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0336 MAIN STREET (COTUIT)
;, ,� . . �� 0 o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map c-wr_ Parcel o,,n Application Health Division Date Issued .2h g 4 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village C.o: . Owner ?K: \vs Address Telephone Permit Request �Ea.Tv.t 2 a,�.o.�'. ...��--a ` cam,'' a.v 6 Q �.e�` v�.a�6 C, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatioJ roc,.' Construction Type ' } Lot Size Grandfathered: ❑Yes ❑ No If yes, attacf_ pporting ciocur-entation. CD Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) .k'.r Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin gII Highway;- ❑des ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ° Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 'r ' Number of Baths: Full: existing 3 new Half: existing new Number of;Bedrooms: 3 existing _new Total Room Count (not including baths): existing 4 new First Floor Room Count Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cb..�z v-�.c.i��z,.��., Telephone Number Address N-tV% License # \,rat-N-$ % C-NN. t>-z'�; co Home Improvement Contractor# yz Z�Z Email Worker's Compensation # c_o 3 co 3ticx ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z 9 IS- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE 5 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. i fvlassachusetts. Department-of i?Ublic Safety:- t3aard of Sailii[ng R g tat' ns'ard Starldaros C1�n trucno, rrit Xiu h t..censC CSSL-1O2778 CONOR D MC 39 SIASGONSET fl SAd RE BEACH 2 f a I Expirat6a : Conunlssioner A8119120.16. - - Ofree of Consnmer Affairs&Business R�ulotion License or registration valid for individui.use only " ME IMPROVEMENT CONTRAGTOR. before the expiration date. If found return to gistration: 171257` Type4 Ofrce:of Consumer Affairs and.Bnsiness Regulation xpiration 3/11201& Partnership 10 Park Plaza-Suite S:17Q Boston,MA021.I6 CONSERVE ENERGY..... CONOR MCINERNEY / 376 RQUTE 13D SUITE C I SANDWICH,.MA Q256 Undersecretary Not;valid without signature., r The Cotttmonwealth-:ofMdssachuseffs< Depapt,nent of Industrial Aed ents Officeo livestigaOonc 640 Washington..Street; - Boston, MA 0211� .: wxirv.mass.govldiu Workers' Cotnpensafion Insurance Aff da it. Build.ert/Conti tittors/Electritsans/P;.1 mbers A60cant Information _, Please Print Legibly Name ($ttsiness[4rgani2at;onlintl;vidu41}:'> CQnSerV.islofil Etl erg y .Address: V6 Route 130:$uite C C y%Sta-02. 1 ': $artdwich,.MA 02563 Phone# 508-833=8384: Are you.ao empioyer?'Check the appropriate%box Type;of project(required): eployer with 8: 0 m lam general con tcactor'arid 1 6 New:cons truction. employees(full and/or part trine):*` have lurid file subcontractors ` .. 7 `Remodelin 2. I am a tole proprietor or prtaer listed::on the attached`sheet. ship and have no employees: .fhese:sub-.contractors,have: $. ❑ Demolition' works for me in.an ca aea :. wotkers° comp insurance.,. t; Y p y 9, ❑''Building addition [No:`workers'' comp: nsurance . .0 We are a corq,Qra0n and its_ reo fired.] affcers have exercised their 10.� Electrical repairs or additions 3.0 I am a homeowner doing all:wark;. right of exemption per 1V1GL I 1 Plumbing repairs or.additkons myself [No workers' comp.:: c. 152 QI(4);and we have nil 12 Q Roaf repay` . insura:rice required=]t dmp.ldyeea:[No workers' 13 .Other;WeathenzatiOn. comp;msuiance regiired.]. °Any aii0ican :iliac check box l:mau elfin,tTtl out tf a section below showing their worriers'cun�pensatioo.puhcy infomjhtion . t Hoineawaers who submit This n;kTidavit indicating they are doing all work.and then hire outride contractors must.submit a new a'fTidavri i`ndiCatin�,sucI t thic bdx mist.attached an additional shg t showing the sonic of thee.sub a onfractors 8nil;iheic walkers'comp policy informattun: IC that ohecl !am.:an employer that is provh#hg:worker'compensation insurance for my emplt►s?ees Below is the paGcy and]ob sxtt inf or rnatian. . Cnsurance Company>Name CS&$MORKCOMPON,E Pnlii y#or Self iris<. Lic 6fl 1131 W9 E pirauon Date fl3L71/2015 Job Site Address _ CitylSatc/Lip;; . Attach =co ofthe workers'com ensation. c►1ic deciarution' a e(showing the; olic numbcr`and.ex irarion.date. ac a. p ......-: p .., ... p..g,t p). tt g P .,,Y Failure to secure coverage:as required udder Section 25A of.MGL c. 152:eaiL lead to ilxe tntposition of criminal penaltes.of.a:.: tine up to$1 500.00.and/or:one-year imprisonment,3s we If as civi l penalties in:the forrti of a STOP WORK"O.[tDER and a fine oFip to$250.00 a clay agansf the:violator_ .Be advtsediliat:a co}y of this statement may be forwarded:fo the Off ce of Investigations of.thc DIA fcir insurance:coverage writ cation: p. !do?hereb fJ': der fh p 'ns >d penuli�es:of perjury that:ahe infurn:at<on provided above u true and correct. Phone 4.. O ciaf:usi only. Do rnt write in this area; t ribe completed:by city;or town o cwt. City or Townz . - Permit/.Lkease# issuing_Authority(eir.d a one-s I..Bon to:of Health Z.Buitding.Dgpar�tment`:�.CityfTownClerk. 4 Electrical Inspector 5..Plumb ing;Impector: 6Oth.er` % +■ter �' DATE WMIDD1WYY) aco,av CERTIFICATE QF LIABILITY INSURANCE 03/17/2014 THIS:CERT1FtCATE IS ISSUED AS A MATTER.OF INFORMATION'ONLY,AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER-TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THiS CERTIFICATE OF.INSURANCE'DOES. NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(.$),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE"HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 13 WAIVED,SUb)ect to..the terms and conditions. of the policy,certain policies may"Uh an'endorsement.A statement .n this certifleate does not coMei.righW to the certllicate holder'IiI Ueu of such endoisement(s): PRODUCER .. - CONT NAME: CSSS/tNORKCOMPONE PWQNE FAx PO SOX 946580 (A/C,roa EXQ:...... (A!C RoJ MAITLANDr FL 32704-6580. ADDRESS: Phone-877-724.209 DiSURER(S)AFFORDING COVERAGE RAMC# Fax' 877-763-5122. C.r. erKai Casualty Company 20443 .-: INSURER A i INSURED CONSERVISION ENERGY: INSURER c :. . 376 ROUTE.130: nsuReao:Continental Casualty Company 20443 SUITE C Continental Casualty Company 20443 SANDWICH,MA 02563: INSUAER E INSURER F. COVERAGES CERTIFlCATE NUMBER: REVISION NUMBER THIS:IS TO CERTIFY THAT THEPOIICIES OF INSURANCE LISTED BELOW HAVF&tI4 ISSUED TO THE INSURED NAMED ABOUE FOR THE POLICY PERIOD INDICATED NOT(WiTHSTAND1NLi ANY.REOUWREMENT,TERM OR CDNDWTION OF ANY-CONTRACT OR9TfIER DOCUMErdT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN,(HEiNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEitE(N is,SUBJECT TO ALL THE TERMS E%CLUSION,S+V+WD:CONOITfON OF SUCH POLIr.CIES.06WTS SHOWN MAY HAVE'.9EEN REDUCED BY PAID CLAIMS. ..TVPE'OF INSURANCE INSR .:WVD POUCYNUMSEW MM MMb U r" LTA E1 000,000 EN GERAL UA9ILITY i, EACH OCCURRENCE i - COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000 PREMISES(Ea o=umo oe) .: CLAIM&MADE:A OCME' Y -$ $10CtR � E eu 0 D0A201 R 00006N 601i316335 NALsnDvN ,000 GEWERALAGGREGATE $Z,000 00 FiEN'L AGGREGATE LIMIT pPPLIES.?ER PRODUCTS:-COMPtOP AGG $2,000000 POLICY; JE¢. ._ LO^.. ' y C OMBINED SINGLE LIMIT 51,000,000 AUTOMOBILE ABILITY - 80DIkY INJURY,Ear person) AMr AU1:0 A ALL ED AUTosULEOF _ N N 6.011316335 03111 f2014 03h1 U2015. 6001LY INJURY.(Per ao4idonli'. HIRED AUTOS NUN-UWNEL'� PROPERTY DAMAGE . AUTOS (Per aodtlant) UMBRELLA LIAR' OCCUR EACH OCCURRENCE + QQ'f)OO D' EXCESS LIAe cLAtMs MnCE N N 601131 G35Z .03/11/2014 ,_03t1112015 aGGREGATE ,000 000 OEO RETENTION$ 10000 WORKERS:COMPENSATION: - IORV LIAItTS ER-:. AND EMPLOYERS'LIABILITY ' AINY POPRIETPJPART RONER)EXEGIITIVE YIN E.L.EACH ACCIDENT S1 D0 00O EEj OFFICERRdEMBER.EXCLUDE)? N N 6011316,349 03l11L2014 03111120JS $100 OOQ .. (Yenastory.lb NH) E.L.DISEASE �F1t EMPLOYEE It yep,dajigibe under DESCRIPTION OF OPERATIONS below - :: £.L.:DISEASE•POLICY LIMIT SSOOyOOO DEStSi1PTION OF OPERATIONS!LOCATIONS)VEHICLES(Attat+_ACORO i01,Addivaral;Remvtss Si?edufe,if more space is:reSluhetl) -- . Certificate taoider`ls added:as an additional.,insured asp 00ided in:the blanket additional nsured endarser»ent CERTIFICATE HOLDER- CANCELLATION S@" ng neering:_. SHOULD ANY OF THE ABOVE DESCRIBED POLttaE5 BE CANCEllEO BEFORE 1341 ElcttY►+ood Ave. THE EXPIRATION,OATE THEREOF,NOTICE WiLI BE LIVE VanSlOTtj_--Ri O2A1..Q. - - ACCORDANCE WITH'THE POLICY.PROVISEONS. AtffH(?RIZED:REPPESENTATNE' . - .1 } ©1968-2010 ACORD:CORPORATION.:Ail rtghts reserved. ACORD,25;i2010105j The:ACORD,'name,and logo are registered marks of ACORD ' s r PAMIPAIM COMMOR, 6r'rn4.k srR:l r�+fr-.