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HomeMy WebLinkAbout1160 MAIN STREET (COTUIT) 6 0a,i �I s ' Town of Barnstable, *permit# ; 2oo-760 t q_S Expires 6 mondis from issue date ' Regulatory Services'' Fee 4 Thomas F.Geiler,Director Building Division « ,. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 k EXPRESS PERNIIT APPLICATION RESIDENTIAL ONLY•. Not Valid without Red X-Press Imprint Map/parcel Number 03 Property Address 1� 0 �'l'1Gr th, 00/V1 1 « Residential Value of Wor �� . . I�'" �t177Z�• Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address CC ' Contractor's Name J (0 17` i/c� _ Telephone Number• • J-L) F 3 G 2-° ?5'3 Home Improvement Contractor License#(if applicable)_^: 9 D 2—" e ,. ���/a�(j e_, Construction Supervisor's License#,(if applicable) W'Workman's Compensation Insurance Check one S S PERMIT ❑ I am a sole proprietor, I am the Homeowner DEC 2 4 2007 I have Worker's Compensation Insurance a, Insurance Company Name L ,C , TOWN.®F BARNST�►BL a ' Workman's Comp.Policy# WC,4 3 i S 3 b /8�'9 `'O J� .,4. Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑.Re-roof(stripping old shingles) All construction debris will betaken to ❑>Re-roof(not stnpping 'Going over existmg:layers of roof) .:. -Re-side Replacement Windows/doors/sliders. U-Value t j (maximum.44) T �; *Where required. Issuance of this permit'does not cxernpt compliance with other town department regulations,i.e.•Historic,Comation,etcrrT�+ ***..Note:. Property Owner must sign Property Owner Letter of Permission. CID A copy of the Home In, rovement Contractors License is required. ,, 3IGNATURE: c� tzr �:Forms:expmtzg to ise061306 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111'. www.mass.gov/dia ' Workers r Compensation Insur,,mce Affidavit: Builders/Contractors/Electriciam/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individud): UGC/ o1(jVn lz+1 07 Address: Z� City/StateJZip: (0 Mt 0 U 3 s Phone.#: 5-6 Are you an employer?Check the appropriate box: :Type of project(required):; 1� employeram a with Z 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 an 'attaclied sheet 7, ❑Remodeling ship ad have no employees These sub-contractors have S. ❑Demolition Y capacity.for me in an i • employees and have woricm' avorlring P t• • 9. ❑Building addition (No workers' comp.insurance comp.insurance. required.) 5. 0 We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all-work officers have exercised their 11.❑Plumbing repairs or additions. myself[No workers' comp. right df exemption per MGL 12.E Roof repairs insurance.required.]t c. 152, §1(4),and we have no . employees.[No workers' 13.❑Other comp.insurance regiured.] *Any applicant that checks box#1 must also fits out the section below showing their workers'compensation pokey fi&nnation. t Homeowncmyvbo submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. tConb=tma that check this box must attached an additional sheet showing the name of the sub-eontractors and state whether ornot those entities have employees. lfthe sub-contracton have employees,ffieymust pravide their workers'comp.policy number. I 'an employer that isprovlding workers'compensation insurance for my employees. Below is thepolicy and job site, information. > } Insurance Company Nm ne• L i /3 e-AL r-'-/ iI a.—7V4.- Policy#or Self-ins.Lic.A l/1✓C v2 ' 'j .3 4 8(a iration Date: �ti L ZUU Job Site Address: �L6 D Ira /n. /" City/StateJZip: l�y► d . Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Fail=.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip tb$1,500.00 and/or one-year imprisonment,as well as civil penalties in the foan of a STOP WORK•ORDER and a fine of up to$250.00 a day against thq violator. Be advised that a copy of this statement maybe forwarded to the•Office of Investigations of the DIA for insurance coyerate verification. ' I do hereby certify under the pains acid penalties of perjury that the in provided above is true and correct: Si tore: V�l� Date: 6 Phone#• If 2 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): .'I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone Confect Person: #• � tw,ti Town of Barnstable Regulatory Services IMPNsrwsi.E. ernes. $ Thomas F.Geiler,Director �E1619. Building Division Tom Perry,Building Commissioner .