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0172 RALYN ROAD
17c2, �a��� taq� I s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ (� `� BARNVAS E Application f9/ V Health Division "� " ` '= ,. Date Issued 3� iUl �lJ Conservation Division Application Fee ' Planning Dept. Vtt ,� ��,._ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner l,, s' li e_ 6f? k Address / Telephone_ de 7 5_10 1 %Z I PermtAReq �`? �C � v•.,�u e e ��s r�,�� •��,(°.�- y�'y. ,l y �;,�P �� , ., 6`��'�' 'T J�h s if 6�h •� .C' �.0 r� � -✓ ,f! �u s.�- s,,, v 5�c r Square feet: 1 st floor: existing proposed Js.�� 2nd floor: existing�,� proposed Total new d Zoning District Flood Plain Groundwater Overlay Project Valuation / d 0 O Construction Type Lot Size s q, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Y Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 9fNo On Old King's Highway: ❑Yes ONo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) C7 Basement Unfinished Area (sq.ft) 2 C� Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: -3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: `Gas ❑ Oil ❑ Electric ❑ Other Central Air: ,4'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:' xisting ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Aexisting ❑ 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 lQe",e:4 Telephone Number +/ ���� / `/ 9- Address ��' I� License # Home Improvement Contractor# Email f ��, �"e ,�� ��,.��,4 %, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� i�" —� .DATE------- �� l D� r FOR OFFICIAL USE ONLY APPLICATION# "DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0& DATE CLOSED OUT - ASSOCIATION PLAN NO. 4 Bldg. Dept. Y, US:PbSTAGK�J/ 200 Main St. A. Hyannis, Ma. 02601 ZIP 02601 $ �� O r 02 1VV 0001.38.3424 DEG. �..�201.3, di f ALA-Lyre Christopher & Robert Kiefer j 230 Corey Rd. 1 Apt. 3 -- Brighton,' _..� ., . !_' . -G'C T:l i=0-fei T'-Ti -C'�'•At-:R C.O 3.C: 0260140ID288 *O259- 91.488- 31-42 f ri r+ Y,6 1" 1 I''tfI A I 1 II 1 ll`I l 11 `I! I I�IIII II II Ilfl lull Town of Barnstable Regulatory Services a s + BARNSfABLE, MAas. Thomas F. Geiler,Director �FOMA'�1h Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 31, 2013 Christopher&Robert Kiefer , 230 Corey Rd. Apt. 3 Brighton, MA. 02135 RE: 172 Ralyn Rd., Cotuit Map: 022 Parcel: 054 Dear Property Owners: This letter shall serve as notice that this office has observed a violation of 780 CMR(The State Building Code). Upon a recent inspection of the above referenced property, work has been observed being done without the benefit of permits. You are hereby ordered to bring the property into compliance by obtaining the proper permits. A stop work order has been posted and will remain in effect until such time as a building permit has been issued by this office. By Order, Wr . auzon Local Inspector (508) 862-4034 i effrey.lauzongtown.barnstable.ma.us Wcff-ke&-Campaz r,L n 2mce avit B.iers/C=f f- Egrs r ��ers sT - cxt�a r -may . tjdl,��b��• �OIamaempioyarvfi � I�taaLrL f� El =Ploy={felt$aWo?pxt4�-)_* Listed on the wed shy 7- ❑ � . • Z❑ Z am a sole prog�pr orgarEaer- T�sQb-oo�frsr.�ors f�ave ship sssdhat*e na etopltsy�s ❑ fos nm many ca esr�rinyees and have wof3.�s' 9_ El But mg add6on [Na wn6i�-f xmuno camp-:ncnrara �1 S_ ❑ We am a coLporEHUM ILlifs Ifl❑�Iectricalz�gaitgLx addifions _❑ I ama doingaIIword affm rsham em ;red their IL❑.gig fairs or riddii1ans z ofeMMIgfiomper him' RMuf xcrcrrrA n rE Ted 1'F c:15?y It },an we fn'e aD I3 0 4t C _ .- . • CIIrn�a_mcnranrv, j . '"dap rapfir�fiutchr�sbarzl mactalca ffi ouYtf�sectinahr7a�sL���eswo�eaTmum�sstiouperir�- . #ffn�eawn�sa =bnadds.fidt:u Y:9Mctafily 1T ^�—•rt� a c�r�arnasamsts an3rgmd.c3tm" YadL S'�.4t C1torY t�25 bl�XIIxatt�SC}fP�is znriikrmsT 5�4�S�Ib1LIDg1�Ph8Dk Of�IE 3 md5t8ti'A}fP.fffif CCpDL'C1m5E H3a1f1P517..T` Milo]as_iftl p MI-CM I , 1�sM em job C qr I pmmde tbl-—lare camp-130HE3'm""T•,- rtifa 'iRWLGpw Lhi�jspmjffig frorkers'corg7ga dnpz i2=4r=Ca far may ezrQ7LOYG s. Bezvw is thepuaq mtd,job--dia zrtfar�,rcfirxtr� .. B=Ez'=GauzpanyN M Poficp yr f Lim EzpO aiivaDzb--- Ioh Site Address : �•�(acFa�t�pyo-ffh��s•orl�rs'c�pensafrnnPQ�Fd�c�stia>r7xa�e-(shth.