•tiY'4T7N'�:.SH': .. .. - ... ,. PERMIT AUTHORIZATION FORM owner'of the property loeat ed at: {Owner's TV e,printed). (Property Street Ad,dress)' (Gity/Town) hereby Diu,ouzo the Iv1as�Sava Home Energy Services Program assigned Participating; Contractor listed below to act on my behalf and obtain a building permit to perform. insulation; andtor weatherizotion work on my property: Owner's Signature FOR CSG OFFICE''USe ONLY Consevation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the.above;.referenced project:` Participating Contactor Date ... �e�, zs�zoa;r CONTRACT FOR Conner atlon PRODUCTS l SERVICE WORK Services Group This service is brought to you through support from your local utility ;i Th"s A rem e ant is-made b and.amo n and . Conse Patricia Kennyrvation Services Group(CSG). 336 Main St Attu:RCS. Bastable,MA 02635 50.Washington.Street,Suite 3000. Co�+.�i 4- ,,�� �7635 Westborough,MA 01681. Site ID;5A02225362 Reg.:No.;i73484': Project ID:P00000230763 Cnstomer.ID:C00000235428 :_Federal ID.No.222457170. Contract ID:20.144408 WORK "(Mail completed contract to address I. DESCRIPTION OF WORK TO BE PERFORMED i Contractor will perform or cause to be pe:rfo med the following work on these"Premises"in a professional manner and in accordance with the terms of this Contract,including the attached recommendationshvork order describing the work in detail(the"Work")which are incorporated herein by reference: i Description Quantity location Atti...... Open _.................. Vent bath fan to roof flappe[..._....-...- I.. ......Attic._...._.._....-..-..._......_._._...-- 116.00... Propavent?'or 4'...... 51..........Attic............. ....:_..__.........._........._._...__...._$178.50.. Batch:Thermal Barrier Potyiso 2 inch(Attic) 1 LN1ng Spa oe $38.09... ...... Damming . ..._......._... ....... .... ..... . ......._....._.._ _. ._ 50_....._N/A._....._........ . .. ... ._...._. .._. ...............$100-00 Sub Total: $1,163.55 Utility Incentive-Share,- $872.66. Customer Contribution $290.89 i i f iFor oftice use only Printed:416/2414 Page 1 of 2 i II. PAYMENT i Customer to a Contractor for the Work the Customer Share of the Contract Price as follows:P as a Deposit payable agrees pay Payment#1:$ ��� to CSG upon signing the Contract(not to exceed 1/3 of the total retail costs or actual costs of special order,whichever is greater).Mall check&contract to CSG, Attu RCS,60 Washington St.,Ste.3000,Westborough,MA 01581.k4nal Payment:$ r!� as the final payment for the Work shall be due and payable to the Independent Installation Contractor("IIC")upon sa factory completion of the Work.Customer understands that he/she will not be required i to pay,the Utility Incentive.Share.of the Contract prim.14 the amount of$ The Utility Incentive Snare is dependent,upon the package purchased and/or prior incentive utilization.Changes to.individual line items and/or previous' centives may increase or decrease the size of the Utility Incentive Share. III. DISPUTE RESOLUTION The IIC and Customerhetay matually agree k1 advance tbatin the event that the IIC has a dispute concerning this Contract,the IIC yrsubird such dispute to aprMite arhitation service which has been approved by the Office of Consumer AtfaaS and Business Regulation and Customer shall be such arhfiration as pivvided in]416 L c 142t1 custome. Contractor. You may cancel this agreement it has been signed by a party there to at a place other than an address of the seller, which may be his main office or a branch there of, provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the mg of this agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. ��� �ah S�YVt.s l o n �/�" mar Signature Date In di o se ted ITC here if af*l b1e (UR} Initial here if you want the Program to assign a ) Participating Contractor CSG Signature Date Name of CSG Represen ve(Printed TERMS AND CONDITIONS APPEAR ON TBE REVERSE. 1113 i Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division TO'`�� OAF� �' � MASS. $ Tom Perry,Building Commissioner 16yg. �0 i°rEn Ma't a 200 Main Street,Hyannis,MA 02601 1?It:1 V _14 .01' 10 06 www.town.barnstable.ma.us Office: 508-862-4038 - Fax 508-790-6230 App°rrbed Fee: S Permit#:, DOME OCCUPATION REGISTRAMN . .... ............... - - -.:. - - _- - -- - - -- .. - _ _ __ ---. . _- Date: GI Name• C lG" t Phone#• 5 Address: Name of Business: Type.of Business: L/ l Map�.ot: l INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity ' shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution: After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the ; following conditions: • The activity is carried on.by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. , © Such use occupies no more than 400 square feet of space. o There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use., ® No traffic will be generated in excess of normal residential volumes. e The use does not involve the production of offensive noise,vibration,-smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. e There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities: L o Any need for parking generated by"such use shall be met on the same lot containing.the Customary Home Occupation,and not within the required front yard. ® There is no exterior storage or display of materials or equipment. a There:are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and.one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. o No sign shall.be displayed indicating the Customary Home_Occupation , If the CustomaryHome Occupation is listed or advertised as a business,.the street address hall not be included. No person shall be.employed in the.Customary Home Occupation who is not a permanent resident of the dwelling unit 'I,the undersigned, ave~ d ee with'the above restrictions for my home occupation I am registeZwla�Iiyl . Applicant' Date: l r YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years)..A business certificate ONLY REGISTERS YOUR NAME.in town (which you must do by M.G.L.-it does not.give you permission to operate.) You must,first obtain the necessary signatures on this.form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is .required by law. DATE: } Fill in please: p. APPLICANT'S YOUR NAME J: W, % ` i 11 �r � BUSINESS, YOUR HOME ADDRESS: 4 �i/ V ELEPHONE # Home Telephone Number Sr ' t ' - NAME OF CEIRIa9RATf0N: ' NAME OF:NEW BUSINES '71 'PE`OF BUSINESS t - ' 15 THIS,A HOME OCCUPATION?" YES No ✓ ADDRESS OF BUSINESS ` =�� AP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. -(corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIbNER'S OFFICE This individual h��J en Tr�orME�d f any pec)Mit r quire ents that pertain to this type of business. MUST COMPLY WITH i HO(111 OCCUPATION `�� RULES AND REGULATIONS. .FAILURE TO 1`' Authorized ig attire DMMENTS. + ... �C./� ' ..COMPLY MAY RESULT IN FINES. l 2. BOARD 0 'HEALTH This individual has been informed of the permit requirements that pertain to.this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) } This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i N M 1 1� V O1 ti N 4p J S � L O T S a � 210 27500 t S.F. ao w C-7), CONC. FDN. 0 2 . 0 0 TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 ZONE RF I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE Dk'ELL I NG FRONT - 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL 'SETBACKS SIDE - 15' OF THE ZONING BY-LAW FOR THE RF DISTRICT. REAR - 15' PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0021 C. DATED AUG. 19. 1985. PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY- ON THE OP.OUND. THE DWELLING DEPICTED ON THIS PL O T PLAN PLAN WAS LOCATED ON THE GROUND IN BY SURVEY ON APR. 15. 1993 AND EXISTS AS SHOWN AS OF THE DATE �j� BARNSTABLE. MASS. OF LOCATION. :�.�. ( `v-1�{� SCALE" l *-40' APR. 15. 1993 THIS PLAN /S FOR PLOT PLAN EAGLE SURVEYING a ENGINEERING.INC. PURPOSES ONLY AND NOT FOR 10 Seaboard Lane RECORDING. DEED DESCRIPTIONS. Eyannla, )Ia. 08601 OR ESTABLISHING PROPERTY LINES. (f08) 778-WWZ2 0 20 40 80 PROJECT No. 92-303 N 1 V 01 LOT 5 was 5�. t 220• 27500 f S.F. o o �b w CONC. FDN. �b 20. •vt 2 . 0 -13 �r TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. . 1989 ZONE RF I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWEL L I NO FRONT - JO' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - I5' OF THE ZONING BY-LAW FOR THE RF DISTRICT. REAR - 1 S' PROPERTY LINES SHOWN HEREONTHE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0021 C. DATED AM 19. 1985. PANS OF RECORD AND DO NOT ;F I?F_"P,^s SENT AN ACTUAL SURVEY ON THE OROUND. THE DWELLING DEPICTED ON THIS PLOT PLAN j PLAN WAS LOCATED ON THE GROUND IN � BY SURVEY ON APR. lS. 1993 AND EXI STS AS�SHOWN AS OF THE DATE J 1�ARNSTf1I�LE. MASS. OF LOCATION. �r.. ( `v-���f•---1 SCALE" l '-40' APR. IS. I993 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING a ENGINEERING.INC. PURPOSES ONLY AND NOT FOR 10 SeaOoard Lane RECORDING. DEED DESCRIPTIONS. 