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1623 MAIN STREET (COTUIT)
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J REVALIDATED LETTERS OF MAP CHANGE FOR TOWN OF BARNSTABLE,MA Case No: 11-01-0521V Community No.: 250001 July,17,2014 S Case No. Date Issued Identifier Map Panel No. Zone 98-01-092A 02/04/1998 SQUAW ISLAND - LOT 49 - 19.ISLAND 25001CO564J X AVENUE - 98-0.1-1020A 12/30/1998 LOT 1, LAND COURT PLAN 25001CO752J X 16194-N- 1623 MAIN STREET , 0 99-01-244A 01/06/1999 PLAN 13687, LOT 5 -215 SEAVIEW 25001C0776J X AVENUE 00-01-0306A 03/28/2000 (648"1VIAIN STREE�T�" 25001CO544J X 00-01-0998A 08/22/2000 291 BRIDGE STREET 25001CO757J X 02-01-0994A 06/05/2002 1300 CRAIGVILLE BEACH ROAD, 25001CO563J X CENTERVILLE 05-01-0804A 10/06/2005 COTUIT HIGHGROUND, LOT 25001C0752J X 152B -- 220 CROCKERS NECK ROAD 07-01-0535A 03/29/2007 CENTERVILLE, LOT 9 -- 36 BROKEN 25001 CO564J X DIKE WAY(MA) 11-01-1245A 03/31/2011 LOT B ---265 SEA VIEW AVENUE _ 25001C0757J X 13-01-0725A 02/05/2013 MAP 259, LOT 12-- 116 SCUDDERS 25001C.0554J X LANE 14-01-1368A 04/1.0/2014 LOT 18 -- 835 SOUTH MAIN STREET, 25001CO563J X' } Page 2 of 2 RR orency Management Agency Federal Emerg Washington, D.C. 20472 July 16, 2014 Jessica Rapp Grassetti Case No: 11-01-0521 V Town of Barnstable, President, Town Council Community: -- - Barnstable County,Massachusetts Town of Barnstable Town Hall Community No 250001 367 Main Street Effective Date:. July 17, 2014 Hyannis, Massachusetts 02601 LOMC-VALID Dear Ms. Rapp Grassetti: This letter revalidates the determinations for properties and/or structures in the referenced community as described in the Letters of Map Change (LOMCs) previously issued by the Department of Homeland - Security's Federal Emergency Management Agency (FEMA) on the dates listed on the enclosed table. As of the effective date shown above,these LOMCs will revise the effective National Flood Insurance Program (NFIP) map dated July 16, 2014 for the referenced community, and will remain in effect until superseded by a. revision to the NFIP map panel on which the property is located. The FEMA case number, date issued, property identifier,NFIP map panel number, and current flood insurance zone for the revalidated LOMCs are listed on the enclosed table. Because these LOMCs will not be printed or distributed to primary map users, such as local insurance agents and mortgage lenders,your community will serve as a repository for this new data. We encourage you to disseminate the information reflected by this letter throughout your community so that interested persons, such as property owners, local insurance agents, and mortgage lenders may benefit from the information. For infornation relating to LOMCs not listed on the enclosed table or to obtain copies of previously issued Letters of Map Revision(LOMRs), Letters of Map Revisions Base on Fill (LOMR-Fs) and Letters of Map Amendments(LOMAs),if needed, please contact our FEMA's Map Information eXchange (FMIX), toll free; at 1-877-FEMA-MAP (1-877-336-2627). Sincerely, Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration ated Letters of Ma Change for the town of Barnstable, Massach s Enclosure: Revalid p cc: Community Map Repository Thomas Perry,Building Commissioner, Building Division, Town of Barnstable Page,1 of 2 I - ID �,m Town of Barnsiable *Permit '36 79 Expires 6 froi sue date Regulatory Services Fee 8 .�® NM01 Thomas F.Geiler,Director y Building Division £�pZ 91 AON Tom Perry;CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 �-� www.town.barnstable.ma us Oi i � ;3 �. Fax: 508-790-U30 EXPRESS PERMIT APPLICATION.. - RESIDENTIAL ONLY N ()-Vot Valid without Red X-Press Imprint Map/parcel Number ' CiV Property.Address- 1623 Main Street, Cotuit, MA Residential Value of Wor$4-s-ya • B o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address David and Anne Nisula 1623 Main Street, Cotuit, MA Contractor's Name James Fellows (Fellows Building) Telephone Number ( 508) 776-4045 Home Improvement Contractor License#(if applicable) 10 2 8 2 7 Construction Supervisor's License#(if applicable) C S 4 0 8 5 8 ❑Workman's Compensation Insurance j k one: V am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 'Associated Employers Insurance Company Workman's Comp.Policy# WCC-5 0 0-5 0 0 81 2 4-2 01 3 A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side TA4z),_tkL #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: �:1WPFILES�FO S ilding permit fonnsRESS.doc fZevised:0530I2, v The Cammonn'eallh of Massachusetts Department of Industrial Accidents Office of lnvestigations ' 600 Washington Street Boston,Mrf 02111 wn*w.muss.gov/dia Workers' Compensation haurance.Affidavit.Builders/Co ctors/Electriciansl %tubers Applicant Li&rmatian Please Print Lezibly Namemudwmg)zpazah viduai):James Fellows — Fellows Building & Home Imp. Address: 5 Main Street CitylStat&Zip: Mashpee, MA 02649 Phone#. (508) 477-2969 Cell (508) 776-4045 Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. ❑ lam a general contractor and I 6. ❑New construction employees(full andiorpart_time).* have hired the sub-camtraetois 2.® I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling These sob-contractors have strip and have no employeesS. ❑Demolition w for me.in an capacity. employees and have workers' o y � tY- I 9. ❑Building addition [No workers'comp-insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]1 c-152, §1(4),and we.have no employees.[No workers' 13.❑x Other Siding comp.insurance required.] *Any applicaur.that checks box#1 mast,also fill out the section below showing their workers'compensation policy informadam I Homemners who submit this affidavit m catiug they are doing all work and then hire outside contractors nmst submit a new afidwit indicator such tconuactors that check this for must attached as additional sheet showing the name of Ste sub-coutzacturs and state whethw or not those entities have employees. If the sub-contmcttns have employees,they nmstpmvide their worker'romp.policy number. I am an employer that isproviding nrorkers'congh saalion insvrrarnce far my enq%rnym& Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie..#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure too secure coverage as required under Section 25A of NfGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imp somnent,as well as civil penalties in the form of a STOP WORK ORDER.and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cartify under the pains an narties ofpetjury that the information provided above is true and correct Si titre: ` - Date: Phone#: $ 77 Z 0,,01ciar use only. Do not write in this area,to bae zomprete d by city or town.officiat City or.Town: PermitUcense# Issuing Authority(circle one): 1.Board of H"Ith 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 f Town of Barnstable Regulatory Services iNUS&'m Thomas F.Geiler,Director 16 .�•``� Building Division Tom Perry,building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-403 8 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 wbo constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Biiilding Code Section 127.0 Construction Control. HOMEOWNER'S ENEMMON 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:IWPMESTORMS1building permit formslMRFSS.doc Revised.051811 ,� el., o weaN �� d 1�t Massachusetts -Department of Public Safety- `:'\ Office of Consumer Affairs&Business Regulation t Board of Building Regulations and Standards -�HOME IMPROVEMENT CONTRACTOR Construction Supeiwisor -Registration: 002827 Type: License: CS-040858 Expiration: 7/2/2014 DBA ;`*,;I JAMES D FELLAWS �- FELLOWS BUILDING 8 HOME iMPROVEMENT # 5 MAIN ST MASHPEE MA 41649 " James Fellows t= 5 Main Street � � �',� •` , Mashpee,MA 02649 _ Undersecretary J,.�,,,, � . W Expiration. Commissioner 09l30/2015 rr fi 1 - e 4 r i " ; 11AJaNSTA=, : Aft Town:of Barnstable " Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign-This Section If Using A Builder I as_Owner of the subject l property hereby authorize James Fellows/Fellows Bldg dba to act on my behalf, in all matters relative to work authorized by this building permit application for: 1623 Main Street, Cotuit, MA (Address of Job) s lA 8 2or3 Signature o er D e Print Name If Property Owner is applying for permit;please complete the Homeowners License Exemption Form on the reverse side. QAWPF1LESIFORMSIbuilding pgrmit fannslEXPRESS.doc Revised 051811 ` '� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O I Parcel 00.3 t Q 02 ?Application # Health Division Date Issued Ito Conservation Division Application Fee Planning Dept. Permit Fee 1 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village C Owner -3)1 y o �( S y ��" Address Telephone����� L4-1,0 Permit Request 1),Olo a s r 2,-- t St-r`N! ©Per,,,',1ts, 1A 9� tlo�J Mooc S//N!5 C) - �'1'► Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District' Flood Plain Groundwater Overlay Project Valuatio1��i' ,S®O Construction Type Woo-o � Lot Size - Grandfathered: ❑Yes ❑ No If yes,'attach supporting documentation. Dwelling Type: Single Family A Two Family ❑ Multi-Family (# units) Age of Existing Structure a5� Historic House: ❑Yes No On Old King's Highway: ❑Yes KNo 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 S Number of Bedrooms: existing —new p Total Room Count (not including baths): existing new First Floor Room Count 'F Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other F a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Wexisting ❑ 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 I # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use � a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �o Name ' ' 7 Telephone Number �5 �l q77 —2—T& c 7?b -- �to`�S- - Address �� Mt+i,J _57'- License # gO9,S`P 3a ZofC O 2-& f Home Improvement Contractor# a77f 7-Q z•2012 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY R' APPLICATION# -.DATE ISSUED ` ,F:. --jTl� MAP/PARCEL N0:_.-_ s ADDRESS _ VILLAGE OWNER ' DATE OF INSPECTION: +AFOUNDATION'i`.'ti ` ti FRAME 1NSULATION.1 C_ FIREPLACE ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL GAS:j ROUGH-Fig;' -= FINAL 4 j LL ASSOCIATION PLAN NO. G _ } The Commonwealth of Massachusetts 1 Department of Industrial Accidents ^yTb i Office of Investigations 4 �iau i ' 600 Washington Street tl:iis r Boston, MA 02111 c=Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): v I t Address: S of t/U S I City/State/Zip: Phone #: (5'zV03) .(t G Are you an employer?Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. -am a sole proprietor or partner- listed on the attached sheet.# 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' the 13. r jcd,� oC�i� 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 their workers'comp:policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Q / Insurance Company Name: ( ` S'jd c� Policy #or Self-ins. Lic. #: W C—C 609 [?A D I Z©) p Expiration Date: Job Site Address: �' Z 3 w S%., CO�*� City/State/Zip; Attach a copy of the workers' compensation policy declaration paged(showing the policy number and expiration date). Failure to secure coverage as required under Section-25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year'imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ` under the pains apoenalties of perjury that the information provided above is true and correct Si nature: Date: Phone#: aA l —2-7 Co C Office_ se 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 i 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 d who resides therein, or the occupant of the dwelling house of another.1who employs persons to do:inaintenance 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." k 4. v ► l' : t' MGL chapter 152, §25C(6)also states that"every state or local licensing agency..shall withhold the issuance or renewal'df a license or permit to`operate a business or to const ucYbuildi gs`in'thie 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 nurriber(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 ..0'Accidents for confiZtion,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 cmplete'and'printed'legibly—`The Department has provided a space at the bottom , lof the,affidavit for you to fill out in the event the Office of Investigations l as,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 affid_avit'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,.te ldphone 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 5-26-05 Fax # 617-727-7749 www.mass.gov/dia WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company Burlington., Mes"chusette NCCI NO 40959 (800)676-2765 POLICY NO. I WC 500!6124012a10 ��� PRIOR NO. CC 5008124012009 ITEM 1. The Insurea ,antes Fellows dba Failciows Building&Home Frnprovsmant Mailing Address: 5 main Street Mashpee MA 02649 iNo. Street Town or City County State Zip Cxlo Individual [] Partnership [] Corporation ® Other FEIN 04-3578595 Other workplaces not shown above: 2. `rho policy p6riod i5 fmrnoEd09/2l 10 toGS/09/2011 --- 12:01 a.m.standard time at the Insured's making address. 