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0626 MAIN STREET (COTUIT)
(��� �'I�-ice/ s� 'y - -- - - r +, j I 1 dF'INE::Toh, BARNSTABLE;:► 1 s'' t c P Q MASS. - 9vA .1639. ,0 Town of Barnstable Zoning 'Board of Appeals: Decision and Notice Comprehensive Permit No. 2006-027—. Bur ess Chapter 40B Comprehensive Permit Rescission Summary: comprehensive Permit No. 2006=027 Burgess is rescinded Date: August 9; 2017 Applicant: Thomas K. Burgess and Anna'Elizabeth Cornelia Maria Burgess- Berbee Property Address: 658 Main Street, Cotuit; MA Assessor's. Map/Parcel: 036/030 Zoning: Residential F,Zoning District Recording,friformation: Book 33.00. Page 082 Date Hearing:' August.9, 2017 Background: Thomas K. Burgess and Anna Elza>jeth. Cornelia Maria Burg m ess Berb`ee, applied for a Comprehensive Permit pursuant to Chapter 40B-of.the General Laws of the Comonwealth of Massachusetts, and in accordance with § 9-15 .of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program", The permit'was sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted 'to being affordable housing for'qualified persons as required under Chapter.40B. Comprehensive Permit. number 2006-027 was granted With conditions on March 22, 2006, Thomas K.. Burgess and.Anna.,Elizabeth Cornelia Maria Burgess=Berbee have now requested a rescission of`this Comprehensive:Permit. Procedural & Hearing Summary.-. A public hearing :before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties]h accordance with MGL Chapter 40B, 'The:hearing was opened. on August 9, 20.17, at which time the Hearing Officer made the following findings of'fact Findings of Fact on the Comprehensive Permit: 1. The applicants, Thomas K. Burgess and Anna :Elizabeth Cornelia Maria. Burgess- Berbee, were granted Comprehensive Permit 2006-027'fo;r an accessory 'affordable. apartment at 658 Main Street, Cotuit: Town of Barhsta'ble, ZbniN Bo,brd of Appe'61s Comprehensive Permit No, 2006-027:Burgess Restissibh 2. The applicants, Thomas, K. burgess and Anna Elizabe"th Cornelia Maria Burge§sm Burbee, communicated their intent to discontinue oprOcipa.t.ion, in"the MAP.Program verbailly. 3; On July 22, 2017, the Accessory Apartrn6ht Program Coordinator took action to rescind comprehensive permit. No 260.6-027, A written copy of.this decision was forwarded to the Zoning Board of Appeal:as.,required by the Code Chapter 241, Section 11 of the,Town of Barnstable Adhiihistrative:.Code'.. If'aftiar fourteen (.14) days from that transmittal the'Members of the Zoning Boar of Appeals takes kes no action to reverse the..decisibn this decision shall become final. and a,Copy shall be:the filled in th office: .e of the Town Clerk. .Ordered: ,Comprehensive Permit number 2006-0718 rescinded. Xwritten copy of this decision was forwarded to the Zoning Board of Appeals as requiredby the Code Chapter 241, 'sectidn 11 Of'the Town of Barnstable Administrative code. If after fourteen (14) days from that,transmittal the members oUthe Zoning Board of Appeals: ak.es no action to reverse.the decision,this decision shall become final and.a...cbpy2 shall,be'filed in"the`office .of the:Town Clerk Appeals.of the final, decision, if f any; shall !I be m. ad.e.to the,Barnstable Superior Court pursuant to MG L Chapter 40A, Section. I.7, within twenty (20)-.clays after the date of the filing,,Ofthis decision in the.office,of t`he Town Clerk; The applicant has the right to appeal this decision,as outlined in MGL Ch ptef 40B., Sedibb 22. Alkrodol6kis, Hearing Officer Date Signed 1, Ann Quirk, Clerk,of the Town,Of Barnstable, Barnstable 0O.Onty, Massachusetts; hereby cer,tify:that twenty (20) days have elapsed since the.Zoning Board of Appeals filed this decision and that no appeal of the:decision has been filed in the.:offic. 6 of the 'town.Clerk. Si I gned and sealed.this . 1+4-6daV of Swt MIUA., i2-017 under the pains.and penalties of perjury:I Ann Quirk, Tbwa.C.Ierirk lafto 2 RY OF DEEDS 40Ngl'ABLE,REGIST r dnaaria VadlOAr 143 n,E Town ®f BarimstabRe *Permit# Expires 6 months from issue d e Regulatory Services Fee _s�', s T sntwsrABIX S MAM �' Richard V. Scali,Director 039. D. ♦0 Building DIlvIl3Il0® Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 OCT 262015 www.town.barnstable.ma.us Office: 508-862-4038 TOWN OF`',:�5'1V9TA E EXPRESS PERMIT APPILICATION - RESIDENTIAL ®N LY ,}- Not Valid without Red X--Press Imprint Map/parcel Number �� U���,Q� Property Address A1d .51, 0--01111 T Residential Value of Work$ /&i 7 OV,-6 y Minimum fee of$35.00 for work under$6000.00 T Owner's Name&Address ��S l jA `j 1 -S i j: j<F—V ! L' 1 u S (gd-69 114Ai ��l oo �T�tI T Contractor's Name Opt- I C) I- 1A/4=FR0 Telephone Number '— Home Improvement Contractor License#(if applicable)J'j 9 7 -(; Email: Phry4R3A ®6/N k4- Construction Supervisor's License#(if applicable) a y� ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 8-Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to V/Q�'t/YOUT 1+I—/WbAt'L ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requ' ed. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 77se Cow main eadtaTa of Massadirssetts Dtparhnmt of Indusoied Accidents Office of fnwotnsttgations .600 Wambingtort.