing proposed Z•/o 44 2nd floor: existing proposed Zip Total new -,4o&b 29.,%E Zoning District Flood Plain- G Groundwater Overlay Project Valuation -:% 88 Construction Typeu� Lot Size �� ��� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 9 _, C= c'r Age of Existing Structure Historic House: ❑Yes ❑No On Old King's High y: ❑ro C 'No Basement Type: ElFull ❑Crawl ❑Walkout ❑Other t Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) jg Number of Baths: Full: existing new Half:existing neV��_ Number of Bedrooms: existing new n rn Total Room Count(not including baths): existing new First Floor Room C unt Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric Cl 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 v Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ` Telephone Number Address License# �U�5'7 4ZRY r. /64 ®.— Home Improvement Contractor# Worker's Compensation# Le S 5.4 c1,37i sK?,4 Z,06> ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO aLA.G��- oall SIGNATURE DATE 7 16 f cry ��rn - y FOR OFFICIAL USE ONLY 5 PERM4.T NO. { DATE ISSUED MAP'/PARCEL NO. ADDRESS VILLAGE I OWNER - r i DATE OF INSPECTION: FOUNDATION jionz��7) llg�oS ' FRAME ? INSULATION = FIREPLACE . ELECTRICAL: ROUGH FINAV ` _ FINAL r / PLUMBING: ROUGH - GAS: ROUGH _ FINAL j FINAL BUILDING - - ' -._ � �4 S _ � -... .=».. � 'l "+` •i ' DATE CLOSED OUT ASSOCIATION PLAN NO. 0 •r , J,, 'The Comx wnlveal�th'of Massachusetts Department ogndusiriaMceidents' 600'yyashington Street _ ~ Boston;Mass.. 02111 Workers'.C m ensafion.usarance AfFidavit-General Businesses -. :q,t.elr,►tS"`g,w � * .w• . :'LdF,;'+'•�: , 'o-Al•Lr• , address: 7., }•. • ' ./�� �Z1C�► hone �(��� •�J�G�1 . � ��`' state: Zi • _ - - _� •. site iocatioli fu11 address : : ' e, E Retail(]ReskaurantlBai/Eat�iag F.stablis6meut `�'01k oprietor andhaveno and $psilie5s Typ a Autos etc. 7 am.a sole Pr []Office D Sajes(including Real Est e, in an capacity. v`01d g "e�ri to ees toll 8c' ait time: ❑Other an em to er with /%/////% %/1//%///.y���%/%%%%//%////%%/%///1%%%///%� /// orkers'c�mverisation for znY.ep�pkYees worlds //% ��}� on this Sob. 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'' , anEVor coverage as required ender Section 25A of MGL I52 can lend to theImposition d a fino of� 0.00 a d y ageinat�mXd °mod that Failure to secureenalti the form of a STOP W RK ILD one years'imprvonment as well as ctXilp . copy of�statement, a orvra>!ded to e O ce of Investigation of the DTAfor coverage verification. • . o ere6 eerti un r h pain a gnalties o perJury that the information provided above is free andZd h y Date Signature. Phone Print name de not write in tbi+area to be completed by city or town aftCW officL�l use only permitliicene# []Building Department []Licensing Board city or town: []Selectmen's Office ❑••checkif iaimediatn response is requu ed . []Health Department , phone#; []Other contact person: (revised Sept 2C0 ' Inforxxiation and Iiastruetfons• ' eral Laws chapte>< ]52 section 25 requires all employers to pxovide workers' compens�tioit fir their Massachusetts Geri i u to ems; ,As quoted'fromthe °law",, an empooyge is.defined as every person'm the service oi'angther under any contract ' oral or written. • e'a ress or 'Ii�ed; ~. . of hrr , x]? f • • ' artners , association, co oration or other legal entity, or any two or mgre of An empioyer.is defined as an individual,p hip w rF the foregoing eAgaged.in aaoint enterprise,and including the legal representatives of a deceased,employer, ort}e'receiver or • ociation or other legal entity, tmployees. 