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1208 MAIN STREET (COTUIT)
Sao � `� .�. i ,� I I i I ter , Town of Barnstable BuRd . � a Post This Card So That�t,is Uisib"le`from the Street Approuetl,Pta�ns Must be•Retamed on Job and?this Card Must ibe Krg ept , r DAMNSrwes �Postecl'Unt�l Final Inspection Has Been Made ,�w� ,�/� � � 3�, �k �' �.+ 163Q . '" ,:.;� T, ?xm ...xis ' ;, ._, 'x .�.:' Si :,'. .,e a .x �`r -a;' Permit t +° Where a Certificate of Occupancy is Required,suchBu�ldg shaIliV ,be Occupied un#i1 a Final Inspectionhas been made 1 . .: . ,._. Permit No. B-19-2691 Applicant Name: DELVECCHIO, DANIEL A Approvals Date Issued: 08/21/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/21/2020 Foundation: Location: 1208 MAIN STREET(COTUIT),COTUIT Map/Lot: 033-012r Zoning District: RF Sheathing: Owner on Record: DELVECCHIO,,DANIEL A Contiractor�Name ,`=; Framing: 1 Contractor License;.,:, 2 Address: 38 NEWBURY STREET 5TH FLOOR m BOSTON, MA 02116 ) ,. Est Project Cost: $6,000.00 Chimney: 3 "y PePmit Fee: $35:00 Description: ROOF HOUSE Insulation: ' Fee Paid' $35.00 Project Review Req: E Date 8/21/2019 Final: Plumbing/Gas Rough Plumbing: ' 4 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work aithonzedby this permit is commenced within six months after.issuance. All work authorized by this permit shaII conform to the approved appl ation.and the approved construction documents for which;this permit has been granted. _ Rough Gas: s ,s All construction,alterations and changes of use of any building and structures shall:be in compliance with the local zonmg?by lawsand codes. This permit shall be displayed in a location clearly visible from access street or road a'nd shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ' The Certificate of Occupancy will not be issued until all applicable signatures by'the ng and;Fire Offiicials arre p ovided on this;permit. Electrical Minimum of Five Call Inspections Required for All Construction Work { Service: 1.Foundatibn or Footing g 2.Sheathing Inspection z Rou h: 3.All Fireplaces must be inspected at the throat level before firest flue lining`i installed., 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection final: 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. 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: Application number...� ® �F? •_ Fee ..,.t)....?5:....................................... AUG 2 0 2019 Building Inspectors Initials.... KM TOWN N O� �: RNS TALE Date Issued......��..�. .................................. < Map/Parcel........ .. ....... ........................ TOWN OF, BARNSTABLE; EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 120 k M A Lo l _57 � 4 co Tv LT- NUMBER STREET VILLAGE Owner's Name: ah e l -cc L6 Phone Number C t14 Z5 Email Address: Olav�o�el VeC����'_ �o c cuv+� Cell Phone Number , T Project cost$ es / a Check one Residential i/ Commercial � r - OWNS AUTHORIZATION As owner of the above property I hereby au riz to make application for a building permit in accordanc with 780 CMR Owner Signature: Date: TYPE OF WORK - ❑ Siding' ❑ Windows(no header change)"# , , ,❑ ,InsulationfWeatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to -e- &sAL.. S CO RACT, R 'S INFORMATION R � • Contractor's name Home Improvement Contractor`s Re stra (if ap cable)# (attach copy) Construction Supervisor's Licen # a ' ` ti (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION.NUMBER............................................................ *For Tents Only* Date Tent(s)will be,erected Removed on number of tents total Does the tent have sides?Yes No (If yes ple attach floor plan with exits marked) Dimensions of each Tent X. X Additional tent dimensions can be attached on a se ate piece of paper. Purpose of Event Check one: this event is/mbe on-profit event Check one: Food serve Flame Spread Sheet of e attached. Provide a site plan with the location(s)of each tent Fuel source being used . or> Yes No , if yes, a gas permit is required. Natural,Gas Yes r yes,a gas permit is required.If food is being servedlease obtain a H h Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commer 1 events may require Fire Department approval s"r *WOOD/CO'Ad /PELLET STOVES Manufacturer# Model/I.D. Fuel Type loll Testing Lab Offsets from combustibles: front back left side right side - ��}1V1�E0•Wl�E-R''S`L�C'E�1S�-�E��E�VI����O�i�. Homeowner's Name: e-,( Telephone Number 2� �l Cell or Work number S eL m< I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction ins ctio procedures,specific inspections and documentation required by 780 CMR and the To of B rnstable. Signature Date q/ZOV2d 1 _ Signature Date 5r�Zrr�Zo� All permit applications are subject'to a building official's approval prior to issuance. The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` / ( Please Print Legibly c usiness/Organization/Individual): ��Vli�1 �� am• ,City/•Sfate/Zip: C_CT'ti rr Phone#: N�A �� '4ZI Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 1 am a general contractor and.I employees(full and/or part-time).* �Ave hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.'❑Remodeling ship and have no employees These sub-contractors have .g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their. H.