• 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, G: yl U , as Owner of the subject property hereby authorize 6 C6--tr-- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) /I 3L(? 2-- J' . 4 of Owner 15ate `fin A- Print Mame If Property Owner is applying for permit please complete the HomeownersLicense Exemption Form on the reverse side. Q:FORMS:o WNERPERMISSION s . Town of Barnstable pF THE 1p� Regulatory Services t Thomas F.Geiler,awxxsrAsrs, � ,Director 9 MASS. 1639. Building Division PIED ram° Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vrmv.town.b arnstable.ma.us Office: 508-8624038 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 hermit. (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:fornu:homeexempt Liberty Mutual Group Li P.O.P.O.Box 7202 A�� � Portsmouth,NH 03802-7202 ldl ® Telephone(800)653-7893 Fax(603)-431-5693 September 18,2007 THE Iv1ARSH HOUSE TRUST 82 HUTvRv'1OCK LANE COTUIT, MA 02635- RE: Certificate of Workers Compensation Insurance insured: OCEAN NIOUNTAIN CO INC PO BOX 1925 COTUIT, NIA 02635 Policy Number: WC2-31S-361868-017 Effective: 6 /2 /2007 Expiration: 6 /2 /2008 Coverage afforded under Workers Compensation Law of the following state(s): NlA Employer~Liability(Limi4 I Sole Pro_prictor/Partner Coverage Election: Bodily Injury By accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requi rement term or condition of any or other documents with respect to which this , certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual xvill endeavor to notify you of such cancellation. X_U AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: OCEAN MOUNTAIN CO INC ALNIEIDA& CARLSON INS PO BOX 1925 92 TUPPER ROAD P O BOX 719 COTUIT, NIl� 02635 SANDWICH, NLA 02563 9/I8/2(.x)7 A) -Vc�ry�7;ry���xGseccc�y ��'�Gl�2tikt:nC'�6u,Qe�.6 _T— T � � 02. Board of Building Regulations and Standard's_ ndard s HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before.the expiration date. If found return to: Y Registration -152902 Board of Building Regulations and Standards rExp�radon 0/1:3/2008 One Ashburton Place Rm 1301 r TYpej_r Boston,Ma.02108 f i"1 OCEAN MOUNTAIN5INC - � SCOTT BUCKLEY \� 2 = 244 SANTUIT RD CO.TUIT,MA 02635 � �•aQ.�....` Administrator Not valid without signature r °FINE T Town of Barnstable v Barnstable Historical Commission * BAANSTABLE, * 200 Main Street, Hyannis, Massachusetts 02601 MASS. (508) 862-4786 Fax (508) 862-4725 1639• www.town.barnstable.ma.us p . Linda Hutchenrider, Town Clerk C)D 367 Main Street, Hyannis MA 02601 Thomas Perry, Building Commissioner; 200 Main Street, Hyannis, MA 02601 N . l— oYZ f-1 Anthony and Judith Salerno OD 1160 Main St, Cotuit, MA 02635 Scott Buckely PO Box 1925, Cotuit, MA 02635 Re: APPROVAL of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7 on the application for demolition of portion of a building as follows: Locati : 1160 Main St Cotuit Assessors map 34-058 Applicant/owner: Salerno, agent, Scott Buckley Date application submitted: May 7, 2007 The Barnstable Historical Commission reviewed the above referenced application at their meeting of May 15, 2007. At that meeting, they made an initial determination that the building at the above referenced location is historically and architecturally significant and voted to hold a public hearing on the application for demolition. The Board found that the historic inventory of the property states that the building on this site dates from 1875 and is listed as a contributing building in the Main Street Cotuit, National Register District. A public hearing was held on the application June 4 2007 at which time the Commission reviewed revised plans. The Commission voted unanimously to approve the demolition of the roof at the above location. Present and voting to approve demolition of the roof were: Barbara Flinn, Vice Chairman., Jessica Rapp Grassetti, George Jessop,AIA, Nancy Shoemaker and Marilyn Fifield. Sincerely . Barbara Flinn, Vice Chairman x, Iri �14 i 4l0 ? ^ r _ a u El ~ NOTE5: A: NEW Roos DVtF N.R. '/=LC CM,?N Lh ES FROM 1F B: J}D l7 rr Coi.NE1L 3o A20� l'o �EC_IN E'tA-TE �R\6aN NL HDOSE CD RNER. - ^ e � - - C'� YZEMOVt AWMIN Jvh Oa�i NG. ftND 1—NSTWIL 'RED Ct`A4'eZ LLJ<�So�^—OS �wrt�TE.