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Home My WebLink About0224 MARINER CIRCLE / `. i i i �i '{ i '� � I i I Town of Barnstable *Permit# ®PRESS PERMITExpires.6 months r issue date Services Fe Regulatory SEP 2 20® O7 Thomas F.Geiler,Director T TOWN OF BARNSTABLE 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 EXPRESS PERIVIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Lo Map/parcel Number Property Address O I yResidential Value-of Work 47 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address__—F/Z/v '� /l✓ 'Y�—� �, , G— Contractor's Name _14�� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable)_ (J 6 �orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ve Worker's Comp ation Insurance JJJJjj777711"""" -c� c �A,f �j 111,4V Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certific to mus be on file. Permit Request(check box) n�e-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy o ome Imp ement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 ESTIMATE James Danforth P.O. BOX 973 COTUIT, MA. 02635 (508) 420-5131 Thomas and Pam Hamlin 224 Mariner Circle Cotuit, MA. September 3, 2007 Roofing work to be completed as follows. Remove the existing roofing shingles from entire house and garage roofs. Install 8" aluminum drip edge. Install ice and water shield 3ft. up onto all roof edges. Install 151b. felt paper over the roof sheathing. Install a 30-year Architectural type roof shingle, using Certainteed Woodscapes which is an algae resistant shingle. Install new vent pipe flashing. Install a ridge vent across the entire house and garage roof peaks. House and shrubs will be covered with tarps while work is in progress. Removal of rubbish. Material and labor $5,180.00 r Acceptance of Proposal: Signature: Date of Acceptance: Signature: • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UV. 600 Washington Street Boston;M4 02111 www.mass.gov/dia Workers'Compensation Insurmnce.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): %,e 4 " "X -V Address: City/State/Zip: .c Phone.#: Are yo 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.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. �Building addition [No workers'comp.insurance comp.insurance. •# required.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11.rb in r airs or additions 3.❑ I am a homeowner doing all workg ePmyself [No workers'comp. right of exemption per MGL 12. repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' .43. 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. tCdntiactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below isthe policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: /I, knot/ ALZli s Expiration Date O �� C P ! Job Site Address: G City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA foriusurgace coverage verification. Idoherebyc tepo -and alties oferjury that the informatonprovidedab aia and correct Si ature: Date: 60, Phone#: Official use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )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 compliamice 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-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that Ibis affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. -The affidavit should be retuned 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 workeis' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-inc mm* a license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom Of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Sile 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 fo any business or commercial venture (Le. a dog license or permit to bur leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Departtnent of Industrial Accidents Office of InvestigaflQns 600 Washington Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia r ✓ LQ 9io All" a C.� O Q� 'vac too F cy a r, �- i�� T RAVELERS J WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KUB-8027AO5-1-07) RENEWAL OF (6KUB-8027AO5-1-06) ' INSURER: THE TRAVELERS INDEMNITY COMPANY 1. NCCi CO CODE: 11347 INSURED: PRODUCER: DANFORTH, JAMES D. CHILD GENOVESE INS AGCY P.O.BOX 973 60 TEMPLE PLACE COTUIT MA 02635 BOSTON MA 02111 Insured is AN INDIVIDUAL Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 08-28-07 to 0$-28-08 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA m� B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in o� Item 3.A. The limits of our liability under Part Two are: Bodily injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit o== Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: r� COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A oC ' D. This policy includes these endorsements and schedules: 0= SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o� T 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating a Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 07-30-07 CH ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 Pwin11rFR• rWi n awmnvacc IMC nr_ry -,�«, X�ssor's map and lot number 1-9 THE " ge Permit number .......... .......................'Sewa sys-rem MU STABLE, u .......................... M House number ......-2,ky..................... COWL NA"WAiL60V v4m -639. a MAI TOWN OF BARNS CODE Atyo T=%*L4T10jyS, BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ................... ............ ..................................................................................... TYPE OF CONSTRUCTION ...... a1A .. ... .................................................. 