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Home My WebLink About0246 OCEAN VIEW AVENUE a�,� a� � � � .r..�,.� r r �. � �. . e � . 9 �' C r,� Town of Barnstable Building f Post This Card So That rt is'Visible Fromahe Street-Approved Plans Must be,Retained on Job an4jW`Card Must be;,Kept arSTAJ e M" Posted Until Final Ins ection,,"s Been.Made • A p mm P .. Permit > ° Where=a Certificate of Occupancy'is Required,such'Bu lding shall Notbe Occupied untilL Final Inspection has been made �l Permit No. B-19-4116 Applicant Name: Toby Leary Approvals Date Issued: 12/18/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/18/2020 Foundation: F. Location: 246 OCEAN VIEW AVENUE,COTUIT Map/Lot: 033-003-001 Zoning District: RF Sheathing: Owner on Record: BENDETSON, RICHARD K -Contractor Name Framing: 1 Address: 63 ATLANTIC AVENUE ' Cont-actor<License 2 BOSTON, MA 02110 Est Project Cost: $45,000.00 s- Chimney: Description: We are remodeling upstairs bedroom and bathroorrr PermityFee: $279.50 a Insulation: Project Review Req: r Fee Paid:r $279.50 Date::"� 12/18/2019 Final: Plumbing/Gas Rough Plumbing: Building Official ff Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by3this permit is commenced within six months afterxissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall`be in compliance with the local zoning by=laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same: -- - Electricals The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials`are provided o6this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0,P ? �, Final: e, Town of BarnstableBuilding R Post ThsGardSo That rt s;V,s,ble,From theStreet Approved,-Plans Must be;Reta,ned on Job and the Card Must,be Kept + �AHNtiC'A{tLB, . .,_ 3s rale •, , , ,: ,al s x... „,' t 639- �Posted�Unt,I F,nalxlnspect,on Has Been Made '� Permit f s Where a Cert,ficate ofsOccupancy,s Requred,�such Bu,ldmg shall Not be Occup,edxunt,l5a F,nalinspect,on hasbeen made Permit NO. B-17-4392 Applicant Name: Anatoli Sivitski Approvals Date Issued: 12/29/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/29/2018 Foundation: Location: 246 OCEAN VIEW AVENUE,COTUIT Map/Lot 033-003 001 Zoning District: RF Sheathing: Owner on Record: BENDETSON, RICHARD K ks Contractor Name 1y ANATOLI SIVITSKI Framing: 1 Address: 63 ATLANTIC AVENUE 3 Contractor Licenser CSSL-106040 2 BOSTON, MA 02110 2 Est Profect Cost: $25,000.00 Chimney: Description: Strip existing and Install new Red cedar Roof < k Permit Fee: $ 127.50 Insulation: Project Review Req. - Fee Paid: $ 127.50 �S Final: ,� Date 12/29/2017 Plumbing/Gas {, Rough Plumbing: ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author iediby�this permit is commenced within sixmonths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl aYion and thepapproved construction documents for which this permit has been granted. % Final Gas: All construction,alterations and changes of use of.any building and stebctures shalFbe in compliance with the local zoning by laws`and codes. Nam: This permit shall be displayed in a location clearly visible from access street or'road,4nd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by_the Building and,Fire Officials arerv`prouided 64this�permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing � n ;;;� ,, 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department `1 Building plans are to be available on site Final: �;- All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r Town of Barnstable ` ciPT 200 Main Street, Hyannis MA 02601 508-862-4038 �a Application for Building Permit Application No: TB-17-4392 Date Recieved: 12/21/2017 Job Location: 246 OCEAN VIEW AVENUE,COTUIT Permit For: Building-Siding/Windows/RooVDoors Contractor's Name: ANATOLI SIVITSKI State Lic. No: CSSL-106040 Address: West Yarmouth, MA 02673 Applicant Phone: (508)469-0102 (Home)Owner's Name: BENDETSON,RICHARD K Phone: (774)208-1939 (Home)Owner's Address: 63 ATLANTIC AVENUE, BOSTON,MA 02110 Work Description: Strip existing and Install new Red cedar Roof t= 171 Total Value Of Work To Be Performed: $25,000.00 Structure Size: 0.00 0.00 0�00 Width' Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with tlie Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not.required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been.authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Anatoli Sivitski 12/21/2017 (508)469-0102 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $25,000.00 Date Paid Amount Paid Check#or CC# ! Pay Type Total Permit Fee: $127.50 12/21/2017 $127.50 XXXX XXXXXXXX-I Credit 7442 ................... ..........i ......... ........ k. Total Permit Fee Paid: $127.50 o L' f l `Op THE ip�� Town of Barnstable BARNSTABLE. • Regulatory Services 9 MASS. q, t639• Building Division pTFD MPy a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 0G6�it) Permit Number I o 13 Z-o Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 01i ND T' VE 'U C'avc:77�T' Please call: `50088-8862-4058 for re-inspection. Inspected by Date 2lip o 6 3613 - Department/Division: Rec Employee Name: Riic Employee's Job Title: Ga: Grade: 10 Appraisal Year (FY): 201 (M)id-Year or (A)nnual: A Review Date: 6/2( Reviewed By: Tory Step (A)pproved (•D)eniei or(P)ostponed: A 4 ` • a '1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v 14 IMap _ Parcel Application _ 0 o 01 Health Division Date Issued 3� /!`I Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address ZgCQ Village Co Owner Ate,"4 Address C9 J ��a y�'}I C & ) . 6c:!Ano 0--2J 10 Telephone ` �- CLIO Permit Request 1 o Cove-&�4- -ndt t r e0.`y2 -Cc�,c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District r Flood Plain Groundwater Overlay co Project Valuation1 Construction Type it4� \, Lot Size aar ez Grandfathered: ❑Yes Flo If yes, attach sup po do urgent n. Dwelling Type: Single Family �3, Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ].Yes ❑ No On Old King's High ❑Yes �t ca 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Typl and Fuel: was ❑Oil ❑ Electric ❑ Other Central Air: ig-Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ = p Commercial ❑Yes XILNo If yes, site plan review# Currerit Use S► h4 Proposed Use APPLICANT INFORMATION fi (BUILDER OR HOMEOWNER) Name Telephone Number7" �O�y Address ^tomb• r�nX �'� License # CY-)57GIf Home Improvement Contractor# 11 Worker's Compensation # ALL CO4&ck TRUCTION DEBRISg RESULTING FROM THIS PROJECT WILL BE TAKEN TO J� SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL'NO. ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION �� FRAME 3fgM t�1�-HLPZ, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r ,y DATE CLOSED OUT ' ASSOCIATION PLAN NO. . 01 Department of Industrial Accidents Of of Investigations 600 Mashingtarz Street Boston,MA 02111 wTviv.mass.,govIdia Workers' Compen-satiou Insurance Affida-sit: Bui-Iders/Contractors/Electlicians/Plumbers Applicant Ifformatiou Please Print Leeiblv Name (.BusL-less/organiza-,ionandi-,idual): /-A/C Address: City/State/Zip:.E VIA A-IA- OOS.3--tt, Phone I#: T Are you an employer?Check the-ippr6pnlate box- Type of project(required): 1.El I am a employer with 4. ER i am a general contractor and I ZP 6. [ New construction employees(fall and/or part-time).* have hired the sub-contractors 7. E] Remodeling 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet t I ship and have ho employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [110 workers, comp.insurance 5. El W6 are a corporation and its - 16.E]Electrical repairs or additions t4uired.] officers have exercised their 3.Elr -1 Plumbing repairs or additions I am a homeowner doing all work right of exemption per MGL 111 myself. [No workers' comp. c. 152, §1(4);and we have no 12-:❑ Roof repairs insurance required.] -11 empldyees.-[No,workers' 13.0 other comp.insurance required] *Any applicant that checks box#I must also MI out the section below showing their worker'compensation policy information; t ffomeovmers who.submit ibis affidavit indicating they are doing an work and thcd hire outside wntract6rs must submit a new affidavit indicating such. tContracton that check this box mist attached an additional'sheet showing the name of the sub-contabtors and their workers'comp.policy information. I am. 471 ernplayer that is providingworkers'cam:pensaticn insurance for my employees. Below is the policy a7rdjob site Insur?nce Company Name: • Co Policy#or Self-ins.Lic.#:— Expiration Date: 12 tj Job Site Address: Ctav\, City/State/Zip: (!P44 l0e, /62o) Attach a copy of the workers' compensation policy declaration page(showing the policy nnm.ber and expiration date). Failure,to secure coverage a,required under Section 25AofMGL c. 152 can lead to the imposition-of.crirninal penalties of a, fine up to$1,500.00 and/or one-year finprisomnent as well as civil penalties in the form ofa STOP WORD ORDER and afic of up to$250.00 a day.against the viol:.tor. R,*,-advised that a copy of this statcm6nt maybe foraTarded to-the Office of Investigations.of the DIA for insurance coverage verification. I do hereby ee, djuenaldes ofperjuyy drat the irzforrnadan provided above is true rUrd correct. Date: Phone#: Official use only. Do not write in ills area,to be completed by chty or tmvn affl-d'al. City or Tuvvm: Permit/License Issuing Authority (circle one): 1.Board of Health 2.Building Department 3. Qty/Tovtu Clerk 4.Electrical Inspector 5.Plumbing Inspector G. Other Contact Person: Phone Subcontractor's Insurance 2012 GL.Policy` GL Pohcy WC Policy WC Pohcy Sub Contractor Effective,Date Expiration Effective Date Expiration All Cape Garage Door 508-398-2757 06/01/04 10/07/12 06/01/04 12/01/14 Baxter Nye Engineering&Surveying 508-771-7622 08/11/05 09/29/12 08/20/04 09/20/14 Campbell,William 508-790-3517 08/26/04 08/26/12 07/13/04 08/13/14 Cape Cod Marble&Granite 508-771-2900 07/01/05 07/01/13 08/16/05 11/13/14 Cape Concrete Forms 508-922-1910 06/05/07 09/29/12 12/07/07 08/13/14 Carpet Barn Inc 508-54&1443 01/01/06 05/01/13 01/01/05 09/20/14 Chaves, Robert 508-362-9929 08/13/04 08/13/12 12/17/04 11/13/14 Christopher Costa&Associates,Inc. 01/22/08 08/27/12 02/06/07 08/13/14 Coy's Brook,Inc 508-394-8442 04/24/04 04/24/13 09/21/04 08/13/14 Davids Building&Remodel 508-428-3214 01/01/07 01/01/13 06/14/04 12/01/14 Hill Construction 508-888-8154 04/29/07 04/29/12 08/14/04 08/13/14 Jeffrey Lauder 508-221-1046 12/09/06 04/05/12 DBA-N/A 09/20/14 Kitchen Appliance Mart 508-771-2221 08/12/04 08/12/12 01/01/05:: 12/01/14 MAP Insulation 508-888-3599 10/01/07 10/01/12 10/01/07 08/13/14 Northern Sealcoating 508-398-9474 10/01/07 10/01/12 04/01/07 12/01/14 Pastore Excavation Inca 06/05/08 06/05/12 10/12/08 08/13/14 Wood Floor Specialists 508-888-3958 02/03/08 02/63/13 02/03/08 12/01/14 1 f Town of Barnstable. ti + Regulatory Sem. ees ' 4 r$VAS '$ Thomas F.Geiler,Director BuRding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Ym,wJown,b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property 0P1mr:Must Complete and Sign 'I'his Section If Using ABuilder I, • �tr I`�Pilj(�� - , ds Owner of the subject property herebyauthorize 5 I O(t Irv._, to act on my behalf, in all matters relative to.work authorized bythis building permit application for; Address off o1i) o Sl e of Owne ate •• �E�/fir../ %. . r�7•,;�-�� Print Name L Q:FORh2S:OV N1ERPERhTISSION r tad Of _ � IMAL 15 �-- tC 09, t e _ Wo V W W 0/'C'-)/&,6,j a dw 1,elffl, Office of Consumer Affairs and Business Regulation 4� 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 1.13786 Type:. Private Corporation Expiration: 7/16/2015 Tr#. 