'However.the owner of a ,trustee of �mflivrdual,partrlership,•ass g tY . dwelling house� 'not'inorc than three apartments,and who.resides therein, or the,occupant;of the dwelhng house bf persbris to•do rrrainteuance, construction or repair work on such dwelling house 6r on the grounds or another who,emp1bys use f such Ioyment.be'deemed'tbbe Ed employer building gpp errant thereto shall not Vet ca o :emp . cr ' cal Iicensin aeney shal`i withhold the issuanc or renewal, e MGL chapter 152 seatibn 25 also'states fhat'every. s°tate'or.lo _• * ,n S b y:. PPuc. of a license or pet' the.cbiiinno to operate a business or to construct buildings ini nwealth for an i ant who has not produced acceptable*61aence of complianEe with the insurance coverage.recluu 6 AAff ionally,neither the' ' coixanonx'e�d'nor'any'0f its political"subdivisions shall enter into any cot Tact for the performance of public work ugq acceptable evidence of compliance with the insurance requirements of this'chapter have:betn'presentecl to the contracting authonty. . Applicants Please i tlxew�e"s, eonpensatim affidavit completely,by checking the box that applies to your 5ituatiQn.,Please supply company uarrre, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted t of industrial A ccidents for confitrnation of insurance coverage. Also be sure to sign and date the to the Dep artrnen' affidavit. The affidavit should be retw med to the city or town that the application for the permit or license is being requeste pepartment 6� dustrial,accidents. Should you have any questions regarding the'"Ia. d, not the or if you are edto obtain a vvorkersr•compensationpQlicy,Please call the Departrh t at the nirznbe�r listeA;below. requi' r. City or Towns . Pleasebe sure that the affidavit is complete anclprmted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations'has to contact you regarding the alrplicant Please be sure to fill in the pemnt/license number'which wM be used as a referencb number• The.affidavits maybe xeturned tc mail FAX unless othei'arrangementshave been xna de. the Departmentb' , The Office of Investigations would 1r'ke to thank y'oa in era advance for you cooption and should you have airy questions, of hesitate to give us a•call.... ' please do n The Aepa tis address,telephone and:fax number. . ' The Commonwealth Of Massachusetts 1)ep artment-of Industrial.Aeddents . 6iPlce of taTfesti�fena . 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 ' Town of Barnstable oF�Ne r0�sy • . • �,� pegul.atory Servides Thomas F.Geiler,Director tr S& asr��$ ss �� Building D•ivisiOn �plFc MP�k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601` • Fax; 508-790-6230 p ffiae: 508-862.4038 . permit no• Data ' AFb'IDA'VIT SOME zipRHT T�PERMTx TpACTOR LAW ME APPLICATION 2A requires that the°reconstruction,alterations,renovation,repair,modernization,conversion, MGL c,1 q er-occu ied -improvement,removal,demolitiout not more than four dwelling units or oIsttuctor s which � adjacent to bung contain>1ig at least one b such residence or building bher e done by registered contractozs,with certain exceptigns,along with ents, 1� �w� • requireni ` aoo. � IV s�,t'Cf� F Eatimated Cost___0, - - "type of Work:,,_- Address of work- . Gk3tt��y 1� Owner's • D ate of Application• �/�' �� --- I 1 hereby certify that. gegistration