$trwet Boston,MA #2111 wvomrr amgov/dia Workers'Compensatiolm Insurance davit: Biers/Contmctu s/.Elect6cezkns(JPlumbe s APPYnczimt Information Please Print Lmbl_y Name - - I): DAV t o 14--- Address: P0• 6oX 4/ Cityistate/Tsp:F, At_owy,w AA PhDne#: Am you an employer?Check the appropriate boa: Type:of project(required): I.❑ I am a with 4. I am a general contractor and I ❑ employees for 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-cofactors h2we g- ❑]volition 1 an waking for me in any �°capacity- d have wodcers' 9. ❑Building addition [No workers'comp.insuaance Gomp-insurance Z regoired] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exermsed dim I L E]Plumbing repairs or additions myself [No workers'ODJMP- right of exemption per MGL 12.❑Roof repairs insurance me&]T c.152, §1(4�and we have no employees.[No workers' 13.0 Other comp.insurance required.] °,tiny applicant that checks ban#1 most also Ell out the section below showing their wodcerC com4msation policy information. I Homeowners who submit this affdwk ioohcatiag they ate doing all work and then hire outside contractors nmst submit anew affidavit indicating such. EConttuctars that dieck this boa must attached tm additional sheet dhowing the name of the sub-ca mawiti s and stale whether or not those entities have employees. If the subtaatractors have en@loyees,they gut provide their workers'comp.policy member. I am an employer tltat is protdding x orkers'compensation insurance for my empL,j-ees. Below is the policy and job site informadom Insurance Company Name: Policy#or Self-ins.Luc.#: Expiration Date:: � � � Job Site Address: _# &X(P M pp�' AQ ST- City/Stateizip: l,(tU'l T ,(ail f}I 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 andfor one-year imprisonment,as well as civil penalties in the form of a S )DP WORK ORDER and a fine of tip to$250-00 a day against the-violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verifir-ation. I do hereby under the pains and.penaltiel ofpegury thattlte information provided above is true and correct 1,7_LA� Signal r Date: 16 --- ( ' Phone#: Official use only. Do not mite in this.area,to be completed by city or town of ciaL City or Tovim: PermitlLicerise# Issuing Authority(circle one): 1.Board of Health 2.Bue'Eding Department 3.City1fouuvn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r cF t►�rq,� + BARNSTABLE, Town of BarnstabRe j°rEo ldlA�� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ][property Owner Must Complete and Sign This Section If Using A ]wilder I, S�vl�a 1- �� fr C as Owner of the subject property hereby authorize ff., u F—B B to act on my behalf, in all matters relative to work authorized by this building permit application for: CO A4 14-JAI .s'T Co-'Tu y i (Address of Job) 41(�,; Signatutc of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services �oFIKE TOayr Richard V.Scali,Director Building Division * sAaxszeBIX ' Tom Perry,Building Commissioner MASS. 16.19. 10� 200 Main Street, Hyannis,MA 02601 TEo � 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. DEFINMON 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 buildingpermit. (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 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 040215 —..Er WOfRKEIRS° COMPENSATION AND EMPLOYERS LIABIL.ITV INSU RANGE POLICY Information g WC 0000,01 Atlantic ChafteP Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV01243700 1. INSURED: Prior Policy Number: New Robert Tyndall Producer: 80 Brigatine Avenue Miller McCartin, Inc. DBA Hyannis, MA 02655 Federal ID Numbsr:999100972 Dowling 8, O'Neil Insurance Risk ID Number: Agency PO Box 1990 Business Type: Individual SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured;See WCE106 Other Work Places: See WCE107 2. POLICY PERIOD: The Policy Period Is From: 7/15/2015 To 7/15/2016 12:01 A.M. Standard Time at The Insured Mailing Address 3,- COVERAGES:. A. Workers Compensation Insuiance: Part Orie of ttie policy apples[o the Worke"t Cbiripen9ation Law-of the-sistes liste - here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each slate listed In item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodlly Injury by Disease $ 500,000 each employee C. Other States Insured: Part Three of the policy applies to the states, If any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy Includes these endorsements and schedules: See WCE105 4. COVERAGES: The prgmlum for this policy will be determined by our Manual of Rules, Classifications, Rates� Rating Plans.All information required below is subject to verificallon and change by audit. Code Premium Basis Total Rate Per Estimated Classlflcatlons No. Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premlum: $550 $8,830 Interim Adjustment: Annually Servicing Office: Total Estimated Premium $6,373 25 New Chardon Street Surcharge(s) 457 Boston, MA 02114-4721 Total Premium and Surcharge(s) $8,830 Issue pate 07/21/2015 Countersigned By:_ �C. Copydght 1907 Natlonal Coundl on Compensation Insurance Form:JOOmv �IItMrltill � e Tpom�nancue �t�i Vvuv�aaclucaeC License or registration valid for individul use only cz before the on Consumer Affairs iration date. and Business Regulation Office of Consumer Affairs&Business Regulation Office of HOME IMPROVEMENT CONTRACTTy e. 10 Park Plaza-Suite 5170 Registration:_;; 119766 Boston,MA 02116 Expiration:= 812812Q17 DBA WEBB CRAFT DESIGN ` DAVID WEBB 25 MEADOW VIEW DR.. .. -�{-�_ Not valid w►thout.signature EAST FALMOUTH,MA 02536 Undersecretary Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991m)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DP5 a Massachusetts -Department of Public Safety Board of Building Regulations and Standards ' LV11J L1 llll1 V11 Jl1�JC1 YIJUI License: CS-046189SO ```.r-TTDAVIDHWEBB 32 F.R Lillie Road Woods Hole MA a25g3 ' v - -�—� '� �►'�� Expiration Commissioner 10/29/2016 Town Of Barnstable *Permit# Expires 6 months from 'sue Regulatory Services Fee X-PRESS PERNT Thomas F. Geiler,Director vc n� Building Division ` �� SEP 0 2006 Tom Perry,CBO, Building Commissioner �1 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0 Property Address_�� .��1 /LV Residential Value of Work er n�^ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1 �' ' P��s< ��� 01 Contractor's Name Telephone Number_ 2S ��� Home7Improvement Contractor License#(if applicable) /f a5 316 Construction Supervisor's License#(if applicable) SWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [f$e-roof(stripping old shingles) All construction debris will be taken to k ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *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. A copy of the Home Im rovement Contractors License is required. SIGNATURE. Q:Forms:expmtrg Revisc061306 Department of Industrial Accidents Office.of Investigations: 600 Washington Street Boston,MA 02111'. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly Name (Busness/organimationandividual): A.ddress: City/State/Zip: Co MN' t f-� Phone#: .re you an employer? Check the-appropriate box:: ape of project(required): 9 am a-employer with' 4, ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6' El New construction ❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. Q Demolition working for me in any capacity. workers' comp. insurance. 9• [] Building addition [No workers' comp, insurance 5. ❑ We'area corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions, ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4), and we have no. 12.0 Roof repairs insurance required.) t employees. [No workers'' 13 Other comp.insurance required.] ny applicant that checks box#1 must also 1111 out the section below showing their workers'compensation policy information: `, (omeowners who submitthis affidavit indicating they are doing all-work and then hire outside contractors must submit anew affidavit indicating such )ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. im an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Formation. ,urance Company Name: ]icy#or Self-ins.Lic..#: 79 1,�e 6 Expiration Date: b Site Address: 6�i/(�s T City/State/Zip:_ 1 tack a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a e up to$1,500,.00 an one-year imprisonment as well as,civil penalties in 13ie form of a STOP'WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification 'o hereby c.e d r pains aloe of perjury that the information provided above is and correct afore:. Date:. one#:. ZOE Official use only. Do not write in this area,to be completed by city,or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2-Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and Instructions Iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ursuant to this statute; an employee is defined as"...every person in the service of another under any contract of hire, Kpress or implied,oral or written." �n employer is defined a$°'an individual,partnership,:assoc4tion,corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the e-ceiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev..er.the ,wner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the maintenance, construction or repair woik•on such dwelling house welling house of another who employs persons to do iron the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." AGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or •enewal of a license or.permit to operate a business or to construct buildings in the commonwealth for any ipplicant 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 ;star into any contract for the performance of public work until acceptable evidence of compliance with the insurance -equirements 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 certificates) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; 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 we 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 javestigations 500-Washingfon Spreet4 . Boston,MA 02111 Tel.