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Home My WebLink About0037 PINEVIEW DRIVE I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-040 Parcel Application # 0 Q3� Health Division Date Issued Conservation Division Application Fee 765 Planning Dept. Permit Fee 1 �O c Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address .3 "t Village M a , ppp Sr' CEO Tu i Owner Mc�,2 A a-TYjOz2: Address WO-W �r�P Telephone (01'2- Permit Request (`r�� uC�T ��(rXl •IVY(1 � �i _ '��S? SGn�(1L� (�� "O.0 0(2 boy'sp.. Square feet: 1 st floor: existing ILQq proposed 2nd`floor: existing proposed Total new �o Zoning District Flood Plain Groundwater Overlay Project Valuation D)QVQ Construction Type Lot Size 52i Grandfathered: ❑'Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family units) /► Age of Existing Structure Historic House: ❑Yes W N' o On Old King's Highway: ❑Yes e No Basement Type: mull 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) !1 0 q Number of Baths: Full: existing new _� Half: existing 0 new 0 Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing 6- new _First Floor Room Count Heat Type and Fuel: &/G//as ❑ Oil ❑ Electric ❑ Other // Central Air: ❑Yes &'No Fireplaces: Existing New �_ Existing wood/coal stove: ❑Yes MNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: xi sting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5i)b' bS9 �qy I Address '(QT 9:,o2s2_ License # C3 7Q 35-8 �S Home Improvement Contractor# 1337 yY Worker's Compensation # f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W n SIGNATURE DATE s t., FOR OFFICIAL USE ONLY _ .APPLICATION# ] DATE ISSUED ) 4 MAP/PARCEL N0. ADDRESS _ VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 7 et t z pe$A-c--kL _ or-Y } FRAME `� 7 t p (6 �q ae2dl1 wr rou s. � INSULATION k. 7 � � FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL. GAS: ROUGH FINAL: t' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO: 10 ;. r TO .0f arngtable Regulatory E rvices r • t x1L�o,•,��s.; - . : Th.ariz�P. Grier,Director k�b Building Division �hainasPerrpr•CB0,•BaUdiag CDIP= tiller 2do Main ffya� is,MA D2601' r rT TT%T.Eown barnsfabl�ata_us "Offices 508-862-¢038 .fax: 50B-79D-623D' PLAN *,-ao/do: eD Owner.Z2f' Ii2ap/Parccl: UinE �� Bu�Icier ve- t .�1�GZl SZ projec Ad.dress37 �P,�tJ T'he fauowigg z giros w noted.on revi�wzng:' Oct.)s �;� a " �,�Dip 3 IA ReY few ad by safe: ` , •��o3��a • The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600, Washington Strreet Boston,MA #2111 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builder's/Contractors/Electricians/Plumbers Applicant Information Please Print LeAbly Nalhe(Business/Organization/Individual):..;�lQ I Address: (9 y E 6 Q,rm_9_r M F City/State/Zip: U�AL - 0 Phone#: . Ila 0 -(oYO $ Are on an employer?Check the ap ropriate box: Type of project(required): 1.LrJ I am a employer with 3 4. ❑ lam a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- . - listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ D olition working for me in any capacity. employees and have workers' ` [No workers' comp.insurance comp. insurance. 2 9. Building addition required.] 5. ❑ We are a corporation and its , - 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11 ❑'Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required.]f 6' 152, §1(4),and we have,no employees. [No workers 13.