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Home My WebLink About0523 MAIN STREET (COTUIT) ..peal aqs . _ __ J-. �� j �. Town of Barnstable Building Post This Card So That rt�s Visible From the Street Approved Plans Must be'Retamed on lob and this Card Must be Kept s BAR.TISTAPLE, •. 3" s `� °Posted Until Final Inspection Has;Been Made ` tPermft er,rt°' Where a:Certificate of Occupancy;is Required,such Building shall Not be Occupied until a Final Inspection has been made ,.. , r.- . . ... e,, z k� n . -.. . Permit No. B-19-4178 Applicant Name: Rodney Tavano Approvals Date Issued: 12/23/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: . 06/23/2020 Foundation: Location: 523 MAIN STREET(COTUIT),. COTUIT Map/Lot: 021-095 Zoning District:. RF 'Sheathing` Owner on Record: COTUIT INVESTMENT LLC Contractor.Name` RODNEY N TAVANO Framing: 1 Address: 159 GLEZEN LANE Contractor License: 3449 2 WAYLAND, MA 01778 Est. Project Cost: $6,000.00 Chimney: Description: ` Installation of a forced hot air heating and cooling system.with a Permit Fee: $85.00 complete duct system servicing the house as two zones first floor as Insulation: one and second floor as one Fee Paid: $85.00 Date. 12/23/2019 Final Project Review Req: = 3 x Plumbing/Gas Rough Plumbing: = Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonied by this permit is commenced within six months after-issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which,this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures`shall tie in compliance with the local zoning by lauv4 and codes. This permit shall be displayed in a location clearly visible from access street or'road,and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. }_ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by'the Buildmg and Fire Officials are prou�ded on this;permit. qp Service: Minimum of Five Call Inspections Required for All Construction Work.! 1.Foundation or Footing Rough: 2.Sheathing Inspection ,,, _, _. •' ... . ., .. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Buildin 9 p'This-Ca d`So That it;is Uisib'le From the Str,`eet ryA roved'PlansMust be Retamed�n Jo.band this;Card Must',be Kept annrr [► Pos M" p Posted Unt�I-Final Ins eetion Has BeenIVlade �� : f `x Permit �,,,�s° Wh'erea Certificate,of Oceupanc Requ�red;�such Building shall Not�be�Occupred until a Final Inspection has be�en4made�� Permit No. B-19-3302 Applicant Name: A I ENTERPRISES INC. Approvals Date Issued: 10/25/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/25/2020 Foundation: Location: 523 MAIN STREET(COTUIT),COTUIT Map/Lot:021-095 Zoning District: RIF Sheathing: Owner on Record: COTUIT INVESTMENT, LLC Contractor'Narne:` ,A I ENTERPRISES INC. Framing: 1 Address: 159 GLEZEN LANE , Cohtractor.Ucense: 109606 2 z „ WAYLAND, MA 01778 � � Est.,�Project Cost: $ 150,000:00 Chimney: Description: Remodel (2) existing baths and Kitchen Turn existing 1st floor ' ,JP errnrt Free: $815.00 living room into a bedroom w/new full bath.Turn existing 2nd floor Insulation: Fee Paid.° $815.00 .bedroom into a full bath.Add a shed dorm er to{existing 2nd floor Final: bedroom. Remove deck existing deck and build fnew,d'dck { Date 10/25/2019 Project Review Req: i Plumbing/Gas L- �� .� z-€ � h Plumbing: is �. � � � �; Rough _... `, `�BuildingOfficial Final,Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized b th(s permit is commenced within siz:months#afte42 r issuance. All work authorized by this permit shall conform to the approved application and theme approved construction documentsfor whichthis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by lawsand codes. FinaLGas: This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public�inspFection for the entire duration of the work until the completion of the same. @ 3 �x Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials are prouided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:,, 1.Foundation or Footing T 4,. , 2.Sheathing Inspection i Rough: - r: - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT THE?, ApplicationNumber............................................................. P BARNSTABLF, Permit Fee.....aa-0.V............Other Fee.. 0 9. 61 OCT 0 4 2019 I\/V'�- Total Fee Paid......................;............................................... TOWN OF BARNSTABLE Permit Approval by.. .. ...................On...t.O...1 74.k, BUILDING,PERMIT Map........................................Parcel............................................. APPLICATION Section I — Owners information and Project Location Project Address Village' cc,1117- Owners Name Owners Legal Address City State oOW19 Zip 012,2f Owners Cell# E-mail Section 2—Structural Use Single/Two Family Dwelling El Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit F] New Construction E] Move/Relocate E] Accessory Structure ❑ Change of use El Demo/(entire structure) ❑ Finish Basement El Family/Amnesty - El Fire Alarm Rebuild Deck Apartment El Sprinkler System F1 Addition ❑ Retaining wall F] Solar Renovation El Pool El Insulation Other—Specify Section 4—Detail Cost of Proposed Construction 140 oaq,& Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 NTH Wind Zone Compliance Method F] MA Checklist [] WFCM Checklist ❑ Design Last updated: 11/7/2017 Section 5 - Work Description G'>clS%i.�y � <iZ�c �/e T/�./ CS'7_iv� i r ZO<,f-r X- 70 6 x/sj7k-/2i a J Section 6- Specifics Project of SP � [z Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ® Plumbing ❑ Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney Add/relocate bedroom i Water Supply Public ❑ Private Sewage Disposal ❑ municipal On Site Historic District [] Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes No Section 7-Flood Zone - i Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8-Zoning Information Zoning District Proposed Use/eM/Z`�C6 Lot Area Sq. Ft. A0/070 Total Frontage //0 Percentage of Lot Coverage A/7- #of Dwelling Units (on site) Setbacks Front Yard Required �O Proposed 7 Rear Yard Required /S' Proposed Side Yard Required 15- Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/72017 Section 9— Construction Supervisor D.u�7T/ Namebb,4 IfZz-; Zo,X , Telephone Number 60-- Address Pb &x aoS"z' City 6P7L1T State A10 Zip Ozla a 5 License Number's -CSO iT 7 License Type IW60 Expiration Date ! Contractors Email %�� n'l�' / 1`-iz Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts S uilding Code. I understand the construction inspection procedures,specific inspections and documentation require 80 CMR the Town of Barnstable.Attach a copy of your license. ` Signature Date Section 10-Home Improvement Contractor Name�2��&/ 'V&3, -7X� Telephone Number Address /U ; s� 20 S7o City <T State titer Zip Registration Number f�l�o®�o Expiration Date q�Aoy�D I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State uilding Code.. I understand the construction inspection procedures,specific inspections and documentation required b CMR a Town of Barnstable.Attach a copy of your H.I.C... Signature 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 I' APPLICANT SIGNATURE Signature Date ,9/�v/9 Print / � Z D — rust Name �i`'l // Telephone Number E-mail permit to: Do In Last updated. 