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HomeMy WebLinkAbout0014 RUSHY MARSH ROAD � � �� ,: ,# �, i d I Town of Barnstable Building (Post This.Card So That it is.Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be.Kept ' Posted Until Final,Inspection Has Been Made. p��Y111� sb+jip. ,� Permit e of Occupancy�s Required,-such Budding-shall Not be Occupied until a Final Inspection has been made Wher,.e a Certificat Permit NO. B-19-2171 Applicant Name: BUCHLER, DAVID A& HELENE C Approvals Date Issued: 07/03/2019 Current Use: Structure Permit Type: Building-Shed- Residential-200 sf and under Expiration Date: 01/03/2020 Foundation: Location: 14 RUSHY MARSH ROAD,COTUIT M_ap/Lot: 019-017 - Zoning District: RF Sheathing: Owner on Record: BUCHLER, DAVID A&HELENE C Contractor Name; Framing: 1 Address: 429 WESTON ROAD Contractor Licenser 2 WELLESLEY, MA 02482 i " -' � Est. Project Cost: $0.00 Chimney: Description: 8x12 shed Permit Fee: $35.00 Insulation: Fee Paid: 535.00 Project Review Req: 8'x12' SHED LOCATED AS SHOWN ON SUBMITTED PLOT PLAN i _. Date: J 7/3/2019 Final: Plumbing/Gas Rough Plumbing. Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withimsix months after issuance. 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. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing , ` Rough: 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable �. ... `NG DEPT. Building Department Services �P 0 Brian Florence,CBO anxlSsTas Building Commissioner JUL 0 3 2019 nsass. 200 Main Street, Hyannis,MA 02601 �D"A0�A www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 PERMIT# -- '—� FEE: $35.00 1 SHED REGISTRATION RESIDENTIAL ONLY A . <- l 200 square feet or less 4 Rv5hv P afsh �oCC4 C� _ . o�-�3� Location of shed(ad ss) Village ' I Property o,%mer's name Telephone number Size of Shed Map/Parcel# - G E-Mail hek0e-buGhl e-1 D w 1.cam •rT t f r Sr Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A. PLOT PLAN , Q-forms-shedreg REV:08/6/1.7 0 LAs-� C �neYS Y1ecf� ' G�otc�,d Gtlet< Cf�cfetc �t.cc/'r5 C.at►�dscv,pr..17 . Town of Barnstable ' Building ost This Card So Tbai,rt:is Visible>FromutheStreet ,;A rovetl;.Plans.Must be Retained on.Job andutGatd Must be Kept ry DA `3RABLE.. .. a '....x. X°`..- p p y x .a-,.X'x .,, T g. v `< t . b,+sa PostedUntilF na Inspection HasBeen Made ' ;: R � Where a{Certificate„ofCtccupancy,�s Required;such;l3uldmgNshall Notbe:Occupied until aFinal Inspection has beenRmade Permit Permit NO. B-18-1593 Applicant Name: BUILT BY BEN BUILDING AND REMODELING Approvals Date Issued: 06/18/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/18/2018 Foundation: Residential Map/Lot: 019-017 Zoning District: RF Sheathing: Location: 14 RUSHY MARSH ROAD,COTUIT Contractor Name' 4 BUILT BY BEN BUILDING AND Framing: 1 Owner on Record: BUCKER, DAVID A&HELENE C REMODELING 2 Address: 429 WESTON ROAD Contractor.License 154190 Chimney: WELLESLEY, MA 02482 Est Project Cost: $6,500.00 Description: Replace bottom 16" of sheetrock/insulation in finished arena of Permit Fee: $85.00 Insulation: basement. Install new vinyl,floating floor ari-d trim "Fee Paid' $85.00 Final: ' Date 6/18/2018 Reviewer's Note:Basement was previously damaged by water t' RMCK Plumbing/Gas ,g .stint Rough Plumbing: Project Review Req: Y Final Plumbing: Building Official' Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six,months after issuance. All work authorized by this permit shall conform to the approved application an the,approved construction documentsfor which thispermit has been granted. Final Gas: d All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning bylaw"sYarid 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 Electrical work until the completion of the same. ( Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officials vid are proed " 'this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:'` re_. „w w 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation - 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Mckechnie, Robert From: builtbyben <builtbyben@yahoo.com> Sent: Sunday, June 17, 2018 8:34 PM To: Mckechnie, Robert Subject: Re: application T6-18-1593, 14 Rushy Marsh;Cotuit The