❑.Other comp. insurance required.] ;Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. r I am an employer that is providing workers'compensation insurance for my employees. •Below is the policy and job site information. ., Insurance Company Name: C✓-f f.�,- -r_:0 S-UrVV Q_ _C .Policy#or Self ins.Lic.#: K)r 0(63r",30 Expiration Date: 3 /ka Job Site Address:_3 I-UI_� 1�r11N�-- * City/State/Zip: Oa(p3S- Attach acopy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may,be forwarded to the Office of Investigations of the DIA for insurance coverage verification. , I do hereby certify under he pains and�pe of perjury that the information provided above is true and correct Si nature: Date: 02/ { Phone. r Official,use only. Do not write in this area,to be completed by city or town official ti 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 e Contact Person: Phone#• Nlassachusctts-Delnlrt,nent of Puhlic Safety 9 Board of'Buildin?g Re!aulations and Standards t Construction:Supervisor License„ License: CS .79358d MARK A MACALLISTERr , 64 EBENEZER RD OSTERVILLE MA 02655 ti cam : �y i` Expiration: 8/12J2012 k t'vnulugi tale r Tr#: 907 k ' ,Tie(i�07wcrrrrrarcr lll o�`C�/Iil{caraclnrcfl;�� v. --T• �'.m :� - Office of Consumer Affairs&BW66s Regulation License or registration valid for individul use only ' SOME IMPROVEMENT CONTRACTOR ' , before the expiration date. If found return to: egistration: 133744/. Type: K °'.,Office of Consumer Affairs and Business Regulatidn xpiration 8/3/2013 DBA 10 Park Plaza-Suite 5170 , + Boston,MA 02116 MACALLISTER BUILDING MARK•MACALLISTER 11* 1 t e. , 1 d < • r t 64 EBENEZER ROAD x E <. OSTERVILLE,MA 02655 Undersecretary * Not valid without signature F '. _ 1 ; r r � moo+°'"+ •d • •. Workers Compensation and Employers Liability y• Insurance Policy I N S U R A N C E Polic Number `Pol1cy P od Y n � From =TO C O M P A N Y t WC0632.030 ,r 03/01/2012 03/01/201: 12:01 A.M.Standard Tim at themailing address 26255 American Drive wthe Insured as stated h em Renewal Of Transa ion `: Southfield, MI 48034-6112 ` -'WC 063203'0 Policy Declaration 1 NamedInsuredand=MatlmgAddress Agent MACALLISTER BUILDING, LLC THE, FAIR INSURANCE AGENCY INC 64 EBENEZER RD 619 •MAIN STr OSTERVILLE MA 02655-1211 s. CENTERVILLE MA 02632 +x UNEMPLOYMENT ID# CARRIER# FEIN#+ Risk ID# Entity 0f,lnsured' ' 24562 025687813 0196263 LTD. LIAB CO Other Workplaces Not-Shown Above t . 2. The Policy Period is from 03/01/2012.ato 03/01/2013 12:01 a.m. Standard Time at the Insuredis mailing 'address. 3. A. Workers Compensation Insurance:, Part ONE.of the policy applies to the Workers,Compensation Law of the•states: listed here: MA° . . .,� B. Employers Liability Insurance: Part TWO of;the policy applies to work in each state listed in Item 3A. .•Y The limits of our liability under Part TWO are: " Bodily Injury by Accident $ • :, ` ' -10 0, 000 each accident Bodily.Injury by Disease $ 5 0 0,0 0 0 policy limit Bodily Injury by Disease $ "100, 000 each employee` . -' C. Other States Insurance: Part THREE of the policy applies.to'the states,:if any;listed,here:•AII states except North Dakota, Ohio, Washington, West Virginia, Wyoming, - N , - D. This policy includes.theseweridorsements and 4. The premium for this policy will be determined bt All information required below is subject to verifit Assessments and Taxes SEE EXi'E MA $403 + 0 the premium is paid on'a 4 Minimum Premium $ 500 smr^ This is a Three Year Fixed Rate'Poficy I 'Premium Adjustment Period: ® Annual; ❑ Semiannual; ❑ Quarterly; ❑ Monthly