�I}O�'sttEm�ersg3tzgaation�sLG}: FaLHMte to secvrc gage s ret re3Tiuder Sec(iorr SA ofMM c. 152 can Iead to the imps afM-i-I gecMfftcs of it free-op to$L5Da fla augur mL yearim ,as WtU ae c iuR geua its m free f�of a STEP Oki OgI7F�and a fines try a1a fzr 0_04 a day against fire violatnc a atf4ised a MIT ctf�i€s��maybe�ardt;d tome©face of Emvc{� of the DTA€ar in n_ ca age V=ffc6Dn- T trio'hgre6y=qTY azndL f$agaius rltFr�ps es of �thvt e otztLafian prautd€d¢bey is hua uai�c>Zraact E aL usa rsn� �not t�rdsitr f�>zs rz}ea,,sir bff cax�xie�by CAPur iutru r�cia£ C,±T-tar Tow= Pt=ra�relLSC�" ��i-�.uihnritg{mr��nxte�: . " ; • - - L Btrard o-fHcx�?..� 1{ dFac�a C$tmT� LEFecfricdl ettar .1' T�tgaec€nr e0nuummecaitlr`rf a i ssaa 7rt a st t Degari�mergl of Ifirlfis#& a4ccrdents- _- Of�`ic :rf �rvesf`ggir,#arts 60fWashinglotf:Street Boston,Aa 021II ; 1Ntf V.TgrtTS g0WV. anpensa'` Affidavit. t�erintrao-rkers € l :� ctor a rlc nslP"ers ,.Applicant Informanon Please Print I:e�t�tily Naie�onZatioUrinaMaua�) Sheas'Center Inc.. _ Addrts 11 Lebanon Street Quincy' MA ` 02169 =f, 6iylS,tat lZ p: Phone'"#' 617 471 9130 Are oo an effiplo}er'Dheck the appropr►aEe`bda, 4 ~ Type of project(regwec I MIama emp wth employees(full an&l part=hula} have:hired the sub-ccitifxicetois 4 6 i�3ew oon`strizchon . 4k 2.❑,I'a'a sole et r ar i tear r listed on Etta attached sheet ` 7.;�Retnodeling prolm pa sub-contractors'tiacre " •scup and have tus employee's' _ 8._�❑Demolthoti; p arid`hat a workers° ' tvorkwg for me uany capacity:'. _ Yam' ` 9:'R❑Building Addison ,[No w&ke sl comp ttanee; .: comp.iasurance?* - 5.;❑'W are a corpora6n and its- 10❑Electneal rcpatrs or additions, re�ure.�, r 3 ❑ I am a hommwner doing elf work offeer`s hay ereictsed thee: 1 !❑Pltbg repatas,car.adtlrtiotu £' o workers' ' a nght of exetnptton per MGL. - °°II?i'' ,P 12❑Roof it7sl ee regtured.j.t ; Ed we have uo {employees [Ndwoilti .' 13❑'©ther comp--J4 ttrauiae rN*ed.]^ f: ' Y apphtmtt tbaechecics Tro$ l amsa also till apt 13nr seieasi belasu showing the#.waxkexs'compemsatso-ztpols[p iufefozuit ati HatueotvaRrs wha stibma fh�s affidai=at.iccavag fey aze dma�glt wad sad a[tea h¢e outside comtraccoas must snitm�t a uew afdevyt mdusiog said �Conunctoss that check this hox! st attac}sed an addwozia!attest shoti}arg the'n.=e of the'sirL contractors and state ivhethffi a3 not those ett4itoes Elsie; .. . es 3oyeea.,3f the'sub ciutt c[ws bias i4lojee;t ie'y il�st piavids:�eis:.waa en-comp,pa cy mmb'er. .twit ort employer that is ptovidircg awrke�r eompms z oit.insnrareee for my em�loyeex Bdon,is.:Ae pokey atzd job site Policy,. br Self=ins$I.tc #: l J� / Eitptsatio>7i Bate: <4 7pb Site'Addres :. 172 Ralyn Rd, Cotuit.'MA 02635 ctyrstatefzp. Attach a spy of:the wa`r""leers'compensation policy decI ration'page(sl owmg'the policy number and xptratinn dafe)} r Failrue tir.secure:caverage as nes itired under Section 2SA'of MGL c 152.can lead•to the,imposi661 of�tiYiinal penalties of a' fine up.ttl$I,St?{)itx}:agar one year utapr sonnies t;as.tveSI as civil=penalties in ffie fomi a STOP` ORK ORDIIt`attci a fne= of tp to`S250 QfJ a day against o;vtolatoi 'Be at#used. t a copyfaf.tips eta#emenf.may e,forwac�ed'm t f3ffice'of ;.Investigations ofe'DFAftrrtnsurancecoaerage.verification_ Ido here r}�`certify.rirtder'tFre p ris and penalties Jury thafthe it orrrintion prof dell boil is�trer at rX'correGt .mow M D,Q�cal Iris only Do itot Errata art tins area,tri be completed by.city or town ocfaC City or Ta�vt: =I'ei�mitlLceztse`#. � Issuing Anthartty(circle one:}:, 6• of Heaitfi 2.Bull I}e artmertt,3 Ct /Iotivn Clerk 4:Electrical for a:Pll-'Mb' Inspector` Contact Person: Phonev#c 6 A!