❑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 employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 2—C—2-4 _z_z<iK Expiration Date. U Z 0 Z� Job Site Address: ���(}� H,AA K) ST City/State/Zip: C_CT 10 1 0 Z 93 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 bf this statement may be forwarded to the Office of Investigations of the DIA for insuran5pelverage verification. Ida hereby certify under the pai a enaldes of perjury that the infor nation' rovided above is true and correct. CS i"ahu a - Date: /"Z'v Z G Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants s 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,Sheet Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia stnr�ansp�,�u�erir+aro�+aa�r*+� t�m�r� 1s`a#�t��r VA rAKR,:G, - - �!/ (. . ., ..'6YfYlYIBIDIhifWCYIf11DYl/YA - - k4aVSiC34.Gd: _ w�a�aarna� s�u�ka° a�at rxrc#�ua!irursx#c irRlAft9 �?.a# ' 10.�!l. 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' � ��rr� r.rr :r.n��rnr.rr.... :�N3YRfM. a;S@Y t:9.^fl#e71,Y91 L41 t 1 si 101: ?}tPR9':sb+tAS S l oaa#d;E7td£'?1 . ::j9fC¢'1 I72'#irkR01W!'9RYil#eY1 3/�,. mop:AM- - e�a a�dac�aao fear eeep�nNY��w�'Y�lwwtiaCY�►+rr #1�k�f#6w�aW alr/�'+i>f1F4 iW.p aroiNM+�!?pw+►�ui�l+hit' dI�iAU0fLLf411 QCtLLlit�!d1 SILL�s�r r�SOk1�09 d0�ir?I9ilk �i A+tOt . 1Ea�1i�aiflra�a�a�;aa��ruti�r,�r�r:nay-�awtwra�aav�v�i�+.�ea•.��wu �v �o��ra�u : :Sill."IB�7Cli3t._. .,. �Wltet#!11l11fECM Of19tl3lNfJ3�Gf11fk '�. Y7Iffii7ig#B'�Y132�1.�7.Y.'9r�'®fi�8C 8131.V9a'�I.E113�'8W2' . uue�new.utlin ' 1 1 s d�J tdGl LO 4L 5 s.�9 'E` CM�Y�tG� •�-- [k K a t,,Vl LA N64 Clr�i� Y max 4aw k a. m _ 4 . F k , �. 'v # "Viz" ,y. 'd "� '� ,'� � 3 `� ,. _ '' �. ,•i K Town of Barnstable _ Building ., ro - f: -In:Must be;Retained on Job.aridthis Card Must:'be Ke't ; Post This Card So That it is Visible From the Street Approued�P a s v i6 � Posted UntilF�nal Inspection Has Been Madex TJ J t, `, � , � j �►,; er,r� W�hea Certificate,oaf occupancyis�Requred,syc�h Building sha11 Not Permit ,O d until a Final Inspection lhas been made�A Permit No. B-19-2692 Applicant Name: Approvals Date Issued: 08/21/2019 Current Use: Structure j. Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/21/2020 Foundation: Location: 1208 MAIN STREET(COTUIT),COTUIT Map/Lot: 033-012 Zoning District: RF Sheathing: Owner on Record: DELVECCHIO, DANIEL A Contractor'Name:' ,. Framing: 1 Address: 38 NEWBURY STREET 5TH FLOOR Contractor Licensee 2 BOSTON, MA 02116 ` ) Est Project Cost: $2,000.00 Chimney: 4 Description: ROOF GARAGE "Permit Fee: $35.00 Insulation: Fee�Paid. $35.00 Project Review Req: Date:, 8/21/2019 Final: Plumbing/Gas Rough Plumbing: K Building Official l 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 permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning;by=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. F Electrical The Certificate of Occupancy will not be issued until all applicable are.prowded on this permit. Minimum of Five Call Inspections Required for All Construction Work " '' Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' .. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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: Applica i n number..... 7 J� Fee . ..................,7................................ ....... KU& Building Inspectors In' ials.....I.. ...... DateIssued.:........ .................................................... TOWN Map/Parcel.............: . . TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: L2-09 tAA`Q -5) co tTC. NUMBER STREET VILLAGE Owner's Name: -D An -D eN ex cj x k o Phone Number 6 C4 .47-'i �?OF Email Address: Cell Phone Number ado c\. Project cost$ e 5r Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I here autho ' e to make application for a building permit ' ccordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding �❑ Windows (no header change)#. d - ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will-be going to p CONTRA OR'S INFO _ ION Contractor's name. Home Improvement Contractors Registration(if a li ble)# (attach copy) Construction Supervisor's License# (attach'copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY-IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER.........................................I............".:.... a F. *For Tents Only* Date Tent(s)will be erected Removed on number of tents total ' w Does the tent have sides?Yes No (If yes please a floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a sep a piece of paper. Purpose of Event Check one: this event is a/mbe -profit event Check one: Food served Flame Spread Sheet of eahed. Provide a site plan with the location(s) of each tent Fuel source being used Les No if yes, a gas permit is required. Natural Gas Yes + Ngas permit is required.. . If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or,3:30 pm-4:30pm. Commercial events m`ay require Fire Department approval, *WOOD/COAL/P ET STOVES Manufacturer# Model/I.D. Fuel Type Testing`Lab Offsets from combustible • ont back - left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: 7T)c4,r%we,l m V e cc 'y Telephone Number _'�2A Cell or Work number S A rh C_ I understand my responsi . 