8yannla, Xa. 08Q01 OR ESTABLISHING PROPERTY LINES. 0 20 40 80 PROJECT NO. 92-JOJ OF THE Tp� The Town of Barnstable DA1W9'CAllLB. "u� Department of Health Safety and Environmental Services i619. °rfor,�.�► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crosser Fax: 508-790-6230 Building Commissioner For office Ilse only Permit no.- Da t e AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 1,12A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing; at least one but not more than four d}velling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. ?/(�� r Type of Work 6 a AM1T 16N rst..Cost c Address of Work: �� Mfh•11�1 ST C+t?C'Ul� Owner's Name '?&C01Cft Y,mys1tky L Date of Permit Applications ' 24 ' 00 I hereby certify that: Registration is not required for the following reason(s): ' Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING ThiEIR "'OWN PERMIT OIt DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MCL c. 1,12A SIGNED UNDER PENALTIES OF PERJURY I'liereby apply for.i,perniitas tltc agent bf the oivtier: Date Contractor Name Registration No. OR4.. Dale Utivncr's N:une _ 2• r ' —, The Commonwealth of Massachusetts Department of Industrial Accidents 011ice el/flYestlgstims 600 Washington Street e; Boston, Mass. 02111 Workers' Compensation Insurance Affidavit DOMt . Qamc: location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity [],Tam an employer providing woikers' compensation for my employees working on this job. Z4many name: bQ le V7 S a. rV1 f- a d d K 31 0 city: �S to rya, I��t� O G,SS phone#• So g .42 8 6 l C E, insurnnce:co 4s-mg- policy 11 We-- 9 S 7 9 R 0 n I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who the following workers' compensation polices: comnanv name: ` address: e E S A_ 0 FCC S WrSa cijy phone insurance cti policy# ... ... comunny name: city. phone#• insurance co. policy# failure to secure coverage as required under Section 25A of N1CL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andio= one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. l understand that 2 copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the ains anitopenalties perjug that the information provided above is true and correct. Signature Date �' 2 q •d O Print name Phonc# Sn a' �i�• G( 0 Cch'cckif ly do not write in this area to be completed by city or town official bcrmitllicense k f 1Quilding Department +- 0Liccnsing Board f mediate response is requireJ' OSeleetmen's Office 0llealth Departmentnt phone N;_ _ nOther ,. e' Information' and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", in enq)loyce 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 ady 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 ofa 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking tile boxthat applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns 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. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you;.cooperation a_nd sliould you have any questions please do not hesitate to give us a call. , The D apartment s address, tk!fen'tc i.:• -and•fa:: r. The ti.;oit:s11::1;*!.,..ailta l)cti:at•!-r��t z,: %_alLsit•_�', �►r.:.....���s d(f ce rdf investigatiolts 600 Washington Street Boston, Ma. 02111 rn:ilh'(617) 727-7749 1-0 A6QR_ D CERTIFICATE OF LIABILITY INSURANCk!D 02 DATE(MMIDDIYY) YCO-1 03/28/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ')(ID Post Office Sq r ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. aterville MA 02632 rnone: 508-771-0105 Fax:508-771-1258 INSURERS AFFORDING COVERAGE INSURED INSURER A Vermont Mutual Insurance Co INSURER B: Savers Propert &Ca alty Ins C Bay Colony Concrete Forms Inc INSURER C: Pilgrim Insuranc Company 32 Third Ave INSURER D: Osterville MA 02655 INSURER E: COVERAGES 11 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO LAY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIPH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY PIRA ION LTR TYPE OF INSURANCE POLICY NUMBER DATE MWDOIYY DATE WDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00p A X COMMERCIAL GENERAL LIABILITY BP17030923 03/30/00 /1/30/01 FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE ❑OCCUR MED EXP(Any one person) $ r5,000 PERSONAL&ADV INJURY $ 1,OOO,OOO GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,OOO,OOO POLICY PET LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C ANY AUTO PMC7129126 03 11/00 03/11/01 (Ea accident) C ALL OWNED AUTOS PMC7129214 0 /30/00 03/30/01 BODILY INJURY $2500000 X SCHEDULED ALTOS (Per person) HIRED ALTOS BODILY INJURY $5000000 NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 1000000 i (Per accidenl) GARAGE LIABILITY ALTO ONLY-EA ACCIDENT $ HANY ALTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ 5 WORKERS COMPENSATION AND X' TOR Y LIMITS ER EMPLOYERS!LIABILITY B WC 0000753-0- 03/31/00 03/31/01 1 E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA MPLO $ 100,000 OTHER E.L.DISEASE-POLICY LIMIT I$ 500,000 { • -, DESCRIPTION OF OPERATIONSILOCATIO EHICLESIEXCLUSION ADDED BY ENDORSEMENTISPECIAL PROVISIONS Concrete Forms _ r CERTIFICATE HOLDER IN I ADDITIONAL INSURED;INSURER LETTER:. CANCELLATION ROGER C 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Rogersrney FAX#50 - 20-355 . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL FAX#SOS-42O=3550 PO Box 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ' Osterville MA '02655 REPRESENTATIVES. John McAlpine ' ACORD 25S(7197) y qq ©ACORD CORPORATION 1988 _v, DATE(MMIDDIYY) AORD. CERTIFICATE OF LIABILITY INSJRANC& P ID 02... BARGERl ..: 10/04/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burlingame Insurance -ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Robert Burlingame HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR '1$,D Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. aterville MA 02632 COMPANIES AFFORDING COVERAGE Robert Burlingame COMPANY A Vermont Mutual Insurance Co Phone No. 508-771-0105 Fax No. 508-771-1258 INSURED - COMPANY •'' B Kemper Insurance 7 COMPANY James C Barger C PO BOX 219 COMPANY Cotuit MA 02635 D ' COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CON ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE PO IC DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RE UCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EF ECTIVE POLICY EXPIRATION LIMITS LTR DATE(M IDD/YY) DATE(MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. A X COMMERCIALGENFRALLIABILITY BP17013142 09 26/99 09/26/00 PRODUCTS•COMPIOPAGG $•1r000�000_ CLAIMS MADE ❑X OCCUR PERSONAL 8 ADV INJURY $ 500 r 000 OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE(Any one lire) $ 5 0,0 0 0 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ 11 NON-OWNED AUTOS (Per accident) --- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM R $ WC STATU- OTH. WORKERS COMPENSATION AND TORY LIMITS ER_ EMPLOYERS"LIABILITY a EL EACH ACCIDENT I$ 100,000 ORTHE PROPRIET / B INCL 7 946593• •-. 10/09/98 .10/09/99 EL DISEASE-POLICY LIMIT $ SOO,OOO PARTNERS/EXECUTIVE -- OFFICERS ARE: EXCL 10/09/99 10/09/00 EL DISEASE-EA EMPLOYEE $ 100,000. OTHER DESCRIPTION OF OPERATIONS/LOCA'RONSIVEHICLES/SPECIAL ITEMS - - Masonry: CERTIFICATE MOLDER' o-„ CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Rogers & Marney 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I' FAX#508-420-3550 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 Os tervi l le MA 02655 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Burlingame ACORD 25-S(1/95) 4 " ACORD CORPORATION 1988 Liberty Mutual Group LIBERTY PO Box 8094 MUTUAL, Wausau,WI 54402-8094 Telephone(800)653-7893 Fax(7.15)843-2650 March 7, 2000 , ROGERS AND MARNEY PO BOX 310 OSTERVILLE,MA 02655- RE: Certificate of Workers Compensation Insurance Insured: DAVID BRODD 53 CLIFI'ON AVE CENTERVILLE, MA 02632 Policy Number: WC1-31S-492127-030 Effe ive: 2/18/2000 Expiration: 2/18/2001 Coverage afforded under Workers Compensatio aw of the following state(s): MA Employers Liability: Bodily Injury B 'Acci nt: $ 100,000 Each Ac cident _, Bodily Injury by pis ase: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits . As of this date, the above-referenced p cyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the liste policy is'subject to all the terms,exclusions and conditions,and is not altered by any requirement,ter or condition of any or other documents with respect to which this, - certificate may be•issued,____ ` r This certificate is issued as a m ter of information only and confers no right upon you, the certificate holder. This certificate is not a in policy and does not amend,extend, or alter the coverage afforded by the policy listed a ove. If this policy is cancelled before the stated expiration date,Liberty,Mutual will endeavor to notify you of such cancellation. g6u,±_ AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: DAVID BRODD OLDE CAPE COD INSURANCE AGENCY - ---- - 53 CLIFI'ON AVE =- --- _.