basement got water in it. Homeowners had a cleanup company remove sheetrock on 1 wall.and the bottom portion throughout. They have since had a French drain installed.and water proofing done to the exterior walls: This is the reason for the work being performed at 14 Rushy Marsh. Ben Dziczek 508-328-0356 - Sent.from my.Sprint Phone. -------- Original message -------- From: "Mckechnie, Robert" <Robert.McKechnie(cr�,town.barnstable.ma.us> Date: 6/15/18 3:48 PM (GMT=05:00) To: "'builtbyben@yahoo.com"' <builtbybe�ngyahoo.com> Subject: application TB-18-1593, 14 Rushy Marsh, Cotuit Good Afternoon, The following information is needed in order to proceed with the review of this application: 1.) Could you please state the reason the work is being performed. This will assist in the review. Thank you, Robert McKechnie F Local Inspector Building Department Town of Barnstable 200 Main Street 1 HyaQ MA 02601 508-862-4033 I i r. q,. c &Vlicahoa Numb Permit Fee......... ... ..........other Fee.............{.......... s TotalFee Paid.......... .. .:.....:............................................ TOWN OF BARNSTABLE l P Approval by... .... ��'. .....— BUILDING PERMIT MAY22 ®�` 1vtap..... .,ll.... ...................PmmL..................... ................... APPLICATION ��0FBA?MS-FA s , Section 1— Owner's Information and Project.Location Project Address I , _ V fJ t4 morsk village COtU t Owners Name V Cy r Owners Legal Address WtSkop City State Zip OQU52 E-mail Owners Cell#,°' Flelen�buel�,l�r �qa`1 , Section Z-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet - ❑ Commercial Structure snide=35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement '❑ Family/Amnesty ❑ Fire Alan Rebuild ❑ Deck Apartment a Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description U. . , «, rt Jrr,11 ri M. J i srct nndaha&219=18 Application Number.................................................... Section 5—Detail Cost of Proposed Construction&6,J5 00o 00 Square Footage of Project VDU Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method [],MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ni'Y Chimney ❑ ❑ Masonry Chimn Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �X� I an using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No L Commonwealth of Massachusetts lug Division of Professional Licensure Board of Building Regulations and.Standards Constgq-_,6�n�SS4.3,ervisor r Lr Tres: 09/15/2019 CS-098646 ?. �� ' v BENJAMIN P-DZICZE. r; .l y 66 INDIAN TOAL �p DENNIS PORT MA 02.. Commissioner ,� ��c— e�pan�n�aoaacuealC�a��crrroac�c�eGth Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual --Registration Expiration =1b490.._ 02/13/2019 BUILT BY BEN BU;CLDING LAND REMODELING • - i i-l4•t- r�_y 'i �- • � BEN P.DZICZEK 66 INDIAN TRAIL DENNISPORT,MA 02639 Undersecre Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. • r > Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl Registration valid for individual use only ` before the'ezpiration date. If found return to: Office of Consumer Affairs and Business Regulation j 10 Park Plaza-Suite 5170 Boston,MA 02116 ; �- 'Not v Id w' out signature Job Details - Demolition s• ss - �~ - 1. Remove drywall, studs / an&electrical/cable on / external perimeter 2. Check pocket doors to see whether they need to / be removed or can be re- used / 3. Remove door structure and bulkhead steps for re-use �AY� paint from floo shin both) finished and unfinished area ------- , J �d �aX 61 � yak; MA Ven 75�1 3 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: Bulders/Contractors/EIectricians/Plumbers Applicant Information Please Print Le!?iblY Name(Businesslorganization/IndiAduai): &--i1 D Z_i Cze!j/ Address: �� `s�N 10a) -�ra-ll City/State/Zip: 5 C Phone#: ('5-32B-C65-6 Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(fiill and/or part-time).* have hired the sub-contractors 2.V I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance comp'insu ar'ce$ 10.�Electrical repairs or additions required.] 5. We are a corporation and its eP 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myselt[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Airy applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information. 