^ Z o' DATE(MMIDD/YM) CERTIFICATE OF LIABILITY INSURANCE 2/10/2015 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(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 endorsement(s). PRODUCER CONTACT Donna Rodrigues, CIC CRIS NAME: John Andrade Insurance Agency, Inc. PHONE , (401)253-6542 (FAXiA1C o c401)253-5070 559 Hope Street AODRIE :drodrigues@johnandradeinsurance.com INSURERS AFFORDING COVERAGE NAIC# Bristol RI 02809 INSURERA:SeleCtiVe of South. Carolina 19259 INSURED INSURERB:SelectiVe Iris CO Of Southeast 39926 SHEAS CENTER INC INSURER C:Technology Insurance Company 11 LEBANON ST INSURER D: INSURER E: QUINCY MA 02169-5827 INSURERF: COVERAGES CERTIFICATE NUMBER:CL151516332 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. INSRLTR TYPE OF INSURANCE D L SUBR POLICY NUMBER MM/DD/YCY EFF YYY MMIDDY� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A A E To RENT X COMMERCIAL GENERAL LIABILITY DAMAGE DREMISES Ea occurrED ence $ 100,000 A CLAIMS-MADE Fx�OCCUR S 1843176 /18/2014 /18/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY, $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 POLICY PRO LOC $X AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 000 000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED P, 9091490 /18/2014 /18/2015 AUTOS X AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY ROPERdT ntDAMAGE X HIRED AUTOS X AUTOS $ Uninsured motorist property $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2.,000,000 DED RETENTION$ S 1843176 /18/2014 /18/2015 $ C WORKERS COMPENSATION X LIMIT O'WCS R AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N,IAJ C3390411 1/18/2015 1/18/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION jamesbredden@gmail.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN James Redden ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mark Matrone, CIC/SID ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninn51 rrt Tho Arr1Rr1 namo anrt Innn ara ronictororf marks of A(npn Attachment to permit application James Redden 172 Rayl n Rd Cotuit, MA 02635 617 510 1429 Project Description: Bath 1 Remove existing vanity, toilet, and tub. Install new vanity, toilet and tub. Refinish walls and floor. Bath 2 Remove existing vanity, toilet, and tub. Install new vanity, toilet and shower. Refinish walls and floor. See pictures of existing bath rooms. Bill Shea will do construction work. Plumbing will be done by Phillip Durfee. He will get plumbing permit. f Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division BnaxsrAeit 'Tom Perry,Building Commissioner v� 1639. 9. ,0$ 200 Main Street, Hyannis,MA 02601 ''TFv Mor www.town.barnstable.ma.u s Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION. Q Please Print DATE: 2y! JOB LOCATION: 172 Ralyn Road COW it number street village "HOMEOWNER": James Redden 617 510 1429 name home phone# work phone# CURRENT MAILING ADDRESS: 1 Pueblo Rd, Medfield MA 02052 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc ures and requirements and that he/she will comply with said procedures and requirements. Sit6re of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt, from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules& Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. T:\KEVIN D\Building Changes\EXPRESS PERM IT\EXPRES S.doc Revised 061313 �I I � AEIIN .0 • 1 d'3lu 0 17-ECIV Redden 173 Ralyn Rd Cotuit, Ma Bath 1 color Sliver Birch Bath 2 color- Rai loud Day 1- Disconnect Plumbing Day 2 - Tear out bathl and bath 2 Build wall in Bath 2 Template shower pan bath 2 Day 3 Plumbing install nixing values bath I and bath 2 Install tub. Day 4 Install shower pan in bath. 2 Install Dura rock bath I and bath 2 I 1 Lebanon Street,Quincy,MA 02169 * (617)471-9130*Fax(617)471-9263 (800) 668-7432* www.billsheas.com* e-mail bill�?a billsheascorian-com i P Day 5 and day 6 Install corian walls bath one and bath 2 Install linen closet and vanitys in bath 1 and bath 2 Day 7 install vanity tops and hard ware. Hook up bath sinks. Bath one Tub and bath .1 and 2 faucets and sinks Supplied by customer. Total- 16,400.00 Plumbing cost not included. We can add install of shower doors if you choose To have us install them Thank you, Jeanine L t Sheas Center Office 617 4719130 ex230 Cell 508 562 2694 j lutiCbillsheas.com 11 Lebanon Street, Quincy, MA 02169 (617) 471-9130"Fax (617)471-9263 (800) 668-7432Y xv\a°w.hi11sheas.com*,e-mail bit l(c hillsheascorian.coip Fabricated directly to you by: ... JN7EgT Date Material Uo p Template Date �'O Sales Pelson Color Install Date. �Jlll� ��C� Job Name Edge Tear Out �BXVP CORI" Job Site Sink Type&Color' Finish ®' Tel:1-617-4:71-9130• Town B/S Type&Size Material Ordered Fax: 1-617-471-8263 PO# TEL# Additional Cutout Stove I �—x - — l.. 1 ii _�_?