241689 BAYSIDE BUILDING INC BRIAN DACEY PO BOX 95/ 3 BAYBERRY SQ CENTERVILLE, MA:02632 ti _.. Update Address and return card.Mark reason for change. SCA t 0 20M-05/11 Q Address:: Renewal. 0 Employment Lost Card C-F;ea»a��enirrretrll/z n �[YJJIIC/rote :: Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistra4ion: 113786 Type: Office of Consumer Affairs and Business.Regulation — < xpiration: .7/16/2015 Private Corporation 10 Park Plaza-Suite 5170 v - - :B oston,MA 02116 BAYSIDE BUILDING:INC., BRIAN DACEY PO BOX 95/3 BAYBERRY'SQ: CENTERVILLE, MA 02632 Undersecretary ot.valid wi t sig ure 5-0' -- -- n I G! In II R LEDGE FOR JOIST I I O CEM R ON TW 24310 CONCRETE HUDSILL j 1 ___ _ O ———I/Sx 40 77/1 a VERIFY IN FlELD �i j�' I CON AND BEHOVE o ..^^ I CONCRETE WALL Q W _ —_ I�O__ —•••_ AT.WINDOWS EDGE - ' IL---------- .. W .f o NEW U V„ KITCHEN M a Q - -- — = W or ...� ..�« NOTE, 0 5/8 ANCHOR BOLTS I/2 I EMBEDDED 7' NEw o SPACED 32'O.C. M.0 W Y7 MUDROOM v ac.TH -J- 12" FROM CORNERS C . WASHERS 3'x3'xl/4' W �Q 4 Z m 0 - m a. FIRST FLOOR PLAN FOUNDATION PLAN SCALE: 1/4" a 1'-0' SCALE: IY4' 1'-0" J E%TEND EXISTING T I • � _ �'..' � In .—RAISE SOFFIT TO Z �) ACCEPT G'-B'DOOR Z p w ® p j W a S i LU ::D rn W Vt (Y _ FIRST FLOOR I I I SHEET 1 I I I I .. .. L----------1________ JOB: 1329 • 5'-0' DRAWN BT: KW DATE: 12/17/13 Amderson 781-857-1000 Fax 781-857-1054 Ensulation, inc. www.andersoninsul.com 706 Brockton Ave PO Box 2003 Abington, MA 02351 rnsuiafion Certificate WORK AREA ITEM INSTALLED Underside of Roof R-38 Icynene Open Cell Spray Foam Insulation 10.3in Gable End Walls R-20.3 Icynene Open Cell Spray Foam Insulation LDC-5.51n Underside of Roof DC 315 Spayed on Ignition Barrier for Foam Gable End Walls DC 315 Spayed on Ignition Barrier for Foam EXT.Walls 2x4 R-13 3 1/2 X 15 Unfaced Fiberglass Batts Exterior Walls 4 Mil Polyethylene Vapor Barrier Customer: Bayside Building,Inc. Job Number: 203441 Sob Address 246 Oceanview Avenue-Cotuit(Barnstable) Date Completed: a b Installer Signature w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 63 Parcel 6 03 — Application # Health Division bate Issued Conservation Division Application Fee Planning Dept. Permit Fee .06 Date Definitive Plan Approved by Planning Board 0� /p1g/�.3 Historic - OKH _ Preservation / Hyannis Project Street ��Address .211(o nce-aA V I�c.�1 �✓� Village / Owner l��c l� ? ✓1 Address 9°J� V G te Telephone'' -2 21- /D q 0 Permit Request o Celo ✓� -F1eon �� .ems eflx—/t n /6 U-4Y_q9w leirt o 6( a n-/4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _Total new Zoning District KF Flood Plain Groundwater Overlay Project Valuation U0 OM Construction Type I LPL Lot Size Ae a.e-e{,5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0, Two Family ❑ Multi-Family (# units) Age of Existing Structure 1'6'50 Historic House: ❑Yes 0.No On Old King's Highway: ❑Yes D(No Basement Type: W-Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) /" Basement Unfinished Area (sq.ft) Al" Number of Baths: Full: existing new Half: Half: existing new c/ _ Number of Bedrooms: existing new - Total Room Count (not including baths): existing new First Flo oom CcLtmt w Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other ca Central Air: AYes ❑ No Fireplaces: Existing New Existing v#b d/coal stove: ;'Yes ❑ No :.- CIO ate Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: Q existing,,,❑ rAv size_, Attached garage: 4Kexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: , M - y t X7_3 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes UKNo If yes, site plan review# Current Use t e_ Proposed Use e Q APPLICANT INFORMATION r; (BUILDER OR HOMEOWNER) Name Telephone Number Address S A x License # Home Improvement Contractor# 1133 Worker's Compensation # 00 73L466ZZ ALL CONSTRUCTION DEBRIS RESUTI G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATEIN 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE k t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r ` Department of Industrial Accidents Z Offrce of Investigations ro - 600 Mashington Street Boston,M4 02111 wtvly mass g©v/daa Workers" Compensation Insurance Affidavit: Builders/Cogtractors/Electiicians/P-lumbers Applicant Information Please Print Le�ibl� Name (Business/OrganizationdndMdual): &�/Vx/s IAIC r Address: , City/State/Zip:69 W - `I 10 e20--t-2, Phone,#: Are you an employer?Check the appropriate bo. 'Type of project(required): L❑ I am a employer with 4. am a general contractor and I 6. [VNew construction , employees(full and/or part-time).* have hired the sub-contractors 7. Remodeling 2.❑ I and a sole proprietor ro rietor or partner- listed on the attached sheet t 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 aim a homeowner doing all work; right of exemption per MGL ll.❑ 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' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who.submit ibis affidavit indicating they are doing all work and then hire outside contract6rs 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. I am an employer that is providing ivorfker s'compensation insurance for any employees. Below is the policy and job si e infor matiam Lsurance Company Name: Policy#or Self-ins.Lic.#:_ 00 7314d(a ZZ- _ _ _ Expiration Date: 4/11/1 Job Site A ddress: VO(2 0 C20� V2c,J Ave City/State/Zip: (,v�CXr-M&- Attach a.copy of the workers' compensation policy declaration gage(shoviing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition-of.criminalpenalties of a fine up to$1,500.00 and/or one-year imprisomnent, 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. Ro advised that a copy of this statement maybe forwarded to-the Office of Investigations.of the DIA for insurance coverage verification. I do ireredry certify raider the pains arrd peirali,les of perYury that the infdrrraadan provided above is tive&nd correct_ Sim art: ,Date: Phone# -7 71_1014 J Official use ordy. Do not 7vr•ite in Elvis area,to be cornpleted by cite or 'aivri Official: City or Town: Permll tense Issuing Authority (circle one): 1.Board of Health 2.Eu dding Depaitn ent 3.City/Towa Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Can— dt Person: Phone#: Subcontractor's Insurance 2012 GL Po GL Policy licy WC,Policy WC Policy Sub Contractor Effective Date Expiration , Effective Date Expiration All Cape Garage Door 508-398-2757 06/01/04 10/07/12 06/01/04 03/01/14 Baxter Nye Engineering&Surveying 508-771-7622 08/11/05 09/29/12 08/20/04 01/20/14 Campbell,William 508-790-3517 08/26/04 08/26/12 07/13/04 07/13/14 Cape Cod Marble&Granite 508-771-2900 07/01/05 07/01/13 08/16/05 05/13/14 Cape Concrete Forms 508-922-1910 06/05/07 09/29/12 . 12/07/07 06/13/14 Carpet Barn Inc 508-548-1443 01/01/06 05/01/13 01/01/05 02/13/14 Chaves, Robert 508-362-9929 08/13/04 08/13/12 12/17/04 04/13/14 Christopher Costa&Associates,Inc. 01/22/08 08/27/12 02/06/07 04/13/14 Coy's Brook,Inc 508-394-8442 04/24/04 04/24/13 09/21/04 03/13/14 Davids Building&Remodel 508-428-3214 01/01/07 01/01/13 06/14/04 01/13/14 Hill Construction 508-888-8154 04/29/07 04/29/12 08/14/04 06/13/14 Jeffrey Lauder 508-221-1046 12/09/06 04/05/12 DBA-N/A 07/13/14 Kitchen Appliance Mart 508-771-2221 08/12/04 08/12/12 01/01/05 02/13/14 MAP Insulation 508-888-3599 10/01/07 10/01/12 10/01/07 05/13/14 Northern Sealcoating 508-398-9474 10/01/07 10/01/12. 04/01/07 .06/13/14 Pastore Excavation Inc. 06/05/08 06/05/12 10/12/08 08/13/14 Wood Floor Specialists 508-888-3958 02/03/08 02/03/13 02/03/08 03/13/14 I i 1 Massachusetts-Department of Public Safety i Board of Building Regulations and i tandar¢s Construction Su pen ,r �r License: CS-005645 BRIAN T DACES' -U PO BOX 95 CENTERVE�LE 3 ' 2 f r y e Commissioner Expiration 04/19/2014 i I , c k. i Office of Consumer Affairs and Business Regulation ae 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration :4ry Registration: 113786 Type: Private Corporation Expiration: 7/16/2015 Tr# 241689 BAYSIDE BUILDING INC BRIAN DACEY PO BOX 95/ 3 BAYBERRY SQ y , CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. sCA 1 0 20M-05/11 Address Renewal 0 Employment Lost Card `�r1..narrrneall/z ol�-&jJaclmuettt Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 113786 Type: Office of Consumer Affairs and Business.Regulation j xpiration <=7/1 612 0 1 5: Private Corporation 10 Park Plaza-Suite 5170 F : Boston,MA 02116 BAYSIDE BUILDING INC t\ BRIAN DACEY PO BOX 95/3 BAYBERRY k g CENTERVILLE, MA 02632 r � Undersecretary t valid wi out A ature i r f ti°f trte roil Town of Barnstable °^ Regulatory Services BAIN�snss8 Thomas F. Geiler,Director �A, Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 Ymw.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508•-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, • ��e� �� c ��J. - , ds Over of the subject property hereby authorize �s�� c_ (L-Z>e�1 cT— to act on my behalf, in all matters relative to.work authorized by this building permit application for: (.Address of Job) Signature of Owmer Date Print Name Q TORM S:OwNERPERMISSION tiF W000w�a� DINING ROOM --��- ---------------------- -- --, 00 o OO ' I ------ ------------------------ ---- Ito II TH "` LiLGEH TL Fine Woodworking - 135 Bams,ab1c Rd Hya..n I MA 02601 . - • � .. ' T.I>atl3(.35) F,511Hs))-0iGl MUDROOM Rick Bendetson 246 Ocean View Ave Comit,MA `p. fi`10ETaOlI » _ Z: a 3�U A'iriOl S • MLHELMPFt1E rk 0 ❑❑❑ IOU L. 0 s. . .M,� ❑❑❑ aoa o❑a❑❑ °® ®a a ❑ ❑ ❑ o � I�,a• l�l—� I—t� *Jul—,4 ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ 000 , °EIJEJ .IA. 29�"—�i�=235" 33'—�i�="2311. �.L�209" -24" '• 6" LL 1' 16 1 J 6 777 JJJ L 1 16 J' 16 LL 11"" 24" 26- 48" 268- 225" ,. 12" 12". 1Z 1Z 1Z 12 12- 12- 12" 12 - . . ��• - �• �• 3• L " 35 BarnsTable Rdn& . TL Fine HY=is•MA 02601 r �• O —-�,�• ,�.i �O� ,�e TV-571 F.SOPJ37— m4 Rick Bede[— �� 246 Oct View A•e L,L,F��1�--->p.-��s�� t�i`_.g—�-sue,i-,�.�,a L�J/L-,��J�L��,•�,��J�L�J L�J�,��,��L--,.��I�J �M� CorWt,MA $ - ;4•.o . ' BRCHHIAMIE 1 .. 1 o 101 10 IIE I❑ I❑ as DOE DE IDE � � ❑ ❑ ❑ ❑0 OD ❑❑ a a a a ❑a as ❑ ° 000 ❑❑00 o 00O 000 00 ® 0 � O0 ❑0_� 0 � O O TL Fine Woodworkin¢ 133 B—mble Rd Hyannis,MA 03601 } . T.'/1LBl6JJtl F-43)-0rb1 O O O 24 SubzeroRick -., Beverage&wne fisting 1 246 Oceane��Ave 4 Cooler Liquor ce Make -. - Pull-Out Cotuit,MA " SK-3 Wren smrolre . Atl1ln 1 SlnNaf • I' 3 ------- -------- wa Ocq- TL Fine Woodworking 135 B--ble Rd Hyannis,MA 02101 T.77-5571 1.5a—,-n3W + Rick BendeLson 2. Ocean View Ave Cotuit,MA SK-4 ••1'd H0.CMEI-E TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION 033 To o r z .a Map Parcel l „ R Application # UV = 1 Health Divisions(� . F ; .