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0910 MAIN STREET (COTUIT)
gia /✓IA,>✓ sf r _� A' oFT„E„ Town of Barnstable Conservation Commission BMMSPABLE, : ADMINISTRATIVE REVIEW FORM 1639. p•0� ADM 20- Fee $25.00 . n Fee P Address/location of proposed aroiect: 1 Street: Q1y wooly Sf �y)I Village: Map:035 Parcel: 49, Owner/Applicant: /00 n q v kith no 1� ! Mailing address: ��d /�i /►V S f �O / �' Phone/cell: 6� yZ 9 �02 s Email: Fax: Contractor/Agent: Cam///4 4 077 _50 At 12 Address: 4� 5aw ram,�� /1 m���5 ) Phone/cell: C. -7 7" ze.07/ Email: S b`-GC! -e CC)de GO wiry a3f 0 I Associated File: _CF_3— !S O Project description: Attach additional sheet if necessary,along with photos and a site plan if available(include distance fi t 1 resource o, o,�.y. new s, i`cwto we-2 c 1. Will the proposed work take place within any of the following resource areas? (If"yes,"please check the followi� resource areas). (> 0-Town coastal bank; ®-State coastal bank; ❑ 100-year flood plain (land subject to coastal storm flowage); marsh; ❑Beach; ❑ Dune; ❑ Vegetated wetland; ❑ Lake; ❑ Pond; ❑ Stream; ❑ Intermittent stream; ❑ Estuary; ❑ Ocean; ❑Land said waters. 2. Will the proposed work take place within 50-feet of any of the above resource areas. �o 3. Is excavation by machinery required. r lz' din. S� i\n .I� �Y�•V•c�.;' 4. Is foundation work proposed? 1 SIK 5. Is removal of vegetation proposed? 00 ELUnderstory ❑ Groundcover ❑shrubs 6. Is regrading proposed,either the addition or removal of soil? _ 7. Is tree removal proposed? _ If so,why? ❑ Water view ❑Aesthetics ❑ Safety issue .Are trees: ❑ living ❑ dead ❑ dying(please supply photos) 8. Is planting proposed? 'do If so,please supply a plan which includes species. 9. Is removal of poison ivy proposed,or other invasive species removal/control proposed? �If"Yes,"pl( explain on additional sheet. 10. Is the use of herbicides proposed? Ql�� Applicant signature: `' Date: 3/1O Z4 Reviewed by: Date: Q\regulations\admin policies procedures\adminreviewform 7/1/2017 - - Office of Consumer Affairs&Suslnesa Regulation { HOME IMPROVEMENT CONTRACTOR E:LLC o — 02118/2021 SCHULZE BUI(p T ` W ILLIAM L.SCH >s f ° L 65 SAWMILL RD m ti MARSTONS MILLS dZ8 Undersecretary Ta$9M O ca Z. s > m r C R L O-a z mV W� t r N 0 O p °$ N CCU Commonwealth of Massachusetts z ° Division of Professional Licensure q u Board of Building Regulations and Standards O 7 O• c A o Conste rviso.r o a A c 0 emu+ CS-056340r5 �ires: 10/29/2020 .. .- WILLIAM L Sb'11UL2 = ` .65 SAWMILL�?Ad�� 4 0 0 c N MARSTONS MIUTA M. 64B , I :,.. �S a v a $ : „" Commissioner O 0 N d NQ GN r G NU O V A 1Y N d 7 d The Commonwealth of Massachusetts Department of IndirifyidAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dda Workers' Compensation Insurance Affidavit: Build_ers/Contractors/Electricians/Plunmbers Applicant Information Please Print Leyibly p , Name(Business/OrWizarion/individual): Address: l� 5 Sri c.v v✓� i l 1 [ . City/State/Zip: ✓�5 Phone#: ' � Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor.and I employees(full and/or part-time).* have hired the sub-contractors 6: ❑New construction 2•,M 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 working for me in an employees and have workers' Y capacity. p Y ty em to t 9. 0 Building addition [No workers'comp.insurance comp;.insurance. required . 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions 3•ElI am a homeowner doing all work officers have exercised their 11-❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.JR Roof repairs insurance r �]t c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'wmpeusation.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. tContactors 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 pokey and job site information. Insurance Company Name: Policy#or Self-ins.Lie.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal,penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of - Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and enalties ofperjury that the informationprovided above is true and correct Signature: Date: .g 7 a z C> Phone#: 7 3`7 "L-1 e / Ojjrcial 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 a 5.Plumbing Inspector 6.Other Contact Person: Phone M Information and Instructions „ Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 .M=.gov/dia SHE .... CF Application Number. Q� y c7�, ,g sARNSPASLE. MASS. Permit Fee......�...!..!.!...........:....Zoning District....::.................. i639. FD(VIA'1� TotalFee Paid .................................................... ...... TOWN OF BARNSTABLE Permit Approval by..: qb)Z® BUILDING PERMIT M <3.5.........map. Parcel......:...................................... APPLICATION Section 1 — Owner's Information and Project Location Project Address 9/0 /� II/ 5 f�,,e� -f' Village C f`LA Owners Name DOS a lc) J . MQ,cki n no Y1 . SCANNED -APR 0 1010 Owners Legal Address -qlD InAI fl Ci State Zip 02- C-3 Owners Cell # 570 2-,5 E-mail d t� c f r7 '1 c,G�e�e.�o r►-i e h�"e G�►Ye Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet: ; Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move IRelocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement' ❑ Family/Amnesty ❑ Fire A arm L ; Rebuild El Deck Apartment , ❑ Sprinkl&System ❑ Addition ❑ Retaining wall ❑ Solar O� Renovation ❑ Pool ❑ Foundation Only �px, D� Other—Specify_ �"9•p� Section 4 - Work Description 9�l LL F Q n�4 wa ie . 