192y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ..... ..........A ........... . . .y. ......... . .. .......................................................................... Proposed ?Use ..........a. 1.9...V...... ...... ........................................................................................................................................ Zoning District ............. ........... Fire District ....... .................................................... Name of Owner Z�. . a...... . ..............Address .... d. .. ...................................... . ............ Name of Builder ..40,44-17 ...................Address .....44 1�424.o0c.'My4o"a....................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................W/........................................Foundation ... . ............................... Exterior ... Roofing .......................... -/ . .................. 5$4...................... Floors ...... ........ ...................................................Interior ........ ................................... Heating .... ...........................Plumbing ................ ..................................... Fireplace ................... ..........................................................Approximate Cost ........... ................. .... Definitive Plan Approved by Planning Board ---/Z ZS7---------iq-X. Area .......................................... 371-52--L Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 3, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Arc;94......... ........ ............................... Theo .Construction 21893 one story ............ Permit for .................................... single family dwelling . ............................................................................... 224 Mariner Circle Location ................................................................ Cotuit ............................................................................... Theo Construction Owner .................................................................. Type of Construction .......... ......frame............... ............................................................................... Plot ........................... Lot ...........#129 ..................... December 17 79 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ..................................... 19 PERMIT REFUSED . ........ ...................... 19 ............... ..............................Y............. . ..........'p, ............................................. • ........... ............................................ ............. S.W...................................... 0 co Approved 19 ................................ ..................................... ......................................... ............................................................................; THE T Assessor's map and lot number .,.... o F � Sewage Permit number ......................jj.. ............................. N Z MAR3STADLE, i House number . :...... Y............................................... NAM 1 C i639. 90 •Fp YAy A�� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...................�� .... ..................................................................................... TYPE OF CONSTRUCTION J!� �' :.....;�! r! •� ,t'H�1 .�/..,................................................... .............. 7..� ..............19.. TO THE INSPECTOR OF\,BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location " .. .....a i��r �tr.. /:r!�:in/ .eu .;. ........ ......................... ........................... ... ProposedUse ............ / ..................................................................:................................................................... rZoning District ........................................................................Fire District ....... .................................................... Name ofj Owner .. .......C�; /Glc� ..............Address .... / ...................................... Name of Builder ...................Address .... .... ...................................... Nameof Architect .......Address......................f�.................................... . . ............................ Numberof Rooms ....................Ka........................................Foundation ...� .... 8 .............................. fly �� ,�� ,r� . Exterior Roofing .... ................. Floorsl WA-11............................................................Interior ........ � Heating ..... ! ...� .. ..H ...........................Plumbing ................+ ,.� G Fireplace ..:................/....................... Approximate Cost ...........C9 v.:� i� Definitive Plan Approved by Planning Board _ ! ___ ______19 7�. Area ........................................... Diagram of Lot and Building with Dimensions Fee �'.......................... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH d ANt f r 3.5 'a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ame .� �,/ .............................N j,... Theo ConstructiC7�, 11=24-136 No .................'2 189-2r Permit for .......................lionestory.......... ... single family dwelling ............................................................................... 224 Mariner Circle Location ................................................................ Cotuit ............................................................................... Theo Construction Owner .................................................................... Type of Construction ..........frame...................... ......................................................0......................... Plot ............................ Lot .../ #129 ............................ Permit Granted ... December 17 79 ...........�c.......................19 Date of Inspection ... ................................19 Date Completed ..................................19 PERM11 REFUSED ................................. ............................ 