� Date Issued C f Conservation Division °z Application Fee i�\\ Planning Dept. Permit Fee oZ •` �U Date Definitive Plan Approved by Planning Board b� `hl4 Historic - OKH _ Preservation / Hyannis Project Street Address 20 OCCA N V(EW AJEN V E— Village Cif--1-V I- Owner l��Ct� � 56-NW-fSDN Address 63 A-�[•A�1T AMEN�E a3os o� Telephone Permit Request RCKO V `10 15f Nib i� � ►u A A :we-- 10 IL 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuationM Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family pTwo Family ❑ Multi-Family (# s) Age of Existing St7tt 2 R Historic House: ❑Yes No On Old King's Highway: ❑Yes NIH o Basement Type: U 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 inc ding bathe): existing new First Floor Room Count Heat Type and Fuel: Gras ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 2"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Ze 'sting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: stin ❑ new size _Shed: ❑ existin ❑ new size Other: 9 g9 9 Zoning Board of Appeals Authorization ❑ Appeal # Recorded Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name To61 �`� Telephone Number q 157 ZZg 1 Address i35 F>A-W- ( LV 44�Q License # (1/15 t4 YA-J AJ L , AA— Home Improvement Contractor# Worker's Compensation # W2A2-V1C,=2s20a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 11J�J L �� SIGNATURE DATE Z' Z tr FOR OFFICIAL USE ONLY r APPLICATION# DATEISSUED i MAP/PARCEL NO. — - } ! VILLAGE' ` ADDRESS "' • OWNER - s DATE OF INSPECTION: j K f� 5 ___r FOUNDATION 5 4i FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL - 1 - e PLUMBING: ROUGH - FINAL g ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . t The Commonwealth of Massachasela DVwIftent oflndiah ial Accidents Office of Investigations 600 Waskngton Street ._+ ;.r<,' Boston,M4 02111 `y www.mamgoY/Aff Workers'Compensation Insurance Affidavit.-BudderslContractorslElectriciansl 4mjLbers Aunficant Information Please Print I `61v Name - : 'FO LV Address: l35 131 Arj3 Cityls li✓ISPhone4-- -7 2,Z8 Are y9odan employer?Check the appropriate boz: Type ofPro]ed Imo= 1.V1 am employer with 1 4. ❑I am a dal contractor and I employees(foU and/or pact-time)_* have hired the 6. ❑New on 2_❑ I ant a sole proprietor or partner- listed on the attached sheet 7. ship and have no employees These sub-contractors have 8. ❑Demolition working for we in any capacity_ employees and have watdoars' (No w '�- a camp. . I 9. ❑Building addition requite&] 5_❑ We are a corporation and its 10-M Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have esucised thttir 11.❑Plumbing repairs or additions mywM[No 'comp. rigid of exemption per MUL 12.0 Roof npairs insurance required]; c.152,§1(4),and we have no , employees-[No workers' 13.❑Other comp-insurance recptired.] *Anyap&Aw1LsteLex#sboot#lmastahtoMcaleesectionbelowdwwWg*wwo*ets'compensampobcyitem. Z IiamwawmM who sabmB this affidavit mdmatimg they one doing aU weak amd tmLme oatsi&coomactm toast soI It anew affidavit imlfating sudL k4WnMn thatcbak tbls boa least mtscLed asadditional sleet sbmimg themamaof*a sdt =mmn and statewhed w or wdima Lsra empbWm Nthe scb-cORM[C a Lane emptoyeef,they mma paorJde ftw wadme c=qL Policy amgw I oar an 'co ' in Insurance or my am is the panty and job stun infomraoion. e Cody Name: �(7% S Policy#or self-ins.Uc.#: VZA;?-WC O D 00 Z$ -D Fkpiration Date: Iq t 3 Job Site Address: Ale City/StateiMp: Attach a copy of the worbers'compensation policy declaration page(showig the policy nmober and expiration date). Fmr7ure to secure coverage as required under Section 25A of MGL c.152 can lead to the imptnition of criminal penalties of a Eno up to$1,500.00 andlor ore-year imprisonment,as well as civil penalties in the fora of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised 9M a copy of this statement may be Forwarded to the Office of Investigations of the Myfiw ice coverage verification. I do hereby the pains and penaMw of parjary that the information p oWded abo"is tine and correct Date i� Phone T7q ' v J 2Z6 ex713 O ciat use only. Do net trios in dds area,to be completed ba or town offieW City or Town.• Per®it/kvme# Issuing Anthorky(circle one): 1.Board of Health 2.Binding Department 3.City/rown Clerk 4.Electrical Ia lwtor s.Phtmbbg Lrpec or 6.Other Contact Person: Phone#: ,4coRv® CERTIFICATE OF LIABILITY INSURANCE 7TE(MMIDID/YYYY) 1/7 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER CONTACT -NAME: Circle Business Ins Agcy Inc. PHONE Mx N 247 Newbury Street aVIAIL ADDRESS: Danvers, MA 01923 INSURE S AFFORDING COVERAGE NAIC o INWRERA'.Safety Insurance INSURED INSURER B:Travelers Insurance Toby Leary Fine INSURERC:Travelers Insurance Woodworking Inc INSURER D:Torus 135 Barnstable Rd INSURER E: Hyannis, MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY E F POLICY DQa LTR TYPE OF INSURANCE POLICY NUMBER MIDDIY MIAIDD/YYYY LIMITS C GENERALUAMLITY Y 6806065N355 5/22/12 5/22/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 OOO CLAIM-MADE 51 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LMTAPPUES PER PRODUCrs-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ COMB IN D SINGLE LIMITAAUTOMOBILE LIABILITY 6217675 4/13/12 4/13/13 aaccidert $ 1,000,000 AWAUTO BODILY INJURY(Per person) $ ALLOWPED X AUTOS SCHEDULED AUTOS BODILY INJURY(Peracadent) $ X NON-OWNED PReOaPEE Y D HIRED AUTOS AMAGE $ X AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WDRKERSSCOMPENSATION 1JB4009T76-6 1/1/13 1/1/14 WCSTATU X O R AND EMPLOYERS'LIABILITYTop ANY PROPRIEMR/PARTNER/EXECUTIVE YIN NIA EL.EACH ACC1DEW $ 500,000 OFFICEWMEMBEREXCLLDED? (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 500,000 Ifyes,describe under DESCRIPTIONOFOPERAT10NSbelow EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACOFM 101,AdMonal Rernarks Sdddrde,If nwre space k.regrired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Murphy Management Corp. ACCORDANCE WITH'THE POLICY PROVISIONS. 135 Barnstable Rd 1st Fl Ste 2 Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE DigOaffiys red by PWIa Hares s`° "Paula Hale , Paula Halas Dare Z013D1,07 0 9395 5-05'W' 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: s� ner YAAM i039. Town.of Barnstable Regulatory SerAces Thomas F.Geller,Director Building Division Thomas Ferry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property.Ovmer bust Complete and Sign This Section. If Using A Builder as Owner of the subject property hereby authorize �' fJ ' `� ( ��` �' /J to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner. Date r Print Namc if Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsotl\Windows\Tcmpornry Internet Filcs\Content.outlook\DDV87AAZ1E.XPRESS.doc Revised 072110 1p 1'UV"I" Roar: css - department ofblic Safety rd . of :.0 = Regulations and Stari,dardsConstructiOn. So R Y k Jim I ht 14 ' Y LfM�'Y' . . H 1 r I,is Expiration 07-118/2,014 Commissioner x; Office of am fairs&BusidessRegulation eC License or registration valid for individul use only ME 1 before4he expiration date. If found return to:. MPROVEMENT CONTRACTOR . a egistration: 4-43942 Type: Office of Consumer Affairs and Business Regulation xpiration 8/]T/2014,;, Private Corporatio i 10 Park Plaza-Suite 5170 Boston,MA 2116 TOBY LEARY FINE WOOD$,NORKING, INC. 1. I i - 'TOBY LEARY 46 LAFRANCE AVE ' r HYANNIS,MA 02601 Undersecretary Not v lid without sig t re ` I i , jLaundry& I Boiler Room Bathroom I I Exercise Room .. .. ". aeo- To ra e . ,27' _ _ I _ I • y, I. muEnsory FOR cone. n/s I I IiQ' 2 6.M PR 12 PESEPK /21 I i Foyer/Entrance ''\, ^ _ r^�PP°°°SE° 1}/=� REPUP SET 7o- I Chan in Ara TL Fine Woodworkwg n, " e' -135 Bmn."k Rd Hyannis,MA 02601 T.TIa8SV1 FM"33-0266 Mr.Rick Bmdedon 249 oamview A- CoW4 MA 02635 J4 t EXISTING CONDITIONS-FLOORPLAN A_,� 1 SCALE 3/8 1-0 :ia - i I ,21- .. , I _ I - I I . Laundry& Bath r om I` Boiler Room I 87 Exercise Room 2WkT To ra e HRH EDe Do ns Foyer/Entrance 1 POSED Chan in Ara ___• jj TL Fine Woodworkina 135 Baustabb;Rd. 7 6• - i i Hy—,*MA 02601 T.77"3&SS71 F.Ma437-0264 - Mr.Rick Bead-tsan ®/. A ceanv venue DEMOLISH 249 O Cane,MA02635 B�wat7,•431f DEMOLITION PLAN z SCALE:3/4"=P-0" — - -- - — -- 39M•i DOOR SCHEDULE tic V, MARK ITEM# DESCRIPTION WIDTH HEIGHT - c., .1 N 1 1-3 8,4-PANEL INTERIOR DOOR 2-4 5-6 2 -3/8 4-PA14EL INTERIOR DOOR 2-4 6-6 3 1-3 8" 4-PANEL INTERIOR DOOR 2'-4 6'-6" 4 1-3 8 4-PANEL INTERIOR DOOR 2'-4" 6,-6" - zsg a,18• W j I ,oa6 EXERCISE ROOM _ — — — Iul 23'x 11' BOILER LAUNDRY ROOM 5.5'x 7.6 CLOSET p I BATHROOM I I 2'x5.5' 7.5'x 6'+ , - ,�. - - w FOOKETDOOR / I L--- 3543* _ ;HALLWAY 4 - FRAME AND PATCH WALL _ - 10'x 3' ' II O I RERs,o»ErtR.��s. is II z �,ARPu REWORK v I FOYER/ RR�sEo II � PERurt SET 3/0. II ENTRANCE IM STER CLOSET 8.5'x 6' ,p II 6'x 6' I ; II I TL Fme Woodworking ... II \ 135 B—iAble Rd - { Hymois,MA 02601 T.77"8 5511 P.5034374-0 i I Mr.Rick Bendebon �. 249 Ommview Aveaoe Como MA 02635 j� NEW PARTITION . - e�nraTeer PROPOSED CONDITIONS SCALE:3/8"=P-0" N o RMA FEE-14-2012 15:06 HASHPEE BUH 0-11% 'Ak Commonwealth of 1VMassachusctts Sheet Metal Permit I `' Date: _ \ _4 XPRESS PERMIT Permits c�2013O Estimated.rob Cost: $ J� DO� Permit Fee: $ � / MAR 13 2013 Plans Submitted: YES 3/ NO Plans Reviewed: YES NO Business License# TOVVN OF BA i L ensc tt Business Information: Property Owner/Job Location Information: Name — _ 3 5 _ Name:_ 5��► �! �C� Street:a_26� VC�c� Street: 2 i City/Town: City/Town: `�� `C1 Telephone:(5�l A IX—Co- Telephone: Photo I.D. required,/Copy of Photo I.O. attached: YES NO Start initial J-1 /M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family� Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: FEE-14-2012 15:bb MHbHF LE BUH INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes% No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ] Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner [] Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all shoot metal work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Bullding Code and Chapter 112 of the General laws. Duct inspection required prior to insulation installation: YES NO X Progress Inspections Tate Comments Final Inweetion Date Comments Type of License: By Master Title ❑ Master-Restricted City/Town ❑Journeyperson # Signature of Licensee Permit ❑Journeyperson-Restricted Fee$ _ License Number: Check at www.mass. ov/d I Inspector Signature of Permit Approval 2 TOTAL P.02 . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govldia Workers' ComPensa-tion Insurance Affidavit: Buflders/Contractors/FIectr-icians/Plumbers Applicant Information c Please Print Legibly Name(Business/Orgmization/Indivi&W):C [�.C—� \ `3 X�C1 V�C_ Address: City/State/Zip:Ct�e ,\\E, (-VN�,r F e you an employer?Check the appropriate bog: I am a employer with( -4• ❑ I am a general contractor and ITYPe of pi oject(required):; employees(full and/or part-time).* have hired the sub=contractors 6. ❑New construction I am a'sole proprietor or partner- listed on the-aitached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have working for me is any capacity. employees and have workers' &' Demolition [No workers' comp.insurance comp.iasru rance.t- 9. ❑Building addition required.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11, Plumb' m el£ ❑ ?ng repairs or additions . ys [No workers' comp. right of exemption per MGL Insurance required.] t c. 152, §1(4), and we have no 12.