� - a w I I�o ..4nal+N 41TRt'CT • YrT1oN �1-oF J RN XD TycoNf �V ' . b - El El 0 NOTES: R s»1Nei VVNRE GEl>kk Si -WGLES (7.t,NT N� VND ER NEY.TN .. hNV Rt}�DE W�C'H' NR-TVP.gL WHETS C.eUA-."Y 9H�1.16LEy ' ' $: rZemoY6 6�(. �Lx�T� 2€4uCt=wlc.>r w�taows� znLSz'w,� �i.1Vt�SEN WH1Tt .. 244fe "tw wINoo wS WITH 1/` 9r:11eS L,gfi v.-ZCN Eb) ' TDNY SRLERNo ram52 0} REV 15C"D LEFT ELE V fFT"10 N e Z o F 3 4V El III L-1 L I I __j Li r ToNy SAI.ERNO �s I��wO yv�W-�H 9T V.EEr' - CoTatr MR REVISED Kei¢2 EL. vwTDfA ow3 oFw3 - 1 , Town of Barnstable *Permito2,6 .'S � Expires 6-months froin Issue date X-PRESS PERMIT Regulatory Services Pee L--,-2, JUN 2 6 2001 � Thomas F.Geiler,Director Building Division TOWN OF BARNSTA LE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without RedX-Press Imprint ^, l� Map/parcel Number 0 3 L.d S� Property Address ❑Residential Value of Work Sj 0" Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Se, o Contractor's Name � �C6- - (�(� Telephone Number c�� 3(0 �`3 Home Improvement Contractor License#(if applicable) 0 L— Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: [] I am a sole proprietor ❑ I am the Homeowner /0I have Worker's Compensation Insurance Insurance Company Name 1 3 bq!7 � Workman's Comp.Policy# !�e:� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) _jnRe-roof(stripping old shingles) All construction debris will be taken to to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: v Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts w Department oflndustrial Accidents _. Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers ,applicant Information Please Pit Legib�v Naine(Business/Organization/Individual): C tit, ✓✓t a Z`<07 - • 43 Ir dv dress V, y (� �S Ad City/State/Zip: 4 Phone.#: Are you an employer? Check the appropriate bozo Type of project(required):.'` l. to er with 4. ❑ I am a general contractor and I I am a employ 6. ❑New construction . employees(full and/or part-time).*, have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the'attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have g, []Demolition working for me in any capacity. employees and have workers', 9. []Building addition [No workers' comp.insurance. comp, insurance.$ 5. [f We are a corporation and its 10.❑Electrical repairs or addiaons ' required.]. .A 3.[] I am a homeowner doing all work officers have exercised"their 11.7 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees. [No workers' comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new.affidavit indicating such. 1contractors 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. law an'employer that is providing workers'compensation insurance for my empld ees. below is.the policy and job site information. Insurance Company Name:' /NG✓I-L/c,L A,C46— Policy#or Self-ins.Lic.#: ! W Expiration Dater O Job Site Address: 11(,o- City/State/Zip: (pd'"r Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fail=to secure coverage as required under Section25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the'Office of In restigations of the DIA for insurance coverage verification. _ I do hereby certify:ender the pains-and penalties of perjury that the information provided above is true and correct: Si afore: U Date: Phone# y 8 �3 Fj,c,-c,aonly, Do not write in this area,to be completed by city or town ofjteital. n° Permit/License'##hority(circle one):Health 2.Bidding Department 3.City/Town Clerk. 4.Electrical Inspector 5.Plumbing Inspector Town of Barnstable *Permit# F-Wirea 6 mend=fro=r P dw, JUN-8-2007 09:15 FROM:ALMEIDA CARLSON INS 5088880550 TO:5084202974 P:1/1 �1"1^44T!