19 .............................. ........... ..... .. ....................... ...................... .... ....................... 6 .1�....!. e..l d ...................... .................. ...........................:................................................... Approved ................................................ 19 ............................................................................... ............................................................................... I � TOWN OF BARNSTABLE Permit No. --_--__—___ Building Inspector i �iaraT►n Cash 'ee dew � -------------------- �0 OCCUPANCY PERMIT Bond ------_____-_ 1 g0 "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to alien I:OI:tstruct ion Address Smidn Yrtrwoui:h 1^ ar �1F Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ..................................................._, .......................... ....... .... ...............specto...._._.......__......._._...._._.._._._ Building Inr e — 7-/ �2 2 (f) 06rr N 1 � � w cr � wUW. n PLAN SHOWING a x � nz LL L+ •• FOUNDATION LOCATION a COTUI T MASSACHUSE TTS 4. rp � OWNED BY: Gait/S Gam P4 a � awwst! SCALE : / /y � DATE: DEc-S /3 `a'J ; " z z e NORMAN GROSSMAN------ REGISTERED LAND SURVEYOR Z � 0 IL I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ,��:�, e" r.+ ON THE LOT AS SHOWN AND CONFORMS TO THE TOWN �I NORNIA`I/ OF BARNSTABLE ZONING REGULATIONS REGARDING SETBACKS FROM STREET LINES AND LOT LINES . v 127/5 tl NORMAN GROSSMAN R.L. S. DATE Town of Barnstable Building Department ComplainVInquiry Report Date: z- Rec'd by: Assessor's No.: Complaint Narne: Location M/I Originator Naine: Street: Village: State: CL Zip: Telephone: D/E Complaint �- Description: �1 Inquiry 0 Description: For Office Use Only Inspector's Action/Comments Date: 12-�- g Inspector. ` Follow-up Action Additional Info. Attaclied Cop},Distribution IMite•Depw=cnt File I'ellory-Inspector -- - -- 1 /17.",— r i-)RirP lfanavwr) dptME " The Town of Barnstable • a�i3rrsrnsiE, Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner October 11, 1994 Mr. Thomas M. Hamlin and Ms Mary Cole 5 Firestone Lane Clifton Park, NY 12065 Re: 244 Mariner Circle, Cotuit, MA A=024.136 Dear Property Owners: This office is in receipt of a complaint that your tenant is operating a swimming pool business from your dwelling located at 224 Mariner Circle, Cotuit. Please be informed that your dwelling is located in a residential area and a business use is not permitted. Please contact this office immediately regarding this matter. Very truly yours, Gloria M. Urenas Zoning Enforcement Officer GMU/km Q941011B R024 136. LOC 0224 MARINER CIRCLE CTY 01 TDS 200 CT KEY 13 4 3 ....._._.....Mn ILING ADDRESS------- PCA 1011 PCs co YR 00 PARENT HAllLit-4, IFIHOMAS t-1 & rl A P - AREA 11BC jV 272038 MTO 000) 5 FIRESTONE LANE UTI UT2 - . 46 SO FT 1104 CLIFTON PARK NY 12065 AYE? 1980 EYB 1980 OBS CONST ILAND 26200 imp 67800 OTHER -- - -LEGAL DESCRIPTION---- TRUE MKT 94000 REA CLASSIFIED OLANIE, 1 2S, 200 ASD ._NO , 26200 ASO imp 67800 ASD OTr! 1BLDG(S) -CARD- 1 1 67, 800 DESCRIPTION TAX YR CURRENT 'EXEMPT TAXABLE #PL 224 MARINER Cl;r:.' TAX EXEMPT ODR OT -' RESENT" 940 900 # LRL12 ., IDL 00 94000 40 0978 0125 OPEN SPACE: COMMMERO I AL INDUSTRIAL EXEMPTIONS SALE 00/00 PRICE ORB- 3...61/321 AFID LAST ACTIVITY d3/26/90 PCR Y TOWN OF BARNSTABI�U BUILDING DEPARTMENT / COMPLAINT/INQUIRY veVORT G��- /ov, Date C ; Rec'd B f(� Assessor's No. Last Name First Name ORIGINATOR . - Street- Villa a State Zi Tele hone: Home Work Description: .COMPLAINT INQUIRY F Requestor's Signature COMPLAINT Street Address LOCATION A= j i OFFICE USE 0ITLY INSPECTOR'S Date Ahlq-v ACTION/ Inspector COMMENTS Z 7 .2 FOLLO-v-U? ACTI027 ADD!i ZOi;j,,L INFO. ATTACHED S � COPY DISTRIBUTI011: VVITE - DEPARTY -NT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE Y.GR.) KISG'I l R024 136 A P P R A I S A L 0 A T KEY 13101 HAMLIN, THOMAS M & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 26, 20'.-.' 07, 200 1 A-COST 113, 400 B_MKT 74, 600 BY co/ BY /00 C-INCOME PCA=1011 PC9,00 SIZE= 1104. jUST7VAQ LEW20D TO CONTROL AREA 11BC --- -------------------------- NEIGHBORHOOD 119C COTUI*'.*' PARCEL CONTROL AREA TREND STANDARD 1C, 10 LAND-TYPE: 26200 LAND-MEAN' .0". 113400 76573 !NPROVED-NEAN +14% 25% FRONT-FT 100 DEPTH/ACRES TABLE 02 LOCATION-AD,j APPLY-VAL-STAT 1 LNR LAND LFT/IMP ADJS/SB/FEAT STR STRUCTURE ARR AREA-MEASUREMENTS VCR NOTES COM MARKET INC INCOME PMR PERMITS ORR GRAPHIC FUNCTION- STRUCTURE-CARD NO- 000 DATA-- XMT ? f•.{f••,A i 3{ �..., E 1..., A .1. T F".M T ACTION R C n.r:i D ,0 r"t 0 KEY(::+. 13434 1 •�.'1 3 r, 1"1"..:..•r a.•_��_+, f i.::. 1"\ I'�t a. 1 i"', i 1 �. .. ! ,,: .MIT NO t_i;'i 4J1'^: TYPE VALUE �1 � it i•h�: Y 1•_iO Y•". "!Y'+N •• N ( 1 !1 C F-"'S 1h ME T PERMIT—NO t.�. t •-'iti4.J t 1�..! � rf 1 1 I-`f._ ��•�.._,._1.._ �....__�.� , r t�., 1 !_4 !��...rl( 1'iL:.Vve ;:_v_I ft.: COMMENT ..C�;�I Iliad . i TO DATE/n TIME /7 , 3 w.✓:FROM Aft CODE NtIME+EFt u 'S OF 6 — � a cn U) Lu �•: SIGNED pE'7t)111iED CAI.f. YYIEE GAEL PHONEp WAWTS"TC WA5 URGEIM vCAW,4ncrc AQAHi SSE t(oti .. ' AMPAD NO.23-176-400 SETS NO.23-376-200 SETS 1 r--�^-` 1 � V� u/� i� '`� } { s �. � � ._ �_ _ r_ . __ _ _ � . , _ � � . , Town of Barnstable Building Depamnent Complaint/Inquiry Report Date: 1-2, 5F4 Rec'd by: Assessor's No.: Complaint Name: Location Address: M/P Originator Name Sheet: Village: State: Zip: Telephone: D/E Complaint - Description: US �p c�I ►"e, i Cs�. Cc. Inquiry 0 ( Description: For Office Use Only Inspector's Action/Comments Date: Inspector. Follow-up Action Additional Info. Attaclied Copy Distribution Miite-Deparunent Me fellow-Inspector pink-Inspector(Return to Office Mmager)