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1751 MAIN STREET (COTUIT)
5� u ZN& l� d1Y// �i (ooz P©��- -C/ 4 � i f 8 }. 2 RNSTABLE - Cotuit Michael Jacobson LandIn ..,................................................. Belonging to ................................................. Deed in Book................ Page Lund Court Certificate No. .,7945},,,, in Book .....644 Page ...:111... In . Barnstable Registry Ri.s.trict.,,,.,_„ Recorded Plan ,Land Court Plan 11542W filed with Cert. 20533 Date of P April 9, 1957 . Plan .................... in Barnstable Di rict in 153 113 Registry �. ..., 'Book No .. .. Filed Plan No. *ALSO"Land'Court �Ian 1'i542 'fifed'wi'fh"Cert. '�'�'094' bk. 1'75"pg' 34 January 71`f959"* ******'*'***** .MORTGAGE INSPECTION PLAN THOMAS. C. KENNY, ESQUIRE Loan No. , ��� James P. & Margaret B . Diggins JIV" � � wA y 6J LoT 32 N D / �c" V� '�► 't. ,ems �S 1=1-0 0 0 it �® 0 �m F�oo z a� MAIN S T j I 1 Aug,-';23, 1985 .t PuSNY MA.es;, PoNo � JN 45130 Scale 1 '= w D. E� _ irr Assessor's map and lot number ap..Ae...... ............. 7 y04THETod Sewage Permit number ......... ................ �... .. .... p LE® MUST- �� e�P ♦� �%';PTIC SYSTEM .......... t 'ieSTAL N COMPLIANCE N 9 MAB6 • IN COMPLIANCE = HaEH9TaeLE, i House number ..k .�{....t:a.40-S:�:.....�'EvD WITH TITLE 5 0 ..—ANVIR®NMENTAL CODE AND ' ,6J9. 0� TOWN OF BARTN"S"F` 1 H, I • BUILDING INSPECTOR APPLICATION FOR PERMIT TO .�....!.0... ....VV_V\"***"******'***"**"**'***'* *"**....................................................... TYPE OF CONSTRUCTION .�^� ..... V�'!!! . ..................................................................................... ........ . .k. .�. ......................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ProposedUse .5.1......O(�C.... .................................................................................................................................... Zoning District .................. .................................................Fire District ............... 0T!f .!.............................................. Name of Owner ......0Am.�4. .........................Address ...�7.5 �...../' 1.9.t. ..s"f'....�6 J!3../........... Name of Builder l'n.v nr.5.....NrIYrDC`ti. e!!-. y ..Address ..PrUs�..�.4.X...�.3a............... Name of Architect ..rat.9rP:r�.....!�.cTC?�a.51.... ..;;'.............Address .::.....�c!!)..�r.........�s��'.i..�!1ej..��... Number of Rooms 7 Foundation CO°�C,rL�� pied ...... ........................................................... ................................................................ Exterior ..C.1',r�A.Y'...?.�!1►. � Ir. ...........................................Roofing .. 5 ................................................................ Floorsr.p. . .. ...�4it�...................................................Interior .................................................................................... Heating .....F_1rci'_n1C.......................................................Plumbing .................................................................................. Fireplace ....irC .....................................................................Approximate. Cost ..... 5� OtJ............................................. - - 14P Definitive Plan Approved by Planning Board -----------------_-------------19--------. Area 1 D�! L•.••••••�/.7�............. Diagram of Lot and Building with Dimensions Fee ............ ...:�'.'?� . . ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -OCCUPANCY PERMITS REQUI§ED` FOR NEW DWELLINGS t.1 hereby.agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above F construction. _..... ... Name ...... ... ............. ........... .......... Construction Supervisor's License .................................... DX..GGINS, JAMES 28623 Build Addition 4-Nq ................. Permit for .................................... Single Family Dwelling ............................................................................... Location 1751 Main Street ................................................................ Cotuit ............................................................................... James Djggins'-�' Owner .................................................................. Type of Construction ..................Frame..... .................. .................. Plot ............................ Lot ................................ Permit Granted �N9vember,--A. ... .........19 85 Date of Inspection ...............*-19 Date Completed ....... .19 f i �.. ...:.:.:.:. .... ..ii, 'f .,.:.:...::.::-.:..:::......:.,,......�...::..... .....:..... .. .......... LOWELL STk7EE7' 45B•22 -'� y b fi Lot O d . L1 >✓ I JT 5 F HENRY ZrIARCIA N 10623 4hO S U e Scale: I .Tv�fv /�� Ciyecir-1 A PROFESSIONAL LAND SURVEYOR, AMERICAN SURVEYING COMPANY. DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION 1264 Main Street,Waltham,MA 62154(617)893-6477 P9,AnrlYfi11 YrafG EP nk�771IN CONNECTION WITH A NEW MORTGAGE Mortgage Inspection Plan : AND JS NOT INTENDED OR REPRE- SENTEDTO BE LAND OR PROPERTY I r THE LOCATION OF THE ORIGINAL RECORDED AT �� a COUNTY RE F DEEDS LINE SURVEY. NO CORNERS WERE DWELLING SHOWN HEREON EITHER BOOK PAGE LC.Cart• SET. IT ING F BE USED FOR ES WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: -G ��i7 /yw BUILTABDING FENCE. HEDGE OR APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSORS BUILDING ONES.THE LAND AS SHOW N HEREON IS BASED ON CLIENT FUR- FECT WHEN CONSTRUCTED WITH RE- MAP 1�TPARC �. r DATED NISHED INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS: SUBJECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT L!i TAKINGS,EASEMENTS AND RIGHTS OF FROM VIOLATION ENFORCEMENT AG BORROWER: WAY. N2 RESPONSIBILITY IS EX- TION UNDER MASS.G.L TITLE VII,CHAP. G TENDED HEREIN TO THE LAND OWNER 40A, SEC. 7, UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD ZONE OR OCCUPANT,IT IS NOT INTENDED NOTED OR SHOWN HEREON.A CON AS SHOWN ON NATIONAL FLOOD IN URANCE PROGRAM FL000 TO BE,RECORDED. FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP DATED Jilla 7 /Yp- IS ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL* '5O07/` �a3Z0 DATE SHOWN TO BE V OR LESS FROM CLIENT Q�do F cr PROPERTY.OR REQUIRED ZONING BY FIELDED GRAFTED CHECKED G CLIENT REF 9 SETBACK LINES. DATE J y t3' P .9 F.B. PGE. J.O.iI �' TOOO CTOSD96LT9 1VJ TS:TZ 311.E Lfi/t'T/OT I D8 17 Engineering Dept.(3rd floor) Map / Parcel 00 r] Permit# r House# Date Issued ,��� t2 r Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) - a3 k4(707 Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 10 26 Planning Dept. (1st floor/School Admin. Bldg.) SEA'i oC SFATL UST BE Definitive Pl pproved by Planning Board 19 INSTALLLIANCE r ENVIRONDEAND TOWN OF BARNSTABLE. TOWN RONS Building Permit Application a ProjecYetess 75"1 /��1`I 67' Village Owner `ddress 12. ! Telephone & -7 r Permit Request �� �`f A001- e40-?I ��� iL �f a4 �C/J lip Sice First Floor s square feet Second Floor 135 0 square feet Construction Type Estimated Project Cost $ 17r O®D. Zoning District A Flood Plain Zex&/E' C Water Protection Lot Size 7 f Y Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure SOY/CS Historic House ❑Yes UHIT5 On Old King's Highway ❑Yes LWO Basement Type: QFull a6rawl Ukl alkout ❑Other Basement Finished Area(sq.ft.) S`I Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New �1� /'/ Half: Existing ® New f No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count .Pleat Type and Fuel: Gas ❑Oil ❑Electric ❑Other / '0,LC6Z 1-107- 1-ioC Central Air ❑Yes MNo Fireplaces: Existing / New Existing wood/coal stove ❑Yes 2No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) &rRone Q*�ihed(size) /° ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes <o If yes, site plan review# Current Use Proposed Use Builder Information Name,4-15.9 Q,1-cd 1�cAll—1 Telephone Number 7' (p" KA,-1I Address l /%,x AO J-zP License# 050E 1_5 7 Home Improvement Contractor# /o/&d9& Worker's Compensation# Gf/C2—4/zZ 77� 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 `�/�-?l�7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) t - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER - DATE OF INSPECTION: W FOUNDATION FRAME r � � i .. ; '• - "� . . INSULATION. FIREPLACE r i ELECTRICAL: ' ROUGH FILIAL °;. PLUMBING: ROUGHI FINAL50. -' t GAS: ; -R4R(RUG�3 '^ FINAL f 5 FINAL BUILDING) "7 r DATE CLOSED i tr 140 ASSOCIATION PLANZO. - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��/ Parcel Permit# 617 S( Co Health Division '` �% � Date Is ued ( �-OP Conservation Division : 9t � 10 - Fee ` Tax SEPTIC Co /llector T � �r l� /` ` UtvYa Ev'f3T BE Treasurer 1 I t a�z INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. �4- ENVIRONMENTAL CODE AID )Date Definitive Plan Approved by Planning Board - r OWN REGULATIONS Historic-OKH Preservation/Hyannis _ } / /y 1 AI Project Street Address 7S �' 6T • J l 4 Village i �Z6�/ N Owner �d `/1.