Countersigned this :'* bay of Issued Date: 03/06'/2012 Au ized Representative _ 06/20/201,2 17: 24 6173817188 WHIDDEN PAGE 02 �A i8�0 �r Ff own of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO Building ComYfiisfiioner 200 Main Strcci. Ilyannis,MA.02601 weewv.tow n.barnstal�le.n►a,us Officc; sos-8G2-4038 TA.x: 503-790-G2t0 Property Owner Must complete and Sign This Section If Using A Builder 1'n0Z� as Owner-of the subjcct prope..07 h.ci:eby aurbc�rize 1 /,'S� to act on my behalf, in a.11.critters relative toalvotk authorized by this buiLding permit applicab.0a for; 37 (Address of job) Signature of Owner �-�— Date Print Narne f If Property Owner is applying for permit,please complete the I-Ionneo'mier's J ic.ense l xemption Form on the reverse side, ; C;\UceP.cdxn41ic1AppDnW\i.ncallMitresoftt�l.'indoxslTs,apnrary lnlLrilet FilcelC�mtcn�,0utlonklDnV67hF,7SF.XPA.)rSS,dnc ILsviscd 072110 68/26/2012 00:50 5087785731 CAPE COD INSULATION PAGE 01 �- CAPE COD INSULATION IRO OIA® SlAw1p► 0/4LM fCC Mlrf - MTMf MlU1AfgN cYI1RO60W.1 . 1-800-696-6611 Job Location 3-7 ?1 I ewi uo 1 ` T A�\�S�builder Info � G D °a� ell -. . .. ( .. Rio � Agribalanc6 campem�Namr,: Phone Number Date - 5pray Foam Insulation - e .S►Ootir�� AAp�ator Nemg AppllcsWr SiCndture installed Location of Insulation . .Thickness Total R-Value per ESR 2600 Approximate Sq. Ft. Walls a Attic Cathedral Ceiling I 126, Intumescent.Coatiing Used' location Thickness/Coverage Rate R-Value=4.45 V Tensile Strength=3.87 psi Density=0.6-0.8 lb/W. Compressive Strength=1.86 psi Demilec Batch# so s Q3 , 7 Town of Barnstable *Permit S -P�� Expi + 12 /months from issue date Ss EdWIT regulatory Services r l'� A, fv�, OCT - 2 2408 Thomas F.Geiler,Director ';. BAR building Division TOWN OF 3 �SrABLE Tom Perry,CBO, Building Commissioner 3 200 Main Street,Hyannis,MA 02601 /,� �0 www.town,bamstable.ma.us r Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY t � Not Valid without Red X-Press Imprint / Map/parcel Number 6 7 01p� or< Property Address 3 �L h/�Sl,�,(,Q�-J (r�)� (.t t.� �l sidential Value of Work N i Minimum fee of$25.00 for work under$6000.00 //Owner's Name&Address , Contractor's Name E GA-t Telephone Number 50 3- Lt 29/ 9 0� Home Improvement Contractor License#(if applicable) P S 3CP Construction Supervisor's License#(if applicable) 9 [�,Workman's Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ I am the Homeowner 0I have Worker's Compensation Insurance Insurance Company Name Tuto Workman's Comp.Policy 3q I M 55(0 —d e Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Z.Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 4 08/(11/2008 19:11 6173817108 WHIDDEN PAGE 01/02 44 � CONSTRUCTION Fraser Construction, LLC ROOFING 9. SIDING : Home Improvement License#112536 SPECIALISTS J� P.O. Box 1845, Cotuit MA. 02635 508-428.-2292 Email: fraser_constniction@verizon.net www.l=raserroofin-g.com FAX 1-508-428-01.23 vv WHILE CEDAR C` ).ys SIDEWALL PROPOSAL ,P�'� l� Date: Judy 28, 2008 revised 7-30 a4-31 Tel: 617-331-0527 Name: Kr-ie Abbatinozzi Job Location: 37 Pineview Dr. Cotuit, MA 02635 Mail Address: same <-p0 jq ax l i q EMAIL: abby5&omcast.net FRASER CONSTRUCTION hereby proposes to perform the following services in neat and professional like manner and in accordance with the manufacturer's specifications and local building codes. Y *****WHITE CEDAR SIDEWALL**** Supply and.Install 16" WHITE CEDAR R&R Supply and Install TYPAR 30 house wrap