11/7/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ i Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvab Section 13 — Owner's Authorization )I^rm-tl�7 cj , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of job) Signoe of O er date Print Name Last updated: I IM2017 MA SOC Filing Number: 201903936010 Date: 6/12/2019 2:19:00 PM :7.: :!, The Commonwealth of Massachusetts Alfnfmum Fee:$500.00 ` William Francis Galvin Secretary of the Commonwealth,Corporations Division 4� One Ashburton Place, 17th floor '�f... Boston,MA 02108-1512 i j fir _tr a\ `1 Telephone:(617)727-9640 Identification Number: 001388261 1.The exact name of the limited liability company is: COTUIT INVESTMENT LLC 2a.Location of its principal office: No.and Street: 159 GLEZEN LANE City or Town: WAYLAND State:MA Zip: 01778 Country:USA 2b.Street address of the office In the Commonwealth at which the records will be maintained: No.and Street: 159 GLEZEN LANE City or Town: WAYLAND State:MA Zip: 01778 Country: USA 3.The general character of business, and if the limited liability company is organized to render professional service,the service to be rendered: TO OWN LEASE AND MANAGE REAL ESTATE AND TO DO ALL OTHER BUSINESSES AS ALLO WED UNDER MGL CH.156C 4.The latest date of dissolution,if specified: 5. Name and address of the Resident Agent: Name: JEFFREY F DINARDO No.and Street: 159 GLEZEN LANE City or Town: WAYLAND State:MA Zip: 01778 Country: USA 1, JEFFREY F DINARDO resident agent of the above limited liability company,consent to my appointment as the resident agent of the above limited liability company pursuant to G. L. Chapter 156C Section 12, 6,The name and business address of each manager,if any: Title Individual Name Address(no Po Box) First,Middle,Lest,Suffix Address,City or Town,Slate,Zip Code MANAGER MARIA IDA APSE 159 GLEZEN LANE WAYLAND,MA 01778 USA MANAGER JEFFREY F DINARDO 159GLEZENLANE WAYLAND,MA 01778 USA 7.The name and business address of the person(s)In addition to the manager(s),authorized to execute documents to be filed with the Corporations Division,and at least one person shall be named if there are no managers. Title Individual Name Address(no PO Box) i First,Middle,Last,Suffix Address,City or Town,State,Zip Code i 8.The name and business address of the person(s)authorized to execute,acknowledge, deliver and record any recordable instrument purporting to affect an interest in real property: Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY MARIA IDA APSE 159 GLEZEN LANE WAYLAND,MA 01778 USA t REAL PROPERTY JEFFREY F DINARDO 159 GLEZEN LANE WAYLAND,MA 01778 USA 1 r 9.Additional matters: SIGNED UNDER THE PENALTIES OF PERJURY, this 12 Day of June,2019, JEFFREY F DINARDO (The c •tiffcate must be signed by the on forming the LLC.) ra LAIIftghts 019 Commonwealth of Massachus s eserved i MA SOC Filing Number: 201903936010 Date: 6/12/2019 2:19:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that,upon exaraination of this document,duly submitted to me,it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles;and the filing fee having been paid,said articles are deemed to have been filed with me on: June 12, 2019 02:19 PM WILLIAM FRANCIS GALVIN Secretaq of the Conunomvealth Mass. Corporations,external master page Page I of 2 • !t' 1iS< Corporations Division Business Entity summary ID Number: 001388261 Request certificate iVew search Summary for: COTUIT INVESTMENT LLC The exact name of the Domestic Limited Liability Company (LLC): COTUIT INVESTMENT LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001388261 Date of Organization in Massachusetts: 06-12-2019 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 159 GLEZEN LANE City or town, State, Zip code, WAYLAND, MA 01778 YSA Country: The name and address of the Resident Agent: Name: JEFFREY F DINARDO Address: 159 GLEZEN LANE City or town, State, Zip code, WAYLAND, MA 01778 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER MARIA IDA APSE 159 GLEZEN LANE WAYLAND, MA 01778 USA MANAGER JEFFREY F DINARDO 159 GLEZEN LANE WAYLAND, MA 01778 USA In addition to the manager(s),the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSuinmaiy.aspx?FEIN=0013 88261&... 6/12/2019 Mass. Corporations,external master page Page 2 of 2 REAL PROPERTY JEFFREY F DINARDO 159 GLEZEN LANE WAYLAND, MA 01778 USA REAL PROPERTY MARIA IDA APSE 159 GLEZEN LANE WAYLAND, MA 01778 USA €`...iConfidential '.. +Merger i Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS — Annual Report A Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: { 1 Flew search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001388261&... 6/12/2019 Office of Consumer Affairs 8.Business Regulation Registration valid for individual use only HOME IMPROXEMENT CONTRACTOR U. TY1SE:Corporation 3 before the expiration date. If found return to: Rear_ Expiration ° Office of Consumer Affairs and Business Regulation Eggg 09/20/2020 1000 Washington Street-Suite 710 (] Boston,MA 02118 A I ENTERPRfSP�-WC: PETER M.POME:F;ji 140 LITTLE RIVER'R�: Not valid without signature COTUIT,MA 02635 Undersecretary Commonwealth of Massachusetts s ,�` Division of Professional Licensure Board of Building Regulations and Standards Cori strq.aWltb' Pq.rvisor 6S-050457 y i E"pires 04/19/2020 'A d , dl- PETER M POMETTI PO BOX 2056i. i COTUIT MA 0�886 )�p Commissioner CL The Commonwealth oj'Massachusetts Department of Industrial Accidents r 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/Organization/Individual)' � ��S7 E S ,SIC Address: 'fix _20S_69 City/State/Zip:C®f y��,�� 3 Phone#: � Are you an employer?Check the appropriate box: Type of project(required):. 1. I am a employer with 5 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. 'Demolition workingfor me in an capacity. employees and have workers' Y ' p, �'• 9. Building addition - - [No workers' comp.insurance comp.insurance. required.] 5_ We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work ' officers have exercised their 11. Plumbing repairs or additions myself. ' . right of exemption per MGL Y �o workers comp. 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] 'Any applicant that checks box 41 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: `r�� y'�y i' '✓Sv/tGf6,/G� �'p . Policy#or Self-ins.Lic.#: 00 5ol7,�o 22.'o7o f/f Expiration Date: -7/A/a Job Site Address: ir,/ CS�^ City/State/Zip: 02402 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). t 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 a - Investigations of the DIA for insurance coverage verification. 7 do hereby certify un a pains d enaldes ofperjury that the information provided above is true and correct Sianafore: Date: U 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): x 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ` CERTIFICATE OF LIABILITY INSURANCE DATE(MMID°""'") A�� 10/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 endorsement(s). PRODUCER NAME:C Allison Petkiewich-Sousa RSC Insurance Brokerage,Inc. PHONE (781)986-4400 (781)963-4420 A/C No Ext: A/C,No 15 Pacella Park Drive E-MAIL s: apetkiewich-sousa@risk-strategies.com ADDRE Suite 240 INSURER(S)AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA: AIM Mutual Insurance Company INSURED INSURER B: AI Enterprises Inc INSURERC: P.O Box 2056 INSURER D: INSURER E: Cotuit MA 02635 INSURER F COVERAGES CERTIFICATE NUMBER: CL1910233615 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADEDAMAGE TO RENTI:15- OCCUR PREMISES a occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY EC LOC PRODUCTS-COMP/OPAGG $ OTHER: ' $ 'AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a a.d.nt _ ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER STATUTE EOTH- R AND EMPLOYERS'LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? N/A ACC-500-5017622-2019A 07/18/2019 07/18/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St.- AUTHORIZED REPRESENTATIVE Hyannis MA 02601 "'^ ,•. @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD � i J' -3° " ksesSbr's offioe (1st floor): ��"> `i g�� uS`T.8 Assessor's map and lot number ../�'1f?P... l...... f.9.5' ^zTA .LED IN COMPL'; '� �.. FTwETo�o Board of Health (3rd floor): �3 U� ' TITLE 5 d `� Sewage Permit number ....... &T .............................. >. a ':: ,a04 1 `. w�� i 3BASd9TeDLL, Engineering Department (3rd floor): T REGULATION +oo 2639 roes House number .............................. .... . ` 0 APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... / �f� .....!'Tr9c ....................................................... TYPE OF CONSTRUCTION ................141e 0....., .