5 d' ✓6 a ,g, r 8 r 5 dl T e 1Zd r1D0 M 'In►5 ,Bl� g e� ry ,-e r 5 1 A trp�� -�N��'t�h , � C G► ► v�, � ti s -�o a,a o f�-i'" b�.to w,r// �� a-��p�1 i►n� c._� t �t v rd e �"y !✓� S '�ge�� t1 Q w ��a�l.�u! Gi., S o li� �i✓l�e.l.� �t� t'n-er iP rc�U l GL'�tl 10 �(Z ►1 Last updated: 1/31/2020.- • 1, Application Number..................................................... Section 5—Detail Cost of Proposed Construction Z SLR o"� Square Footage of Project Age of Structure R9 Dig Safe Number t)Zd # Of Bedrooms Existing t Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist E] WFCM Checklist ❑ Design Section 6— Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression . ® Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply 0 Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: Coh fa i h-e r Se y t L-e- I am using a crane ❑ Yes No Section 7-Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed' Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 Application Number......................................... Section 9—Construction Supervisor Name , I l Ce oi L 57c,'/?,w IZ--C. Telephone Number tn 7 - V9'7 Address City A)a /Ali//6 State IW14 Zip 02- 4 z License Number C-5'o 6'6 3yd License Type �- 5 Expiration Date /0 A Contractors Email S86-c-cz Pzeod Qw*?cf5 f-- h e� Cell # f0k 737 Y9 7 J 1 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 own of Barnstable.Attach a copy of your license. Signature Date ®� Section 10—Home Improvement Contractor Name ji/�,�,,, `�h��z.—�_ Telephone Number �� - 3 •' �d�7 / Address 6'5 sd,�n��l� �� City �_State Zip c92-4'V9 Registration Number 112 0 419 Expiration Date l l I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 . CMR the Massachusetts State Building Code. 1 understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 6 7-02-0 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number 1 understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature —'- Date y02.(' Print Name ��1� � ��-.e_ Telephone Number 506 . 73 7 7/ E-mail permit to: o( & z 5 Last updated: 1/31/2020 t, Section 12—Department Sign-Offs Health Department G Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ • . Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fw.e department for approval Section 13—Owner's Authorization Mac- k, h r) o n , as Owner of the subject property hereby authorize )t 1 I A m �c,h, 1 z. to act on my behalf,in all matters relative to-work autborized by this building permit application for: (Address of job) S'gnature o Owner l/cam c: �✓�, -,.,. ��. (��: V\y�..r�.--. Print Name Last upda i&113IrAzo Town of Barnstable Building A BAMsiA Post 7his.Card So That it is Visible From the Street'-Approved Plans.Must be Retained on Job and this Card Must be ept WAML Posted Until Final Inspection Has.Been Made rm 1 t PeJiI Jil�l�iJll d Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final`Inspection_has,:been made. Permit No. B-20-729 Applicant Name: WILLIAM L SCHULZE Approvals Date Issued: 04/03/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/03/2020 Foundation: Location: 910 MAIN STREET(COTUIT),COTUIT Map/Lot: 035-090 Zoning District: RF Sheathing: ..., Owner on Record: MACKINNON, DONALD J TR Contractor Namec-,WILLIAM L SCHULZE Framing: 1 Address: PO BOX 152 Contractor License: C5=056340 2 HINGHAM, MA 02043 Est. Project Cost: $ 25,000.00 Chimney: Description: Remove 2 existing doghouse dormers on the thrid floor unfinished i Permit Fee: $ 177.50 t s Insulation: attic and replace with two larger doghouse dormers in the same i Fee Paid: $ 177.50 location. remove 2 non functioning chimneys to a point below the Final: roof lines in order to install new roofing. Date: 4/3/2020 Project Review Req: ENSURE EACH CHIMNEY DOES NOT SERVE A FUNCTION AND _ � , ' Plumbing/Gas DEMO DOES NOT CREATE A HAZARD. NEW DORMERS TO BE Rough Plumbing: PROPERLY SUPPORTED. ,Building Official . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized 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 RouhGas:permit has been'granted. g All construction,alterations and changes of use of any building and structures shall,be in compliance with the local zoning by-laws 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 Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: r Service: 1.Foundation or Footing Y Rough: 2.Sheathing Inspection g 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: "p rsons 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 Town of Barnstable dF� �tt•o�Mt�r Planning&Development.Depat tment DAaMa Barnstable Historical Commission: yuS& 200 Main Street;Hyannis;Massachusetts 02601 ; %63A (508)862-4787 Fax(508)862-4784 Am ✓ ;erin.loan nqtown barnstablc ma us: F Elizabcth7cnl ins,Director COMMISSION MEMBERS': hrin K;Wgun;,AJministrattve A§sistani Lauric Young.Chair Nancy Clark,Vicr.Chair MarilynritieWderk _ J'A! `P'i= �; - -`' George Jcssoo,A -: �,�C Nancy ShocmALAker: x Elizabeth Mumford` L�'.