- i.._.._.t-....•_.._..,_.' t I ! j t T:.-�_ .T�__.. ,� �t._...f.., _t I I I _� _ r ! ! t �t.- _ 1 , � T.:_ _.. i .�� ...._;____. • ,.. .... _ ,_ _ � ;... � __in} t ... .� .-` _t ' s .i i I .l. _.t..�__.i..-_ t ' I ' 1 I 1 I_. - , • 1. .t_-.. —I r )• �� j...! t ,....t.....,. I. -r-.. I iG. '.-,f. i., i_1 1 .�...._. ..J.,__. If 17 J. I_ I j f lt.:. — ._ . .. _ id I — — I t I �T�T� -�— I 1 _:.!—.! _ .__L i S 1 �.. ! i _ IF` _i. I .�.._ .. _..� . — _ I _ _ iV �_! ! I -_ I � _ i f. _f_ - - X. - �- t t t I I o'lumbing Not.included - Custom / 'WOOSE Edge V EDGE Profile iTYLE Available Sandwich Edna a....�.,n n__ ••• - G� &Epo 9t rEcI��'Q 1 �s. l %ADY aq 5 (l1-ATc H IAQll .awl I l .Lebanon Street,.Quincy,MA 02169 * (617)471-9130*Fax (617) 471-9263 (800) 668-7432* www.billsheas.com* e-mail bill@billsheascorian com i i o�ME�c, • G 9l �y CU o r r ►yi 1 r'r opt. �� Ctr r a'xa c t tC, 11 Lebanon Street,Quincy,-MA 02169 * (617)471-9130*Fax(617) 471-9263 (800) 668-7432* vvww.billsheas.com* e-mail biil@billsheascorian.com I t oOIAERc� G. • ;. Pd 47V4 � � s TECI OV � . , 10, IL ..� 4L 103 1.1 Lebanon Street, Quincy, MA 02169 * (617) 471-9130*Fax (617)471-9263 (800) 668-7432* www.billsheas.com* e-mail bill@billsheascorian.com Parcel Lookup Page 1 of 1 r f akA s 01 e� Zwz Logged In As: Pa rceI Lookup Thursday, February 19 2015 Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options Search By Street Street# 172 1 Street Name RALYN Village All Villages '; ' Search, <Prev Next> Page 1 of 1 IN Rows/Page: 10 1 Parcel Location Owner Village Index Map 022-054 172 RALYN ROAD REDDEN,JAMES B&CHARLOTTE S COT 1350 022054 r http://issgl2/intranet/propdata/lookup.aspx 2/19/2015 ` � � i�� l wR f �. � ��'�'- i tl �d 4 Yu 1� �. -� �� _��t} �:� ���'. .. s_ .� _- 6: 4 ~� _ �JJ� ��3 �'_ ;� 'T jf, _ � 't G: .. '^� _. ' 5 �, - � 7 n 1' _."iai�" i ,. _ __ 1 y � ' M: i� f 4 fl4 _ t Iow- .�)i. T 1 I- V 1 A ;. i 1 P a � d' f, , �._� Town of Barnstable = 3 - a Permit Regulatory Services -BAMSTABM �ee=Issue rte Richard V.Scali,Interim Director Building Division 9. Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number Not Valid without Red X-Press Imprint i Property Address I�'Residential Value of Work$ - inimum fee f$35.00 for work under$6000.00 _ r f Owner's Name&Address Contractor's Name Telephone Number XtP -79 f—P' Home Improvement Contractor License#(if applicable) T om/ Email:;(ux j m/ ,i Construction Supervisor's License#(if applicable) C ?7714. 6 ❑Workman's Compensation Insurance �� Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner JAN 16.2014 ❑ I have Worker's Compensation Insurance Insurance Company Name RN STAB LE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value e (maximum.35)#of windows #of doors: C ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Cqntractors Licens o ction Supervisors License is required. !/ SIGNATURE: T:IKEVIN_MBuilding Changes XPRESS PERM MXPRES .doc Revised 061313 - TheC.orrnNontrealth of'11assachnserts j� Department of Industrial Accidents ' Office ofbmestigatiotrs 600 Washington Street Boston,M4 02111 • . •1'tl'1r:TtlaSS.aOt/dla Workers' Compensation Insurance Affidavit: Builders,Coutractoi•slElectjiciansiPltunbers A heant Information Please Print LeQib y Name�etsiness Orea»i�azcuIud;cidual): � � C Address: City.-State21p- Phone Are you an employer"Check the appro hate boa: and I Type of project(required):. 1.El am a employer synth ❑�. I am a general contractor_ employees(full and,or part-time).* have hired the sub-contractors 6• ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have g,. Demolition norking for me in ant capacity employees and have r;orkers' [.No workers'comp.insurance comp.insurance.- 9• ❑Buitdrng addition required.] 5. lT a are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised then � 11.0 Plumbing repair•.or additions myself.