['T►� CERTIFICATE OF LIABILITY:..IN.SU.R►A-N F- ' a�TE(INMrvvrrYYYy 06108/407 ALMEI L'R -"Phorro: (508)8eINSU INSURANCE AGENM-055CY - THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFORMATION ALMBOX$e CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHT$ UPON Twt; C9011FICATE SANDWICH BOX H HOLDER. THI$ CERTINCATE DOES NOT AMEND, EXTEND OR SANDWICH MA 02563 TER THE COVERAdt= APPORDEQ 9Y liiE POL I LO INSURERS AFFORDING COVERAGE NAIC# ` INSURED INSURER A: Liberty Mutual Insurance OCEAN MOUNTAIN COMPANY INC INSURER 9: Insurance Innovators Agen� CfO SCOTT BUCKLEY y of Neulr England Inc. En BOX 1925 INSURER C. COTUIT MA 02$35 INSURER 0: INSURER E: COVERAGES 9ORNPRALLIAMLITY CIES OF INSURANCE LI$ D $FLOW HA BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING UMEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE, MAY BE ISSUED OR AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i4qR TYPe OP IN6URANCEPOLICY NUMBER rOUCVEFFECTIVE Pa41tYOWRATION ATE M7of1M1' GATE mmaimi Y LIMITSTY NPP1082085 05129107 05/29108 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY DAMAGE!toRENTM 50,Q00 � ARamises A np..*** CLAIMS MADE I^1 OCCUR MED.EXP(Any one person) S T $1000 19 _ PERSONAL&ADV INJURY $ 300,000 _ GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG. $ 6001000 X POLICY DECO_ LOC _— _ AUTOMOOILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (£a arolraSnU $ ALL OWNED AUTOS BODILY INJURY . SCHEDULED AUTOS (Par person) $ HIRCD AUTOS BODILY INJURY $ " NON-OWNEDAUTOS (Ptr=6&nt) 71 PROPF,RTY DAMAGE $ Pcr acc dent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYALITO OTHER THAW BAACC S AUTO ONLY: AGG $ EXCESS f UMBRELLA LIABILITY EACH OCCURRENCE $ . .I OCCUR 7 CLAIMS MADE � AGGREGATE $ DEDUCTIBLE $ `. __. . RETENTION$ w \ .... ... ...._ $ WORKFRSCOMPENSATTONAND. BINDER 08102107 06/02108 T7RYiIM1T3 °THFR F.MPLOYARS'LIABILITY ANY PREII'MS MPARWERIEXECUTIVE- E.L.EACH ACCDENT $ 100,000 A oril!"IDAMN".P trJCCWOm7 t - I E +, # �' E.L.DISEASE-EA EMPLOYEE $ 100,040 R ynp,tleltlRDe antler �.� - •— oPeGIAL PROVISIONS below ;,++; E.L.DISEASE-POLICY LIMIT $ 50Q,QOLI " OTHER' DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLP-SIEXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE IAXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY8 WRITTEN NOTICE TO THE CERTIFICATE 1101,0ER NAMED TO THE LEFT,BUT FAILURE TOWN OF BARNSTABLE REGULATORY SERVICES TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, SALLY SHEA ITS AGENTS OR REPRESENTATIVES, 200 HYANANIS IN STREET MA 0 601 AUTHORIb R RE$ENTATIVE Attention: "508.790-6230808420-2974 ACORD 25(2001108) Certificate 0 3211 �/ ©ACORD CORPORATION 1988 Aj " i ,a,.. JHE Town of Barnstable. Regulatory Services EWSra8I ' Thomas F.Geller,Director a:nss. r�AT fp s a� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstzble..ma.us Office: 508-862-4038 Fax; 508-790-6230 Property Amer Must Complete and Sign.This Section If Using A Builder I, I D L rD , as Owner of the subject property hereby authorize Coo TF L-C- y to act on my behalf, in all matters relative to work authorized bythis building permit application for; , It � b 1 � .�.� • o' u 1 1 (Address of Job) (1 4k - . 2 g' of CWner Date A W tJ S8 Lf2 o Print Name OFOP MS:O�N�RPERvIISSION ' °FINE�° Town of Barnstable Barnstable Historical Commission BARNSTABLE, *' 200 Main Street, Hyannis, Massachusetts 02601 MASS. $ (508) 862-4786 Fax (508) 862-4725 QpA 1639• www.town.barnstable.ma.us TFD MA'i a. Linda Hutchenrider, Town Clerk 367 Main Street, Hyannis MA 02601 3 CD -pG Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 'C7 , Anthony and Judith Salerno = r7l 1160 Main St, Cotuit, MA 02635 N Scott Buckeey PO Box 1925, Cotuit, MA 02635 Re: INITIAL DETERMINATION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 119-7 on the application.for,demolition of portion of a building as follows: Location 1160 Main St Cotuit Assessors map and parcel: 034-058 Applicant/owner: Salerno, agent