Supply and Install STAINLESS FASTENERS Clean.and Remove Debris from work area daily Rhi J,X WHITE CELLAR PRICE-$5,125 Initial TRUE MATCH 100 single coat and a 5 year warranty PRICE-$9,100 Initial TRUE MATCH 200 two coats and a 15 year warranty PRICE-$9,750 Initial CEDAR IMPRESSIONS 5" to the weather PRICE-$9,475 Initial TRIM WORK: Replace trim casing on (2) Left Gable Windows witIl PvC AZEK PRICE-$395 Initial Remove existing trim on front door & replace.with PVC AZE PRICE-$275 Initial :k 2006 19:11 6173817108 PAGE 02/02 /01% WHIDDEN i 1price4,T-:0 correct improper venting of bathroom fan, this depends if the hose is in place• Price $100 to $150 Initial 2% Discount if paid by check immediately upon completion NO MONEY DOWN—NO Payment AT THE START OR PART WAY THRU Payments accepted are: CASH—CHECK—MASTER CARD—VISA—AMERICAN EXPRESS *Arly payments not made within 30 days of completion will be charged 1 V2%for every 30 day the payment is late.. POSSIBLE EXTRA CARPENTRY: ,any Rotted or Otherwise Deteriorated Trim Boards, ply,,aod Sheathing or Other Carpentry Needing Replacement will be done and charged for As am Extra at the Rate of$55.00 per Hour Plus Materials Plus 15% Overhead Mark-up on materials. Any alteration or deviation from above specifications will be executed only upon written orders and will become an extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays are beyond) our control. Owner should carry fire,tornado, and other necessary insurance upon the above work. FRASER CONSTRUCTION, LLC carries Workman's Compensation and Public Liability Insurance on the above work,certificate available upon request. This proposal may be withdrawn by us if not accepted within thirty days. DATE OF ACCEPTANCE:////_0 HOMEOWNER FRASER C NSTRUCTION, LLC t 4 "I'llrd ®�� e Aston. ®nl 1301 Rome rro sach efts 021®8 vejmentl. o �T°� Registrat, T PRAISER c®iYS-rRuc. 0 P.0 aF RASES >v Co. Ripe p�. D� I f� on: �312008 �'®�[j��g 026asAddres Emd 127®20 ✓fig� B F HDANE BII�lp �Lmjwr C® � ® ®ant ❑ Lm Card lbrhaft per: � Vaud � �08 iIO 127821) DEANone, pza%mlmv.. rIltum to. 1VS7RU�-p�CrO.y j� Mo ee� 8g man�� 4SSB p�7FRA3ER '• ;1 , COTUp7,MA 02635 d �®t i I RightFax N3-2 10/1/2008 1 : 56: 31 PM PAGE 2/002 Fax Server :::::::;::...........:::•:..... :::: .;...... ..........::.... :.:.•::.....•.....:•:.•:..; :.... :': :;: 'tf: ::: ISSUE DATE N. 10/01/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND;EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 COLSS TPR A HARTFORD UNDERWRITERS INSURANCE CO INSURED COMPANY B FRASER CONSTRUCTION LLC LETTER PO BOX 1845 COMPANY C IET!'ER COTUIT MA 02635 COMPANY D LETTER COMPANY C, LETTER THIS IS TO CERTIFY THAT THE P0IICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NA%,fED 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 TERIDIS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.IjNfM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUAIBER POLICY POLICY Li'urs LTR EFFECTIVE DATE EXPIItATION DATE aAM/DDIYY) MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ _ PRODUCTS-COMP/OP AGG. $ ❑COMMERCIAL GENERAL LIABILITY - PERSONALR<ADV.INJURY $ ❑ CLANS MADE ❑ OCCUR. ' EACH OCCURRENCE $ ❑OWNER'S&CONTRACTOR'S PROT. FIRE DAMAGE(Any One F7re) $ ❑ MED.EXPENSE(Any one perm $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY $ ❑ ALL OWNED AUTOS (PerPereon) ❑ SCHEDULED AUTOS BODILY INJURY $ i ❑ HIRED AUTOS (PerAcclden[) ❑ NON-OWNED AUTOS PROPERTY DAMAGE $ ❑ GARAGE 