��/�f .......................................................................... •....................�?.. ............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followinginformation: Location �1 .......... .....< / !� ' ......... ........... ... . . ........................................................................................... ProposedUse ...6.�h2wwl?o ......................................................................................... ......... ............................................. Zoning District ....kf.... ........................Fire District ........ ................................................ /4 C1e,7 -4409 ct�J � Cost Name of Owner .��..... i1(/fs /- //�:'G.� .Address ..../rc ..zi,?I/� .l.Z?��,k`'7`. � i Name of Builder 0-.�0�/ �° ��/ 4AI...........Address ....O�fr. .� .... .............:.. Name of Architect ... ...�..::.:.........................................Address ......... Number of Rooms ....��...................................... �.�........C �f/ � .... � lr�� Exterior ... � ...( ✓IAI K.....s*./. ,.•..............Roofing .........4�.�oi/.../. ' .................................................... Floors dwle� L>1F...._-!li��...............................Interior ..........4(71..`iL��/f% .. .5®'..................... Heating ....... W.................................................................Plumbing ....... ..:..... ...................................................... ®� ®D Fireplace - Approximate Cost Definitive Plan Approved by Planning Board ________________________________19________ . Area /� D....... �' !..f.. Diagram of Lot and Building with Dimensions FeeX ..... i........... SUBJECT TO APPROVAL OF BOARD OF HEALTH 231 .6 7' o' 1� c P2v?os�� 6+�1LQ� Q z s � I£ h 9V M � 1A rx m Z � - n 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 4�e . ...�.. . . ........................ Construction Supervisor's License ........,........................... GROVER, CAREY STEVE McELHENY 31712 GARAGE—, A �tNo ................. Permit for ..... ...... ...........A...ccesso.r..v to Dwelling ....... Location ..,5..2.3..-.M.a.i.n...Street...................... Cotuit . .....................................................................I......... r. Care v Grover Owner ................................................................. Frame 1Type of Construction .......................................... . ..................... ........................................................... Plot ............... Lot ................................ . , Permit Granted .......March 16- .............. ............ 88 Date of Inspection p .1............... 19 Date Completed ............ .... ........19......... 0 -1 �t r Town of Barnstable *Permit#ao0Fal,�)S� Expires 6 months from issue dale Regulatory Services Fee ems—,o© BARNSrAats, : Thomas F. Geiler,Director pub,, 039. .�� Building Division -PRESS PERMIT lEc �s Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA.02601 MAR 1 ® 2008 www.town.barnstable.ma.us YAWN OF BAR Ng Office: 508-862-4038 JFP0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 42 esidential Value of Work C Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Till Contractor's Name Telephone Number Home Improvement Contractor License#(if app icable) Z7 `� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I a e Homeowner U?fhave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All`construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) *W`here required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. .***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permi/.r.ms\EXPRESS.doc Revise020108 op N :.. 10 01 07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON `THE'"CERTIFICATE LEONARD INS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7 WIANNO AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0. BOX 494 COMPANIES AFFORDING COVERAGE OSTERVILLE MA 02655 COMPANY A HARSFORD- UNDERNR,j_TERS"_„INSURANCE COMPANY___-"__,_--__, INSURED I COMPANY GROVER, CAREY OBA GROVER BUILDING AND REMODELING COMPANY P- 0 BOX 1080 C COTUIT MA 02635. COMPANY Ea1fRA{IlES _. :.. -._:.:..: .:....... .......... .. 11 :..:.I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAID CLAIMS. CO POLICYEFFECTIVE 1POLICYEXPIRATION LR TYPE OF INSURANCE ( POLICY NUiHBER LIMITS TR - 'DATE.(MMWMYY) DATE(MMIDDKYY) . GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL UABILITY PRODUCTS-CO.MPiOP AGG. $ CL AIMS MADE OCCI.JR. PERSONA'_&ADY-tNJURY S OWNER'S&CONTRACTOR'S PROT. EACH OCCURSENCE $ i FIRE DAMAGE(Any one fire) $ MED.EXPTIs=(Any one peraon)j S AUTOMOBRE LWBIUTY I I r COMBINED SINGLE 5 ANY AUTO 'LIMIT ALL OWNED AUTOS BOULY iNJtJRY - { $ SCHEDiiILED AUTOS (Per Person) HIRED AUTOS BODILY INJURY -- 5 NON-OWNED AUTOS (Per Accldeny _ ._.. PROPERTY DAMAGE $ GARAGE LIABILITY' AUTO ONLY-FA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCID_SNT f -- AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE 5 OTHER T-JAN UMBRE.A FORM WORKER'S COMPENSATION AND R ( B-360146-5-07) srATUTDFn_arrs EMPLOYER'S THE PROPRIETOR! EACH ACCIDENT .5 - PARTNERSIEXECUTiVE I:VCL I DISEASE—FaucY L'Mt $ 50Q OFFICERS APE X EXCL DISEASE—EACH JAPLOYEE $ 100 O 0 OTHER ` J i DESCRIPTION OF OPERATIONS/LOCATIONS/VEMIcLE6(RESTRICTIONS/SPECIAL ITEMS a i THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. I RTFT 4f31LRIE*E# IGA�ICtAIC11t�f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ,THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE TOWN OF 13ARNSTA13LE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 200 MAIN STREET LYOUTY OF ANYKM_D UPON THE COMPANY,ITS AGENTS-OR FIMESENTATNES. HYANNIS MA 02601 AUTHdliflEO R"RB$ENTA i JkC3R�J (3{9�}..:: G)Rb�:1thS3H�1#74k14993,; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 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/Organization/Individual): Address: City/State/Zip: OP�?SPhorie:#: -j�✓ —,j�j Are�am mployer?Check the appropriate'box: Type of project(required): 1. I a employer with,. 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-.time).* ,. .2.❑ I am a sole proprietor or:partner- listed on the attached sheet. 7.. ❑Remodeling These sub-contractors have8.ship and have no employees employees and have workers ❑Demolition working for me in any capacity. $ 9. ❑Building g addition [No workers'comp.insurance comp..msurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ 3.❑ 1 am a homeowner doing all work officers have exercised their l LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other_5 W h 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M. 1� �� —�y7 Expiration Date: C �o`_� i'"./i�li�l� (,!�'D7/ City�ate/Zi��7ci:� Job Site Address: s ' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage,as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un ains"and naltte of perjury that the information provided ab ve is true and correct Signature: Date: la 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.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ` Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." . An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance Frith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person;is NOT required to complete this affidavit. .The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia f! Town of Barnstable I� sextvszns�, • 163Q. � Regulatory Services ATEo►��s Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 y a F Property Owner Must Complete and Sign This Section If Using ABuilder j, , as Owner of the subject property hereby thoriz ' c to act on my behalf, V. in all matters relative to"work authorized by this'building permit application for. (Address of Job) Signature o er Date Print Name Q:\WHILESTORMS\building permit forms\EXPRESS.doc Revise020108 Town of Barnstable Regulatory Services STAB Thomas F.Geiler,Director �bprE.39. 