1 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-cDntractors and state Wbetber 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 anal job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 e. 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifyepan ruyipj that the information provided above is true and correct: Si e: Dater 0/ Phone#: ® � offccial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#• Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if rrgnua D ❑ EUst oric District ❑ Site Play Review(if rzgmred) ❑ Fire Department ❑ Conservation ❑ For aonnneirlal w nk pkme take yoroplmts dWzdy to the free depwonmt for gpmvaL Section 13—Owner's Authorization as Owner of the-subject property hereby authorize �Z�7-e �C to act on my bebaK in all matters relative to work authorized by this biulding0 h/E f� O 3 5 (Address of job) 5—, 1 7 /8 Signat6v of Owner date Print Name t !L - U w Lanromd aAnula Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number 6OR'-,�'Z$'(� 6 Address 6C In d i w :Ea'\ City Qen(1 i--scr>r-1- State�—Zip 0aQ 9 License Number 9�5 6 q�; License Type . U Expiration Date -1 a-1 St Contractors Email u� o Y o Cell#,50$-3a 8S-o3 k e; I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation regnned by 780 CMR an the Town of Barnstable.Attach a copy of your license. Signature Date J Section-10—Home Improvement Contractor Name&f\ D Z 1 CZe k° Telephone Number AddressC91 JOA Tc-al� City. PJ1Lkk_ rl State MA Tip 02-09 Registration Numb Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation require by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number r Work Number I understand my responsibilities under th s and regulations for Licensed Construction Supervisor in ce with 780 CMR the Massachusetts State Code. I understand the construction inspection procedures,specific fi specti documentation regtiire 0 CMR and the Town of Barnstable. Si Date APPLICANT SIGNATURE r Signature Date '20—I Print Name&n �)z1 czt_r, Telephone Number it� E-mail permit to: .1 )Au Rpf,@)�60, co Section 12—Department Sign-Offs Health Department © Zoning Board Cif required) Historic District ❑ Site Plan Review Cif regir4 ❑ 6 Fire Department _ J. ❑ ,�• Conservation ❑ t For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization -sub as Owner of the uJ ect property yhereby authorize$eC� to act on my behalf, in all matters relative to work authorized by this building permit application for: l Rvs�u Mwssh (Address of j ob) Signature of Owner date Print Name i Last=dated:2/92018 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel implication # Health Division Date Issued �t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village C Owner t-tNt, t ACZ%t � ' V4 t- Address Telephone `"1 is Permit Request IF ` 1 C S 4 L-4Z0 SIQ a 1q' - V ryN Square feet: 1 st floor: existingosa proposed 0 2nd floor: existing ft proposed d Total new O Zoning District Flood Plain Groundwater Overlay I Project Valuation 30 K Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family J$r Two Family ❑ Multi-Family (# units) Age of Existing Structure 30 �e ef, Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: V Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area (sq.ft) DSO Number of Baths: Full: existing 2- new 0 Half: existing d new c7 Number of Bedrooms: 3 existing anew Total Room Count (not including baths): existing S new First Floor Room Count 3 Heat Type and Fuel: td Gas ❑ Oil ❑ Electric ❑ Other Central Air: R Yes ❑ No Fireplaces: Existing New d 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 ❑ Commercial ❑Yes 91 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION + (BUILDER OR HOMEOWNER) Name �� � �!v��l am Telephone Number 7 7 �+ `7 7 Address 16 W kS 'PON-D -0e License. # S " � n. w�Vy %. O p y y Home Improvement Contractor# 2 J y Em �L�,gr�SCdjy����h��ri�• "Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR JECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. t ADDRESS VILLAGE . OWNER E: m: DATE OF INSPECTION: Y. FOUNDATION rl FRAME INSULATION 1?jldlq T„ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 't GAS: ROUGH FINAL I FINAL BUILDING _. G' - F DATE CLOSED OUT ASSOCIATION PLAN NO. ' 4 t, d ortTH , Town of B arnstab!.e �w Regulatory Services aAxsTae 3 Thomas Y. Geller, Director Building Division ,. Thomas Perry, CBO,building Commissioner' . 