'ties under the rules and regulations for Licensed Construction Supervisor in accorda a M h 780 CMR the Massachusetts State Building Code. I understand the construction in ectio rocedures,specific inspections and documentation required by 780 CMR and the T n o B stable. Signature - Date oil PLICANT'S SIGNATURE ��. •,Signature Date�� 19/20ZG( All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name (Business/Organization/Individual): U;n�$ �V QC CVI L U _ Address: 120 o �4ok tJ S .r-- City/State/Zip: % Phone#: Are you an employer?Check the appropriate ox: Type of project(required): 1.El am a employer with 4. I am a general contractor and I employees(full and/or part-time).* ave hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building addition [No workers'comp.insurance comp.insurance.: 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no - employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �C,C��� ' Insurance Company Name: Policy#or Self-ins.Lic.#: — r (��. Expiration Date: Job Site Address: 1 Z 0 C �-9 P-J T City/State/Zip: CGlIA-1 0Z(3 3 S Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or.one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA fo ance coverage verification. I do hereby certify and the p ns and penalties of perjury that the information provided above is true,and correct Signature:. Date: I Phone#: &7 y2,% �?e Z 5 Official use only. Do not write in this area,to be completed by city or town official -' - City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health_ 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other' Contact Person: Phone M r_y 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-contractor(s)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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information`(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: -The Commonwealth of Massachusetts `. Department of Industrial Accidents. office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-77749 www.mass.gov/dia ZO G:w►e 0,-v lj� of� IZ(�O til 1��e�s-iC Glyn x ,s —DeJViCc ht4 i . . ,. � , . . -� �, � _ . i ' _ � �. � � } '[716 .. :All' w '. 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HTh#€:.7kfE'Ad84.6ttd2i�L"bfY€SmxD G'a TP,a p�:t :EE>i I-ZPX3N:i�cC&EG'S Ttl�.&L3,'Gt-,,E SS _:_AtdACi;4fx`r4TYidi:%F54F..IMLPk{+Oi1C.Eli_.r<m'FSW-iOM AVKA.b'E:'@EEh REDUCEPRRY PAMOLd}€fJ',A' -: nr1`ai"taiuktu6lk R41f45'�xYSER ::: ARM&Effi VIRra1,' • ::. .. ;, : �Sfi C'.%RL&'p aalxw�ute'U:. CL ::::.. � :..°.L:C$.EPB: : 8t1IIP9' ...-. Ff4rrF: f Ri$ M1 mY t 6tl'epie..5j}y(dust' IpY fkb.1 kFt'",. WA7B.'t h,P$Y71�A2 r f91h C* klWkTiiT'!-._. d�Ak-.s•,tsf� yl?�y,T,�N Typwpfl�+s . Z6li AWW AaF#TY«kYA - a`,&LkYMs'( i.9;.? 'AS 4 Wm. .N 3akfAC3 9R: t - 6R.-*t'xk V !RE4k 4bisl: ..: • �i 4i34 [&.h�L'APAY.� ldf:Al36 .. x ..... ;, ' ............ ��-0�4*CsA4`tum�ai[v t�� ffiTA1T'f$' �. ' .AW1�FAa%'tiia tr9kY*.�c'htl3Yk^PoF6C$ '' ,F&A - i;EdLYi` d?tFx':' P . 'nxwc .xraaa .yasm'r -CAC .: 9 :.: %hT'Yv,%b4 ttM S5�#s➢P5S"f75b*k ....... .._... Y.L bfG.SC1.4 r'4.AY&"! :..... s$t kGi71>;&H 64TA.AA 3663,W.Am"f.. A� '84t .dxacnwRi miMir YaiwRWt#::#N Mh ,3 CERYtF'lCA3`�NOLd��R.._ CAPFGii.Lf+T t_ . - @ A/rx i5f h .'.A 'L. f1P3i BB GAlikb t`N8C - ,...'C# i'tYT41#i�Y'M'R, S :w:: ',�c^B�+t+.tP:M•rT' `i,4eRa«"eRt"r° ,?., .. A Gc�lvc+s#{ �txa�, TTm At lA4 malslo."INK lir9 nowmad, s 40 e V.;,44 I 1�Tois,ME certain exceptions, along with other Estimated Cost reason(s): y wi pied , EALING WITH UNREGISTERED PROVEMENT WORK DO NOT HAVE R GUARANTY FUND UNDER MGL c. 142A. TIES OF PERJURY ' Name Registration'No. ame . r � rtt,�-C �?2l z �� I 5TC Constructionjervices, Inc. 1/6/2011 Mr. Robert McKechnie Building Inspector Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: Main St., Cotuit,MA Water Damage Copy of Code Upgrade breakdown as submitted to homeowner I CODE UPGRADE REQUIREMENTS Upon review of your property, it has been determined that the following items must be addressed at this time to satisfy local and state code requirements. The Commonwealth of Massachusetts State Building Code for one and two family dwellings specifically states the following in Section 790 CMR 5102.5 for "Existing Buildings": "Existing detached one and two family dwellings shall comply with the provisions of 78.0 CMR 5108 and all other applicable provisions of 780 CMR 51.00-99.00, including all applicable requirements of 780 CMR 93.00. Existing detached one or two family dwellings or their accessory buildings, or portions thereof, that have been damaged by fire, flood, impact or have suffered similar physical damage, shall not be occupied without approval from the building inspector." As referenced, Section 780 CMR 93.00 refers to the repair and alteration of existing one and two family dwellings stating specifically that repairs made to existing buildings.."shall be made to maintain or improve the building with similar materials as required in Sections 51-99. Section 9309.3.6 ("Fire Damage") states that if a building or structure-is damaged from fire or other casualty, the code requirements of 780 CMR are to be met unless the home is listed in the National Register of Historic Places, which your home is not. The required code upgrade work is as follows: 5+5 Flain Street • Suite 3 • Marshfield, MA 02050 78 1-s 37-0900 STC Construction Services, Inc. 1. Architectural and engineer associated work in support and submission of code upgrade 2. Install 2x8 floor joist at second floor framing @ 16" O.C. Existing joist for 13'6" span is inadequate. Remove existing strapping. Install new strapping. Per CMR table. 