� r _EPt a,,,.t. i_ } DECISION Summary.: Demolition Delay-Not I,mposed:Pursuant to Chapter 112 Historic Properties;: Section.112-3'::F ;A pplicant/Propeirty Owner_: 410 iVl'ain Strcct Notninee.Trust Subject Property; 910 4a[ :Streci,Cotuit; Assessor's Map/Parcel. M/090^, Hearing Datc: September 19;201.7 Pursuant to the Barnstable !historical Commission,,receiving-yaur,notice:of Intent:on August 162 2017, a'duly advertised and noticed'ptiblic.hearin9xii held on September 19,2017 to determine whether,the,significantstructure:. identified as:a single family structure�66-:thus property is,;prefeiably preserved sigtuficant building and whether _R demolition delay would betmposed for the..,partia,demolition of;this stntcturg on the parcel.addressed as 910 Main ; Street,Cotuit;Map 035,Parce109U: 4 After review and consideration of public_te.stiinony application-anti record fle, the.Commissiow,by a"Unanimous vote,:found.that'in accordance with Chapter 112Es'the;partial demolition.of ahe single family structure is;nar,a preferably preserved stiutif cant building. In accordance with.Chapter.112-3;F,,the,Comtnission determined by'a,unanimous vote,thatthe partial dernolitionor #: the single-family dwellwg<tJould-not•be detrmiental to,tliehistorical,.cultiiral'or architectural heritage or resoueces.of the Town. .. • ti Lauric Young,Chair ate cc Brian Florence,Building Commissioner i Ann Quirk Town"Clerk 200 Main Street;Hyannis,MA'02601(p)508�624787(i}508 862 4784' 367 Main Street,H"annis;MA 02001(p)508 862 4678(f)508$62�4782,.; r Town of Barnstable . Planning & Development Department BMxbTAB . 9w, ';� ,� Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Elizabeth Mumford Chapter.112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 910 Main Street, Cotuit,Map 035,Parcel 090 Pursuant to Intent to Demolish Structure The Barnstable Historical Commission received a Notice of Intent to Demolish application for.this address, stamped by the Town Clerk on August:l6,2017. This property, located at 910 Main Street, Cotuit, Map 035, Parcel 090 is associated with the broad architectural and cultural history of this area. Iri accordance with Chapters 112-2 and 1.12-3 (D),Barnstable Historical Commission Chair has determined that this structure is a significant building. Planning&Development Department Elizabeth Jenkins,.Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601 367 Main Street,Hyannis,MA 02601 - C Town of Barnstable Planning&Development Department • a►tuvsrne�, 659. Barnstable Historical Commission- www town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk Geor e Jesso AIA �'ti ° T g he :7r,jT'e:a' i u=i t-^il,; Nancy Shoemaker Elizabeth Mumford ?H, 11.3 — August 18,2017. , Re: Notice of Intent to Partially Demolish Structure&Relocate 910 Main Street, Cotuit,Map 035,Parcel 090 Architectural Innovations,Inc. c/o Peter Pometti PO Box 2056 ' Cotuit,MA 02635 - Ann Quirk,Town Clerk A ,� 367 Main Street,Hyannis,MA 02601 �. Jeffrey Lauzon,Acting Building'Commissioner j c 200 Main Street,Hyannis,MA 02601 Pursuant to the attached decision,please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on September 19, 2017 at 4:00pm,367 Main Street,Hyannis,2"d Floor, Selectmen's Conference Room. This public hearing will be advertised,notices sent to abutters and a notice form will be posted on the building or other visible site on the property: Please contact Erin Logan at 508.862.4797 or erin.logan@town.bamstable.ma.us for processing information. Sincerely, Laurie K.Young, Chair LKY/ekl Planning&Development Department,Elizabeth Jenkins,Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601,367 Main Street,Hyannis,MA 02601 4 Town of Barnstable • ` " r' . TF"at�t"is Visible=Frmo the`Street `A roved Pla1t be;Retain ed on"Job"and thlsCard Nlustbe;Ke "t l n 'h�inr [t-s° Poos.ta.ered:h ais CCear tdif iScoa te`�:of Oc,c u pa-n,.cye.¢ Requre,,d;such B uPiPld: inag>schall nNsoNusT �O,,ccup stBARNSw P m,�639' ied;u.n#izl°a..Ft.l»al Ins:,pec.t.i,o.�,,n has been msa�;.dP Permit i ttbeWe Permit No. B-20-785 Applicant Name: GREGORYI HOUDE Approvals Date issued: 03/12/2020 Current Use: Structure Permit Type: Building-Sheet Metal.=Residential Expiration Date: 09/12/2020 Foundation: Location: 910 MAIN STREET(COTUIT),COTUIT Map/Lot: 035 090 Zoning District: RF. Sheathing: Owner on Record: MACKINNON, DONALD J TR Contractor Name.: GREGORY J HOUDE framing: 1 Address: PO BOX 152 5 Contractor License 210 2 ' g HINGHAM, MA 02043 Est Pr�olect Cost: $43,000.00 Chimney: Y" Description: INSTALLING HVAC SYSTEM 2.HYDRO AIRHANDLER"WITH DUCTWORK Permit Fee: $85.00 1-IN ATTIC 1 IN BASEMENT insulation: Fee Paid $85.00 Project Review Req: Date 3/12/2020 Final: t f Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is'commenced within m)x months after Iss an icia Final Plumbing: All work authorized by-this permit shall conform to the approved application and the approved construction documents fo which this permit has been granted. All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning;bylaw s and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or4road?and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable sign'tures by the Building and:Fue Officials are provi ed on this,permit. Electrical Minimum of Five Call Inspections Required for All Construction Work " 1.Foundation or Footing � t Service: 2.Sheathing Inspection , % `` x s Rough: 3.All Fireplaces must be inspected at the throat level before firest flueiinmg is installed g RO .