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Home My WebLink About0451 MAIN STREET (COTUIT) � 45i /�ian S ACTNE CF THE?1 . BUILDING DEPT. Application Number......... .................................................. BARNSTABLF. S& AUGJ 0 2020 Permit ...o?0-3•.................Zoning District........................ 639. TOWN OF BARNSTABLE TotalFee Paid................. ........................................... ...... zo rmit Approval by.............. ...... ... TOWN OF BARNSTABLE Pe l ... . . .:.On... ........... BUILDING PERM SCANNED Map................. ..................:..Parcel............................................. 4 LCqn_ APPLICATION. Section 1 — Owner's Information and Project Location Project Address 51 etc IV1 Village 4f,06rh_ ,Owners Name C) Owners Legal Address City � State A zip Owners"Ceh. 0-M C40A Section 2 —Use of Structure Jisq. Groupj E] Commercial Structure over 35,000 cubic feet C mm i� truc S t1i o , er6 Structure under 35,000 cubic feet Single Two Family Dwelling Section 3 —Type of Permit 'EJ New Constr&tion, . ❑ Move Relocate ❑ Accessory Structure E] Change of use 'E:1 'Fire Alarm 0 bemo/(entire structiire) El Finishbasement 0 Family/Amnesty Rebuild El Sprinkler Systern 0 Deck Apartment F1 Addition Fj Retaining wall FJ Solar Reno,vation, ❑ P061 Foundation Only 3,1 Other-Specify Section 4 ' Work Description >J-b A'<, CVIVI M-jWCX (C'LM tA% �J aAJ tA LS Last updated: 1/3 1/2020 F 7 Application Number..... .. .�............................... Section 5—Detail Cost of Proposed Construction 0 fa je p Square Footage of Project 5 Qo Age of Structure �� S Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist~[] WFCM Checklist ❑ Design + Section 6— Project Specifics r (Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ HeatingSystem y stem ❑ Masonry Chimney � ❑ Add/relocate bedroom Water Supply , Public ❑ Private Sewage Disposal ❑ Municipal 52 On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility:`l�&V/t I am using a crane C Yes ❑ No r Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No 9 t Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) j Setbacks Front Yard Required Proposed 3 Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No j Last updated: 1/31/2020 I Application Number........................................... Section 9— Construction Supervisor Name 11A RK VOu R i R Telephone Number G 4�fp� Address P.o' to)( 4 Lf city ObT-Q 17- State IV• zip W6$r l License Number d n 6 L License Type Expiration Date )///02 Contractors Email VOU1000 JbNCo 9tk=pH Cell —Wjo? HAIL. 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 JTown of.Barristable.Attach a copy of your license. Sig nature I�iiG� � � �K/, Date Section 10=Home Improvement Contractor Name AUK VVLLtA5�` Telephone Number��Tb�� Address Poo, 80Y, `Cf • City dxm It T- State 1144• Zip Registration Number IDf JfY Expiration Date f/070/wo I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required`�.�by 7780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature %��f1v �� Date 8"6/ 0hy Section 11 —Home Owners License Exemption Home Owners 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 SIGNATURE Signature 4- Date 8-1ra0 Print Name /IARK VOLL141F 2 Telephone Number E-mail permit to: V/Duxw 00 %AV CoMuelpAl Q 6 AXII, Last updated: 1/31/2020 Section 12 - Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review if required) El( q ) Fire Department Conservation ❑ �° ' ' ` For commercial'work,please take your plans directly I to the fire department for approval. Section 13 - Owner's Authorization on 1, _ Q:2mo�kr C�- , as Owner of the subject property hereby authorize o ;.to act on my behalf, in all matters relative to work aut orized by this building permit application for: n �Vk (Address of job) 71M10C Signat re o Owner + _ ate Print Name Last updated: 1/31/2020 �1HElp,,• Town of Barnstable v� & w 200 Main Street,Hyannis,MA Tel.(508)862-4644 ArEO MPS e INSPECTION REPORT Permit: Building -Alteration INTERIOR Work Only- Residential Use: Date: 8/10/2020 11:33 AM Inspector: barrowsd Permit Number: TB-20-2152 Name: DALEY, KAREN A Address: 451 MAIN STREET (COTUIT), COTUIT Unit No. Inspection Type Inspection Item Status Comment Building Admin - BA- Property Owner NIC need owner to authorize applicant Construction Authorization, if Builder is Applicant Inspection Overall Comment: Overall Inspection Status: FAILED Re-Inspection Date: Inspector Signature Owner Signature Total Score: 100 I Commonwealth of Massachusetts _ Division of Professional L icensure - Board of Building Regulations and Standards '� G'' 'ur rrr.i!i !lu„r ;%•i:; /!r Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR ' C S-04766 7 TYPE: Individual axpires: C901202; Registration Expiration PHILLIP M VOLLMER 109558 09/20/2020 PO BOX 64 MARK VOLLMER. COTUIT MA 02635 ` MARK VOLLMER 314 WAQUOIT RD Commissioner / �y� _ COTUIT,MA 02635 Undersecretary 1 The Commonwealth of Massachusetts Department of IndustrialAccidents 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 Legibly Name(Business/Oriwization/individual): Vow?40- ARID SaIdVA15 '�2 Wi0,Y G1C Address: I&T POpONas5r City/State/Zip: OMIT MA, OPU K Phone#: 6'D$- Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors .: 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. VRemodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity.acitY• employees and have workers' $ _ 9. El Building addition [No workers'comp.insurance insurance. . El Electrical required.] . 5. We are a corporation'and its 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 12.0 Roof repairs insurance required]t c. 152,§1(4),and we have no employees.[No workers' 13.0 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 contactors mast submit a new affidavit indicating such. tContractors 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-contactors 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.Lie.#: d Expiration Date: Job Site Address: 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 ceWjyy`unddeer the and penalties of perjury that the information provided7a;bavle* trueandcorrect;Si ature: '`I Date: 0 Phone#: Cot- 'a ` V OJ)cial use only. Do not write in this area,to be completed by city or town gfj`iciaL 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, arts association or other le entity,employing employees. However the partnership, � �P 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,c onstuction or repair work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such`i mployment 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 relaxed 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 lilce 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 Qfce of ltvestigatic�ns 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 wa 406 or 1=877 MASSAFB Fax#617-727-7749 Revised 4-24-07 . www:m►ass..gov/dia rl Li cm EEC ".° LO Q Lk co j3 r r �' lacyj(— Gf crSR- kjkWows W&A ` 1,V\, At . -_ �� 6�� sue► �� 34v Assessor's office '(1st floor): - + cF THE to Assessor's map and lot number ..d. ..�..d.0 ......�VAW Board of Health (3rd floor): fO Q.l�..C.on+47� -A�.... :. . v,d � 1 Sewage Permit number ......... �,_` t B9S39T1►DLE, . Engineering Department Qr r ..(. TIC ' rose House number ....... .... �T 01= APPLICATIONS PROCESSED 8:30'' 9:30 A.M. and' 1:00.2:00 P.M. only INSTALLED AAPLIANC'r WITH TITLE 5 �BARNSTABL ";. �� ` TOWN OF BUILDINGr INSPECTOR low APPLICATION FOR PERMIT. TO ............. .. �� '✓.... . td. .. LL TYPE OF CONSTRUCTION ...........� ... ....`° -.......... - .:!'.!, . ......... .. � 9 Q O ................/-----------------19...----- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .Location ...... ........ ......... .. ........................................ ............................................................................................................. ProposedUse ......I....... ...................................... ................................................................................................. ZoningDistrict .............. .. .......................................:....Fire District .................1r'. ................................................ . ov Nameof Owner ..../..,..'.... /. ./........e...... .............................4ress ............................... . .....................,.................... ...... Name of Builder .�� V`.:':'/�5...•....................Address � ....�.<.. Name of Architect � ��......•.................Address ............................................... Numberof Rooms ...... .......................................'.............Foundation .... ...°'.... .......... ........................................ Exterior .............. �..............................................:..Roofing ............G( , ......... . .t....................................... DO Floors ''> .'..................................................Interior .......................................... Heating �yTl' ...............Plumbing �AT .......... ... .................. ................................. ............ .......... Fireplace , .....................................................Approximate Cost ........�7 C.ti�................. "Oc'> Definitive Plan Approved by Planning Board ________________________________19________ . AreaI. .:.... .....`. Diagram of Lot and Building with Dimensions Fee c�... SUBJECT TO APPROVAL OF BOARD OF HEALTH 30 - 2 . �I✓ r 1 V� •�� OCCUPANCY PERMITS REQUIRED FOR NEW DWELL1INGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. Name .......... .......... ................. V. Construction Supervisor's License .C� � i GOLDSTEIN, G. A=022-023 y „• Add to t No'...29.4.8.3 Permit for Add.............................. .......single.Jami-Ly...dwelling....................... Location 451 Main St. r .........C.vtuit......................................................... Mr. .&,.Mrs G. Goldstein .Owner ld ✓'� f. - r f r �� Type of Construction ............. r-ame................... r ry ... ... / - It '� Plot ................a" . `Lot r .. � Ail Y s Permit Granted ........ .....;Iune..1D. 986 + . . Date of Inss"pection `.7.. �1"' � ��" 19 ' Date�Completed t ; e n d ej It 0 i ' = TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, :r Map Q Parcel Application Ebo Health Division Date Issued . Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1/S1 MaM Village Owner 1 Address Telephone (e`� � /� I ✓�� Permit Request r zoixg bl rw�- 3h Cd44_16 se. AA-c 66 l/e,A _17-4 f d e ,()X e,k &Ak j6kkzzu..rfi ,({Lie 91awti- Alvri, �sr Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement.Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number U1LJ f 7e -�� Address , L�-jC �"° License # MA 6 �a f Home Improvement Contractor# 17TL K Email Worker's Compensation #com ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �/ 5 AJ&v- I364-AY d SIGNATU E DATE IfI r FOR OFFICIAL USE ONLY i APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. iftrimit d Au _ .. . amtdon :' Sam Form 04 ; � 4 ... s erg QWw of the propeny Imatedr at' i. 5 t)e.P. MA, 016S5 her autha..r e H ;,` PeT ... ; . .: .� � ire; li below r �� . s u& s � � �4 � � � vvoA m ..property, A �. Cw w^t f r,rvi F^P r:. .ar.c 9 D= , C d r tt02,nr ... n . d .:- __.... .. ., CEUSEOMY We lh the fw4wios mus Save Horm EneW, ,, - above referenced wAlect VI 2— flln ;CD,, _.. m_. ................__ F I y „v a +FAQ,t The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia , Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.]± 10❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole l 1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.rl I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.*• 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ OtherINSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: T l 1 �1 City/State/Zip:.-C..�I :1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex iration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde th ins an a 'es p rjury that the information provided above is true and correct Signature: Date: 6 Phone#:508-567-42 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#: AL:TEWEA-09 SNERONHA CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) ..:.•' 0612612017 THIS. CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION;ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE.ISSUING INSURER(S),(AUTHORIZED REPRESENTATIVE,OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pglicy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemen s. PRODUCER cT Christine Costa Mason&mason Insurance Agency,Inc. i I:Ax 458 South Ave. I IAi�c,No,Eat):(781 y 523-0067 (AlC.Na): Whitman,MA 02382 MSS.ccosta@=soninsure.com INSURE S AFFORDING COVERAGE NAtc a INSURER A:Evanston Insurance Co. 136378 INSURED INSURER e:SafetyInsurance Company 39464 F INsuRERc:Star Insurance Company 18023 I Alternative Weatherization,Inc. Y- 2 Lark Street I INSURER D: Fall River,AAA 02721 (INSURER E #INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: �y } THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA 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, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE _ ,AD SUBR! POLICY NUMBER POLICY EFf I mmow POLICY EXP # LIMITS A ? X COMMERCIAL GENERAL LIABILITY EACH,OCCURRENCE S flBD, DB CLAIMS-MADE OCCUR t DAMAGE TO RENTED 3 100 000 13C42088 (0610712017 j 0B10712018 i P 8�t rrsn t ' �— f - I MED:MED E�e person S 5,000 PERSONAL R ADv INJURv $ 1,800,000 ! # 3 2,0000,000 GEN'L AGGREGATE UMpIT�APPLIES PER: j 3 ;GENERAL AGGREGATE ;$ 2,080; POLICY L..-_3 JJECT LOC 'PRODUCTS-COMPiOPAGG $ t100 ' '3 1 OTHER: ' '§ B COMBIPI-DSINGLELIMIT I 1 000,000 AUTOMOBILE LIABILITY ANY AUTO 6237702 04108/2017 j 0410812018 1 BODILY INJURY(Per Person) is O�ANED SCHEDULED lA3U'TO$ONLY IAUTOpS I 60DILY INJURY(Per aedden1);S s AURIF{7S ONLY !_X_1 AUOTc7S OL� j £ OPEa�Rdg?AMAGE A # 1,000,000 —{UMBRELLA LIAB .X OCCUR ; EACH OCCURRENCE I$ X I EXCESS LIAB I CLAIMS-MADE 1 s XOBW6619616 ;0610712017i 0610712018'A 1,000,000 1AGGREGATES 1 OED i ?RETEN T ION$ C #WORKERS cOMPENSATION i X I PEER OTH 3 I AND EMPLOYERS'LIABILITY I S UTE ER I Y 1 N 1 C 0849257 00 0444120171 0WON2018 j E.L.EACH ACCIDENT i s 600,000 ANY PROPRIETOR/PARTN£RtEXECUTIYE ,f—`i: ? i I r I NIA! I - 600,000FMM:c aMH)R E.L.CNSEASE-EA EMPLOYE $ It Yes,desCtibe wafer 3 1 E.L.DISEASE-POLICY LIMIT S 00,000 OESCRIPTION OF OPERATIONS below I 3 i I S I ; DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLES(ACORD 101,Addiliortal Ramarks Schedule,may be attached It more space is requiredl Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 006(02 116).Forms Available Upon Request CERTIFICATE HOLDER CANCELLATION LACOS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICEWILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan RoadWaltham,MA 02451AUTHORIZEfl REPRESENTATIVED 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WOW Alp 71 btw- 1 £ t �' F y:x' _ /C/i/i3'�JL/IJaf' m3 y Office of Consumer Affairs and Business Regulation �z y' 10 Park Plaza- Suite 5170 Boston, Ma 9khusetts 02116 Home Improveme, ..tractor Registration a s Type: Corporation Registration: 175683 ALTERNATIVE WFAT iER17ATION,INC �5Y 2 LARK ST .W _ 4yY Expiration: 05/28/2019 FALL FINER,MA 02721 Update Address and return card. Mark reason for change. t+ 2iN•C75%!': _ ICJ -----_.