% Address i)CRI I, Am O-2-e0 Telephone 491;7 - 9� 7 Permit Request d' cS�/'� � 4a-1p7d a-e7� Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new to 2a�E Valuation �S 060 , ou Zoning District Flood Plain Groundwater Overlay Construction Type f`'amc Lot Size 7194P Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family &Y" Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full O�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 � new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Md Gas ❑Oil ❑ Electric ❑Other Central Air: dyes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Flo Detached garage:Cl 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 Proposed Use BUILDER INFORMATION Name ' �' i�/c . Telephone Number Address �•O License# 0:50 ? CO77Jt;i; Oyu 2W Home Improvement Contractor# 10,96060 Worker's Compensation# wC 4- 0/2 a 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO &XI7 `I�d4r?r— SIGNATURE DATE 7 1?199,O r �I FOR.OFFICIAL-USE ONLY _ PERMIT NO. DATE ISSUED t f„ it_ . , • t a- ' r [:, _> 3 MAP/PARCEL NO. ADDIFESS . . VILLAGE OWNER t DATE OF INSPECTION FOUNDATION FRAME - - INSULATION ' FIREPLACXI ELECTRICAL: ROUGH* ~: - FINAL PLUMBING: ROUGH; FINAL GAS: ROUGH . ' FINAL',:; FINAL BUILDING a DATE CLOSED OUT t « lLJ f ASSOCIATION PLAN NO. a i. 1•T" f .. f' • I 1 I I I jrT I � ' � � •Y.L y l n"kv Lem O= � - 1 � � � dyXb��-'GIC>A.4, dLKb FL(t•j�h'GIU'O.G., I I .. I z Z�@ I —I lil n II ICI -L-23 =-==--�J I> T qc I c y I 7r x C N NZ p _ GZ a.OI,�V DATE"?j.IQ. f-,a-0 PROJECT' REVISIONS- 1 (508)428-4219 SCALE�> �t9 V� STUdIO - Fax:(508)428-4295 SHEET' �1 �oz1=fJ �ZE�InEIJ I sl M>J�l s a —ITUIT MA 'TITLE - 1. ARCHITECTURAL INNOVATIONS ADMSI0N0F1d EN7 pW56,'lNC DRAWN By Is.' P.O.BOX 2056,COTUIT,MA02635 - - �V �V O N a0 _ x�i PIrIE �HI^1c�L.E ea r rrJ rELLe. rI kEt7 V.IHITE. hL�r�.c14b. vi z /! lxb Plhl�.Rg1C� cLFP.� .�TO(Cr :Jl�lnohl`�1�1T1� IX ._PIKE '��IM?���-7 o 0 i3 G /i .. i 62� ............. o Irb PIdE ��'�n --C--`� - - M L -!.I 1t I.. I ri V r.nlE.'rJELE-4`1- - F]. N' I •-- - L LLJ 11 El El u 0 � rJ i .,�H ba7P III-Tr4 >_ff-ET ELEVATION ELEVATION m Z V9 it �11 •O II — _ � 1/�-° �I'•OBI -_ -.I - ---- m 2 I � w G - Et�TJ I"JINV?7h1SU�i.JIGjV}� Tirl- V 5 PIKE` - - - I' 1' - - - �r _ N w 1 o - W lU ELEVATIC1 � fzI�HT SIC7E ELL-\J^T10N a lid' �II.O, v�,l=p•OII l'� 1 w W J W � N !n C z N N Imo" f. e-% 2 0 N 0 zxlo �c• TEre , con'1, FIT.VE o .%1m-IU"0•GR tWJ���L. 11,-f war<411��.>fcc. ,>.. - Z/z K j.rT`- - Ix6 ItJe= �6D- z�zx��tJlnit> H�7E{z ram'F Time-LIIME jz,t_, P�F x ° � s+NIJc.�LEs or•1..I/z" „V, Iµ4-- x•ha I 'S C,IG'O•�. F�x'1, I :.�:� '� ", `-Vz:'cy-(ps.�v•o� In3sTita� T'(PIcA.I_ Iz 4 bET/N Lul - - 41 - I-CC��" OcL. W.1/GP 6�iL_ I / • - �- WI.z"c.�*L.v apl�HoF Ir15JLc,TlO rJ. _ _ __ IWLTS LOLL--{{�LIIM�S Hie, ,) "x-1o"x1z.^cork-. I -II•p" P' G" i PPc�d�v corJL-foUN �' - r< Wirt l7ol.S5 •.IaD EX IOF� pooh - ��� — �Jr.IR oP�r.11 r.lc� �J x H ->t-7L� rin E(tlt.l_ F'1� 'i.'A' Z•I%4',, 2'.11 t4" rt:-LV. 1'*i' E ALLI-L-E G'st�Er'IeNT 11 II II G Z',II sj�{n z'•li s/.{" PE LLA FIXED GATEMEN n n urt w cTl.pn X GI,10" PELIA__. " Sl.l DI P. " n O Cl a � pJc,HT AFL eca7cs.-.Re "P LE- ) SLID -Z . R W J W O N to Assessors map and-,lot number �......p....�.�.. A �{ *'THE Sewage Permit number .......................... .......... fF.... ` {i1 St E r 1 ✓`l c 1 9 Bua LE, • House number ............ ..................... 16 9- f. x TOWN OF BARNSTABLE ` BUILDING INSPECTOR - A APPLICATION FOR PERMIT TO .......................................:.......................................................... TYPEOF.-CONSTRUCTION .!`'. A: � "' wo................................................................................................................. �.. ....,�..