Scott Buckley Datexapplication•subn itsed May 7, 2007 The Barnstable Historical Commission reviewed the above referenced application at their meeting of May 15, 2007. At that meeting, they made an initial determination that the building at the above referenced location is historically and architecturally significant and voted to hold a public hearing on the application for demolition. The Board found that the historic inventory of the property states that the building on this site dates from 187.5 and is listed as a contributing building in the Main Street Cotuit,National Register District. Present and voting to 'refer the application to a public hearing were: Barbara Flinn, Vice Chairman.,Jessica Rapp Grassetti, George Jessop,AIA,Nancy Shoemaker and Marilyn Fifeld. Sincerely Barbara Flinn, Vice Chairman4.( l�t 6S .£ lid 91 W OR Town of-Barristable 200 Main Street i Hyannis, MA 02601 a Mnsa.o � Iisn.M, ofi e,.,,o_D' E S`[drre§�,"rt toa.a�D r�',{x�' tixe'fi £'a.v,;o- rx Mor,j:1f'�•e`'m3.�art?'�n�....al.lr 'a'°'qfi'�r�+yn;t�r' r�K+u B�+ O' f T oh +"F " 'fi tfT'A Wo wer HNS O .�$L Is Building/Structure located in a Local or Regional Historic District: YES ❑ NO 2007 tit Y —7 P� �' cQ�7 ���� �'� �'n��r If YES, Protection of Historic Prope ie 'Bw does not apply and it is not necessary to it out her i of this form. PRINT IN INK.- -�...._,_. _ Date of Application: �O r DIVA, Building/Structure Address: G o IMaWI ST, COS r KA& . 02G 3S Number Street Town State Zip Assessor's Map#: ep Assessor's Lot#: Is Building/Structure listed on the National Register of'Historic Places or on a pending list with the National Register of Historic Places: YES NO ❑ How old is the Building/Structure: I �_S How is the Building/Structure Occupied: �2�S l l� �'- ���-- Number of.Stories: <Z Architectural style of Building/Structure;describe if not known: V PX r,a t=V. e,(f %e-`y— Material of Building/Structure: W Ovb C`--r e, vne-_ IL Q VVI I 5 I C(I v, Is this Building/Structure associated with one or more historic events or persons. Please list event, description or names Tye of Building/Structure and propos d work:y 12��,r�,*10— Yt sh 0( S�rvclVVre— l d p�v tt �L t� Ll te> EC i S M A W, Ju S 2 i3Y✓1,1 CT-kl\ A/-- crP t (_U tM d r? 141 U vV1 s S 1d i vl a a1n 6 Vt C, W C e--d-a' L' 4 ! laJ C_- S Y)l lei Explanation,Qf the prop ed use to be made of.the .S he site: . USA_ a G'Gr�, �'Zc GY�� �U� mil(lt-2. c v,.-c v tr F___11"1 I y Zoning District: Fire District: Applicant's Name: I_- �-t-✓1 �Ug 3 T 253v Address: �`�� ��k (9 2S G v act' VP)14 Number Street ff Town State Zip Owner's Name: pT��/ ��t l� (l 0 Address: UA l to S`f Co ky vl/�A - C)2_6e Number Street r Town State Zip Contractor: Address: 2, VN 5A-7U-7UVT OAk dZ_ 3� Number Street Town State Zip Program of Lot and Building/Structure with dimensions: S 0A" �- � j� S Name: C y; Criteria for Evaluation of National Register Nominations: MAN& The National Register is a list of historic places which are "significant" cultural resources. What exactly is "significant"? It is the quality in American history, architecture, archaeology, engineering and culture which is present in districts, sites, buildings, structures and objects that possess integrity of location, design, setting, materials, workmanship, feeling and associations, and: A. that are associated with events that have made a significant :contribution to the broad patterns of our history; or B. that are associated with the lives of persons significant in our past; or C. that embody the distinctive characteristics of a type, period, or method of construction or that represent the work of a master, or that possess high artistic values, or that represent a significant and distinguishable entity whose components may lack individual distinction; or D. that has yielded, or may be likely to yield; information important in prehictn ni or history. 