5502.3.1 3. Install 2x8 floor joist at first floor; framing @ 16" O.0 , 13'6" span. Per CMR Table 5502.3.1(2) 4. Provide support (hangers or equal) at all 1st floor joists per CMR 5502.6.2 5. Provide fire blocking at interior load bearing per CMR 5602.4 Firestop all holes and penetrations per CMR5662.8 Fireblock all exterior walls and balloon framing per CMR 5602.8 6. Insulate first floor; R-19 insulation, per CMR 61.00 7. Upgrade electrical per National Code Requirements. New wiring shall include arch fault outlets typical throughout; temperproof outlets throughout; ground fault outlets as required at bathrooms, kitchen, etc. 8. Insulate plumbing pipes per CMR 6106.5 9. Upgrade all existing duct work to meet insulation requirements per CMR 6106.4 10.Handrail @basement stair per CMR 5311.5.6 5+5 Plain Street • 5uite 3 • Marshfield, MA 02050 78 1=s 37-0900 f STC Construction Services, Inc. 11.Install required fire alarm system to include hardwired smoke detectors at all bedrooms, stairs, basement and halls. Install carbon monoxide detectors at each level and within bedroom area (10 devices) per CMR 3603.16.3 12.Ins tall glass tempered p g s panel at decorative stair window per. CMR 5308.4 13.Install structural headers and vertical supports, as required, at -window openings, including 3 standard windows and 1 oversize bay window. Labor and materials. Per CMR 5502.5(1) 14.Install interior structural headers and vertical supports, as required, at door and cased openings. Labor and materials. Per CMR 5502.5(2) 15.Remove existing basement slab, excavate and pour new concrete footings. Remove existing wood posts and install new structural columns, supporting existing beam, down to new footings. Includes 3 footings and 3 columns. Labor and materials and structural design. Per CMR 5407 16.Remove and replumb existing waste/vent lines throughout house to meet required code. Existing plumbing fixtures are not vented with the exception of upstairs bath, which is undersized. New vent piping shall exit roof as 3" vent. Remove existing piping. Install new and patch roof shingles, per MA state plumbing code. John A Cronin, AIA Robert McKechnie Architect Building Inspector 545 Plain Street • Suite 3-! Marshfield MA 02050 781-8 37.-990o 14 r � . i t I I i 1 � \ Y t �1� ' � � � } yppiHE tp� Town of Barnstable -sib BABNSTABLE Regulatory Services 039. Building Division ptEO MPS a. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice T` } AA Type of Inspection Location /4-5 Permit Number G� 0 (� �Z19 441 Owner�� mil_ -(—r�� Builder �C- 4 One notice to,remain on job site, one notice on file in Building Department. t The following items need correcting: ZE 7 /ram _ Y s` Please call: 508-862-403-8-for re-mspectio . Inspected by J i Date �� o o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® Parcel Application # 2®(C �p L� 4-1 Health Division Date Issued to Conservation Division Application Fee Planning Dept. Permit Fee �3 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address `20,9 mq l ki _ .— Village Owner Da,0 6e, Il � G�� 6 Z� Address 3, IV e&v bU t, S"l Telephone & t 7-7-6o`Z — 57-2 � A4,4 c� rl(0, 6P rmit Request C�'bl� � fl�'�Gf ``� �' C Square feet: 1 st floor: existing proposed 2nd floor: existing=/- proposed �? / Total new 0 Zoning District Flood Plain Groundwater Overlay eQ0a Project Valuation ns�tion Type Lot Size o /Y Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ;q Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing D new Total Room Count (not including baths): existing _7 new 6:1 First Floor Room Count Heat Type and Fuel: ❑ Gas IV Oil ❑ Electric ❑ Other Central Air: )d Yes ❑ No Fireplaces: Existing�J New A:57 Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _Commercial ❑Yes No If yes, site plan review# Current Use n< !_,e ` 04 i /' - S Proposed Use Sl -44e---.; APPLICANT INFORMATI (BUILDER OR HOMEOWNER) Name Telephone Number 1-12 Address ,5"4•S� /®C�/�! 9--r s-u f. e License# d f e-l� 444 4 &'-bS ° Home Improvement Contractor# -Z `,tom Worker's Compensation # NO CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR ,. DATE ,_ 1 FOR OFFICIAL USE ONLY i APPLICATION# 5 _ -DATE ISSUED 1-r MAP/PARCEL NO. =a r. ADDRESS. VILLAGE+ OWNER` ; 1. 4 F w. le DATE OF INSPECTION: �•5- ' FOUNDATION _ FRAME ;Z�it W y,dro *'INSULATION!, FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' + H fA5i _ROUGH FINAL ` /�' � Q E+LNAL BUILDING £r `� LIASSOCIATION ATE CLOSED OUT . PLAN NO. r Th_e Commonwealth of Massachusetts Y Department of Xrndustrial Accidents Office of Xnvestigations .600 Washington Street t Boston, MA'02111 sy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business//Organization/Individual): Address: �J il i �'1 � 01 '� City/State/Zip: l�f/r3 d°x- � � Rhone Are you an employer?