� .......................19..` . 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5 ( N `r ................. t `'�� r........`....... ................. , .................. ........................... ; ProposedUse .�1 ....`0 :.... .C..(�...!...`, .................................................................................................................................. i ZoningDistrict .................. ................................................:Fire District ...............ro.. v................................................ .. M1 v.J r 0 . yName of Owner ...... r . Address ....... ......... . r; ........................... , . Name of Builder VNV r' ..... ,�X.`�.4:.<�.�.!r:. N� ...Address .ox 1 ?c? F 1 r u, c: ..I?".<� .:... . , S,'.,�.• ciSSr�c � s.............Address .....................tfi, S Name of Architect !t..:r......:............�..:�.......... 51 ... J Number of Rooms ...27........ .......Foundation .. r..a; S ................................ tt 1 :l. � ✓`, tom /� (�tVa � Exlerior r' { + ...Roofing... .............................................. ...... ...................................... ............................... Floors ..............................................................Interior .................................................................................... c;'I fiE' p, Heating .....1% f c s ..................Plumbing Fireplace .... .. ... .................................................................Approximate. Cost .... .....................:.................................. Definitive Plan Approved by Planning Board -------------------------- %D t p(, 19______--. Areo Diagram of Lot and Building with Dimensions Fee .. �"'?5� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. j�qMe�e• Name .. �Ui.... �: ..� :::�.`. ..r.. . .. :....:...................... . i �'�1, !'?'•.-{,� .� L' Ir Construction Supervisor's, License .p DUGGINS, JAMES A=16-27 V No ..28623.... Permit for ........Build Addition Single...Family. . ..Dwelli. . .....ng ....................... ...... . .... ...... .... . Location ...1751 Main ........................Street.......................... Cotuit Owner ..............James.............Du....$.$ins.............................. Type of Construction .......Frame . ........................ ................................................................................ Plot ............................ Lot ............................. Permit Granted ....... October 4, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 O llX 2° X �� R Ie Lnommonweal�a ��� c�iudeG `� A �+� r7 1 BOARD OF BUILDING REGULATIONS Y� "' \ ✓ae P°'"°'"o"""°QlG4°�l�"u°`•�""u° HOME IMPROVEMENT, CONTRACTOR i License: CONSTRUCTION SUPERVISOR. Registration 109606 Number.„CS 050457 " Type - PRIVATE CORPORATION E I ATT I b. Birthdate,04/19/1949 t Expiration 09/21/00 Expires:04/19/2002 Tr.no: 21346 _ A I ENTERPRISES INC. Restricted To 00 PETER M. POMETTI PETER M POMETTI /r ! �� �� G� BOX 2056/ 140 RIVER R0_ ✓ PO BOX 2056 .. �; `°�.,`'° - taAroa COTUIT MA 02635 ` - I COTUIT, ,MA 02635 Administrator AoMINIs as 1 . d i - k a tr w I .. rI EST/MA TED PROJECT COST WORKSHEET F Value f LIVING SPACE L. (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= 3 �� (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH At square feet X$2o/sq. foot di DECK square feet X$15/sq. foot OTHER square feet X$??/sq. foot t Estimated Pro Cost �- . Total Esti Project m � M CMRAppwA isJ T".LSZ1b teo�aoedl P PS PasJ.mgp(or 0w=dTwrFaa ft Bit ftUdbW gamdwM Foal Rob ev ' r Slab -HmamSl�_�--YB � Cu allaft COT" Wdi Flow Mill Asm' !f-ws P=ka3a =I/s66� D�Dafa' Norma! Q 1ZNi Ou40 19 10 6 19 19 10 6 Norma! R 12'K am � ffi AFVE S 129li 030 3f< 13 i9 10 6 Normal T A. 0.36 3s 13 35 WA MIA 19 19 !0 6 Normal , 11 ISyi a" IS'AFEM V IVA GA4 3= 13- 25 NIA NIA 19 19 10 6 U AFUE W M032 WA Normal i X IVA am 31 � 25 NIA . 19 2S WA WA Now T -12% M 39- 6. 