--------- Office of Consumer Affairs Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Cawabon before the expiration date. If found return to: lion office of Consumer Affairs and Susirmss Regulation 5 05/281201a 10 Park Plaza-Suite 5170 ALTERNATIVE WBA-.1#iEFft7ATIfdN,INC. n,Ca114 02118 TIPAaTHY CABRAL l Q Cat 2 LARK ST (_,.3 FALL RIVER,MA 02721 Undersecretary trill t V O S 81X�1'S 'Town oT Barnstable, MA Page 1 of 4 r Town of Barnstable,MA Monday,July3,2077 Chapter 240. Zoning Article III. District Regulations § 240-11. RB, RD-1 and RF-2'Residential Districts. A. Principal permitted uses. The following uses are permitted in the RB, RD-1 and RF-2 Districts: (1) Single-family residential dwelling (detached).. M B. Accessory uses. The following uses are permitted as accessory uses in the RB, RD-1 and RF-2 Districts (1) Renting of rooms for not more than three nonfamily members by the family residing in a single-family dwelling. [Amended 11-7-1987 by Art. 12.1 (2) Keeping, stabling and maintenance of horses subject to the following: (a) Horses are not kept for economic gain. (b) A minimum of 21,78o square feet of lot area is provided, except that an-additional lo,890 square feet of lot area for each horse in excess of two shall be provided. (c) All state and local health regulations are complied with. (d) Adequate fencing isinstalled and maintained to contain the horses within the property, except.that the use of barbed wire is prohibited. (e) - All structures, including riding rings and fences to contain horses, conform to 50% of the setback requirements of the district in,which located. (fj No temporary buildings, tents, trailers or packing crates are used (g) The area is landscaped to,,harmonize with the character of the neighborhood. ; http://ecode360.com/priiitBA2043?guid=31772716 7/3/2017 Town of Barnstable,MA Page 2 of 4 (h) The land is maintained so as not to create a nuisance. (i) No outside artificial lighting is used beyond that normally used in residential districts. C. Conditional uses. The following uses are permitted as conditional uses in the RB, RD-1 and RF-2 Districts, provided a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of § 240- 125C herein and the specific standards for such conditional uses as required in this section: (1) Renting of rooms to no more than six Lodgers in one multiple-unit dwelling. (2) Public or private regulation golf courses subject to the following: (a) A minimum length of 1,000 yards is provided for a nine-hole course and Z,000 yards for an eighteen-hole course. (b) No accessory buildings are located on the premises except those for storage of golf course maintenance equipment and materials, golf carts,a pro shop for the sale of golf related articles, rest rooms,shower facilities and locker rooms. (3) Keeping, stabling and maintenance of horses in excess of the density provisions of Subsection 13(2)(b) herein, either on the same or adjacent lot as the principal building to which such use.is accessory. (4) Reserved)"' 1] Editor's Note:Former Subsection C(4), regarding family apartments, was repealed 7i-78-2004 b - P Y Order No. 2005-026. See now§240-47.7. (5) Windmi.11s and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. (6) Bed-and-breakfast. [Added 2-20-19971 (a) Intent: It is the intent of this section to allow bed-and-breakfast operations in larger older homes to provide an adaptive reuse for these structures and-, in so doing encourage the maintenance and enhancement of older buildings which are part of the community character. This use will also create low- intensity accommodations for tourist and visitors and enhance the economic climate of the Town.lBy requiring that the operation is owner occupied and managed, the Town seeks to ensure that the use will be properly managed and well maintained. (b) Bed-and-breakfast,subject to the following conditions: [1] The bed-and-breakfast operation shall be located within an existing, owner=occupied single-family residential dwellingg constructed prior to 1970 containing a minimum of four bedrooms as of December 1, 1996. http://ecode360.com/print./BA2043?guid=31772716 7/3/2017 f '-own of Barnstable, MA Page 3 of 4 [2] No more than three bedrooms shall be rented for bed- and-breakfast to a total of six gguests at any one time. For the purppose of this section, cFiildren under the age of 12 years shall not be considered in the total.number of guests. [3] No cooking facilities including but not limited to stoves, microwave ovens, toaster ovens and hot plates shall be available to guests, and no meals except breakfast shall be served to guests. [4] The owner of the property shall be responsible for the operation of the property and shall be resident when the bed-and-;breakfast is in operation. The owner shall file an affidavit with the Building Commissioner on an annual basis in the month of January stating that the property is the principal residence of the owner and that the owner is resident all times that the bed-and-breakfast is being operated. If the affidavit is not filed, the operation shall cease forthwith and any special permit issued shall be considered null and voidd. The requirement for filing of an affidavit shall not apply to bed-and-breakfast operations legally established prior to October 1, 1996. [5] The single-family residence in which the bed-and- breakfast operation is located shall be maintained so that the appearance of the building and grounds remain that . of a single-family residence. [6] 1f the property is not served by public water,the applicant shall provide evidence to the Zoning Board of Appeals that the proposed use will:not have any detrimental impact on any private water supply on site or off site. [7] No pparking shall be located in any required building yard setback, and parking areas shall be screened from adjoining residential properties by a fence or dense plantings,not less than five feet in height. Parkin areas may be permitted in front of the house, not wit9in the required building front yard setback, provided that the Zoning Board of Appeals finds that the spaces are designed and located in a manner which retains the residential character of the property. Grass overflow areas mayy be utilized for parking, provided these are maintained with a grass ground coverin good condition. [8], The special permit for the bed-and-breakfast conditional use operation shall be issued to the owner only and is not transferable to a subsequent property owner. This provision shall only appply to bed-and-breakfast conditional use operations established in residential districts. D. Special permit uses. The following uses are permitted as special permit uses in the RB, RD-1 and RF-2 Districts, provided a special permit is first obtained from the Planning Board: http://ecode360.com/printBA2043?guid=31772716 7/3/2017 Tbwn o Barnstable, MA r Page 4 of 4 (1) Open space residential developments subject to the provisions of § 240-17 herein. E. Bulk regulations. Minimum Yard Setbacks Minimum MinimuMinimmum Maximum Lot Area Lot Lot Building Zoning (square FrontagWidth Front Side Rear Height Districtsfeet) (feet) (feet) (feet) (feetXfeetXfeet) R B 43,5602 20 100 203 10 - i 0 301 R D-i 43,5602 Zo 125 303 10 10 30' RF-2 43,5602 20 7150 303 i5 15 3.0' NOTES: Or 2 1/2 stories,whichever is lesser. 2 A minimum lot area of 87,i20 square feet is required in RPOD Overlay District. [Added i0-26-2000] 3 One hundred feet along,Routes 28 and 132. t 5 . fittp://ecode360.com/print/BA2043?guid=31772716 7/3/2017 �: ALTERNATIVE WEATHERIZATION Date Town of Barnstable 200 Main St. Hyannis, MA 02601 Re: Permit# The insulation work at . ~\/l ;, ., .,• . �__ [/ a " has been completed In accordance with;180;EI\rllt; • - ,D. Agency work performed for •..{regards;. . ... . . .. . • :. ' Timothy Cabral; President CSL-105454 i 'I 58 DICKINSON STREET I FALL RIVER,MA 02721 1 (508)567-4240 I AI.TERNATIVEWEArHERIWONOGMAL.COM i r l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map OcZ of Parcel �� Application# Health Division '— o ise�rierrBivisiorr' Permit# Tax Collector Date Issued 3 2_4 Treasurer Application Fee o+ Planning Dept. Permit Fee D o(� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address S Village (�Ots Owner -Si&L 'O�Alils Address "l i4iN � c'-T ay/1 Telephone Permit Request 25Q;L,®/ai16 op &-r, Square feet: 1st floor:existing proposed 2nd floor:existing proposed r Total new Zoning District Flood Plain Groundwater Overlay %' -• t Q' a�� W Project Valuation_ __ __� Construction Type t�619�e�. Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 3 Two Family ❑ Multi-Family(#units) Age of Existing Structure 1.50 Historic House: ❑Yes UK On Old King's Hig way: ❑:Yes Ai<o Basement Type: ®Full ZCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing o new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel 2(Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ��o Fireplaces: Existing New�� Existing wood/coal stove: ❑Yes d< Detached garage:Yexisting ❑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 'ZNo If yes, site plan review# Current Use �i�j•�z= G' � yTs Proposed Use __. .BUILDER INFORMATION._ Name Iff Telephone Number = Address License# - Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE —3 _cX FOR OFFICIAL USE ONLY 3 PERMIT NO. DATE ISSUED S MAP/PARCEL NO. ADDRESS VILLAGE , OWNER ' r DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ('"�J �� IZ A4 c,IC- DATE CLOSED OUT ASSOCIATION PLAN NO. r Y' � � �i � d ' o '', ,� � ' �� . �,�, �, � � �, � r ' � � � w� j `�' z � �� C p� 1��M \ � � � '"S' $� ; \� I Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE: CRANBERRY KITCHENS CITY:Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 03/07/06 DATE OF PLANS: 3706 PROJECT INFORMATION: 451 MAIN STREET COTUIT MA. COMPANY INFORMATION: M.A.P.INSULATION CO,INC NOTES: REMODEL COMPLIANCE:Passes Maximum UA= 105 Your Home= 105 0.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 100 30.0 0.0 4 Ceiling 2: Cathedral Ceiling(no attic) 370 19.0 0.0 19 Ceiling 3:Flat Ceiling or Scissor Truss 290 19.0 0.0 15 Wall 1:Wood Frame, 16" o.c. 720 19.0 0.0 35 Window 2: Wood Frame,Double Pane with Low-E 95 0.340 32 Boiler 2: , 80 AFUE 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 Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building, and the cooling load if appropriate,has been deternuned 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 MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 03/07/06 TITLE: CRANBERRY KITCHENS Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-19.0 cavity insulation Comments: [ ] 3. Ceiling 3: Flat Ceiling or Scissor Tiuss,R-19.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 2:Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Heating and Cooling Equipment: [ ] 1. Boiler 2: , 80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 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 shall be insulated per Table J4.4.7.1. � I Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not pernutted. [ ] The HVAC system must provide a means for balancing air and water systems. 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. Heating and Cooling 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. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 V or chilled fluids below 55°F must be insulated to the levels in Table 2. I Table I: Minimum Insulation Thickness for Circulating Mot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for MVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e .F 2"Runouts 1" and Less 1.25" to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) The Commonwealth ofMassachusetts Department of Industrial Accidents A Office of Investigations 600 Washington Street Boston, AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�ibl�z Name (Business/Organization/Individual): wLL,IAOSI w& Address: 14 / City/State/Zip: &V�i Phone #: 7� Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ ew construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7 Remodeling ship and have no employees These sub-contractors have S•. ❑ Demolition working for me in any capacity. workers' comp. insurance. g. ❑ Building addition o workers' romp. insurance 5. ❑ We are a corporation and its el equamiedofficers have exercised their10.❑ Electrical repairs or additions 3. a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp, c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. (No workers' 13.❑ 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: 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 maybe forwarder)to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of per ury that the information provided above is true and correcz Signature: Date: Phone#: 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.Boprd of Health 2.Building Depa.rtmew. 3.City/Town Clerk 4.Electrical inspector 5.Plumbing inspeector 6. Other j 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 aP § the performance of public work until acceptable evidence of compliance with the insurance t into an contract for e enter y P P eP mP 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),addresses)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 scare 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/licens a 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 firture pewits 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 peanut 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. 1617-727-4900 ext 406 or 1-877-NIASSAFE F a-A # 617-727-7749 Revised 5-26-OS vrW-w.mass.ZoV1m—a Town of Barnstable o„ Regulatory Services BAMgtABLE, : Thomas F.Geiler,Director 9 MASS. 1639• Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ��f�� /f �✓ JOB LOCATION: umber street village "HOMEOWNER": OK ,140 zw/S name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection_ procedures and requirements and that he/she will comply with said procedures and requ. ements. 4�w1 Signature of Homeowner , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. - Q:forms:homeexempt r °FINE T � Town of Barnstable Regulatory Services BSrABLX Thomas F.Geiler,Director �A t639. �0 lfo,ru,+p Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. / Date �U 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 Work: !�!1Gd ��riP i0 '/�USVL Estimated Costoc�,_"W Address of Work: 4W1 /"//4/�f/ �7' ° �(/ � /'" 4. Owner's Name: kl)Lc,;-4'1 ��1/'✓s Date of Application: a 1 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑ ilding not owner-occupied [OOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH 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: Date - Contractor Name Registration No. OR . Date Owner's Name Q:f rmhomeaffidav °FTMET°w The Town of Barnstable BA MATS.LE, MASS. g` Department of Health Safety and Environmental Services 039. �0 ArFOMP+A. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230. Inspection Correction Notice Type of Inspection / /GUW C, ` Location VS i MRIAJ S7" C7 Permit Number 70 Owner Builder 0 U J A)(-k One notice to remain on job site,one notice on file in Building Department. The follow' items need correcting: Ilan-- SED& c— C� IgNu Ft 4Lifk L f i-1,tM 6� Wd5 C Y<MVfJ6- R4u66( / S -8x--� c�G2 SiGQ Oo LE' w 5 F- C A L(. -ro 1/0 33 Please call: 508-862-40--Wfor re-inspection. Inspected by /� �� Date �d' b & TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' 1 Map Okp2a Parcel .3 1 Application# Health Division SEPTIC SYSTEM M ► DID UST B Conservation Division b 2lJ .� INSTALLED IN COi'dIPLIANrmit# Tax Collector %, �� ENV WITH TITLE 5 IRONMENTAL CODE Ate Issuedha Treasurer TOWN REGULATIONS Application Fee Planning Dept. Permit Fee Hho�+ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis D P/VJv Project Street Address »✓ YAR46,6 Village Owner W 11_e,),4M OAIAIlS Address TelephoneVLi 3' 7/ S-Rac Permit Request ��' �� -I 0_ ,I/ GAGS ar e w D Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure/d '/7- Historic House: ❑Yes rJ� �o On Old King's Highway: ❑Yes Basement Type: B Full ad Crawl ❑/Walkout ❑Other Basement Finished Area(sq.ft.) ��0 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing 1 new Number of Bedrooms: existing_ new 1 Total Room Count(not including baths):existing new First Floor Room Count I Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/ccia stove: O,Yes ❑No Detached garage:Urexisting ❑new size Pool:❑existing ❑new size Barn:0 ex sting D"pew size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: w Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes UutNo If yes,site plan review# Current Use S.S)V6 .E -rfik4)LY Proposed Use BUILDER INFORMATION Name ►��-,�Itit �/I/°0/<.0 Telephone Number �1 ,�(� Address 7c-�� i�fi�til �f License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f W4,gfil® ;4 1, SIGNATURE DATE ' `' 06 FOR OFFICIAL USE ONLY PL7tMIT NO. ` DATE ISSUED ,* r - MAP/PARCEL NO. - ADDRESS t - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION rn FRAME , d� 0 , rn INSULATION 4 ' 2�766 jel--- 1 FIREPLACE n H a ELECTRICAL: ROUGH ; FINAL ru -- PLUMBING: (ROUGH FINAL GAS: ROUGH J FINAL ` FINAL BUILDING N2 6/0 8`'06 9t(n2�c a DATE CLOSED OUT ASSOCIATION PLAN NO. 3 i i Department oflndtlstriaiAccidents ' Office of Investigations, .* , 600 Washington Street Boston,MA 02111' www.mass-gov/dia Workers!' Compensation Insurance Affidavi#:Builders/Conti•actors/]Electricians/Plum hers Applicant Information Please Print Legibly Name (Business/Org anization/Individual): )Z.i D�4wt •��VA/ •C Address: �/ /��4>h/ ��-' C6 A . o� r3S City/State/Zip: - 077 , as6 '' Phone#•_ — •`71- g a 8. Are you an employer? Check the-appropriate box.-, *e of project(required): 1.❑ i am a•employer with 4. ❑ I am a general contractor and I ' employees (ftff and/or part-time).*. have hired the sub-contractors 6• [1 New constriction 2.❑ I am a sole proprietor or par ner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition Working forme in any capacity. workers' comp,insurance. 9, ❑ Building addition [No workers, comp.insurance 5• ❑ We are a corporation and its • required.] , officers have exercised their 10.❑ Electrical repairs or.additions 3. I am a homeowner doi$g all work' right of exemption per MGL 1L❑Plumbing repairs or additions myself. [No workers' comp. - a 152,§1(4),and we have no 12•❑ Roof repairs insurance required.]t employees.