❑ Roof repairs employees. [No workers' 13•�,Other ' comp.insurance required-] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workars'donT,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. Expiration Date: Z� Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(shovving 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 fine up to$1,500.00 and/or one-year impr sonment, as well as civil penalties in the form offaa STOP WORK andenaltics offine of up to$250.00 a day against the violator. Be advised that a co Investigation of the DIA for insurance co 'era. e verification cop),of this statement maybe forwarded to the Office of I do hereby certcfy under the p p airs-and enalties o fP j er ury that the information provided above is true and correct i Signature: Date: Phone#- Official fficial use only. Do not write in this area, to be completed by city or.town afficiaL City or Town: Perinit/I,icense# Issuing Authority(circle one): .'1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector G. Other Contact Person: Phone#: i �`��® CERTIFICATE OF � � ' DATEIMMIDDIYYYY) LIABILITY INSURANCE 04/30/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the POlICAIDs)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Policy,certain policies may require an endorsement A statement on this certificate does not confer rights i the certificate holder in lieu of such endorsement(s).' PRODUCERONT A f HART INSURANCE AGENCY,INC. NAME: Erica H O'Connor 243 MAIN STREET PHONE (508)759-7326 FAX PO.BOX 700 E-MAa A/C No:(508)759-7366 BUZZARDS BAY,MA 025320700 AD RES : ------------ _INSURER(S)AFFORDING COVERAGE -__ NAIC# ARBELLA PROTECTION INS CO INSURED _ Carl!F Rledl'll $On IDC _ INSURER,: 41360 778 Main St INSURERS: ARBELLA INDEMNITY INSURANCE C_OMP_A_NY_ 10017 OSterVllle,MA 02655 INSURER C: - INSURER D ` . INSURER E: COVERAGES INSURER F; CERTIFICATE NUMBER: REVISION THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORE HE POLICY PERIOD . INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. IN SR ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER - POLICY EFF POLICY EXP - A GENERAL LIABILITY IMWDDTYYYYJ MMI DIYYYY -LIMITS COMMERCIAL GENERAL LIABILITY 8500033836 05/01/2012 05/01/2013 EACH OCCURRENCE g 1,000.00 a DA A E TO RENTED CLAIMS-MADE [\-4 OCCUR �' PR MI I5_ aaA urr _W_..—.E 300,00 _ MED EXP(Any one arson) E _5,0_0 f PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY171 PRO LOC PRODUCTS-COMP/OP AGG =- 2,000,000 B AUTOMOBILE LIABILITY 00831400003 $ 05/01/2012 OS/01/2013 ADM cl EDtsINGL LIMIT 1,000.00 L E SCHEDULED _ - BODILY INJURY(Per person) $ AUTOS" NON-OWNED - ` - - BODILY INJURY(Per accident) E AUTOS .` PROPERTY DAMAGE Pe a ci nt S - AB OCCUR 4600033636 $05/O1/2012 O5/01/2013 EAC . URRENCE $ - 1,000,00_CLAIMS_MADE --- — _ETENTIONS _AGGREGATE $ B WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY 0054000511 05/01/2012 05/01/2013 WC STATU- OTH- ANY PROPRIETORIPARTNEI EXECUTIVE YIN _ (MandatoryFICER/M In H)EXCLUDED? El N/A • - E.L.EACH ACCIDENT _ (Mandatory In and E 500,00 Dyes,describe under ' E.L.DISEASE-EA EMPLOYEE $DIf ESCRIPTION OF OPERATIONS below � 500.00 E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 1a7,Additional Remarks Schedule,R more apace li required) • + r CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE I. AUTHORIZED NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NCE WITH THE POLICY PROVISIONS. - - EPRESENTA71VE r ,CORD 25(2010/05) The ACORD name and logo are registered marks ofACORpCORD CORPORATION. All rights reserved. r COMMONWEALTH H OF MASSACHUSETTS SIIL,IT TAI., W0RK ER,3 Y� JlS A MASTER-L -IRESTRIC'TED , issL)F-s ri-iE nL3ov i_.icr_I se ro: CARL A R1:EDELL m CARL F RIEDELL. AND S014S lit MAIN ST `T OSTERVILLE MA 02655-201. 1 . �i1 09/28/1-6 5059b s e ® o (� llv;ra/ /3�EF12 /7/ c61VO IV R04/vr wwcg �/� ors"Tss /�ITuR�t/ Tlf/ �� (,),tulco 11YAR Nit f i F. W. Webb - WebbConnect Online Ordering tern Page I of 1 R WebbConneclell r O u"AR 16 w y Ord"Pod P"town to 1130ooftuww For WebbConnect II support please contact your local F.W.Webb branch or F.W.Webb sales person Return to Heat Calc User Menu Building Information Rooms Name Rick Bendetson Click on room label to edit Location 246 Ocean View Ave. Label Exterior height floor Couit Wall Length sq.ft. Room#1 40 Upper design 91 7.5 300 temp. Apt• Lower design -10 temp. Add a New Room Room temp. 71 Leeway as % 10 Number of 5@400 people Ground temp. 50 Cooling air 50 Warming air 120 Change Information Calculation Building Rooms Gain BTU 15591 Label Gain Gain Loss Loss Base Loss BTU 8145 BTU CFM BTU CFM Board Gain CMF 520 Room 13591 453 IMEJ #1 Loss CFM 154 Apt. Base Board 15 Tonnage 1.3 Back to Login I Current Order Pad I All Order Pad Entries I Order/Quote/AR Info Home I About F.W.Webb I Products I Locations I Programs I Services I News Copyright°1999-2012 F.W.Webb.All Rights Reserved. http://webbconnect.fwwebb.con/bin/f.wk?wc.hc.room.process 3/12/2013 BdWR- 'BelNlaan "'r Bdlef Ram- Exadee RoanTO .. . DEWOUSH I ♦ - MASTER BEDROOM 27.11 DOOR SCHEDULE ' /. _ ". - - I - MARK ITEM#. - DESCRIPTION WIDTH HEIGHT - _ LOUVER FA BIFON INTERIOR OpOR$ 5=0 6-B 2 - 1-J 0 b-PANLL INTERIOR DOOR' .2-4 6-8 - _ ! 'LOIN—BIFOtD INTERIOR p00R5 4-0 .BOILER LAUNDRY ROOM i 4 - i-3 B a-ppyFi INTERIOR ODOR 2-4 - --6-B r �.. 6 - -!9,4-PNVEL IN ON ODOR 2 .v CLOSET 5.Sx7.S IIBATHROOM -- 6 I-!0 a-PNIO INTERIO4000fl 2-4 6-8 7.5'x 8' ... II ): . - 0 ""WAY k e TL Fine Woodworldng - 136 Barnstable Rd S - HYa ,MA-02601 i^ O L� T.774836.5571 P508437-0264 . II FOYER . u ENTRANCE 4 li '� •"W.Rio II ®NEW PARTMON .. - • B APARTMENT � . A_0 _ v�bra 'yam _ MCHELMARIE )! . F;RaEOECc�Jo plumbing * Heating * Air Conditioning ti Quality Service Since 1932 P�OPO �� i e d e 11 778 Main Street- Osterville, MA 02655 www.carlriedell.com Page 1 of 4 ESTABLISHED 1g3� (508) 428-6365 Fax (508) 420-0180 PHONE DATE TO: Richard Bendetson ` 08-428-5599 2/21/2012 Diversified Funding JOB NAME i LOCATION 63 Atlantic Ave Plumbing, Heating, and HVAC: Guest House Boston, MA 02110 246 Ocean View Ave. otuit,MA JOB NUMBER JOB PHONE Estimate #3567 We ere Nsubmit s eG€icat�onSand`esti'aes�for . „ b y P,. Plumbing: Coordinate permits and inspections for the installation of 1 toilet, 1 single bowl vanity, 1 shower, 1 washing machine connection on 15C floor Install stack behind toilet wall as far back as possible to eliminate wall bump out Provide and install chrome shut offs for all exposed valves Provide and install gas piping to gas dryer and hook up Offset shower drain in ceiling of laundry room as far as possible to the back wall Provide and install 1- Kohler shower valve with chrome Coralais trim Provide and install vinyl shower pan liner with PVC drain Fixture allowance in proposal for toilet and bathroom sink faucet$750.00 OPTIONS: Please initial next to any.option taken. Provide and install Watts washing machine box with automatic open and closing solenoids for water supply and leak sensor to shut off in emergency add$260.00 to proposal Waste and vent material to be PVC. Water piping to be a combination of PEX tubing and copper pipe. All countertops to be installed by others Thus proposal does not include the installation of towel bars,grab bars, or any paper holders We'Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Cont d dollars.($ Cont'd Payment to be made as follows: A deposit of$8,599.00 with signed proposal is requested. Payments are due as work progresses and balance is due upon,completion. All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard,practices.Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment will be made as outlined above. Signature Date of Acceptance: 17 so Plumbing * Heating * Air Conditioning y Quality Service Since 1932 P11ROPOSAL dc 1 778 Main Street Osterville, MA 02655 www.carlriedell.com Page 2 of 4 TABusHeo A93� (508) 428-6365 Fax (508) 420-0180 PHONE" DATE TO: Richard Bendetson 508-428-5599 12/21/2012 Diversified Funding JOB NAME 7 LOCATION 63 Atlantic Ave Plumbing,Heating, and HVAC: Guest House Boston,MA 02110 246 Ocean View Ave. Cotuit,MA JOB NUMBER JOB PHONE Estimate #3567 We�Ftrby submit speci)Ic�Uons a�desttnaates ford ¢ i ,. Price $3,675.00 Proposal to install a high efficiency, natural gas, condensing boiler. Proposal includes: -Burnham Alpine ALP080 stainless steel high efficiency condensing boiler.*Rebate available $1,500.00 + -Three (3)-Grundfos UPS15-58 FC three speed circulators. -Four (4) sets of isolating circulator flanges. -Watts 9-11-S automatic water feed. -Spiroven-t air elimination valve. -Extrol#30 expansion tank. -Condensate pump. -Carbon monoxide detector. -Taco SR-503 circulator relay. Antifreeze. -Remove and dispose of old boiler. -Gas pipe from gas main to boiler: -All pipe,valves, hangers, and fittings. -All labor,permit, and sales tax. *Note:Yearly maintenance is required on high efficiency heating systems per manufacture. We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Cont'd dollars($ Cont'd �. Payment to be made as follows: A deposit of$8,599.00 with signed proposal is requested. Payments are due as work progresses and balance is due upon completion: All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifiea- Authorized lions involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Workers Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices, specifications and conditions are.satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment will be made as outlined above. Signature Date of Acceptance: ALL Jo Plumbing * Heating * Air Conditioning ti Quality Service Since 1932 ��®�� z d e 11 778 Main Street Osterville, MA 02655 www.carlriedell.com' Page 3 of 4 'TgBUSNEo193z (508) 428-6365 Fax (508) 420-0180 PHONE DATE TO: Richard Bendetson 508-428-5599 2/21/2012 Diversified Funding JOB NAME i LOCATION i 63 Atlantic Ave Plumbing, Heating, and HVAC: Guest House Boston, MA 02110 246 Ocean View Ave. Cotuit,MA JOB NUMBER JOB PHONE Estimate #3567 *Applicable rebate available: All rebates are available through GasNetworks per their agreement. . *Paperwork enclosed. Please fill out customer information and mail to GasNetworks. *GasNetworks is offering a$1,500.00 high efficiency rebate on this boiler. Once unit is installed, please fill out and mail your product registration form to manufacture as soon as possible. *Rebates are subject to change without notice J Price $10196.00 r Hydro-Air: t/ Riedell will install a/2 ton Unico High Velocity Hydro-Air system that will provide heating and cooling in guest house remodeled area. edell will install new Unico Hydro Air handler under stairs leading to second floor.' Insulated trunk anc duct work be installedunder floor joist after area below was excavated to allow placement of duct work.All air flow would be distributed via small registers mounted in floor. Riedell would install new American Standard 2 ton a/c condenser outside of home on.a supplied precast pad. Refrigerant lines will be piped from condenser to air handler to complete system. After Riedells Hydronic division pipes unit to boiler,it will be started and tested for proper operation. New unit will be wired by Riedell. tan ar ' 1/2 ton 13 seer a/c condenser We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Cont d dollars($ Cont'd Payment to be made as follows: A deposit of$8,599.00 with signed.proposal is requested. Payments are due as work progresses and balance is due upon completion. All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifics- Authorized lions involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or — delays beyond our control.Owner to carry tire,tornado,and other necessary Insurance.Our Note:This proposal may be workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. '_ Y Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment will be made as outlined above. Date of Acceptance: " Signature J. iE<< so Plumbing * Heating * Air Conditioning ti Quality Service Since 1932 � ��®SAL J► /� 778 Main Street Osterville, MA 02655 Page 4 of 4 ir �.r www.carlriedell.com 'TaSusHE10 tie3� (508)'.428-6365 Fax (508) 420-0180 PHONE DATE T0: Richard Bendetson 508-428-5599 2/21/2012 Diversified Funding JOB NAME i LOCATION 63 Atlantic Ave Plumbing,Heating, and HVAC: .Guest House Boston, MA 02110 246 Ocean View Ave. Cotuit, MA JOB NUMBER JOB PHONE Estimate #3567 We t7e'rebyubtmrt speGifrcaUortsn'and estiates for _, `3 £ a #4A7A30ti Unico Hi Velocity Hydro Air handler. #ARUFfl3fa Price $7,625.83 We Pro ppose hereby to furnish material and labor—complete in ac ordance with the above specifications,for the sum of:. Twenty C7ne.Thousand.Four Hundred Ninety Six and 83%100 Dollars 21,496.83 dollars($ Payment to be made as follows: A deposit of$8,599.00 with signed proposal is requested. Payments are due as work progresses and balance is due . upon completion. All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above s i ica- Authorized \o� _ lions invohring extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or — delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices, specifications and �� .conditions are satisfactory and are herebyaccepted.Yo r Si nature �•u are authorized to do the work g as specified.Payment will be made as outlined above. Signature Date of Acceptance: t q °? MICHELE CUDILO ° NO.34774 ° STRUCTURAL. u - x 20`6 (f) .1 2�R JOIST (Fv� CONTINUOUS S HAILERS , 2 (p IIZ vfV L*LtA�tt- I ATTACHED V/(9 24, r_ THRu-BaLTs � e�• o.c. 1 A e-Ve• 0 BOLTS �sTAGGEREn e x J HAILER 21 KIN WOOD EDGE DISTANCE I CAP PL, ____x----x---_ I SIWSON JOIST HANGERS (o�7lot1A1�) MIN. (TYP) I I OF ----1/e• • BOLT STEEL COLUMN UR CfA��t�D STU{�S �1�L To GAGE i PftA M W t D 1 CAP PLATE DETAIL I TO FOOTING- , OR CONTINUOUS WALL FOOTM BASE PL. ----x_--_x_--- (Orr-AC) L WORKMANSHIP TO CONFORM WITH AMERICAN INSTITUTE OF STEEL CONSTRUCTION AND MASSACHUSETTS STATE BUILDING CODE LATEST EDITION REQUIREMENTS. 