37-4'-6O Assessor's office(ts loor): Assessor's map an of nu er 7 INSTALLED SYSTEM� `THE Conservation 3 — �S Te4LLE®III COM Board of Heal rd flo WITH-nT Sewage Pe it umber � y��., fl/�� - � � /� IRONANEI,, `� Descry AntE S Engineering Department(3rd floor): / / ,ff �!?dq�� F'�e' AL CID House number Definitive Plan'Approved by Planning 96aid 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARN BUILDING INSPECTOR APPLICATION FOR PERMIT TO � Ajjirr(olo 'IK,� c�r 'l TYPE OF CONSTRUCTION _(A )Ag c- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location (a Q ffjA/Atl STA C 1 00 ?—(-j V Proposed Use &AA 2- F Zoning District Fire District Name of Owner WARR(JeJ A AA11) Address 101 s-tw . A i(-(- R6_ No. f't O1 & rat CA 94s Name of Builder i c7'Y) 1jqr!S r, Address 3 C-a fi aY-b—d 6 L') (4 Name of Architect /'"\ Address /1 Number of Rooms l J Foundation l Crvi C_ ,- 0 LQ_ Exterior !✓�LIL�( ��(�9 C-'^TO MAC CFI 6K(.ST-kAARoofing ASP-AALrM Floors Interior Heating &A S Plumbing (IPA-kA ZPVC- Fireplace N �� 4:dl �; ►1t�'(ate Approximate Cost APO Area Diagram of Lot and Building with Dimensions Fee 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 Construction Supervisor's License 0 91 (t 3/28/95 034.058 No Permit For � 1160 Main Street ? Location CoruTr , Owner Warren•& JoAnn Roy ' Y Type of Construction a Plot Lot Permit Granted i 19 Date of Inspection 19 , Date Completed �� 19 i ?05 p1 - _ � COMMONWEALTH WEALTH DEPARTMENT Failure.to OF OF PUBLIC SAFETY P'T°"�a Aadrisnt MASSACHUSETTS ONE ASHBORTO,H PLACE Massaohaeet;;-:. BOSTON,III: Codal canaotorerftilding © 02108 $ oftA/allaasa_ ocat/on EXPIRATION DATE 1031t7 L I C E;'V S c CONSTR. 1�ilp'2VISOR 0�/�TOI �9� CAUTION RESTRICTIONS - EFFECTIVE DATE I O N E LIC-NO. FOR PROTECTION A 3r /19; V09474 THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE R *10RSF BOX ON 393 L akE:HOr1E DR LICENSE. Wi0T0 10PRNTLY) `�D `C H M :? BLASTING OPERATORS FEE: MUST INCLUDED OT0 HEIGHT. _ NOT VALID UNTIL SIGNED BY STAMPED.OR_SIGNATURE OF THE AND Iss1O OFFICW.LY THE COMMISSIONER THIS DOCUMENT MUST BE r // JUL C 6!, ♦/.' CARROTHERS-RICATT TTHE HOLDER WHEN EN- ATURE —rOF SIGN'EDIN TMISOCCUPATpN, NSEE I NAME ABOVE SIGNATURE LINE TONER ...- ,. �r HOME IMPROVEMENT CONTRACTOR . Registration .104296 ; Type - DBA tzpiration 07/13/96 : : : ',, Thomas R. Morse Remodeling S ' Thomas R. Morse4Fq ' td393 Lakeshore Dr Sandwich MA 02563 ' > 11"02 ^; 17: 02 �61;-Or j9O DEPT IND ACCID 001 rF- r. �Oli-,ww1?It-ic a 1111. O� aU12Partmenl 01JncLtr4a[_,4cc4Lnb 600 lNa444Vton StmR l James J.Campbell &Ion, 1//aMacLdd 02 t Commissioner Workers' Compensation Insurance Affidavit with a principal place of business at: s S do Hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number (,f [ am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the fallowing workers' compensation policies: Contractor Insurance Company/Polity Plumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number {) I am a homeowner performing III the work myself. ~ s1 = c�c�cf t` __:e ren;k1i.�E ^^r; rCEL1c e O`a of 9nvtm tors of d-,e DIA for coverage verification and that fzifure to severe rec:.:ed CnC 5 cn 2 A cf MG' .;52 ca.�leae to xt� in�csrcion ci urinal enzl;;es consisine of a fine of up to S 1,500.00 arcfcr cc= yf . ` ;T roc--c�,: ?l as c Jil Dena i'•E fort cf a STOP WORK O .DER nd a fine of S 100.00 a day against me. ,, Signed this day of J , 19 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMAT1011 CALL: b i 7-727-4900 X403, 404, 405, 409, 37S s6 0 OF BAR.. -- .B71 BITDING PERMIT f .37 - - The Town of Barnstable • BA&N9rABU- �e� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: l 1'to k Est. Cost Address of Work: �,(00 /y tzV S7t ebTuTr— Owner Name:- .�1.� a 1 i� AJ Date of Permit Application: I hereby,certify that: Registration is not required for the following reason(s): Work excluded by law i,3 undei Ili i Building not owner-occupied O"Mer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby ply for a permit as agent of the ommcr: Date Contractor naMc Registration No. . r OR' 'Date O%Nmer's name U 2� STD-)D 1 CIF '4—-11995 11:41 RU nd .. ............ rt* Wild tourt C-spelficuis No. in t.ap&k ...........3,At;,q Barn.-.. Of bee A. ............ . vard"51,11F. Land in Earn-stabit, ily Netsw7 S-earsg & F . ..... ............-......... -------- Do& 0 of Deeds ?,.an A A EN f ;,00 P GAGE COMPANY ORTGAGE D-4SECTIGM PLAN Ml— �', --Sny2ier - PZ�,ul A', Hedsvciim, cr K i me. ci 3 rlgq a RA X C) am SE, t Od tts•,. t -4 S A�rL) R A I IIIL R E V Z i Im March 6, '19ss -too V4 cl,R r 1 a c4. s e"` N I M- ft&11-90 W�� X h NO n . -& kill; t,,� C N, mmg,w -M2­ A L AN-)4 Pl y ef� Wts r 1 Wz� g ............. ------ p • LHM- 2—t ELE\/ATIOJ G ALE JV'•=1--�' _ _ e16H T fLE VAT pAJ- - - - Owr[:i•l7-js �. By..SNARON MALO•+E-SON.+jo'J FcR To.+ Npagc ncD2. �w i.�1� - - L DE C 9 ots LAJ w v i 1 13 ii iLLG HATGw 4JCd T iw6 w4T e� AI,+.A!4VTTEas. I LVT Accvif !s m5s,A ,c I I ee O a6— i n a w5 TE aaS w ATa JtwT AS Kk cooE I - .a a •Tcs.�Ac.s..T - t' -7 a V1 AYl,1 DlAi h ¢ESS -9-7^ tlDS•de7elt—= _ '_7 I 11 TIIE.• BATwF�� � V . �.p•T - OCOP BZ mc.WAa-L W'IL^K B" _ -V IREI SVB i I VIAYI T4. COAT.FTb TO A"OW TOR � -^r �`ROC<I.TE RIOR A.4 HATCH Ivr,^ 4r - - - —� a.v SwoE ''�e I -Fs.uS d-Fa.004S- 4.0'6445N �. I I) ; i BAr - � ax9 df• -MATCH Fw04'EVE" LER n�m0� .,"WL §fnc-E o Rrys iw! elo e %c P.T. b � I v lOyy I.I. WJOVST CAO - l - )ALL 11 14 VEu7 ACCORD1.2GlY'TO-CC - CRAWL§OACE : IIJA�E W/11 x8• 60MT.sTa DAMP- . P[oos 6E-0!•RACE $RKK sACE COa)(, iLJN A.O.2 . _ - fRAMl.Jf SEcrlOwl F211gnAT, .FLOOR PLA.A) - - - AU tE !i/iv"-r.d•• . I,Jlu Dom t DOOR ycHEDutf . j Al.MBE IC QO. 61-ASf. 1. 6e1E TwEQ O —ter.— _ A wsa 0 �,. fir_ . H�sessor's offioe Ost floor): �.�� ©�� /� `7 M ®� Assessor's map and lot number . ......... .. INSTALLED IN CC)M Boa of Health (3rd floor): ��sl` H TITLE Q n l Sew*;ge Permit number ... 3...�� ..... o ...... " BAH9TSDL s 1 ENsiENTALCEngineering Department (3rd floor): O '639 House number ............................ ..... .................... TOWN 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 ....J.'7..u.D..... .................................................................................. TYPE OF CONSTRUCTION .....0 o cQ �(�0ber..................................... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... /YA17.A St. - �o�tA-i7- ...�....,.,./................................ .�... ..r............................................................................................................. ProposedUse .........5,y', . L4 , .........FR1L.�............................................................................................................. Zoning District ................... ....................................................Fire District ....................lL l ............................. Name of Owner AL-ee/1 A•,.AuST�in Address it- 3 oa77� k4^C. ................ ................................. .................................. ..... .,. . ....................ti.............. Name?.of Builder .&P': ..'�P b... 2� .. �?f'................Address Name 'f Architect ..................................................................Address .................................................................................... '1 � .Number of; Rooms ......................................................Foundation ...4.. "e?..;g4;4: .14Tt�§AA....a ............ / Exterior .. .....................................................................Roofing ........At. .................................................................. Floors . ............................................Interior ...... ..................................................................... Heating .... .!4....................................................................Plumbing ... .................................................................... Fireplace . 0...................................................................Approximate Cost �Y&00. Da .................... . ... ............... .... ................ Definitive Plan Approved b Planning Board _ __ PP Y 9 - ----------------------------)9-------- . Area ....... ��....