•Check the appropriate box: Type of project(required): ]. ❑ I am a employer with 4. ❑ I am a general contractor and I 11 ave'hired the sub-contractors.. 6 _ New delis ction h • ' employees{full andlor pait-time). ❑ 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. emo g ship and have no-employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 EJ Building addition [No workers' comp. insurance comp. insurance., required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a bomeowner doing all work officers have exercised their 11.❑ 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 :employees. [No workers' 13.❑ Other` comp.insurance required.] *Any applicant that checks box.#1 must also fill out the sccd6n below showing their workers'compensation policy information. t Homcownrrs who submit this affidavit indicating they arc doing all work and then hire outside contractors must submil4a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and stair 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 thepo[icy and jab sile information Insurance Company Name: Policy# or Self-ins. Lic. #: 3 i, "3 A-` r ®Lf6"O Z Expiration Date: FZC/i 4 �? t b.Site Address: C � City/State/Zip: Jo Attach a copy of the workers' cornpensatiori policy declaration page.(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL a 152 can lead'to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,-as well�as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here tinder,the pains and penalties ofperjury that the information provided above •s true and correct. Si atu e; y -a . Phone#: �* --Moe Official use only. Do not Write in this area, to be.completed by;city or.town official «. City or Town: Permit/License# Issuing Authority (circle one):. ' 1. Board of Health Z. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#.' Z ® a ox� a c� x�structio-n Massachusetts General Laws chapter 152 requites all employers to provide workers' compensation for their,employees, Pursuant to this statute, an emplo),ee is defined as".,.every person in the service of another under any contract of hire, express or implied, oral or written." An e?nplDyer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or morel of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of a❑ individual, partnership, association or.other legal entity, employing employees. However the owner of 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, constriction or repair work on such dwelling house or on Lhe grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6) also slates 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 ivho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the conunonwealth nor any of its political subdivisions shall enter'into any contract for theperforrhance of public..work until acceptable evidence Ofcornp]iance with the insurance requirements of this chapter have been presented to the contracting auLhority." Applicants Please fill out.the workers' compensation affidavit completely, by checkingthe boxes that apply to your situation and, if necessary,supply sub-.contractor(s) name(s), addresses)and phone numbers)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 th•e affidavit• The affidavit should be returned to the city or town Ihat•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 Tovm Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space Tl the bottom of the afda•,rit 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, Ln addition an applicant that must submitmultiple 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 toWm may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavi t'rnust be filled nut 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 efc•) said person is NOT required to complete this afidavit, The Office of lnveshgations wou i i e o a� b --advfl y-0�r cooperation and should yfl�haye 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 Te). # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 1-24-07 www.tnass.gov/die ! fs..A ;,t Office of Consumer Affairs&Business j y HOME IMPROVEMENT CO TRACTOR r� Registratiorl 158220 ` ;1 _-i Expiratton��2l2712011 Tr# 290604 Type 1 1n`c7tvidua� ! { JOHN CRONIN r JOHN Cl 96 TELEGRAPH HILL Ftb' i 1 MARSHFIELD, MA 02050 Undersecretary iVlassachusetts- Dciia.rtmcnt nf.,E�u. ? t�lic `Saf g ctc oard of Buildin�- Rc' iatums t ld:'S 'indards Construction Supervisor License Licen• se: CS 52610 Restricted to: 00 -a I JOHN A CRONIN 96 TELEGRAPH HILL MARSHFIELD, MA 02050 ` cam- j Expiration: 1 211 3/201 0 I Tr#: 7834 r ' License or registration valid for individul use only before the expiration date: If found return to: �k j Office of Consumer Affairs and Business Regulationj. ` 10 Park Plaza-Suite 5170 Boston,MA 02116 - i Not alid without signature VDAC Liberty ISSUING OFFICE 181 MUtUdl, Workers Compensation and INFORMATION PAGE Employers Liability Policy ACCOUNT NO. SUB ACCT NO. Liberty Mutual Insurance Group/Boston 1-371884 0000 LIBERTY MUTUAL INSURANCE CO 15M POLICY NO. TD/CD SALES OFFICE CODE SALES CODE N/R 1ST WC1-31S-371884-020 XX X WESTON 102 REPRESENTATIVE 3000 2 YEAR ASSIGNED 2009 Item 1.Name of STC CONSTRUCTION SERVICES INC Insured FEIN 26-3184511 Address