#617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 evised 5-26-05 wwwmass.gov/dia °ft► ��� Town of Barnstable Regulatory Services &UMSTABLEMUM ' Thomas F.Geiler,Director' A,fo�+� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section -If Using A Builder I, , 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) Signature of Owner Date Print Name Q:FORMS:OWNFMERMIS SIGN -5o 13 Fraser Constviuction Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 Email: fraser construction(awerizon.net www.fras,erroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL DATE: June 22, 2006 NAME: K C Mitkevicius PHONE: W 978-318-8002 H 617-527-2131 ADLRESS: 47 %dark St. JVD ADDRESS: 626 .blaln Street Newton, Ma. Cotuit, Ma. 02459 02635 FRASER CONSTRUCTION herby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. SUPPLY & INSTALL - .060 EPDM Rubber Roof on the 15x17 porch Supply & Install - (1) SQ Sidewall t Remove & Re-set - Skylights Interior Trim - If needed interior trim will be time & material billed @ $45 a hour Clean & Remove - Debris from work area daily. TOTAL INVESTMENT: Rubber Roof, Sidewall, Skylights $2,450 Interior trim @ Time & Material Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD - VISA -AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 ''/s%for every 30 days the payment is late. I Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate.of$45.00 per hour, plus materials, plus 20% overhead mark-up on total extras. FRASER CONSTRUCTION Warranties the labor for 10 years Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: SUBMITTED BY: pmeowner ]Fraser Construction 1 J DRA CERTIFICATEOF LIABILITY INSURANCE DATE PRODUCER (508)58$-1260 ! FAX (508)588-7236 09/22/200S TWI CEt, IFICATE IS ISSUED AS A MATTER OF INFORMATION Wise 81 Quinn Insurance 'Agency Inc, ONLY A-M'�CONFERS NO RIGHTS UPON THE CERTIFICATE 449 Pleasant St. '. a HOLDER!,Ti�jlS CERTIFICATE DOES NOT AMEND,EXTEND OR Brockton, MA 02301 'I�_ALTER THE C VERAGE AFFORDED 8Y THE POLICIES 8ELOW- CISR, Paul Crowley INSURERS AFFORDING COVERAGE INSURED Dean Fraser NAIL 4 INSURFRA, Hartford Insurance Company DB,4: Fraser Construction CO. INSURER8: ' 71 Tarragon Circle IINsu�-` Cotuit, MA 02635-2443 INsuPJ=Re: 1 : COVE. AGE ---- THE POLICIES OF INSURANCE LISTED SELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA T ED.NOTWITHSTANDIN( ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN A,RAY HAVE BEEN REDUCED BY PAID CLA&IS'. INSR on, TYPE OF INSURANCE POLICY NUMBER P=LtCY EFFEC FIVE I POLICY EX?tRATIpN — GENERAL LIABILITY r LIMITS $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE R DAMAGE TO RENTED S CLAIMS MADE F OCCUR. MED EXP(Any one person) S PERSONAL 8 ADV INJURY y GEN'L AGGREGATE IT APPLIES PER: { GENERAL AGr,REGATE $ LIMIT POLICY PRO- LOC PRODUCTS-COMP/OP AGG S AUTOMOBILE LIABILITY — ANY AUTO (O COMBINED Neat)SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS ( BODILY INJURY (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY I (Per accident) 5 PROPERTY DAMAGE S GARAGE LIABILITY (Per accident) ANY AUTO f AUTO ONLY-EA ACCIDENT S (! OTHER THAN EA ACC 5 AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ TOCCUR �CLAIMS MADe' I AGGREGATE g DEDUCTIBLE S RETENTION WORKERS COMPENSATION AND 6S60UB-794X619-1-05 09/26/2005 09/26/2006 X EMPLOYERS'LIABILITY WC STATU OTH- A ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ rj00.000 OFFICERWEMBER EXCLUDED? _ S yes,describe under E.L.DISEASE-EA EMPLOYE S 500,000 SPECIAL PROVISIONS eloty OTHER I E.L.DISEASE-POLICY uma -S 500 a 000 )ESCRIPTION OF OPERATIONS/LOCATIONS!VERICLES I EXCLUSIGNS ADDED BY ENDORSEMENT/SPE IAL PROVISIONS n the operations usual to Carpentry, :ERTIFICATE A1+i s L T)ON SHOULD ANY OF THE ANOVE.DESCRIBED POLICIES BE CANCELLE7-rHE;LEFT, EXPIMMON DATE TY,EREOF..THE ISSUING INSURER WILL ENDEAV DAYS WRITTEN NOT!CE TO THE CERTIFICATE HOLDER NAFraser Construction Co. BUT F.A.ILURE TO MAIL SUC14 NOTICE SHALL IMPOSE N0 OBLIGATI 71 Tarragon Circle OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Cotuit, MA 02635 AUTHORIZED IVE r CORD 25(2001/08) FAX: (508)428-0123 QACORD CORPORATION 9488 _ a d for individUt use Building Regulations and Standards be fol se or registrationexpiration date. If found return to only Board of befoz i the HOME IMPROVEMENT CONTRACTOR gear of Buiiding Regulations and Standards One;Cshburton Place Rm 1301 RegistratianLj12536 Boston,Ma.02108 at<an3�232007 lug FRASER CONSTSRU �? j DEAN FRASER '�� 71 TARRAGON CIRti� � Not valid with signature COTUIT,MA 02635 Administrator i Il TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map Parcel Al Application # b pP l.� / s 6 a, Health Division ( �/ � 6 9016�/05 Date Issued JC Conservation Division �i� Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis 4 SEPTIC SYSTEM MUST Y, INSTALLED IN _Q utoi iAtiCZ__ WITH TITLE 5 Project Street Address �_�o� �p /�--�ft/��/ �S% '" FNVIRON ENTw, e,,._E N � Village_ 3.-, TOWN REGULATIONS ��T Owner f %UT7S /T Gs�//C%J Address //f/V0/ Telephone Permit Request X 22 Square feet: 1 st floor: existing ?-M proposed IYA 2nd floor: existing proposed 3t� Total new Zoning District " Z Flood Plain WO Groundwater Overlay IVL9 Project Valuation 463'000—°° Construction Type 7 � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family - ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ®'Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ull C(Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2— new 0 Half: existing new Number of Bedrooms: existing O new Total Room Count (not including baths): existing new First Floor Room Count 3 Heat Type and Fuel: Ue as ❑ Oil ❑ Electric ❑Other // Central Air: ❑Yes ��dNo Fireplaces: Existing 42 New l Existing wood/coal stove: ❑Yes 5Tlo Detached garage: U existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: c_._ C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# CID Current Use Proposed Use �y APPLICANT INFORMATION ds rn - _ -- (BUILDER OR HOMEOWNER)- Name ;6 39 At-r6lZ-X/'`yde' XVe Telephone Number Address 12�2�9 60X A®ez, License# J o l�Z� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY "rys APPLICATION# vATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ei,-oalro� o-�- FRAMEro �a k eorl�Ih INSULATION M)5 ®w 4a /0 / 5� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH -- rr FINAL M FINAL BUILDING 0K ?l/'6r2 Rh4ck DATE CLOSED OUT ASSOCIATION PLAN NO. J� ; = r Town of Barnstable Regulatory Services x�uresrAgt� Thomas F. Geiler,Di.rectbr 16y9, k��� Building Division r�ti�• Thomas Perry, cBO,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 • �ww.to�vn.barnstable.