[No workers'* 13. Other St o D4FgS 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 coahactors must submit a new affidavit indicating such tContmctori that check Us box must attached an additional sheet showing the name of the sub-contractors mad their workers'comp,policy information, lam an employer that Is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance.Company Nave: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address:- 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 cari lead to the imposition of criminal penalties of a fine up to$.1,500,.00 and/or one-year imprisomment, as well as civil penalties in the form of a$TOP'WORK ORDER and afine of up to$250.00 a day against the violator. $e advised that a copy of this statemenf may to forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby cpWfnnder the pains and penalties of perjury that the information provided above is true and correct: �5i tore: Date: 07 2dd Phone#: EOther only. Igo not write in this area,to be completed by city.or town official n: Permit/License# hority(circle one): Health 2.Building Department 3.City/'Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#• Information and Instructions chusetts General Laws chapter 152 requires all employers to provideworkers' compensation for their employees. T Massa , erson is the service of another under any contract of hire, pursuant to this statute, an employee is defined as"...every p express or implied,oral or written." « ' ers association,fgrporation or other legal entity,or any two or more An employer is defined aS::au i�c>iriSll�.P� fir: oft foregoing engages in a joint enterprise, and inclu$ing the legal representatives of a deceased employer,or the artnership association or other legal entity,employing employees. Hower:tlte receiver or trustee of an individual,p , andwho resides therein, or,the occapant of the owner of a dwelling hoes a having not more than a e�c6,,construction or repair woikvu such dwelling house dwelling house of another who employs pens entbe deemed to be an employer." or on the grounds or building appmtenant thereto shall notbecause of such employm MGL chapter 152, §25C(6)also states that"every state or local licensing.agency shall withhold the issuance or ranewal of a license or permit to operate a business or to construct buildings in the•commonwealth for any a lwant who has not produced acceptable evidence-of compliance with the insurance coverage required." Plt ter 152, 25 C states"Neither the commonwealth nor any of its'political subdivisions shall Additionally,MGL chap .. § (� of public w. .0 ac acceptable evidence of cozl?p ens into any contract for the perfonnance liance with the insurance iequfrements ofmis chapter have been presented to the contracting authority." Applicants please fill"out .the workers' co.4ensation affidavit completely,by che�ckm'ng Ike boxes th�lyeir e your of situation and,if necessary,supply sub-coa�ractor(s)name(s),address(es)and phone () g insurance. Limited Liability Companies(LLC)or Limited Liabi y Partnerships(LLP)with no employees other than the or LLP does have - members orpaM as, are notrequ#ed to carry workers' comp ns artment of Industrial employees,a policy is required. Be advised that this affidavit-may be submitted to the Dep Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned. the dty,or town that the application for the permit or license is being requested,not the Deparf neht of Industrial Accidents. Should you have any questions a number listed below, Self-insured companies should eTegarding the law br if you are required to obtain a nter their compensatioupolicy,please call the Department at th 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 fiIl° m the event the Office of Investigations has to contact you regarding the applicanter. In addition, an applicant" e mum Please be sure'to fill in tiie permit/license number which will be used as need only submit one affidavit indicating current that must submit multiple permit/license applications in any givenYear, Y policy t submit (if necessary)ssary)and under"Job Site Address"'the applicant should write"all locations in (city or town)"A SPY of the%afi"idavit that has been officially stamped or marked by the city or mown maybe provided to the applicant as proof that a valid affidavit is�n file for.future permits•or'lioerases..Anew affidavitmust be filled out-each year.Where a home owner or citizen is obtaininsud erson is NOT required to complete this�affidavis or mmerczal venture (le. a dog license or permit to burn leaves :) P . The Office oflavestigations would hiketo thank you in advance for your cogperatiou and should you have,any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax numb er: The Commonwealth of Massachusetts . •'° Department of Industrial Accidents .. • . . �f�i-ce 9f Investigatioaas ' b00-Washiugfon Street V Boston,MA 02111. ..d Tel.#617-727-4900 ext 406 or'1477-MASSAFE Fax#617-7274749 Revised 5-2645 www.mass.govldia F1HE�p� Town of Barnstable Regulatory Services 9sn MASS I'E$ Thomas F.Geiler,Director s639. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 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. ,,yy Type of Work: Estimated Cost 10 Q®d. Address of Work: Nugz;d c�¢R6 CLi1{ /�i9 4a26�� Owner's Name:__ W),LL)A-vt LAIW 1S Date of Application: fj, 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 THEIR OWN PERMIT OR DEALING WITH 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: Date Contractor Name Registration No. 0i1/ is Date Owner's Name Q:forms:homeaffidav TableJ&Ub(pm#uVwQ prned tm Packages for One and Two4Nadly RwIdadW IlVIdhW Bated with Foa+l1 Fads MAXfMUM MIMMUM Glsriag tdliag Will Floor Basement Slab •FleadnglCooltct6 Atesi Val U.V ho R.Vaiuey X-Val=4 R vaiues Walt Peximcies �Fm� �dmcy+ R ya3tius+ &Valuer Fie 5701 to d300 dug D Days+ 1Z/. 0.+10 38 13 19 10 6 Norersai Q• ' Nalaal 1Z'!. 0.32 30 10 ' —19 19 6' IZ'h' O.SO 33 13 '19 10 b. •s3,�t�8 S 13 25 NIA NIA MEN •19 19 10 0Af 3E 13 23 N!A �JIk a3:AFtJt ... . 0.41:.• 3a _ U An% 30 197 ' 19 lo. X 19% 033 39 13' 23 NIA y 1S'/. 0.42 39 19:' Zi ILIA NIA 6 90 AFVE .' •l8't• 0A 31 13 I9 10 90 AFVi! AA 18'/i 0.30 30 19 19 1 10 • 0 PROPERTY' ' it N . 1.•ADDRESS F � .. � . CIA ru, 2. SQUARE FQOTAOE OF ALL EXTERIOR" 5;: 3. SQUARE FOOTAGE OF ALL'GtAZINO; 4• °/a GLAZINQ'AREA(03 DIVIDED BY#2); ' 5. SELECT PACKAQE(Q--AA-sea ch2rt above): OTOR MMm INVOLVED METHODS OF DETERMINING ENBRt;iY REQLIILEtEMENTS ARE AVAILABLE, ASK US FOR THIS MORMATI N, J� cA WOW (;L 1�r�� BUII DING INSPECTOR APPROVAL: YES: NO: q•iacros-®SQ343a � . 780 CbMAppandix J Footnotes to Table i8e2elb: assemblies (mcluding sliding-glass doors, skylights, and : area is the redo of the area of the glazing a doors)*to the gross wall tilaziag 19�0 of the total glazing area may be excluded from thn U-Yalue�eaquirement. �aseaient windows if located in waIIs that enclose conditioned space,but excIu g opaque 0 if of glazing area,expressed as a percentage.Up to ;a with exam Io,3 ff of decorative glass may be exaludested and documented b thee manufacturer to accordance with For P gl�g U-Values inl3st be t =After3anuary 1, 1999, test rocedura, or taken from Table J1.S.3.�. U-vetoes up for• the National Fenestration Rating Council (NMC) P , ' whole emits: center-of-glass U=values cannot be used. .R values do not assume a raised or oversized Truss construction.uladon mb a sub•meted for R 38 'The.ceiling the- Wells w#thout compression, R �, caYi }nsul'."on th4alsness over th ted'foe'R49,'-insulatidn: CefliagR�Yalrie,5�prasentr#he-sum � tYr- -- - - S a o avd:j3l fi�►sujatton ii ay bb'stt> hftii ad�eiliags, insulating shea%ing mu�t.4e 12cad between . Mulatioia plus insulating sheathing Of-us For veatilst the conditioned space and the ventilated portion of the roof • . If'used).� Do not Include` insulation plus insulating sheathing'( 4 all R•v�uea represent the sum,of the wall cavity . . irement could'be mat EA R structural sheathing and interior drywall.For'example,an R-19 requirement regMMMents apply'to exterior siding, °' - • by R 19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. a coristrucdon. a or rdass(concrete,masonry,lag)ivan cons;t actions,but do not apply to metal-fram , noes;lyasotneAts, wood-� to floors over unconditioned spaces(such as unconditioned crawlsp The floor requr=ants apply uirements. es .Floors aver outside air must meet the ceiling req o de must or gig a ass,doors.of gonditioned. + e entire opaque portion of any individual bosom de walls,. doves Band sliduig g less thmi j0/4 below gra The uinment 'raoac the Same •R=value requlrement'as absve-gn tt thes must be included with the other glazing. Basement doors must.Ineet,the door U value red bas d-scribed in Note b. Add as additional R•2 for hoofed slabs. eu Ian to'Install more I.The R-value requirements are for unheated slabs. use com liance approach 3,4;or 5..'if y P. s the building utilizes elnttric resistance Beating P i ent with the lowest thin one piece of heating equipment or more than ones piece of cooling equipment,the'equ prri , efficiency must meet.or exceed the eilicienc eTclosest by oretown saaTable]S.Z.Ya • ' c NOS V-values are maximum acceptable levels.Insulation R values are minimum acceptabla•leveIs. a)Glazing areas and R value requireiiients are for insulation only and do not include structural components. doors in the building envelope must have a V-value no greater t r an oDien U-valuts doorbUtvalue ' b)ppaque the manufacturer in accordance with the NFRC procedure and documented by a to U-value rating for that door is not available, include the • e compliance of the door. hi?able J1;5.3b.If a door contains glass and an aggr ga • ass area of the door with yoiir windows and use the opaque door U value to determin P door rn&y be excluded from this requirement(I.e„may wI sY ace wall component iincludeeater that 0.3 s two or more areas with Ones waft,flea,bea mt;t Mall,slab-edge,of cra P - &ter than or equal to . cj Sf a ceilrn� dlffer oat i�nsulatioa levels,the conponent complies if the art components nts comply if the ere ai&hted average U- R.vatue requirement for that component.Gluing oe U-yalua requirement(0,35 for doors), , th e th value df all windows or doors is less than or equal to ; . 43 . i+(�W 2 � "' �c � �6�t1�;�t��f;rxr'`ri �`� ,It,��` f '` v,�r,�'a,"•&'. � :� ~"y�L" ; r°ray^ �' t { �• fw„4 .Fn,,�a � '9r �F;*� +t t� 4 -D*',, ,��{ {+� �r•� N•d T,{e4 ,��y4,P�� .,rf .L •�y'�, y +r-�F: >� r ". � � -s �•� r" .qPIP � ' t 'w�'�+,� v t ¢,�✓ •t'. l�I _ �';ag yw,ti4a e a r f varAa?;/ T ti� i4•. 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'@ P1h, s :.,t'vzu:$`,.. �` �*•w lE 1.3"dY' :U - �4 • M A`^f • w5 hax 4 t h kr t el „1 e a V:4,''' ,,5 .+t ?s Via` k,y,. �.,;.� ' ,Wx '�`•_ ', ` k r§` ',$ + ,�; ��s� ., _ Town of Barnstable t"E' o� Regulatory Services '^ Thomas F.Geller,Director Building Division Ec r3+�'t aye Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 www,town Barnstable ma-us Fax: 508-790-6230 Nice: 508-862-4038 HOMEOWNER LICENSE E70rMMON ' Ylease Print DATE: 0 �- Clv,� i village ' JOB ON* street number "�R 8/7 "HOMEOWNE>Z"_ l'L L l Y4 J✓�IS v,orkphonc# name -home phone# CURRENT MAZNG ADDRESS M • �A /I A � ®chi 6-� �/i'� np code city/town state The current exemption forho " meowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners.to'engage as individual for hire who does not possess a license,provided that the owner acts as Mmi or' DEFIMTION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides o a cessotends o to such use and/orch efarm structures.re is,or is dA ed to be,a one or two-family dwelling,attached or detached structuresry rt person who constructs d a homeowner. Such more than one Offic al on form acceptable to the Buil two-year period shall not be ding official,thathe/she shall be •`homeowner"shall subrmt to th $ r onsible for all such work erformedunder the buildin ermit (Section I09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that helshe understands the Tows of Barnstable Building Department dun inspection procedures and requirements and that he/she will comply with said Procedures and . re • . i Si�g►atun MHo=0W=UC_-r of . Approval of Building Official Note• Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 12.7.0. Construction Control. BOMOWNER'S EXE IPTION _ oiis The Code States that; "Any homeowner performing work for whianded e homeowner engages a person{)for fire to odoo su h of this section(Section 109.1.1-Licensing of construed=supervisors);provi that if the wow thafsuch Homeowner shall act as supervisor:' Mmy homeowners who use this exemption an unaware that they are assumir}g the responnbilities of a supervisor(see Appendix Q, k of ss en msults in sc'o Rules&Regulations for hires un singConstrued persons. thion s cos your Board.caan Section 2.15) ctproaecd gai��e=�� person would with a 1 censedy whe4 the hom ervisor is ultimately responsible. Supervisor. The homeoVnCr acting SuP To ensure%sat the homeowner is fully aware of his/her responsibilities,many cormaunitics require,as part of the permit application, that the homeowner certify that helshe understands the responsibilities of a supervisor, On the last page of this issue is a form currently used by several towns, you may care t amend and adopt such a fom-laertification for use in your comraunity. S do�� ......... i ii f � A L a I i X TO 0 i ore A10T 'rO .SC,4Ae,6 w� j, Rem T,g3LE 3b0bv�>� PG d.3�1 � X� tiG Sraao 1 ,RNrs:r 'Weld - ! Do, 1l e�P� it . . .: - •i T+ � r 4r t Its' �(ti.5i ..w,�..;f.. .t Ur,-✓'. r R.1�1 !1 S'y y „ �.^ r" F 4 �. Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2017 367 Main Street,Hyannis,MA.02601 1 <<BACK TO SEARCH<< 4Print Friendly Owner Information-Map/Block/Lot:022/023/-Use Code:1010 C Owner �q v— ~ Owner Name as of 1/1/16 DALEY,KAREN A Map/Block/Lot GIS MAPS V 451 MAIN STREET 022/023/ Property Address COTUIT,MA.02635 451 MAIN STREET(COTUIT) Co-Owner Name Village:Cotuit Town Sewer At Addross LNo GIS Zoning V lue:RF n Assessed Values 2017-Map/Block/Lot:022/023/-Use Code:1010 1� 2017 Appraised Value 2017 Assessed ValuePast Comparisons Building $232,400 $232,400 Year Assessed Value Value: Extra $14,600 $14,600 2016-$551,900 Features: 2015-$603,400 C I 2014-$603,900 2013-$576,100 Outbuildings:$31,200 $31,200 2012-$575,800 V 2011-$596,700 Land Value: $281,100 , $281,100 2010-$603,200 2009-$665,700 2017 Totals $559,300 $559,300 2008-$663,800 2007-$696,100 Tax Information 2017-Map/Block/Lot:022/0231-Use Code:1010 Taxes Cotuit FD Tax(Residential) - $1,264.02 Community CA Preservation Act Tax 160.07 Fiscal Year 2017 TAX RATES HERE $ Town Tax(Residential) $5,335.72 $6,759.81 CCT Sales History-Map/Block/Lot:022/0231-Use Code:1010 ^` History: Owner: Sale Date Book/Page: Sale Price: DALEY,KAREN A 2014-05-07 28128/295 $1 http://www.townofbamstable.us/Assessing/propertydisplayscreen 17.asp?ap=0&searchparce... 7/3/2017 Official Website of The Town of Barnstable -Property Lookup Page 2 of 4 DALEY,KAREN A&ENNIS,RUTH E TRS 2005-12-20 20590/88 $0 DALEY,KAREN A 2005-10-04 20328/213 $737500 PASKAUSKAS,JULIA&MCGINN,HAROLD J2000-02-01 12811/211 $313500 GOLDSTEIN,MARILYN R 1990-06-15 7212/149 $100 GOLDSTEIN,GERALD D&MARILYN R 1985-07-15 4647/194 $170000 HENDRICK,DAVID J TR 1984-01-15 3991/51 $125000 BOGER,DEAN M . 1982-05-15 3479/169 $88800 ANTIS,GERALD A 1980-01-15 3075/103 $52000 Photos 022/023/-Use Code:1010 Sketches-Map/Block/Lot:022/023/-Use Code:1010 1# AS Built Cards:Click card#to view:Card#1 � Constructions Details-Map/Block/Lot:022 1 023/-Use Code:1010 Building Details Land Building value $232,400 BedrooCFull-1 USE CODE 1010 Replacement Cost $331,959 Bathro Lot Size 0.76 (Acres) Model Residential Total Rooms 12 Rooms Appraised $ Value 281,100 Style Conventional Heat Fuel Gas Assessed $ Value 281,100 Grade Custom Heat Type Hot Air Year Built 1895 AC Type Central Effective 30 Interior CarpetPine/Soft depreciation . floors Wood Stories 1 3/4 Stories Interior Walls Plastered Living Area sglft 2,549 Exterior Clapboard Walls Gross Area sq/ft 3,509 Gable/Hip http://wwwltownofbamstable.us/Assessing/propertydisplayscreenl 7.asp?ap=0&searchparce... 7/3/2017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 Roof Structure Roof Cover Asph/F GIs/Crop Outbuildings&Extra Features-Map/Block/Lot:022/023/-Use Code:1010 Code Description Units/SO ft Appraised Value Assessed Value PAT1 Patio-Average 168 $1,000 $1,000 FPL2 Fireplace 1.5 1 $3,900 $3,900 stories FGR7 Gar w/Lft Good 624 $26,900 $26,900 WDCK Wood Decking 250 $3,300 ,• $3,300 w/railings FOP Open Porch-roof- 30 $1,900 $1,900 ceiling BMT Basement- 280 $8,800 $8,800 Unfinished Sketch Legend Property Sketch Legend 132N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area- FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel• UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola < UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio APrint Friendly }Contact ;Director of Assessing ;Jeffrey Rudziak http://www.townofbamstable.us/Assessing/propertydisplayscreen 17.asp?ap=0&searchparce... 7/3/2017 r Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 �P 508-862-4022 F 508-862-4722 i �8:30a.m.to 4:30p.m. Public Records Ann Quirk Public Records Records Request iiiiP 508-862-4022 1367 Main Street Hyannis,MA.02601 !! Helpful Links to Downloads ( Abatements f SALES LISTINGS { Barnstable FD f Residential I C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD Residential � E , Exemptions fI Parcel Consolidation i t i Questions about values d FY17 Combined Tax Rates' Town Land Use Codes 'Helpful Maps f All Town Maps 3 Flood Insurance Maps Property Maps I FY17 Tax Maps I Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business Town Calendar I Phone Directory I Employment I Email Town Hall M http://www.townofbamstable.us/Assessing/Propertydisplayscreen 17.asp?ap=0&searchparce... 7/3/201.7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f, _PMa !� arcel � Permit#Health Division A,,JI 7 a(A Date feed _., Y O Y, Conservation Division �Pplication Fee 00 ? Tax Collector k- O a . Y Permit Fee�' 5 9 . .: Treasurer ti *Pn��..., "XSTEM _ Planning Dept. winw'ro.LjOFlumoomS Date D initi a Plan Approved byy,Plgin Board Historic x lQiAlf 1J PreseilJatlon/Hyannis Project Street Address �� !U`GL�V� ( >'�se-.0-T Village O ` Owner lMe Address C.