`_ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth .of Massachusetts 3 j)Z)Lo k Sheet Metal Permit Map 0_SIjParcel Date: IZ 6 1,4 as d `�� �� Permit#� 's 0 Estimated Job Cost: $ Permit Feet Plans Submitted: YES NO ���Nlans Reviewed: YES NO Business License#. Applicant License# Business Infomsation: Property Owner/Job Location Information: Name: ;�'✓' Name: Street: Street: Q Gil�I/1�"�. SCANNED f City/Town.: / 5 City/Tovym: MAR 11.1010 Telephone: Telephone: q Photo I.D. required/Copy of Photo I.D. attached: YES' NO Sfa6Initial - -unrestricted li=e> J-2/,M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multifamily Condo,/Townhouses Other Commercial: OfFice Retail Industrial Educational Fire Dept.Approval Institutional Other Square Footage: under 10,000 sq.ft.Z over 10,000 sq. ft. Number of Stories: Sheet metal work.to be completed: New Work: Renovation: -:'HVAC ' Metal Watershed Roofing Kitchen Exhaust System' Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: a! !!`l b e G- t tl Town of Barnstable Building Department Services BARNME T = Brian Florence,CB0 ,� Building Commissioner: fa r� 200 Main Street,Hyannis,MA 02601 www.town.banistablemn.us Office: 508-862-4038 Fax: 508-790-6230 : Property Owner Must Complete and Sign This Section\ ' - If Usi_naABuilder as. of the subject pioperty hereby authorize to act on'my behalf; .. in'aii matters rel2tie to works authorized by this buylding petmttµ application for. :(Address of Job) : Pool feces and alarms aye the tesponsib�4 of the applicant,Pools ate got to be filled o�utilized before fence is installed and all final iilsections are pe�Eottned and accepted. Signature S' e o pplica'n Print Name. - Print N 3 �o Date QFORt�rs:owrrP szorrpooLs Rev:08/16117 - Town of Barnstable Building ]Department Services ' Brian Florence, CBO o Budding Commissioner 200 Twain Street, Hyannis,MA 02601 XAB.s www.town.barnstable.maus Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER 11C ESE EU7,I1TON Please Print DATE: JOB LOCATION: er strict village "HOMEOWI�TER": /0 XI�yN 6 !'"1' name home ph t w dc gone# cupizE VT MAILING ADDRESS: Ile) L1Q !town• state up code The cuaent 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 gapervisor. 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 snbmrt to the Building Ofhcial on a form. accep�ie to e Bu l�- of 1,`u i;zelshe s ;be responsible for all sick or peu3cnea unaer me buitaing peak. (Secdo 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 -regnireme d that he/she will comply with said procedures and requirements. Sigpatme cowne 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 EXEM 'iON 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.L1-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'superyisor." Many homeowners who use this exemption are unaware that they are assuming the responsibihties of a supervisor (see Appendix Q,.Rules&Regulations for Licensing Construction Supervisors;Section2.15) 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 wound 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 this issue is a form currently used by several towns. You may care to amend and adopt such a formlcertification for use in your community. Q\WpFII�ES)FORMS\biulding penult,for=\=RESS.doc 08/16/17 `aVN fNSURANCE COVERAGE: s equivalent the requirements of M:G.L. Ch.412 . Yes No ❑ have a current liability insurance policy or it q . If you have checked 1)Lgj, indicate t type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the.Iicensee'does not have the insurance coverage required by Chapter112 of the Massachusetts General Laws, and that my signature on this permit application waiyes.this requirement. Check One Only Owner ❑ Agent El Signature of Owner orOwne?s Agent By checking this boxEl I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and: accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and'Chapter 112 of the:!No Laws. Duct inspection required prior to insulation installation:YES Progress Inspections Date Comments Final Inspection Date Comments, . Type of Li nse: PtPew 44 aster By Title ❑Master-Restricted cityrrown ❑Joumeyperson gnature of Licensee Permit ❑Joumeyperson-Restricted , Li nse Number Fee$ Check at XTW rriass.gov_dal Email: o �e 1lA'�12.; �Iffh00 � 'Inspector Signature of Permit Approval 'amrort�erz # c}�seffs � ' .�,eia�ra�ent c�,�'�'r�di�triatl�e�irfs •- Off afbvemlgoo= 600 WasMagtan Rreet .B475tDT4 MA 02111 wu-kaeers, c=pemafren Iasi-mac f fida.viL E dersJ ' utract�rsfibers _ cam# Laffim PksePrInt � ITa 3 - - A/C0d� Are u an e=ployer? eckthe appropriate be -Type of project{rimed}: 4- []I asr a gen&J canmctor and I 5 de uce L Ianzaeiapl�s� 1 ]v=edffiesub -[]New " employ tful1.andkr part-time)- * 2.0 I am a sole lrrgFdetor arpa�r- listed Mice af#s�ed sherd 7. 02 sip and have no,Empl�zes .. •�ies�pub-ca�cactuts Isafiz g:;Q D�lifsflsf . •waddng Barin anY capa�ifg c°3' have u ces' 9 El E,uil�adcri� i$�ce , cofnp=m�,�,�# IN, 'comp. I El Weary a audits 1aD Elee[ar-al mpa:m of a i&= � 3.❑ Jama 7merdouJgall was�r ofrc sslxavE��R,,,itedfh�ir 11 1L[]Plumbmgsepa-oraa&Hd= aE cFf g ger IfGL 13..� oafregairs my-self[No wagmm'ceMP- 1 an3we hakeno ' e reauecLj employees-[No 13.❑t`ltaer ' Y gHCMtfast cbec s buz�l slsa fillwt3ee secti�beTa�v v ser ®e cep Y � mna�nru�st¢t�sui cris IIdacg mF� sIE�saic sal tSPnh�and��c �stsa�mitan�cs�nd. t o sac[+- ' a sane:�, cbecE s b=most s�d�sa sddi�nasl dme±sh�ihen of t3ze s cc�sctag so3 st�z�dse3Ls cernattvnse a sHsee ewes.Zfthe�h-r�n+��tx,ecfiace ID��s,��iFm�-idat��.u�r.'