- -- C- ------- -=----- '---- -==-- - --- CENTERVILLE, MA 02632 435 MAIN ST HYANNIS,MA 02601 3/7/2000 ; ` I I MAScheck COMPLIANCE REPORT I Massachusetts. Energy Code I Permit # 1 MAScheck Software Version 2.01 Release 3 I I I I I Checked by/Date I I _ I TITLE: Proposed Addition CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-29-2000 DATE OF PLANS: 2-2-99 PROJECT INFORMATION: Lentell Residence Addition 336 Main Street Cotuit, MA COMPANY INFORMATION: Rogers and Marney, Inc. Box 310 Osterville, MA COMPLIANCE: Passes Maximum UA = 104 Your Home = 100 •, Area or Cavity Cont. Glazing/Door. Perimeter R-Value R-Value U-Value UA CEILINGS 344 30.0 0.0r 127 WALLS: Wood Frame, 16" O.C. 373 11.0 0.0 33 WALLS: Wood Frame, 16" O.C. 201 19.0 0.0 12 GLAZING: Windows or Doors 83 0.350` 29 FLOORS: Over Unconditioned Space 288 19.0 0.0 14 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans_, ' specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of-the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using :.the applicable Standard Design Conditions found in the Code. The HVAC equipment- selected to heat or 'cool the building shall be no greater than 125. of the design load. as specified in Sections 780CMR 1310 and J4.4 . Builder/Designer. , Date G • 27. 00 e A TITLE: Proposed Addition MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 6-29-2000 Bldg. 1 x Dept. 1 Use 1 CEILINGS: [ ] I 1. R-30 I Comments/Location " I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-11 I Comments/Location [ ] I 2• Wood Frame, 16" O.C. , R-19 I Comments/Location I f WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] „Yes [ ] No I Comments/Location I , I FLOORS [ ) I 1. Over Unconditioned Space, R-19 I Comments/Location I AIR LEAKAGE: L ] I Joints, penetrations, and all other such openings in the building w 1 envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC, rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfma (0. 944 L/s) air movement from the the conditioned. space:.to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure ; I difference and shall be labeled. 1 VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, ,,and floors.,:,; MATERIALS IDENTIFICATION: I ) I Materials and equipment must be Adentified so that compliance can 1 be determined: Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly - I„ marked on,_ the ,building plans or specifications. DUCT'`}INSULATION . [ ]' I Ducts. shall 'be insulated per Table J4. 4 .7.1:V ' I DUCT CONSTRUCTION: ' All accessible joints, seams,, and connections of supply and return r I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4 . SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 , 1.0 1.0 1.5 1..5 I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 " 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) =------------------------ i I Ate o Board of Building g Re ulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE a Number: CS O43896 Expires:03/07/2002 Restricted To: 00 ROBERT J COOK PO BOX 235 FALMOUTH, MA 02541 Tr.no: 18806 Keep top for receipt and change of address notification. - 3 `s<µ ✓llC T00977/I)LP9tUM.lLGL/L O�� ./Z000C�d' ;� i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O43896 Expires:03/07/2002 Tr.no: 18806 Restricted To: 00 ' ROBERT J COOK PO BOX 235 FALMOUTH, MA 02541 Administrator . ..• ..!-:...t ..n.w.... _: ..�_.}-..«-....... --:..:,.ti'...•...+..-_n+tW airw:...,.�<...w.w......,aw.• e..�-.a•r.. .Tn* --r ... . IY( ../IE'VWfi���GrIG��.��r����/WVW HOME IMPROVEMENT CONTRACTORS RECTSTRATT.ON 1 "13oard of E3uj. l,di.ml Regulations ?I.hd St•andarda One AChbuvton P,I.iac:e: - R00M -1301 J Boston M ssachuset.t.s 021,08 I . l HOME IMPROVEMENT CONTR.ACTOR I Regi.st)-,)Rion 1.05222 I xpJ.rratiO'n 07/16✓00 — --- ------ --- - - _ __._ ._ _ . I , Type I N D I V I D U A I._ - . , ' j. (e` ✓/ar,'[ooan�nou�ra�/�n�il�;wrrr.�i,ieLla HOME IMPROVEMENT CONTRACTOR Registration 105222 Type - ..INDIV+IDUAL a I ROE1CR`f J . C0O1; [ Expiration.. 0.7/16/00 P _.0 :: BOX 235 I , - I aJ hio«'t-h W; 02541, ROBERT J. COOK I P.O. BOX 235 I G�coMc o 7�i � fal loath MA 02541' t n. 1 ADMINISTRATOR TOWN OF BARNSTABL'E BUILDING PERMIT APPLICATION Map Dd JL, Parcel Y7 / .0 Permit# I� CP —�Health Division ������ Date Issued `T ®� Conservation Division I .�' Fee O Tax Collectors ` �®� SEPTIC-SYSTEM MUST INSTALLED IN COMPLIANCE Treasurer �4 Y` WITH TI TLE 5 Planning Dept. }' f f ' ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board T �� R� ULTlCfs Historic-OKH Preservation/Hyannis Project Street Address _ L M u_i nVillage Owner Owner cz r i c%A Address S' a 2_.. Telephone _1 Z A - 6 t o,6 ` 1 Permit Request Ces etc,_St%%ne. _v\-e ca,'c- O'A. q e, 1ti t-o 13�l�IQ�CY Square feet: 1st floor: existing 81JO proposed 37S 2nd floor:existing -?s-a proposed l Total new a 7�c Estimated Project Cost 16 Boo Zoning District Q t= Flood Plain N/ Groundwater Overlay Construction Type �e Lot Size .G3 ` A,c. Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 4— Age of Existing Structure l C� Historic House: O Yes A No On Old King's Highway: ❑Yes ;4 No Basement Type: gg Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) SO Basement Unfinished Area(sq.ft) ---- Number of Baths: Full: existing Z new l Half:existing new Number of Bedrooms: existing 3 new r Total Room Count(not including baths): existing ? new First Floor Room Count S 8 s Heat Type and Fuel: JffGas ❑Oil ❑ Electric. ❑Other Central Air: ❑Yes W No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing Cl new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# —~ Recorded❑ Commercial ❑Yes ;M No If yes,site plan review# Current Use ����1� Eck"-,�zI<, Proposed Use BUILDER INFORMATION Name__ 42 oa 4r." t I&A e,c!v%e�f , Telephone Number of 2 f3 - (. Lot, Address l;;c 3 i o License# GS n 1-6 t?4 O.c:iCt V 111 e_ 4 M a. a2—(.s� Home Improvement Contractor# t o o 13 y Worker's Compensation# \de, 9SI 4Ssoo3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN bw VJt aCp.i �ie�- N L C j F'e Le. ( o IM 1-�Q N W SIGNATURE DATE 2 �S 00 FOR OFFICIAL USE ONLY PERMIT NO. r. µ• °f• = DATE ISSUED MAP/PARCEL NO '�'_ f.�� J : fit .} •'•j• ..� �.^. - .. � �` ,.-,:z f ADDRESS VILLAGE t t OWNER _ DATE.OF INSPECTION FOUNDATION FRAME U/1 22I INSULATION FIREPLACE ELECTRICAL: ROUGH • FINAL 3"Q i PLUMBING: ROUGH FINAL GAS - ROU Hi FINAL �.. FINAL BUILDING "i: t ctib ` lo 4 DATE CLOSED OUT7 2 } ASSOCIATION PLAN NO: F t 'e ESTIMATED PROJECT COST WORKSHEET Value zo LIVING SPACE 3?S square feet X q. foot= 71 S*001 GARAGE (UNFINISHED) square feet X $25/sq. foot PORCH [/S square feet X,$20/sq. foot DECK square feet X $15/sq. foot OTHER �n. ��,w�,►,a��cM square feet X $??/sq.foot= 7, oob. Total Estimated Project Cost L 10, 8 oos ,, g990915b 9 91 2 DEPARTMEN'C 017 lIU13LIC SAFcTY 176992. OMI: A"11 PLIR-ITOty 008TON, IIA 02108--:L61.8 COIVSTIlUCTION SUPI RVISOI't LICENSE NUITIvCt'. E?;�.)11'85: Ros tric lad To: 00 MAY 1 2 300 BAXTER Plt'_C\ RD MA[Z' iTONS 1,11:1.L'�, hIA 026 13 k ` I:ech 1:01) 'I`or' . 1. c ei 1)t and ch'allge • Of a(Idr On r I o a (i.c'TIVJ.aI-I 't N ✓/ae -009IMo1)uUeatw 01— '4�da 'e; i HOME IMPROVEMEN I' C0N1 RAC I ORS REG.I'STR 0t'1, - i�l' f3o��.rd of.- Build r `ReOulation and Standa)=,c1, t :.,}•'' One; A'Sl`Iburt.on P.laco - Room 1301. E?o l;on , P1as, ach�.isel:ts 0 :1.0>3 I ` HOME IMPROVEMENT CONTR(-)CT0fZ I fi Registration 100].3 zE" "E x p t r a 1 ion 0 G/09/00 I is Go,N,,,.»;;�M„%/ Type — PRIVATE CORPORr-1TTON HOME IMPROVEMENT CONTRACTOR 1 = = Registration 100134 ROGERS & MAf1NLY ,, INC . - I Type - 'PRIVATE CORPORATION r Char le D . Rogers � „ A� I = EzPirati on, 06/09/00. 44 ' OSTLRVILLI. PO `C30X 31Q 1, * � 0stervi,11e MA" 02655' ROGERS & HARNEY, INC. Yvfh��'les 0. Rogers , 445.OSTERVILLE PO O'k 310 q'ADMINISTIIATOn ' � r Oster,ville NA 02655 a e � 1'3 � 1 1 i i FOUNDATION PLAN Isr FL0OR . PLAN 2H� FLOOR ..PLAN Ex SE % HOUSE } �. ,q• -t HOUSE rrn SIDE ELEVATION' t FRONT ELEVATION CROSS SECTION LENTELL GARAGE .'. I ___ __..__._.- . -•- �... ROGFRS 4 MARNF.Y `._.. _ j - SIDE 1 ELEVATIONSEC i/O/V k er r, DDI T ION SCALE: 0I e , ofll—I c__ - _ `OU.ND,-.T10N PL�A,ti �Jl r j "A Y. .. 9.I F ,I `• -PROPOSED ADOnrON S36 MAIN STREET COTUI T !dA MR$AIRS O••PATRICK L ENTEL L� ROGERS4 AI<RNEY INC W Lij -I L ..�...a u.�.—�.-1-.._._.� -° � - ,• �\ Ng a,e�•.e. u . e a - -a I>I-d.. --- POW WTI�N P'VJJ rippT PICoR PIJ�N 51^'fION.