is not required for the following reason($); ' + [Work excluded by law. []Job Under$1,000 []Building not owner-occupied ❑Owner pulling awn permit . Notice is hereby given that: GISTERED PULLING THEIR OWN�ERDUT ORDEALING T ADO NOT HAS IDS OVEME WIC 0 IlnP R 0 ME CONTP-kCTORS FORAJ'PLIloB,P H OR GUARANTY FUND UNDEp,MGL c.142A. ACCESS TO THE AXTRATIOH PRO GRANz ' SIGNED MERPBxALMS OF pp'PJMY ermit as the agept a ovr4er; I herebZ-7 or a p �/� Registrationhio. Contractor Name Date OR owner's Name Town. of Barnstable yPOF�t+e ro��o� . Regulatory Services 3 a sTAILL$ Thomas F.Geller,Director �►ss. BWIding Division - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder wner..of the.subjectptoperty- -- -•-•_. -: hereby auotize th -`/ � �'l to'act on my..behalf,. • - - is all tnattets relative to lwork autho=.ed•bp this building.pe==-k-applicxt 0n.-for: (Ad(iress of Job) , 00, tre oSiganf Own Date � z Print Name I . Board of Building Regulations and Standards + HOME IMPROVEMENT CONTRACTOR _ Registration. 109606 Expiration ' 21/2006 Type Private Corporation A I ENTERPRISES;INC ' PETER POMETTI t 140 RIVER RD G G•-- a COTUIT,MA 02635 Administrator - • > .. - .. "pte"r •''✓IlG'(�'[�/If iit[I![[/[![G[�� [�, F(�[Jil[/i'[UJ2[/IJ� - BOARD OF BUILDING REGULATIONS ` License: CONSTRUCTION SUPERVISOR t €a Number: CS 050457 Expires: 04/19/2006 Tr,no: 21909 Restricted: 00 PETER M POMETTI PO BOX 2056 COTUIT, MA 02635 +�► Acting C mis oner " GEOROIA1 . M. PARK ' �. s o• �.� �, q o oil W a o•. e o 4 BUt 47:2'�lNG _ 22.a• FSTRICTIO` one q (Z,� - ps�� dN LOT 3 j ti 377.1 02 31 w LOT ,-LOT 2 FLOOD ZONE " "_ F O UN.DA TION -CE'.RTIFICA TION 'RES ZONY' "RF" TO WN•COTUIT - 'SCALE-1"=60' FL. REF',4 73175 ELEV N A I .CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS" FOUNDATION IS' LOCATED ON `�'A OF P O. BOX 266 THE GROUND AS SHOWN AND ���� icy 'UNIT 5, '-40B'INDUSTRY ROAD ITS FOSITIp1V___DOES � PAuL � MARSTDNS MILLS, MASS 02648 CONFORM TO THE 20NING^LA W m A. SETBACK REQUIREMENTS ,OF � No. 3zo88 � : TEL: 428—0055 q �o FAX 420-5553 Bfl Rll��'TABL�'_--- - '��, ,fGl,1iER�� q, ' q_. n��h4� tri�uS� JOB 1'A UL A. MERITHEW DATE.'2Z22195 NURBER54624FND Z0 39dd A3/1am 3371Ndh ESSSOZO809 6E:0Z S00Z/BZ/E0 TOWN OF ,BARNSTABLE J CERTIFICATE OF OCCUPANCY PARCEL, ID 064 024 001 GEOBASE iD ' 41713 }. ADDRESS 146 LITTLE RIVER ROAD PHONE Cotuit ZIP ' - LOT 1 2 3 -BLOCK ': LOT SIZE DBA DEVELOPMENT DISTRICT CT j r' PERMIT 9750 DESCRIPTION SINGLE. FAMILY DWELLING PERMIT TYPE BC00 TITLE CERTIFICATE OF Ot5ei- Mment of Health, Safety CONTRACTORS and Environmental Services ARCHITECTS: TOTAL FEES OkE BOND $.0 CONSTRUCTION COSTS $.04 # BARNBTABLE, OWNER POMETTI, ALBERT Ep ADDRESS 146 LITTLE RIVER ROAD COTUIT BUIL I G DIVIS •N DATE ISSUED 08/15/1995 EXPIRATION DATE BY J ti DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION i BUILDING: ` v'• A- DATE: ' . .. COMMENTS: Y PLUMBING: DATE: COMMENTS: - - y - ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.:' DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE. COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. ,.. TOWN OF BARNSTABLE . - CERTIFICATE OF OCCUPANCY ' I PARCEL ID 054 024-001 GEOBASR ID, 41713. ADDRESS 146 LITTLE RIVER ROAD PHONE COtut 7zp 'GOT 1 2 3 BLOCK; 15 LOT SIZE DBA I)EVELOPMR,NT DISTRICT CT PERMIT 9750 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BCOO TITLE CERTIFICATE OF OIYeprgWinent of Health, Safety CONTRACTORS._ � and.Environmental Services 'ARCHITECT'S: _. TOTAL FEES: pfrtflE 'BOND 00 1 CONSTRUCTION COSTS $.00 � Qi► .I i * SEIRN3TABLE. + 1 \i639. OWNER POMETTI ALBERT. ED ADDRESS 146 LITTLE RIVER ROAD MIS `I a COTUIT MA BUILDING DIVI .IPN DATE ISSUED 08/15,11995 EXPIRATION DATEBY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF.000U- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND.MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 l x 2 - . 