•mmp.po-liegmmmbet. unt au srnp7 ar t7itif �pru riir ivflrkers'co re�isr ixrn i snra a vr`m,}gmp&ywea: $aTD; is�ti'is pa�icy med jab spa trz,jorrrl�u.. . Jnsumce CompaayName: ,.. aaIlaf�: • . . 'Policy er Sef-ins.Ii• Affacl� Logy crf tsarhesz'eompcuss aapoTi ~cler7 ra4ia�Page(sho E n the PcRCY Huber and cpnsfion•date). . Falura to secure co emge as reg6zcdunde�'Se-cEon 25A:o€MC3.c-1�c-aa lead to EEie is icpsifirni of t iminai pews of a $ae up to$1,5�U Oa aadPe}r Cale yearimgasan ;as.�1 as dva, e s M- file f=a aF a STOP�OFX ORDER.and s 1 . o€n1r fu 0_€}Q a.da3r against Me�9l Be s�ivised that a COPY of this s uFay ba ded,fo the flfrit a of �xifi Firm .. ' T�estsga#ians oY$ie DJ&frir insgrance coveTa .. IT ZTO Fier.�v cat � rraris parjsj}'titnt-9is� D7IP .i rl a amp is bars earl ttrn eat Date- Frse¢ray. D-a nrat write apt furs arart,€rr b�t utp tgd by city o iFu ficctzL - rss3irI arft (cu-dL-one): 1.Baas of$ It£i.�, i s.Cay1rownak 4.EIe:uicAItmpevInr 3.Pl bmgr�pecfpF D'o�actPersoa: Phnn�#- `- 6 hformation and lustr.uCtIons Miis�cff:s Ge=rsl Laws chagt�r M requires aU c rn jffV s'fa campersation for-amir employees. P is this sty,an fMjr7Iuyee is dcfmf�d ypesonm f=scavice of anafher nndsr arcp coat ad of hirer cypress or iplinc%oral Or wlitb� An ea1P&TM-is deed as Sao ladi7lda4 parL=mbip,smoci dio corporation or other Isgal edify,or any two of more ofthe fnregomg c:agaged>M.aJoiut ewe,andmcla T the IegaIrepres of a deceased e :Eploycr,or flte recezvcr or tust-ee of an mEvidual,per,as,oci6m O'OfELerjepj may,=4210 =PIOY - Hnweyer$e owr of a dw eITmghoase Izavmg nfltmare than tb1�e aparfinex�s andwha resides$erem,or the occupant ofihe - dweDiag house of ano$er who ea pjUs persons in do mafitmancc,rrrr,cf•r-n t. o or repair woik on s=h dwelling house or as the grounds or bni-[ Mg apporQat3ttTierefo sbaIlnot because of sock=3plopm.ez t be deemed to be an employes 7 IvMM cbapter.L�52,§25C(6)also stems tb2t¢eYeU F f wr`IocaI agencysl�aII TzoId the issuaace:ar reuewaI of a license or permit to operafs a business or to caasfrurt buSdmgs in tTie conztao-aePeaIth for nag applicant Who has aotprodz<ced ac=ptable evideacs Of cdmpliian�=wiffi the hm=an=-coverage regQi[� Adriido aiFr,M(ff-chapt�x-I52,§.25CC7)sbLIes-Tezfficrihe canamanycaa nuraayofifspo�Isubdivisionsshall ea�terinfi nay�ct�rthcpc�ofpubIicy,'az�m-di-Ca.�ble eRid�ceafcar�&�ceF�hfhe;nzrr�nrP,- req�ea�s oftbss chap'�a'havebeeaPtrse�clto$ze car�a_��anfiioz�y_9 PIzase fm oil tb e worts'compensation affidavit completely,by cog-Ee bates f apply to gDUC r;f n rrrr and, necesszzy,supply�s)name(s),addr`ss(es)aadpb-c==mber(s)alongNaEffierr c s)of LiI�d Lb?E'y'Can3-Paaigs(L C)or l Liabx Y Pa csl¢ps(LIP) o-ZUPIU=Othm thao the members or p are not required to cmry ' 'T"m-."ce. Iiraa LLC or M does hz7m' • c�pIoyees,apoIicyisreq�. $eadv"sedthatthisa�ay�maybesdfntheDepadme�aflndn�ial . Accidents mr comfmnaiion of qm coverage Also be s❑re to sign.and dapiffie �_ _Tlae a�dav should— beTefmmed toe cry cite i—fimi fie pis orfiren��is beingreq rota D�patim _of Try;raT +�,;rT ,f �fiQaId yQr_havep� i• s rega�mg tfie IaFY ar ifyo a are reg¢ued tv ob tam arss' co'mpensati R,poficy,pleasecaatb=Depadm attbexnn.herhstedbeIow_ their self-;,,cm-mc;c Accuse zmnbcr acLthe appzo j aim line. Ghiy ar Town.Officials Please be so re that tlse afhdavitis caplc�mad.piE' dlegUiIy. The Departmaofhas provided a space at tiie botmm ofthe affida_tfor youto fM out mthe eveatthe Office ofluves gaiioas has to confactyQuregardmgtlze app&canL Please be sure to fllmtheperm Iliceasemrohex whicltwi�be sed as arefm-eacc-crumbcn Iu s6iR ion,su applicant submit ntuldple pemiit(Iicense agplitnns many giveayeaz;need only SQL one affidavit indlcatmg e=IIt . p chg5r_ , a "era(ff necessary)aad miler Slob�b3ra the apple shorld "all Ioc ;ns in (edy-oz ' tpwn)_"A cagy ofthe-a�davitthathas bey officra.Ily stamped orma�edbythe cityy artr�may bepmvidcd•tn�e ' . _- appfitmgt as proofthat a valid affidavit is an filer{�us'p= or licenses A nev{affidavitaarst be fiIled oiut each year_Where ahome owner or cid.=is obiainiig ELE= se or p=mitnnt=el din any businms or commracial (ie:a dog license orpeonit to bum Iea-ves of r saidpCrsao.is HOT=Tai3cd to cample'n this a$davit , The Office 0fTnV-��a fi=Vol ld bketffiank you maavm=for your coaperaticaand should you.have aaygaesfims, please do nothcsitafr,to give M a caIL The DepFta t'S ad ss,•f I--IE13 Me aad; CCU M: _ - - - . Rill TqL 41 61'�-' -4 QEd*6 car i- II GAF' > eat-z4-o7 _ WE a.unonvwcann vi maooaaawxau Division of Professional Licensure JJJ - Refrigt ician RT-004775. #' pires:08/28/202 GREGORY JOOU 73 LAFRANCL4 A{ g O HYANNIS MA'-fi2601`',''} 10, -N(JISS9:10�, Commissioner Commonwealth of Massachusetts Division of Professional Licensure ' Pi efitter *$Q140�PHCP-W PJ-029269 ,E `y--ires:08/28120; GREGORYJ OUD ^ 73 LAFRANCE'Ad U HYANNIS MA 2601:�, 9 01. l:10 Commissioner } SHEET METAL . : IS$UE Tf11d (3Ll"bW[NG LIC N r VSTER-t# 1 'R `ED' ' ##ORY J HOUCIE' �� HYANNIS, VFA fY2601- r w Fa y„, t DATE(MMIDDIYYYY) AcoRV CERTIFICATE OF LIABILITY INSURANCE 03/10I2020 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 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 CON NAME:A T debbie FAX ROGER KEITH &SONS INSURANCE AGENCY INC IAICPHONE (508)583-1106 IAIC,No): E-MAIL debbie@rogerkeith.com