�c -c,�a.�- IVI Telephone 5-6-6 `126 1 !67 Permit Request f"J - cGame sc'w- ape Square feet: 1st floor: existing l, l/,_415 Proposed J l�2nd floor: existing proposed 0qiO Total new Zoning District Flood Plain Groundwater Overlay Project Valuation�"jybO , 00 Construction Type Lot Size ="7(0 Grandfathered: ❑Yes Ull o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure C- Historic House: ❑Yes &I o On Old King's Highway: ❑Yes Cho Basement Type: ❑Full ❑Crawl ❑Walkout lad Other 1M t� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Numbe(of Baths: Full: existing new Half: existing / new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new - First Floor Room Count Heat Type and Fuel 2 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Ulo Fireplaces: Existing New Existing wood/coal stove: ❑Yes U-110 Detached garage:blexisting ❑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 des ❑No If yes,site plan review# Current Use N Proposed Use BUILDER INFORMATION Name OV�L» Q Telephone Number q 7—z—"72"73 Address ZS �� '` License# ct b ` w -Y�4(av"k 6-)-Or 1 , '&AA. CQ- o73 Home Improvement Contractor# 09 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN,TOlie SIGNATURE f' DATE v�. d Y - / FOR OFFICIAL USE ONLY 4 PERMIT NO. DATE ISSUED MAP/PARCEL NO. c ADDRESS VILLAGE f7 OWNER 4 DATE OF INSPECTION: FOUNDATION A' J*V RCVd5V10,0' FRAME INSULATION 4 . ` FIREPLACE ELECTRICAL: ROUG FINAL PLUMBING: ROUG"= FINAL R GAS: ROUGHN FINAL FINAL BUILDING DATE CLOSED`OUT ; q IY L ASSOCIATION PLAN NO. • � f A4 A-1 )V .5 T Q EL T 5 3z' fS' 20,.E k 130- 00 8Z. 04 � r 1 ` '0h1f � � • yi c N / ` ♦ � N / - , ,31 zoo s9. t ,` fW r- Lj V a h 11 AN P b )di v1si0r7 P107n of 1c7nd in COt Oil , Mc?ss. Try he Conveyed by .5 ca/c 6 0 Jan. C 7, / 962 art �/0hr7 0 Hr�nr i ks th �Pl S. ' �il r' Town of Barnstable Regulatory Services i e t Thomas F.GeHer,Director 139. ' � Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder the.subjectproperty- ...._..._.. .: hereby authotize i �� f�'bi ye to`act on rap..behalf,, in all Inatteits relative to work authoiized•by this building•pe=ai •appltcatiosrfor. (Address of Job) ; signature of ex Date Pont Name �.> ,�ie-Lorn)t�rrraneuanl/� o`J.i'�/liLa<w.e�fifelta , ". BOARQcQF,BUILDINGREGULATIONS .°License$C.PNSTRUCTION SUPERVISOR 1 Number-CSC 054491i , # f=: ^•- Expires 01/04/200 �- Tr.no: 13920 i s i r Restnc�t-d '�00 - TOBIN , ,HOMAS:R 4 Tu. , . 4 Y � 25TAFT RQ administrator W4YARMOUTH,:MA 02673 "..., rya 1%�f1P VO))L))J.04)fUQ2(�fL n/J i!'LcX:9lp;:lau<lel�if Board of Building Repilalions and Standards i` HOME IMPROVEMENT CONTRACTOR It = Registration: 137809 - ' Expiration:-1/9/2005 i i Type: Individual THOMAS P.TOBIN THOMAS TOBIN 368 RTE 130 SANDWICH, MA 02563 t Administrator f-cf i � 1 i 4i O�j ix. vi`�I i l gayPtl ! I II I vim+-G r.a av i. 2x/b �fi 1 -7 2 `7 2 r � , 1 �� F The Commonwealth of Massachusetts Department of/rIndduwstrialAccidents* C �!s Y!1 MIS M 600'Washington Street - Boston,Mass. 02111. ' / Y Workers' Com ensation Insurance Affidavit-General Businesses j �// ��( 3`'Y?i,,g :e�/Y:.�'•:�•'�°iltes,• :.�}e.•-1a}fir"Tq,..�:• .n 'y'; . .':v. � ��: . -� .,`.�'.LayU] / nee• LTC �3� „ ' address; 3�� , •. :.... • . state: . zip: 0Z5 6 phone# J Q8`4'2Z—'?�."73 work site location full address : `� i in�pLr, �1 e Q-r-u w�J. ❑ I Business Type. El [IRestaurant1Bar/Eating Establishment am•a sole proprietor and have no one working in MY capacity. El Office ElSar'es(including-Real Estate,Autos etc.)' ❑I am an em to er with e>n to ees(full& art time, ❑ Other / %�/G�%�/.r pam an ployer providingw#—ers' compensation for my employees working on Us job.: i•. ^i:% 'f." ••� :i '-�'�:,�'itj..' rt •-lt -t�s��aL.�d�- •+' a: ,,.}r y L., '"°', .i' .4 i :�:, :•Jt'. •t l "i�1.'t 1.r' ••iy..:i:;. 'd�.�'",'!1 .. . 1 . ,1 rri•: '••,? �JJr�.I• . J .ti'?�•.,�'{. !,:+'"?�r.f it St. -r'.:1 Ey:1',� '1•r� .. • '1. -•Tr9 >%:::..��{;:'�;��.Ilt•i;.•,•: ,:;..ty` r<y.y j., i. .l t' 4 1 t' saaress: PRIN / � • ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: t, ..'1.; ',i.• •''Y r,+ar�L•.,.�;till, ?a;yi:a 's address:. •t•Y C'.' ;L. i7a•• •:,*:a'It. '.I r .tJl •.i'• '••a r'trJ.+ �.�• Ci ..� .r 'jvY::.?: -��J.q``.• :5::}.i(�' IL;.. :L.`t. at n:r •trrr;/t' ]. �lr.'1,' •,fit: r: • " •1 t'.:' rtL;?.., .••S^,'' '�:i:J'.J'• .. r:•; y t .r�r•1,' '� „ak; ,•;:, .}.: .+:: '•0•IiC :#�•'.,t.)ir:'c•,•:•.::::Y: ''>•,:`f�t.:�,�•r: Insurance'co. :;::. :'r e...,,;;: l/////% / .i�• '• t :: 'ni1::.�3 l :L...It:':.y•:y 4. �•.,' t MORM i10 921• IIHIIje: oddre'is:. OLI •f '••Ltlr t �Z :. 3,J. : . • ;•i µ.' t'i., t:.. ,. ' 1,._ ,•,:_ �I:s..' '• 1�'•r.' •.'t.b'1.�^ t: y:t�,'• msursncp�co:�• ''• Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprl+onment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that.it t may forwarded to the Office of Investigations of the D1Afor coverage verification. copy of this statemen I do hereby ce the sins and penal ' th the information provided above is Prue and correct `l �r '� Date �2 ( ®�f Signature �. 'l�� I Phone# Print name official use only do not write in this area to be completed by city or town official permit/iicense it ❑Building Department , city or town: - ❑Licensing Board ❑ ❑Heal-checkifimmediateresponseisrequired ❑Seti Office th Departmant • contact person• phone ir; ❑Other _ r (revved Sept 7Ao3) _ Information and Instructions. ,.,. vfassachtisetts General Laws chapter�152 section 25 requires all employeerson in the servi e of anotherunder any contract ;mployees: As quoted from the law , an employee is.defined as every p :)f 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 an enterprise, and including the legal representatives of a dmeased,employer, or the receiver or employing employees. 'However the owner of a trustee of an individual,partnership, association or other legal entity, not °re.than three apartments and-who resides therein, or the.occupant of the dwelling house bf dwelling house having another who employs n? M to do.maintenauce, construction or repair work on such dwelling house 6r on the grounds or bufidg appurtenant thereto shall not because of such.employment.be deemed to be:an employer. MGL chapter 152 section 25 also'staies that'every state'or local licensing agency shall vrithhold the issuance or renewal of a license or perrnit•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 liance with the insurance requirements of this chapter have been presented to the contracting • acceptable evidence of comp authority. Applicants Please fill in .the workers'*compensation affidavit completely,by checking the box that applies to your sitaation.:Please address and phone numbers along with a certificate of insurance as all affidavits may be submitted supply company narrie, to the Deparment of Industrial Accidents-for confirmation of insurance coverage. A.lso'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 Dep artment of Industrial Accidents-..-Should you have any questions re' ding•ffie""law" or if you are required to obtain a workers'-compensation policy,please call the Department at the niunberlisted 1?elow. City or Towns . Please be sure that the affidavit is cbmplete andprinted 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�.in the permit/licensenumber.which wiill be used as a reference number.. The.affidavits rnay:b' returned to the Dip arfinenf b or FAX.unkes s other.arrangements have been made. The Office of Investigations would hate to thank ybu in advance for you cooperation and should you have any questions, please do nothesitate to give us a call. The Department's address,telephone andfax number: , The Commonwealth Of Massachusetts Department of Industrial Accidents 8iflce of Il�es�>�atlens . 6o0 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727=4900 ext:406 dwn of Barnstable Regulatory Servides 8�8 Thomas F.Geller,Director Building Division Tom ferry,Building Commissioner' ' 200 Main Street, Hyannis,MA 02601 Office; 5OS-862-4038 Fax; 508-790-6230 Permit no. . 1?ata A UMAYIT ' (TOME IMPRO'YMONT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL 0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, 5ui,ovement,removal,demolition,or construction of an addition to any pre-existing owner-occupied ing centainirig at least one but not Mora than four dwelling units or to structures which Bra ad!acent to •• such residence or building b a done by registered contractors,with certain exceptions,along with other requirements, Type of Work: s s2 c D�. Su'•s �►'L Estim4ted Cost 'S,�cx�. 00 - Address of Worts: 4 S 1 lti i�•t ST. Cps i T Owner's Name: V L i A •PAS 4---a US V•eeAS Date of Application: I hereby certify that; Registration is not required for tha following reason(s); ' (]Worts excluded bylaw ❑Job Under$1,000 ' []Building not owner-occupied []Owner pulling own.permit Notice is hereby given that: ORS FULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FORAYPLT04,I1E HOME ZUROYEMENT WORK DO NOT»AYE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.141A,_-. SIGNED UNDER PENALTIES OF PERMURY I hereby apply foi a p ermit as the agent of the Contractor Tune RegisEraflonNa OR Owner's Name , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 0 2 2 Parcel 023 Permit# r �� 00, Health Division aO P7 r l Date Issued Conservation Division Fee C� i Tax Collector � � .- i "FIB SYSTEM MUST BE Treasurer - a ..�1 I„c e ct,��%i Z/z 7�oD i^ AL!ED IN COMPLIANCE Planning Dept. WITH TITLE a Via IVIRONIMENTAL CODE AND Date Definitive Plan A roved b Plannin Board ° I PP Y 9 . n��.N REGULATIONS Historic-OKH Preservation/Hyannis "t k Project Street Address 451 Main Street �� Village Cotuit ' Owner Julia Paskauskas/ Harold Mc nn Address ro 451 Main 'St. ,Cotuit MA• 02635 i • Telephone . 5 0 8 4 2 0 1907 i 'Permit Request Convert bedroom into bath and sitting room ' Square feet: 1st floor:existing151 1 .2 5 proposed 2nd floor: existing 10 9 0. 5 proposed / -Total new Estimated Project Cost 6 0 0 0.0 0 Zoning District Fld6d Plain Groundwater Overlay Construction Type Lot Size .76 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. . Dwelling-Type. Single Family W Two Family ❑ Multi-Family(#units) s a. Age of Existing Structure c. 1 8 7 5' Historic House:, ❑Yes X1 No On Old King's Highway: ❑Yes M No Basement Type: ❑Full ❑Crawl ❑Walkout ®Other-Cape cod Basement Finished Area(sq.ft.) / Basement Unfinished Area(sq.ft) 400 Number of Baths: Full:existing 4 new _ . 1 Half:existing new Number of Bedrooms:. existing 7 new Total Room Count(not including baths): existing 1_2 new First Floor Room Count g ' Heat Type and Fuel: 3 Gas ❑Oil ❑ Electric ❑Other Central Air:, ❑Yes L kNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes X1 No Detached garage:®existing ❑new size Pool:0 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# Lodging house Current Use Proposed Use- BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 2 D t - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , OWNER r DATE OF INSPECTI FOUNDATION . ti , FRAME. • y�N a i. �� 5 + ' � -w •• 4 ''.� 4 � t• I ` INSULATION Y '" FIREPLACE .--� ., �� 1- ... r 4 ' -r • • ELECTRICAL: ROUGH, - r o FINAL , PLUMBING: ROUGHr+ ' t ' FINALr 1 Nn GAS: ' "ROUC►H S !.- P C. FINAL FINAL BUILDING' Eta r in DATE CLOSED OUT f!1 ASSOCIATION PLAN NO. - , c i i-1—Jf/ AN ET-: :Kti00 :lots /j :5NK : :014Lirz:-:41l 5 f;¢Hev- etlytitl' O:uE. .II . . .62... . !�.3. . . . . 9 ft,NV{!A4 to as*cd- - i I f.Cf-P2!AEpv Aw li I�IEeo� 'i �! ' � •BEd l!Atl .— Ell Sd gi{ lAG' - c 4 E•'-. is tlfd k00f0 ; 6fk' For- T . . . . . . . . . . . . . . . ISA`z-to 6f Kc!7ovr.P x' . . . . . . . I f, I{ P S PO lOX$B 50YFM WEIlFLEEI/AA QY668 .''.:j . REV i0UIE6 SOWXWfIIf{Bf MA Oto :•3 `i�_�? ...__._. PNON!BOCJ:W 7677 PI.7LfAB.169•fJD7, ':li ' � b; wivrrmen9�eb-fhiae�eom ':�9 Pas i too KEstv6 G6 to 1 fly o:.rl YlAli t-E1�vAtIQ�;; , 3s ;� . pesA� - Q�Owf1 , Checketl" '� y, ffBvkeO d f`t t 77 - :rw The Commonwealth of Massachusetts Department of Industrial Accidents Office of/f rds9lat/oos 600 Washington Street -= ` Boston,Mass 02111 Workers' Compensation Insurance Affidavit r FR Julia Paskauskas/ Harold McGinn name: location: 451 Main Street city Cotuit phone# 508 420 1907 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in � ano acity O%//,�.�� %//%%////////%%//J///%%//%%////�///////%////////�//%%%%%/�/�%/////%/�////////////O/%%//��, I am an employer ding workers' compensation for my employees working on this.job.:: : : :.;::; ad com anv name:. address. _ :. ...:.:,.::.:. City' :. ....... ohm N insurance co.: :.. .... .. . ..:.. 01101,14111111 :.:.:... .... ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followinEr workers' co ensation polices: cnmoanvna t � address::. _. ...... .. .:...........:....�::: ............::.......::.�:.:... .. �...:........ � ....:::.::::�:::.''rii:::i3i::-}i:�}}i:-:j�iiiiii}:}:;:j•::�}:{•}:+f:::i 4. 11 arn� 1 .:..:: } -::::.:::::::::::}:::::::::::::::::::::� :::::: :;:::::;:::::::::::;: ::::.:.::s::.::ii::::::..> ..}i:.>:::i::<;:;::::.;r`:::::i5:i i i ::;:::< :•+:.... ... ::::-::::::A.:::::.....rt. .. insurance co...: ..... :....,. ....:............ ON ------------- company name- .... . .. address BOX I? teem n: Wesi± yizx� �or1r Ply 4r nho . ... .... .:.: .........:•::nv::.w.v:::::}.v::::}}}isi•:i•}ii:•}:S•}i:}}}ii:::..... ..... ...::..�:::. - :..v•..�}...:}::`i•iii::ii•i}i::•i:i•:{•:i•i:{::.:.�::..:....:..:::.::.......... <>�a: a:b::::;<:x<>::;:>:.;:};:.;:<::; }<:.:::: ::;:,;,<...;<,.;:::: Olicv#...fi 8: ` . •"#. L................ ... insurance�co:::::. ��r�.......... .....�....... ... . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crLninal penalties of a arse up to$1,500.00 and/or one years'imprisonment as wen as dvII penalties in the form of a STOP WORK ORDER and a f7ne of S100.00 a day against ma I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do hereby certify under the ofPnJ�'that the information provided above is trw.and coned 1� Date 3/24/00 Signature Print name Julia Paskauskas phone# 508 420 1907 official use only do not write in this area to be completed by city or town of lcid city or town• permitilicense# QBnilding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office OHeaith Department contact person: phone#' _ �� (rued 9195 PIA) SA�1'C D�': YA.I1,_H50M 1�iSL!tPfl4t !tl1 1G�13G/4 u,u/e3fuu 4:03 Jab 1135 Yaffe In AMR CERTIFICATE OF LIABILITY INSURANCEET!liwamp Part aon ZrTiTdrDneg Add T"CEWMrATE, -§W9IAA,SAMAY[ER0FlkV0IMATIL`N +5T 'ONLY AND CONFER$NO REGHTS UPON THE CERTIFICATE 193 T,asel nokD Sicnot ALTER 71t16CLHTP EATEDMSNntA'MEND.EXTENDca Ba.t d' MA Qum 0, R'THE.COVERAGE AFFORDED BY THE Po_IACiCS6r_ gW. - pe7t��=32y-L'720 F&7@1-229-6674 1 IN517sFR5 At<F4RdING CSYUERAGE IssuneD _ fta:n Daylo e3 ing ti 13eati'ry; Wf;LnMe, i!dAR7LANi) G]18 t, ]C --°""�'.,_�. -- PO Rin 62D I1,I511!ERB! 001>EILPTAy i'iglaN Il79VF} CO- Gsacln D•.uawe De?iyQ AfeD_ RviTcnise4r[ NA 02672-0620 TasUR.ltb, CbbEp{A6E5 THE:I'ri1C1ES nn•4i$JF's+w-g ON _ Ary-51 D TO THE �1T I*€W'FL'pGPl'tF,TE61.7 OR GOMMIM OF ANY Y(MKT`TR4C H GT.£Hu'ADCtg1.5E 1Ff 4�74&J fi=fi ECY�O Wf CTIIEPD6eL 5 CR�f T'N4Y.BE iS5'U13D aR ilp-C IAAN Fcf17RIH.THE i"� +.A4CC At'FD,Z3E3�6Y TT1n PI.Ji•ICI-O EYFSCHiflEi3L i IY LS SItNJEGT'S49.ALP_THE Yq_gµ5,E7yti'TtTln&'!.7 G•1N�`IPaCNS %SUCH � s�riGGRC'PrAic LINITk Sb(Q�'yy yF971LiY'S RfEN L:=DtfM BY p.4 GjAJM3. -FISR�"�6t 1p - - - - EUQANCE u CLICY,NLP@8ER -Pd:L 9 k rani PD:JCY n I®) �xcprFrLUxncRAIII149VIV elbas9b$0 f �i7a ilO�Iv�rEu^E i4 9 L;r,90�Q04 � C 11 13891${i;S84 i 0a/7d/2Ddt4 lssREvnuaAtaer ..r.,, i6 34G,n D �I i. WVE&MAIM��C7¢_DAi �Elfz_ �E"Wl" A-,- Alp �• :,F4YERAt ATd,f>r AI@ �_ 7 4i14 a'VD QflifiSGfar:aRltfl�apPl;E;s PESit� Ft3WDLT •r,01AP 9r °4 3,0a�3 iIQ CRJ7TAILO I¢Lla91ITT O:1lD1/24C4 'D3 1 LN lM0Juilrk __. siLOvt4[aLla.3s � ._d4i/di70 i :myaV7P �Iqp �.3986 Eri^U�34tEi_4RfefSxnTOb - I�it-pwam3 t}Co; Qi IrC.ud:'A vliR hv'IDS L�"etCle[�etu�.-�1 l ul.—_. .— I i�p�7R,Rry llLMs-GE `s 100 ODO tI&MAG6 LLAIPIJTY I CI�SJIY�D-f� .pTmrn ruler cAAm � .. - Atir rEEPUt, L$%nlr,TflLTry � 1 EBF...1 zx3Clif�urnaE b , �sx,�yR �I�P�elat�S P•'�iCE 400REG47G S ._.__ 5 6giu�TRgE �� EMPLVERr V BILYrY rON.6M0 EAIPiOTE�'e14Ellyry A :'aE:DP9c7R2.5i 4�l�1/21?a0 01113l20D3 Elf WHA8tiIVIT 3 70�rde68 }t'.L fILK11aJ �6 GLL`I� 1 500_r.�000 r-l_aslsFAlm,.GwfAs§ar r1191!f 100,0001 GUMP ui:stNIVi1Gp CF AnDED MY 6NG'3g1y'ygy��sp�.laL pl4M54MV9 GERfIF1�A"It:lSULDER f I A=WXW1.D9HAED:IN43D6R I+TTFRI CANCELLATION -.-.— 9kDULUaHr Of ME -edtroXplaeo ' . v4ua 'EIUR E 4ThwEYa aGF9 JVL14 L1A+1 s 6ATHl1EpDG.71[ PG Ip5VNCRW[LICNDCAYAR T¢tivL 036 11011CCTaTIC ATE W41917 s11;Pr OUT FdL4+NE T9�80 E✓$L 45$ HALO ozAaZClWIT _ � i mnroae NO3pVGa -i i1�✓acANY Ap44P4hl ris.1n31 [?I,ITS aOih&ur. 6 C)tyr¢I'! !FA 02635 'pEIRy9�pTA M 1 4 it 509•PKaEueEP 030 ISSUED Hp All otFE NO 1S T FQ ' � e n. MBA lKVURANCIE.AaFNCY,INC. � FICATE DOES N 320 WEST MAIN$TREiET ALTERHHE&0VaVPNTfIKWOWED ®Y nPi6tl D. IL AF OWED BY HYANNAS. W GMI 0mcov F. corac�r ;is9MLANDd:ASUA�.�COMPANY. A _ uxsutNea _• - eeraaw NATIONAL ORANGE MVTVAL INWRANCE m IPECKK AM ELECTRICAL CONSTRUCTION WC, o 74 FERN40G STREET e.NPraIT ,IYANNZ.MA.0=1 q FR6hTAh18 INDEMNITY COMPANY - CdMPPl9t . c TNIr6 mTo G6P'Ti7v htaT#N@ vauislEe o aYst RirNGE ir6PJ 94u4yi�� 61A99tc 14QL8D►C Tub IN9la2E8 NariEC A94VE F4A SNE ep�i9+�sRcen 4?iDtQaTEp. 