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH i _ 1 N s7 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 .. . ............................. Construction Supervisor's License ..� 3kS...................... AUSTIN, ALBERT A. i 1} 333 ADD DECK �No ...: :..33.. Permit for .................................... r �; Single Family Dwelling Location 1160 Main Street ............................................................... Cotuit Y# .....................................................I......................... �4 Owner Albert A Austin * Frame - Type of Construction .. ............................................................................... KyPlot ^r ... ............ Lot ................................. , Permit. Granted .....Oc.;ob.e):...? .,.::::.19 008 Date-of Inspection ....................................19 Date Completed ................�.�.::..........19 s Austin I 1160 Main St. Cotuit, Ma. 02635 Pressure-Treated Lumber i To be sure that you receive genuine Wolmanized pressure•treated wood,utilizing genuine Wolman preservative.look for the Wolmanized trademark on the wood you buy.Accept no substitutes. i i U ' yl - J 47714111 Cape Cod c k9 Inc. A,,-)drew R. Tarabelli/Rt. 28, Madaket Place/Mashl MA `�.. Assessor's map and• lot number ...�.�.....�. ..... .......',...... � � F THE T0� �J � P Sewage Permit number ......,.......... 1.l...S 1... .....'............ .. Z BASBS LE, i 6 House number ........ 140.......:......:.................................. STa.: 9� 039. 9�,0�0 M a, TOWN OF BARNSTABLE �t BUILDING=r *14,HS;PECTOR APPLICATION FOR PERMIT TO .....:Y. ..! : ..... ... ...:..... .:.... ............................. 0 TYPE OF CONSTRUCTION ........Ikr _............................................: �. f�ca�w t . . :......1943 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... . ....... 7.h '1. .✓ ............. 4.............................................................. ProposedUse ..� /'.� � .. ........................................................................... ......................... ............................. ,.Fire District ... ...Zoning District .......... . ... ................................................... �. Name of Owner . .r.>�-Ti.�.. .1.�C.41 ! .......................Address � a�-.d ..� ,.. ,Q�fS®• Name of Builder Address RJ_....C. ":t,►..,� ...... Name of Architect A�elress- ................................................................... ..... ...... Number of Rooms .....�...:..........................................Foundation ... % ........................ Exterior ........... . 1. .........................Roofing .... .a`?. kat�.............................................. i Floors ......... am. ..........................Interior ......... ...................................... Heating ...............�2-2-.-w..............................................Plumbing ...............77 .. ................................................ Fireplace .............Approximate Cost ..:......AMC"—,...ate...... ................... ............ Definitive Plan Approved by Planning Board ----------------------------19--------. Area .�'....: ... .,.. U_ Diagram of Lot and Building with Dimensions Fee '. .r SUBJECT TO APPROVAL OF BOARD OF HEALTH e -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 . /✓. .. < .. .. .... . . ...................................... � Construction Supervisor's License .. . . �.,%. ...:.... Y AUSTIN, A. A. 259.07' i No ................... .Permit for ..ADDI.T. ON............. ? Single Family Dwel ing ................ ................. ......... .... ............. s Location .....11160....:Mai \ St eet:.....:.. r , • .. � ......... A. A Austin _ .. �,_ • ,. • ^. � , Owner ....................... i Type of Construction rame a?i •~ -- .................................................. Plot Lot `..... ................... ,Dec. 20- 83 Permit Granted ......................!..........:......19 Date of Inspectior4—.30-R, .......... :19 Date Completed . 1`9 . r