[No:corkers`comp. right of exemption per.N.IGL insurance required.]- C. 152.y 1(4).and we have no 1'--❑Roof repairs l employees.[No�a;orkers' 1- Other�IJlt,��!�J comp.insurance required.] °a<y app rcant is:clocks os=1_insist also fill on*the sec:rou below sLotsius:ie-.r sooners"compet:satiou policy inforn:arou -ronieonne:s wL•o submit:ins affidavit indicating they we doinz ali n•or gun then Lire outsiie coutrac:ors must submi:a t:en•affidavit indicating s:tcb c:Couaaors:iat cbec's tt-s bo%must attactei an addidoua'_sheet siowmz tL•e name of:he sub-contractors and stave a•L•ether a not tbose eu:ices ba:•e employees. If tLe snb-caueactors have employees.:hey must provide their Wo-kers'comp.policy number. 1 am nit enq�lot e, drat is pro,idirrg a ord ors'contpensatio►r irrstu arrce for nit euy�lot ees. Belo+v is the police•and job site info,•»radon. Insurance Company Name: Policy f or Self-ins.Lic. Expiration Date: Job Site Address: City.State2ip: Attach a copy of the n•o•kers'compensation policy declaration page(shoning the policy number and expiration date). Failure to secure coverage as required raider Section 2:A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to 51,500.00 and.-or one-year imprisonment,as:cell as civil penalties in the form of a STOP.FORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a cops-of this statement may be forwarded to the Office of Investigations of the DLa for insurance ccv a verification. I do lterebt'cer ' u if ar pen ties of perjurl•that tire inforuratio►t provided a re is ter a and correct. Sigtnanu e: Date: Phone Official rise o iv. Do'lot write in this area,to be co►npleted bt'citt•or town official City or Town: Permit/License 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department I CityrTon•n Clerk �.Electrical Inspector Plumbing Inspector 6.Other _ Contact Person: Y Phone#: 6 * * snnxsrnaze. MAM 39. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 F Property Owner Must Complete and Sign This Section . If Using A Builder � as Owner of the'subject property hereby authorize (>G�!/� �G�`;7 C• to act on my behalf, in all matters relative to work authorized by this building permit application for: r-o (Address of Job) ,� � may ` Signke of Owner 7 Date Print"Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN_Muilding Chauges\EXPRESS PERNUTNEXPRESS.doc Revised 061313 Massachusetts -Department of Public Safety p ��ie TDonvazovzusecr�I,l o�,./�,aaaac/%uaelld Board of Building.Regulations and Standards Office of Consumer Affairs&B siness Regulation ' Construction Supcn isor HOME IMPROVEMENT CONTRACTOR License: CS-087160 Reg"Istration ,�A167244 Type: Expiration 8/2 2,014 Individual RICHARD T JOH$SO PO BOX 764 I RI RD T.JOHN �N {f BUZZARDS BA 02• 2 I ' RI.CHARD JOHNS©f r �f 61 WHITLEY TRAIL?' ' Expiration PLYMOUTH, MA 02:Y6 08 0112015 Undersecretary Commissioner a License or registration valid for individul use only before the expiration date. If found return to:. Office of Consumer Affairs and Business Regulation = 10 Park Plaza-Suite 5170 + Boston,MA 02116 I s i j I I Not valid ithout signature Mass. Corporations, external master page Page 1 of 2 William Francis Galvin N7, Secretary `ter of ! • of a ry two HOME DIRECTIONS CONTACT US Search sec state ma us Search Corporations Division Business Entity Summary ID Number:000857457 Request certificate New search Summary for: RJIW VENTURES,LLC The exact name of the Domestic Limited Liability Company(LLC): RJW VENTURES, LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number:000857457 Old ID Number: Date of Organization in Massachusetts: 01-02-2004 Last date certain: The location or address where the records are maintained(A PO box is not a valid location or address): Address: 61 WHITLEY TRAIL City or town,State, Zip code,Country: PLYMOUTH, MA 02360 USA The name and address of the Resident Agent: Name: RICHARD T.JOHNSON Address; 61 WHITLEY TRAIL City or town, State, Zip code,Country: PLYMOUTH, MA 02360 USA The name and business address of each Manager: Title Individual name Address MANAGER RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA MANAGER RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA 4 In addition to the manager(s),the name and business address of the person(s)authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA SOC SIGNATORY RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver,and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA REAL PROPERTY RICHARD T.JOHNSON 61 WHITLEY TRAIL PLYMOUTH, MA 02360 USA 1-J Consent Confidential Data G Merger Allowed rJ Manufacturing View filings for this business entity: ALL FILINGS Annual Report I Annual Report- Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000857457&... 