4TpE�?l61VlNTq$6atJ®J`8 RENVxREM&SIT,TERM UK WN61T D"CF A"CCP;ERACT 4R ObCA1FigTFf YYITk Re9PLL'7 TI]WHICH 7F{i9 CENT[Fr—OE Q!A'T 01 b55UQbbR MY PERiA 4,THE L451 3ANUM WOR9ED BY Mg F961 M blAmRIBOD MaRRIN IS 94JM"T9 ALL TFic'Bm-.9, EXCLLrMOr4 AN Go t4ollo-ya CP gUepi POU2;A.LYMIT$BHCffiN MAY HAYS BEEN iP199=60 pX_r-AID CA.AIU, �. 'T9Ri yn vicxttm_aNCe. '�k YN9B9NLA TaLwYeFtlein MXY&AmtoN ,itim ,�aet liNfli7Y cP mmal VI2f#Q WIWD@®a�Pmt a6 +=RtbYe f AFitE,4J�Pr.44191LnT PR301CTS•C4kPAP±4rJ P_ 004 Mf cuUls oe`Xamour P1W 1HAmo 1;_ 'I 00D 000 gMtg!iEs5;43Ta«0T@n'a Fp}T i &C>toltiju8_Yu PPS w+wod or.�le+rei a 50.0 l 'i xrmRJiP ren-uw eraPe g eEre@Psrt ll li xG:iSY101+2t603 �yq�,y�r� g/'�5,�q es�taEN.t a t aaie ilea t 9*00p UbB PA ALUT'J b 9l;6W49 ViyvraW A.V.01 IDAW09 fP 9Qt aY 4 MHECLU9A075 ; {P pEf{CID±S"J7c's La9fLYY 19ili t ' NISN9pS1i7V aa78£ t _ PRQP9N779h!uU79 9 emtim-UamurY i - aU'o Ly.CS Aa9t5eK7 6 at•+Y'jW* OTipCs ra.unUT4C,>w�Y: `'t..., __ � AmORHflA� SOP3Mmi 21120 2112= W-00cuT EKA r 9 1, G X 9temkAr*RV I AmmaS nB # 7wi:4 TId9N 1kM9R 9 C Warn7rm rPeM#srTax n c Zv-0 4734A1 112 3 I 211210 ?C _ �7ri9SVleVEttGYY _ ��94CM A6Cl9CAP 9 1'00 YuleR�rPPi9?aRi X Via [ Qi..Ct99psE.POLIGY L[NiT 91 oepTRi4.it&4<mT f �r�-e�_EaPt.�r '1�l BAD �99N�PTINP elm 9P 4P8PAFWr .GCA7t�lM6fWSE9t8E.CP9Ex?611E�# j arnENa2Nt 4n'of ix!.MSYl 004€)".Q6P Ppu6799 a6.€P)KSCL4E'b 6ER4PE TPA E3PIMiCR 6"A1R:WeAffoo,TM BAEUMS COMPANY WILL 119MYIM T6 MAIL t10@dY9 WNT:9N'K41N7E'7'v^,TP9.�Gi4TTfIC1!TC Nxsir9dR iluMe670 T}�6GTT ,oUT/.w-49RO ea MWL 89120 14910 9N41 IAP499 ao aoupeanx tit 19i9 UW 4P MY' "Iwo UP" IWO Ea.1lPaviY @a a9POBT9krs ri1 A,Iar le rapt93-Kille0NT - _ Department ofHealth Safety and Environmental bervices Building Division 367 Main Street,Hyannis MA 02601 9 t619• ♦0 �pTEO AAA's A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissi HOMEOWNER LICENSE EXEMPTION 2 Please Print DATE: Jl Z7 l y D JOB LOCATION: t' 's I GL t t/� ✓`��Fi-1 �C��U l T number 4 _ 1 street village / "HOMEOWNER'. 1•?a n`cc. Xn 1C S name KAY'D�d t„A� K� home phone# work phone# CURRENT MAILING ADDRESS: LI I h MA ��3 city/town state. rip code The current exemption for"homeowners''was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner'certifies that he/she understands the Town of Barnstable.Building Department minimum i n procedures and requirements and that he/she will comply with said pro d req ' ements . Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger wiil be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require,as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used.by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN • � � is �L x ,. "Pl.�°1„!�" `'$i°-mot► _E� /��`�I�x'"'�F ��fi�.�_../ ._ __ __ _ t:: r - d 1 t r 1 7 LI � ties � �.�• = % �, L.�I�� i F 1 d a.K �,.J.A�- M137r. Fd ' . � M 1 (5. rt . 0- ',- - •;,... •. z- . . _ :_ -.. i:. to t' t ...:. .. ..: '. 7.�` 4 .: k '+Y '. � Ate' k$' X [':.. 4 � E .k. 0.. X , - • G v - Zt 777 7.1 tit - � ,,�.r.:� ♦ i x a't �-Y e � l;,�a a Y �'[`� rr r �� ..x.•.�" .i h j- 1 � �. Jot � t�..rS S vpL x, '..J — A-l. ! -— t " f- _ yeY A' y��_,. <...�•:�f# � ['a-'a.' 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TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION VAP D z2 Parcel O 2`?� Permit 573o SZ Health Division Date Issued Conservation Division 1"�J /�f�/ Fee Tax Collector AJ/o,31pf Treasurer Planning Dept. �° ow STALL D�IN COMPLIANCE ,i�MgtCAl�?"n OBTAII ROAD OPENING PERK Date Definitive Plan Approved by Planning Board �ME 5 ROM ENGINEERING OR ENWR NMENAL CODE AND S 10 Coal"" Historic-OKH Preservation/Hyannis TOWN REGULATIONS ' Project Street Address ��S f22:2-1 J Village Owner � I'cyL _�+-f address Telephone � 69— fir-/ `� 01 Permit Request O ✓3 To �I i o t— , �2 ✓`v vL (' w� 1-9 et� u^ b Square feet: 1st floor: existing l!5'11..2g�proposed _ 2nd floor:existing IN U_i proposed Total new Valuation l ��U 6 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: C1fes ❑No If yes, attach supporting doc01ne t n 2001 Dwelling Type: Single Family fed' Two Family ❑ Multi-Family(#units) `�: Z%R2 __1 (jL Age of Existing StructurPL97,k Historic House: ❑Yes 0 On Old King's Highway: ❑Yes CMo Basement Type: ❑ Full ❑Crawl ❑Walkout &Other` N qnn _� Ba.�ement Finished Area(sq.ft.) I &, Basement Unfinished Area(sq.ft) ,.^umber of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new_� First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air: ❑Yes V o Fireplaces: Existing New Existing wood/coal stove: ❑Yes &o Detached garage:0/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 Cl Commercial UJ Yes ❑ No If yes, site plan review# Current Use �VIA _�lL�i to, Proposed Use BUILDER INFORMATION Name Telephone Number S ag-9a. Address tT,$- ID A , License# 6,0c A °7 �-y 1A A- Home Improvement Contractor# l Lf a Worker's Compensation# se-L- P4V61G/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J2 0 c/R�e SIGNATURE Cl DATE FOR OFFICIAL"USE ONLY pit E MIT NO. e; t DAE ISSUED. MAP/PARCEL'NO. ADDRESS .-y VILLAGE t. OWNER ,... DATE OF INSPECTION FOUNDATION ,a } FRAME { �INSULATION FIREPLACE A S,--. 1•a o.°. }., ELECTRICAL: ROUGH - in n a FINAL _ PLUMBING: ROUGH -x ray 1 FINAL , A GAS: ROUGH FINAL _ Y FINAL BUILDING acre i DATE CLOSED,OUT r - � a µ ASSOCIATION PLAN NO. ' rs y Cotuit Fire Department OT U� �`: Fire, Rescue & Emergency Services, k G ' 64 High "St. - P.O. Box 1632 192 Cotuit, MA 02635 ItESGv Paul A. Frazier Phone (508) 428-2210 Chief of Department FAX (508) 428-0202 April 16 2001 ~ Harold McGinn Cotuit Inn. �`451 Main Street - `Cotuit; MA 02635 Dear Mr. McGinn, This letter is in response to my recent phone conversations with Julia regarding her discussions with the Town's building department. Please accept this letter as,confirmation that the installation-of a sprinkler system is _not required as part of the repairs you are making following the fire on 12/12/00. While there is legislation in Massachusetts (MGL Ch. 148, Section 26H) requiring sprinklers to be installed in lodging/boarding houses, the Town of .Barnstable did not accept the provisions of this law as required for it's enforcement. With respect to the question of the type of Aarm system and other details, I have contacted the Fire Marshal's office-and I am awaiting a response from them. Specifically, I am verifying what you are required to have under in an existing use situation. I will advise you in the very near future the results of my inquiry. Please let me know if you have any other..questions or concerns in the meantime. Sincerely, .Paul. A. Fr tier I ., e:° e '� �'. _�^`, �f..7 �• .1� _ :w•`•f_ a._e 1s :. e- � ��. s 4 n r.,,:'4# '. ` r At !"�;�"'s. 143 �, �,* � � Yra ,.f £ =G ; �(�r ,. iSLi:t �.�.. r: cc: Building Department ' \ > ..��__ The Commonwealth of Massachusetts ems.- Department of Industrial Accidents =-- - _- Office offarestloatfoos 600 Washington Street - - ` Boston,Mass. 02111 -- Workers'Compensation Insurance davit r � name: , location: r 2 nV' �/ 1�-- city TLC%I A A nhone# U d� q ❑ I am a homeowner performing all work mgseif. ❑ I am a sole proprietor and have no one worker m acity gra e 1 er rovidin workers' compensation for my employees,working,on this job.:: K. m an ;name.:: :........:......man .. areldress. ;:> >< h A Ck . 1iCv knsuranceco. ;::. O I am ole proprietor, eral contractor,or homeowner(circle one)and have hired the contractors listed below who .have workers' compensation olives: the following .............:::::::.:::::.....:::.:::::::.::.:.....::.::.:::::::.:::......::::::::::..::.......::.:::.:.:::.�::.::::::::::::::::::::. .:.............. .......... ........... .............................. ctim ttn name ' , ri st><>» ....... ...................... ................ ;Oiiii:;?iiiiiiiii::::::::::::::. ii}ii:.�::v.�:w.::::::::..n......,�:::::::.�:v:-:-•: . .�::::•:::::v.......v::v::::: ..........::�::::•::::::::::•:<4iiiii:-iiii:;•}i::•::•i}i:•:.::ry•.�............................... :....v :: ..vti ................. i::. +:t•. '::i:i; ::,;;••'^.K;,:}::; .k;.....;!!WSR..{ii::i i:Jiiii: Ibanratt¢e ca•»'::; ::. ...<:.�';•.: :. ..t,�.L. ::,�{�'' :. :. .. .tt. ��'... •::::::::::::::..:::::.::;: .�:.;;:.>-:.:..:.>:r::;:.::: - -- .':i:�i�+ki- .''i+x�✓...'v.'•::::::::::ii::ri:;:::isii i '` :......5....... ;:::::::::i:::::r::isi:::::: i::•:j'i........ ...ti•::'::isjj::ti;:ti::j i:Y}i:?;:;i:!i:J::}:!i:::t':ti;i:-:ti;:•?:!i:;i?:;:ti;i:;:ti;:;:;:j::;:vi::_::;i:::.j;:!i............. ii;:;i::ti•:iti<i.:.:t::! 'v:i::l!::•::iii::'ii:•::::v i:;:i...''.:..:::'''..:':. '''-i:.:.:'r'i:i:'i::':i::; .. ..:.;.. •.« a •i i 1•!�i: .>:::::;::::{?:iY.tS!>:{;;:::i ;:: .................. �6n .............................................................::.:........ +.•:�:{tii:+ii::jijiiiiii::i+isi�:!�ii:ti:;is};isy::Li�ii'r+iii:::: ;:;:j:>ii�J:;�iii`:�:�-::'�'j;:ti Yii%/'i:?: .riiiii::••..:. v':::;itf:4:tLii::•:it•}i:^:4iii�ii ................................................................................................ ..........................:......................................................................................................... ........................................................................... ......... "ryn. .......... .. v:::Vjiii`:t�:titi-':•i:+i?i`iii:i:i: „ '!ti :::?i!y;:;,;:,i{i:'::'i::i:;j;iv�:yti�::i:•%4r'•' Y •::::viii$ .• Fafimre to seem coverage as required order Section 25A of MGL 152 can lead to the imposimn of criminal penaltln of a fiae to 51,500.00 and/or Me years'imprisonment as wen as p flea in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I senders two copy of this statement be fo the Office f Investigations of the DIA for coverage veMcRUOn. I do hereby a fy th pen ofpnlw1'that the information provided above is&w.and coned Sigaatme jr Date I Print name Phone# .�(3� Li'� �A r oincial use only do not write in this area to be completed by city or town ofildal partmeat city or tom, perndtNcwe# QL,{ensmgg DBoard ❑checkif inmiediate response is required ❑Selectmen's Ofilce oHealth Department contact person: phone#; - ❑Other ONE 4en"d 9/95 PW l Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their �• as eve person in the service of another under any contract w an employee ee is defined every , employees. As quoted from the `la P Y 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 engNed 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 onto 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 eater 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 3. Please fill in the workers' compensation affdavit completely,byrchecking the box that ipplies to your situation and numbers along with a certificate of insurance as all affidavits supplying company names,address and phone maybe submitted to the Department of Industrial Accidents for camfirmation of insurance coverage. Also be sure to sign and The affidavit should be retuned to the city or town that the amlication-for the perr t or license is 14 , date the affidavit. being requested,nutthe 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. f y� ..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,. Please be sure to fill in the permit&eose number which will be used as a reference number. The affidavits may be rearmed in- the Department by'mail or,FAX unless other anangern have been made. 'The Office of Investigations would hike to thank you in advance for you 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 Offlce of Initestloadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 i 1 t i IIA c. NODE IMPROVEMENT CONTRACTOR Registration. 114813 I F ° Expiration. 10/27/2001 w , Type, DBp 4 JRMES.D DANFORTH REMOD _..v JNMES�DNNFORTN ° GX,,;;��i RFORO DR. ADMINISTRATOR CDTUIT` y f BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 008267 ~ Expires: 05/20/20021 Tr.no: 21684 L Restricted To: 00 JAMES D DANFORTH _ ' PO BOX 973 � /� COTUIT, MA 02635 Administrator el� P ram. APR-27-2001 14:15 WOODSTRUCTURES 2072862835 P.01iO3 Page l of 14 Pomerleau Street Biddeford, ME 04005 L=1EIR (DIP K w 800-341-9612 fax: 207-282-2423 e-mail: design@wsitruss.com Via: Fax 508-477-4279 �77-ai 96 r To: BoTELLo ]oB# 998667 ` QuoTE# 66119 OSTERVILLE,OSTERVILLE MA, REGARDING: PASKAUSKAS/ 02655 McGINN i WE ARE SENDING YOU X ATTACHED ❑UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: X SHOP DRAWINGS ❑PRINTS 0 PLANS ❑SAMPLES ❑ SPECIFICATIONS 0 COPY OF LETTER 0 CHANGE ORDER ❑BINDER ❑LITERATURE COPIES DATE No. DESCRIPTION . 1 4 27 01 l PLOTS CALCS . r THESE ARE TRANSMITTED X FOR APPROVAL 0 APPROVED AS SUBMITTED ❑RESUBMIT COPIES FOR APPROVAL ❑FOR YOUR USE ❑APPROVED AS NOTED ❑SUBMIT COPIES FOR DISTRIBUTION X AS REQUESTED 0 RETURNED FOR CORRECTIONS 0 RETURN CORRECTED PRINTS 4i ❑FOR REVIEW AND COMMENT ❑ ❑PRINTS RETURNED AFTET(LOAN TO US ❑FOR BIDS DUE 12 31 00 ti Remarks: Copy to: Signed: Del Brown y , If endosures are not as noted,londty notify us at once. d - . jj r Job Tress Ti s Type 7::L Boteso 66119 5/10)01 Del A998667 001 QUEENPOST WOOD STRUCTURES,BIDDEFORD,ME.04006,Del Brown 4.201 SR1 a Nov 16 20oo MTek Industries,Inc. Fri Apr 2713:57: 6 2001 Pape 1 - -s 7-6-0. 15-M 1 WOOD 7-" o-" STRUCTURES 0-6-07-s-0,: - Sin=1:20.7 INC. Biddeford.ME ME WATS:8OD-339-0716 Out-OfStatc 800-341-9612 Fx:207-282-2423 4x4= . This truss is designed in accordance with the 3,00 4 latest revisions ofTPI and/or PCT,and will be sealed by a professional engineer in the state or states required(upon request)after approval of this plotted 5 - devotion to mute compliance with design concept 3 1 and actual jobsite conditions. 1 6 7 1 2 .. 30 zz 3x4= INSPECTED PLANT NO tit 3x4 G 3x4 G 8 3x6 11 Sx8= 34 {{ - Truce Manrsjaunrer-Mtmkr of 771 t 4 FIELD VERIFICA MN E3 APPROVED O APPROVED AS NOTED v _ p NOTAYYROVED Approval of this drawing verifies that dimensions m and quantities indicated conform to actual job 15-0-0 t site requirements. .' r 7-6-0 7-6-0 7-6-0 Steed Dace L i'. Plate Onsets(X 1): 12:0<1-15,0.2-01,16:0 1-15,03141.18:04;0,D30j Continued on page 2 Company 1 .. . �z.�.e *r.wxhl.RteF*'�.'a#`� , •, ,-_...........,;<.. .n. ,_ ......„i o...t...,:..,.„.w,...,.,rvti-. ,,,.,G..�.-�-J�.a..,rz%.,...ri..x�.'^i.«a,..s...V..a.,a:'':w%.�iialel's.`�.x�ra...w,w.....e..s.,.s-r«ms'aerx?..,.cam..aa..�-rtsaw=wm^'.w- .. .;..r. m`�" Job Truss 1 ruse 1 ype -- �=l Ply Botello 661 1 9 5/10101 Del A998667 Opt OUEENPOST WOOD STRUCTURES,BIDDEFORD.ME.04005,Del Brown 4201 5R1 s NOV 16 2000 MITek Irufustriea,Inc. Fri Apr 2713:57:06 Z001 Page 2 O LOADINq SPACING' 2-0.0 CSI DEFL in (loc) Vdefl PLATES GRIP WOOD m TCLL 25.0 Plates Increase 1.15 TC 0.84 Vert(LL) 0.05 8 >999 MUM 1691123 TCOL 10.0 Lumberinaease' 1.15 BC 0.56 Vert(TL) -0.07 66 >sss STRUCTURES BCLL 0.0' ' Rep Stress[nor YES WB 0.08 Horz(rL) 0.03 6 n/a INC.Rm BCDL 10.0 Code BOCAIANS195 tat LC LL Min Well-240 Weight:451b NC Biddeford,ME LUMBER BRACING TOP CHORD 2 X 4 SPF 1650E 1 5E, TOP CHORD Sheathed or 4-2-11 no pudins. BOT CHORD 2 X 4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 10-0.0 oc bracing. WEBS 2 X 4 5PF S Stud - ME WATS:800.339 07 l6 SLIDER Left 2 X 4 SPF.S Stud 3-6.1,Right 2 X 4 SPF-S Stud 3.6.1 Out-OfState 800-341-9612 Fx:207-282-2423 REACTIONlbUw) 2=712A)-",6=7120-3-8 - Max Hors 2=11(load case 2) Max UpIM12-112(bad case 2),6-112(bad case 3) FORCEPIb)-First Load Case Only This truss is designed in accordance with the TOP CHORD 1-2=-10,2.3-1151,3-4 1151,45=i l51,5.6=1151,6-7-10 latest revisions of TPI and/or PCT.and will be sealed BOT CHORD 2.8=1087,6.8=1087 by a professional eagineeer in the state or states WEBS 4-8=150 required(upon request)after approval of this plotted _ elevation to assure compliance with design concept NOTES and actual jobsite conditions. 1)This truss has been chocked for unbalanced loading conditions. 2)This tuns has been designed for the wind loads generated by 90 mph winds at 25 ft above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord .: ,5 mf from hurricane oceenline,on an occupancy category 1,condition I enclosed building,of dimensions 45 it by 24 It with exposure B ASCE 7-93 per 95 deed bed BOCAIA 5 nit if verticals exist,they are riot exposed to wind. It cantilevers exist,they are exposed to wind. If porches exist,they we not exposed to wind. The lumber DOL increase Is 1.33,and the plate grip increase Is 1.33 "3)'This inns has been designed for a live bad of 20.Opsf on the bottom chord in all areas with a clearance greater than 3.6-0 between the bottom chord and any other _ .. . members. C5 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 112 lb uplift at Joint 2 and 112 lb uplift at joint 6. A. 5)This truss has been designed with ANSVTPI 1-1995 criteria. INSPECTS D PLANT NO,82 G LOAD CASE(S) Standard Trrar Manssfachner•Mesrber of IN J FIELD VERERCATION i ❑ APPROVED to p APPROVED AS NOTED i -� - ❑ NOT APPROVED v _ Approval of this drawing verifies that dimensions i9 and quantities indicated conform to actual job k• i9 "'t site requirements. Ir Signed Date l Company t t a f 1. f.• .. .... � n":.. ,. :. '"H m'.: s y .. r � w1.t�+.Cy�9 ,... ,- '/.k:�..-�4t✓6>1v2.L�?RY'�"� 'l�nali'udKCS+.n'ati.. .,,. >.t.s....AfbF+rd+i.l�.s,.�.-.NFverMn.,-,w...