3. A. WLrkars Compensation Insurance: Part One of the policy applies to the Woehers Compensation Law of the states listed here: MA B. Employer,?,lability insurance: Par,Two of the policy applies?o work In each state listed in item 3.A. t Ttie limits of our liability undo"P ll Two are: Bodily!njuN by Accident$__�. 5.9 0>O 0 0 each accident Bodily injury by Disease $—`__—.5 0 0 O o U policy limit Bodily Injury by Disease $A_ 500 p 0 0,0 each employee C. Other States Insurance: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy Includes these endorsements and schedules: SEE-SCHEDULE 4. The ptemium for this policy will be determined by our Manuals of Rules,Classificatlons,Rates and Rating plans. Ail Information required below is subject to vefittcation and change by audit. Classifications Premium Basis Rates Estimated Per$100 E.stir.•:ated Code Total Annuai Of Annual No, Remuneration Remunsaition Premium lNTRA 04 3M, SEE EXT NSION OF INFORI AATION PAGE Minimum prernitsr^`$ SLO.00 Total Estimated Annual Premium $ 3,233.00 As irtdicatad,intarirn adjustments of premium shall be made: Deposit Premium $ $59 00 Annually [y Sarni Annually ouarterly Monthly MA Assessment Chg. $2,835.75 x 7.2000% $204.00 Tn;s Dolir..y,including all endorsements,is hereby countersigned by _ _ Q4°2112Q10 _ AulhodXdd Signature _..__ Data GOV GO", KIND PLACING CL41M NAME SAFETY STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP . ifilter Ntcchatir: AMA. 45 _ 14 spar dba Dowling&O'Neil Ins Agoy 973 Iyannaugh!load ,NC 00 00 01 A i t 1.88) Hyar nis,MA 02601 incivoes.'opyrighia-j mater:a±o`it a Naii,�nai Ccunoii on Compenuvon insurer o, usod with its perrt'ission. -�� lI Office o onsumery AJirs&Bdsine�egu n HOME IMPROVEMENT CONTRACTOR ti Registration:�402827 Type R ; Expiration: :Z/212012 DBA F WS BUILCI�IN�&HOME IMPROVEMENT �. z r -# I James Fellowsr< „' 5 Main Street j Mashpee,MA 02649 Undersecretary j .ac or registration valid.lo.-' I before the ex r individul use only - expiration date. If found return to: Office of Consumer 10 Park Plaza_ Affairs and Business Regulation Boston, Suite 5170 j ,MA 02116 I Not valid.witho t signature �m`nt of P�fit. r�d•�r�1� . a gar `` ns a e e 'D do Li s ttti' is�1' a r\ Ac S�pery%sOr $ rGonstNctgpa58 l.�oense: GS . 00 RestC;cted toS JPM�N S� 026Q9 ••913p120tt { 5MP EE,sP iratroo MPSNP ExP t r Town. of Barnstable Off'1FIE Tp� Regulatory Services L& Thomas F.Geiler,Director 16 9. A.� Building Division „ - r�� Tom Perry) Building Commissioner 200 Main Street, Hyannis,MA 02601 ' Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section ' If Using rA.Builder F :,as.O:cvnet..of the.subjectpropedt-7- _. .... j� y to' on tny..behalf,. hereby authorize is all matters relative to work authorized.bp this building pesm ap�Jscation for: t (p 23 �11�1 A-ttJ 5, (Address of Job) Signature of Owner Date Ptiat Natn.e _ �1111I�A►' a'sEy� NO& �f NMI Alp -1 ti Ff 3� G ,'3 --�- . g { n 4 , ' t If?-3*. , _ wA,u s FeLlT �acaose G�1a o T �y1N,po�J epcvv1.o.1 e, 0c��` r oA► ¢w 2SS ica wjoersof ps"i ¢4LL F��S i � r-C,%An ttJj lI &AAA-4+ ' e • FELLOWS BUILDING JOB W(Sy1 A 14 L3 (h A-11%1 & HOME IMPROVEMENT SHEETNO. OF 5 Main Street CALCULATED BY DATE MAS4EE, MASSACHUSETTS 02649 (508) 477-5196 CHECKED BY / DATE SCALE i vr' Town of Barnstable *Permit# Expires 6 on s fro?k a ate • AP sAstvsrAst.e, Regulatory Services Fee 1< ® I"r Thomas F.Geiler,Director 6� Building Division OCT 2 7 2006 Tom Perry,CBO,,Building Commissioner 200 Main Street,Hyannis,MA 02601 �-[AS www.town.barnstable.ma.us Office: 5 2-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0/2: ��0051' 1 Property Address e 6 c2 ' �esidential Value of Work (/ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name c r Telephone Number_, Home Improvement Contractor License#(if applicable) 21=_4 Construction Supervisor's License#(if applicable) 7 z ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I_ipthe Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 1901 &0/ Copy of Insurance Compliance Certificate must be on file. Permit Request(c ck box) Re-roof(stripping old shingles) All construction debris,will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ e Re-side 11 ❑ Replacement Windows. 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. H Improvement ntrac rs icense is required. SIGNATURE: Q:Forms:expmtrg t Revise07I405 t . � Board o Bu,ding Regulatio sand Standards 1. HOME IMPROVEMENT CONTRACTOR : " Registration: 144322 t Expiration: 9/23/2008 s Type: DBA GROVER BUILDING+REMODELING CAREY GROVER 56 BOWDOIN RD MASHPEE,MA 02649 Deputy Administrator ✓/, e".nvnau'!re4� ✓f�,aa�ac%��aelra i ,. BOARD"OF BUILDING REGULATIONS ra. License: CONSTRUCTION SUPERVISOR t ii Number: CS 077754 t Expires:11/22/2007 Tr.no: 8693.0 Restricted:- 1G CAREY C GROVER' 4 PO BOX 1080 COTUIT„ MA 02635 x - Commissioner J' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street V Boston, MA,02111 ov/dia www.mass. r � g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: o City/State/Zip: Phone #: Are you an employer? Check the appropriat00I'ram Type of project(required): 1.❑ I am a employer with 4. a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the'sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12, oof repairs insurance required.] t employees. [No workers' 13.ja"O'ther A?" comp.insurance required.] *Any applicant that checks box#I 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 their workers'comp.policy information. 