�ia.us ' , Fax: 508-790-6230 Offices 508-862-4038o D 70 PLAN "VIEW Map/Parcel: - Owner: / Pzoject Address Builder. The following itexxjs were noted on reviewing: cJ cool rc ��� Reviewed by: Date: Board of Building Regulatiods and Standards i Construction Supervisor License E'p '1. ✓A ' x Y. License: CS 50457 Exptrattott 4/19/2010 Tr# 22406 Restriction PETER M POMETTI PO BOX 2056 COTUIT,MA 02635 Commissioner BovlC�ltivktiErp'6ke �icr�a+��R�irrlart�3 HOME IMPROVEMENT CONTRACTOR Registration: 109606 u Expiration: 9/21/2010 Tr# 274229 Type: Private Corporation A I ENTERPRISES INC.. PETER POMETTI 140 LITTLE RIVER RD. ,^�, COTUIT, MA 02635 Administrator i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Y 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information y Please Print LeEi Name (Business/Organization/Indivi dual): Az Address: D &ra/' ,Z�iY7 City/State/Zip: 07 UlT c ©mil Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.OI am a employer with 'el 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors __ ____._._........ ._ ._... 2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition employees and have workers' 9 '—Ming addition working for me in any capacity. [No workers' comp. insurance comp. insurance.$ S. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] 3.El I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL myself. [No 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#] must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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: 4 �/rl x6w;wl "!v Policy #or Self-ins, Lic.#:�DS5fUi3 -0�7���t'7�._� Expiration Date: 7 Xd Job Site Address: 1c, '`1 Oi % City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00.and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Hereby certify un r e pains an p alties of perjury that the information provided abov is trice and correct. Date: �S Si nature: G Phone#: V 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#: REScheck Software Version 4.3.0 Compliance Certificate Project Title:Architectural Innovations, Inc Energy Code: 2007 IECC Location: Cotuit,Massachusetts Construction Type: Single Familyy Building Orientation: Bldg.faces 180 deg,from North Conditioned Floor Area: 396 ft Glazing Area Percentage: u Heating 19/o ng Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 626 Main Street Architectural Innova Cotuit MA u ons,Inc Colony insulation Inc PO BOX 2056 28 Jonathan Bourns Drive Cotuit„MA 02635 Pacasset„MA 025:59 5011428-4219 508-563-6049 Compliance:1.1%Better Than Code Area or R-VaIL10 R-ValUe or-Door Perime Ceiling 1:Cathedral Ceiling(n(Tattic) 1te r U-Factor Ceiling 2:Cathedral Calling(no attic) 76 30.0 0.0 6 264 30.0 0,0 9 Well 1:Wood Frame,16"o.c. Orientation:Front 162 19.0 0.0 8 Window 1:Wood Frame:Double Pane with Low-E 26 SHGC:0,50 0.320 6 Orientation:Front Wail 2:Wood Frame,16"o.c. Orientation:Back 162 19.0 0.0 10 Wall 3:Wood Frame,16"O.C. Orientation:Right Side 176 19.0 0.0 6 Door 1:Glass SHGC:0.50 72 0.320 23 Orientation:Right Side Wall 4:Wood Frame,16"o.c. Orientation:Left Side 16 19.0 0.0 1 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space Furnace 1:Forced Hot Alr 88 AFUE 396 19,0 O,p 19 Compliance Statement The proposed building design desaibed here is consistent with the building plane,spedftaations,and other calculations submitted with the It application,The proposed building has been designed to me 2007 IEt:C requirements in RE ck Version 4.3.0 to mply with the mandatory requlremen din the RESch ck 1 - � Pe n Chedkliat. e- de �� J�rA 1 ,�J ure oat i i filename:PtOJ Me:Arc Itectural Innovations, Inc Data :Wrograrn F IeslChedclRESchocklArchlnn-1-15-10-826MalnSt-Cot.rcic Report date:01/15l10 I Page 1 of 4 Tooln moltv'IfISUI AN0100 LTT9V95809 YVA LV:2T 0T09/9T/T0 REScheck SoftwarG Version 4.3.0 8 Spactoon C hsckH3 fi Collings: ❑Calling 1:Cathedral Calling(no attic),R-30.0 cavity insulation Comments: ❑Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity Insulation Comments: Above-Grade Walls: ❑Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑Wall 3:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑Wall 4:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break?—Yes_ —No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling Is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Glass,U-factor:0.320 Comments: {floors: ❑ Floor 1:All-Wood JoIWTruss:Wer Unconditioned Space,R-19.0 cavity insulation Comments: Floor Insulation is installed In permanent contact with the underside of the subtloor decking. Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air.88 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,attic access openings,and all other such openings In the building envelope that are sources of air leakage are sealed. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and;2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering, ❑ Access doors separating conditioned from unconditioned space are weather-stripped and Insulated(without insulation oompresslon or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill Insulation exists,a baffle or retainer Is Installed to maintain Insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Sunrooms: ❑ Sunrooms that are thermally Isolated from the building envelope have a maximum fenestration U-factor o10.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Project Title:Architectural Innovations, Inc Report date:01115110 Data filename:CAProgram Files\Check\REScheck\Archlnn-1-15-10-626MainSt-Cot•rck Page 2 of 4 Z00 E NOI1V'TfhSXI AN0100 LTT9t9S809 %Vd LV:ST OTOZ/ST/TO i Vapor Retarder: o A minimum of Class 11(1.0 perm)vapor retarder is installed on the Interior side of above-grade framed walls or it has been determined that moisture or its freezing will not damage the materials. Exceptions: Class III(10 perm or less)vapor retarder is permitted for vented cladding over OSB,plywood,fiberboard,gypsum,or for sheathing over 2x4 framing having insulation of R-5 or better,or for sheathing over 2x6 framing having Insulation of R 7.5 or better. Materials Identification and Installation:' Materials and equipment are Installed in accordance with the manufacturer's installation instructions. Insulation is Installed In substantial contact with the surface being insulated and in a manner that achiever the rated R-value. LI Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked an the bulldinil plans or specifications. Duct Insulation: Supply ducts in attics are Insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction: t] Air handlers,filter tomes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181 B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are Installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct cdmping are included by an inspection for complimce with the International Mechanical Code. Temperature Controls: 0 Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or coding Input to each zone or floor is provided. Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating cwmpliancir with 2006 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot.Water Systems: Circulating service hot water pipes are Insulated to R-2 Circulating service hot water systems include an automatic or accessible manual switch to turn off the dmulating pump when the system is not in use. . Heating and Cooling Piping insulation: O HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to 12-2. Certificate:- ...__._._......_... A permanent certificate Is provided on or In the electrical distribution panel listing the predominant insulat on R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does net cover or obstruct the visibility of the circuit di actory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) C.. Project Title:Architectural Innovations,Inc M�._..._ Report date:01/15/10 Date filename:C:1Progmm FlleslCh9ddRESchecklArchtnn-1-15-10-626MalnSt-Cot.rck Page 3 of 4 goo NOIZV'If1SUI AN0103 LTT9V95909 %V3 Lip:BT OTOZ/9T/T0 d 20071ECC Energy Efficiency Certificate Ceiling I Roof 30.00 Wail 19.00 Floor I Foundation 19.00 Ductwork(uncondlNorm spaces): Glass&Door Rating U-Factor HGC LE Window 0.32 0.80 -Door Heatinq 0.32 0.50 ciency Forced Not Air Furnace 88 AFUE Water Haater. Name. Date: Comments: q I i zoom KOIZV'IRSNI AN0100 � LT MS909 %VA 9Z:9T OTOZ/91/T.0 �THWET° Town of Barnstable ' , t Regulatory Services " BAMSTAne►.e,� Thomas F.Geiler,Director i639• �� 1°rfnr a 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 Property Owner Must ' Complete and Sign This Section Ar If Using A Builder - I, � ..��— ey r G uS �S► h/-'l s +" , as Owner of theaubjectproperty hereby authorize to act on my behalf, s in all matters relative to workauthorized bythis'.building pen nit application for ZO (Address of Job) agna e of Owner Date IG3�w s16, Print Name If Propei7ty Owner is applying for perrint please complete?the Homeowners License Exemption Form on the reverse,side, ry ^ Q:FORMS:OWNERPERMISSION Town of Barnstable o Regulatory Services swxxsTnar.E Thomas F.Geiler,Director MASS. 9q,A 1639. ,�� Building Division T6n �a Tom Perry,Building Commissioner 260 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 person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109 1 1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and 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 State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION "An homeowner performing work for which a building permit is required shall be exempt from the provisions The Code states that: y p g g 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:\WPFILESTORMS\homeexempt.DOC MORTGAGE INSPECTION PLAN UNREGISTERED LAND FILE NO.: 154504 ADDRESS: 626 MAIN STREET BARNSTABLE MA DEED BOOK:5882 / 342 PAGE: 191 / 11 ATTORNEY: GILL DEVINE & WHITE PLAN BOOK: 55 PAGE:13 LOT(S): LENDER: PLAN NUMBER: OF OWNER:FREDERICK R. & BERNICE M. T0940 APPLICANT: KESTUTIS J. MITKEVICIUS & SUSAN LIND REGISTERED LAND . DATE: 03/17/2005 SCALE: 1"=80' REGISTRATION BOOK: PAGE: CERTIFICATE OF TITLE: PLAN•NUMBER: LOT(S): FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: 0018D DATED: 07/02/1992 MAP: 136 BLOCK: PARCEL: 029/001 N/F TOWN OF BARNSTABLE 130.00' AREA 1f ACRE Q N U-) d N/F PALMER ` N/F TOWN OF BARNSTABLE GARAGE f NOTE. LOT CONFUMATM TAKB FROM ASSESSOR'S MAP. 99.44' STONE MORTGAGE LENDER BOUND MAIN STREET USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE DESLAUBUTFILS INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. A,L%OC i �pC. ® Now 0 IL'"W CNAWORKERS COMPENSATION r AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6S59UB-0276M74-2-09) RENEWAL OF (6S59UB-0276M74-2-08) INSURER: CONTINENTAL CASUALTY COMPANY NCCI CO CODE: 80381 1 INSURED: PRODUCER: A I ENTERPRISES INC HORGAN INS AGCY INC PO BOX 2056 44 BARNSTABLE RD B COTUIT MA 02635 PO BOX 250 HYANNIS MA 02601 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 07-18-09 W 07-18-t0 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA n B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 500000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 5o000o Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, If any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A a® D. This policy includes these endorsements and schedules: o SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating a Plans. All required information is subject to verification and change by audit to be made ANNUALLY. ST ASSIGN: MA DATE OF ISSUE: 07-09-09 TL OFFICE: CNA 04J PRODUCER: HORGAN INS AGCY INC 28XBF 006718 -- HOME IMPROVEMENT CONTRACTOR - Registration: 109606 Expiration, 9/21/2010 f Tr# 274229 .# 'Type :Private Corporation A I ENTERPRISES INC i PETER POMETTI 140 LITTLE RIVER RQ. � .a...` COTUIT,MA 02635 a Administrator j I Massachusetts- Deiyartinent of Pultlic Safer E Board of Buildin- Reoulations and!Standards Construction Supervisor License License: CS 50457' I Restricted to: 00 I PETER M POMETTI PO BOX 2056 r.COTU IT, MA 02635 i Expiration: 4/19/2012 ('1unmissi4 Pner Tr#: 21436 1 i - i ' I I .t • WSTING 2 STORY HOUSE PROPOSED ADDITION - °1 z w� O • , 0 • .. CtDi.C'O'+h J U �€R - u FLUIVING BATH O m I 0 STONE PATIO I i I FAMILY/DINING © F� . wly li m KITCHEN — uuD 5 �T— iiilll I �•a "' �°•-roawoR..Rr. 4 O Q O IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE DINING ROOM SCREENED IN PORCH yd BEYOND 1200 SQ.FT.PER LEVEL MAY REWIRE THE g INSTALLATION OF ADDITIONAL SMOKE DETECTORS. F - NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE _ - INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL ' . PERMIT DOES NOT SATISFY THIS REQUIREMENT. L FIRST_FLOOR PLAN 2 NO FOONOPTION OSED ADDMON _ , a nil W z - r N 0 IT Lu L�__J DMlK 9PwOE � L a mw_N u�ua.0 � v ��IJ t a CRAWL SPACE FULL BASEMENT "h i Bgg� 2 CRAWL SPACEa=nc.i•' �/TR���,` 2 e(% 0 v E W m LL •I W N\6 �~ AS NDTED w. FOUNDATION PLAN ' Q DRAWING p: I _ mars wuu I I/4•bro' ---------------------� �, �,r~.e wpul-Vol;— Al - 3 H m Z O WINDOW&EXTERIOR DOOR SCHEDULE M OPEMNO w. REMB -sME —ERInE Z a c aBm-.E•.tr Bm° C� fit _ � a - a I Q° RIGHT SIDE ELEVATION - SOUTH 0 W 12 =HFFT _ W -,cue ® ® log ® ® z wnM ® ® e W F F o W REAR ELEVATION- EAST S LEFT SIDE ELEVATION -NORTH tttt I ic" Z 1= WD I/4LI'-0' I/fsl'-0' //'. c`• �. 1 _b WTE: BBtO ��� y".1- `I O• SGIE:AS NDlEO , s mZ o oli z E . E%ISTINO ROUSE • _ J�g EX4TIN0 naysE and' >•,cwua,rta is oe. z.e vucm a9 eo.e. enan ieo a, e� R ewx wmewmxa � Q ❑❑❑ KITCHEN .wzFAMILYIDININOzrwrr<zzs nwrrzum mm xoxr �cx zs mzs arw^.wak.ewi�rvi' o u c.NElz _ ❑�❑. ,n«. wr.c mrrwwrmn aa..=I,o zu an �c e,<. rxrnwc,rc.nu,nen C--SPACE �N In—SPACE A -SPACEACE RH`f�—LL i CRWL S qaz oc mane mm, _ /,%� •�,•' rewvzre mrw manic rowm,wxw,un 2 ro uae rw o-�wnawurwe S1 SECTION THRU KITCHEN&LAUNDRY S2 SECTION THRU NEW FAMILY ROOM , E%6TNO2 STORY House osEoeoomox a ❑ l W z V O o Z w W N WZ BEDROOM v 8 5 H E y t40 LL IS z T_ H to 'L".3w.. \e+ RAF*ensm,soc. ���•\T Rmr I; Ew ne m.,rmwn,wc xo ae tvtC:: ,i L'IF R sREENEo Ir.Ponca ;I N®coNNecnNO Roof mrtrm u� �=�•';�; wre xoo II ROOF FRAMING&SECOND FLOOR PLAN cAIE � 1 A3 - 3 1 Assessor's offioe Nst floor): Im MWT ap TN Assessor's map and lot number �.�>>�..3�....... ....1��� of ETo Board of Health Ord floor): G� INSTALLED IN TITLE 5L9�.��E Sewage Permit number ...... . . . . . Engineering Department (3rd floor): ENVIRONMEN#AL CODE AND �o rasa House number ........................................................................ 'TQ�N A OULA'�NS o0�0 396�9 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 ........ ... '.. .fJ` !. ..1 ..� ,., ...!rZ� ........... TYPEOF CONSTRUCTION ......................................................................................... .......... ............................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: T, Location ........r.: . :i........ / ...t�. ................���/....v.f.;7......................................................................................... ProposedUse ......5.. ,....°4J...... /?IC,:/y. ...........1ZC. :..r...... !'1:.ce .......................................................................... 1 Zoning District ........��...:. ................................................Fire District ........... ....