�Pw.v.. -tl4•:v�;fin'µ4.Mn Lwr �N'�y,F'F'A:"ya I "r ciient-4 S6U LSEAlV6IVLA Ac. 6kay. CERTIFICATE OF LIABILITY INSURANCE 07/06'/01' PRODUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & 0' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, - Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 222 West--Main St . PO Box 1990 Hyannis, MA UZ 01 INSURERS AFFORDING COVERAGE INSURED ---~ INSURER A:St . Paul ComSanies Sean Coutinho D/B/A INSURER LiabilityIns. CO, of Sean' s Masonry - - .INSURERC: 21 Pickeral. Way INSURER D: Forestdale, MA 02644 - - ...... •INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW(THSTANDING 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTiVE;POUCYEXPiRAT10 ^� LIMITS A _G_ENERALLIABILITY BKO0869705 - 04/02/01 04/02/02 EACH OCCURRENCE I$300,, 000 X COMMERCIAL GENERAL LIABILITY I FIRE (Anyone tire) s300,000 CLAIMS MADEXI OCCURI ME 0 EXP(Any one Person) I$10, 000 PERSONAL&ADV INJURY )$3 0 0., 0 0 0 _ X._:OCP GENERAL AGGREGATE s600 , 000 GENT_AGGREGATE LIMIT APPLIES PER:i ; PRODUCTS-COMP/OP AGO $6 0 0, 0 0 0 POLICY' PEC7 LOD AUTOMOBILE LIABILITY COMBkNEO SINGLE LIMIT ,$ ANY AUTO II(Ea accident)- -`^T ALL OWNED AUTOS BODILY INJURY p - ) SCHEDULEDAU705 i Per ersen) $ ( WREDAUTOS BODILY INJURY j (Peraccident) $ NON-OWNED AUTOS I __ I. ._...._...... ._...__ ` I PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT'$ _ -i ANY AUTO .I ..-.__ EA ACC $ OTHERTHAN �• - AUTO ONLY: AGG I$ EXCESS EACH OCCURRENCE $ — OCCUR CLAIMS MACE j AGGREGATE _ $ DEDUCTIBLE $ �. ��.—.._. RETENTION $ $ B WORKERSCOMPENSATIONAND VC20005038 I05/04/01 105/04/02 JQ U-ay_LIM OTH- EMPLOYERS'LIABILITY i E.L.EACH ACCIDENT $100 , 000 E.L.DISEASE-EA EMPLOYEE $10 0, 0 0 0 j E.L.DISEASE-POLICY LIMIT$5 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY EN DORSEMENTISPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER :ADDMONALINSURED•INSURERLETMR CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLE D BEFORE THE EXPIRATION The Cotult Inn DATETHEREOF,THE ISSUING MSURERWILLENDEAVORTOMAILIn DAYSWRITTEN 451 Main Street NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUTFAILURE TO DOSOSHALL Co t u i t, MA 02635 IMPOSE NO 08LIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7Is7)1 of 2 423275 0 ACORD CORPORATION 1988 , CO-RO. CERTIFICATE OF LIA RILITV INSURANCE � ..�____=- THI8 CERTIFICATE IS ISSUCO AS A MATTER OF INFonMATION PPODUCEA Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE John F . Martin Insurance Agency ,, HOLDER. CERTIFICATE DOES NOT AMEND,EXTEND OR 1023 Route 28 , Box 350 ALTER THE COVERAGE AFFOfiDED BY THE POLICIES BELOW. South Yarmouth , MA, 02664 INSURERS AFFORDING COVERAGE Michael DeLu a } Remo d/b/a Villagg Craft Buil6in & Rem ,N Rc: :�68 Santuit Road INsuREfaO� __— . Cotuit , MA. 02635-3230 ;IvaunerNe:Zibert MutaaI — I _ COVERAGES THE POLICIES OF INSURA14CS LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY RERIOD LI INDI IND A' AY BE NbSSUE ) nnn;tr s UG MANY AY PERTAIN,MTHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HNDiTION OF ANY CONTRACT OR OTHER EREIN ES SUBIJECT TO ALL THE ERMS'EXCLUSIONS AND CUNUi7}NSCOCI POLICIES.ACIGREGATE LIMITS SHOWN MAY HAVE BEEN REDUC@C 6Y PAID CLAIMS. — ►0 ICY IfFECi1ME�POLICY EAPIRATIUN LIMITS INgn I TYPE OF INSURANCE POLICY NUM19ER iN.:C;URREI+CE i S OENERAL LIABILITY FIRE DAMAQF;Any nuo"r81, `S '•I COMMERCIAL"NFRAL LIABILITY MED E0(Any ono PerBnnl 1 S l _I CLAWS MADE r!k OCCUR 1 I DERSONAL A AUV INJURY. S 1 � C3ENcnAL AC,tiflEGnt£ _i 5 PRp^Ur,TS.COMo;(r ACC S O.EH'L AOGRE7ATE LIMIT APPLIES LPER: C Iy1^ PRO POLICY I! _ --. I AVTOMOIILE LIAB1UtY COM9INF.L)SINGLE LIMIT ! (Ica egrld9ni) I ANY AUTO 1 , I I ' BODILY INJURY r ; ALL OWNED AUTOS i I iPar nano=) ._ SCHEDULED AUTOS I I fSGC%0.9 4JJU14Y i g .'HIRED AUTO.? ;FYr AcddoNl 1 j NCNOwNED AUTOS II Ij PRCPEFI►Y Unb1AGE 1 s (Pot 8cwhnIS AUTO CNLY .EA A(:CIDEHt S I OARAOE LIAGIL1TY l , EA o�C 16 `0T1{En11+AN j ANY AUTO I I AUIC ONO- qU(3 3 I �r � ��AGI+OGCVi1fIC•NCE f L EXCESS LIAB+LITY - .I ! AG7RE+3AfE S- I OCCUR CLAANS MADE p60V GTi8LE � I S j RETENTION 3 wC 51ATU tJIH.' LIORYLIWIS I ER WORKERS COMPENSATION AND , EMPLOYER6'LIABILITY if�C 2 3 I S 2 2 1 B 7 5-0 41 " f-3/11/0 1 3/11 0 2 I DISC ACCIDENT II ti 500 , 000000 DISC -FA FN4P1,0'f£EJ,S 1 0 / O 0 0 E.L.DISEASE,-POLICY LIMI I $ •, 'k OTHER I I DISCHWTION DP OPERATNNNErLOCA110NS/VIHICLEBllXCLIIBIONS AQaIO 9Y EINDORSERIENYJBPECiAI Pf10V19ipNS Carpentry NOC __ CERTIFICATE HOLDER X AoamoNAt 1 S D'MSU STT RER LER CANCELLATION : F N uRE SHOULD ANY OF THE ASOVI DESCRIBED POLICIES BE CANCELLED 1EOFORE THE ExPIRATI i OATST}IEAEOP.THf ISSUWO INSURER WILL FNOtAVOR TO MAIL — DAYS WR;rTI NQrtC(tOTMb CERTIFICATE HOLDER NAMED TO r'HE LEFT.BUT FAILURE TO 00 SO SHALL IMPOSE NO ONLICIAT10N OR LIABILITY OF ANY KIND UPON YHE INSURER.If&AGENTS Orr ATIVES. ��es R TATI TION t4` ACORD 26-S(7/97) 0 ACORO CORPORA TOWN OF BARD. TABLL,: PERMIT R`E1 P r f 1. 7 p " -'Sr ' 7. Department of Health, Safety and Environmental Services �try tbr,_ t BA;RNSTABM • MASS. 1639. Ep M►`l BUILDING DIVISION BY 3 ��l TOWN OFBAIUNSTABLE .. ,'-"�...w�-�:i . - .;,•ei ..i-u:-ref BUILDING PERM.O.' ., s. PARCEL 1D 022 023 G208ASE ID 104E ADDRESS 461 HA 114 STREET. (COTUIT) NE l,O'T BLOCK LOT n 121ill :l'�,A,,- DEVEI,UI� IEt�7' S ?:1." '� C'.t.' PERMIT? � 53055., D�,SCRIPTION REPAIR AND REPLACE �*.L1�, DAMAGE PERMIT TYPE" BREMODO TITLE C01-hMERC'IAL ALA'/CONI CONTRACTORS: JAMES DANFORTH Department of Health, Safety AR ` CS and Environmental Services BONDCONSTRUCTION COSTS. $1501000.-.00 .f3ci 4.357 lJC?NRf� .fNC i akP f�,DDrG i�l 1 PS i1f� .'. t'+j - * BAItNSTAR s 1639. BUILDING`DIVISION DATE. f(SCit)RD 05,✓0 /'2 lad!- EllXPI ATI'.ION DATE 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 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF-OCCU- ELECTRICAL,PLUMBING AND M FOR FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE EL C INSTALLATIONS. ECH- 3.INSULATION. OCCUPIED UNTIL-FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS 1 SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS A re 3 j 1 HEATING INSPECTION APPROVALS ENGINEERING"DEPARTMENT 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL � I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE 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. O r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map U 2-2— �--Parcel - Permit# ealth Division'. Date Issued �- z bd Conservation Division f - Fee Tax Collector Treasurer — 4 - Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis - Project Street Address Village � • I Owner s e h.vlAddress y SI Mai � Lr Telephone �b�s y2v Iri b'7 I/ Permit Request y-�p n r ®h i v\-�,L m e_ t,9aA' o-� hit rvv(.✓), Square feet:Ist floor: existing 11proposed. 2nd floor: existing it), proposed Total new Estimated Project Cost 5-00 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size . it Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family IY' Two Family ❑ Multi-Family(#units) Age of,Existing Structure C., S'7 Historic House: ❑Yes �4o On Old King's Highway: ❑Yes ©1b Basement Type: ❑Full Utffiwl ❑Walkout 016ther 0_,6 c-L �mcQ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) - 4f6© Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing "7 new . Total Room Count(not including baths): existing 12 new First Floor Room Count SS' • 6 Heat Type and Fuel: Q Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ®'I Igo Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes 0<0 Detached garage:existing Onew 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 6 cv ti e., BUILDER INFORMATION - ame- U_ 1AAuYl G-c L4.vi Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO, SIGNATU DATV Z 2 D i V- • 4 F FOR OFFICIAL-USE ONLY PERMIT NO. DATE ISSUED.. MAP/PARCEL NO. + e s ." {t » .^ i ._..fir _.,.: r •e > ` � ' ADDRESS �,.,.�; r VILLAGE OWNER DATE OF INSPECTIO FOUNDATION FRAMEa 5 INSULATION , • - 41 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; FINAL BUILDING. DATE,CLOSED OUT ASSOCIATION PLAN NO. . s ° e , The Commonwealth of Massachusetts - Department of Industrial Accidents Olilcs 011firu ioatioos ' - 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name: /144-y-61A- L ✓1 r location: city hone# am a homeowner performing all work myself. I am a sole P.7netor and have no one worlds in any am I am an employer providing workers' compensation for my employees working.on this job. e.,. :.:::.:::..::.:::.:.::..:....... company nam d are s s - ::;.;;:;i':::$::i;:::::;::::;:.;:r:;:.;.,•;:::;::;;;:::::if'y':;i>:';<:;;:i G;..;;..........:.:: ,,;;•:. one: :" ::::::;:;:::;;:;::»'::;:::;::::::;;::::;;<:+ :ia:Si%:i QtV' Q ; . ... co. insurance oiicv :>:;;::>::::::'»;<:::::::»>:;:;:;:>;:>::>::: :,:: ;:. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: t m m ... •. ::::, .weadas ........ .. ::`'on rkty� nh ,.... ............. ::>a•, ......... ..............:...:..................................................:......................................:................................................. ..... TINca<:. ,::...:,.::::r::.::.,.:::..::.:..:::::.::::._.:::.:.:...:...........,.,.::... o t �......... . <: . ii>:•i\•i:::n address:. ::..:. ::.::... .. :..:.:.......:. :::.. .... ..... ....::..: .:.:......... .....::.:..:..:. Bone#.;.x<:>:::'::>;::<»>�::::>>.:�>:<<.•: Failure to secure coverage as required order Section 25A of MGL 152 can lead to the impositloa of crimiad penaltin of a Sae to 51,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification I do hereby certify under th - enalia of perjury that the information provided above is trw"and CoTo e ,� Signature Date _ - Print name Phone# 7�b�l qz& 146 6 7 official use only do not write in this area to be completed by city or town official city or town: permiNicense# • QBnSdhng Department OLlcensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; _ ❑O�u�� (FMC d 9/95 PJA) Dp1HE TpyO Department of Health Safety and Environmental Services Building Division 13,►r ST.43.E. ' 367 Main Street,Hyannis MA 02601 NAM 039. `0 �prfD MP'1 a Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2/2$ JOB LOCATION: number street 1 //�� village "HOMEOWNER": i\tom to S ''/ "IG9 L 26 I <I'G name 44j,`d l v"lZ�h home phone# work phone i# CURRENT MAILING ADDRESS: qs—I AA&Z'" city/town state up code The current exemption for"homeowners"was extended to include owner-Occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,Qrovided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the .. Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimu ion procedures and requirements and that he/she will.comply with said es r uiremen Signature of Homeowner Approval of Building Official Note: Threo-family7dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations, Lic ensing censing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend.and adopt such a form/certification for use in your community. Q:FORMS:EXEMMN .. {:.. s.' rah K - A, �• r r r, % c ,p1 - 11 1 4 3 ` .� c y. j .. ..� S Ct. ( Rt 1 , (/ `'Yeni:' k E3P': ? � Rl Ll . �yy 4 asac.0 l ,aT,f % r � { w�� . - a� . . , , m - . . . . , , � - I--11.1. I --",.i: "t: l. ai. i f A,T i. . :.. . ; .� . . .X;I. LL i I.�,..: ) :1....� . ' . ... j i � �. . .- -. - . ,�� j .�-E��U.",�," �.:�`,,-� -,s x t a�zaS1 It. V �-,� lo,.: ��: I'i, ,,, , .:,."..11, _ t a s —s . 5� . ...... .. . . .l!;j-:;, ,� .- . - �. . W, � -i�* ,:-,�;'l-.:�,..";,�;� -, F . 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D Snd;;9PB° SodYN..:,WfH:�1.EtTy �►A-� YN'-at.a,,. �y,.U,k ,-,,x '� � - The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 CF THE Apt ► BARNSrABLE. ' 9 MASS. 16;9. ♦0 ATEp�,ts Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Buildin2 Permit Procedure for Residential Addition Or Remodel Or Dock 1. D ermine map and parcel number and enter it on application. (This information may be obtained from e Engineering or Building Dept.) 2. �1�(Plot plan or mortgage survey required for any addition. 3. Historic District Commission approval required prior to construction/demolition for any properties located in a Historic District: Old Kings Highway Historic District (north of the Mid Cape Highway) I Hyannis Main Street Waterfront Historic District (See map for boundaries) • Historic Preservation (if applicable). 4. Xou-ou r sets of plans, reduced to 8.5"x 11" or 8.5"x 14", are required. Plans must include a foundation, floorplan, cross section, framing schedule, proposed insulation& location of all smoke detectors. On floor plans, mark location of smoke detectors with a black"SB"to indicate battery operated and "SH" to indicate hard- wired. 5. A�Proval from the following departments must be obtained: q(,i ftl Department(3rd floor Town Hall- 8:30- 9:30 a.m./1:00 - 2:00 p.m.) Tax Collector- 1st floor Town Hall er ti111 oor Town Hall) (8:30- 9:30 a.m./1:00 - 2:00 p.m.) Treasurer-3rd floor School Administration Building 6. "Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit,`subcontractors hired must supply this. 7. (�Energy Compliance Form 8.N� } Home Improve enfira�tor fidavit must be submitted. 4. 9. Copies of the following licenses are'require& Construction Supervisors License &Home Improvement Contractor' License -if anyone other than the homeowner applies for the permit. Homeowner License Exemption Form must be submitted if hom owner is acting as general contractor or builder for the project. 11. Fee must be paid upon submittal`of application. Note: No wall is to be covered before wiring,plumbing and frame inspections. PERMIT 3 Rev02/09/00 Y TOWN OF BARNSTABLE SIGN PERMIT PARCEL, ID 022 023 GEOBASE ID 1045 ADDRESS 451 MAIN STREET (COTUIT) PHONE COTUIT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PNET TYPE NO WRIPTION SIG�UPWRMTT' INC. " - 6 SQ. � m CONTRACTORS. Department of Health, Safety ARCHITECTS: and Environmental Services, TOTAL FEES: $25.00 BOND THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE Pl i ET" * BARNSTABLE, + MASS. i639- A� ED Mpl B'ILDI•R G DIVISION ISION DATE ISSUED 04/24/2000 EXPIRATION DATE j The Town of Barnstable Department of Health, Safety and Environmental Services BARNSTneL.e. Building Division MASS. 9� 1639. 367 Main Street,Hyannis MA 02601 QED MA'S A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector Treasure Application for Sign Permit Applicant: Assessors No. zZa2 —cam Doing Business As: Cotuit Inn, Inc. Telephone No508 420 1907 Sign Location Street/Roa4. 451 Main Street 6��.3 Zoning District: �� Old Kings Highway? Z�Hyannis Historic District? Yes/No Property Owner NameJUlia Paskauskas/ Harold McGinn Telephone: 508 420 1907 Address: 451 Main Street Village: Cotuit Sign Contractor Name: _2� Telephone: 2�- gld Address: �� / Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign., This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes o ote:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of B sta oning Ordinance. Signature of Owner/Authoriz Agents Date: 2 Ud Size: Permit Fee:' Sign Permit was-approved: Disapproved: Signature of Building Offic Date: �od SignLdoc rev.8/31198 C� S TQ �' ET o . I � (� I � 0 � h ' I - h ry - /V92 ' �z � ¢o' H/ /V/a rr ors H co 1/ins Ar p, 1 M e 27 451 4 4 �Il VV 4 CO UITI . INN s� 3Z•s" i s COMMONWEALTH OF MASSACHUSETTS Barnstable,ss AFFIDAVIT_ OF BENJAMIN E.ZEHNDER i 1,BENJAMIN E.ZEHNDER,on oath,depose and say that: { 11. I am an attorney licensed to practice law in the Commonwealth of Massachusetts. 2. I have been licensed to practice law in this Commonwealth since 1990. 3. 1 represent Mr. and Mrs. Harold McGinn,potential purchasers of property located at 451 Main Street, Cotuit(Barnstable),Massachusetts. 4. 1 have researched the use of the property in connection with said purchase by interviews with the s'i I following current and former owners of the property and current and former residents of the area in j ! which the property is located: a. Marilyn Goldstein; i b. C. Frances Rennie; i C. James Gould; I i d. Arthur Cabral;and e. Patricia Boger, v and as a result have determined the following: 15. The property is presently being operated as a four bedroom lodging house under the name"Salty Dog Bed and Breakfast;" f6. The property was first operated as a four bedroom lodging house by Mr. and Mrs.Dean Boger in 1982; I ` 7. At the time of first operation Mrs. Boger was informed that the property could be operated under the then-existing zoning bylaw for lodging for up to 6 lodgers without the necessity of any zoning board of appeals approval; { 8. At the time of first operation Mrs. Boger was not required to apply for site plan review for the property !. for the lodging house use; j i i 9. The property has been operated continuously as a four bedroom lodging house to this date by several owners, although during certain off-season periods one of the four bedrooms has been used for the { owners' own family use; 10. All of the above is true to the best of my personal information and belief. j ! Signed under the pains and.penalties of perjury,this December 13, 1999. i e ' n E.Zehnder B O# 6519 Zisson&Veara 828 Main Street-Box 2031 Dennis,Massachusetts 02638 (508)385-6031 l / J , i The Town of Barnstable BAMSTABM ' 1�� Department of Health Safety and Environmental Services TF1639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Nov. 23, 1999 Spoke to Attorney Ben Zehnder regarding the Salty Dog. He is representing a client who desires to purchase and operate this business as a four room guest house. He will attempt to establish proof of the use of 4 bedrooms. I advised him to call Art in Planning for zoning change parameters. Also, advised that the use of 4th bedroom may require the installation of a lav in order to bring up to code for Health Regs. Our notes indicate the 664th bedroom-no bathroom-rarely rented" 1997 Also advised that guest books and renting records would be adequate evidence. He believes previous owners may be deceased. Would we accept affidavits? I suggested he submit anything and everything for Ralph's review. Attorney Zehnder will contact this office and submit documentation in the hope that he will be able to circumvent ZBA. (2 o y 3J� v COMMONWEALTH OF MASSACHUSETTS Barnstable,ss I AFFIDAVIT OF BENJAMIN E.ZEHNDER I i j I,BENJAMIN E.ZEHNDER,on oath,depose and say that: 1. I am an attorney licensed to practice law in the Commonwealth of Massachusetts. 