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: JOB LOCATION: number street village "HOMEOWNER": 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 k 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 buildinli 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 requirements. 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 Y g g � g q mPY State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC i • :u+; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Nap bzc Parcel . d55 SEPTIC SYSTEM MUST®emit# Health Division 93 - Y,?- INSTALLED IN COMPLIAI\[Lsle Issued o h C? WITH TITLE 5 Conservation Division q t J(wti IFee >� .;, tPT _ AI Tax Collector ; `� ,t Treasurer- ' 05 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-'OKH Preservation/Hyannis Project Street Address 5z3 vAtk%" 91" Village Co-rv,- I Owner w 64M4 660,1EK.* STEM McCLOdress Po Zw- aeo Lc-7L.IT-.ntiPr o�3S Telephone 47o -53G3 r Permit Request •r'b ese-%emL_ Fl;7� �ar.t For- i .rl Square feet: 1st floor: existing t t oo proposed '1! 2nd floor: existing -7 o o proposed — Total new } Estimated Project Cost 30.Pao Zoning District Flood Plain ^t o Groundwater Overlay Construction Type Weop r2P�nn�- Lot Size Z.o,L.'I o s F Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 40 -f fZS Historic House: ❑Yes *No On Old King's Highway: ❑Yes ANo r Basement Type: ❑Full ❑Crawl ❑Walkout Other C h- M Cc, CELL*r- w l Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3v cy S'F Number of Baths: Full: existing �Z_ new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing `7 new First Floor Room Count 4 Heat Type and Fuel: A Gas ❑Oil 0 Electric ❑Other Pntral Air: ❑Yes �LNo Fireplaces: Existing New —' Existing wood/coal stove: O Yes 4 No Detached garage:%existing ❑new size Pool: 0 existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes No If yes, site plan review# 't Current Use Proposed Use BUILDER INFORMATION Name 60.,)vEz r 0-cEc.r1&14 3 DZz5 Telephone Number 4Zo -5;3G3 Address 17b ;a l o ea License# Home Improvement Contractor# 14005 Worker's Compensation# W(.-&&*&Uo-oo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V,# SIGNATURE '' DATE -tt4oi ` FOR OFFICIAL USE ONLY ; PERMIT'NO. DATE ISSUED MAP/PARCEL NO. f ADDRESS ` VI,9LAGE ) ' OWNER) DATE OF INSPECTION: FOUND TIUN FRAME INSULAI;1bNT FIREPLAC-•E. - i ELECTRICAL: n.? ROUGH FINAL PLUMBING:. ROUGH FINAL GAS: - ROUGH FINAL i FINAL BUILDING r' [5 .v DATE CLOSED OUT ASSOCIATION PLAN NO. 4 . " ' M1 �L 0nT•Jw..an-.r.r I + 1... ';� �� srrr.'J•..(. � '� uC�Tniat 1. .. Cn—__.-.•Lr ern-Writ.i.YeL...ice! tr? - � 1 R y°y' ,Hann« sib •>� r 1 r•! IL"rE•Y'T/M1 i_.. _ - .. CA `-__.... ° � I .. Q.k.j'tr{ I♦�D•TiO AI ` (>1•mod �, `��` � �' . C•a•y,.,-v.. ?I L-� .. Rw �n...rac ��p� fit• I I. I 1 J F ST JRI- oAwwr9 WA...s r - k41a WA ��{� O xF.r.NfTl EL•O•J tra..rliL }`F.F . L —Sa.•o�W,ra.a - /%'/��\\� ' ''o !. .•/'�1" I I —�1 rJfJ ,I (.1f T.Jh TA.w...L te.l.••a I1 srt� L! - JI.KJ It•O F' NLW Ae Fd. / I j w Lrtx e4...L..a.- ! ., I I .Jen.,/-•, 3 �. �1I i� ,: � fir• (' P9DrTrer.7 To tic•L.S< rlT Si, MAr1.I .< [e�l.rrT -IF L...__.._ __ wru • a 4 em �''vtk�hn 'fir ..-.�.-_...�....—.,W 6•{h.¢ frw.T,..—uApo.�.. ...........v-,..r... - .. � � �,�-.. t': i L•rJ E"- rc .r�L_6M w •.oH�eae-. r. .. ..... .... !82CUZAppmWkJ Ta618dSUb( . Preeripdre Paelkam for Oae sad Two4F=dy Beddeadal Baildla Seated with F0u0 Fade MAXIMUMI M1MIHUM Wall Roar RES.." Slab � 8 Ann'(7i1 t)-vaiuei R�wlae� B vatual &vaiuel Wall Plda=cy, package Rrvaiud I-vaiud 5701 to 6500 Heads;DeXeee Daw Q 12% M40 1 3E 1 13 19 to 6 Nommi E 12% 4U2 1 30 19 19 10 6 Norma! S 120A d50 3E 13 19 10 6 B AFUE 15%. 036 38 13 23 I WA WA Nomml U 13% 0A6 3E 19 19 10 6 Nmmai t4 1� ��.•I met Y/A i5 AFUE W 15% U32 30 19 1 19 1 10 . 6 ES AFtJE x Ism. 032 3E 13 25 WA WA Nommd T A 0A 0.42 3E 19 25 WA WA Nornmi t 139A Q42 3E 13 19 10 6 90 AFEJE AA 180/. 030 30 19 19 t0 6 90 AFUE 1. ADDRESS OF PROPERTY: 97--3 "&%A 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 2 t o'v 3. SQUARE FOOTAGE OF ALL GLAZING: 115 4. %GLAZING AREA(#3 DIVIDED BY#2): t 3°?o 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. { BUILDING INSPECTOR APPROVAL: . YES: ` f2 1(bozz q NO: q-f=4980303a 780 CMR Appendix J Footnotes to Table J5.Z.lb: and Glaring area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the grass wall area,expressed as a percentage. Up.to 1%of the total glaring area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glaring area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with- the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between '`- -"-`talc qua uvn:,f the .ol. me conalUonea space suu LUG vcuu 'Wall R values represent the sum of the.wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19'requirement could be met EITHER by R 19 cavity.insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements(must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ~ 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5M I a NOTES: a)Glazing areas and U-values am maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the lass area of the door with your windows and use the opaque door U-value to determine compliance of the door. g -v ue er than 035 . a have a U al ) One door may be excluded from this requirement(i.e.,may � w component includes two or more areas.with c g� [f a ceiling,wall,floor,basement wall,slab-edge,or crawls pace all P different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 1 f 0. 43 , i S J 4 r. e gb :831N3011t/� :( 3 3=IVS JIQ { F , .. . ••. :... - §'t3,. ZJ7ZOI7.ClJP.CL.✓lze -C�oar � a�'✓Z�u�aac%uae�Ia 1 CONSTRUCTION SUPERVISORS r:=< ti t I BOARD OF BUILDING REGULA t License CO }r, N mb - er CS O47693 i.. Birthdate 09/23/1958 ° asuaoy siyo;o uo4eogpar)ol asneo si - ePwJ Bu!P!!n8,aigS suasnyoesseyy i t r Fat pines 09Z23/2001 Tr:"no:. 5794 * ayt 10 uoWpe 3uaLrp a 7 . ssessod o-0in ie a sewoH Niwe� $L e ,r t(!uo ti x y E cted'T�. stn o• 1 G' + uoseyy-HL (lows u vo low) STEVEN P MC LHENY coeds pesopua o00'SE-00 1 PO BOX 282 �.Y , COTUIT, MA 02635 t� y ;"r ,,• :r:: � -,�;,�.,,, Administrator `s S - J "�",.Y s c .3 r..•a-d1` s'� '4-,s- '# "' "�. t> - { ; $,. "t�._ v "q .� •s^C t,_• ' 7 C'°�..�� c h ��cTTb.�TQr�t.•, �• is �h� �� ] �: ,:.7 „a.. 7 p.,� £ `w�' J '.� _`�s ✓lie � ��r « . $T:• £+ ,�r. rL, � X.>',�`'?� �. ': O LZO E do,SOgt. f 5 ?.t{tg rbF :•„..� y.}y,m•,.M� _ __� � :,` TO£I 2I Id.,...y 1 .: a w aaE uoianq�js� cup o� uin�as 1 H U OM IMPROVEMENT CONTRACTOR ty puno3 3I 'a�Ep WoiaEiidxa aio3ac�' diuo asn t r .Re`lst , �.� } Ienpinipui io3 ptlEn uouEl3sloal']0 asua�rl ; # 9 ��atloDj»110485 �' t ` TYpe� r�INDIVIDUAL��r�'s Ez iration " 3 _ y - � &`MCELHENY�>.BIJILDERS , `' EN P ;`McELHENY � ��iNs7Aaro�� BOX 1058/523 MAIN ' t COTUIT MA 02635 . - � — ..�k t,.,� ._-._-,. -..-_.x^:_�..�-+,ram., ..:n.«..- _._-•-�2:-.. -,..,-� .. - y 'k h The Commonwealth of Massachusetts Department o Industrial Accidents P f ce o 1085 i 890fts —_ 600 Washington Street ;1 Boston,Mass. 02111 Workers' Compensation Insurance Afridavit i o / name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole% rietor and have no one workin in anv ca achy %%/////%///%%///%%///%/%%%%%%%%%%%%%%%//%%%/%%/%%%%/%%/%/%/%////%�%�%%%%�%%%%///�%/%///%/%/ I am an employer providing workers' compensation for my employees working on this job. :::::. . .....:.::....:... . ,:. .... S COmI18RV name d'� ' ss addre phone insurance co; ., �, .. ..e,:..�.y..a. .. g� _....... ❑ 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: coaoanv name ::.: address. :::...:. . . .. _ :::::::�'i:::: >::..;:.. f# �i'�iy+i'±ii;%;[ijiiij[: :2'^f?2ric `Y't ?i? i% city ;... ............................ :::: ......................................... olrcv ::,:::.... . canv name.:..;.....;;.;:.;>;:.;:;.;;;::::::.: :::.:.:::•::.;..,., ............ address. ............ licv i a�nra nce co:> ..................................................................... 0 ....................................::::........::::::............:::.:::.:.: Failure to secure coverage as required under Section 25A of MGL Hi can lead to the impoattion of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Ce,- rn.. .vf Date Print name $TTave"I w.cEt.Hi .t'F Phone# G3 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Bufiding Department ❑Licensing Board ❑check if immediate response is required, ❑Selectmen's Offlce ❑Health Department contact person: phone#; ❑Other_�- (devised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any come= 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 d r work another who employs persons to o maintenance , construction or repair o 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 ildin g i in' wh of a license or permit to operate a business or to construct bu gs the commonwealth for any applicant o has not produced acceptable evidence of compliance with the insurance coverage,required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence,of compliance with the insurance requirements of this chapter have been presented to the contracting authority. . . _ . . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not 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. fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . The Town of Barnstable Department of Health.Safety and Environmental Services Eoinoa� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any,pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 7ZL — woon r Rh Estimated Cost 'So,000 Address of Work: 51-3 AN s qr• C o 7-1.& A Owner's Name: 5 . t e. go V;5,t r C-S%*ZAy Date of Application: 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 00wner 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 PERRALY I hereby apply for a permit as the agent of the owners 1104ts Date Contractor Name Registration No. OR Date Owner's Name q:focros:Affidav Oq .; a0l UA BIKE, Town of Barnstable, *Permit# Expires 6 months from issue date .Regulatory Services Fee BAMSrABM MASS1 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL.ONLY Not Valid without Red X-Press Imprint Map/parcel NumberU:�J_ Property Address P016esidential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home.Improvement Contractor License#(if applicable) Constriction Supervisor's License#(if applicable) X-PRESS PERM IT ❑Workman.'s Compensation Insurance JUL 310 2012 Check one: ❑ I aT4.aeale_proprietor am the Homeowner ❑ I have Worker's Compensation Insurance -TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit RequKc ox) urricane nailed)(stripping old shingles) All construction debris will be taken to 10viA { ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value' (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department,regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. f the Ho Improvement Contractors License&Construction Supervisors License is requi d. SIGNATURE: Q:IWPFILESTORMS\building pe forms\EXPRESS.doc Revised 053012 R R The Commonweakh ofMassachuseth ,pertinent of Industrial Accidents t?gw a of Investigations ' 600 Washington Street Boston,MA 02111 nTrvk��n�gov/din . Workers'.Compensation Insurance Affidavit Bmlders/C.on ctorslEElect6rians/Plumbers Aplibcant Information Please Print Lew'b' Name . Address_ lbtyistate./ _ 47 Are you an employer?Check the appropriate boa: ]' 8f project r 4. I am a contractor and I� Type P 3 (required): 1-❑ I am a employer with ❑ 6. ❑New construction employees(full and/or part-time):* have hired the sub-contractors 2.❑ I am a sole proprietor or pager- listed on the attached sheet. 7- ❑ Remodeling ship and have no employees: Thy sub-oontractors haste s- ❑Demolition o and have workers' watirtng for many capacity- employees $ 9- ❑Building addition [NoeotnP.i„ , ,„re camp_iusttraune d� 5: ❑ We are a corporation and its. 1O.❑Electrical repairs or additions 3_ am a hon eovvner doing a1l:wnrk officers have exercised their 11.❑Plumbing repairs or additions myself[No worlms'camp- Tight of exemption per MGL 12.❑hoof repairs insurance reiluued.]1 c.152, §1(4�and we have no employees [No watkers'. - 13.0 Other camp,msuranm required.] '�l ay s�plic�r tlut checks box#1 mast also fill mu&a section below showmgtheir aorkerC com4mnsation.policy mfbnnx iaa Homeoamels ahn submit this amid&indicating they me doing all wo&and than hue outside coumcmrs most submit a new affidsvit indicating such_ tcoatractors that check this boat mmst attached as additional sheer showing the nay of the sub-conUacoocs and:state whether or not(hose etuitks have empluyees.If the sub—=ctors have employees,they must provide&&workers'rump.policy.maaber. lam an empLajw that isproviding workers'congwnsaian.insurance for my eng7leyee& Below is the policy and job site information. Insurance Company Name. Policy#of Self-ins.Lic.#: Expiration Date: Job Site Address: City/StatelZip- Attach a copy of the workers'compensation policy declaration page(showing the policy[amber and expiration date). Failure to.secu e,coverage as required under St:ctiori25A of MGL c 152 can lead to the imposition of crimmi al penalties of a fine up to$1,500.00 andlor one-year imprisonment,Rs. as civil penalties in the fam of a STOP WORD ORDER and a fine of up to$250-00 a day against the tilolator..Be advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DIA fair insucance coverage venation.. I do hereby carp; r a pains and s of Fury that the informationproWArd above is true and correct Date. Phone#_ t,1,()idd use rimy. Do not write in this area,to be completed by caty or town o,�cAL City or Town: PermitiLicense# 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#: 6 SIN Town of Barnstable ]regulatory Services SrABMASS iE, # Thomas F.Geiler,Director sc ., Building Division` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.mg.us Office: 508-862-4038 Fax: '508-790-6230 HOMEOWNER LICENSE EXEMPTION. ^� Please Print DATE: JOB LOCATION: _ number, /7 street village "HOMEOWNER 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 Dermit' (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 under ' d"ho owner"certifies that he/she understands the Town of Barnstable Building Department minimum.inspection pro es d re t d that he/she will comply with said procedures and requirements. afore of meowner 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 care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 'A y • BARNSTABL& • '�"� 1639. Town of Barnstable 9A ,0� 'DprFD MAC� ' Regulatory Services Thomas F. Geiler,Director Building:Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 0 1 www.town.ba rnstable. .us Office: 508-862-4038 Fax: 508-790-6230 Property caner Must Complete an Sign This Section If U ng A Builder I, caner of the subject property Hereby authorize D' to act on my behalf, in all matters relative to work autho ed by this building permit application for: . Address of Job) Si e of ner Da' Print Name If Property Owner is applying for permit; please complete the Homeowners License Exemption Form on the reverse side. QAWHILESTORMSUilding permit forms\EXPRESS.doc Revised 051811 Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: R, AND C OR ,S,earch Search Results Reg. No. 11 Applicant Street City State Zip Name Title Expiration GROVER& 523 MCELHENY, 110485 MCELHENY MAIN COTUIT MA 02635 STEVEN PRESIDENT 10/20/2006 BUILDERS ST Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 3/29/2006 IResults Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: riij AND (7) OR -Search: Search Results Reg. No. 11 Applicant Street City State Zip Name Title Expiration GROVER& 523 MCELHENY, 110485 MCELHENY MAIN COTUIT MA 02635 STEVEN PRESIDENT 10/20/2006 BUILDERS ST Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.usibbrs/hic.pl 3/29/2006 Assessor's offioe (1st floor): . Assessor's map and lot number Board of Health (3rd floor):.a Permit' number ....... ... Sewage ,sG.3 g a•••• .... .