PO BOX 1197 RISK ID 742111 MARSfIFIELD,MA 02050 Status 03- CORPORATION Other workplaces not shown above: SEE ITEM 4 Mo.Day Year Mo.Day Year Item 2. Policy Period: From 02-21-2010 to 02-21-2011 12:01 AM standard time at the address of the insured as stated herein. Item 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident 100,000 each accident Bodily Injury by Disease 500,000 policy limit Bodily Injury by Disease 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states,if any,listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE 1 ' 1 °F rOk� Town of Barn-stable Regulatory Setvices MAn Thomas F.Geiler,Director ►`�� Building Division �I Tom Perry,Building Commissfoaer 700 Main Street,H3r4U ir,MA 02601 Yvww.to'an_b�.r�astabin.ma.us Office: 508.862-403 8 Fax: 508-790-6230 Property crier Must Complete and Sign This Sectiou if Using ABuilder �✓ I, 11 ci�yr '.����1�t c_�.t , as Owntr of the subject.property l ereby zuthorize : A BC. .�.,,t a�ti,j -to act oz my bchalf; id all an mrs relative to work authorized by this binding permit application for. `�,(�� t"L it'�N 'a i 1 C Gam/► i (Address of Yob) signature of Owner Date Print N'�= if Pro.pLrM Owner is applying for pemr t please complete.the Homeowners License Exemption Forth on the reverse side. Q:FORMS:OWNERPERMiSSION The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin Secretary'of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 Public Browse and Search - Entity Results Help with this form 13 Records Matched Your Begins With Search for Last Name: CRONIN, First (Page 1 of Name: JOHN, Middle Name: A 1) Old Identification Identification Number Number(Old Nu • Individual's Name Position Held Individual's Address EntityName (FNu Trust FEIN, Old ID,etc.) Trust ID, etc.) r STC CRONIN, JOHN A PRESIDENT 96 TELEGRAPH HILL RD CONSTRUCTION_, 263184511 MARSHFIELD,MA 02050 USA SERVICES INC. r STC CRONIN, JOHN A TREASURER 96 TELEGRAPH HILL R6' CONSTRUCTION 263184511 MARSHFIELD,MA 02050 USA SERVICES INC.' - STC CRONIN, JOHN A SECRETARY 96 TELEGRAPH HILL RD CONSTRUCTION 263184511 MARSHFIELD,MA 02050 USA SERVICES INC. STC CRONIN, JOHN A DIRECTOR 96 TELEGRAPH HILL,RD CONSTRUCTION 263184511 MARSHFIELD,MA 02050 USA SERVICES INC. 33 RICHARDAVE., J. A. CRONIN METHUEN,MA 01844 USA . ELECTRICAL CRONIN, JOHN A. PRESIDENT 33 RICHARD AVE., CONSTRUCTION, 000204884 METHUEN,MA 01844 USA INC. 33 RICHARDAVE.,, J.A. CRONIN METHUEN,MA 01844 USA ELECTRICAL CRONIN, JOHN A. TREASURER 33 RICHARDAVE., CONSTRUCTION, 000204884 METHUEN,MA 01844 USA INC. 33 RICHARDAVE.. J. A. CRONIN METHUEN,MA 01844 USA ELECTRICAL CRONIN, JOHN A. SECRETARY 33 RICHARDAVE.. CONSTRUCTION, 000204884 METHUEN,MA 01844 USA INC. ENVIRONMENTAL CRONIN, JOHN A. DIRECTOR 130 WENDALL PARK LEAGUE OFMASSACHUSETTS O42024004, 000004747, MILTON,MA 02186 USA ACTION FUND, INC. ENVIRONMENTAL CRONIN, JOHN A. CLERK 130 wENDAu LEAGUE OF 042760271 000568298 PARK _ MASSACHUSETTS, MILTON,MA 02186 USA INC. . http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchEntityList.asp?ReadFromDB=True&... 9/8/2010 The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 2 of 2 CRONIN, JOHN A. PRESIDENT 96 TELEGRAPH HILL RD., HOMESTEAD PROPERTIES, INC. 043069890 000315903 MARSHFIELD,MA 02050 USA HOMESTEAD CRONIN, JOHN A. DIRECTOR 96 TELEGRAPH HILL RD., PROPERTIES, INC. 043069890 000315903 MARSHFIELD,MA 02050 USA 19 ICE VALLEY RD.,P.O. SOC BOX 1063 TELEGRAPH HILL CRONIN, JOHN A. SIGNATORY OSTERVILLE,MA 02655 USA MARSHFIELD, LLC 000612394. 19 ICE VALLEY RD.,P.O. . REAL BOX 1063 TELEGRAPH HILL CRONIN, JOHN A. PROPERTY OSTERVILLE,MA 02655 USA MARSHFIELD, LLC 000612394` P -New Search ©2001-2010 Commonwealth of Massachusetts All Rights Reserved http://corp.sec..state.ma.us/corp/corpsearch/CorpSearchEntityList.asp?ReadFromDB=True&... 9/8/2010 SMOKE y.ET CT% . REVIEWED -_......._-_� BARNSTABLE BUILDING DEPT. D TE --- - � i �.,-.z'.:���.:_ 4n1.!al•� ram:.. .;.K'.fa..: FIRE DEPARTMENT PqEA L -- y` ��� • ~} BOTH SIGNATURES ARE REQUIRED FOR PERMItT)q ll,, _ k - . - r' _ c ....._tom =r_.—�;. .__.c.r•.�.I fit- �=�F--�2'-.�c.."�C� GL•Vic..W f.�"Y'�t.� �[_T')�:��F,� "—:.1.2`� f F ,NT r Pt�l NT w s � • r`� r- I l-1WI N Fs�zrnrrt v .L v D 04 N R u Ni I+Lab Mscl N �f a 7�2 �10 ce2Jit _ M. Engineering Dept.(3rd floor) Map Parcel 12 Permit# O 3 I C House# I a O� �'J 1 Date Iss ed Board of Health(3rd floor)(8:15 - 9:30/1:00-4:30) - Fee '67) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ' Planning Dept.(1st floor/School Admin. Bldg.) �TME rod (I JDefinJn Approved by Planning Board 19 BARNSTABLE. 39. TOWN OF BARNSTABLERk E°Building Permit Application Address QL® ��1 � Village &O-To T Owner Address [�p f�(S I ��•,`� Telephone 4. Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure h -t— Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) \` Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing/ New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: O' ras ❑Oil ❑Electric ❑Other Central A2etached es ��o . Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: (size) Other Detached Structures: ❑Pool size ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use /Name BuilderI ormation �c(=G Telephone Number Y�, :4 Address `_� Bn K /License# 0 6S'76 3 '/Home Improvement Contractor# 1,26t-36 7-'' /Worker's Compensation# f )C Z'—Dot`75- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /ozAj w BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE } 'OWNER , I I r ' DATE OF INSPECTION: FOUNDATION , 'FRAME INSULATION FIREPLACE I I + i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f a L� of Barnstable r ' The ,Town - �: s BALM _ �. Department of Sealth Safety and Environmental Services T .•$ Dep Building Division EO N10�� 367 Main Street,Hyannis MA 02601 Ralph CrOssen Building Commissioner Office: 508-790-6227 Fax: 508-790-6230 For office use only Permit Date AFFIDAVIT HOMEME TO PERNIITNAPPLICATIONTOR W SUPPLE that the "reconstruction, alterations, renovation, repair, modernization, MGL c. 142A requiresconre-existing conversion, improvement, removal, demolition, one but not more than four dwelling units or to owner occupied building containing at registered contractors, with structures which are adjacent to such reside r building be done by certain exceptions,along with other requirements. Est.Cost Type of Work: Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000- Building not owner-occuPied Owner pulling own permit Notice is hereby given that: PERMIT OR DEALING WITH UNREGISTERED OWNERS PULLING THEE OWN HOME M[PROVFNIENT -WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE FM UNDER MGL c.142A ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY « SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the age e� Registration No. outractor Name Date OR. Owner's Name nn?p . � •,ems The Commonwealtli of 1tilassac1jusetts Department of Industrial Accidents '� � = OlriCeo//nyesbg►aliens 600 Washington Street 'z Boston,Mass 02111 Workers'Compensation Insurance Affidavit me: l am a homeowner performing all work ttlyself. am a sole proprietor and have no one working in any capacity MM I am an employer providing workers' compensation for my employees working on this job. w city. _ insura ge i am a sole proprietor,general contractor,or homeowner(ctnle one)and have hired the contractors listed below who have the following workers'compensation polices: rn an : i!lsur ace co. �1190rno Icy W anCe Failure to secure coverage as required voider Section 25A of MGI.152 can lead to the imposition of criminal penalties Ora fiat up to St,500.00 Radler 1 one years'imprisaittbent as well as civil penalties in the furor of a STOP WORK oRDER and aline of$100.00 a day against toe. I understand that a entry or Ihis statement may be forwarded to the Umee of Investigations Of The VIA for coverage verification. I do if aehv cerny' ranger and tnalti¢s of ry Thal the information provided above is trae and mutt. Sign2turc atc a — Print numc_aEEt �% hcnc# 4)(111cial use only do not waste In this area to be completed by city or town oflicimi city nr town: permiNiccnse# riBuildion Department O 0I,ictnoinx Board check if immediate response is required �Selecttaen's Ofiiec �Hcaith nepattment contact person: phase A; � -Other (MiUd IM PIA) . ` _ � , �itG U�amUllto7'uu8C7.LU'G o��/l/CO,QSCtCIzudP,�6 { , DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Rusher: Expires: Restricted To: 1G PETER D YIELD j PO BOX 16 COTUIT, MA 02635 t T� HOME IMPROVEMENT CONTRACTOR';.' Registration 120362 Type - INDIVIDUAL ..Expiration 11/30/97 PETER FIELD `PETER.0 FIELO 8b1:MA1k ST/PD 80X .p6-- - .. ADMINISTRATOR CO(UIT MA 026�5:- �. / ............. Assessor's map and lot number ......:..... ..... .. ....... ' SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sewage Permit number ..........:...7.C1.7...........................:.... - WITH ARTICLE II STATE SANITAP,Y.CODE AND TOWN 7HET0 TOWN OF BARNI 'ABLE b Z BASH4T"fig, i "6 �� BUILDING INSPECTOR �F0 MA*(a' APPLICATION FOR PERMIT TO bglld...dining,,,r,Q4w.:.ad.diUm...Q. ' ..k . .�kl�xl...................... TYPE OF CONSTRUCTION .............14 aad......:.............,.......................................................................................... November .28.1...............1978... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........C.r.OS..q...&..Ala.in..Str.eat.}......C.Qt.uit.y...Mass.................................................................................. ProposedUse ..........D.7.lairsgx'aam........................................................................................................................ ............ I Zoning District ........RF. ......................................................:Fire District ........C.o.tui.t...................................................... I Name of Owner ... ...F..—Maylor............Address ...Croza-- c...�Aa3n...St.,...Co u•3.t,...�,��� .. Name of Builder ......................Address 131 Old ?ost„Road,,,,Cent� v ,1,e,,,, Nameof Architect ....Fame................................................... .........S.el,MQ................................................................... ...................... Number of Rooms .......... ......................................................Foundation ...C.0ric.re.t.e..BQCk...L.C.ement...Brick. Exterior ...VtlC...Shjngle......................................................Roofing ..:...2.4.0. .aphalt...shingles......................... Floors Wa.1.a t.Q...1(lidD-1....e. rp.et...Q.ve.r...P1y.w..oadInterior ......S.hee.t-rack........................................: HeatingEOti.