1/16/2014 Mass. Corporations, external master page Page 2 of 2 ... ......................... New search William Francis Galvin,Secretary of the Commonwealth of Massachusetts Terms and Conditions http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000857457&... 1/16/2014 THE Regulatory Services P.. Thomas F. Gefier,Director Bufli:II I1 fi t g Divis10 N 1NABS. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MIG s 10F RA NSTABL www.town.bainstable.ma.ns .7013 MAY 23 Ali 1Q: 27 Office: 508-86211038 Fax: 509-790-6230 Approved: Permit#: HOME OCCUPATION REGISTRATION A Date: (no,V 231 Z 0) Name:�0 V i n 1)p(1 Q�1130111 Phone#: .�/7-R613t -5 4 O C Address I. Name of Business: e ®0-h M 1 yf- (20. Type of Business:.NCA' V ra O eol)r n c u IC b Map/Lot_ 0 ZZ- --� � 1 IlV=: It is the intent of this section to allow the residents of the.Towa of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the actn2ty shall not be discernible from outside die dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential-.rolumes; and no increase in air or groundwater pollution. Uy After registration with the Building Inspector,a customary home occupation shall be pemritted as of right subject to.the following conditions: • The activity is carried.on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit •- Such use occupies no more than 400 square feet of space. Q 1 • There.are no external alterations to the dwelling which are not customary is residential buildings,and there is r no outside evidence of such use. • No traffic wM be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors, electrical disturbance,heat,glare,humidity or other objectionable effects. .. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. . • Any need for parking generated by such use shall be met on die same lot containing die Customary Home Occupation,and not within the required front yard. . There is no exterior storage or display of materials or equipment. • There are no commercial vehicles.rehted to the Customary Home Occupation,'odier than one Nunn or one pick-up truck not to exceed one ton capacity,and one,.trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation, • No sign shall be displayed indicating the Customary Home Occupation. •. If the Customary.Home Occupation is listed or advertised as a business,tine street,address shall not be included. • No person shall be employed in die,Customary Home Occupation who is not a pern=entresident of the dwelling unit. I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. . APPh Date: (na y bZ 3 ao 13 Honieoc.doc Rer.01/3/08 Z V, s� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost $40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required.by law. DATE:Mom. R S,3 013 Fill in please: APPLICANT'S. YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: +u r fi�M.A 0e 3 ,�►�-8(0�-5S5o y TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW.BUSINESS OO+ImiS CC) TYPE OF BUSINESS c c YIG �C1. or al? c IS THIS A HOME OCCUPATION? YES NO _ ADDRESS OF BUSINESS — � f f10A MAP/PARCEL NUMBER D 1, [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) .to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OF IC This individ al h e n ir�rfo of ny p rmit re uirements that pertain to this type of busineUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Au ized ig e** COMPLY MAY RESULT IN FINES. MENT 2. BOARD OF AALTH This individual has.