—_ { d\� -- ----------- HH 1 ..e- Z Is 10 - . w� t O e 7 y TI� 7ECCMo IIMR V,J.N PRo1JT GLE TICf-1 LGPT 91pG ELEVATION KPI.I. GLE�NTbN i r,. of ZHE The Town of Barnstable - `"ArAB1E' and Environmental Services "�"� � Department of Health Safety �p 16 9' lfUM1AyA Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building;Commissioner For office use only q Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building; containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Woric: —Est. Cost 1 L., . A00, 010 Address of Worlc VAQl Owner's Name Pcit��G�C� �Ce�nw�.7 Date of Permit Application: lSZ • 00 I hereby certify that: , Registration is,not required for the following reason(s): Work excluded by law } Job under$1,000. Building not owner-occupied Owner pulling own permit' Notice is hereby given that: OWNERS PULLING TIiEIR OWN PERMIT OR DEALING WITI"I UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY,FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY .. I hereby apply for a permit as the agent of the owner: " Is'. CAD wA cL r a e Q t ,yam 4c- l 0 l 3 9• Date Contractor Name Registration No. OR D:►lc Owner's Name —� The Commonwealth of Massachusetts Department of Industrial Accidents __- 8flice ol/nyeafysil os 600 Washington Street Boston, Mass. 02111 �S Workers' Compensation Insurance Affidavit c1111011 IN NINE 111111 name: location: city phone N _ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity &I' am an employer providing workers' compensation for.my employees working on this job. comnanyname: address:: 1 O city; e-r D 6SS phones• S, oO 610(., insurance>c4 C wSTtytZ.tN C r4%t ELT a policy# We!!� q_':7 7 9 72, I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who h"..- the following workers' compensation polices: 11 c\- comnany_name: S22 ��'}t2ChlG� vCleC C address city::.: phone# policy N company name: acddress. ,. - city. - phone N irisurance>co: policy N Failure to secure coverage as required under Section 25A of i11GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and pens lies of perjury that the information provided above is true and correct. Signature Date Z (S -O O Print name Phone N S'O 8 • 4 Z t7 6 t; official use oniv do not write in this area to be completed by city or town official city or town: permit/license tt nBuilding Department �_i ❑Licensing Board check if immediate response is required }:. ❑ P q C]Selcctmen's Office ❑Health Department ;. contact person• phone d; —Other e� (r-i,cd 3r9s rtA) Information and Instructions Massachusetts General Laws cha'tcr,1.52 section 25 requires all employers to provide workers' compensation for their employees. As quoted front the"law",'an employee is defined as every person in the service of another under any contract of hire, express or'inipliM; 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions sliall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority. . �� Applicants # ,�- s , •; M1'+ . Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. 'I City or Towns 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. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions please do not llesitate'to give us a call. The Department's adds>ss, telen!�c and I:► ::r. Tlee t;utt:a� :i:�r:•__��t � '':�: .:i ��=•._:::�cas�'.'; dffsc fit investigatious 600 Washington Street Boston, Ma. 02111 ' > ' f�Y t>: (61 ) 727=7749 i — — — ---------------------------------------------------------------------------------------- prn'rc r; ! Th:. 1;1'. L, _J , __11„ f f,. L' 1 J 1 S.'-• ..!I: G!I:II!a3:: c•r : 3 ��� @1.;�1v1 atj)-. q�1v ai1�� ciirlai• ,;L:- al. 6.I J_r, Th;, _L:1:. 1_ J' • ._L cnurNFncrrgy�,:Ic nI^ry i _°1�1Q11^. v,.i l���'L. !iL ':?: ,,,',3r �0?: 31i!?n'j; ..Ag ! 7ivav a ay? _.. :I' F,nlici?S I:'?!4e+. on pnv oc+n ----------------- - 1-'1• I F�1 Mp,11 cr „1 rnn+DnLncc gcrnonr:l rn4FRRjF uvnuu(c Mn n�cnl !---- ---- ---------- ----- -------------------------------------- ' L-cLl.1 pope!LA DQnTFrTION -------------u----------------------------------------------------------------------- SAFETY IucuD urr ------------- ---f`-----------------------,-------- ---------- IJnI('nMD DI MD 0• UTiI!' 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L D,1'_ ....,L,._ 1 ( Li, J,l 1 ,.1;,�: J,L_I A' l L:11 T;•p? n1 lil:li3il:s" I J11L! 1;,1!L., La ..V va:? Ia:I a.1y!: '._. I Iiimi`: in Lh u-'alj -------------- ---------_--------------- ---- ----- --- ---------------- ^ 1,GENFRA1 11A 11Tv I p nnAn+DnA � +� +4 99----I +� +qM ---!r^-a••1 a a1 :'L_ 11,1'_' _,1_ ']c1!.la. al 1 t I _h:I:l.• i I J...L J yJ g.i;?i3, !^!I!1:; I / 1 p.., vv�_., :!: '!3� t J ' L in):r, 3 /dJV Ll�iily cr 1 a I - ' ! !Fir? C13 e sn --------=----------------- D ipi,lrnMMI c 1 n ,T lnn v ! cnncna v11R�• yt !: •ir Lr r1l fry?V 311:Q: I - lD.r211 '1 1J a :':c I rpai pal j leJJil In I- , it 1 7 It rar3ga IiALili1.. I . J inn !EXCESS LIABILITY _ ! I ' iiA�,L_ n'h?r 11.3r1 -_Li?113 f{ia I I 1 ! ! WOR'IFR,c TMoELi,AT1nN 1,fanc+AIaA? 1 +'7iro 4D ! 1?l+D,nn- --1c1,1,1.. 1----------- ------ i!.. t Lc'L_ LL"L'v LaLUL,J! _ 1 L J L i Fn�D!nvrRc; ? �pQli tTv J i cP"A �i i e?3,;-Po i i 1 it_...' Lry ti aach J;•,rj.a� - ---------------------------------- ---------------------------------------- i i i i j -------------------------.----------- -------- -- --- -------- ------------- -- (l•--.._L•„ L ., -L• .�1.,.1:,_ i.•.L:.1. i L 1 i---.:.t :1,... ----- ------------------------ --------- IV AND :ni 1 DI 1IMD1AG^ 0 UCATR1r nPFUTMq ' 5. ="d T7�mTT+T/"�T TT'r HOLDER n7�R7111 T TimTC i�11'i' -•f± !.a �.J i! L'ei\ 5 ✓ it\...i�1J r_._1.i�-N . ` CL 1.1 .f 14. .L J.... L,J _.1 L 11,-J 4�_1,. SG.' i ,� i L.I. __. .. ? L ? - _ 1 f •in. 'J�La LL;r;AL 1 I J 1 - .lirlr3. r Air W ! .qv- b �.., L. l 1 1 -.. .. + D�CCOC 0 MnC4EV i! li: Ja7; gill 1 L� YL• 0 n en X~111Ar,.1,_ r-. ;. �,11 L L L I!.:.W1:�.�^311 iif;5 tC4-1.i! no L1. LI - - 11!._ or - nCTCOIl111C MP QFC S i 1 L 1 1, ,L .,,, I,f.J••, ' •1L. - L •' ' L _.111 it it ' y _�_._:...._ rig ------,4 .. 1 A.ILL,.,'._A ,aDl i I H T It i n1.IF ,p - ----- ------------- ------------------------------------------- : :: <: :: ATE MMDOBI : :: s 11/23/1999 PRq 4.a_Zrt�508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR "1. COUNTY STREET COVERAGE AFFORDED BY THE POLICIES BELOW. 4 ALTER THE N) BOX 5911 COMPANIES AFFORDING COVERAGE ln.4 BEDFORD,- MA 02742-5911 COMPANY Commercial Union Attn: Ext: A INSURED _ ..... ........ ... ......:. _...... Granite State Insurance..Co Randall C. Agnew Electrical Contractors COB Randall Agnew Electrical Contractors ........ 94 Furlong Road COMPANY C Cotui t, MA 02635 ............... ........ ........................_........_.._....._......... ....... ............... COMPANY D J. C bIw1 A.. ..:...::.:::.... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE OLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...........__..._......_._..............:....................I..............._.............. ............................................... .............................:.. ......._..................-.._............:..:........._....... CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION: LIMITS LTR: DATE(MMlDD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE :$ 2,OOO,OOO. ............................................................. X E COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG i$ 2,000,000 CLAIMS MADE i X i DCCUR: PERSONAL&ADV INJURY $ 1,000,000 q .....:........: ....... :PENDING 11/16/1999 11/16 000 :..........................:................. ................................... OWNER'S&CONTRACTOR'S PROT: EACH OCCURRENCE $ 1,OOO,OOO ..........I .................. .............. FIRE DAMAGE(Any one fire) :$ 100,0001 .............................................,....................................... MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SING LIMIT ] O00,000 CO LE $ ALL OWNED AUTOS BODILY INJ URY JUR X SCHEDULED AUTOS (Per on) A PENDING 11/1 /199911/16/2000 .. i X i HIRED AUTOS BODILY INJURY $ X : NON-OWNED AUTOS (Per accident)' ... ......... ... ...................... / PROPER DAMAGE $P 01 GARAGE LIABILITY ! { AUTO ONLY-EA ACCIDENT :$ ANY AUTO OTHER THAN AUTO ONLY: :;:: ;;:: ;;:;:: :'::;:;......:.::;:4:: EACH ACCIDENT $ ........ ...................................................... .................................... .. ... ................... AGGREGATE:$ i EXCESS LIABILITY i EACH OCCURRENCE $ .................... ......... .. ... .... ............. UMBRELLA FORM AGGREGATE $ _.. _........_...........__..... ................ OTHER THAN UMBRELLA FORM $ WC ATU- i O H- i';;:;;:.;p.,` Y'[<:: WORKERS COMPENSATION AND TORY LIMITS: ER v EMPLOYERS'LIABILITY EL c I'A CIDENT $ 500,000 B WC6039748 06/23/1999 06/23/2000 ; THE PROPRIETOR/ INCL f EL DISEASE POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-.EA EMPLOYEE i$ SOO OOO OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS CEl�T3FICA E HQfLDER...... .... .: . . OAI�I ELLA ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,' ROGERS & MARNEY GENERAL BUILDING. CONTRACTORS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 310 OF ANY KIND UPON THE COMPANY,ITSAGEN OR REPRESENTATIVES. ' OSTERVILLE, MA 02655 �.rATIVE .: ....: AG7RD 2:5•S9l95. r> "<::.`:::'::> .:...::. . ::.::.;;... �kCORD Cf7 RPORAT[QM1# FR9P, : NORTHWOOD ESHBAUGH Ffa?C N0. Jul. 19 1999 02:22PM P2 ID KG DATE(MMIDDIYY) rPyhn D.. CERTIFICATE OF LIABILITY INSURANC AID-2 07/17/99 E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ins. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Main StreetALTER THE COVERAGE,AFFORDED BY THE POLICfES 13f=LOW. MA 02601 tRA RDING COVERAGE 8-771-1632 Fax:508-778-1789_ INSURER A: MOMP- - - �_...-'. INSURER I: TERTY CASUALTY - INSURER C: David R. Cox Remodeling INSt1RERD: P. O. Box 401 S Yarmouth MA, 02664 INSURERS: COVERAGE$ THE POLICIES OF W SURANCE LISTED BELOW HAVE BEEN ISSUED TO YHE INSURED NAMED ABOVE FOR THE LICY PERIOD INDICATED.NOTWITHSTANDING ANY RE(IUMMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T RMS,EXCLUSIONS AND CONDITIONS OF SUCH pOLCIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, FFEC VE POL1 'f PIRA I LIMITS IN R TYPE OF INSURANCE POLICY NUMBER DATE MMM7D DATE M DDlYY EACH OCCURRENCE IS SOOOOO - GENERAL UABIUTY _... ...— $ 0TIA99 03/1 /99 03/14/OO FIRE DAMAGE(Any onetire)j S 300000 COMMERCIAL GENERAL LIABILITY I680887D470 CLAIMS MADE OCCUR MED EXP(MY onaPorcon) $$Q00 PERSONAL a ADV INJURY $500000 x BQp_. . ..__ GENERALAGGREpA19 S 1000000 PRODUCTS-COMPIOPAGG S 1000000 OEN-L A(itWREGATE LIMYf APPLIES PER T P POLICY .jEG LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT 19 (Ea eceiaenq ANY AUTO ALL OWNED AUTOS I BODILY INJURY _ (perperaon) SCHEDULED AUTOS HIREDAUT05 BOpLYINJURY $ (Per acdcknt) NON-0WNED AUTOS - PROPERTY DAMAGE S (Per eccwont) �..\.. AUTO ONLY-EA ACCIDENT ! GARAGE LIABILITY EA ACC I ANYAUTO OTHERTHAN AUTO ONLY: Apo $ EACH OCCURRENCE f _ EXCESS LIABILITY AOGREGATE� OCCUR CLAIMS MADE S ~ DEDUCTIBLE S RETENTION S TRY LIFTS E?.. WORKERS COMPENSATION AND � 007/15/99EMpLOYRLIABILITY O7/15/OO E.LEACHACIDENT $ 10000 A WCV03 E.L DISEASE-EA EMPLOYE $ 100000 E.L.DISEASE•POLICY LIMIT $500000 OTHER . H BOP 680887D4760TI 99 03/14/99 _ 03/14/00 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICL N:XCLUSIONS AD DlD Y EHOORSEMfiNTISPECAL PROVISIONS - - CERTIFICATE HOLDER N ADDITIONAL INSURED:INSURER LETTER: _ CANCELLATION ROGERS SHOULD ANY OF THE ABOVE 1SESCRIB)2D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Rogers & Marney, Ino LEFT,BUT FAILURE TO O SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF P- 0. Box 310 ANY KIND UPON t ER,ITS AGE REPRESENTATIVES, Ostervills MA, 02655 ' ,• `' House A4:oounte ,-, ACORD CORPORATION 1988 ACORD 2S-S(7197) , l i � � . G� � ��� � � .�� ��� � � e . _ ComphkVInquuY Report . Date. 9 "�5�Od Rec'd by:__� Assessor's No: Complaint Name: — Location Address: Originator Name: Street: vim; sum Zip. Telephone:D/C Complaint a Description: Zoe r Inquiry Desaipdou: For OHM Use Only Inspector's t � " Action/Comments—--D=e: 9 `'.7-5 -0 O' EMp=; Follow-up Action Additional Info.A allied Qpr Di=butron: White-Depamnear File Yellorv-Inspector Fink-Inspector(Return to Olfce:Manager) ..+—.•++.rr.�r..I •--:;�^^"�_r-v�"�*r+— �-'-.:..t.may.,.:�-'�, � .,F_.� .. ..,. �,.`c�%siwJ"yr'y."'.^c�.^-,,•:y-.,,. .�r.�,P:r:r"f`•r 74"XiY`•74;s. «i . .. .. .... t.s �F1HE) The Town of Barnstable BARNSTAASS. E. 1 MASS. Department of Health Safety and Environmental Services 9 0p f639• �0 "rFO MAy Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection V K(JW .�, Location ✓36 04.) Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �d-�ic. access , f Please call: 508-862-4038 for re-inspection. Inspected by a Datef�3 ... rl TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 2.Z Parcel e 1 Permit# f{2 2L cp O Health Division G-� � �� Date Issued 7 ©4ZoO0 Conservation Division 211(,V Fee Tax Collector st�_ SEPTIC SYSTEM! MUST BE INSTALLED IN COMPLIANCE Treasurer WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND .., Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village �'.C>m1 1:1- Owner PAM:2 x c. Y_ `-M.YS1 S.!J Address S A t h Telephone q Z 0Permit Request CoHr-reucT' ti CAR QcX::ACHV , '214GF- It CLELJK 5Th9_A&;__ fs' FAMkLY 2—N. Ao01-r101.1 1r—N9%caWZ. E h L',A i3G C' '=y U-5171ll( 0Fe_-1Q w cr�+ _t`h'x t 7 ' s sr.7n 0 NI p c--14 2)?_E EZw 1r Y GARr�G£ �0'2 Z 4- G► lew" 6 4 2.. Square feet: 1 st floor: existing 1. tq l proposed Z 90 2nd floor: existing - ?sp proposed O Total new 2 8 g ')6114 O ' Estimated Project Cost. Zoning District -V- Flood Plain N A Groundwater Overlay Construction Typedv� Fear�E; Lot Size .l03 pre Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Ul'*'_ Two Family O Multi-Family(#units) Age of Existing Structure 10 Historic House: ❑Yes Q-1Tb_ On Old King's Highway: ❑Yes 0140 Basement Type: Dull drawl ❑Walkout ❑Other Basement Finished Area .ft. +(sq ) (�.� Basement Unfinished Area(sq.ft) o Number of Baths: Full:existing new d Half:existing o new o Number of Bedrooms: existing ? new n Total Room Count(not including baths): existing new�_ First Floor Room Count Heat Type and Fuel: 200as 0 Oil ❑Electric ❑Other Central Air: LI-fes (�10 Fireplaces: Existing 1 New I Existing wood/coal stove: ❑Yes E o Detached garage:0 existing Rew size�$,X ?IN O existing ❑new size Barn:O existing ❑new size Attached garage:O existing ❑new size -' Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes WlTo If yes,site plan review# Current Use S%hL(,L c -Proposed Use S A-ME BUILDER INFORMATION Name Rc>r_=_F_s A tn.>e,Tt =N L Telephone Number _ 7o S -4 Zg -6 to 6 Address License# 0-r-Z'ct-uI �-I-e, Home Improvement Contractor# n 2G92577' Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN�6 W o a le-a tT-p.Rp u s. SIGNATURE VeDATE _ 6 f'4 • op FOR OFFICIAL USE ONLY w PERMIT NO. ; DATE ISSUED -• MAP/PARCEL NO. . ADDRESS J J VILLAGE OWNER DATE OF INSPECTION'a FOUNDATION V , FRAME dwoo lidiAlorm n �' � Q� �� CJ✓1, u INSULATION 0 royl 0 ti Lk iry FIREPLACE t ELECTRICAL: ROUGH� - - FINAL PLUMBING: ROUGI� " '-• FINAL GAS: ROUG FINAL t FINAL BUILDING f " � DATE CLOSED OUT - ASSOCIATION PLAN NO. f y ESTIMA TED PROJECT COST WORKSHEET _ . .:. Value LIVING SPACE (high end construction) Z 8 G square feet X S115/sq. foot=_ 33 120 (above average construction) square feet X S96Isq, foot= (average construction) square feet X S57/sq. foot= GARAGE (UNFINISHED) 30 -1` 45� square feet X SMsq. foot= 3� PORCH ` square feet X S20/sq. foot= DECK ( 4 Z square feet X S15/sq. foot= z e &o OTHER square feet X M/sq. foot= 1 - k .• `Total Estimated Project Cost MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE: 11-17-2000 DATE OF PLANS : TITLE : 2>3C' lm()1 " SIT. CALF ,�_ COMPLIANCE: PASSES Required UA = 124 Your Home = 116 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 440 30 . 0 0 . 0 16 WALLS : Wood Frame, 16" O.C. 612 13 . 0 0 . 0 A 50 GLAZING: Windows or Doors 90 0 . 330 30 DOORS 17 0 . 350 6 FLOORS : Over Unconditioned Space 440 30 . 0 14 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J 4 . Builder/Designer Date I/• ��'� TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------ MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE: 11-17-2000 Bldg. Dept . Use , CEILINGS : [ ] 1 . R-30 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value : 0 . 33 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : [ ] 1 . U-value : 0 . 35 Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-30 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a� 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape . Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . Assessor's pffice Ost floor): , :QOj:..Q./. PTIC SYE�'EM IVIIJST HE To Assessor's ma and lot number •• ' -Board,of Health (3rd floor):' IN$TALLEDINCOMP d �� Sewage Permit number . ...................................... 4 WITH71' 5 ,� ,..,.. .. LL: Engineering Department (3rd floor): ENVIRONMENTALCO1 Me House number ...... . ..... J`3..?J- ?..'....:. "r0W�I i�@QULA'1� o YAY.��O� Definitive Plan Approved` by Planning Board _19-------- . t APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P•M.'.only SIN TOWN OF 'BARNSTABLE TU I L I N N3,PECT0 MP ON FOR OI&IT TO .... .�!1.. .. L �` � y.................... /. . TYPE OF CONSTRUCTION ..... .. ..... .. . ....... ........................................ .................... TO THE INSPECTOR OF BUILDINGS: The unders'gneo hereby applies for a per i occord�*l to the fol wi information: Location ................ .......................... ................................................ Z, Proposed Use W �--C lti .Zoning District ..... ..: ......:....,.:. ..... ....:........................:Fire District ....... , ... ............... Nome of Owner .... . Address l�./. ?5-..... ............ . r........... .rrnyl �� �_. .�.... Name of Builder ...Address Name of Architect ............................................:.....................Address ....... ............ ,�— Number of Rooms -...Foundation Exferio. 1 7` g :...... .......:...........:................. Floors (,X./I.�©...1.)� Yl,....... .. . ...L ... ... ................ t • - �r " f� Heating . ..�' .... . . ..°!............ .. �................,......Plumbing .. ..'.v.'�........... ���.:.�: ....... _ n A d. Fireplace ..Lorl .......:... ....L..:....... ( ..... ...................Approximate Cost ..... �? wL/ Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` I hereby agree to conform to all the Rules and Regulations of the Town or regarding the above construction. - Na ;.. ...... .........:....................... Construction Supervisor's License 7 . MARKWOOD CORP. "� ✓ tNo 35780..`Permit for 1 z` Story........., .Single^Famil Dw ing...... location Lot .#5,,•, 33 ai.n •Street ............... .. .. ... ...................... Owner ....mdrkwood P., Type of,Construction .Fr e' ........ Plot .....On... ......... ..t tot .:............ Permit 'Granted .... April 16, r . 1'9 93 ' 6L -B : �3 at i ...19 D e o •. sect n'��..•..�...�.................. ,..� �• � # '� Date completed srl.. I�..l ' :19 t L= - . 1 4 .- F..j Y j DEPARTMENT OF PUBLIC SAFETY { j COMMONWEALTH 1010 COMMONWEALTH AVE. r OF BOSTON, MASS.02215 j . MASSACHUSETTS ENCLOSE CHECK OR MO EY ORDER r � LICENSE RR R&ED UEE, ID) { y EXPIRATION DATE CONSTR. SUPERVISOR 06/30/1993 M�4 �AYABLIJ0.EFFECTIVE DATELIC NO. RESTRICTIONS "COMMISSION O I SAFETY". I =m_ } {NONE 005867 CA OT TIMOTHY EAS T a d to151 CARRIAGEL BARNSTABLE MA 02630 PL EASE NOTE FEE INCREASE I , PHOTOL(BLASTING OPR ONLY) FEE: 100.00 E FECTIVE FEB. 1 , 1989 HEIGHT: NOT VALID UNTIL S STAMPED OR IGNED BY NSEE AND OFFICIALLY „ SIG OF THE COMMISSIONER,- 5 ' a nnS DOCUMENT MUST BE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE THE HOLDER WHEN ENGAG - COMMISSIONER ) ; 1 OTHERS "RIGHT THUMB PRINT ED IN THIS OCCUPATION a; i 200M"2-87.81429 'f t N - a .�o E oo' LOT 5 0;s y�.0 2 27500 t S.F. ao• Cl� CONC. O FDN. �q oo h 2 'S— No•oQ 0 �d TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 ZONE RF I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING FRONT - 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 15' OF THE ZONING BY-LAW FOR THE RF,DISTRICT. REAR - 15' PROPERTY LINES SHOWN HEREON . THE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0021 C. DATED AUG. 19. 19,85. PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY 4a�t� QF 4fgsf ON THE GROUND. g C. FRANK THE DWELL/NG DEPICTED ON THIS 1N Na2a86.20-869 PLOT PLAN �� PLAN WAS LOCATED ON THE GROUND �'a -1° IN BY SURVEY ON APR. 15. 1993 AND s����s--T`%��;L � � �ar�.°' -' BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE � '�--- 1 OF LOCATION. SCALE: 1 '►40' APR. IS. 1993 - 9� THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC. PURPOSES ONLY AND NOT FOR 10 Se46oard LaAs RECORD/NG. DEED DESCRIPTIONS. Byam t a, dfa. 02601 OR ESTABLISHING PROPERTY LINES. (S08) 7'y8-4422 0 20 40 80 PROJECT NO. 92-303 y ,. ,AUt The Town of Barnstable • •� Inspection Department 'ZO Y►Y ` 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner October 29, 1992 Richard P. Largay, Esquire Rougeau, Butler .& Largay Counsellors at Law 720 Main Street Hyannis, MA 02601 RE: A=22-10 Lot 5 ANR Plan for Frank Bresnihan Dear Attorney Largay: Based upon the information you submitted to this office re the above referenced lot, it is my opinion that the lot is buildable and a building permit could be issued. All building permit applications must be approved by the Health Department and the Conservation Commission prior to the issuance of a foundation permit. Peace, v . Joseph D. DaLuz Building Commissioner JDD/gr f . .A A LLL Ql� � � o RE > C F SON T L E h ' LLU \ -w fC- LE I 12 \ 12 '�- w/c 1 'D • 12 12 .._W�L S.tEjt�GLES r-:2-t G I S 1'D r�14 q OF / • - - 12 �c 12' p- " 24 (. C N 2 S 5tc{q S N K 1T CIA E N 2/L _ DIKt�KGr ROo1� CACL?WT J • i O t2 $ATH =�" 0 ot"-Gsr 97. $ED Room '6•F. L1 V tKIG R•C+onA N ?xoNG C APIP T I C R R P(=T •r,v I 24'4•L mu�-�. I I 244E In.u�4- STEP /ivU � '� lqq I C _ g 01 `Q, 3'- 9" z4 3 2 ol — 2 4 5/� J 2f6 7 � .y .9 3ED 'f��M 2 BCD. RcbC. 3 l-9 12-0, CqQ 12Ld op -z• i or � I I I IiW G G. r � ' 21 x2 x 12' FocYcu.1 GS 8� YbU�T ...3�. Cot•.un�tJ S 12 O" I I 3" SCAB . lc." x8" FCC'r1NGS 7 .o f '7 THE FOLLOWING � IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M AC(LJ L DATA •.iFjl�, yi447.fr'•p..3 +7t�i'%: et,•,* r $4 '� X rWOW n WbRNSTABLE M'ASSACHUSETTS �.,�,,� DATE .' .N, �J , f CA Ti) `J�I� 1cwz,Ud, 'Cc�r 19..yr PERMIT NO, N. 35 �f x xy � tAi.>*! +. P.. ADDRESS �' ,.'. . 1.. t _.r,"'1's"l4-• 11'r::il±T12:3 �Q5 6 .c �", ) ,,y`��r41; �f. IN0.1 ISiREETI ICONi R',S�LICENSE) I�' N�+t#$",tOE���S'fYt `1Z-,l.ITC3 j� c�, ),t •, . (PROPOSED USE) � 1$cl,'t]1 :i I C L'a'i A ;:.?_rJ ' ZONING -% (STREET) DISTRICT Rr' AND OSS STREET) (CROSS STREET) {!1 AVISJON b t r ' LOT ' EF: �w, w ji r LOT BLOCK SIZE1-4 BUtLD,ING IS TO BE77777 FT WIDE BY FT, LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 4' r . P TOuTYPE ° USE`GROUP °r Y if BASEMENT WALLS OR FOUNDATION j rc i1 t ' (TYPE) REgMA/R/KS t W SR, 44J�3 a 600 Il 14 9 . ' ��"CyAi{Ti Ei VOLUME - - ESTIMATED COST ,'"}° t"jl� Vl� FEE GJ..5,0 ^Fhs.*yyrl II! (CUBIC/SQUARE FEET) 5 yF I �a r�t°NyF OWNER, ADDRESS " ! BUILDING DEPT. — BY f 9 PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TE.MPORARILY.,OR ' MANEN.TLY ;ENCS16ACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,..MUST.'BE.A'P 'ROVED' BY THEi;.JURISDi.CTION.. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEW MAY,@E;;C;B,T:A'INEDTt RCMTiHt0EPARTMEN'T!.OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS' Z: )$ ANrT APPLICABLE SU,BOIVISION RESTRICTIONS. . a IIN:IMUM1,gFyd„T,WREsE CALL '• - r i N9pfCT10NS1t�QUYREDtFOR APPROVED PLANS MUST BE RETAIN ID ON JOB AND THIS WHERE APPLICABLE SErRARfATE ''ar ;: 'u; N$T,RLCTIO,.N"�I,OR K*. CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS.:;ARE REQUIRED' yFOR tl I,t ELECTRICAL, PLUMBING AND OUWDpTiON$ R}FOOTINGS MADE. WHERE.A CERTIFICATE OF OCCUPANCY IS RE MECHANICAL INSTALLATIONStl RRIOR tO COVERING+STRUCTUR,AL UNEM9ER,S(READ?f,,TO1LATH) QUIRED,SUGH BUILDING SHALL NOT BE OCCUPIED UNTIL P�NAL INSPECYVON BEFORE FINAL'INSPECTION HAS BEEN MADE. ItZO C,CUPANCY rl ry 7 .r, _ T 'THIS CARD SO IT IS VISIBLE FROM STREET tIF ) J - ;'v B ILD Cr fNSPECTION APPROVALS 'f f PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPR a # 1 2 ��, fil ktI v o( ` qt 1 HEATING INSPECTION APPROVALS E INEERIN DEP RTMEN r,� ryy ftS o ( va�thVIq o J' BO D HEALTH ,; r ti SITE PLAN REVIEW APPROVAL R't�,ryl}4fiw f�iv:W� � t�r1 k, �h.,.� D•�arwY 1}��r I( '� a•" r .: ;r t •�t n,"SHALLNQT{PHOCE�b UNTIL:THE INSPEC PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARDIGAN BE�y R �PPHOVEDfFIEVARIODUS STAGES OF, : I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELE�iONE OR WRITTEN -NOTIFICATION. : 5 Yy r ` ,FTwr,, TOWN OF BARNSTABLE. Permit No. .35780 • BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 \Yl X HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Markwood Corp. Address Lot #5, 336 Main Street Cotuit, Mass. 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. May 27, 19 93 - "�ingspec' �B Inspect Engineering Dept. (3rd floor) Map Parcel aL Permit# 2 House Date Issued �- ' 94 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) �' D !Z/'� Fee �� d' Conservation Office(4th floor)(8:30- 9:30/ 1:00- 2:00) AV- Planning Dept. (1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board 19 SEPTIC UST BE ; INSTALL 9. , PLIANCE A. q TOWN OF BARNSTABLE ENVIRONMEEN'FAL OODE AND r Bill liking PermitAppl' TOWN REGULATIONS Project Street re h , VillageE l_ f^t Owner cu te'1 Address Y rJ O Telephone Permit Requ t A /U d � " First Floor_ square feet Second Floor square feet Construction Type Estimated Project (C st $ Zoning District !) Flood Plain Water Protection Lot Size 097 ao Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �a� 4n Historic House ❑Yes p'lq_o_ On Old King's Highway ❑Yes p l�o Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New 0? Half: Existing New '�— No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes �Co Fireplaces: Existing New _� Existing wood/coal stove ❑Yes ff 9-0- Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) (064� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Ye ' fe f y s, site plan review#Current Use J! Proposed Use /� Builder Information (i Name /m i"l Telephone Number Address U&Ifo- 0 4 License# 5 ? 