11ABMM EXCESS LIABILITY _ EACH OCCURRENCE $ ❑ UMBRELLA FORM AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM . STATUTORY LIMITS X A WORKER'S COMPENSATION EACH ACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASE-POLICY LIAffr $500,000 0341M556-08 EA[PLOYER'SLIABILITY DISEASE-EACH EMPLOYEE $500,000 OTHER THE PROPMETOR/PARTNERS/E ECUTIVE - OFFICERS ARE INCLUDED. DESCRIMON OF OPERATE)PL"CATIONS(VEIiICIA+S/SPECIAL 71'RBIS THE BNSURMYS NIA WORKERS CONEM4SATION POLICY AND ITS L INDTED OI EIER STATES INSURANCE ENDORSEMENT AUTHORIZES TM PAYN@NVT OF BENEFITS FOR CLANLS MADE BY THE INSUREDS NIA IMIPLOYEES IN SPATES OTHER THAN NLA.NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEHTI'S IN ANY STATE OTMR THAN 5111F THE INSURED lEMWS.OR HAS HIRED.PR@LOYEFS OUTSIDE OF NIA.T MS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN NIA. TEBS REPLACES ANY PRIOR CERTIFICATE ISSUED TO TUB CERTIFICATE HOLDER AFFECTING NVXWXERS CON@ COVERAGE .f ::{{{{}}::}}iiiiii:iri::•:ii:ti }rr:•iii"rii:}{::i{:;{{{{{{:: TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCBLLEM BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL, PO BOX 40 Lo DAYS wRn-EN NOTICE TO THE CEtTIFECATE HOLDER NAMED TO TmuE IEFT. HYANNIS MA 02601 BUTFAILURETONLAMSE1CHNOTICESHALL MI OSBNOOBLIGATIONOR LIABILITY OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES AVITTOR77BD R�RB.SfilYIA7TvB MAMA CASMI-OMLER The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FRftSEt CQ A)�--,T r�_((_G' I Q /L.) Address: �'Po City/State/Zip: C dtLj i N- QeZ3,5Phone #: _GZ 9^ — y� 9 cr16' q� Are you an employer?Check the appropriate box: Type of project(required): 1.�I am a employer with, 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I Ln Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.KRoof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 7:LN F_ Ir-� y (Z p Q Policy#or Self-ins.Lic. 5gL-0 9 Expiration Date: Job Site Address:_3 _�_ 2t w _Vg�at City/State/Zip: cd rn ft- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certi er the airs and Ides of perjury that the information provided above is true and correct. Si ature: Date: AQ Phone#: c� _ Z �' ��a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): - 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A_ sessor s map and lot number .......,.r.� �. "r E ' Fes.' /% .,.. ....... ... ...... �oF rot Sewage Permit number P .. t�E� d�Q �°► Z EAHB$TAMLE, i House number ................................ ...+`.........� .............. 90` ,IMAsa y po,2639. `00 CFO MA-('*' TOWN OF BARNSTABLE # _ BUILDING INSPECTOR Construct APPLICATION FOR PERMIT TO ......................... ........................................................................................:......... TYPE OF CONSTRUCTION inigo Fri,Q.......................................................................... ..........................................,...... November 30 ,................19.8 3.. ................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r�.ve Location .........................L .. 4... ?i ...;;:V ,p?1.. 1�1! ( ,Cn 1a _ .. .......................... ProposedUse ............... na, art a., l.................................................................................................................................. Zoning District .......... . �,'-,O .FF......................................................Fire District ................ t!A::.............................................. 