-b-er�it o ry�d_of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 29, Assessors map and lot number ............... ..................... THE Q Sewage Permit number ...`. ........rdt�-��..................................` �� • r,� o� SEPTIC SYSTE House number .......�7.2—...............•....................................... IN STALUD IN e ;►� WITH TIT L o a` TORN OF BARNSTA `ACAENTAL CO E AND ULATI®Ns BUILDING INSPECTOR SUBJECT 70 I11aPRt3llAL 01• 13ARNSTABLE CONSERVATION COMMISSION APPLICATION FOR PERMIT TO ........��/v�kek)C.T.................................. ..............:.............. TYPE OF CONSTRUCTION . :.. .... .........................................19Z ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac rding �ta the following information: Location ....... ..... � ,. ..... :``' .... .....� t}���? ...........:............ ProposedUse .....�5 . v;l, :e... . ......................................................... ................................................................... ZoningDistrict .... ...............................................................Fire District ...................................... , .................................... Name of Owner8.�'1�1..�/�� .C ,-...............Address ..�5 � tU f S /( ... Name of Builder !'`.... :.. .�u. :................Address ......., ..�"i'.`:".:'¢-...................................................... Nameof Architect .........r. .......................................................Address .................................................................................... Numberof Rooms ......`!.......................................................Foundation .... ................................................... Exterior s ..................................Roofing Floors .Interior .........f✓ `�.."..".�:..`::`. Heating .... . ......I.......... ... .......................................Plumbing ...........I... ....... ................................................... Fireplace ........94�.�.�.....................................................Approximate Cost �. ...�d-D-a Definitive Plan Approved by Planning Board ________________________________19________. Area ..... f.................. Diagram of Lot and Building with Dimensions Feel....... ' S,!:... ..n ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ,1 Ql I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ... .................................. McSHANE, J01IN T! Yr No�,*...2312,2. Permit for One Sto y......... ............. ..................... ........qijjg.jg�.J�4Dilv Dwelling........ .. ... ..... ............................................ .... Lot 1#16 , 172 Ralyn Road Location ............................................................... cotuit At 'If It. .......................0......................................................... r John McShane Owner .....:............................................................ Type of Construction Frame.............................. ........... 44, ............................................................................ f"Piot ............................ Lot ................................ Tq Permit Granted ......:.J�Y.. ................:19 31 Date of Inspection .................................:<-I 9 9 Date Compli ............... PERMIT REFUSED ................................................................. 19 ................. . . ...................... ....... . ......... ..... .01 . ............ A . ............. . ........................... te/— ..................................... ............... ....,.......................................... ......... -4 j ............... ........ .................................................. 4 1 I- • i •r �� f ? .E' �' v..k � ,. Z ;.SQ q � } „ rt F•�t•,a ':i' -B..' cP :. .•1" , -s' . b7 .^. ..s � _ t .. � �j JF , � �, a rv�, •.yr• •F � x. # � - -. .. • �//Fr 'wf�' °' �I: ✓�., C dt't t T� t �..,, i r-: `>*t. �, _� - art '�s,•s# 4.S •�r i� •�f - � �-A. � n�4 ` +�" � _ `•- - r x ,'�� �' _. , f �. 4r � x/ t •� 'j l �• � •. � f:�s l • f -, .. • /1 .. .• a .a♦ � d::7, 3 '.• .y'... t. - ,� � '.