� 1 �.D...•� C ........... >�..(........ . Name of Owner .. � .152.60. .. . ...... .... ..........,... ....................Address ..�.�.........�.�(:�� ua .. rcy Name of Builder ........ :..........................Address ... .an.............. ........ .......... �.............................. Nameof Architect ..................................................................Address ...............................................................................:.... Number of Rooms ............. ...............................................Foundation Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .....0 .. . ®........... .............................................. Fireplace ......................... ........................I.................. ~00 ... .....Approximate Cost .....��. �..................................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area ...,;2 3...F...S. .. ,�J' f Lot and Building with Dimensions Diagram o g Fee ...�.�d..v.C.l.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1,4p* ex I�t1,-. S7` 9Db ff 0 , IOi S 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 ....�4Z ........... .... ..........................:.... Construction Supervisor's License . ..35 ..... ........ TOBIO, FRED ' 31551 Add Porch trNo ................. Permit for .................................... Single Family..P�!��.in ...................................... . ..... ......... Location ...6.2.6...Main....Street........................... .... .... .. .... .. Cotuit ............................................................................... Owner ,..,...Fred...T....o...b.io..................................... .. A .... Type of Construction .....Frame ...................... ............ .................................................................. Plot ....................... Lot ................................ Permit Granted ......January 15............................. 19 88 Date of Inspection ....................................19 Dot--Competed ............. 19 OIL ,MI N ZI .-j Assessor's offioe Ust, floor): Assessor's map and,,Iot number nd-0 3 4�1 17 SINE !FW............6............./.Board of Health (3rd floor): Sewage Permit nUmbe'r 7- %6 1 .......................................... t SAUSTAXLE, Engineering Department (3rd floor): MAXIL Housenumber ........................................................................ 11 1639- Mix APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:0012:00 P.M. only. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... x ze ................................ ..'r.....A/ TYPEOF CONSTRUCTION ............................................................................................. .. ...... .. ........................... ...... ...................19W TO THE INSPECTOR-OF BUILDINGS: The undersigned hereby applies for a permit according to thejollowing information: Location ........&..P.06.........�47X Pv ...CJ/......s.Y....'.�dl,,U/,.�..................................................................................... ProposedUse ..... ...... ........... .......................................................................... Zoning District ......... ..........................................................Fire District ..... Name of Owner ........ ..................Address ...4.1 ..... V... old -0 -7 Name of Builder ... .... . . .......................... ..............Address ..... Name of ArchitectAddress............................................................... ............................. .............................. Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing ...................................................................................... Floors .............................................................. ......................Interior ............................................................................. Heating ............ ....................................................................Plumbing * ................ ............................ Fireplace .........................X) ................................................Approximat'e* Cost S-,90 / ........................................................./........... A ...... . ........ Definitive Plan Approved by Planning Board ---------------------------------19-------- - Area ... ...Z74;�l Diagram of Lot and Building with Dimensions • Fee ... ....... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 5 7 -7 .... . .... Construction Supervisor's License TOBIO, FRED A=36-29 No 31551 permit for .,,,Add Porch ............. Single Family Dwelling Location 626 Main Street ............................................................... Cotuit ............................................................................... Owner Fred Tobio .............................................................. Type of Construction ...........Frame .. ............................... ............................................................................... Plot ............................ Lot ................................ s Permit Granted ........January .1.5......19 88 + Date of Inspection ....................................19 Date Completed ......................................19