2. I have been licensed to practice law in this Commonwealth since 1990. i 3. 1 represent Mr. and Mrs. Harold McGinn,potential purchasers of property located at 451 Main Street, ! Cotuit(Barnstable),Massachusetts. . I 4. 1 have researched the use of the property in connection with said purchase by interviews with the following current and former owners of the property and current and former residents of the area in which the property is located: a. Marilyn Goldstein; . b. C. Frances Rennie; i C. James Gould; i d. Arthur Cabral;and e. Patricia Boger, ° I and as a result have determined the following: I 5. The property is presently being operated as a four bedroom lodging house under the name"Salty Dog Bed j and Breakfast;" j 6. The property was first operated as a four bedroom lodging house by Mr. and Mrs.Dean Boger in 1982; 7. At the time of first operation Mrs. Boger was informed that the property could be operated under the then-existing zoning by law for lodging for up to 6 lodgers without the necessity of any zoning board of j appeals approval; f 8. At the time of first operation Mrs. Boger was not required to apply for site plan review for the property. . , I for the lodging house use; i 9. The property has been operated continuously as a four bedroom lodging house to this date by several owners, although during certain off-season periods one of the four bedrooms has been used for the owners' own family use; i 10. All of the above is true to the best of my personal information and belief. . i Signed under the pains and penalties of perjury,this December 13, 1999. JE.enZehnder9 . Zisson&Veara I 828 Main Street-Box 2031 j Dennis, Massachusetts 02638 i (508)385 -6031 i � � f �' 4 ❑ New Application TOWN OF BARNSTABLE ❑ Renewal is i°S¢ ❑ Transfer rFo wu�+` LICENSE APPLICATION ❑ Other................... Date.1.2/.....P 9......Print or type only (Please bear down hard)' Name of Applicant........Harold R. McGinn and Julia R. PaskaD/B/A Salt Do Guest House ...........................................................................DB/A...............Y........�.......e ........o ..... Corp.Name if Different......N�A....................................... ..................... . .............................FID#....N..A.................. ........... Permanent Address of Applicant......P.O. Box 1447, Wellfleet, MA 02667. ............................................................... . Local/Mailing Address....-same— .......................................................Place of Birth................................................................................. ................................. Property Owner ,.,,,Marilyn R. Goldstein Business Location Lodging House ..........Status:Annual...........X. .......Seasonal........:............... Type of License........................................................................... Name of Manager.....Applicants ...................................................................................................... ...............................Permanent Address Same : .........................................................................................................:..................................................................... Same LocalMailing Address.......................................................................................................................................................................... ............................................. ..............:................................................................................................ Telephone#of Applicant:Home(...508.......349.-1.6Q.................................................Bus(...............)................sarne............... same Telephone#of Manager: Home(.......................).............................................:...............Bus(...............)......................................... Assessor's Map#(s).......................................Parcel#(s)..2............................:.......Zoning District...............RF................................ Any flammable substance or hazardous waste use in business(specify).................... o..,,,,,,............................... NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Applicants must contact the Building Commissioner'.s Office, ;the Board of Health Office, and the appropriate Fire District Office to schedule inspections. Signatureof Applicant ........................................................:............................................... ............... ............................................................................................................................................................................................................... For Town use only IS THIS USE PERMITED WITHIN THIS ZONING DISTRICT?............................................................:......................................... Comments: ........................................................................................................... INSPECTORSAPPROVAL...................:............................................................................................................................................. Building/Zoning...................................Date............................................Board of Health....................... ...............Date...................... Plumbing .......Date.......................Gas.................................Date Wire..................................Date................ ...................... .........:... FireDist...................................................Date........................................... TAX OFFICE USE ONLY .TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON TAX COLLECTOR White-Licensing Authorit}, Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department LICENSING AUTHORITY 367 Main Street Hyannis, MA 0.2601 ' Licensed . Premises Zoning Approvals To All Applicantst Zoning approval MUST be obtained BEFORE an application can be accepted by this office. Fully dimensional floor plans , with egresses, fixtures and furniture marked, must be submitted to the Building Commissioner's Office, along with a fully dimensional parking plan, prior to, or along with, this document. Plans must be initialed by the Building Department and submitted along with this form, completed and signed by the Building Commissioner or his representative, to the Town Manager 's Office with a completed Licensing Application. No applications for a license or hearings on a license application will be accepted or scheduled until the above requirements are met. To Be Filled 0ut By Applicant: Uses/License Applied For Lodging House Location 451 Main Street, Cotuit Business Name Salty Dog Guest House Business Owner Harold R. McGinn and Julia R. Paskauskas Address P.O. Box 1447, Wellfleet, MA 02663 Tels (508)349-1960 Property Owner Marilyn Goldstein Town of Barnstable Map( s) and Parcel ( s) No( S) Map 22 Parcel 23 List All Uses Of: Basement (Area) First Flr (Area)_____ Second (Area)_Third (Area)_ .Fourth (Area) Roof . (Area) Decks , Patios, etc. (Area) Date Signature of Applicant -------------------------- - ------------------------------------- ------ To be , completed by Building Commissioner's Office: Zoning Dist. Are the above uses permitted YES NO Legal Nonconforming Use Please NO Variance Granted Circle YES i� Special Permit Granted YES Total number of occupants permitted Total number of parking spaces exclusively dedicated to the proposed business use nd available at all times when business is to be operated. r Signature of Building Official Date /licapp a N y yhy 02 LU HIm ein G cc 4V a � OLU LU uj 3' a 0 Q If A TRUE COPY ATTEST Town Clerk BARNSTABLE . .l: S LIW2ifld 9 -ua .041 U{ w.ru3 UJ u a �CEw a Eao sl asn to gul In ans JI A ul eair aq; ul pa;dopE -;uEaEA awoaaq,few ;l awl; ,fug ;E s.Iagwaw q P 1 l Pl. g q q..q' ,f Eulgi3o sum ME ,f guluoz a awl a E gul;slxa ` oa.la ; lied do ,Cllwg} Jo laumo ay} zaq;la ,Cq ;uaw;]EdE ,C[►wEI aq; 10 gulsga[gns ll l q ql 1 q; 1 3 q ao gui};a qns I03^�ol[g o;xngl-,fq slq;;o ;ua;ul aq;tou sl 11 (q) 'saslwald ao gulp[lnq g 3o asn [n3mE[ ,fuE ao '9ulpirnq iq;n+E[,fast 'd 'J •u1a.1aq;aplsax ogee suossad.io uosaad aql}o aauaplsaa S2FSf1 JNIWNO3NO0-NON g s uavuuade;6llt 144 2ll3. ($). ..:.. ., ... _R ,.,_T - I 1/� - t"..Ai �!.^.:�M � " Qt�.•Pt1," o du n whleh:al' s�i+eiidtued:nozi46fifbanin b the" rovlsions '`£ s•s� �rtd th witli'the a llcable provisln=ona o4 ttie zoning'otatiianoe"it Pe g, Y. P r of earlier by-laws may be maintained. in effect in the town and(b)any proposed structure is to be located on 10. Fees such lot so as to conform with the minimum requirements of front,side There shall be a charge of$2.50 per sign permit.Each sign shall have and rear setbacks,if any,in effect at the time of such recording or such affixed a Town of Barnstable seal as an approved sign. endorsement, whichever,is earlier, and to all other requirements for 11. Appeals such structure in effect at the time of building. Any individual aggrieved by a decision of the sign officer may appeal Paragraph E added by 1977 An 21,approved by the Arty.Gen.Jan.12,1978. to the Town of Barnstable Zoning Board of Appeals,as provided under H. ACCESSORY USES Chapter 40A of the General Laws. 1. Accessory buildings or uses including the keeping, stabling, and 12. Penalties maintenance of horses as specified in Section I located on the same lot Whoever violates any provisions of this section or any lawful order of as the building to which it is accessory and customarily incidental to the sign officer shall be subject to a fine not exceeding$50. for each of- any of the uses permitted in a particular residence district and not fense. Each day such violation continues shall be construed as a detrimental to a residential neighborhood, shall be permitted in that separate offense particular residence district. And to further instruct the Selectmen to petition the legislature for Paragraph 1 amended by adding"including the keeping,stabling,and maintenance of bona as whatever permissive legislation is needed in order to validate sections of specified In section 1"1974 An 102,approved by the Arty.Gen.July 16,1974. the above proposed by-law. 2. Uses,whether or not on the same parcel as activities permitted as a Prior section deleted,new section adopted 1979 An 15,approved by the Atty.Gen.Feb.26,1982. matter of right, accessory to activities permitted as a matter of right, V. FAMILY APARTMENTS which activities are necessary in connection with scientific research or r--- �•• +,, .,tom mom., hP nllnn,PA in nil 7nnina Ai¢triet¢ by a zeipnffie rlavPlnnment nr r�lntrrl r—Ann+inn m h. n;++n 1 (a) The intent of this by-law shall be to allow one(1)additional Paragraph 2 added by 1977 An 21,approved by the Any.Gen.Jan.12,1978. living unit, complete with kitchen and bath to supply a year-round I. USE REGULATIONS —RESIDENCE DISTRICTS residence for a member or members of the property owners family, A. No building shall be erected or altered and no building or premises within the owners existing residential structure or attached thereto, or shall be used for any purpose in the following specified districts other to convert an existing building located on the same lot on which the than provided for in this section or in Section P. and the maximum property owner resides. height of any building shall be not more than two & one-half(2r/2) (b) It is further the intent of this by-law to retain the existing stories, or thirty(30)feet from the ground level to the plate,whichever residential character of the area as near as possible to its present condi- is lesser. tion. Paragraph A amended by 1974 An 109,approved by the Atty.Gen.July 16,1974 by adding,"and the (c) It is not the intent of this by-law to allow for a separate ad- ma:Imum height of any building...whichever 6 lesser." ditional building to be built on the existing lot. Prior Paragraphs A-1 and A-2 deleted by 1972 An 128 and remaining paragraphs renumbered,ap- g g proved by the Atty.Gen.Aug.3,1972. (d) The family apartment shall contain not more than 50% of 1. Residence B. District. the square footage of the existing building to which it is being attached. a. Detached one family dwelling. 2. DEFINITION b. Renting rooms for not more than six(6)lodgers by a family resi- For the purpose of this by-law the definition of a family member dent in the dwelling. shall be any person,or persons who are related by blood or marriage to 2. Residence B-1.District. the property owner. a. Detached one family dwelling. 3. In•any district, the front yard, side yard, and rear line set back b. Renting of rooms for not more than six (6)lodgers by a family requirements.of that district shall apply. resident in the dwelling. 4. DENSITY c. Professional Offices, subject to the granting of a special permit It is the intent of the by-law to allow for not more than two (2) by the Board of Appeals. family members to reside in the family apartment at any one time.The Paragraph 2 added by An 1977 25, approved by the Any. Gen.Jan. 12, 1978, and remaining property owner shall also reside on the same lot as the family apartment paragraphs renumbered• is located. d. Private, nonresidential parking areas in that section of this Page.39 Page 7 Ping a shalt`not exceed tS�e 1etiset of'fi Sb) 'qua' •f et v' 9 pet District es shown on the''zoning map of the Town of.Barn-stable, Massachusetts, dated February 3, 1969 cent of the area of the wall on which they are located. , as amended, on the In addition, one directory of the business establishments east by Pleasant Street, and ow the west by Sea Street. The term Private, nonresidential parking area' as used in this section shall be occupying a building may be affixed to the exterior wall of the wall of defined and limited as follows: the building at each public entrance to the building. Such directory 1. "The land upon which proposed private nonresidential shall not exceed an area of one(1)square foot for each tenant. In shop- parking area is to be located must bea contiguous to, and held in com- ping centers where there are multiple tenants, the frontage actually utilized by each such business shall be treated as if in a detached mop ownership with, a lot located in the Business District as shown on the Zoning Map of Barnstable,dated February 3, 1969,as amended,or business building. in that section of the Residence B District hereinbefore described. (ii) Free Standing Signs 2. The use of a private, nonresidential parking area shall be Free standing signs may be permitted. In granting a permit ents and customers of a lawfully e for a free standing sign,the sign officer shall specify the size,type, and limited to employees, servants, ag fisting business establishment, on a n and ge basis. location and impose such other terms and conditions as he deems to be in the public interest; provided, however, that no such,sign shall be in 3. There shall be no entrances to or exits from a private, excess of one hundred(100)square feet in area or extend more than fif- nonresidential parking area to and from South Street. teen(15)feet from the ground. In the case of shopping malls or similar be 4. That portion of a private nonresidential parking area to complexes, more than one standing sign may be allowed at major street used for parking shall paved and appropriately striped to designate parking spaces, and each parking space shall-comply with entrances, provided there is a distance of more than two hundred fifty de the Town of Barnstable Parking Table Regulations. (250) feet between such entrances. 5. A private, nonresidential parking area shall be screened (iii) Interior Signs from view from abutting residential property by a visual barrier con Signs painted or placed on the interior of a window wall sisting of evergreens or other suitable, natural growth. ' which is visible from the outside shall be permitted within a business 6. All areas of a private, nonresidential parking area not district.with the provision that such sign-shall not exceed twenty (20) percent of the window wall. used for parking shall be appropriately landscaped and adequately maintained. 