04pe .q.'r + d 5 Cf fr 4.7 Name of Owner ...........5 .b.. f?-.iP... . al�,��,x^,A ..............Address .24..G r-eA.t..Qn?r?.rl...ar.A. rQ.....c..... MA Name of Builder. .........S..afit'.................................................Address ...................... almne�................................................... Nameof Architect .......?'IAs...:.........? ........................................Address ......................h1A......................................................... Number of Rooms .......5.........................................................Foundation Ro.larP�d... nn.Cre e...................... r ExteriorC'ra ar qh a nFyle.........................Roofing ....................... ,.. ............................................ Floors P1.t�+' � <.........................................Interior . ,h,�?etf%r!xcic .............................. ..... ...... ..................... ...................................... Heating1r 1!j... r°ate . ................................Plumbing .................... .. .............................................. Fireplace .......................�11......................................................Approximate Cost ......$.25 a 00.q............................................ Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name,,'..,... t r'�r f>'�f°.�r �.................. wCI�J�� ACIES REALTY '/ A=40-122 � 'v No ..... Permit for .{rle.. .............. Location TAQ.t..54=.....].7.. . ..... ................__-,--_................................................. ^ Owner ...Q�!.d=.AqMP.]Jeal{Y....................... . ' . Type of Construction ...Fzam........................... � ---'--~—~—^—^------------'---' Plot ............................ Lot ................................ - ` Permit Granted --------]V 84 Date of Inspection —.--.--------lg Dote Completed -------.----.—l9 - � - � / � ` , ' ^ ^ . ' ( | ^ / ^ t 1 TOWN OF BARNSTABLE Permit No. -js2458___�___ Q1[� 1 11AUn.0 Building Inspector cash °""r' OCCUPANCY PERMIT Bond Issued to : 'A Address Wiring Inspector Inspection date 1. Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..................I........................... 19............ ................................................................................._............................. Building Inspector q .Y JOSEPH D. DALuz - `tiTELEPHONE. 775-1120 Reilding Commissionti EXT. 107 E f OWN OF BARNSTABLE BUILDING INSPECTOR j' TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerjc , FROM: Building Department .9 �~DATE: ZAP,it 91. 1985 An Occupancy Permit has been issued for �the building authorized by Building Permit issued to Cedar.Acres Realty Qq Please release t*performance bond. 4LL I hereby certify that this foundation is located ti s 4 on the. lot as shown and conformed to the Town of Barnstable Zoning,Re latione regarding setbacks `"' A • '� from at set lines lot inee at the time it Wa PC • � R08ER F A O O AL e� -, OS . ►. Tt RayAl •.�. Daze, y No.21553 _ '� n $►P oU rE 2,8 9�Q_ v�yo� f+6 ►� Nn o it C+ A7X:s � a � `♦ ' 0 �11a9 •! A 0� A A a e+ O A 07 ,4 0 0 ~4 aMro z3, i�ssr, n O ?r 10` O eo a s :3 C+ o 0 o • . LOl53 40T5S yg, 4, Ex►STIweC . �, 1°DUIV�AcTIQ� ,N N Ln ��N�V o w o�ilrE F Tl W Locw-I LoT 5 4 V1 mF-v 1 EW Di�i V E BARQ 5TABLE (COT v 1 T ) MA. DI�/IJE� �/t CEa4Q.R�c�s,t'�rr ,4R2o'�1 ENG t N�I hJG 1 NG �_,.,fsessor's map and lot number .... �..:.'