9D AFUE y lass OA2 3t 19 10 19 10 90 AEUE AA IVA UO 30 19 19 6 DRESS OF PROPERTY: 1. AD . a • f 2. SQUARE FOOTAGE OF ALL EXIMOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: r 4. %GLAZING AREA 03 DIVIDED BY CT PACKAGE(Q=AA-see chart shover J ` 5. SELE NOTE: OTHER MORE INVOLVED MEMODS OF DE I RMDWG ENERGY REQUME � ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL:. NO: q.forms-080303a = The Commonwealth of Massachusetts —_ dustrial Accidents - Department of 1n ' �StjljgjlOdS _�. � Offlct allfltr 600 Washington Street Boston,Mass- OZIII *� ce davit Workers' Com ensation Insnran •gw/iii�i ON tee. 0 . :10cation.- Ciitv P a all work myscM G I am a homeowner .gym have one is ally [) I am a sole on this•ob fff my amas �.. n ... .. ... ................. ......:.,::,<.;.:.:;.;.;;.:.:,.;;: �P a7 'i;:^i':is i�::-ii:STi::•�?ri:.:::.:{3.... ...: .,, ...:?•:<:kv..r O::.:: n:::. 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K.K,vi/OCii?�T..v.».v...}x{:.•:^.{c�.,.:.,.r'..:t?.:... �� of aiminal penalties of a Sae up t0 S1S�•OO mof or order 6ectian 2SA of MQ+14 esin ksd to tha that s Failure to secure coverage go re aired' p���form of a STOP WORK ORDER and a Rue of Sloo•00 a day against me- I�r�sd one weans �prisomnent to the Of ace of�i�om of the DIA for covom 0n' COPY of this statement may be fob rovided above is trip and correct • ofP�'that the mforniatton p --7 I do hereby certify Pam*and p /�! 199—CJ-- Pb=cDate 0 Print name ot8dal ' ofncW use only do not write in thb am to be completed by ctty or town QBuIIding,Department perm"CM5e# LJIicensing Boa city Or town' ❑Selecttnen,s oince Ouse is required ❑Health DepsLr=ent ❑check if immediate rap ❑other__----, phone#; contact person: Information and Instructions N. requires 25 all employers to provide workers compersa�o= fo^'- .\gassachusetts General Laws chaplet„152 section fined asevery pion m the service of anomer undo: any' employees. As quoted from the `law , an employee of hire, express or implied,oral or written oration or other leQal'entit��;`or any'"Or more lot er is defined as an individual,partnership, association, corp - T r -.n emp representatives of a deceased empioYer_ a. er e - ''z rise, and including the legal rep the foregoing engaged m a'joint enterprise. Io employees. However the otvner or a trustee of an individual,partnership, association or other legal entity, empv P not more than three apartments and who resides therein,'or the occupant of the d�,e'uin�house dwelling house ha��ing onstrucor repair work an such dwelling house or on another who employs persons to do maintenance , ction building appurtenant thereto shall not because of such employrneat be deemed to-be as employer. eve state or local licensing agency shall withhold the issuance o- re ,MGL chapter 152 section 25 also states that every micant wnc:. in the commonwealth far.an�,.?pp of a Iicense or permit to operate a business construct buildings coverage required. Additionally, neith=r thf not produced acceptable evidence of comp coatractforthe erfoanaace of publi`; work ^ of its political subdivisions shall enter into any P _. commonnrealth nor any of this chapter have been presented.to the cow_-- acceptable evidence of camplianee with the msuran= authority. rM Mon!; NO FEE Applicants in the workers' compensation affidavit completely,by checking the box that applies to your sit=ucn and Phase fill U=:S-address and p�numbers along with a certificate of insurance ns all amdartts taay be supplying company of Industrial Accidents�•�firmation of insurance coverage. Also be sure to si, a submitted to eP�� or town that the application for the permit o_lids c tr date the affidavit. The affidavit should be returned t°the city questions regarding the i3R" or being requested, not the Department of Industrial Accidents. Should you have ' required to obtain a workers compensation policy,P call the Department at the number listed below. are ; <....,...... City or Towns fete and printed legibly. The Department has provided a space at the b== c: - Please be sure that the affidavit is comp y�regarding the appuc'-� P1se amdavit for you to fin out is the event the Office of member. The affidavits tray be= jn be sure to fill in the permWlieease number which will be used as a refezeace the Department by mail or FAX unless other an=gemeaiz have been made. ce of Investigations would Ex to thank you in advance far you cooperation and should you have and at:�ons. Ilease do not hesitate to give us a call. /�/,, w and fax RM telephone Tn. Depamnnt's address, The Commonwealth Of Massachusetts Department of Industrial Accidents Otitce of Investigations 600 Washington Street Boston,Ma. 02111 fax 0: (617) 727-7749 phone #: (617) 7274900 eat. 4069 409 or 375 JUL-18-2000 TUE 10:24 AM RUTKOWSKI & KESTENBAUM FAX NO. 508 991 5461 P. 02 A V 0R {` f , :DATE AAAMIDDINY ,1"i I: l ) .,nl 'l, 't T% p. LI PN6G G •. :< :.