2 ' 2 I I II I 3 1 HEATING INSPECTION APPROVALS, ENGINEERING DEPARTMENT I 1 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL j WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX . CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC-' MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 P n BUILDING PERMIT i `/ • `1 TO N__ H RNSTABLE, MASSACHUSETTS �U D G J PER 1�� = -54.J: 4.00' }�eb:_uf_r: - 95 o - -37412 DATE !i 19 PERMIT NO. { • (CANT �CC�r 1. PO1T1F Ct.1 ADDRESS W<�lt� V k s i'l r.`.ito- ij i3 05045 (NO.) (STREET) (CONTR'S LICENSE) build CEG1('.` inSingle I3m'_.L j' l:welli g NUMBER OF 1 ERMIT TO I STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 146 .--"'L" `-''v r road, Co'.-Ui1: ZONING c;Y DISTRICT_— (NO.) (STREET) - BETWEEN AND _ (CROSS STREET) - (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE _F'f, WIDE BY FT. LONG BY - FT. IN HEIGHT AND SHALL CONFORM IN COPISTRJCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TN PE) REMARKS: AREA OF y_}(�Li ;C• 'r .'()O,00! PERMIT 14j.:_.(� VOLUME ESTIMATED COST y� - _ FEE (CUBIC/SOIIARE FEET) >� UWNER .g I_ �. } -� - BUILDI J j E rb S ..�'._r J3�-. Lt i1C�.S.b-c ok, Y .l 1 1 ACVq . _ 3'Y • I i ----r-trvM'-rrrc'v'e-r`A-x-rME�PT'-C7P"�vB-[T�'YPII77T('S.--TTitl551TATTCF"UF' �T-R-ECE-ASE-TT{E-/CFPCTC71TT7-`FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. 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).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSP CTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS u� 14 2f 2 3 HEATING INSPECTION APPROVALS ENGINEERING°DEPARTMENT cry x OF HEAL HL k)� OTHER SIT LAN REVIEW APPROVAL \J .ALL NOT '10EED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAI` APPRO' VA.RI000S STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRIT_ PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. Western Surety November 26, 1997 Agent Code: 20-01243 TOWN OF BARNSTABLE BUILDING INSPECTOR 367 MAIN ST. HYANNIS, MA 02601 Re: Bond No. 42730922 Penalty $2,000 PETER POMETTI .- 146 LITTLE RIVER RD. COT UIT, MA 02635 STREET OPENING TOWN OF BARNSTABLE We have received a request to cancel or nonrenew this bond. We wish to comply with the principal ' s request by.-taking advantage of the cancellation provision pertaining to this bond. You are hereby notified that this bond is cancelled and voided as of January 07, 1998, or the earliest time permitted by applicable law, whichever is later. Thank you for your attention to this matter. cc: PETER POMETTI LEONARD INSURANCE AGENCY P. 0. BOX 494 ' OSTERVILLE, MA 02655-0494 Underwriting Services rl 0L%7 SINCE 1900- 1-800-331-6053 P.0.Box 5077 FAX 1-605-335-0357 Sioux Falls,South Dakota 57117-5077 http://www.westernsurely.com 6 TOWN OF BARNSTABLE BUILDING INSPECTOR 367 MAIN ST. HYANNIS, MA 02601 OFF . The Town of Barnstable • nUMMUrAMMA • 1KAM 659. Department of Health Safety and Environmental Services r�ro ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner ovember 12, 1995 To Whom