...Ido :........:a`— ..f.......... J SEPTIC SYSTEM MUST 0,1 � E Sewage Permit, number 3 . R ♦� 1 !STALLED III CO-V-'l House number ......:................:......... .. ........!.4 .. �Jlli '� TITLE 9 B ' >HH9TADLE, .... ............. YAB9 -. 1e 0� a Mix TOWN 'OF B-A R N ST"AB�"VE _ BUILDING ' IflSPECTOR Construct APPLICATION FOR PERMIT TO .........:.................................... TYPE OF CONSTRUCTION ....................:.............WQ.Q.d..Xr?k 1,P.......................................................................... November 30 ,................19. 83 ................................ ....... TO. THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accgdjO to the following information: VV P .....X4Q.t...5.4...I?lb va,ew... ' ads ,...�a.t�ui.t.,... ..........:.............................................:.Location .................... ...... ProposedUse ................Res .dexxtial ..................................................... .................................................................... Zoning District .............� ...................................................... Fire District ............CO.tlLt...................... ....................... Ce a-t ACI- 5 : t2eA-4- y Name of Owner ...........$.Pe=..'�,he.Q.Y3.azidis...............Address .24...Great...R.and..Dr•.v.e.,....S.....X.ar. o.uth, MA Name of Builder" .........$.Mlle....................... .................. .Address ......................SAMP..................................................... Name of Architect ..:.....NA.......................................................Address .........NA....................................... Number of Rooms .......5........................................................Foundation .................P•oure4...Concrete..............:....... Exterior .........................Cedar...Shing.l.........................Roofing ......................Asphalt............................................ Floors ...........................P•lywood........................................Interior ......................Sheetrrack....................................... Heating .......................FHW-:- --GaS...................................Plumbing ..............:........2...Ba., ,..........................................:.. Fireplace One...................................................Approximate Cost ........$.25.t.000.................••.•..• ........... . ... . ......................... Definitive Plan Approved by Planning Board _______________________________19________. Area ..........'- ............... Diagram of Lot and Building with Dimensions Fee • SUBJECT TO APPROVAL OF BOARD OF HEALTH eo .f... .......... V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam P ... -� ................. ®/Wz Lz ACRES REALTY No .... ... Permit for .One, if;Q.3;Y.............. ............Single..Fam ly..xvel'-wig.................. Location W.t.54.......U.-Pim-View..Drimp a..... Cotuit ......................................e........................................ Cedar Acres.R&�4y Owner ............................ Realty....................... Typd of Construction ...Frame............................ ........... Plot ................................Lot ................................ Permit Granted ..May..18. 19 84 Date'of,Inspection ...... .....................19 ...........