�:a�< .07/18/7000 (508)994-9688 f NFAX 508)991-5461 =ALTERTHE W rK0W51(I & KESTE=NDAUM ERS No RIGHTS UPON.THE CERTIFICATE RTIFICATE DOES NOT AMEND,EXTEND OR 41.1 tOgNTY S1RF.CT RAGEAFFORDEDBYTHEPOLICIESBELOW. f 0 BOX S,111 COMPANIES AFFORDING COVERAGE NF.W BCpI=ORDf�, NA 02742-SOLI COMPANY Maryland Insurance Company 'INRI1RrD Attu_ F,•It,ima Reis-Cos r.j Ext: A ... ..., .... . A I LALI:rprises Inc COMPANY Legion Insurance Company pro (lox 2056 B COttlit. MA 02635 COMPANY ...... C COMPANY D uvzk, TI1IS IS TO CERTIFY 1(1AI THE POLICIES OF INSURANCE LISTED FELOW HAVE BEEN ISSULO•TO THE INSURED NAM ABOVE FOR'f4'POLICY PERIODi 4t INDICATED,NOTVVI 11 I-STANDING ANY REQUIRtWENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WI•I(Cli THIS G[:RTIFICATI7 MAYBE ISSUI:.II OR MAY f'C'IT('AIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU13JECT TO ALL 11IE TERMS. EXCLUSIONS ANO CON011IONS OF.SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYMi OF muRANCF. POLICY EFFECTIVE POLICY LXPIRATION: GTR POLICY NUMBER DATE(MMIDDIM DATE(MM;DD" LIMITS GCN['1tAL Leann ITY "•"�"^� ' GENERAL AGGREGATE $. X 'COMNCRCIAkVA14L•RALIIAMI.ivy 2.000,0.0.0 PnODUCTS-COMPIOP AGO E C1AIM$MADE .)( Ioccul2; 2,000,000 A ''•%'•'• PERSONAL&ADV INJURY $ ' SCI'34745324 : 03/OG/2000 03/06/2001 ] 000....000 1?41Nf:lt'S&C4NrfiAC'I OR`5 PRCT o ........................................... ............... ......... EA CHOCCURRCNC,Q S 1,000,000 FIRE DAMAGE(Any one rva) S : ............................................•, 50,000 --_, - MED EXP(Any ano portion) S 10.00 D Atl'fONlf]111LC LIADe ITY ' ANY AWO :COMDINr0 SINCLE LIMIT S • r ALL oVMrrrAuroS ... .... .. .. .... BODILY INJURY NCI I.UULf.D tU'fG', !(Po(pumn) S 1-1110 D At •••• p10NG1vNL'OAu'fOS ;BODILY INJURY $ (Pal accldonl) PROPERTY DAMAGE S GARAGr CIAnIIJTY AUYC ONLY-EA ACCIDENT T ANY AU to ... ......... 07 HER TI IAN AUTO ONLY: E="'• • ••••••• ••• i FACH ACCIOCNT $ ...........I.................I--.............. ^- --- AGGREGATE S CXCE66 LIAPIL17Y EACH OCCURRENCE $ I1M11111t1'I IAI'I)RA7 ;AGGREGATE.........................5........... .....,.,. OTI ILII IIIAN LIMRRI I I,A FORM WGRKCRe f oMFCN:tATIC1N ANA w S :TGRY LIMITS; ''`r:•i:Y4`�;,3:.":::.:4v�.;:: EMPLOYERii'l.1AB1LITV : ER B EL EACH ACCIDCNT $ luGPlif)Piaq•rrJ1Z WCS-0122778 07/08/2000 0>/09/2001 '..............•.'.........................•. ,....... 0Q.000 PArtrNf.R:RXrCUY1VE II+CL ;fLDISEASE-17OLICYLIMIT 3 500,000 omciYsL'Ar:C CXCL: OTM(it-- `•"`" -""""- ^�°^• FL DISEASE-EA EMPLOYEE S 100,000 GCSCfiIPf141ROFOPL'ItA'IIW) 'iLOCAT10 N 5.,v HHICLE57SN-EC H Off IgL11CMS :> _� �-�w.—•--mod ...... .... .. .. . .:. ?z<as`:';.::.';:�;G C -l; L3N:'•:•::;,:.�' .y;4.,..;:a.>s.;..z .>•:� SHOULD ANY OF THC ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THFREor,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL. 1() DAYS WRITTEN NOTICE TO THC CERTIFICATE HOLDER NAMED TO THE LEFT. BUTFAILURETO MAIL SUCH NOTICE SHALL IMPOSE NO ODLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTAIIVES. Town of Barnstable AUTHOR LrreteLNTATIVE _ - .A- ItGbgqLl i9QQ OAP�p�L :lON . ,.� The Town of Barnstable ,suM a�s Department of Health Safe and Environmental Services m. °r 6,5 P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commission: Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Si•?yl� �� � a,vft�� av Type of Work: S-A"dGv Estimated Cost 'S s Address of Work: /71;/ ( ,� Cowl f Owner's Name: 1,q0iV,.►-7C Date of Application: 7 7 /O v 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. 717/� li e 2f PW67,77 Date Contractor Name Registration No. OR e Date Owner's Name q:forms:Affidav .r....-r ,....�- _r _ ..: �i;�rG-.. ii",r ``ti:4„-yR+€�' "i`Avdsy„R:,<,S«e-%�i••�.-,�-:+r�-*„ -•.,i,;,�p..•:� ^r-:�� r+ri s- »,u-�'•z-tr,- ,, ..r....