-Ur..............................................................Plumbing ......None................................................................. T Fireplace .........NQn.e..............................................................Approximate Cost ......$A.S.JQQ..Q0....................................... � Definitive Plan ApprIIdved by Planning Board -------------------_-----------19--------. Area J20 SF iiiii . 7 Diagram of Lot and! Building, with Dimensions Fee � - ...... ..................................... SUBJECT TO APPR VAL OF BOARD OF HEALTH el fj� 'ti 3 3`-d'' A f I n l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construe ion. Name .. :..` "„vim ........................ ; Taylor, Mrs. Oliver F. ` ^ . ` ' 2O8?5 add to ���ki | � No —.---- Permit for ------------ ' ' . dwelling � Loco�on�����.�m�e�=@�maiu-3traeto---. / Cotuit � ' / ----.'_..~....—.—.—^---.—.—~.--.. � Mrs. Oliver F. | Owner --.----' —_____..�..�����._—. � Type of Construction ..........................................�ra�e > - , � ~--'---------'----~---'^'r—'--' , ' \ rx�Plot Lot ~ —.--.—^-`--. ..~--------- . . - ^^ November~2� 78 Permit �ron�y� - lq - ! ---`--'------- � - � Date of Inspection ....................................lV ' - ! ^ ~ Date Completed l� � ---------_--. ., \ � . ' . . . � c � PERMIT REFUSED l�| ;r''—~----`----'^~^�'--^^----' ................................................ �''.'^~—�~�'----^'^~'----r-^^_^'_` ............ ...................................................... . ' . ` . . . —.. . ^'� ��-.'�--'--'---`—^'--- —'—'----~ Approved ............................................ 19 ..--------.—~—..,..—....--.......— -------'----------------..... Assessor's map and lot number .......................................... �-7 J� . Sewage Permit number .......................................................... yOFTNET TOWN OF BARNSTABLE I BAR33TADLE, i mum BUILDING INSPECTOR p MPY a• APPLICATION FOR PERMIT TO ......................1......Y....................::..............n.....................t.:'......:'?..................... I TYPEOF CONSTRUCTION ....................:................................................................................................................ e ................................................19......... TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the following information: • Lotation ....................................................:...... .................... .....:^.................................................. ................................... ProposedUse ...............................:::........................................................................................................................................... ZoningDistrict ........................................................................Fire District .........:...:.!:::. ..{...................................................... x Name of Owner r'* - Address ^ ............................................................. ........... ^� n- ,.,, + rc Z. ,',• �= l:, �� . G_ ^Usk.' to, 1 Name of Builder ................................................Address ........ Nameof Architect ..... :.:':... ...................................................Address ......... ................................................................. Number of Rooms .....................................................Foundation ...r-,-,,.r,-,- -, • -r.r. ,r -.. :'... Exterior ..... . .....`.......................... .............Roofing .......`. Floors ... ........................................................ J "Interior � ............................................................................. ..... Heating ..................................................................................Plumbing .................................................................................. Fireplace ............................................Approximate Cost .. C. ,.-n Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ....::........................................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .......... ................'........................................... Taylor, Mrs. Oliver F. =33-.12 No ...2087..... Permit for .add..t�..................... dwelling ............................Ma. ..................................... Location Grass K Main Streets Cotuit ............................................................................... Owner .......,,Mrs. Oliver F. Taylor frame Type of Construction ...................................... ............................... ........................................ Plot ........................... Lot ................................ Novembe 29 78 Permit Granted ... ...................19 Date of Inspection ...................................19 f Date Completed ...... ...........................19 r PERMIT REF. SED ........ . 04,,E �.. �.. 19 ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ..................... .........................................................