2. STRUCTURAL STEEL: ASTM 572 (FY=50 KSI); Optional: SHOP PAINT WITH RUST INHIBITrVE PAINT. 3. EXPANSION BOLTS: ASTM A510 3/4" DIA.x6" EMBEDMENT IN CONCRETE; THRU—BOLTS:ASTM A307 1/2" DIA. 4. PUNCHED HOLES IN PLATES = 9/16" DIAMETER. 5. ALL WELDS E70XX ELETRODES. SHOP WELD CAP AND BASE PLATES TO COLUMNS. 6. COORDINATE ALL DIMENSIONS W/ ARCHITECTURAL DRAWINGS, AND FIELD VERIFY WHERE REQUIRED. -7, -FATCN CUT PROPOSED MODIFICATIONS MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Residence Drawn By: MC Date: 12/29/10 Drawing 246 OCEAN VIEW Scale: AS NOTED Rev. 0 COTiJIT, MA SK— Lf File Name: LEARY Project No.:2010-t81 f IL/ TD: v�_:__ _ a I , I SST `� tUD xlp MI►l�,°(t� �¢ x `I` ,YC•, UU�; 4-N ( tuPRG "On 04AQ s _. ��::::_,Z:x-.�_��F�r��_n..l�►.J�-t�f-(_9�14---r��:u�. �_a Pam'� =�---- of htgs�c MICHELE CUDILO o No.34774 U STR '� UCTU�A PROPOSED MODIFICATIONS MICHELE CUDILO, P.E. ' f Consulting Structural Engineer J123 Cottonwood Lane, Centerville, Massachusetts 02632 i Residence Drawn By: MC Date: 12/29/10 Drawing 246 OCEAN VIEilf 4.9 3 I'-o COTUIT, MA Scale: AS NOTED Rev. 0 S K_ U1 File Name: LEARY Project No.:2010-41 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map n Parcel ccrs .,Application # IW_ Health Division Date Issued a �� Conservation Division l Application Fee o� 2 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 2_4t 0&-a ►l 0 t &�i Village lk Owner !KK �c golJ Address ��e: Telephone - II Permit Request YA (1—W kA,4 -T A Awn _AJ q I Lr, —r,t 1p,� I P Go gmq L e lj-t-�e t o Square feet: 1 st floor: existing 3proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation e)o —Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q( Two Family ❑ Multi-Family(# units) Age of Existing Structure / r { Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ®Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 2-00 Number of Baths: Full: existing 7 new Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing l new_ First Floor Room Count Heat Type and Fuel: Gas it ❑ Electric ❑ Other =j ~- ZE Central Air: Yes ❑ No Fireplaces: Existing,-New Existing wood/coal stove: q:Yes Ud No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:13 existing- Li new size_ Attached garage: Erexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of AppealsAuthorization ❑ Appeal # Recorded ❑ -- °' Commercial ❑Yes S/No If yes, site plan review# Current Use '�5t Proposed Use Si Ic'Ok APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r E4 Telephone Number `ji�� `2�� Address A-SA License # tdmagkR � [ Home Improvement Contractor# Worker's Compensation#-4I&Q to lld n�ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOTj11"( 1 11_� ( ho SIGNATURE DATE Z- 1 I FOR'OFFICIAL USE ONLY APPLICATION# F DATEISSUED MAP/PARCEL NO. ADDRESS i _ VILLAGE , ' OWNER. w DATE OF INSPECTION: {ff FOUNDATION FRAME 8azs 4 INSULATION 4 FIREPLACE *` ` ELECTRICAL: ROUGH FINAL r 'S PLUMBING: ROUGH FINAL'. " y GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO-. -- ; 'Y '1. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): e �/ LCI�T1' _� �1 ��rfvf,'i f �• Address: is—A� L City/State/Zip: C 02 k n Phone#: Are you an employer?Check the appropriate box: Type of project(required): l. 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.2 �• ❑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.❑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' comp.insurance required.] 13.❑Other '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-co !ractors and their workers'comp.policy information. I am an employer that is providin workers'compensation insurance for my employees. Below is the policy and job site information. , Insurance Company Name: v4 P4/ //a Policy#or Self-ins.Lie.#: R� G-(/�O� 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 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$250.00 a day against the violator. Be advised that a copy of tffis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do here c nde the pains and naldes of perjury that the information provided above is true and correct ,p Signafore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: F..PRESENUATIVE CircIe Insurance Fax:978-777-4898 Jan .5 2011 08:39amP001 001 CERTIFICATE OF LIABILITY INSURANCE 1/5/2011 TE IS ISSUED AS A MATTER OF INFORMATION'ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS OE$ NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER. THE COVERAGE AFFORDED 6Y THE POLICIES CERTIFICATE OFINSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED OR PRODUCER, AND.THE CERTIFICATE HOLDER. IMPORTANT: IF the certlftcMe holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WANED;subject to the terms and conditions of the policy;certain.policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemengs)- PRODUCER ACT Circle .Business Insurance Agency Inc MtAo a FAX 247Newbury 3t. N �,;978-777-5619 A/cNa:978-777--4898 ,L Danvers, MA 01923 ADDoL s:paulahalas@circleinsurance.net 17 8163 9 MER IDdk INYUKERIS) AFFORDMO COVMAUE NAIC(J INSURED TOBY W. LEARY 1;INE WOODWORKING, INC INSURERA:Travelers Insurance CO. 46 LAFRANCE AVE INSURER B:Continental Indemnity Co HYANNIS*, MA 02 601 INSURER C: INSURER D INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES.OF.INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE INDICATED. NOTwrrHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE r+ooL - INaR NM1I POLICY NUMBER IMMIDIDNgM �pY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILnY i PREMISES Ea occurrence $ 300,000 CLAIMS•MADE OCCUR - - MED EXP(Any one person) 5,000 A 680-'6065N355 5/22/105/22/11 PERSONAL aADVINJURY S 1r000, -OT GENERAL AGGREGATE s 2 r 1000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2r000,000 POLICY X PRO- LOC AUTOMOSILE LIABILITY. COMBINED SINGLE LIMIT ANYAUTO (Ee acadenl) $ .1,000,000 ALL OWNED'AUTOS BODILY INJURY(Per person) S A X SCHEDULED AUTOS SA-3292M97A 04/13/10:04/13/11'-BODILY INJURY IPeracdden() $ X HIRED AUTOS PROPERTY DAMAGE $ (Per accident)' X NON-OWNED AUTOS i UMBRELLA.LUiB Ll OCCUR EACH OCCURRENCE i EXCESS LIAR CLAIMS-MADE AGGREGATE $•.; DEDUCTIBLE S RETENTION WORKERS COMPENSATION " ' W TATU- OTH- AND EMPLOYERS'LIABILITY Y/N - - X .TORY LIMB R B ANY P90PR1EFMR/PARTNER04ZCU-h Ve OFFICER/MENIBER EXCLUDED? N NIA E.L EACH ACCIDENT $ 500,000 Ifanaato�InNHrlbe I . .: 46-809632-01-03 of/01/11 01/01/12 E.L DISEASE-EAEMPLOYEE S 500,000 DESCRIPTION OF OPERATIONS 06Iow E.L.DISEASE-POUCY LIMB $ 50010 )ESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Addirioner Remants SchedLde,if more space i8 required) down of". Barnstable is listed as additional insured. ;ERT(FICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF TH@ ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable, MA 02601 THE EXPIRA71ON DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Building Dept. n ACCORDANCE WITH THE POLICY PROVISIONS. .Fax#508-790-6230 AUTHORIZEO REPRESENTATIVE 01988-2009 ACOR ORPO All rights reserved. >CORD25(2009/09) The ACORD-nameand logo are registered marks ofACORD Office of Consumer Affairs&B srness Regulation HOME IMPROVEMENT CONTRACTOR Registration:,��443942 Type:M Expiration: 8l 012 Private Corporatio! 0� tfT LEARY FIr6 -- �2t , INC. r { 1 TO LEARY 46 LAFRANCE AVE„ HYANNIS,MA 02601f ndersecretary fi. Massachusetts- Dcpartrn(nt of Public Safctc Board of Building- Re�-ulations and Standards Construction Supervisor License License: CS' 84605 TOBY W LEARY .135 BARMSTABLE RD HYANNIS, MA 02601 . Expiration: 7/18/2012 ( mmi �i roer Tr#: 30776 Town of Barnstable. ' Regulatory Serviees • = Thomas F.GeUer,Diredor wilding Division Tom Perry, Building Commissioner 200 Main Sueet� Hyannis,MA 02601 yrwr town.barDztable•.Ma.us Fax: 508-790-6230 office: 5o8-862-403 8 ' Property Owner Must Complete and Sign This Section If Using ABuildix as Owv of the subj p PAY �y•• to act an my behalf, herebyauthOAW G in all matters relative to wozk authorized by this ding Puma applicatwn for. L • -� (,Address of Job) (' s�of der Prime Name Q•FoxMs:0WNWER ussroH t ------------ -1 y� raaT�.l�zti. i MASTER DAIIJMM 661R2 CedLw Nwy+tc9R,5" F Steam f root boor w/ Caterpora4fra15aR1 + fi lV•w. WAwti . k. 14 41, 4 4 7 BENOETSON MASTER BATHROOM FLOORPLAN I7 '� SCwlE: I I'-p' - w z T EIS 4 •s•snobs z}• e} nf�' Cop soffit, EIEI❑❑ EIE ❑� c Ad u t 1, Plaster/" hel ithin e, �❑❑� S ng EEIEIEIED y iN 'Stone w}' f 7 - '+11' Bullnose f i Char Roll ' o O 41 I K KOMI eY B15Froft o Honper Unit 5 �3• roa � o e}z Rou a oo� o a}• o i 24 I >� Inished .or ` 2 VIEW 70WARD5 VANITY— ELEVATION 1 SCALE: 1 �I'-0" Dm:IJ611 . .. Hmdeteon p,wbs: TL Fine Woodworking Ni..wBatb ,,,,w 135 Barnstable Rd. 7rtw.tma�^° Hyannis,MA 02601 MaSterBRth C.774836-5571 P.588437-0260 FMAL SIrORDWO: 1 • + TTT d' • .-Sild he Ploster/C �} E]❑❑ ❑❑❑. ,I}• APPiied Po nel ❑❑❑ A. nDer ❑[:]❑ 2'Stone PlElElElm ❑❑❑ Bullnose' .25' .25•Tenpered 1. Choir Roil Ouorter ne • Rountl 11 obx12 M rble / 6x 2 Marble sl} Subwoy Tile S woy Tile S o Ston eSlob FAc of - Foce of ' - } B nch Seo APPlleed _ BenchwSeot Applied - yL+ Pon 1 e�}' Ponel Ll CL \ VIEW TOWARDS WATER CLOSET- ELEVATION N2 AA VIEW TO1WARDS TUB - ELEVATION A4 4B VIEW TOWARDS TUB THRU SHOWER- ELEVATION 4 LE SCALE: 1 SCA : -1'-p• 3 SCALE: I -1'-D' I i 5'Stone Cop 5'Stone Cop ux12b T e Mor e Sploster� wo ?(6 Apptletl w/1§ Grout i P. Beyantl Shower - loss .25 Tenpered t Steom Gloss 2'Stone .. _ s.}' i Bullnose w FF Choir Roil O ub Beck .y Shower Bench ` 6x12 Marble Subw y:Tile ' /$tone Slob \ VIEW TOWARDS SHOWER- ELEVATION N3. SCALD t•-f-0• Bmdetm u.m:L-3au TLFineWoodworking MsetaBetb aewm: e..M. .slw 135 B—stable Rd. T , Bymais,MA 02601 MasterBath C. "3&SVI F.50B 37-0261 rm uarornWG.. 1 TTT Town of Barnstable *Permit# Expires 6 mondis from Issue date � Regulatory Services Fee - R PERMIT Thomas F.Geiler,Director No V (0 15 0 Building Division Tom Perry,=CBO, Building Commissioner I-01/ N OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESEDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �-33 663 G a l Property Address 2 001Qo-,V i ! fl�V,p M A a 2�0,� ?6 Ov - [3]Residential Value of Work (� Minimum fee of$?