ADDRESS: erkeith.com @ 9 1575 Main S1 INSURERS AFFORDING COVERAGE NAIC# BROCKTON MA 02301 INSURER A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURERS: HO.UDE GREGORY NSURERC: DBA HOUDE MECHANICAL HVAC -INSURER Di 73 LAFRANCE AVENUE INSURER E: HYANNIS MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 514432 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. INSR ADDLTYPE OF INSURANCE mqn S n POLICY NUMBER MMIIDDY� MMIDDIYYYY LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE DOCCUR PREMISES tEa occurrence $ MED£XP(Any one person) S NIA PERSONAL B:ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ E]POLICY JECT C• LOC PRODUCTS-COMPIOP AGG S . JE S OTHER: AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) s ALL OWNED SCHEDULED N/A BODILY INJURY(Per accidenq S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS Per accident S UMBRELLALIAB OCCUR EACHOCCURRENCE S EXCESS LIAR CLAIMS-MADE N/A AGGREGATE - $ DIED RETENTION s $ WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNER!EXECUTIVE, El,EACH ACCIDENT s 500,000 A OFFICERIMEMBEREXCLUDED9 NIA WA NIA. 7PJUB0032847719 09/28/2019 09/28/2020 -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s 600,000 If Yes,describe under - DESCRIPTION OF OPERATIONS belovi E.L.DISEASE.POLICY LIMIT s 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks-Schedule,meybe attached It more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search-tool at www.,mass.govBwd/workers-compensationfinvestiga.tions/. Sole proprietor has not elected coverage. .`CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Donald .J MaCkIMOII ACCORDANCE WITH THE POLICY PROVISIONS. 910 Main St AUTHORIZIIED REPRESENTATIVE '3J Cotuit MA 02635 L Daniel M.Cr AJey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD AC O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD�YYYY) 03110/2020` 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMECT Debbie Christie Roger Keith 8 Sons Insurance.Agency PHONE (508)583-1106 F (508)583-8478 AIC No Exl• AIC No 1575 MAIN ST E'MAIL s: *dchristie@rogerkeith.com ADDRE INSURER(S)AFFORDING COVERAGE NAIC N BROCKTON MA 02301 INSURERA: Ohio Security Insurance Company 24082 INSURED INSURER B: Houde,Gregory,DBA:Houde Mechanical HVAC INSURERC: 73 Lafrarice Avenue INSURER D: INSURER E: Hyannis MA 02601 1 INSURERF: COVERAGES CERTIFICATE NUMBER: CL203507546 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER:D000MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. l PO P LIMITS L R TYPE OF INSURANCE IN SD D POLICY NUMBER MMIDD! MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S. 1,000,000 CLAIMS-MADE OCCUR DAMAUt TO RENTED PREMISES Ea occurrence) $ 300,000 MED EXP(Any one Person) S 15,000 :A BKS(20)56 46 58 95 03/31/2019 03/31/2020 PERSONAL BADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000,000 POLICY PRO- 2.000,000 JECT LOC PRODUCTS-COMPIOPAGG S OTHER: a $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO_ BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED. .NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE s REXCESSLIAB. CLAIMS-MADE - - AGGREGATE S D RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STAT LITE TE ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory In NH)' - E.L.DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Donald J Mackinnon ACCORDANCE WITH THE POLICY PROVISIONS. 910 Main St AUTHORIZ0&bm D REPRESENTATIVE Cotuit MA 02635 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Ai) ssessor's map and lot number .......................................!...a (} (� ��` SEPTIC SYSTEM MUST BE F 7 E N , Sewage Permit number ....................................................... IN INSTALLED TITLE 5 WITH q � AHB9T e L\E ..............:........... NA bHouse number .................. E ra E9iIR®1M S TOWN OF BARNSVABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Add_ new, deck ............... TYPE OF CONSTRUCTION Weed-Frame......................................................................................................... / ........ .. r.. .Y,........19...51...6 TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: x Location .....................91l �Q..Mtn,in..StZ'.aA.t......Ca.tuit o...Me`L.99.............�'42-� �....!�:.1......................................... ProposedUse ..........Nam..ftek......................................................................................................................I....................... ZoningDistrict ...........I-11.........................................................Fire•District ......cotui.t........................................................ Name of Owner ......R3 clia d...Ua.y1a—Lard.............Address ....RFD..Cerg,tooc.04k,....N.,R....Q322.9........... Name of Builder ....Richard..W.--Urd.......................Address .......!!. tt tt tt .......................................................................... Nameof Architect ..g/a............................:..........................Address .................................................................................... Number of Rooms ..n--/-g.......................................................Foundation AAMA.31ADA........................................ �� ..........Roofing ....nl Exterior .....................Yi.. ..............................................,. ..............,..................,...................................... I Floors 5/¢tt treated pine Interior ....A/A........................................................................ Heatingt/ Plumbin.......... g ..? �44...........:.:.....................:.................................... Fireplace ................:. 1/ 4.......................................................Approximate Cost . ].20.0. .QQ..,...............,.......................... Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area ...424..zq./ft............ Diagram of Lot and Building with Dimensions Fee ..., .le.. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH See attached sheets A ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the bove 1t construction. Name .. ...-..... .............. ................... .. ......................... Construction Supervisor's License ........ LORD, RICHARD & LAYLA is No ...29255... Permit for ......Build Deck.............................. .........SinRle ..F.ami.ly..Dw.e.ljjpg..................... . ...... . .... . ... Location M..X4in...5.t .......... ................... ................QQtLISX.................................................. Owner ....Rich.a.rd...8,...Lay.:La..L.Qr.d...... .......... ......Richard Type of Construction ...Frame............................ ................................................................................ Plot ............................ Lot ................................ • Permit Granted ......A P r.i.l..2.4.................19 86 Date of Inspection ............. ......................19 Date Completed ...... .......19 J a. /'�'-Assestor's-, moo and lot number .......................................I......... E Sewage Permit number .............................. ......................... BARNSTABLE, House number .............. ............................... MAG& 1639- a TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......dd'opw dock ......................................................................................................... TYPE OF CONSTRUCTION ...F.rX,p,. ................... ..................................................................................... Q. ........19...11.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followinginfoinlation- Location .....................QA#)..M&iyA...st.-nem- t.....rA J.,U.i:t S.............. 4.1................ ......................0 Proposed Use ...........NAW...B10.0k................................. ............... .................... .......................................................a.................. Zoning District ........... ............................................................Fire District ......rmtUit........................................................ Name of Owner ......W.aba rd...&Layla...Lwnd..............Address .......F. ..C.,R T) W.2a9.......... ..... Name of Builder .....F—4.ahla-rd...W.—Lo%rd' ..............Address ........ ......................................... ........ .. ................... Name of Architect .................a . -...Address ............... ........................ ........................................... rnbn................................ - Number of Rooms ..............................................Foundation IQ!...3 StUyla�.'10.0......................................... -n-l-IN......... - I f, -ior ................. ........................... z4........ Exiei ...P/ .................. ..................Roofing ............. .................................1.......... Floors ......................VAII treated...I.-j. n! ..................Interior ....AA................................ .............................................................. Heating. ..................A/A.................................................. ....Plumbing ...........................................................................I Fireplace ..................A/g.......................................................Approximate Cost ....................................... Definitive Plan Approved by Planning Board -------------------—-----------19--------- Area ...4-2.0,..a 0 ...... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Soo attached she-o'til"' OCCUPANCY PERMITS REOUIRED. FOR NEW,DWELLINGS 'I hereby agree to conform to all the Rules.and Regulations of the Town of Barnstable regarding the above-/ construction. Name .../ ..... ............. ..... ........-\14 Construction Sw.pervisor's' License ........ ,LORD, RICHARD & LAYLA / A=035-090 14 No ..29255.... Permit for .....Build Deck Single Familx Dwelling Location ...910„Main . .................Street.............................. Cotuit ............................................................................... Owner .......Richard & Layla Lord i Type of Construction Frame • 1 ................................................................................ Plot ............................ Lot ................................ Permit Granted .......April 24, 19 86 Date of Inspection.....................................19 Date Completed .......................................19 j �i f ,� 1187 `r` ';' ^`�... ottwe r� Printed On 3/2/2020 h-�7ryy� ComplaintCall Report « ,tom BARPIgrABLE. �910MAIN STREET (COTUIT) COTUIT case# c 2o ss Case#: C-20-93 Address: 910 MAIN STREET(COTUIT), Date: 2/28/2020 COTUIT Owner Info: Property Info: MACKINNON, DONALD J TR MBL: PO BOX 152 035-090 HINGHAM MA 02043 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code, Medium Priority Phone Complaint Summary: Anonymous letter from some of the "villagers" of Co t regarding work being done at 9100 Main,st,'7 Numerous trees are cut down, and there have bee any workmen at the property doing various things, These new additions include an A/C unit, new windows, and interior alterations. There was a single electrical service permit in 2019 (E-19-2139), and none since. Action History: Action Taken Date Description Fee Inspector Close Case 3/2/2020 referred to conservation $0.00 carterj Inspector Assigned to Complaint: carterj Filed by: scaliam Comments: Comment Date Commenter Comment 3/2/2020 carterj referred to conservation Date: ^.V >1I2I2020' � „°� �� ' "" Tow,h 6f,Barnstable, Feb 22, 2020 BUILDING DEPT. Attention: Conservation Darcy Karle FEB 2 8 ZON _ Attention: Building Division $rian,Florenyce TOWN ()F BARNSTABLE Several of us long time 'Villagers" have spent February vacation in.Cotuit. To say we are astonished at the lack of oversight in the winter months would be a gross understatement. We all follow the regulations, have for many decades. We apply, or have our local builders apply for the proper permitting, even on very small matters that call for it. We respect the communities desire and towns mandate to protect our precious resources.' We understand the importance of the town's responsibity to oversee all aspects of commercial and residential construction to ensure safety and code enforcement. We -saw..;he damages the new owner of 9:10 Main street did to the side lawn along Oyster Place atthe en't! of last summer It's now.barren ' Now we see more tree.cuttings Please go look!' Each time we come down; more'trees>are down Is it possible..it's the only property (or 2)to have storm damage�� R We also see chunks of cuttings by the path'between the arkm lot and 33:0 ster towards the water:'b the p _.. 9 Y Y Cotuit Dock lot There were also workman'.here all week, a porter toilet, new windows; a new"ac unit, more tree and bush cuttings by the fence in;the driveway at 33 Oyster To the best of our knowledge, no permits or permission were obtained We: poke to some of the neighbors who are NOT happy } This ".Sell and Repent" attitutle, or"Do what you want and %ask for forgiveness later" is everything that our Cotuit Village does not .represent This owner has an appetite to do what he wants and_,pay for it later, at the expense of the rest of us Upon further looking into the matter and speaking with local builtlers,'evitlently this Mr DJ homeowner asked to leave Nantucket Island for s;mi1: isregard for the local community and not following;the codes It a very sad comrnenton our,-,Villages' ability to keep our charm, protect our waters, our cotL.astal banks and nature while ensuring that builders apply for`appropnate permitting to meet codes : There has_to be a better way off season to watch over these properties 1Ne sincerely hope you take this matter seriously or we risk everyone feeling"entitled to do`what they want antl pay the fine'later Thank rd You for your time The Local Village walkers who-en�oyour beauty antl want to preserve it ��! � � a r� �. 3 .� ♦ a. � ��'���1J �" 3�8t11SNa'd8 �0 NMOl 1 N OZOZ 0 A Vvi Z �� 00 . 0 TfIG v z� e W O U J p �ti 06 m L.l< o 12 ~ a --------------------------------------- J - I I = U 7 3/4 2Xb RAPERS Go 2a D.C. 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DRYW£LL ����� / EXISTING SHELL :DRIVE iVE STRRS G "�°'`1 s nano , �14 ------- `� --- ---- -----��' X OP � ✓ `�pQ` C' / / 11 STING DWELLING \ Ce! 90 s \ 0. 6 _ 6p, A . C. �6 \ 28.0. EL. R0Pb5�0 o o \ {' n ADDITION\ c�\ _ N C N ��P£R06L� PLACE RA W _TH �O oNE 0 ar r r Q r �,,�, � • /• QOe OO�Q r r r r 30 �� r r r r III• ■T I .� r {Y r r PROPOSED CONDITIONS :,�� 28 N `� A ��: r r EN( ' FF 1 LAG SCALE 1n=20 RDEN '�'�, -/ i8 WIT •/••• o� / r GOP•o �6 DA1 W / P 35 12 r /r ?SO PEF • r MAP 92 � ,�p�r•r r Z 60 f SCANNED PAF r r } POSE 5 CLA APR 0 31010 X W, „��, L. S� �= r r ' mO SF' 1�A P L 0 26 � P X •3Lfo Z�z ti 0„ VARIANCES REQUESTED: UNDER MAX. FEASIBLE COMPLIANCE 15.405: (1f): REDUCTION IN SETBACK, SEPTIC TANK TO COASTAL BANK (25' TO 17.2') •/•• 2 2p 6 11» UNDER TOWN OF BARNSTABLE HEALTH REGULATIONS: 1 S (VIII): REDUCTION IN SETBACK, SEPTIC TANK TO COASTAL BANK (100' TO 17.2') 16 8 / 18» Ik l ACCESS FOR ROUTINE MAINTENANCE 24"0 CAST IRON 111 ICT or P']mf,%% ___ rnvPac Tn rDnnr SCHOOL. N o ST M NIT cz) -E d i-t h—M:----H a nd.e.r-son 69 Sp F+F� ��• M 97 ,_ vS CBd. OS 640 25'07 E 103 'l I' C.Bd. Spp } o PARCEL A I sus- L .6 262201± S.F. �sZ J e. area 0- -mow-) ----� ���(90 I L i 'C_Bd. N 62° 37' 30"W - ���K%�` r0 F • 'Q 125.85' � O a , I 388, „w .o ��� S.BCL 0 0 o 1=Z-0 i �� �a)cli to t IC o tJ Aso 0' e d 1 ;CB S y t _ 'L/�° sus. PARCELe�� - - - - _ � > dl* \ F'- Plan Book 303 a S F Page 96 X 1 J` 0 B0R i I certify that this plan has been prepared l-. ._.. ...� .- j . . . 0 U T i in conformity with the rules and regulations , �` _ _ ---. _^:.•_ �---_������� _ . ,� 1 of the Registers of Deeds of the Common— 3 " REFERENCE RULER ` a C wealth of Massachusetis. Date Registered Land Surveyor i l } 'r s �l )t I ~ ' Ir 1 d . R.. ' b•. a ,�. T � R '*. C` rl �I. A y1 4� i f