00 V? &Y Home Improvement Contractor# P" o / Worker's Compensation#(AY10WU 2M NEW CONSTRUCTION OR ADDITIONS REOUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCT40N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ( l SIGNATURE / DATE /—/o-- 77 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION S T T2 i FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: k6bGH-t FINAL r FINAL BUILDING '..* !Z2 _44 4 _ DATE CLOSED OUT ASSOCIATION PLANY / ' (_UA4MUN W1-AAL 1'H Ur MASSACH USA I"I'S = �cF DErAIrrMENT OF LNDUSTRIALACCIDENTS 600 WASHINGTON STREET -ames.; Cam:oei: BOSTON, MASSACHUSEITS 02111 Corm ssione' WOR.IERS' COMPENSATION INSURANCE AFFIDAVIT 0iccnsalperminec) with 2prinopal place of business/residence at: (City/Sater ip) do hereby ceriify, under the pains and penalties of perjury, that: 1" ) am an employer providing the following workers'eompe=rion coverage for my employees working on this job. /l Insurance Company Policy Number [) 1 am a sole proprietor and have no one working for me [] I am a sole proprietor, general contmaor or homeowner(cirdc onc)and have hired the eontmaors listed b=ow who have the flllowing workers'compensation insurance polio Name of Conmaor InsLraaee Company/Policy Number Name of Contmaor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE: Please be aware tbat while homeowners who employ persons to do maintenance,construction or repair work on: dwc'ling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not gencrAl y considered to be employes under the Workers'Compensation Act(GL C 152,sea 1(5)),application by a homeowner for it lice=se or permit may evidence the legal status of an employer under the Workc:s'Compensation Act. I unde-stand that a copy of this statement will be forwarded to the Deparanc=of Industrial Accidents'Ofnee of lnsu:anm for oovcraE: vc:i:icacion and tha failure to secure coverage as required undo Section 25A of MGL 152 can lead to the imposition of aiminal pc.i�s consisting of a fine of up to S1500.00 and/or imprisonment of up to one yc�::and civt penalties in the form of a Stop Work Order a-.c a fine of S 100.00 a day agains:me. Sipncd this day of , 19 o1111A_ • Lice:1scclPcrrnincc Liccisor/Pcrmicro► i HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards ! One 'Ashburton Place - -Room .1301 I Boston , Massachusetts -02108 HOME ---------------------- ---- IMPROVEMENT CONTRACTOR T --- Registration 100871 Expiration .06/24/98 Tyke - PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR Registration 100871 Type - PRIVATE CORPORATION MARKWOOD CORP I Expiration 06/24/98 TIMOTHY M . PEARSON 110 BREED 'S .,HILL ROAD UNIT 10 j MARKNOOD CORP , HYANNIS MA, 02601 I TIMOTHY M. PEARSON 7f �°�-If10 BREED'S HILL ROAD UNIT 10' ADMINISTRATOR HYANNIS MA 02601 23542 _ . P Q 0 © MAR. EPARTMENT OF PUBLIC SAFETY a ?354:_ Y -? ONE ASHBURTON PLACE, RM 1301 t tp BOSTON, MA 02108-1618 W J U•1775 3 Z z >. CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 � Al TIMOTHY PEARSON m w Pei- ch':bottom, fold sign on POBX 519 ,back, and laminate license card. CENTERVILLE , MA 02632 Keep taprfor_receipt and change roof address notification. .. Tfie Va�rva2o�rzcuea� a�✓%GaOlac�uuse�s ` -I - �; .. 23542 Restricted.To: 00 DEPA,RTNENT OF PUBLIC SAFETY ' CONSTRUCTION SUPERVISOR LICENSE 00 - None ' Number: Expires: 1G - 1 & 2 Family Homes ?.estricted Tc: 00 Failure to possess a current edition.of the Massachusetts State Buiilding Code } `I1(OTHY PEARS'ON is cause for revocatioa of this license. POH C°NTERVILLE, KA 02632 l , N M � 1 m aN LOT 5 , s o � 5�.ik 22a' 27500 t S.F. ao, w Cl� CONC. O FDN. IV • 1 c�► 0 �d TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. I989 ZONE RF I CERTIFY THAT TO THE BEST OF MY PROFESS/ONAL SETBACKS KNOWL EDGE. INFORMATION AND BELIEF THE DWELL/NG FRONT - 30' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 15' OF THE ZONING BY-LAW FOR THE RF DISTRICT. REAR - 15' PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON /S /N FLOOD HAZARD ZONE C WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0021 C. DATED AUG. 19. 1985. PLANS OF RECORD AND DO NOT � x REPRESENT AN ACTUAL SURVEY ON THE GROUND. THE DWELL/NG DEPICTED ON THIS ar F,' f, PLOT PLAN PLAN WAS LOCATED ON THE GROUND h � IN BY SURVEY ON APR. 15. I993 AND - BARNSTABLE. MASS. AS SHOWN AS OF THE DATE �' Zt OF LOCATION. SCALE: 1 '-40' APR. 15. 1993 /rs/9 j THIS PLAN /S FOR PLOT PLAN EACLE SURVEYING 8 ENGINEERING.INC. PURPOSES ONLY AND NOT FOR l0 Sea6oard Lane RECORDING. DEED DESCRIPTIONS. Byannls. Md. 02601 OR ESTABLISHING PROPERTY LINES. (508) ?'78-4422 0 20 40 80 PROJECT NO. 92-303 o 0 q). A i A-1 4— ' � 1 4-- A. f lam,_E ' r— - � � � i 1 i 1 .. TC'�r--1,•,TGt-� �j•.1!�'r. �'�� it — ->= cot-«; r�rccz �<. _ - - ! so i I 1 .Ipl� C• 'U'Iac , _ } Az -14 eX�T. c'-of-JG. ,-:f-•_'._L `-'t ~ _._ Ia YI � — �y ' E- ---- - - .�V PT. ��I-L 1l^V 'lam I � -� % �� - - •F -- �;� � � � vlr�Z.-!r.1_'u. - � ' .h4 aGHCJfL (3�LTA.. tl N I A x n ��1✓ ` CG. , GO} 1G LAP E LOF'r,- T61 4-1 4{ -r N tt I �XIL'T. GOI-JG.. 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'I I job no, : I ---- _— -- ---- -r- - . _ r r s ,� y i date it f , --------------- — — .• , JL r. y 1 , Scale _ { I I >�res3.F:. _.sr:•�•-c.u�a�c.••••••. •..ss•�.sa>:sm• -- ___..._,.• s-sa-r::t:j.._.:.:_� �idtra9Tra� .-s x -. awa+•,a •s"-'-per-.z•-sa�•r�a�n--��+m•�.vr•q••s,.,•..•esr- -- .. .- �-rr--'r' T--�+r . •, .,� ass•-amppp--:ea-•vz>s.••r:a� ::':••^r.^-=•�.c.rsrKrl.e��n�rn�na,�+arso.-:.,rrr:s� ,. , *c-T:�•.,.•.�.r«r_._.. ----- -- - - "_ -ea*aru=sew.rav-m•n.-.-w�wrc-•,gym.-•r:+n• __ .._ :I i drawn rev. i0 1 -- -- - - -- - -- - - - - - - --- - -- - rev. LI - - rev. �` •-�� 1�' F LOc"� if LAN c , >,., , L 1=vAT I orl F= ' wAT �i,��.— 11-- oil �a� == " - - on +�� ►_-- ;} -- -,� � - _ DESIGN CRITERIA NVLK I E: L vim, INVERT AT BUILDING: 'ENERAL NOTES : DESIGN FLOW: BEDROOMS AT /a G. P.D. PER INVERT IN SEPTIC TANK: g 5• S THIS PLAN /S FOR THE DESIGN AND g9.0 ACCESS COVERS MUST BE WITHIN BEDROOM EQUALS 3vG. P. D. INVERT OUT SEPTIC TANK: 9S. 6' CONSTRUCTION OF THE SEWAGE DISPOSAL FIRST 2' r0 I2 OF FINISH GRADE INVERT IN DIST. BOX: 9s 2 SYSTEM ONLY. BE LEVEL A-'O GARBAGE GRINDER a INVERT OUT DI ST. BOX: S5• 4' PVC ��MIN. 2' OF ION METHODS AND SCHEDULE 40 PEASTONE SEPTIC TANK REQUIRED: INVERT I N LEACH PIT: 9`� " ALL CONSTRUCTI ON 9G SsSZ ' BOTTOM OF LEACH PIT: MATERIALS FOR THE SEPTIC SYSTEM 9617s 9g .0 .5 I/2' DIA. 3aG. P. D. X 150V GAL . g� S SHALL CONFORM TO MASS. D. E. P. WASHED STONE SEPTIC TANK PROVIDED: /oaG GAL . ADJUSTED GROUND WATER: "— T I TL E 5 AND LOCAL BOARD OF HEALTH I o' MIN. /bop GAL D-BOX LET a OBSERVED GROUND WA TER: "'— REGULATIONS. SEPTIC TANK , LEACH PIT SIZE OF LEACHING FACILITY REQUIRED: PROFILE : NOT TO SCALE 33a G. P. D. J. ALL SEPTIC SYSTEM COMPONENTS LOCATED DESIGN PERC RATE - 'C- Z MIN/INCH REVISIONS : UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC NO. DATE REVISION OR GREATER THAN 3 ` IN DEPTH SHALL BE N PROVIDED:_�.—�PIT(S) W/ 3 'STN. / �, ss�sL Ne�E .y�j€ 8 CA 3w' CAPABLE OF WITHSTANDING H-20 WHEEL LOADS. 7.8 SI DEWALL : 3Z- S.F.X —'S - 33 a GPD + BOTTOM: 113 S.F.X /3 GPD 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 TOTAL : �y S S.F. `f`a 3 GPD OR APPROVED EQUAL . i 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. SOIL TES T PIT DA TA & o 1-800-322-4644 FOR LOCATION OF INDICATES 4 INDICATES q PERCOLATION OBSERVED UNDERGROUND UTILITIES. _ TEST GROUNDwa TER �coZONE : R F J TP# / TP# Z 6. VER T l CAL` DATUM I S: ASSUMED SETBACKS: FRONT - 30 ' GRND EL. 97 cRNo EL. 9e 9e.o �' SIDE - 15 ' 0.W.EL. 6.W.EL. 7. FOR BENCH MARKS SET. SEE SITE PLAN. + N. Ns �s REAR - l 5 ' •�O •po Np TD P TofP ) L 0 T 5 Sul'. �SZZO• 27.500f S.F. 9S I { ^ .s 7>- 97.e 4' PIT IO 0 GAL D-BOX W13 STONE T.P.#1 SEPTIC TANK .� +9e. 7• RESERVE 06 T.P.#2 ,L6 � 97.9 / o ul lFTtat BS' h' ,vo .7.}f2s► �G.I +9e.i sHfO 08.1 / / DATE: ��,LL Sz TEST B Y• -S pO 0 � � WITNESSED BY: M. TAG BOLT ON YD ASSUMED � PERC RATE: G Z MIN/INCH EL . EO QROQ� �O _ G• 97.s SEPT / C SYSTEM DES / G/\/ 0.0 .4 +9e. Qp �s:�. ,�� 5 'co T v T A4A S S1,A OF � ate• Ew _ � � 9s.i v1P� s '9e.i PREPARES FOR STEPHEN �� MA R K WO O D CORP 4 Ha S /^ 7 97.7 cwi� „>' — /VO VEA 23 / 992 . �.� era.35461 � S C.4 L E : / 2O .}. ISTt ;�, � s^�e��T���� � � Q � .�'.�•4 GL.�' .,S'I1R V.E'Y I NG 8t E'NG I NE'.L�'R.I NG . I Ni , /� z 5S 2 J ® ..5"B t7 4 O crl- pt L crZ2 Nycznn t s Mcr . ® 2 6® r - - 0 /O 20 40 -- - - - JOB NO: 92-303 FIELD:CFW/SAH CALC: SAH CHECK: CFW I DRN: SAH