/�00 fof work.under$6000.00 Owner's Name&Address_ I�N\Qh( X- S),Q n d n A-S D C) 0911 o Contractor's Name--F( 2)y LeA-A2�( I IN Q N(1)NI—VJQ9` -1 N CgTelephone Number Home Improvement Contractor License#(if applicable) N�)q H E Construction Supervisor's License#(if applicable)_ S ()H [�Vorkman's Compensation Insurance . Check one: ; ❑ I am a sole proprietor ❑ I am the Homeowner [p'I have Worker's Compensation Insurance Insurance Company Name W>11�-j CO Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �Re-roof(stripping old shingles).All construction debris will be taken t ❑Re-roof(not stripping. Going over existing layers of roof) E-V(Re=side 2�1[ReplacementWindows/doors/sliders. U-Value ° ��• -3 5 ( When required: Issuance of this pe=t does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. <�accrpy of the Home Improvement Contractors License is required. N r. SIGNATURE: Q:Fo":expmtrg Revis.e061306 r ' - The Contmonweatth ofMassachusetts Department oflndusiriajAecident' Office oflnvestigations - 600 Washington Street Boston,MA 02111 www:m ass.gov/dia Workers'Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ltgibly Name(Business/orgmization/Individual):.\oG_y_ L•P_AiLy OO CJW 0{ZY_ 1 N -Address:— l�rj �PrRt�ST�� Rp ' City/State/Zip: \A`/PA N N\S 1 R OZ(p p 1 Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):. I.[TI am a employer with 10 4. ❑ I am a general contractor and I employees(fun and/or part time).* have hired the stab-contractors 6• New c°nstrucdon . 2.❑ I am a•sole proprietor or parhner- listed on the'attached sheet. 7. 2 f Remodeling ' ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' 9. Bull ' ' 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. Plumbin r myself: [No workers'comp. right of exemption per MGL g 01 a ddltious insurance required.]t .c. 152, §1(4),and we have no 12.❑Roof repairs employees. [No workers' ..13.0.Other comp.insurance required] "Any applicant brat checks box#I must also f l out the section below showing theirworkers'cbrnpeasation policy infarmation. t Komeowners who subrmt this affidavit indicating they are doing a]l work and then him outside,antraetars must submit anew affidavit indicating such. :Contractors that check this box must attached an additionar sheet sbowin the name of the su g b-contractors and state whether or not those entities have, employees. H the sub-contractors(rave eaaployees,they must provide their wor3:cm1 warp.policy number•. ram an employer That is providing workers'compensation insurance for my employees, Below islhe policy and f oh site information. Insurance Company Name: Policy#or Self-ins.Lic. o 2 Expiration Date- r f J°bSite A4d=s:_2_46 O�edj�y'jg W No - eity/S IA QLD5 5. 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 ofMGL 6. 152 can lead to the imposition of criminal penalties of a fine lip to$1,500.00 and/or one-year imprisomoent;as well as civil penaltirs in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA fox insurance covers a verification. 16 herIce thepains•and penalties ofPer,jur3'that theinformationprovided above is true acid colrec4 Si�raturDate: I I`J-zo 1Phone#jn —O — I Official use only. Do not write in this area,Yb a completed y ctty or town of tciat City or Town. Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: .'_.r�•' E T®wn of Barnstable: Regulatory Ser. ices �.$ nomas F.GaUer,Director Building DIASion Tom PerM BudIding Commissioner 260 Main Gtrvd� Bya3is,MA 02601 W",town.barnstabk.ma.us office; 50g-g62-4036 ' Fax: 508-790-5230 Property Owner bust Complete and Sign This Section If Using ABuil&r 7 the subject property as Owner of • I P perty hemby-mlioiize v �� to act on my behalf, in all matters relative to work auXthorizedby cling permit application for: . file (Address of Job) 1 signature of Owner Date Print Name QFORMS:Qwi�TERP7�S7�N - A CERTIFICATE OF LIABILITY INSURANCE 18/2/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN .THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR-PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement[sJ PRODUCER - CONTACT - NAME: Circle Business' Insurance Agency Inc P FA AC H/C,No &t: 978-777-5619 WC,No):978-777-4898 247 Newbury St. ADDRESS:paulahalas@circleinsurance.net Danvers, MA . 01923 PRODUCER CUSTOMER ID*. " 1781639 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED TOBY W. LEARY FINE WOODWORKING, INC _ INSURER A: Travelers Insurance Co.. 46 LAFRANCE AVE INSURER B: Continental Indemnity Co. HYANNIS, MA 02601 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR .MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR POLICY NUMBER - WDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000, X COMMERCIAL GENERAL LIABILITY - - PREMISES(Fa occurrence) $ 300 OOO CLAIMS-I MADE. El OCCUR MED EXP(Anyoneperson) $ 5,000 " A X Y 680-6065N355 5/22/105/22/11 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ 2r000,000 POLICY X J RO-ECT LOC - _ $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ANYAUTO (Ea ausdern) $ 1,000,000 -• BODILY INJURY(Per person) $ ALLOWNED AUTOS ' BODILYA X SCHEDULED AUTOS N BA-3292M97A - 04/13/10 04/13/il PROPERTY TY DAMAGE (Per accident) $ PROPERTY DAMAGE $ X HIRED AUTOS - (Per accident) X NON-OWNED AUTOS - $ . $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE N - AGGREGATE $ - - DEDUC71BI-E - $ RETENTION $ - $ - WORKERS COMPENSATION - WC STATU- OTH• AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER - B ANYD� F"B� a NDED4 CUTIVE NIA .N • EL EACH ACCIDENT $ 500,000 (Mandatory in NH) 46-809632-01-02 01/01/10 1/01/11 E.LDISEASE-EAEMPLOYEE $ 500 jOOO Ryes,describe under - DESCRIPTIONOFOPERATIONSbelow E.L DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OFOPERATIONS/<<'J 70NS IVEHICLE&_(Attach ACORD 101,Additional Remarks Schedule,A more.spaceisrequired) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN -"-- - ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION.All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD ,pN �1LG ZJOI7Y/YEO�I2ClJP�LLUL Oy i/!/(,pgQCLC1LLlQC�6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: r 1,43942 Type: Office of Consumer Affairs and Business Regulation Expiration 8/47/M12 Private Corporation 10 Park Plaza—Suite 5170 Boston,MA 0 116 TO LEARY FINEfNOODWORKINt-G, INC. t 1� _ TOBY LEARY 46 LAFRANCE AVr = y. HYANNIS,MA 0260f f_ = Undersecretary Not vali without signature tic • �cnt°1 eu�stat��lard� h�Xtts:�j 1RcLl n,,,,1-1dlotln sense N�.tsst� guild�n"guPer'Jlsat —did Bo'�ra otstrv�tlOn aimCan `icen5e: C S 6�� CRY E RD 1pBBARMSNIP ZgO� .- `oo• TI1g12012 _ Ny PNN�S, Exp�c at T . 30TI6 1-411 „,,,Wi . f Assessor's Office 1st floor Ma d3 Lot 4 U 0 Permit# 469 E C scrvation Office 4th floo 3''� Date Issued �= —/ r �y�,t�` Board of Health Ord floor Engineering Dept. Ord floor House# Planning Dept. 1st floor/School Admin.Bldg,): Definitive Plan Approved b Planning Board M y� .�A 0, (Applications rotes 30-9:30 a.m.& 1:00-2:00 .m. q NP to TOWN OF -BARNSTABQ` Building Permit Application ® b - Project Street Address �N J 1�W Village CM X ` Fire District Owner &L, +.o j1,b MNO m'-MaN Address, -L-VA amlho J ,. Telephone 11 � n Permit Re uest: L '•R VIV lb lC..rari.._JAND v — —L0 6Od Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type EaistinQ Information Dwelling Type: Single Family Two family Multi-family Age of structure to BasernentjyM g1t iq l STDOC Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) (+ First Floor Heat Type and Fuel 1$M A�flol 10AS Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Namc;V""A COTMMM i PHO NAkLIZ Telephone number 50 B. ` 61-60 6 6 Address License# d qsy sy Home Improvement Contractor# 00 Worker's Compensation # W Ob 0 J51 I 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 Project Cost 00 0 Fee < o� SIGNATURE DATE c BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 8/15/95 9746 ' `f 033 003 001 , ADDRESS 246 Ocean View Avenue VILLAGE Cotuitzli Lr OWNER Daniel Ciottyf~ # •" y'` DATE OF Il JSPECTION: _ +± ATION FOUND FRAME INSULATION' FIREPLACE '{ + '• ' ELECTRICAL: ROUGH FINAL _ PLUMBING- ,ROUGH FINAL GAS: :`ROUGH �' FINAL - t • � g�- , FINAL BUILDING. A ' DATE CLOSED OUT: ASSOCIATE PLAN NO. r 3 . d Town of Barnstable Zoning Board of Appeals - - Decision and Notice Appeal No. 1995-69 Ciotti -Happy Days Truss ;=.z`= 24 Special Permit-Non-conforming Structure Summary Finding Relief Not Required Applicant& Owner. Daniel B. Ciotti et all., Trustee of Happy Days Trust Applicant's Address:'„ 246'E"el n A e C uit-,7M Assessor's Map/Parcel: 033-0 01 Zoning: RF Residential F Zoning District Applicant's Request: Special Permit in accordance with Section 4-4.2 Alteration of a Non- conforming Structure to permit the addition of dormers to the second floor of an existing structure that does not conform to the required setbacks Background Information: The application is for a Special Permit to allow for the addition of dormers to an existing second floor over an attached garage structure to a single family dwelling. The applicant has applied to the Board for the issuance of a Special Permit due to the fact that the Building Commissioner has stated that he would not issue a building permit without the Special permit form the Zoning Board of Appeals. The locus is a 0.76 acre lot located off Ocean View Avenue in Cotuit. The lot is developed with a residential structure of 6,424 sq.ft. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 21, 1995. A Public Hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The Hearing was opened on June 07, 1995 at which time the Board found that the relief requested was not required. Board members hearing the appeal were: Ron Jansson, Richard Boy, Emmett Glynn, Dexter Bliss and Chairman Gail Nightingale. Attorney Richard Largay represented the applicant. He explained that he was before the Board seeking a Special Permit under Section 4-4.2,to permit a change in a non-conforming structure. The change is requested for the addition of dormers on the second story of a garage to the front and rear facades. The side elevation abutting the neighboring lot and that infringes into the setback is not to be changed. The dormers do not expand beyond the established foot print of the building nor do they add additional living area to the second floor. The structure was built in 1850 and predates the adoption of zoning. The structure is presently located 1.45 to 2.96 feet from the side property line and does not conform to the zoning requirements of a 15 feet side setback. It is a legal pre-existing non-conforming structure. The building is being renovated and the dormer and window changes are a part of the improvements to the structure. The structure is used for residential purposes and the use is in conformance with zoning. The chairman read three letters in favor of the proposal from neighboring abutters. No one spoke in opposition of the appeal. Zoning Board of Appeals-Decision and Notice *Appeal No. 1995-69 Ciotti-Happy Days Trust Finding of Facts: Based upon the testimony given during the Public Hearing on this appeal, a Motion was duly made and seconded for the following findings of fact. 1. The application before the Board is for a Special Permit for a change in a non-conforming structure built in 1850. The non-conformity in structure involves the intrusion of the building into the required 15 foot side yard setback for the RF Zoning District. 2. The proposal to add dormers to the second floor will not expand the building footprint. • 3. The degree to which the non-conforming building infringes into the required setback is not being increased. 4. Section 4-4.2 proposes that a Special Permit is required for"any alteration ...