� �.. ., "............ Z B9SII 9T4DLL. i Engineering Department (3rd floor): �° �.� �o r.es House number ...> "d..... .............. o �b796\'� c Apr APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only. TOWN .OF, \ ARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... ........................................................... TYPEOF CONSTRUCTION ................l0?w...... i�f� 4e............................................................................. ----........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ 0/l//..Y.J../'/ ' ProposedUse ... .................................................................................................................................................. r i Zoning District r � .......................................`��r� ......................Fire District ........ { '' I ,Name Address .... R. � .. 40F� � � �_ / � .. ........... Name of Builder 7" 1�/ ./:'.C' �/l/,'k. .........Address ,`,j�:Y. �1...... Tl�i.7.... ................ Nameof Architect `..................................................................Address .................................................................................... Number of Rooms �....��.................................................Foundation ...1./.(I.s/�.��......�..��....�'�....f.�.•,�..�li�.�/� Exterior ...Ia.e �...t ��....�11.!%d!�lf' .•..............Roofing .........��5 .............�1.../...: .................................... Floors .........4 1 �� ...v1.fib. ...............................Interior ��//1f'/1...`it''C.1/19 ... . ..................... Heating 1�.. ...Plumbing :...:..�� .... ............ . ............................... : ............................................................ ©� Fireplace ........... /1�'.............................................................Approximate Cost W 1 �o Definitive Plan Approved by Planning Board ______________________________19_______ . Area .......(. v....' )/..' :.. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 231 •�7' ,� ' � 4 I' Q_ p;tG2o$C 2 q f O VA t r � M � r • OCCUPANCY PERMITS REQUIRED FOR,,NEW DWELLINGS i � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ' construction. ` Name ... Wae-. a , °'Construction Supervisor's License..................................... GROVER, CAREY S STEVE McELHENY A=21-95 FS No 3.17.12... Permit for ....Q sa.K�g. .Q................. Accessory to Dwelling .......................................................................... Location ........5.2.3........Ma............Street.............................in Cotuit ................... .................................................I......... Owner ...,CareX Grover .............................................. Type of Construction .......Frame ........... ............. .. .... .. ............................................................................... Plot ............................ Lot ................................ Permit Granted .........M4AZq.h...1.6..........19 88 Date of Inspection ....................................19 Date Completed ......................................19 A= �W'yo Tw[ ,A.ISTAN�-z : The Town of Barnstable mass. Inspection Department � 367 Main Street,Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner January 30, 1992 r. Merton A. Bell 536 Main Street Cotuit, MA 02615.4u' RE: A=021-096 5123:_Main Stre_e`t Cotuit Dear Mr. Bella Please be advised that on January 24th I spoke with Mr., ,_, Grover in my office re the use of the property located at 523 Main Street, 'Cotuit. , He does own the dwelling and garage and has material in his garage. He did agree to remove the business and truck from the property. Mr. Grover understands that he cannot operate a business in a residential area and accepts my ORDER to remove the business from the premises. Peace, J seph D. aLuz . E Building Commissioner: JDD/gr cc: Town Manager F - W UNITED STATES POSTAL SERV OFFICIAL BUSINESS SENDER INSTRUCTIONS 1. Print your name,address and ZIP Cod ! e ° in the space below. �' • Complete items 1,2,3,and 4 on the U.S.MAIL reverse. • Attach to front of article if space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. c_ RETURN Print Sender's name, address, and ZIP Code in the space below. TO Mr. Joseph D. DaLuz, Building Commissioner TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 ��r��rt�tlr�frr��rifrtr��rr:l�t II • SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return recei t fee will rovide ou the name of the erson delivered to and the date of delivery. For additional ees the ollowing services are available. Consult postmaster for fees and c ech k boxlesl for additional service(s) requested. _P 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) 3. Article Addressed to: 4. Article Number P 650 797 988 Mr. Steven McElheny Type of Service: Mr. C. C. Grover ❑ Registered ❑ Insured 523 Main Street TrCertified ❑ COD COtuit� MA 02635 ❑ Express Mail ❑ Return Reeipt for Merchacndise Always obtain signature of addressee „t or agent and DATE DELIVERED. 5. Sig ure — ddr ssee 8. Addressee's Address (ONLY if X requested and fee paid) . Signature — AAben I cp X ��f 7. Date of Deli ry PS Form 3811, Apr. 1989 .G.P.O.1989-238-815 DOMESTIC RETURN RECEIPT .f P 650 ?9 ? 988 Certified Mail Receipt No,�lnsuranoe Coverage Provided Do not use for International Mail UNITED S*A*ES GOSTALSERVICE (See Reverse) SIP. Steven McElheny C. C. Grover Street&No. 523 Main Street P.O.,State&ZIP Code Cotuit, MA 02635 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing pj to Whom&Date Delivered O) '— Return Receipt Showing to Whom, c Date,&Address of Delivery 7 TOTAL Postage p &Fees co Postmark or Date M E (i a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return m address of the article,date,detach and retain the receipt,and mail the article. IS o i 3.If you want a return receipt,write the certified mail number and,your name and address oh a rn return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to the back of article.Endorse front of article RETURN � RECEIPT REQUESTED adjacent to the number. -� 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, p endorse RESTRICTED DELIVERY on the front of the article. co 5.Enter fees for the services requested in the appropriate spaces on the front of this receipt.If E return receipt is requested,check the applicable blocks in item 1 of Form 3811. ri 9 f 6.Save this receipt and present it if you make inquiry. *U.S.G.P.o.1990-270-153 I �_� � I 1 i r . � �� __� �� L r __ � � < � .,_ , s1. l � , � r ' - � ! � �" � //� �G �•, d � � I � / � � / � � / �+ � � � f �� _� ®' � i �I _ { y � , _.._ - - +- p .