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.Lie.#: Expiration Date: 173 Job Site Address: /f� — GP�C �{ City/State/Zip: fc� J Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of. Investigations of the DIA for insurance coverage verification. I do hereby certify uju e pains and nalties o rjury that the information provided above is true an correct Signature: Date: Phone#: _J Official use only. Do not write-in this area,to be completed by city or town official . City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i f zHE ramJ, AB Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of her Date Print Name Q:Fonns:expmtrg Revise071405 G ) ,� �-1 , __� E -�� � ___ _ . ��� C� •\ w ` ; �_, ,, ' � �. AC12RLX CERTIFICATE 4F LIABILITY INSURANCE ! 10/3112006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCShea Insurance Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 HOLDER. THIS CERTIFICATE, DOLS NOT AMEND, EXTEND OR 749 Main Street, Suite#H I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ODterville, Pia. 02655 508-42.0-9011 INSURERS AFFORDING COVERAGE ' NAIC# INSURED Carey Grover Ruildi-nq & Remod®lin I Keatern Kprld Insurance Co an - '� INSURER A: mP i and gamodeling iNSUR.ER,B. The Ear tford P.C. BOX 1080 C 1N9URF.R C: _ COtuit, Ma 02635 INSURER D: { 508-365651Cei1 INSURER E: COVERAGE$ THE POLICIES OF INSURANCE LIS I'Er)EELOW HAVE BEEN ISSUED TO THE INSURED NAMEn ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING I + ANY HEOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OP OTHER DOC:UMEi'T W!TH RESPECT 70 WHICH THIS CERTIFICATE MAY 9E ISSUED OR MAY PERTAIN,THE INSURANCE AFFDRDED BY THE POLICIES DESCRIBED HEREIN I`,E UBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 11-_....POI,101S.AGGREGATELIMITSSHOWNMAYHAVEBEENREDUCE013YPAIDCL.AIMS. ... -._. ..... 'Imp WWooLf POLICYC EF"C%TINE E POLICY L0.1HATIONN LrR YnaAO I TVJ�OF'INSU}IANCE POLICY NUMBER I DA'GIIAMrrr r �OATE1MM/DDY'y) ! LIMITS GENERA$ LIABILin, I EACH OCC:UM.RENCE $ 1,000,000 X MERCIALGENERALLIABILITY COM I I DAMAGE'li7RERTF( �_— PREMISES IPA occu,ncs) $ 50,000 F—+—,CL.0.IMSMADF 9$ OCCUR MEDE%P(AnyortePprgpn) a 11000 !NPP916297 9/1/06 PERSONALmAUVINJURY $ 1,000 000 iGENERAL AC:OREGAT_E $ e2 000,000 CENT A,GGHhOATE LIMIT APPLIES PER: PRODUCT'; COM!71OPAGC $ 2,000,0001 POLICY !JECT �I LOC p LEL.ABILITI' AUTOM RI I I 0 I COMBINED SINGLE LIMIT ANYAUTO i i ( i[e&ccidEN) S i ALL OWNED.AUTOS I AODILY IN.UKY SCHEDVI F=U AUTOS (Per person)-• $ --- h-�HIRED AUTOS - f BODILY INJURY NON-OWNED AUTOS I fPBPSCfidEnl) _ $ � -- � I i PN,QPERTY DAMAGE $ {P@f9CGC8(il) GARAGE LIABILITY --� I't,LITOpNLi'-hAACCIDENT 3 .._. �r ANY AU TO I I OTH FA ACC 5 ER T,iAN I AUTOONLY_ AGG $ 1 tXCESSIUMBRELLA LIABILITY j EACH OCCURRENCE ice_ IOCCUR I CLAIMSMADE fE AGGRECATF $ I VEDUCTIBLC RETENTION WORKERS COMPENSAT ION AND x` t H- TORYLIMITS BI 1360IB46505 08/31/06 08/31/07 E.L. 1001000 M LOYE ,'LIA IO Y ANY PADPRIETC?4ePARTNER!FXECUTNL' E.I..MACH ACCIDENT OFFiI,ER,'NEIA6ER EkGLUOEU" I � 1001000 SPEL�IALPROVI.SIONStm;ow f EJ DISEASE•POLIC LIMIT 5 Iy.500,000 I - OTHER .I I CD UESCHIPI ION or OPERATIONS tLOCAIIONS/VEH)CLESIEXCLU$IONS ADDED BYENDORSEMEiJT: QFCIALPROVISOONS t CERTIFICATE HOLDER CANCELLATION C3 f?1 SHOULD ANY OF THE ABOVE:DESCRIBED POLICIES€F10CELLI BEFORE THE EX;PIRATIQ ` Town Of Barnstable DATF IHERh01•,'THE immG INSUREP WILL ENLtIzAV')R TO MAILIE DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO ThE LEFT,RUT FAILVKF TO DO SO SHALL Hyannis, Aga 02601 IMPOSE N0 CRI,IGAIION OR LIABILITY OF ANY KIND UPON IHE INSURER, ITS AQENTS OR 5 0 8-7 9 0 e 6 2 3 0 IP'EFK-EES-ENNTATIVES. i AU I HORIZED BRAS}�.•.IVE I ACOR025(2001108) ^1�5..�.e CORD CORPORATION 1988 10-d d99 =E0 90- IE-4DO QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION------------------------------f---------------------------- 09/08/04 PARCEL ID 017 003 003 GEO ID 31919 LOT/BLOCK 1 LC31 DBA PROPERTY ADDRESS OWNER NISULA MAIN STREET (COTUIT) DAVID J & ANNE B COTUIT P,0 BOX 1400 COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 26136 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST AP (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS (V) IOLATIONS / (G) EOBASE / (E)XIT a r QUERY PROPERTY: QUERY END QUERY PROPERTY f PENTAMATION----------------------------------------------------------- 09/08/04 PARCEL ID 017 003 002 GEO ID 446 LOT/BLOCK 28 PLAN I DBA PROPERTY ADDRESS OWNER NISULA 1623 MAIN STREET (COTUIT) DAVID J & ANNE B COTUIT PO BOX 1400 COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 49222 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST AP (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E)XIT t Town of Barnstable Zoning Board of Appeals variance - Bulk Regulations - Minimum Front Yard Se r � ' ' g htack;;r L�: withdrawal Without Prejudice Appeal No. 1994-29 Petition Summary Withdrawn Without Prejudice Appeal No. 1994-29 Petitioner: r,-F,rde11-C- ciI1as Address: Lot 1 Wood Road, Cotuit, MA 02635 Assessors Map/Parcel: Map 17, Parcels 3-3 and 3-2 Zoning: RF - Residential F District Applicants Request: Variance to Section 3-3.4 (5) Bulk Regulations, Minimum Front Yard Setback of 20 feet. Activity Request: To permit construction of single family residence extending into setback area. Procedural Provisions: section 5-3.2 (3) : variances Procedural Summary: The petition was filed in the office of the Town Clerk and at the Zoning Board of Appeals office on February 28, 1994. A public hearing, duly noticed under M.G.L. chapter 40-A, was opened April 13, 1994. At the opening of the public hearing, Attorney John Alger represented that at present, one parcel was owned by the wife and an adjacent parcel is owned by the husband and wife together. He believes that this ownership arrangement does not constitute a merger of the lots to meet the minimum one acre requirement under Zoning. However there may have been a merger of the two parcels sometime around 1982 when from a search of the titles, the two parcels may have been under the same ownership. Therefore, until this matter is researched fully it is best to request to withdraw without prejudice. CONCLUSION: A motion was duly made and seconded that Appeal No. 1994-29 be allowed to withdraw without prejudice. The vote was as follows: Ayes: Gail Nightingale, Ron Jansson, Dexter Bliss, Emmett Glynn and chairman Richard Boy. Nays: None Order: Appeal No. 1994-29 has been withdrawn without prejudice. Any person aggrieved by this decision may appeal to the Barnstable Superior court pursuant to MGL chapter 40A, Section 17, by bringing an action within twenty (20) days after this decision has been filed in the office of the Town Clerk. 