--.... - . ,pFtHE 1p�� The Town of Barnstable NAP p,. BARNSTABLE. Department of Health Safety and Environmental Services Y MARS. 0a 63q. �0 prFDMP+A Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Ralph Crossen Fax: .508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection �� Location Permit Number Owner Builder ?, ,` y `�Fcyn 6 t One notice to remain on job site, one notice on file in Building Department. he following items need correcting: iue e'd 'a u ekr-t- 121-5 tq boU c s,u 1f6kJL a , s � Are Tm. a 4�0r=' <3�'1Y)a --c0(4M r � � 4-hw 6re qou q0')iq do vevl- zvm--- ro1 Please call: 508-862-4038 for re-inspection. Inspected by n Date t T HEip, The Town of Barnstable �A MASS Department of Health Safety and Environmental Services . g P 1639. �0 �Eo Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner R Inspection Correction Notice Type of Inspection �' f yP P Location VAjq(,�; C.�.,T-C4 t-r- Permit Number Owner Builder One notice to remain on jobsite, one,notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 Qr re-inspection. Inspected by -� Date a Ap 4i� TOWN .OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 016 027 OEOBASE ID 436 ADDRESS 1751 MAIN STREET (COTUIT) PHONE COTUIT ZIP -- LOT 32 LC' BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT } PERMIT 30990 DESCRIPTION PERMIT TYPE BCOO TITLE' CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS. and Environmental Services TOTAL FEES: BOND THE 1 CONSTRUCTION COSTS $.00 _ � "�► 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P ' ':E�,a BABNSTABLE, • MASS. f ED Mpl . ..-..._w.... ,— BUIL ' DIWSI DATE ISSUED 05/18/1998 . EXPIRATION DATE �--"' 'SOWN 01`, $A�AtAtLE " a !: 'I���I.LIN E�I�� PARCEL,.ID o I. i.)7 C"EC P E a • i7, 1 MAIN STREET __(COTUTT) .CRONE"" I COCTI' w ZIP LOT .32 LC LOCI 4 w T STYE • 4 PERMIT '} 286 , IDDE CT' ,P I ON Z40 TORY -A,TDID I T I ON ',PEIRMI 'IY" . WADIDI. TITLE alj.1LDTNG PERMIT iW DI"TI N � � , Department'of Health:.Safet.CONTy AICDE: ? . and EnvironmentalBokt `Services INE CONSTRUCTION" -COST, 175,�006.00 434 EESIb= ADD/Alffl CONS 1.. PPI T ` E, .Y *�'EUIL rABi.E, 16 BUIL INGDIVISION r «BY THIS PERMIT CONVEYS,NO RIGHT TO OCCUPY ANY"STREET,ALLEY OR SIDEWALK�OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROA.CHMENTS'ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR I 'ALLEY GRADES AS WELL AS DEPTH AND LOCATION.OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS" PERMIT DOES NOT RELEASE THE APPLICANT FROM THECONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB'AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING(INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS dI� a�r 2(j 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2, BOARD,OF-HEALTH AE �La.CJc...�'�"C.. EW APPROVAL fz x SOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS K IS NOf STARTED WITHIN SIX.., CARD CAN BE ARRANGED FOR BY' i1—eW rE THE PERMIT IS ISSUED AS TION TELEPHONE ORWRITTEN'NOTIFICA 3 BUILDING PERMIT �r 508457-1133 Steco@capecod.net STRUCTURAL& CONSULTING ENGINEERS 81 RED BROOK ROAD WAQUOIT, MA 02536 C.F. FEWORE,A.S.C.E., P.E. 7 May 1998 Architectural Innovations P.O. Box 2056 Cotuit,MA 02635 ' Re: Front tad Floor Deck Beams t 1751 Main Street Cotuit,Mass Gentlemen: We visited the above referenced site to view the old construction of the 2'floor exterior beams. We designed 31/2xl2 P.T. Parallam beams to sit on each column here and support the small area of new deck. This letter is to certify that these Parallam beams will support the loading required by code. If you have any further questions,please do not hesitate to call. Sincerely yours,. STECO ENGINEERING COMPANY Charles F Fewore,P.E. President OF Mae '"ONAL�N6 dFVIE�o �. : The Town of Barnstable BARIMABIA Department of Health Safety and Environmental Services � ► Building Division 367 Main Street,Hyannis MA 02601. Office: 508-190-6227 Ralph Crosses Fax: 508-790-6230 Building Commissions For office use only Permit no. t Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW , SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,!with certain exceptions,along with other requirements. Type of Work: Est.Cost 7 < , i Address of Work: a L- �� Owner's Name Date of Permit Application: 9 — I hereby certify that: Registration is not required for the following reason(s): i i 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 I hereby apply for a permit as theAngentl, wn Date Contractor Name Registration No. OR w The Comntonwet11111 of.1finuaclrusettt •;,_,i _�`--_='�:_�- Department of lndustrial Accidents Office 8"0114=1ya110Ds 600 JVashitrr;tun Street Becton.Alas. 0 111 Workers' Compensation Insurance Affidavit Plc�se PR(1VT lest ""'�""�'""•�•�'�M^"'� L1pPlic�intintormatitiri• - �• _.