�... � • -.. .. ' f 71 `� N Zlb B.V r ; Y' c a PLOT FLAN' OF! LAND .. CTLIIN: IAR +l3 ' iBL ; CflTI' , SA . ,SOA�SE� lEf "DATE: KAY �"�.s` 10 r X �> r C 'IFX •T T FOU TIIAT Oft sg6 ON, THIS PLAN IS �S �T' .A T't�AI,�,Y. `EX�S�S'�, � �. �0I'�LANI��. St-livEy'lN�s..���." - t - _. t• + `'"si; -' ¢ .- aim. ., - _ •r%_: �.�.� �� �� ...t .. •. ', i, * - •_ r � • {` ,. y. i r 3'. .. � t of F, '"•�t.�'� - • - y • Sf �i . ".e TOWN OF BARNSTABLE Permit No. -------------------- Building Inspector f,a»rau cash --------------—---- --- OCCUPANCY PERMIT Bond ---- ___------- —. No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector ` 'r !%;� ,- Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / ..... ....................../.............. 19._......... .................... ....... ......... ............................................_._ Building Inspector Assessor's map an number ........ . � r ��ls� r,�G•�P d lot ' Sewage Permit number �...• ���� . ! .............. .... _. Q�Of?NEr0�0 t BAUSTADLE, i House number ....... Z......,......................:..................... v NAM OD 1639• `e�0 'Fp YAY a• TOWN " OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... !•,S.,T.. «C. ............................................................................... TYPE OF CONSTRUCTION •.......... /!�'�Q. `":..:: �?� ....... . Y1��2 ... f..!'2— ........ .. .19.(!!.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for apermit accordin r�to the following information: Location ........ . z..... �6.r ..... .✓?. .... ...... r . .................... ................................ ProposedUse ......................................................... ................................................................... ZoningDistrict .... ..............,....,..............�.................................Fire District .............�.. ............................................................... Name of Owner �?�1..f1�..� .�t.. -...............Address Nameof Builder C . 7. ... ............... .Address ........... ! ................ .................................: - Name of Architect ..................................................................Address .................................................................................... Number of Rooms ...... ......................................................Foundation .... ... .... .............................. a � fv Exterior ...............................................Roofing .......� ................................. c ,�1 , e. - Floors ....G' .........................................Interior .................................................................................... Heating .... ........................ ......................... .. .........Plumbing .............................. •......` `. ...� ......... -- Fireplace . ...d-!.A r QX.....................................................Approximate Cost F... d'r?"'.............................. ..... Definitive Plan Approved by Planning Board ________________________________19-------- . Area ..... 4?. Diagram of,Lot'and Building with Dimensions Fee ......... -... ''✓� SUBJECT TO`APPROVAL"OF- BOARD OF HEALTH S'� -•� - pia 1'•j� -J t.' �l I � 1 t � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name . .. ..... ...11. ... ` ".`......................... ... MoSBANE, JOB0 - ' 33I22' One Story ' N6 ................. Permit for ------------ ' Single Family Dwelling --------------------------. Lot Location ------�lG--l7�---.�.���...--Boa�— -- .. � Cotuit --------.-----------------.. ` � . John 8YoSbaoe Owner ---------------------- � ' . ` ` TyConstruction — ofConstruction —Frame .................................... � ' -------------------------- ` � . . P|m* /t Permit � Granted =~'~ of Inspection^ ' . . � Date Completed . ' - � � , 41T REFUSED � � | / ................ ---.. —.. lV _----�' ����&��—���Am ........................ � -------_—..=..--------------.. � | � .................................. - � | � � ----~---.—.----..-----.-----. � . ° . . � Approved ................................................. lg � � . � -------------.—..-------.--.. ' � � . � ------ ----..---------~--.~.— � � � U | "