'Richard L. Boy, ChairmanL i � ., j Date Signed Staff Report - Appeal No. 1994-29 variance Bulk Regulations - Minimum Front Yard Setback D I Linda Leppanen, clerk of the Town of Barnstable, Barnstable county, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town clerk. , Signed and sealed this day of 06ca 1994 under the pains and penalties of perjury. o -------------------------- Linda Leppanen, Town clerk 1 j Town of-Barnstable Zoning Board of Appeals Denied Without Prejudice '93 fl 1.0 D Appeal No. 1993-60 SUMMARY Denied Without Prejudice Appeal No. 1993-60 Applicant & owner Ardell Callas Address: 260 Moss Hill Rd., Boston, MA 02130 Property Location: ."Wood Road", Cotuit Assessors Map/Parcel: 017-003-3/ 0.6 Acres Applicants Request: Variance to Section 3-1.4 (5) Bulk Regulations, Minimum Lot Size and front yard setback , PROCEDURAL SUMMARY: The application for Appeal No. 1993-60 was filed in the office'of the Town Clerk on September 17, 1993 at 3:34 PM and at .the zoning Board of Appeals '. ' office. A public hearing, duly noticed under M.G.L. Chapter 40A, was opened on October 28, 1993. At the opening, the petitioner was called forward, however no one was present to speak for this petition. The Board members in attendance were: Richard Barry (alternate) , Thomas DeReimer (alternate) , Emmett Glynn, Ron Jansson, and, acting as chair, Vice Chairman Gail Nightengale. ' DECISION: The Board agreed and unanamoulsy voted to Deny Without Prejudice Application 1993-60. A request was made for the record to note that the petitioner failed to show any evidence of any variance conditions. The Vote Was Aye: Barry, DeReimer, Glynn, Jansson, and Chairman Nightengale. Nays: None. ORDER: Appeal No. 1993-60 was Denied Without Prejudice% Appeals of this Decision, if any, shall be made pursuant to M.G.L. Chapter 40A, Section 17, and shall -be filed within Twenty (20) days after the date of the filing of this Decision in the office of the Town Clerk. F . LEGAL NOTICES TOWN OF BARNSTABLE ' ZONING BOARD OF APPEALS,'' 3 MEETING OF OCTOBER 28,1993 NOTICE OF PUBLIC HEARING` Ar .UNDER THE ZONING ORDINANCE i To all persons deemed interested or of fected by the Board of A 'Ppeals,under th - Sec. 11 of Chap.40A of General Laws of :the Commonwealth of Massachusetts and, `all,amendments thereto,-you are hereby ; notified that: `APPEAL NO. 1993-59 7:30 P.M. Steve and Rebecca Monette have ap ='.pealed to the.Barnstable Zoning Board of Appeals and petitions for a Special Per- u mit under Section 3-1.4(3)(A),in an RF, Residential F Zoning District to allow a Conditional Use of a Professional Office- E at Assessor's Map 43,Lot No.68,com- . 'monly addressed as 23 Sassafras Lane, _Marston Mills,Massachusetts. A PUBLIC HEARING WILL BE HELD _• ON THIS PETITION AT 7:30 P.M. 45 APPEAL NO.1993-60 ' 77:45 P.M. (I Ardell Callas has petitioned the Barn dui`.. stable Zoning Board of Appeals for a Variance to Section 3-1.4(5),Bulk Regu- lations Minimum Lot Size,to permit an { - undersized lot of 0.60 acreas to be con- a,r. sideredbuildableforthe u p rposes of zon-" ing.•The lot is at Assessor's Map 17,Lot ''` 3-3;and is located off Main Street,Co-` tuft;Massachusetts,commonly referred' r:- to as Lot I Wood Road.The lot is Zoned RF,Residential F District. A PUBLIC HEARING WILLBE HELD ;;. ON THIS PETITION AT 7:45 P.M. APPEAL NO..1993-61 :-' '8:00 P.M. %' Jaynes G:Kittredge has appealgd to the roe Barnstable Zoning Board of Appeals and petitions for a Special Permit under Sec- W.€ tion 44.2,Change from One Non-Cori- forming Use to Another,to relocate an , existing blacksmith shop including exist- 4#s irig sign with lighting from 1022 to.1040 ' Route 6A,West Barnstable,Massachu' setts. The locus of this Appeal is atxF. ' Assessor's Map No. 178,Lot,,..008,10-3 f;" cated in a VB-B.Zoning District. - 1. A PUBLIC HEARING WILL BE HELD ON THIS PETITION:AT 8:00 P.M. APPEAL NO.1993-62 s 8:15 P.M. Pools by,Vantage,Rick Thomson,has Petitioned.the Barnstable Zoning Board`" of Appeals for a Variance`to Section 3- 1.4(5),Bulk Regulations Front Yard Set- ' back,to .permit the.construction of a pool' within"the required front yard area. The lot is at Assessor's Map 20,Lot 1 I I,and commonly addressed as 1.1 Grove Street,,,rj Cotuit.The lot isZoned RF,:Residential ; F District " ::4 4 tt A PUBLIC HEARING WILL BE HELD E. ON THIS PETITION AT 8:15 P.M., These hearings will-be held in the Second {; Floor Hearing Room,New Town Hall, 367 Main Street, Hyannis, Massachu- setts on Thursday evening,October 28, 1993 RICHARD L.+BOY,CHAIRMAN ZONING BOARD OF APPEALS.' The Barnstable Patriot.~ sy' October 14&October 21. 1993 - ar 1 � f ` f ♦ . Any person aggrieved by this, decision r. sion may appeal, to the Barnstable Superio r Court, as described' in Section 17 of Chanter 40A -of the General Laws of the Commonwealth of Massachusetts by bringing-an action within twenty days after the decision has been filed in the office of the Town Clerk. • Chairman I, • Cler of the Barnstable County, Massac etts, 'herebykcertify that twenty ((able have elapsed since the Board of A y (in days the above entitled petition and �that noe appeal nofr said tdecisionohas nbeen filed in the office of' the Town Clerk. Signed and Sealed this pains and penalties of perjury,. day f 19 2 _under the Distribution: Property Owner . .' , Town Clerk ' - own C1 _x ADpiicant , Persons Interested Building Inspec^or Public Infor-. ar4on ' Board ot ,Appeals PARTIES OF INTEREST ARDELL CALLAS, r GRASSETTI, CARL ABBOTT 7 GRASSETTI, JESSICA RAPP PO Box 1310 Cotuit MA 02635-0000 BARNSTABLE, TOWN OF (MUN) 367 Main Street ' Hyannis MA 02601-0000 i