[that is]to extend the non-conforming use .... on the same lot.' 5. The use of the lot is residential which is in conformance with zoning. 6. The proposed dormers will not increase a non-conformity in use or in structure and no relief is necessary from the Zoning Board of Appeals under zoning. VOTE: AYE: Ron Jansson, Richard Boy, Emmett Glynn and Dexter Bliss. NAY: Chairman Gail Nightingale Order: No relief is necessary. The applicant has, as-of-right under Barnstable's Zoning Ordinance,the right to construct the dormers as shown on the plans without relief or permit from the Zoning Board of Appeals. Appeals of this decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Tow Cle S �I Gai ightingale, 4airman Date Signed 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 ffice of the Town Clerk. Signed and sealed this day of 1995 u er a pains and penalties of perjury. Linda Leppanen, Town Clerk 2 PAR: R033 003.001 PAR: R033 039. PAR: R033 040. KEY: 19198 TAX CODE:200 KEY: . 19535 TAX CODE:200 KEY: 19544 TAX CODE:200 CIOLTI:v' DANIEL 9 8 CONATHANi.JOHN II .TR CARRIUOLOP FLORENCE, �TRS' 8 GEMS. PETER D TRS 1262 MAIN ST REALTY TRUST FLYNN* DANIEL F. TRS 8 % BROWN* RUDNICK 8 FREED 4441 BEE RIDGE.RD #274 SWARTWOOD• CHARLES 8. III ONE FINANCIAL CENTER SARASOTA FL•34233-0000 8 NORTHEAST RD BOSTON MA 02111-0000 FARMINGTON CT 06032-0000 PAR: R033 036. PAR: R033 028. PAR: R033 041. KEY: 19508 TAX CODE:200 KEY: :19438 TAX CODE:200 KEY: 19553 TAX CODE:200 WHITE. PETER T 8 JOAN A SURGESSo, R WILLIAM JR CARRIUOLO• FLORENCE M TRS 8 90 WAGON ROAD 143 MEADOWBROOK ROAD FLYNN. DANIEL F TRS WESTWOOD MA 02090-0000 WESTON MA 02193-0000 8 NORTHEAST RD FARMINGTON CT106032-0000 PAR: R033 042. PAR: R033 043. PAR: R033 019. KEY: 19562 TAX CODE:200 KEY: 19571 TAX CODE:200 KEY: 19330 TAX CODE:200 SAARTW00D• CHARLES B SWARTWOOD• CHARLES B III 8 SWARTWOOD• CHARLES B II1- 9 10 CENTRE STREET UNIT.1 SWARTWOOO• JUDITH F SWARTWOOD• JUDITH F CAMBRIDGE MA 02139-0000 19 CENTRE STREET UNIT.1 19 CENTRE STREET UNIT:1 CAMBRIDGE MA-02139-0000 CAMBRIDGE MA 02139-0000 PAR: R033 019.002 PAR: R033 019.001 PAR: R033 020. KEY: 19358 TAX CODE:200 KEY: 19349 TAX CODE:200 KEY: 19367 TAX CODE:200 DEEP VIRGINIA V CIOTTIi DANIEL B TRS 8 CHRISTIEP KATHLEEN X VIGINIA V BUSH GENS• PETER 0 1i STEWART PL APT.4E 100 ANCHOR DRIVE 0148 % BROWN. RUDNICK• FREED WHITE'PLAINS NY 10603-0000. KEY LARGO FL 33037-0000 ONE FINANCIAL CENTER BOSTON MA 02111-0000 PAR: R033 021. PAR: R033 022.002 PAR: R033 022.001 KEY: 19376 TAX CODE:200 KEY: 408632 TAX CODE:200 KEY: 408623 TAX..CODE:Z00 HARNSTABLE• TOWN OF (BCH) RIORDAN, JOHN T 8 MARY.F RIORDAN• JOHN T 8 MARY F 367 MAIN STREET 23 NELSON STREET 23 NELSON STREET HYANNIS MA 02601-0000 GEORGETOWN MA 01833-0000 GEORGETOWN MA 01833-0000 PAR: R033 023. PAR: R033 002. PAR: R033 001. KEY: 19394 TAX CODE:200 KEY: 19189 TAX CODE:200 KEY: 19170 TAX CODE:200 CUNEOs, RICHARD M 8 NGAIRE E CHRISTIE, KATHLEEN AUSTIN, ALBERT A 8 77 BENEDICT HILL RD 15 STEWART PL APT 4E AUSTIN, ELIZABETH D. NEW CANAAN CT 06840-0000 WHITE PLAINS NY 10603-0000 263 d00TH LANE HAVERFORD PA 19041-0000 PAR: R033 003.002 PAR: R033 038. PAR: R033 037. KEY: 19205 TAX CODE:200 KEY: 19526 TAX CODE:200 KEY: 19517 TAX CODE:200 DEEP VIRGINIA V SWARTWOOD• JUDITH F SWARTWOOD, CHARLES B• % VIRGINIA V BUSH 19 CENTRE STREET UNIT 1 19 CENTRE STREET UNIT 1 100 ANCHOR OR 4148 CAMBRIDGE MA 02139-0652 CAMBRIDGE MA 02139-0000 KEY LARGO FL 33037-0000 T011YN P'BARN' ABLE _ '' ♦ :i KING BOARD OF APPEAW ' JUICE 7:1995 :? :r:�s;;;;,•�.,:�?i�=.`:��",• NOTICE OF PUBLICHEARIIIIG UND ,: ,'. �,<:;• _: . DER THE 20NING ORDINANCE To all /Lt.:.:,i^ q '.:'.:_..:: 'r .,.' f`• Persons deemed Intsmted.or affected r::s'' x Chap..40A of General Laws of by the Board of Appeals,under Sec. 11 of '- thereto. notified of Massachusetts you are hereby that: �'i; :..,^ ,: .. _: :e!!d all amendments ust Daniel .Cottl at all..Trustee of fiepPy cioto Tn AppeaisforaSPecidPemdtin Trust has appealed to'the Zoning Board of Structure to permit the.edditlon o8�f a �tion4.4.2AitemtIon ofa Non-conforming ` does not conform to the rmers to the second floor of an existing structure that regidred setbacks.The Property is shy on,assessors Map 033, ,'• as Parcel 003.001,commonlyaddrsssed246 Ocean Ave..Cotuit MAina RFZoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7.30 P.M. APPEAL NO. 1995-70 Socha-Fax Den Antiques •: •, •, _..., n, ::.. ':;•;..; John Socha d/b/a Fax Den Antiques has Modification of Special Permit No.1977.09 appealed to the Zoning Board of Appeals for c the Barnstable Zoning Ordinance, pursuant to M.G:L Chapter 40A Section 14 and Section 3-1.4(4)(A)Professional or Home Occupation, ' to permit the change in use from a gift shop.to an antiques shop,remove restrictions of gift medrandiss and Inventory and to Permit an increase in the allowable retail sales floor area from 1'008 sq.fL to 1,536 sq.ft The Property is shown on Assessors Map 197 as Parcel 048.and commonly addressed as 1492 Main Street O�oute 8A)West Barnstable.MA in a RFZoningDiatrtct .•,...:: : . _ ,.. :.,_ ; A PUBLIC HEARING WILL SE HELD ON THIS APPEAL NO. 1 APPEAL AT 7:45 P.M. 1 995.71 Horan' Charles Horan has appealed to the Zoning Board of, i als for a Permit No.1994-34 in accordence with the Zoning Ore n Section oci 6(3A)Condifficall on of tional } r use.OutdoorAmusement to reissue the Special Permit to allow fran extension of time to Implement the Pert that authorized outdoor batten Assessors Map 328,as Parcel Lose Lot 3.-commonly addressed Property is shown on" (Route 28)Hyannis.MA in a HB.Hippy Business Zoning District •280 °Ugh Road} A.PUBUC HEARING WILL BE HELD ON THIS APPEAL.AT 8:00 P,M,APPEAL NO. 1995-72 Murphy Date M. Murphy hes appealed to.the r: accordancewiththeZonln O Zoning Board of Appeals for a Special Permit In ..- a c p � ^ce•Section 4.4.2.Change in a Non-Confomdtyto pewit ' 'gatnr�rreby2 8 use to.Professional offices and to increase the foot print of the.-. �'ft-and construct a second floor.An existing accessory building Is to be razed. The property is shown.on Assessors Map 290.as Parcel 083.commonly addressed 52 West Mein Street Hyannis,uuUa, a HB-Highway A PUBLIC HEARING WILL BE HELD IS THIS APPEAL Business Zoning District t These Public Hearings will be held in the Hearing Room:Second Roor,New Town Hal►,367 Mein Street �n^ft• Massachusetts on Wednesday, June O7, -New All plans and applications may be reviewed at the ZoningAppeals Office in the Planning Department 230 South Street Board of Gail Nightingale.CHAIRMAN Hyannis,MA. : ZONING BOARD OF APPEALS j The Barnstable patri _ a May 25&June 1. 1995 • Town of Barnstable Zoning Board of Appeals _ - Decision and Notice Appeal No. 1995-69 Ciotti -Happy Days Trusf° _jU Special Permit-Non-conforming Structure Summary Finding Relief Not Required Applicant&Owner: Daniel B. Ciotti et all., Trustee of Happy Days Trust Applicant's Address:' 246 Ocean Ave. Cotuit, MA Assessor's Map/Parcel: 033-003.001 Zoning: RF Residential F Zoning District Applicant's Request: Special Permit in accordance with Section 4-4.2 Alteration of a Non- conforming Structure to permit the addition of dormers to the second floor of an existing structure that does not conform to the required setbacks Background Information: The application is for a Special Permit to allow for the addition of dormers to an existing second floor over an attached garage structure to a single family dwelling. The applicant has applied to the Board forthe issuance of a Special Permit due to the fact that the Building Commissioner has stated that he would not issue a building permit without the Special permit form the Zoning Board of Appeals. The locus is a 0.76 acre lot located off Ocean View Avenue in Cotuit. The lot is developed with a residential structure of 6,424 sq.ft. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 21, 1995. A Public Hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The Hearing was opened on June 07, 1995 at which time the Board found that the relief requested was not required. Board members hearing the appeal were: Ron Jansson, Richard Boy, Emmett Glynn, Dexter Bliss and Chairman Gail Nightingale. Attorney Richard Largay represented the applicant. He explained that he was before the Board seeking a Special Permit under Section 4-4.2, to permit a change in a non-conforming structure. The change is requested for the addition of dormers on the second story of a garage to the front and rear facades. The side elevation abutting the neighboring lot and that infringes into the setback is not to be changed. The dormers do not expand beyond the established foot print of the building nor do they add additional living area to the second floor. The structure was built in 1850 and predates the adoption of zoning. The structure is presently located 1.45 to 2.96 feet from the side property line and.does not conform to the zoning requirements of a 15 feet side setback. It is a legal pre-existing non-conforming structure. The building is being renovated and the dormer and window changes are a part of the improvements to the structure. The structure is used for residential purposes and the use is in conformance with zoning. The chairman read three letters in favor of the proposal from neighboring abutters. No one spoke in opposition of the appeal. l Zoning Board of Appeals-Decision and Notice Appeal No. 1995-69 Ciotti-Happy Days Trust Finding of Facts: Based upon the testimony given during the Public Hearing on this appeal, a Motion was duly made and seconded for the following findings of fact. 1. The application before the Board is for a Special Permit for a change in a non-conforming structure built in 1850. The non-conformity in structure involves the intrusion of the building into the required 15 foot side yard setback for the RF Zoning District. 2. The proposal to add dormers to the second floor will not expand the building footprint. • 3. The degree to which the non-conforming building infringes into the required setback is not being increased. 4. Section 4-4.2 proposes that a Special Permit is required for"any alteration ...[that is]to extend the non-conforming use .... on the same lot." 5. The use of the lot is residential which is in conformance with zoning. 6. The proposed dormers will not increase a non-conformity in use or in structure and no relief is necessary from the Zoning Board of Appeals under zoning. VOTE: AYE: Ron Jansson, Richard Boy, Emmett Glynn and Dexter Bliss. NAY: Chairman Gail Nightingale Order: No relief is necessary. The applicant has, as-of-right under Barnstable's Zoning Ordinance, the right to construct the dormers as shown on the plans without relief or permit from the Zoning Board of Appeals. Appeals of this decision, if any, shall be made to the Bamstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the offi of the Tow Clem. M S S Gai ightingale, #airman Date Signed 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 ffice of the Town Clerk. Signed'and sealed this day of Oil 1995 under a pains and penalties ofpenury. f Linda Leppanen, Town Clerk l.1 d 2 PAR: RO33 003.001 PAR: R033 039. PAR: R033 040. KEY: 19198 TAX CODE:200 KEY: . 19535 TAX CODE:200 KEY: 19544 TAX CODE:200 CIOTFIi DANIEL 9 & CONATHAN,.JOHN 11.TR CARRIUOL0, FLORENCE,•TR$ & GENS, PETER D TRS 1262 MAIN ST REALTY TRUST FLYNN, DANIEL F, TRS & % BROWN. RUDNICK & FREED 4441 BEE RIDGE RD #274 SWARTWOOD. CHARLES 8. 