It May Concern: An Occupancy Permit has been issued for the building located at 146 Little River Road,Cotuit,MA (authorized by Building Permit 37412.). The Town of Barnstable releases any interest in the road bond issued to Peter Pometti for the above referenced property. Sincerely, Alfred E. artin Building Inspector APPLICATION FOR PERMIT TO INSTALL/AND REQUEST t '9 y cv l FOR ELECTRICAL SERVICE ' b - �} 32 ��0 Inspector o W"res Wiring.Permii COM/Electric # Town of (�2V ��ssaehusetts Building Permit # Date Customer: t �on(Streef' , � L y_r Lot # in thery fll`age f t utility pole.number or underground number U Customer's billing address r � . i Temporary New installation Change of service Starting date Job.description Service entrance voltage b9c) a�zio Amperage a 00 Phase Wire size(cu.or al.) L Conductor per phase Number of meters ter heater Off peak: YesNo— Estimated load:Electric hea}"'4 Rk( lights kw,Range dryer Motors, & a,se -Ready for first inspection J .J - t Ready f'of final tinnsQe on , � L'b Electric ntrac or -J L`c:# T"V, t ly 1 Telephone # 4 Address Ix t, Additional Remarks: •� � Do Not Write Below This Line r ELECTRICAL WIRING INSPECTION.CERTIFICATE. INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE %Temporary Service Roughing in Service and Meter •µ� Off•Peak,Meter 4 �,ed : .�ffinal,Approval I r Disapproved' _ _5' 1 AF * 'For the following reasons—��/if�/Y �s'�it G />`•�L <APRA :C CERTIFICATE OF INSP TIE Ite ` To he COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day"ISe s t and approval granted for'connection to your service Inspector of Wires ' WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS.READY FOR INSPECTION Permit Good"Vor One Year From Date Of.Issue . CA 46, WSPECTOR'S NOTICE Office Use Only I-lie Commonwealth of Afassachusetts PemdtNo. Deportment of Public Sofety Occupancy&Fee Chocked BOARD OF FIRE PREVENTION REGUUTIONS S27 CMR 1Z-003M (Ieuieblwa) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance with the Massachusetts Electrical Code. S27 CMR 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date lI TOWN OF BARNSTABLE To the Inspector of Wires: The undersigned applies for a permit -perform the electrical work d scr bed below., Loution (Street b Number) Owner or Tenant Owner's Address r ' U Is this permit in conjunction wit \ab�ui�lding permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps / lts Overhead ❑ Undgrd❑ No. of Meters r iNew Service a( (� Amps o�(�� / olL}0 Volts Overhead ❑ Undgrd No. of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets 40No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures ✓2 0Swimmin Pool Above In- (-� g grnd. ❑ grnd 0 Generarors KVA- No. of Receptacle Outlets No. of Emergency Lighting p lonNo. of Oil Burners Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of Heat Tot Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers ' Space/Area Heating Detection/Sounding Devices No. of Dryers , Heating Devices KW Local❑ Connnnectioection❑Other Co No. of eater Heaters Signs No. of Ballasts Low noltage in�-E No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Li alit Insurance Policy including Completed Operations Coverage or i substantial equivalent. YES NO[j I have submitted valid proof of same to this office. YES[' NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) xpiration ate Estimated Value of Electrical Work S Work to Start J CA Inspection Date Requested: Rough t� rJ Final l i LL Signed under the penalties of perju FIR►1 NAME_ � � L-L._� LIC.