WESSON, MATHILDE OVERTON 7 r+;. WESSON, FRANK, LEE 7 VICTORIA WESSON FARMS, INC. _ VICTORIA AR 72370 CALLAS, JOHN D & ARDELL C 260 Moss Hill Rd Boston MA 02130 , GOLDBERT, JOAN M 550 Chestnut St Waban MA 02166 j RACKAUSKAS, GIERDA V 7 RACKAUSKAS, ROMAS 1665 Main St Cotuit MA 02635 LICHTEN, MICHAEL & SHARON + LICHTEN, KEVIN P 240 Howard Circle Newton MA 02160 TIMMONS, JAMES;r M &. MARY P' 70 Ellis Farm Ln . Melrose MA 02176 , r NEVILLE, ROBERT-E & NEVILLE, PARTICIA L 167. Pinquickset` Circle Cotuit MA 02635 TOOMEY, MARTIN .A JR & TOOMEY, GRETCHEN D P 0 Box 1071 Cotuit MA 02635 ?' ESPANOLA, WILFRIDO & ROGADO, A Z & YAP, ANITA U < 11 hAMPSHIRE• dDDR Natick MA 01760 McCUBBIN, T J & G E P 0 Box 1923 Cotuit MA 02635 ` McELHENY, STEVEN P & lr SEXTON KAREN' A PO 282 t Cotuit MA 02635 CHASKES, JACOB & RHODA H CHASKES REV TRUST � P 0 Box 986 Boca Raton FL 33429 y , �. Assessor's map and lot n tuber ................................... ..... 4 _ C3 Nip to WITH TITLE S Sewage Permit nulb.*r ......................................................... 77M 0s. .# �-� qj®S�fig ��•�-.,�,� a` Co �z�BAHB9T-/1DLB, i i Housenumber ..............J6..................... ............................. q�,, 90 M s // O 39• �0 CAL— 0 MM tL TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... '..1.:............. ��... W.. . ...... 1X;.................. TYPE OF CONSTRUCTION ................. Q .......................................................................5... ............(p ............... ...............19. 44 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: C�� `� Location ............................................................... ... .u.................................................................................................... ProposedUse .�.!n.r''�� .. L.�. .....:............................................................................................... Zoning District ..... V.{.:.. .��C.....................................................Fire District .... 1 ).��...................................................... Name of Owner 0<)►}�V 4.(Ar�e.�1 �Gl��s Address �®� K... b 4:I� IZ� ��'sY►!�G�it l.�°*It1f�� .................................... .......... ......................... ............... .............. Name of Builder `S... .............:.....Address .. .1��. .AJ E.... :.. .Y!'� . Name of Architect ..G.%A av!\ !!.lE'US..........�n;C.........Address ... '`{.... C . p.6i7M �.. Number of Rooms . ® t�i� PUQ v ��" — 4. C�1�U Foundation/.......f.. .....i...I...... ..... .................. ........ .. r Exierior l_�{p� YJdGI��f ...��`T U.GC.C).........................Roofing ....... ...................................... Floors ........................................................................................Interior .......... ............... .............................. Heating f'.4-4........... ....................Plumbing .....11. Fireplace ...iiOh.c.............................................................6.....Approximate Cos �2 �. ............ Definitive Plan Approved by Planning Board _______________________________19_____ Area ... ... .. Diagram of Lot and Building with Dimensions Ste• Fee ........ �..... .... ....... 'SUBJECT TO APPROVAL OF BOARD OF HEALTH 9YYV r3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofFthe nstable regarding the above construction. Name ....... ................................................ Constvisor's License/..W...I................... _ f CAUAS, JOM &-ARDE,T, 27512 No ................. Permit for J�-5tRx:............... Sin le Famil g.................Y...I?Wp_1J jng..................... Location t.. g......1623-main•.Street........ i COttut ..... ..... ............................................................. Owner .......Jo11n & Ardell Callas.,......... r F Frame Type of Construction .......................................... — - ................................................. .................. Plot ............................ Lot ................................ 14 ` Permit .Granted ...F� �. ' 19 85 Date of Inspection.s::a:'...::% - r • Date Completed 2 t V .. #* Assessor's map and lot number. ................... / tNe 17} �Q OF tp O Sewage Permit nu ber �. A/e-le / 9 BAHBAM LE, i Housenumber .....................................................................:.. • � ti �p 079. \000 a mix Or' ,TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......)�.......<......................... .................................. ............... �.... ...... ................ �. TYPE OF CONSTRUCTION ����.:..��-�'�� . ''" �, V n Ai1 v v d�wriv t .. 1913 t3, ............ TO THE INSPECTOR OF BUILDINGS00 The undersigned hereby applies for a permit according to the following information`':') f Location ..���' ...."� ..........M I I'�..S `...... C`C � "; . ...... I Proposed Use ....... ..�-��.).!��'i,�...TiA v:L.41. 1C� ....... � r ............................ 1 :. : i.. Zoning District ...................................................► .....................Fire Distract ..... Name of Owner .�-4!V t l'j!!A�ti� �G.�,�!lS.............Addr s <•4?q....(V�OSS i 4%k k..�.....;;j r mC��e ti Pt tR lY1 `� �5 \f hC�" ZU �, 5 fSlJ E Y Ipt!!•!�'�c1 �'y• { Name of Builder ..... ... .r.. .........................Address ......... .. ....1.. .......................+. ,,��''' 1 rw Name of Architect ...(J.t:ain vin.�,mC�uS....T��........Address z '�(... �Gt I' Vl� h.............�?O.S ...K K1 Number of Rooms ............d ..Foundation .....................................................•. ................... .............. .... ...... C i Exterior � ..........................Roofng ...Aw.�a�.....` .,........................ ..................... Floors ..........................k:................................................ ........Interior ... T 60.At.................... . g .:. .. ...... :� '� a�. Heating ..... ...?l['�"a�ll�;l�...:... ..: ...: ::..Plumbing � ... 1$ 1 .... ......... ......... .....:......... Fireplace ....w YQ.•......................................................... .......A�PProximate ....................................... Definitive Plan Approved by Planning Board' --------------------_-----------19________. Area %..!..