111 ONE FINANCIAL CENTER SARASOTA FL•34233-0000 8 NORTHEAST RD BOSTON MA 02111-0000 FARMINGTON CT 06032-0000 PAR: R033 036. PAR: R033 028. PAR: R033 041. KEY: 19508 TAX CODE:200 KEY: '19438 TAX CODE:200 KEY: 19553 TAX CODE:200 WHITE, PETER T & JOAN A BURGESS* R WILLIAM.JR CARRIUOLO, FLORENCE M TRS & 90 WAGON ROAD 143 MEADOWBROOK ROAD FLYNN• DANIEL F TRS WESTWOOD MA 02090-0000 WESTON MA 02193-0000 8 NORTHEAST'RD FARMINGTON' CT'06032-0000 PAR: R033 042. PAR: R033 043. PAR: R033 018. KEY: 19562 TAX CODE:200 KEY: 19571 TAX CODE:200 KEY: 19330 TAX CODE:200 SWARTWOOD, CHARLES B SWARTWOOD, CHARLES 6 III & SWARTWOOD, CHARLES B II1- & 10 CENTRE STREET UNIT.1 SWARTWOOD, JUDITH F SWARTWOOD, JUDITH F CAMBRIDGE MA 02139-0000 19 CENTRE STREET UNIT.1 19 CENTRE STREET UNIT A CAMBRIDGE MA 02139-0000 CAMBRIDGE MA 02139-0000 PAR: R033 019.002 PAR: R033 019.001 PAR: R033 020. KEY: 19358 TAX CODE:200 KEY: 19349 TAX_CODE:200 KEY: 19367 TAX.,CODE:200 ' DEEP VIRGINIA V CIOTTI, DANIEL 8 TRS & CHRISTIE, KATHLEEN X VIGINIA V BUSH GENS, PETER D 1S STEWART PL APT.4E 100 ANCHOR DRIVE #148 X BROWN, RUDNICK, FREED WHITE`PLAINS NY 10603-0000 KEY LARGO FL 33037-0000 ONE FINANCIAL CENTER BOSTON MA 02111-0000 PAR: R033 021. PAR: R033 022.002 PAR: R033 022.001 KEY: 19376 TAX CODE:200 KEY: 4C8632 TAX CODE:200 KEYS 408623 TAX.CODE:2'00 BARNSTABLE* TOWN OF (BCH) RIORDAN, JOHN T & MARY.F RIORDAN, JOHN T & MARY F 367 MAIN STREET 23 NELSON STREET 23 NELSON STREET. HYANNIS MA 02601-0000 GEORGETOWN MA 01833-0000 GEORGETOWN MA 01833-0000 PAR: R033 023. PAR: R033 002. PAR: R033 001. KEY: 19394 TAX CODE:200 KEY: 19189 TAX CODE:200 KEY: 19170 TAX CODE:200 CUNEO, RICHARD M & NGAIRE E CHRISTIE, KATHLEEN AUSTIN, ALBERT A & 77 BENEDICT HILL RD 15 STEWART PL APT 4E AUSTIN, ELIZABETH D NEW CANAAN CT 06840-0000 WHITE PLAINS NY.10603-0000 263 BOOTH LANE HAVERFORD PA 19041-0000 PAR: R033 003.002 PAR: R033 038. PAR: R033 037. KEY: 19205 TAX CODE:200 KEY: 19526 TAX CODE:200 KEY: 19517 TAX CODE200 DEE, VIRGINIA V SWARTWOOD, JUDITH. F SWARTWOOD* CHARLES 8' % VIRGINIA V BUSH 19 CENTRE STREET UNIT 1 19 CENTRE STREET UNIT 1 100 ANCHOR OR 0148 CAMBRIDGE MA 02139-0652 CAMBRIDGE MA 02139-0000 KEY LARGO FL 33037-0000 'r r 4 LEGAL NOTICES TOWN OF BARN6rAgL,EZONING�BOARD OF APPEALS;. su +,3i;;r,`MEETING OF'.WNE:t 1995 NOTICE OF PUBLJC HEARING UNDER THE ZONING ORDINANCE To all persons deemed interested.or affected by the Board of ` r ' r: Chap..40A of General Laws of Commonwealth Appeals,under Sec. 11 of of Massachusetts and all amendments thereto.you are hereby notified that: :. ._,-.a APPEAL NO. 1995.69 Ciotti=Ha �!F+ ' + f {r _v Daniel B.Conti at an..Trustee of Happy Days Trust ' c F.;; i Appeals fora S Trust has appealed to the Zoning Board of Structure to permit the addition of ormers to the second floor h Section tof an existing structure that does not conform to the required setbacks. The property is shown on Assessor's Map 033. as Parcel003.001.commonlyaddressed246 Ocean Ave.,Cotuit,MAina RFZoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:30 P.M. APPEAL NO. 1995-70 Socha-Fox Den Muquss John Socha d/b/a Fox Den Antiques has appealed to the Zoning Boardof Appeals for a r, Modification of Special Permit No.1977-09 pursuant to M.G.L.Chapter40A Section 14 and the Barnstable Zoning Ordinance,-Section 3-1.4(4)(A)Professional or Home Occupation, to permit the change in use from a gift shop to an antiques shop,remove restrictions of gift merchandise and inventory and to permit an increase in the allowable retail sales floor area from 1,008 sq.ft.to 1.536 sq.ft.The property Is shown on Assessors Map 197 as Parcel 048.and commonly addressed as 1492 Main Street(Route 6A)West Barnstable,MA in a ,. RF Zoning DisMct. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:45 P.M. .� APPEAL NO. 1995-71 Horan' Charles Horan has appealed to the Zoning Board of Appeals for a Modification of Special} permit No.1994-34 in accordance with the Zoning Ordinance,Section 3-3.6(3A)Conditional use,OutdoorAmusement to reissue the Special Permit to allow for an extension of time to ' Implement the perrdt that authorized outdoor betting cages. The property is shown on Assessors Map 328,as Parcel Lease Lot 3,commonly addressed 280 lyanougo Road (Route 28)Hyannis.MA in a HB-Highway Business Zoning District A.PUBLIC HEARING WILL BE HELD ON THIS.APPEAL.AT.8:00 P.M. APPEAL NO. 1995-72 Murphy _ F Dale M. Murphy has appealed to the Zoning Board of appeals for Special Permit in acconiancewith theZoning Ordinance,Section 4.4.2,Change in a Non-Conformityto permit'_ a change from residential use to.professional offices and to increase the foot print of the . existing structure by 218 sq.ft.and construct a second floor.An existing accessory building Is to be razed. The property is shown on,assessors Map 290,as Parcel 083.commonly addressed 52 West Main Street;Hyannis,MA in a HB-Highway Business Zoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 8:15 P.M. These Public Hearings will be held in the Hearing Room;Second Floor,New Town Hall,367, Main Street. Hyannis, Massachusetts on Wednesday, June 07. 1995 All plans and applications may be reviewed at the ZoningBoard of, Department.230 South Street, Appeals Office in the Planning t � Hyannis,MA Gail Nightingale.CHAIRMAN ZONING BOARD OF APPEALS I The Barnstable Patriot ) May 25&June 1, 1995 n i. s i _...CommoNWEALTH g OF Q.F-PVP4IC,SAFETY . ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 M6■yrllar�iU F I •k i 1A6A6eG0.'ff. yr �.l:�lr'Jlifi i. �'e .l►- LICFHSF_ .0Qodelaa: rr©rueer�tvx EXPIRATION DATE CO�ISTR. SUF'FrZUAS4fhigIII e4bflON /n�/199E, R STRIC IONS EFFECTIVE DATE LIC-NO. , -•- FOR PROTECTION AGAINST NONE g 03/31/1pg4 0450 THEFT, PUT RIGHT THUMB �!l PRINT IN APPROPRIATE J 0 H N U BAKER w BOX ON LICENSE 5S 014— ,$-U631 90 HAYWARD ST P HALIFAX H i B SINGOP PATO i" HOTU By - SINCLUD ONLY) 0.00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY , 4 1r � � z a ��1�/� + f HEIGHT:.. STAMPED•OR.SIGNATURE OF THE COMMISSIONER d "J`t I Y f'{ DOB; Y 03/01 /1957 I THIS DOCUMENT MUST BE CARRIEDON THE PERSONOF. THE HOLDERSIGNATURE OF LICENSEE SIGN N OUIERS RI ill"THUMBPRINT GAGEDINTHIS OCCUPATION. 4ae�" ®R till k O s y i •k y¢�'fft.t>S'7 7�� Y • - irs � Xr4 W. �S z s 5 Y w 5 J - - : The Town of Barnstable • BAMNSTABM MAS& Department of Health Safety and Environmental Services r+ " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work:_ Est.Cost Address of Work: y I go Owner Name: MWAD BUM CY. 4 Date of Permit Application: 3�Z I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 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 hercbN?apply for a permit as the agent of the oNNiner: �oHw A TJ�E�e /d D 8/6 Da e Contractor name Registration.No. t OR rr Date Owner's name 11•'0: -94 17:0.° DEPT IND ACCID %-01�P4)Wi714'Ila al. OI l f�ad�cZC/iu�e�l`4 �Ua�ar�men�o�J`rsa/ic�ra[.,,/tfeFid�! 600 J..y1.a.S'& James J.Campbefl 9&&1t, W.AW aaslfa 02f If cGf11f»1Ssfofaer . Warkers' Compensation InsUri ace Affiidsvlt whit a prindW plate of busitus at: 3b PA *.t S��a i Ma iti do hereby cerdpy snider the pains and penaitin of perjury,that: I am an employer Priovidktg workers' cOtttpensadon coverage for My employees working on this lob., Insurance Compady Porley Nrtmber O 1 ant a sole proprietor and have no one working for me in arty capadty. Q I ant a sole proprietor, genend cauuacwr or homeowner (dede ogw)gad have Eimd the contractors listed below who have the following workers' oostipensadon polides: Contractor Insurance CompanylPolicy Number Contractor Insurance Coompaay/Pointy Number Contractor insurance Company/Policy Number () I am a homeowner performing all the work myself. r:.•..'t•:ts'f.:�5:;;cozy of e-..:S S=:CT , r wa:to fcr.:2rced tc a vice cf leivat,pion of the QTA Tor cowraCt wdriWon And that f:i.vre to were cc--*;"s r.C:::cd utter Sec-ien 1 rh cf MCL ;=i On,icac to ow irwlifion of ctmin:i persPJQs evtt MM of a fine of up to S 1.500.00 arc/cr Cn Ye a'IMMcr-tic w0 as trail ainaitfr,;In t::e ef,STOP WORK ORDER and 2 Unee of S 1co.o0 i C:y apinst me. d ch's "Rill say of -Aunoit i9 Licemee/Pcr�stittee Building Department Licensing Board Selettmens Office Health Department TO VERIFY COVEPACE INFORMATION G/'iLi: 6t7-727-4900 X403, 404, 405, 409, 375 TOh1 QF SAR'S_ABTE BUILDING PERMIT PAR: R038 003.001 PAR: R033 039. PAR: R033 040. KEY: 19198 J AX CODE:200 KEY: 19535 TAX CODE:200 KEY: 19544 TAX CODE:200 CIOTTIP DANIEL 9 9 CONATHAN• JOHN II.TR CARRIUOLO, FLORENCE. •TRS' 8 ' GENS. PETER D TRS 1262 MAIN ST REALTY TRUST FLYNN, DANIEL F• TRS 9 % 6ROWNi RUDNICK 9 FREED 4441 BEE RIDGE. RD #274 SWARTW000• CHARLES B..;II ONE FINANCIAL CENTER SARASOTA FL�34233-0000 8 NORTHEAST RD TON MA 02111-0000 FARMINGTON CT 06032-0000 PAR: R033 036. PAR: R033 028. PAR: R03.3 041. KEY: 19508 TAX CODE:200 KEY: 19438 TAX CODE:200 KEY: 19553 TAX CODE:200 WHITE. PETER T 8 JOAN A BURGESS, R WILLIAM .JR CARRIUOLO• FLORENCE M TRS 9 90 WAGON ROAD 143 MEADOWSROOK ROAD FLYNN, DANIEL F TRS WESTWOOD MA 02090-0000 WESTON MA 02193-0000 8 NORTHEAST RD FARMINGTON CT'06032-0000 PAR: R033 042. PAR: R033 043. PAR: R033 018, KEY: 19562 TAX CODE:200 KEY: 19571 TAX CODE:200 KEY: 19330 TAX COOE:200 SJARTWOOD. CHARLES B SWARTWOODo, CHARLES B III 9 SWARTWOOD• CHARLES B II1- 9 10 CENTRE STREET UNIT 1 SWARTWOOD• JUDITH F SWARTWOOD• JUDITH F CAMBRIDGE MA 02139-0000 19 CENTRE STREET UNIT.1 . 19 CENTRE STREET UNIT:1 CAMBRIDGE MA.02139-0000 CAMBRIDGE MA 02139-0000 PAR: R033 019.002 PAR: R033 019.001 PAR: R033 020.. KEY: 19358 TAX CODE:200 KEY': 19349 TAX CODE:200 KEY: 19367 TAX CODE:200 DEE, VIRGINIA V CIOTTI• DANIEL B TRS 8 CHRISTIE• KATHLEEN Z VIGINIA V BUSH DENS, PETER D 1i STEWART PL APT.4E 100 ANCHOR DRIVE 0148 Z BROWN. RUDNICK. FREED WHITE PLAINS NY 10603-0000 KEY LARGO FL 33037-0000 ONE FINANCIAL CENTER BOSTON MA 02111-0000 PAR: R033 021. PAR: R033 022.002 PAR: R033 022.001 KEY: 19376 TAX CODE:200 KEY: 408632 TAX CODE:200 KEY: 408623 TAX CODE:Z00 BARNSTABLE# TOWN OF (BCH) RIORDAN, JOHN T 9 MARY.F RIORDAN• JOHN T 9 MARY F 367 MAIN STREET 23 NELSON STREET 23 NELSON STREET. HYANNIS MA 02601-0000 GEORGETOWN MA 01833-0000 GEORGETOWN MA 01833-0000 PAR: R033 023. PAR: R033 002. PAR: R033 001. KEY: 19394 TAX CODE:200 KEY: 19189 TAX CODE:200 KEY: 19170 TAX CODE:200 CUNEO. RICHARD M 6 NGAIRE E CHRISTIE. KATHLEEN AUSTINi ALBERT A 8 77 BENEDICT HILL RD 15 STEWART PL APT 4E AUSTIN, ELIZABETH D. NEW CANAAN CT 06840-0000 WHITE PLAINS MY. 10603-0000 263 d00TH LANE HAVERFORD PA'19041-0000 PAR: R033 003.002 PAR: R033 038. PAR: R033 037. KEY: 19205 TAX CODE:200 KEY: 19526 TAX CODE:200 KEY: 19517 TAX CODE.-M DEE, VIRGINIA V SWARTWOOD, JUDITH F SWARTWOOD• CHARLES B' % VIRGINIA V BUSH 19 CENTRE STREET UNIT 1 19 CENTRE STREET UNIT 1 100 ANCHOR DR #148 CAMBRIDGE MA 02139-0652 CAMBRIDGE MA 02139-0000 KEY LARGO FL 33037-0000 x 'r- h� IC us sKETc 4 SCALE X ' 9 171, m Z \ S .c HovSE o ��ti >>. z 1 A.c. �.C. 6� E FT </� 'Fyn •3 ,� �\ / Ho�5E /Y < 3s. `3 </ .� . . y Lp o L k i T 7r2�t� ei"EgTtA E {C s a. U t_171 a� ►-dT 40 VR clk �L \\ 0 e: 'y <� r V SUSDIVISION Olr L. C. N0. 4'7130 LOTQ IN MAFtM5TAftL'L- C c.OTU IT ) MAS 15 • EkkZMSTX$LE PLANNING ao�Ro APPROVAL UNDER TN E 506DI V I SI ON J O H N A . 3V S H CONTRDL L^W NOT REc�,�RED sc1�L6i 1'- 4 0' N O V. 70, 19 i�1 DA:T E— c — C3AXTE R 4 NYE \MC 2E61STER`�p LA►4D SURVEYORS r�G:. - - OSTti�R\/1 I GE2TI �Y THAT THIS ACTUAL suzvV-Y WA ,S "Aa M6., MADE Ow► THE GeOUND Ir11 /ACCORDANCE W %-r' -1 THE i (-> COURT )N ST RU CT I O N 5 OF 1 q-T k ON O'R %ETW EET +�11►�t/VI Nov. I o, 19 81 AN ID N ov ZS Iq 81 t K . E ~� t>ATE `, ��. � � ;/ 2EG ► STE2t I , SURvEY�12 I ANNO Avg !/�C i�" OSTE2�/ ALL E NIASs.