-.40- t Licensee S1 y a[u IC. NO. Address lJ �4 u Te No. Alt. el. Ho. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the in-, ige or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent ."ss4 essor's Office.(1st floor) Map' +ef 6a S �V, ad/ Permit# • Conservation Office Oth floor ---1� .' - a o.,:�j Date Issued t?_ .S•`"` Board of Health Ord floor �� Engineering Dept. Ord floor House# Planning Dept. (1st floor/School Admin.Bldg.): . RAM Definitive Plan Approved by Planning Board ' . �7 — /G 19 e? pT►C SYST E (Applications processed 8:30-9:30 a.m. &LOO-2-00 p.m.) �L��Poo (4 I— E►aR®HM IONS TOWN OF BARNSTABL Building Permit Application' ; Project Street Address , U 3 1,446 G1-h//z 1<l ev Village L 14 Fire District 277zut / l Osvncr LPL��yy/lOt'ifr f z/ / _ Address/�Z BP«Ll , ��/ j ��;/10l61WIZ Telephone . — Permit Rc u st: 21�- G GJLV — Zoning District f Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization '�� � ���,� Recorded Current Use /),x Proposed Use Construction Type / Existing Information DwellingType: Single Famil V Two family Multi-family Age of structure Basement tVq 112L6Le_z lly I Historic House Finished Old King's Highway Unfinished Number of Baths �� No.of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel A-'v6rG O/G % �'�/� Central Air t,/ �'`"e 5 Fire laces i Garage: Detached X 1Z& Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Pe ile r007t,_�, Telephone number Addresss/s�� �� &�x/v�OS� License# 92 d�j-7 C�0-r /I7-' ° 0 ��� Home Improvement Contractor# Worker's ComNiisation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS -PROPOSED STRUCTURES ON THE LOT. AL"ONSTRUC�"IO`N E S RESULTING FROM THIS PROJECT WILL BE TAKEN TO TGc�/7 f y�� A Project Cost (:;Z ®Ddq- &V Feed�C3 � SIGNATURE' DATE 71201id— BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 2 _ 3� �d i` "uSe BPERMT 3S5 FOR OI-�FICE USE ONZY 2/2/95 - -� 054.024.001Z — ...� .. <' ADDRESS 146 Little River Road VILLAGE Cotuit OWNER .Albert Pomettij- . � � ' ,.-r 'ems � '''�' � +' •/' .�'o- .r , DATE OF INSPECTION: FOUNDATION � J FRAMELle 9� INSULATION FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT:I-- } ASSOCIATE PLAN NO rr4 } Y i f - 11/02/94 17:02 '$6177277122 DEPT IND ACCID (fotninonwea&L o/ Ma,1,Jac1zu6ettJ ' aUsparfineret o�J'•ndicatria��ccide►it9 600 1/ ,01unyton St t James J.Campbell &ton, Vaaac4tan16 02 f f f Commissioner Workers' Compensation Insurance Afirldavit I, �%��Z l"Dru�/ l�.�•� • ti��tr�crt�,vfc. ��v�va��-rZey � ( ) with a principal place of business at: (cnrisraa/zia) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. (J, I am a sole proprieto eneral contraao or homeowner (circle one) and have hired the contractors listed below w�o vet>le following workers' compensation policies: Co 6ml dc� A4lok co�*- a4q,(7,0 � Contractor InsurT! Company/Policy Number Contractor Insurance C-pmpany/Policy Number vzr� l� ��cYlr�4�� Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the D1A for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisdng of a fine of up to$1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. Signed th's day of �Lv i � 19 ,7Y Lice see Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # �/ COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETT r._ I BOSTON,MA 02108 r `� EXPIRATION DATE :CONS T R U SUPERVISOR CAUTI ON' ;..