- - � - � - - - - - - - ---_. -- - --.e_. - - - -- - _._ - _, _ _ _ _ �+ - , fey � Y ' -- -- +1'h - - - - - - - - - - - -- -'- -�-- - i I ;' - - 1� - _:� +t: �{, v - - ems.. 7 ? � � � �j ��— a � � NORM '1 6!02, 95 Oc 10�23 MAIN STREET COTUIT (.7TY1,01 TDSj 200 CT i..E Y 10()53 ADDRESS------- PCAlloll YR]oc, PARENT' NCELHENY, STEVEN F ET ALS MAPI AREA106AB JVJ373893 NTGj 1003 GROVER7 (... (.,' �,,, SEXTON, s 0 spi] SF2.j SP33 52-1 MAIN ST uTij UT2j .48 SQ FTJ 1794 COTUIT MA 02635 AY1311930 EY811960 OBS] CONSTJ 0000 LAND ��_500 IMF 70100 OTHER 17600 ----LEGAL DESCRIPTION---- TRUE MKT 154200 REA CLASSIFIED 9LAND Z 66.,5001 ASO LND 66500 ASO IMF 70100 ASO OTH 17600 #BLOG(S)-CARD-1 1 70,100 DESCRIPTION k - TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 17,600 TAX EXEMPT #PE MAIN ST 0TUIT RESIDENT'L 154200 154200 154200 #DL LOT I OPEN SPACE #RR 095.1 0110 COMMERCIAL INDUSTRIAL EXEMPTIONS SALEJ04/86 PRICE] 140000 OREJ5029,1030 AFDJ LAST ACTIVITY107.110,,187 PCRTY yoF�Nc ro` The Town of•Barnstable i fADf7T1DLt : - Inspection Department s619 DXr'1 367 Main Street, Hyannis, MA 02601 ' �o �� .508-790-6227 Joseph D.DaLuz Building Commissioner January 17, 1992 Mr. Steven McElheny & Mr. C. C. Grover 523 Main Street Cotuit, MA 02635 RE: A=021-095 523 -Main Street, Cotuit Gentlemen:. This office is in receipt of a' complaint alleging that,-you are operating your business from the dwelling located at 523 Main Street, Cotuit, in violation of the Town of Barnstable Zoning Ordinance. Please contact this office immediately re the above matter. Peace, Joseph D:taLuz : Building Commissioner JDD/gr cc: Town Manager Complainant Certified mail: P 656 797 988 R.R.R. z `y t - FROM THE DESK OF MERTON A. BELL Co r o 7e- lye one, 2>1 r 6-e4 0 a,_lz, Its f vt. 11 494ei ez, 2deJ,,o-es,.c J -e lh -ee lv,�01-reL RIt P)q .•7: �• �-`_YJ� w �1. �` t ej � 1h y�L� 1 � r cc z CUSTOM BUILDERS P.O. Box 159 • Cotuit, Massachusetts 02635 • 508-420-5363 February 26, 1992 Joe DaLuz 367 Main Street Hyannis, MA 02601 Dear Mr. DaLuz, I am writing in response to a complaint by Merton Bell regarding my garage at 523 Main Street. After reading the complaint at your office I spoke with Mr. Bell regarding my use of this garage. The garage is used primarily by myself or my partner for non-business related projects, such as storage and repair of our boats. Mr. Bell ' s primary concern is that the phone listing for our bus ness-iis at 523 Main Street and that we might create a precedent for business at that address. This pho:rie listing is an oversite and I have made arrangements with the phone company for the listing to be changed. I have no intention of trying to establish a business at 523 Main Street. After my conversation with Mr. Bell I believe that he is satisfied with the situation. Sincerely, . 4CaryC. Grover CCG/sg Assessor's Office 1st floor Map hot- GGcg r Permit#` Conservation Office Oth floor Date Issued I Board of Health Ord floor - Engineering Dept.Ord floor) House# Planning Dept. 1st floor/School Admin.Bldg.): ,i�� i 9IABll, i �6°® �` , 1ARN b NARK, Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) � ° „� ¢ ; TOWN OF BAMSTABLE Building Permit Application Protect Street Address i f.o7 Villa e Fire District lhvner ddress' Telephone '— Permit Rcquest JV Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Tyne Existing Information Dwellin` T Single Family Two family Multi-famil ' r Age of structure AV—Basement bM -- Historic House Finished Old Kings Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Tyne and Fuel % /SV Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn j None Sheds Other Builder Information Namc al� zj'�2&51Tele hone number Address nz //J License# /g'!Lz �f Home Improvement Contractor# Worker's Compensation # 4/zj�f NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. i ALL CONS UCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n Project Cost QO Fee 5 SIGNATURE DATE44 Ida BUILDING PERMIT DENIED FOR THE FOLLOWING REASQN(S) BPERM T j q J '7L �g FOR OFFICE USE ONLY owl o 1?5- _ ADDRESS 3> / [a 14 L,1 . VII.LAGE eQ v� OWNER DATE OF INSPECTION: - FOUNDATION FRAME '/` INSULATION•.. ,ON- tti FIREPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING: ,ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. 11/0 2/9 4 17:02 'C617 7 277122 DEPT INT ACCID •� ate_ fi{i o/ 41&1Jczc1nuJe1b aUapartmenf 01 J-nLdtrial,_/dccid¢nd! 600 !/Vwl..yton Street James J.Campbell &,ton, MamacLdstta 02 f f f commissioner Workers' Compensation Insurance Affidavit 1, (Oaascclpermiaee) with a principal place of business at: Gcy/Srs�erzfa3 do :hereby certify under the pains and penalties of perjury, that: () 1 am an employer providmg workers' compensation coverage for my employees working on this job. Insurance Co party Policy Number O I am a sole proprietor and have no one working for me in any capacity. O i am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. ?understand that 3 copy of this s�ztement will be forvvzrded to die Oface of investigations of the D1A for coverage verification and that failure to secure coverage as rec-,,ired under Section 25A of MGL 152 can lead to t-he imposition of criminal penal;es consisdu of a fine of up to S I,SC0.00 and/or cne years' imprLconment as well as ivil penalties in t of 3 STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of �� 19 Licensee/Permittee Building Department Licensing Board Selettmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING. PERMIT #, 37377 - -- DEPARTMENT OF PUBLIC SAFETY ,a GorIMONWEALTH ONE ASHBORTON PLACE OF BOSTON,MA 02108 +. MASSACHUSETTS U ;i} STI?A LipfR11SOR EXPIRATION DATE LIC-NO. u 7/3 g EFFECTIVE DATE :�. 37693 RESTRICTIONS T ()5,/;? /° `7 -�' 4 1 G 'tCt Nf�Y 1 & 2 FAMILY HL1�1E o STIV` "I P F. PO 'LIB)Y, r 5S # m Cf?TII�T 069-50-9183 pr,� 0263s 1 PHOTO(BLASTING OPR ONLY) F n �0 1) P`r� NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY e STAMPED-OR.SIGNATURE OF THE GOMMISSIONE I R ( HEIGHT: DOB: 9/23/19 51. OF THIS DOCUMENT MUST-- M', SIGNATURE ICCNSCF CARRIEDONTHEPERSG�10( a � �' - �r SSIOACR THE HOLDER N Cit-Efl GAGEDINTH;b C.,THERS-RIGHT THUMB PRINT. - . ,mow.=b'+r�.a+,.•..•w t•.:;»F-iraw-•werdie+rik"¢t+kirsir�iN+�xv_u9^.ia�tie!ls�s� w!«rts'a�p'ura - t (� a ✓ire TJoo�ro tonraea�I�i o�✓&vau��i4elta HOME,IMPROVEMENT„CONTRACTOR { `� Res>straton :110485�� I Type INDIVIDUAL {-- �,' c Expirations "10/20/96 " ��I�J, I � , GRUVER} McELHENY BUILDERSiI `' STEVEN P ,McEIHENY� BOX 1058/523MAIN ST :;''"�� 6ADMINISTRATOR � COTUITxMA'�z02635 r A CIC cuSTOA4 13U1 L1)E11s P.O. Box 159 • Cotuit, Massachusetts 02635 m 508-420-5363 ; i c,,2 x D o Suer 5 C`USTONA 11U1 L1)E11S P.O. Box 159 e COCUtt, Massachusetts 02635 0 508-420-5363 C' IG i I Tg Y� �c w 0 r� cs. HIV! / ,L i J , BARN6TABLE • • � � �� o off' ' RrcESTRY OF DEEDS' �Rloh 11G N I r' 1 % n 'l)6l5 CLm 7� �j0 yr s l•S'��' Qrf "� r' � � fr • L iZ- , 1 (/a2.0 � �;,)S• ;fib o, o'�� v�• �. � � pv ,..- -. .. �, /io1 Z�1D r:;j: cL ,Y:Y A YL S WERi. 4k.M LN 4GG` 1 :i L G.r.: .j h A Lit OP A� 4N.'. ACCU:v t TT.iLPE:'IA E fM1.1:_ilaWN ER HEON ARC.Iy EXGT..IvCE 0.'4. 1 W, 'vJATEK 7'os,4 �� q 4. �tEGL TiJ1Ir;gib+,,.su a�Y�A ,f o� 10 -LAY OFL.4.U.0 We �f/i.: ;�. .-� � -�TI �."� �.• � to •, ^a .;. � .<. SG,4LE .I�A.TE .:�'`ta Of S. +A g) y`RT T✓ t f la .t ti J�t j. . rf:C` CA .AEG/3TE�EO 4 Qis T£P�pi Goy-v.r F,v.�•lovr Co�c 19if . r m O Z ----------- -T-- 46'VOI • - I I I RENOV. BATH 3, U I � I Iv I I I � a 91I I —— I I 5nED ROOF' I - U ^ - (.AE0.F.ROOF''3/D N L' I a « . I • r .. REND H .I PROP05ED _ . A ----'J - L -- E%6f. '-. 'y_ _'• '.. t. 0 ' ' RENOVATED. � Z WOOD DECK BEDROOM#1 -- -- --- ------------------7� I LINE OF EXISTING DECK ON ' - (TO BE REMOVED) I S � . I V4 BUI hEAD - , I AIJG 'ALES IREMOVE WDWI I� - - . • -- -- I I I - _'e - ' FWG— AND.F'}I IIL RPNOu.ATED I II 36611S II I IMMOVEEYk.T. —� I L{.--I UT UT' RE-BUILD i I 30' 14'4• 3'-O' .BEDROO #3 I = - • CLOSET WALLSI OJd I " .. OUT}ING DOOR. I I I a I - X III I X III 1 SHOWER 1 - I a-4- I I I � II I wiD - I I —y I I Lme I EXI5TING \ I I ® 1 PORCH ROOF' I I r I I t I RENOV. ® GLflMG OR - I I I i I ® // _ ------ ----------- —� z -------------'--- ---- 1 i KITCHEN / z I RE VATED' 1 I I. I - ///,!'V P�\ IXI _ - 2'Q /O'� RENOV 43°V. BUL MAD PLII�fNG ROOM I I F�� BATH J +!-) ; (dAfH'-DRPL CE'UNGI - _ _ (REMObE 112 Or'COLLAR TIES)1 I .. I I. REF'I I; q w . �P.EMo wDw) .} 2 ------ `I INEw DRI FXor . 18.7 PLATEHT. ,. i 2�_1 O - g PRIOPOSED WILLLF: UP (REMOVE E�STING LL1 3 I/2' PROP. BATH �� .. - .. .• , S E COND FLOOR PLAN Y .. - RENOVATED. 1/4„_1.