�j...` 7•••................ Diagram of Lot and Building with Dimensions Fee ........d � � 4 ..-' S� A'CT4HC.t�E� �L�h .......... / ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH ss / 452 A <,y 6 i, R � b OCCUPANCY PERMITS .REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules''and Regulations ofZewof anrnstable 'regarding the above { construction. s j Name ............................................ t Constru i Supervisor's Licensef:..d.,.D... U CALLAS, JOHN & ARD ELL A=17-•3-2 7-3- 2 27512 TWO Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ... ... Lot 28. ,......1623..Main...Street. ............ . ... ........ ......... .......... .. Cotuit �- ............................................................................... Owner ....JOhn..& Ardell..Callas. r i` ............. .. ............................ r Type of Construction ,.Frame.' .............................. ................................................................................ Plot`............................ Lot ................................ Feb Permit Granted ............r y..�:4.. ........19 85 Date of Inspection ....................................19 Date Completed ......................................19 - 1 - �� / 111-0,7 n o� TOWN OF BAANSTABLE permit No. 27512 o Building Inspector susxs Cash ----------------__-- t670. - - A OCCUPANCY PERMIT Bond Issued to Jahn & Ardell Callas Address Lot 28, 1623 Main Street, /Cotuit Wiring Inspector -, ,__,- Inspection date /Al Plumbing Inspector ' Inspection date fis e rye ��-� Gas Inspector � Inspection date Cjft-AA) Ar, X Engineering Department /1!� !/�/s�i?ff Inspection date` 2-' 6-� N - Board of Health Inspection date 1 � UQU THIS PERMIT WILL NOT BE VALID, AND THE BUILDING 'SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON ,SATISFACTORY COMPLIANCE, WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................. ................. .............................. ._ Building Inspector y,.�a�Vy -i �'gy •�'., TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 DAM : TOWN OFFICE BUILDING rua .631. `� HYANNIS, MASS. 02601 �o r�r►� MEMO TO: Town Clerk FROM: Building Department DATE: r An Occupancy Permit has! been issued for the building authorized by 'Building Permit # 276.! �.. . ... ...........................................................».....................»......._-- PI issue( t ...........Q ............................................................. ..__._. ... _»_ Please release the performance bond. -- 99.8 . S 749053 035"E S 73'48'05"E 215.61 46.19 �k• go LOT 28 o .w 1 . 13 A C• � K 337.55 Al 75031 '04 ON "I CERTIFY THA T THE FOUNDA TION SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS AND THAT PLOT PLAN OF LAND IT CONFORMS TO THE TOWN OF BARNS TABL E' ZONING L OCA TED IN REGULA TION3" SN Of c BARNS TABL E—CO TUI T—MASS. . DA TE: FEB. 13, 1985 :" �AvIo ti� PREPARED FOR CHARLES c ,� s28'850 C ARDELL CALLAS DATE.•FEB.13 . 1985 SCALE ! 40 FT. FLOOD ZONE CAPE 6 ISLANDS SURVEYING TEA TICKET — MASS. ,Engineering'Dept. (3rd floor) Map 7 Parcel 1� ? (��. h ermit# C( ' a 3y f} r, House# 4 Date Issued l0 ds 604 - Board of Health(3rd floor)(8:15 -9:30/1:00-*m) ?s= iW - 7Fee C, Conservation Office(4th floor)(8:30- 9:30/1:00-,2:00) Planning Dept.(1st floor/School Admin.Bldg.) $ +JdtV INN Definitive Plan Approved by Planning Board 19 - - _ • BARNSMBLE. MASS ' - 1F0 MAr e + ' TOWN OF BARNSTABLE tb , 7 Building Permit Application Project.Street Address Cyr,Z3 M cam`.. S+ . Village.' •r' Owner,.' 70.�- 4. ,Et,�.,� s�� Address j, 23 ..1w,• 5 �� I Telephone 42 o q e-41 - - s Permit Request • ��p+ wr -First Floor l L o 0 square feet Second Floor square feet Construction Type t,3 r,a� t r c�—k� Estimated Project Cost $ 10 o . QJ v a a: t Zoning District Flood Plain -.` Water Protection Lot Size 1 •o S AF-z Grandfathered ❑Yes ❑No Dwelling Type: Single Family ( Two Family, ❑ Multi-Family(#units) Age of Existing Structure 17.. 'l r s Historic House p Yes No On Old King's Highway ❑Yes ANo Basement Type: ,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 41( Basement Unfinished Area(sq.ft) 1400 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 4 Heat Type and Fuel: f Gas ❑Oil ❑Electric ❑Other Central Air �d Yes ❑No Fireplaces: Existing i New _ Existing wood/coal stove ❑Yes JLNo Garage: A Detached(size) 7 yc2 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes R1 No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number 4ZQ- S 3 b7 '+ Address License# 1 `A C� ►. VV1-A e)2J 3 S Home Improvement Contractor# t i c 4 s-g Worker's Compensation# we- aa00-300--tC7 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 TOc SIGNATURE DATE 3 f S 4 BU yING PERMIT DENIED FORATHE FOLL ING REASON(S) 0-1` r'�' 4 FOR OFFICIAL USE,ONLY PERMIT NO. 2,q DATE ISSUED ._ - e' � ..< - " ". - - Yf • � fi •< `" t ;�_ MAP/PARCEL NO. ADDRESS I VILLAGE' OWNER DATE OF INSPECTION: "-•- - r K �` FOUNDATION, FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ` FINAL PLUMBING: ^ ROUGH FINAL" GAS: ROUGH FINAL, FINAL BUILDING DATE CLOSED OUT. ASSOCIATION PLAN NO. . ` • Tl tassachus ell s .! �s ':--.� •;�- Dc partincnt of Industrial Accidents A Y ` 6 O1 jC9PVflnY9SZf9atlonS • �i ,' iiw I � •:\�_:;� .j:=+' 600 11"a-0ingruir Street EmVidn.A1aYs. O2111 ' Workers' Compensation Insurance Affidavit _ dlililicint inttirntati�ri _ Plcnse PRINT lebily location- cin• nhnnc I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an mplover providing_ workers' compensation for m% employees working on this.job. enumany name:' C�t�u y' I� T iv\,C*-L R71-5 J-Sj C `j k, L I>Z->~S tdrlres�• ��X' toao cin ['Fs`I�•T ev\,41} nhone0- 5-s63 insur•tncc cn G I am a sole proprietor. ;eneral contractor• or homeowner(circle one) and have hired the contractors listed below who hz e the following workers compensation polices: cmmMtnV nhtnc• �drlrrsc• eit- phone a• incur^ncr rp cmmnnnv nntttr: nddresc- rip•• nhnnc Ft• insur•tncc Co. nnlics•d Attach addititi_nal Sheet if neces_iar ,r -^'•'`' "�.: �— - ;-- --��. �-�"= �-= =""• •-_-^- Failurc to secure envc— Ce as reyutred under sectton 3A of AIGL 152:an:C:.a to the