� 04/19/1996 - RESTRICTIONS- I:EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST NONE iO3/31/1994 fl50437 THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE PETER M POMETTI a BOX ON LICENSE. MARSTONSOMMILLS MA 0264 wBcAo� .. PHOTO(BLASTING OPq ONLY) F i 'MUST INCLUDE PH 'l 3 r t` '��0.00 _ I � `t NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I P HEIGHT: :"' aab STAMPED-OR-SIGNATURE OF THE COMMISSIONER A , THIS DOCUMENT MUST BE ""-- �i��P� CARRIED ON THE PERSON OF -<�t'.`rs;.:,.,.- SIGNATURE OF LICENSEE « SIGN NAME IN FULL ABOVE?SIGNA7bRE LINE, THE AG HOLDER WHEN EN- I I `- — - ,( OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPA710N \._. l 10 575 w o llya w h od.. 11n.WJ db iI-snlA-R'L111 � o�-�oIJ�G1��ll-1`d�l�lf1�'11,l�Wad ill-a Wad -I1l1d I Sualldnouul '1`d�f11�11 H��I� p4-I'I6 - - ---------- I —{V +Q � i I Ii 'o--------- - 1.g ------ I I 1, --- I Xt SnOnwuwo7--r7r)u11ocq- ' 4-A-Ancw .0)1X,4 �,i--------------- N I � i I ' I QUd X,II�hIdG�lodbn 1.'lOd'I IN gctwAhnnwvAtJQ31'JddHm d� a M, IT 0 p yAQ—, r � i I .I ell_= JL-J--1 L -J r--- I: I -I I +Ar.0 9 a 1,09 - � (Xsi'1'll� •71.Jo0•Nla,a/6: i � Q � I ayiH Arno Lv .i s ,ZI uol -Y4wnoa do,.Aa m I I ' I ' I At L--_J I I I � �I'A! 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DI CPBTNG - - � _ -n MIN.BaLAY BADE FULL 8A S E M E NT - - - FffSECTION AT HOUSE 1 PORCH CROSS SECTION FOUNDATION PLAN 0 - - - - - _ 0 iu - .....° 2'_8 a,a' 2•-8'EVW 2._8 3/4 2'-8 SJ 4' NBE . o . ROOF DECK - n PATIO _ Z Q r O z ew tN SORE ROOM I z w o LL Fw0 ,x FWS DNT ' b / \\ J r W p MASTER BEDROOM - - UST— "I.G - J 1 FAMILY ROOM BREAKFAST �• LL 71 I'� U I= w iJ I 13 a F DATE 3/30105 SECOND FLOOR PLAN - - - FIRST F L O OR PLAN SCALE 1/4"1'-0' DRAWING p: Al 2 . . o : 1 z • i - AND 1Fl%ED Z6 DOOR _ - . 3 SECONDFLOORO xCI13E ••. - Q • ,. ' iOPPUff GPORCX _ - s AUGNSILL WHXEM4W wEl t , • "- R .: 4 • Y ' N:i0MhI<HE LES OFW0.WIS - F i m ' , Ja4. x A NEW SCI�Bl PORCH . ' a Y REAR ELEVATION ei , ' '• RIMIO AIIGN WIIM E44:SCiM v f - �.ti�" tOP PUIEOHGGE , - SECOND FLOGR9 HOV3 -, v � - IOPYUIF __ 10PPUiE - - P.I.NGOD DECRmRAN • F /// - IMM10AlGry ER,1•.SOiPI - ` G ' T � eEQUTt SCREFNSECi10NS i0 W O 0 _ y III III I I w.C.SbNG1ESOEW09ME e. I I ..1 aSI ElOORO HOUSE nM1Cx ESIMG �' Q III I I I I I i l l i - I III Flan FLDoam Hour - �' - OOV® PoacXNooa ui m w za.ea Sc�Dooa _ � En51•HG XOLLSE AND GARAGE Nfw SCREEN PORCH "' + W 19'-$I/2• E10.9WG MOUSF W NEw SC REB+PpRCH F . a t- RIGHT SIDE ELEVATION t. GATE 3/30/05 -LEFT SIDE ELEVATION _ E .ro • - SCAL 1/4"=1'-0' DRAWING* •} A2 c. . N IF . FND. GE'ORG,,IA : TP I . M q PARK F 0 � H . Z 3 6 0 PAUL K '• to ti v MERM4M C. 7a 14 No 32098 O, IgNO SURVFy�Q BUILD 45 130 _ - - — 1 N 1 F ING. 70 �� 1 =_ = o z BESTRICTION --�- o �-�_=_ MARY P. AND INE prop` I ROPOSED Co V o DA VID GALLO WA Y -HSE.__ Qb- N FWD Q) `\( �J / -- �2 Q' - �J,_-_- P ANfi�+C��4lLEY Na 31 _ - - 48 / TCx 15 Q' �'�E ,�.q _ ENCHMARK OI U POLE � B S ASSIGNED.EL.=50.00 `z ria' pRo l CK SPIKE IN TREE , - ' =-; �- J .: o_ j PLAN REF"" 4 75 I 46 11 RES. ZONE." F FLOOD ZONE: »C„ ASSESSORS LOT 24-1 q v 48,500 S—f PROJECT LOCATION. LOT 3 I ti 7 g' LITTLE RIVER ROAD COTUIT, MA � Q 0 APPLICANT. W \ I PETER POMETTI q P" 0. BOX 2056 " W 38 COTUIT, MA LOT 0 o02 'W I 1 YANKEE SURVEY CONSULTANTS ' S71 UNIT 5, 40B INDUSTRY 'ROAD P. O. BOX, 265. — MARSTONS MILLS, MA. 02648. . t� FAX 420—5553 TEL. 428—0055, SCALE I" 30' DATE 011-16195 LOT REV. REV 50624 # JOB SHEET 1 OF 2