-0., Z Z DINING ROOM CL 4'-7112 Barnstable C!In•:Dept. 0. Approved b1: -=7 __�. a _ I ON yr - J Permit :`I IXI5TING RENOVATED V - '» - • ' PORCH BEDROOM Q a Q . - I 1 � M • .. . - o. ..,,,: a �. a � ,. 113 Sii ';li>I�Q a a G- e Z a •, ..,�.�, _ ^ A F A _EXISTBa6NWLL5 ,� - •' ° . i. .., Q. b « �6ilta ' PaoPaseO�_Ales. fSi` i),IG J I. ATE ry a t® w } F R( of tTfUit+ � ,' ', DATE: 10/01/2019 DATE -- ��al .1f1 ' F I R S T F L O O R P L A N ifITH �;��,? F_5 A <>t,� ,{:: :��';MI TING - SCALE: AS NOTED DRAWING#: Al - 4 • - as Z ^m O - PROPOSED DORMER - t- ' O - ROOF SHINGLES TO MATCH 90SF. - J ANDERSEN 9H t19V5 N'/I XJ LASING • ' ._ �s S X 12 f (�j a m 13(-/-I e'4',VDW HDR.M. •. W.0 SHINGLES TO MATCH EMST. m I X46 CASING . SEL'OND FLOOR - CEILING M. FL FIRST OCR - - ... F1F5I FLOOR @B:EAKFAST •. - -. •. - . - - EXWING HOUSE FRONT ELEVATION s. $ O r+' _ LU - ., .. win Y a a W W C-IIING HT. W, _ - a 101/2 HDREl . - v/ 0 L� , (MOVE Ek15T.N9V,) Om 1 FIRST FLOOR L• - 1 PROP.DECK-(HEYONDI -:N 0. � < Y• LL1 a== O EXISTING HOUSE ' - F,. 40 a RIGHT SIDE ELEVATION DATE: 10/01/2019 SCALE: AS NOTED DRAWING#: A2 - 4 a _ NH N �$ QK Z !_ 12 U 8 - O 6 CHDR.M. a U SECOND FLOOR CEILING HT. WDW HDR HT. FwG FIRST FLOOR - e AND.F aM6llt 336HS p . FIRST FLOOR®BREAKFAST - a w •, • RE-6U.L0 _ ° - PROPOSED OECK I.STEPS --- • - - :- EXISTING HOUSE REAR ELEVATION LD „ FRoF SHE DORMH2 -. i s 1 _ RME FRIM FO MAFCH Eb5F. a - • y -. 12 12 d(+h15 SOFRT DETPILS TO MATC"Ea75T. • - w P ^, -k `• J 12 L C 5HINGLES TO MAT::"EXIST. 12� m w Z O x I-5 CASING L s N •_ w SECOND FLOOR r z • _ _ •. ....e Sn� r S' J ui CEILING HT. e.10112 HDR.HT. - - m :• m .. i3 Q v 0 y uJ FIRST FLOOR®BREPKFASf ' i 'FIRST FLOCK®MAN HOUSE r • -' .� .. W ui a ui Z_ EL PROPOSED DECK&STEPS - ., EXISTING HOUSE LEFT SIDE- ELEVATION - H ' a r DATE 10/01/2019 y - - - - - SCALE: AS NOTED .. DRAWING M , A3 - 4 r- �;. V z EXIST.ROGe(VERIPn - '' O PROPCAED DORMER. N F •. - 2x5R Ei 01C'O.0 - Q -Cox n."h•000 5HEA'HING - X4 > MATCH E45T.ROOF SH•NGLES - n - ' v Q = Z 0. H.'.5 GlIPS® ROFfER — f $t, r ) (EI(19(.J PROP.5OPPIT IMATGH Fx.ST. I I Df x TOP PLATE @ NEW DORMER NEW .. I E-1_ _L� I• s. ' a g 64WDW HDR HT.Q DORMER _ AIJGN C_ N�J5T5. - e'2'WDW NCR I 1 I I I < d PJOV. I I I \�� ANDEk5EN ON WI DON-... NN -• I ( I I .• ' -----1 - U BEDROOM 2x9 W.EKAMe u o T' i %I/2•cox nrn. HEATWNO oasruiG I Q RENOV. O N'.c.SHI E5 f MATCH EAST. BATH R201N5V1P.T10N - .N ,. QII •' c i E. _ ' I 1 I I EXISTINGi I SECOND FLOOR GAKEROOF -I I• I a'w 1/2'Ni•I wow HDR.Hr.. - RENOV. .. .. I � __ ,• i ,X_ .. I I.- � • -•-'- - • - KTsC�H Nt7•1I sZgS'llI lIl N E2Wa'O-cPrE-N RAILING N sG PO�iI r+'•:y - - -- ;s,'•--- _S..€M1._-.EX ST. --••--F•�' —_4•.t- --=�„�•.+—.�-ie.i--...—,—«f.—'a.—_-----.—:—,•—'-S—_ -PZNOVATED RCHDINING ROOM -InIII-��-•--. --4e+—..offi. —III-III r�— R30 SGL IHSULAnON FIRST FLOOR @ MAN HOUSE EXIST. RIDGE Eb5TING CRAWL SPACE 8R FT S T O. -"_--•�IIi1i I1IiII I` 26 L CABLE qOOF PROPOSED SECTION NEW DORMER ER3W PORCH ROOA 4 /e=ro +— _-n-- _. _FIIII1I1I•II r. ...—._.._-•-___�a.•fIL1III1f Ii -- r.- -- - { 'tF...+`•` mzQZ 6 oLU f^CJAU (EOUAQ (EQUAL) PARTIAL 4 ROOF FRAMONG PLAN ` I U ("GAL) t obgCZ O 2xG LEDGER 8D. Lu ———————— ——/--- ————— LLI Ex15TING CRAWL SPACE Z -ccQzZG�0�y- - + • . - ~ - - - �a• � � F-Ix t DECK FRAMING PLAN DATE: 10/01/20Ie 1/4"=1'-0 SCALE: AS NOTED DRAWING#:E A4 - 4 GENERAL NOTES c "1 444 LOCATIONS ARE BASED ON AN"ON THE GROUND"INSTRUMENT SURVEY AND ELEVATIONS BASED ON THE NAVD 1988 DATUM.COORDINATE SYSTEM USED IS THE MA-MAINLAND COORDINATE SYSTEM, 443 49, MAIN STREET DATUM:NAD 83,UNITS: U.S.SURVEY FEET. � �� _ asp 4'a (40'WIDE -PUBLIC) THE FINISHED FLOOR ELEVATION(FIN.FL.EL.)SHOWN HEREON IS BASED ON AN ASSUMED 1"LOWER 'Vs THAN THE SURVEYED THRESHOLD ELEVATION. AN INTERIOR INSPECTION OF BUILDINGS WAS NOT - i81 :i�a te, EDGE OF PAVEMENT PERFORMED. t., 7, air Ia �� ZONING DISTRICT: RF s Lo 51t 5 t i, BITUMINOUS SIDEWALK S 46 57 42 E PROPERTY IS LOCATED WITHIN AN AREA HAVING A ZONE DESIGNATION OF X(NON-HAZARD)BY THE 114 pt ' 110.00' - FEDERAL EMERGENCY MANAGEMENT AGENCY(FEMA),ON FLOOD INSURANCE RATE MAP NO. GAS 25001 C0739J,WITH A MAP EFFECTIVE DATE OF JULY 16,2014, c� WATER LAMP CBDH GATE SHUTCIFI POST FOUND THIS LOT IS LOCATED WITHIN A DEP APPROVED ZONE II WELLHEAD PROTECTION AREA. n 4Q LOCUS i THIS LOT IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT. .:., f�l �s� 1 Y THIS LOT IS LOCATED WITHIN THE SALTWATER ESTUARY PROTECTION DISTRICT. s� Srt LOT THIS LOT IS LOCATED WITHIN THE WELL PROTECTION OVERLAY DISTRICT. 0 (6 201,670 S.F. LOCUS MAP NOT TO SCALE Lo THIS LOT IS NOT MAPPED WITHIN A MESA NATURAL HERITAGE AND ENDANGERED SPECIES AREA. W WIND EXPOSURE CATEGORY:ZONE B o o WOOD DEED REFERENCE:BOOK 32092 PAGE 154 }Lo 0 CD STEPS o PLAN REFERENCE: BOOK 190 PAGE 83 co Z 14 2 w OWNER: JEFFREY F.DINARDO tr COTUIT INVESTMENT,LLC COVERED 159 GLEZEN LANE ELEC PORCH w WAYLAND,MA 01778 METER — — — 0 CO l� GAS �O METER #523 1 1/2 STORY DWELLING - _ WOOD BULKHEAD STEPS LOT 2 LOT 1 RINSE STATION -- WOOD / f-� ' DECK 36.3' \ L� BULKHEAD LLLLL 7 LLLL CD LLL coLLL N r Ile? < \\ _ LLLLL Ncy)MI ��SNO�M 3"s9 471Q \ U) MATTHEW C. � COSTA f�1 ; "' TFIRE \ \ BLUESTONE �'' I PIT \\ \ PATIO&WALK 52282 \ ftsu NOTICE CONC.APRON APPROXIMATE LOCATION THIS PLAN MAY NOT BE ADDED TO,DELETED FROM,OR ALTERED IN ANY WAY BY ANYONE OTHER THAN CAPE& OF SEPTIC SYSTEM 19.0' ISLANDS ENGINEERING,INC. FROM TIE-CARD UNLESS AND UNTIL SUCH TIME AS AN ORIGINAL(RED)STAMP APPEARS ON THIS PLAN NO PERSON OR GAS PERSONS,MUNICIPAL OR PUBLIC OFFICIAL MAY RELY UPON THE INFORMATION CONTAINED HEREIN.AND THIS PLAN REMAINS THE PROPERTY OF CAPE AND ISLANDS ENGINEERING,INC. METER COPYRIGHT(C)BY CAPE&ISLANDS ENGINEERING,INC.ALL RIGHTS RESERVED GARAGE 1 DATE DESCRIPTION BY CHK PREPARED FOR: JEFFREY F. DINARDO 15.5' COTUIT INVESTMENT, LLC LEGEND 159 GLEZEN LANE e CB - CONCRETE BOUND WAYLAND, MA 01778 Lll ■SB STONE BOUND PROJECT: 00 O RC -- ROD CAP o 0 oIP --- IRON PIPE FOUND Q lqy -- - HYDRANT - - - WATER SHUTOFF M CO 523 MAIN STREET COTUIT, MASSACHUSETTS ® -- - - CATCH BASIN SQUARE Z a UTILITY POLE 0- - GUY POLE E— -- GUY WIRE SHEET NO.: 1 OF 1 DATE: AUGUST 22,2019 LIGHT POLE DRAWN BY: JVB CHECKED BY:MC - - SIGN -- - --- PREPARED BY: CONIFEROUS TREE DECIDUOUS TREE L 60.00' ® -- - - TREE STUMP N 46° 05'Sz"w CAPE & ISLIANDS ENGINEERING -- --- , SHRUB CIVIL ENGINEERING-LAND SURVEYING-ENVIRONMENTAL PERMITTING .��n�.�.�.,,...�,�,,. sb,. ,z�,:.,��,,�.,... ------- CONIFEROUS SHRUB LOT 3 INCORPORATED V TREE LINE SUMMERFIELD PARK 800 FALMOUTH ROAD SUITE 301C 508.477.7272 PHONE info@CapeEng.com OHw OVERHEAD WIRES 800 FAL E,MA ROAD 508.477.9072 FAX www.CapeEng.com STONE WALL 0 20 50 100 2649 DRAWING TITLE: POST&RAIL FENCE STOCKADE FENCE SCALE: 1" = 20' PLOT PLAN ----x-- x x PICKET ROW ---- xx xx CHAIN LINK FENCE ASSESSORS INFORMATION: MAP 021 BLOCK 095 Bj&BBSTABLE,/• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 194..?. TO THE INSPEGTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following informotion: Locotion . Proposed Use Zoning District Fire District Nome of Owner Address Nome of Builder Address Nome of Architect Address Number of Rooms ...J Foundotion ^ Exierior ..Q9if4:f!U..Roofing .1^..*!*l\.. Floors ...Interior Heoting ...yvmh\\i<^^.9rrr.Plumbing ..../!k>rfy>-*rrrf. Fireploce Approximote Cost Difinitive Plon Approved by Plonning Boord 19 Diogrom of Lot ond Building with Dimensions . if") J (T ^/ro ^.,.•4 i'LL^ hereby ogree to conform to oil the Rules ond Regulotions of the Town of Bornstoble regording the obove construction. Kaufman,Norman 0'? No Permit for ^dd.to ..single. ,fand ly..dwelling. Sd^'h Location .Maan..5.tx.e.et.—, Cotuit..:.: Ov^,ner Norman Kaufman Type of Construction Plot Lot n »J lO 69PermitGranted19^ Dote of Inspection 19 Dote Completed .19 PERMIT REFUSED 19 Approved 19