__.__ ... _ d�lY r name* Incition- cite nhnne# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity -I�am an employer providing workers' compensation for my employees working on this job. f� company name: �/�����72/Sty �h�VC, - 3. q• �'`C/-fr /t'/� /V (1 /g77Gh✓-- city: Carol phnnc#• ��d � `Z�'�� °T� insurnncc cn �CG�6,.� i�lS �d " noiicv# WC 0/At2 7 Z C] I am a sole proprietor. beneral contractor, or homeowner(circle are) and have hired the contractors listed below who have the following workers' compensation polices: cmmfl•cnv n1mc- •tticlrcts• cin•• Phone#• nniicy d _ _ in5ur-incc rn �. •f.`..- .�..•`=.w•,.- _ =..Z..._ ` =- __ _r���::�_�1t iT"1"I.w:s s- _- _ .T�- i w ... �6�.�.�3� 'i comninv nnmc• adclresc� gin phone#• incurnnee co policy# •Attach additional sheet if nccessa//yy _a•.^-:•r..o-=•; -%"' •^��♦ "."'' �•L-!r.y'T':''.r'�""`"" '""'"':vn - —�.'•"`_" `:.'�' `.� •+ ir-._ - _ .y Jr� .:.�1l1 —� - —.••w•�wp•-. �_ ',.._ �ilY!-i.I��i!••Mii'w�.IL Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andiur unc years' imprisnnment:es hell as civil penalties in the form of a STOP AVORK ORDER and a fine of S100.00 a day against me. I understand that. copy of this statement ma% be forwarditothfree of Investigations of the DIA fur coverage verification. 1 do lrerefi ccn' ru 1 tlrc pains ics of perjurt•that the information prorided above is true and correct Si-nature Date ! �'9Z'L7 Print name Phone# .;n r.r�rreir ..'•official use unly do not write in this area to be completed by city or town official ci •or town: permittlicense# r•tlluilding Department Licensing Board check if immediate response is required [3Scleetmen's Office f Dllcalth Department . contact person: phone#• r,Uthcr �. information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the "law". an empluree is dcfincd as every person in the service of anotlier under an\• contract of hire, express or implied. oral or written. An rmpl( rer is defined as an individual, partnership, association. corporation or other legal entity, or ally two or mo: the foregoing engaged in a,joint enterprise. and including the legal representatives of a deceased employer, or the receiver or tnistee of an individual , partnership. association or other legal entity, employing employees. However tl, order of a dwellings house haying not more than three apartments and who resides therein. or the occupant of the d\ve ling, house of another who employs persons to do maintenance , construction or repair work on such dwellings he or oil the wounds or building appurtenant thereto shall not because of such employment be deemed to be an employe N,1GL chapter 152 section 25 also states that even state or local licensing agency shall withhold the issuance or rcneiyal of a license or permit to operate a business or to construct build iL.nns in the conrmo mealtlr for 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 the workers* compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date tite 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 require: to obtain a xvorkers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 cgoperation and should you have any questio please do not hesitate t,o-l-Tive us a call. •.r-•,• •. •..fir �h'.. R.. The Department's address. telephone and fax number: _y The Commonwealth Of Massachusetts ' Department of Industrial Accidents office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 Jr-Jr c II Ill uni --exl.. 4-1 r'c IA.a ate eolcrlers s \ b,eeT. � - - -- I�1H cpErllrlo� fa•II y('1LL ._ --- �'�_- --— -- -- ---- _ _-�_ -p _. ��a�- -- ---- - - -- �_ A 0'.I'•G':g" AiIVtlYiLfl I#J,:Lp GlDO • -- -------------- —� pl' i�•O■/1'. :�'-b^/r' " :iA.tll`L'., G 7F• . q ------'-----F• '----�. 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