imposition of criminal penalties of a line up to S1S00.UU andiur une scars'imprisonment as sell as civil penalties in the form of a STOP'ti-ORN ORDER and a fine of SI00.00 a day against me. l understand that.1 copy of this,latement may be fursvarded to the orrice of Investigations of:hc 01:+ fur coverage verification. I do hereby cerrifl•under the pains and penaltics of perjun•that the:n!or,-priori nrot•ided above is true and correct. Si_nature L—� Date �11 L41 at it Print name Phone - 7-0 •-5-5C,:5 official use unit do not write in this area to be completed by cin•or town official ` city or town: permit/liccase 9 Rf3uilding Department ` c3ucensing Board t check if immediate response is required Oseleetmen's office -. Cttcnilh Department f• phone=: r'TUthcr 4 Ccontact person: information and Instructions ; Massachusetts General Laws chapter 152 section '_5 requires all employers to provide workers' ctrmperts:ution for:i employees. As quoted from the "law an etnptoree is defined as everyperson in the service of :mother under aury contract of hire. express or irnplied. oral or written. An enrplurer is defined as an individual. partnership, association. corporation or other legal entity, or an}•two or rut; 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. HOwe%'c. owner of n divellin__ house having not more than three apartments and who resides therein. or the occupant of the dwcl ling house of another who emplo%ls persons to do maintenance, construction or repair work on such dwelling- h or o►► the _-rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio-, MGL chapter 152 section 25 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 far any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in tltc .vorkers• compensation affidavit completely, by checking the box that applies to your situation and sub."!yin- company narnes. address and phone numbers as all affidavits may be submitted to the Department of Industri:l ,�cciderrts for contirrnation of insurance coy erage. Also be sure to sign and date tfte affiidavit. 111e atfidavit 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 require to obtain a workers' compensation policy. please call the Department at the number listed below. City nC rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to give us a call. •Tile Department's address. telephone and fax number. TIte CommomveaIth Of Massachusetts Department of Industrial Accidents .. Office of Investigations 600 Washington Street Boston,Ma. 02111 fax r: (617) 727-7749 ~ erne r� The Town of Barnstable uRtvsrtsr,E, : . 9eb 1 159. ,m�' 'Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissior. 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 io such residence or building be done by registered contractors, with certain exceptions,along with otherrequirements. �0 Type of Work: 7e;n^-odzl Est.Cost Address of Work: (1, 44 • C� Owner's Name 7a4 t�r Date of Permit Application: 3l I 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: 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 apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name 780CMR Appwxjkj Table JILIb(condoned) ftucripdve Paclkago for One and Two-Family Residential Buildings Reated witb Foul Fnds MAXIMUM MINIMUM Glazing Glazing ceiling wan Floor Basem�t Slab Heating/Cooling Area'(�) U-value' R-value' R value' R valuer Wall Pie:imeter Equipment Efficeary' package R value` R value' 5701 to 6500 Headog Degree Days' Q 1 12% 0.40 38 13 19 10 6 Normal R 12'/e 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AME T 15% 0.36 38 13 25 N/A N/A Normal U IS% 0.46 38 19 19 10 6 Normal V 15e/. 0.44 38 13 25 N/A WA 83 AFUE w l5ve 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 WA N/A Normal Y 18e/. 0.42 38 19 25 N/A WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18Y. 0.50 30 19 19 r 10 6 90 AFUE 1. ADDRESS OF PROPERTY: )L,z- (IA4 - r 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: '35oo 0 3. SQUARE FOOTAGE OF ALL GLAZING: 1-2vo `fe .ted�uce� ��a•—S 4. %GLAZING AREA(#3 DIVIDED BY#2): - 4 e7o 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a r� 780 CMR Appendix J Footnotes to Table A2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft2 of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 i I — -- -- a • II�Ai I'F9 _ 14OKfH Et MA:PCN -- — -- Yet MIR �E W^. Te'14 pTAIL AT E,y aWLL ,,.awae...e...,.,l..,.,...,.K •.-rMSM Y . 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'.c— �< }• I"crwT"16i•�..`oc�wu�.»r �•�` fv' it,,: wT.ee�Tsn e�T.ae imSTe:.Mnm.15� �.J. 1--1 ram' roe I:r•i FIRZT FLO!fz MAW 1 \r —71 4 Ski I of - ��7 1 'I --- A I yr.arr+w,...ry•1 i..T�.< �� a A -. >�} 1 a a Bin 7 t �b cAFI•c� �s �-„>.M ,�.,� I,v I �,�„ ✓ter 1��orG s�w�:a�uaY II A 1 171 ® 1� i I • CApOe: I� I ` ~"' ��-^y.r a-e 1 Al I � y . TN'C:i FLC-'C?LA44 tll ai4rt W...- .wG I I 1 I I I I N I 1 I I ��9GA•�Io.1.�T.4P'. '."1 7. e r I - _`��� � � � - � � NGt1 1'M.A•4•t �/n. fPo- hov( ik Aoo �. � � � '� _Q\ � \ �:� �n � �- � _ _ _ .. ¢ � � .. �I:�potJ'N-.,tc,v✓) FpoN aryl��•{5 � � '. IVJ oc Mc.1 ... .� 13 .. All - Z f� .Y -.. ...� '. �.- �.,� .. ,�?, .:� ' '\..' ,./ ,. � .'3.'Msrr!<ioFj,Hi• bo!�1r1 OOZoIl �..., \ a_ t _ T r.7)•R - .,.. W 1. � .:� ; .:.Il��\ � .\\``\ �'OFL�G / �� \\ I - .. .. - y1: Vi l '\ . 1 I / Y ow- 1 01, -re- Al �t�,l bt W�.w...,L ar•.s POoP.'Gtl.M-LLTE•Ih101.1 � /� � .. 1 _ fog ��cc��tt. E,tilsrf 11°.ht Vc(.e.r..oJit _I �� `2J Lo P. !•on:4:oJ .. S�f AC.F•GHoJGO; �bP.�. '�'W - - ��. 4v�0 1'. � J�4:. P<oP.nl..j FE.1�E/I�OP-M-L1N•t�l.�c. Tn ne v��•r N,.1 n.�..<Nv e.� — �L01J I T� f�/r�-I�hC�•gl-E LdIVG Cr191)¢cI l/1•I InL. y vl ��U I 1 .I J �t•41�N' IGI 1�111 �� 71a ��MI1f N ,� Mort \� G I v I L E r.1 G I I•l&.</2S o+•,� n. '.. � u 't,,� S t9ATE __ -�� T/)Qjl%iYpary(,�gq�,�y d�✓vLC7.JJCLC1LU:iCI( DEPARTMENT OF PUBLIC SAFETY I ! CONSTRUCTION SUPERVISOR LICENSE :Number Expires: R'es' tricted;Ta 16 STEVEN P�,aMCELNENY PO BOX 282 COTUIT, MA 02635 <; =HOME IMPROVEMENT CONTRACTOR Registration 110485R ' Type INDIVIDUAL ��;Ezpiration �6RO 10/20/98 w.MakF w" VER�3 MCELHENY BUILDERS w* 'STEVEN �. McELHENY Q�$OX 058/523. MAIN 5T ADMINISTRATOR OTUIT MA 02635 �. Z. _ :&xr Q