8. Temporary Sianc uY iyi i Alld1,approved by Arty.Gen.]an.12,1978. Temporary signs shall not be attached to or supported by a portable 3. Residence C District. contrivance, wheeled or not wheeled, except that such signs may be a. Detached one (1) family dwelling, allowed for political purposes on election day only. No vehicle, trailer, 4. Residence C1 District. boat, balloon, flag, pennant, etc. shall be used as a temporary or per- a. Detached one family dwelling, manent means of circumventing the intent of this by-law. The area of b. Professional or home occupation use. See Paragraph 12 for temporary signs shall be limited to twelve (12) square feet in business definition. districts and six (6) square feet in residential districts. c. Renting rooms for not more than six (6) lodgers by a family 9. Non-Conforming Signs resident is the dwelling. Any existing sign which does not comply with the provisions of this Paragraph 4 added by 5,74 19741y 30,Sp.12 and remaining paragraphs renumbered,approved by u,a. Any shall be deemed non-conforming.The owner shall be permitted Atty.Gen.September S,1974. S. Residence C2 District. to maintain said sign provided that: a. Detached one (1) family dwelling, (a) Such sign shall not be enlarged, re-worded, re-designed or b. Nursing and/or retirement homes subject to conditions altered in any way unless it conforms with the provisions of this section. stated in Section P. _ (b) No sign which is abandoned or destroyed or damaged to the 6. Residence D District. extent of thirty-five(35)percent of its replacement value at the time of a. Detached one family dwelling, the destruction or damage, shall be rebuilt or replaced except in con- 7. Residence D1 District. formity with this section. a. Detached one family dwelling. (c) Signs advertising products, business or activities which are no longer carried on or sold shall be deemed to be abandoned. Page 8 Page 33 - .71`77— _. --- - -- _.. ,.. ...,..:_...._. .. ... .. P..,„u.,au U yaigm uodn puel aql •i -uugs ul ';ueua;gae3.10,{;o03 a,lenbs(1)3u03o ea.te ue paaaxa;ou llegs kjo;awip ganS • luipltnq aq; o; aaue.i ua ai nd aea a gul m a :smolloJ se pa;lluli pue paUgap o een a ;JO em 1o►Ja xa a o ; lq q ; Pl q 111 aq liegs uol;aas srq; ul pasn se ,vain Supped lsr;uaplsaluou `a;enud 1 ii 11 [l 1, g} ;paxg3s aq Sum ilu►pltnq s gui,Cdnaao uJJa a aa1 sa ,C 1 111E 1 iS S q ;sans ag; uo pus ';aar;S ;usssald .fq ;sea s}ualugstlge}sa ssauisnq all} 3o rCao;aanp auo `uol;lpps u1 a uo ' a uauis ss pa}cool Wile Ka of m uo em a o eaiv a 11; p p '696I '!; Sivniga3 pa;ep s;;asngayssvyv 'algv;s �}u 4 li tl}3 lil 30;uao -ussg;o amoy ag;3o daur 8uluoz aq;,rro wao s s a ewE}}o;aa asenbs(OS !!y313,30.aassa .oq}. aaaxo oa la $sai9 c.. .:. - ,:, ..-.,. .... .,Y ,. �_;,.i. 7��Acceisorj'SlSns • . ,' � .,<. ��...:; ,.� l,�;e, [a] Residence Districts •. . resident in the dwelling. , a , In residence districts, only the following shall be permitted: 8. Residence F District. (i) one sign displaying the street number and/or name of a. Detached one family dwelling. the occupant not to exceed two (2)square feet. Such sign may include b. Professional or home occupation use. See Paragraph 12 for identification of an accessory professional office or professional or definition. home occupation use; c. Renting of rooms for not more than six(6)lodgers by a family (ii) one "for sale" or."for rent" sign not exceeding three resident in the dwelling. (3)square feet in area and advertising only the premises'on which it is Prior Paragraphs 8,9,Mond 11 deleted 1979 An 9,approved by Atty.Gen.Feb.26.1980 and remain. located, such sign to be removed within thirty(30)days of the sale and '. ing paragraphs numbered in proper sequence• within five (5) days of the rental of said premises; 9. Residence F1 District. (iii) one contractor's sign,not to exceed six(6)square feet a. Detached one family dwelling. maintained on the premises during construction, such sign to be 10. Residence F2 District. removed upon completion of the construction; a. Detached one family dwelling. (iv) one identification sign not exceeding .twelve (12) b. Renting of rooms for not more than six(6)lodgers by a family square feet in area at any public entrance to a subdivision or multi- resident in the dwelling. family development; and Paragraph 10 added by 1977 An 36&37,approved by Atty.Gen.Jan.'12, 1978,and remaining (v) where a legal, non-conforming business use exists- paragraphs renumbered in proper sequence. within a residence district, a sign which, in the discretion of the Sign 11. Residence G District. Officer, is in keeping with the general intent of this by-law and the ap- a. Detached one family dwelling. [b] Professional Residlentiai Districts a rr �. :at„tt ua tuttttCu as touows. One accessory sign giving the name of the occupant or other a. No more than one nonresident shall be employed therein. identification of a use permitted in professional residential districts b.. The use of the dwelling unit for.the home occupation shall be may be permitted. Such signs shall be no more than twenty-four (24) clearly incidental and subordinate to its use for residential purposes by square feet in area and shall not extend more than ten(10)feet above its occupants, and not more than 400 square feet of the dwelling unit the ground. shall be used in the conduct of the home occupation. d. There shall be no change in the outside appearance of the [c] Non-residence Districts building or premises or other visible evidence of the conduct of such In business, limited business, industrial, highway, village home occupation other than one(1)sign, not exceeding two(2)square business, urban business, service and distribution business, marine feet in area, non-illuminated; and mounted flat against the wall of the business districts, no more than two (2) primary exterior signs per principal building, carrying only the occupant's name and his occupa-. business, which in the business district only, may make use of gaseous tion. discharge (neon) tubing, shall be permitted, subject to the following: e. The buildings or premises occupied shall not be rendered ob- i) Attached Signs jectionable or detrimental to the residential character of the Attached signs shall be firmly secured to the wall or facade neighborhood due to the use, exterior appearance, emission of odor, of a building. Roof signs shall not project.over the ridge of a building. gas, smoke, dust, noise, electrical disturbance, or in•any other way. The maximum area of an attached sign shall be the lesser f. No traffic shall be generated by such home occupation in of one hundred (100) square feet or ten (10)percent of the area of the greater volumes than would normally be expected in a residential wall upon which the sign is located. For the purposes of this paragraph neighborhood, and any need for parking generated by the conduct of the word "wall" shall mean the exterior covering limited to the floor of such home occupation shall be met off the street and other than in a re- the building on which the sign is located. quired front yard. Each business shall be permitted one(1)attached sign per g. The above use shall be subject to the granting of a Special Per- side for each business building provided that where more than one mit by the Board of Appeals. public entrance exists to a business,there may be one additional secon- Prior sub-paragraph deleted,new sub-paragraph 12 inserted by 19•i'An 30,approved by Any.Gen. dary sign for each entrance. The aggregate area of all such secondary Jan.12,1978. Page 32 Page 9 i ' a COMMONWEALTH OF MASSACHUSETTS - Barnstable, ss AFFIDAVIT OF PATRICIA BOGER I, Patricia Boger, on oath, depose and say that: 1. My husband Dean Boger and I purchased the property located at 451 Main Street,Cotuit, Massachusetts on or about May 15, 1982. 2. We sold the property on or about January. 15, 1984. 3. In 1982 we began operating the property as the "Salty Dog,"a lodging house,and used four of the bedrooms in connection with this enterprise continually throughout the period until we sold the property. Signed under the pains and penalties of perjury,this 3o Day of December 1999. Patricia Boger COMMONWEALTH OF MASSACHUSETTS Barnstable, ss AFFIDAVIT OF MARILYN R. GOLDSTEIN I, Marilyn R. Goldstein, on oath, depose and say that: 1. My husband Gerald D. Goldstein and I purchased the property located at 451 Main Street,Cotuit,Massachusetts on or about July 15, 1985 and we have owned the property to this date. 2. Throughout this period we have been operating the property as.the-'-`Salty Dog," a.. lodging house,and have continuously used four of the bedrooms in connection with this enterprise. Signed under the pains and penalties of perjury,this,30 Day of December , 1999. M ' R.XjoldsteA F • t f 4 a � _ a n Asses &'s office Ost floor): , . THE Assessor's map and lot number ... .��o........ �.3.......... WQ�� Tod♦ Board'of Health (3rd floor): Sewage Permit number '. .. ..,..1 - , .. ...... ......... SEPTIC SYMM MUST.®E aaasTSDLE. Engineering, Department (3rd floor) ��" ' -7 ° 0 ON COMPLIANCE tHouse number :.... ......... ............... ....:......... :... a .��s � 1Definitive Plan Approved by Planning Board ___________________ ___ 19 , AL COD �r1 APPLICATIONS PROCESSED 8:30 9:30 A.M, and•1:00--2:00 P.M. only i l iWN FoEGULATIONS 9 TOWN -OF' BARNS:TABLE BUILDI-HG INSPECT-OR APPLICATION FOR PERMIT TO, 3 .......�-..... ............ .......... TYPE OF CONSTRUCTION . TO THE INSPECTOR OF BUILDINGS: The undersigned, hereby applies for a permit according to the following ,information: Location .....:�J� .(...........!..:L ...S.. .. ......`.. „1 L...i..:.. .. .. ..... .... ........... ......... Proposed, Use .......�Y .. /g.: ......... ..................... .................. ....................... Zoning District ....... ....................•........... . ..::.. ......... ..:.....Fire District ....... . Name of Ow ..:...Q�f' t/C:(D:....... 5. �. Address ....7^ .[......... sa... �. .. .... .� .n Name of Builder ...... Address Q CO ..}. . :. .��.�� ................ 1. loJ... w. . . Name. of.Architect ................: .................................................Addresss ........_.... ................ .......................................... Number of Rooms ........ .......... .. ......... ........ ................Foundation .......:......... Exterior T./..��....� A- - ......Roofing .. f� 4 /......e. 5 . ..//+-�- / `�u�c� Floors- .......( 3YL..G. ..................... Interior ........... .� .... ...... ...... .............. Heating . :....-...... y.d? .....: .............:�..............................Plumbing ........ t :..... ..... .... Fireplace ................ ...... ......... ................. Approximate Cost D � Area �1. Diagram of Lot.arid Building with Dimensions Fee ......... :. Norse OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby,agree to conform to all the Rules. and:Regulations"of the Town of Barnstable-regarding the above' construction. Name ......L.. ............ `.` 1.. .. . , Construction Supervisor's License, I. .,Q.5.2.......... GOLDSTEIN, GERALD - �,, 32095 Build Gara e ..... Permit for ` °ry ......Acce•ssory..to••Dwell•ing........... •, Location ...451...Ma ...••Street...................... - .. COtuTt.......................................... ••:Gerald...Goldstein Owner a Type of Construction Frame-• ........... ` r .... .... ......... . .......... ........ Plot ......' .................... �SLot Permit Granted ......July...21'...............L9' 88 j` Date of-Inspection ........`A0//..... 19 ,. Date. Completed' ..............`..��.. ....19 r � ' Assessor's office (1st floor): Assessor's map and lot number ..d �. ......t?=.�(. QOFTHEto�f Board of Health (3rd floor)':_ fO Sewage Permit number ......... � �' �� '`fir L ` : BAWSTAXLE �. A �*n - oo-� yr Engineering Department (3rd floor: 9oo i6 House number � .. ... � / aN �0 APPLICATIONS PROCESSED 8:30-9:30 A.M. .a'nd 1:00-2:00 P.M. only J TOWN OF BARNSTABLE BUILOI-NG INSPECTOR APPLICATION FOR PERMIT TO .. TYPE OF CONSTRUCTION L ....... ..................................19. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according '1t]o�the following information: Location7- � �� /� �� " �� ................................................................................................... ProposedUse ................. . '7 ................................................................................................................ Zoning District ... ...................................Fire District ..................... Name of Owner .......�./f e `` � T Name of Builder ,�r✓ �/ S ....AddressS� Nameof Architect ... .. ..... --5........................Address ........................ .......................................................... Number of Rooms ....... ....................................................Foundation .....��.,>........... ... .......... .�............................ ............ Exterior ...............A 4*` ................................................Roofing .............`�"� 1'!! .............'. �� v Floors ..................:.................................................InTerior .................,.................................................................. ............... .. /7 �T .......................Plumbiri �A Heating ......................... g Fireplace ...................+.t.:•1.........................................................Approximate Cost ................... ........... .................................. Definitive Plan Approved by Planning Board _______________________________19________ . Area 7 1 ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a � i • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLING I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... .......................... .........v................ Construction Supervisor's License .... ................................ � . GOLDSTEIN , G. / A=022-023 No ..29483.... Permit for Addit..ion.........t.o ............. ........slugle...fawily...dmp1.1inS...................... Location 451 Main St. .................................................... ...........C.atui t....................................................... Owner Mr. & Mrs. G. Goldstein Type of Construction ...........Xxavle.................... ` f Plot ............................ Lot ................................ Permit Granted .....................June-10...19 86 Date of Inspection ....................................19 Date Completed ` 4` 1;"G;t.'�;'r�o-i""H�ly 3 Assessor's.office (1st floor): q •r#�r .? �. . FTNEt Assessor's map and lot number ..... :'.`.'...................... Board of Health (3rd floor): fO Sewage Permit number .... . i Basa9TABLE, Engineering Department (3rd floor): oo M63}9. 0� Housenumber ........................................................................ Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR i r,� lt APPLICATION FOR PERMIT TO ...........................................�.................................................................................. < (.... . .. . �l�y�,iE TYPE OF CONSTRUCTION ..................................................................................................................................... ------------- ----7-../.Y............19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: C� l �e+ Location ` a� Proposed Use ........ .� ..X.- ................................................. ZoningDistrict .........,::.............................................................Fire District .....:...................................................... 1 � � a' Name of Owner ........................ �� / S ��^^..........-'r`�" .��........! ...... ... Address ....�................ ............................`...-......F....... D. c. 2 ..........................Address ..!�...!........�i�....�1��..P.'ui�. .P.` .... . Name of Builder. �...........'..:...�.....s. y ...........1..........:r.:..... Nameof Architect ..................................................................Address ................................f..................................................... Number of Rooms ............................................:.....................Foundation Exierior `....<.. i)G2......i..✓l^�r, 4 Roofing .........P7'.�}�l(✓ea '�. ✓iNf�='� � ...... ...................... ............j......... .................... f�UY! tif�r..1 t.l t:..� Floors ......................................Interior ................. `. . Heating 47� � g .............................:...................................................Plumbin ....................................... .,........................................ Fireplace ................. ..................................................Approximate Cost It c� Area Diagram of Lot and Building with Dimensions Fee :: ...........(J.... .. .............. all r f F-- 9 Ste• �,�rti ��_ . • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name I .. Construction Supervisor's License .O..t` .3.... a GOLDSTEIN, GERALD A=022-023 No 3205 Permit for ....Build,.,,.Garage ......A... sso y..tp...PNy�qj.j n i q. ...e.. ......;1� ... .9............. Location ....4.5.1...MP-U.r.1...St r.P,i a 1;..................... ......................ro.t.uit.......................................... Owner ....G Q.-r.a Id...Q.Q.1.d.s.t.Qin.................... Type of Construction ...Frame.......................... ............................................................................... Plot ............................ 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