—Date Complete� .................19 IL { bid 1�� Oki y J olgl vz� N62�.52 /2 - b m 3G•� ' 3 � f {{E /3, 3' _ �• 41N ? N i b O I; P A 4 N N 0 o L- 23, /2 5 .S F 1 /2 5.e:90 _ S G2'S,3 I . r 1 a 1 / 461 T 1-'L A1,- G5l,` tH i7r :SiyDyV/N6 f'.t'rJf'G'� .D Ab,6/7-/0,41 JOHN �4SSESQo,E'S MA �O !'A.C'fEG /2 2 i P, Ft DOYLE,111 y 1 27 1011v6 v./C'.A1 No.33sa /r �9,�9FGis ER� S '�s 0 ' D 2 ' D 76 CL 0 GENERAL NOTES: I. LOCUS PROPERTY IS SHOWN AS: ASSESSOR'S MAP 002 - PARCEL 02 2. SETBACKS: f 20' 10 3. UTILITY INFORMATION AS SHOWN ON PROPOSED SUBDIVISION CONSTRUCTION PLANS. 4. COMMUNITY PANEL NUMBER. 025551 0021 D THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, AREA OF MINIMAL FLOODING. 5. ENVIRONMENTAL NOTES. °p CONCERN). �SITE WITHIN AN A.C.EC. (AREA OF CRITICAL ENVIRONMENTAL Q SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE Z WILDLIFE PER NHESP MAP OCTOBER 1, 2006 "ESTIMATED HABITATS OF RARE WILDLIFE' FOR USE WITH THE MA W LANDS R- .O 15 SITE DOES NOT CONTAIN AULATIONS ERTIFIED 1VERNAL 1POOL PER NHESP w / 1-47.33 SIAHt MAP OCT 1, 2008 'CERTIFIED VERNAL POOLS.' I-47.31 SMH1 B ``�- . OBER SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 4 i / VJ 1, 2008 "PRIORITY HABITATS OF RARE SPECIES' FOR SPECIES UNDER THE MASSACHUSETIS ENDANGERED SPECIES ACT, REGULATIONS (321 CMR10) i i SITE IS WITHIN A STATE APPROVED ZONE 0 GROUND WATER V ,� y/ ,' ; RECHARGE PROTECTION AREA O ti ! / CONSMUC17ON I �IL / / ; LOT 55 Q y I. ALL GENERAL. CONSTRUCTION NOTES ON SHEET C-2 FROM THE v / 'y� S , . SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, DATED t IRS 1 6125107, SHALL HEREBY APPLY TO THIS SITE PLAN. y DRAINAGE, AND UTILITY NOTES ON SHEET C-5 FROM �►�. �� TOP 1p 45, f ------- \ 2. ALL GRADING, ,1„ •� THE SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, w , Z wq \ DATED 6/25/07, SHALL HEREBY APPLY TO THIS SITE PLAN. s 11if=48.41 3. SEWER BUILDING CONNECTIONS: X - MIN. COVER SHALL BE 3 FT. / � n OUT <:F / \\. UTILITIES ASS RED BY MAINTAIN CLEARANCE FROM OTHER 4 / 3 '� X v�4:50 - ..------- DPW - w�� S ' S tfw.=47.37 -- s \\ - MINIMUM SEWER SERVICE CONNECTION SLOPE SHALL BE 2.1% p 52 � ��*fish+ - `� 2 S.Sa17 x 54.0 3 LOT 54 .� Cotult Meadows subdivision s\ 4.0 8,849f S.F. h Cotuit•Barnstabler Massachusetts 0.20f ACRES -- ---- --- _________ $ X So.S -�-- 52 2 � PREPARED FOR H -- 52 X 51.0 - - COTUIT EQUITABLE HOUSING, LLC a , 101.Je. `. P. 0. Box 95 Centerwile, MA 02622; VEGETATED 12' OEEP W �. ��'�v RAIN GARDEN (125 C �\ +a o 3� C.F. STORAGE) r. _ TIi1.E ro/O TOP-51.5/ site Plan BOTTOM=50.5 LOT 53 _ 8' DIA. x 6' DEEPS VEGETATED 120 DEEP Lot 54 • 287 Pheasant Hill Circle PROVIDE (i) RAIN GARDEN (125 LEACHING BASIN W/ V STONE C.F. STORAGE) \ SURROUNDING (OR ALTERNATE TOP EQUIVALENT VOLUME) BOTTOM-51.0 BAXTER NYE ENGINEERING & SURVEYING \ CONNECT ALL ROOF ^i DOWNSPOUTS TO LEACHING \ cry `, BASIN Registered Professional -� Engineers and Land Surveyors zN of Mass ��. 78 North Street,3rd Floor,Hyannis,MA 02601 Phone-(508) 771-7502 Fax -(508)771-7622 w tiGN� o v C1 N No.4 3 20 0 20 40 S ENG\ SCALE IN FEET ONAI SCALE. 1" = 20' DATE: 10-05-10 REV. DATE. REMARKS Lot 54 DRANIm KOM 0: 2005 2005-214 CIVIL DESIGN 2005-214PBLOTS.dw -- - - --- - ---- -- ----- - 2005-214 57 jL.t -n i-LN7,CIIA ay-Isj r ------- ------------ w >t tv ` - r 4 : I � f r k � 1 I ' j3 Vd„ j J L. 3 A t i E a f 1 ¢¢ tt � rs t + ✓ 1 , { i , i i C,✓{-�/ �C t�1r�YL �.�-�t�'rc.� 4.a,v>)ciz l�c (Y'�r��i�.i � ;;c.;<;:•; i V �- 1 d � tied rAa )J� Z � O L 'V t tAj ` c-o i , APPROVED'BY: r44 SCALE t(. ::-c 11 DRAWN BY DATE: �� ',� REVISED II� , I DRAWING NUMBER