200 Main Street, Hyannis,MA 02601 . . prww.town..barnstablama.us , OiMca: 50s-862-4035 Fax: 508-790-6230_ ' PLAN REVUE Owner: Map/Parcel: o l Project Address I� I��.SN1�. 1►'1flieSH RQ''Builder: -EFF'2UYZ� LT VV\S The following items .were noted on reviewing: S-�5 0 0 fvwL16T Co w\eLH z Sf—ALED 1 StkU -�EiJ 3 STf�s- `� Iv�s'T" Cori P L� W 7730 C M'k,, LEPT- MCS3"E -'Reviewed b�,; • bate: !/�d//. the Ctxmmomveaki't of Massat huseffs ffelsm'fin t of 1Wm3trid Acddents - ice of investigations Y Ofi Washingfoff&5 'eef B$vsba14 M4 02111 tvn*ty.�l�ass.godia 'workers' CGmpensaf an Insurance Affitdav&Builders/Cantara:ctors/MedricianMumbers Applkant Information Please Print Legibly Name tOz *: Citytstat Zl p S 0 ,,)1,�.A�� o one Y v r. 3— ? Are you an employer?Check the appropriate bGX; T of o'ed.. ,r 4. I ain u contractor and I 3'11e �' J ����� 1.❑ I am a employer with ❑ � ti_ ❑New a�st action employees{full andtorpmt-#ime}* have-hiredthe sub-contraciors ling 2-19 I am a sole proprietor arpartner- listed on the attached sheet 7- JN�nQde ship and have no employees These soh-contractors have S_ ❑Demolition worng for la and have workers' kim,e in any capaci�� �' 9. ❑Building addition [No,workers' comp.inmrance 1 required] 5-❑.We area corporation and its 10❑Electrical repairs or additions 3.❑ I am a homao mer doing 41 work of&czts have;eg+ercised their I1_❑Plumbing repairs or editions znyself [No Work m,oomF_ fight of exemption per MGL', 12-0 Roof repan's insurance required-]1 c-15Z,§1(4},and we laze no employees-[No wo&em' 13❑O.H1er comp-insurance regiriresi.-j *Aay vMUc= &zt checks boa-1 test A fM out tfie sectinu b9ow slww*g$tea woff em compensadGat polite Snmeov+nets rrrhxs subnsit this affidavit ing they aze dying trozk and then hoe outside coutnicmts nmst submit a aidavit mchrating such_ lContmctna that check this bore must attached as a[3ditinnsl sheet s wwhig the name of Ste sab-cozft:K�and state Whether ornot 6in5a.056Iies have employees. If the sob-tnatmctors have emgIoyee%they-rat Provide their warkecs'Comp.pa)icy a,omher ' I am atz elnployw.fhed isprai idLV workers'cong7ensadon it=rarme for my emptnyeas. •BeIaw is fate po7ic}ruid,}ob site informafiom "t Insurance Company Name. "'t Policy;g or Self ins_Lim ` ExpiratioriDate. Job Site Address. City[StatelZip: Attach a copy(if the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure catimrage as reTnredunder Section 25A of MGL c. 152 can lead to the impositian ofrriminal penalties of a fine up to$1,50G 00 andlor am-year impri as well as civil penalties in the form of a STOP WORK ORDER.and a fins; 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 _ lmrestigations of the DIA for insatratnce coverage v-eriffcatiorL I eta hemby certify cinder the poi andpenatfies of tJlatthe inforrrtafion praiided abiwe is flue and correct Simature: bate_ is Phorie# 7 7 y`" ..Sdg> — . l 7&7 Q icial use art£}'. D&not write in fFzis area,to ba CQFnplete+d by cif} or town a iciaL or Town-. PermitUcense# Caty. Issuing Anthardy(tdrde one): L Reard of Hearth 2.Budding Department I Cft drown Cleric 4.Electrical Inspector S.Plumbing inspector &Other Contact Permm: Phase(tr 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, .express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6).also sus that"every state`or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct building`s in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance vzth.the in�ce requirements of this chapter have been presented to the contracting.authoritv." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situaZon and,if necessary,supply sub-contractors)name(s), address(es)and phone niiinber(s)along with their certilficate(s)of insurance. Limited.Liability Companies(LLC)or Limited Liability Partnerships(LLP))Nith.n.o employees other than the members or partners,are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees,a policy is required. De advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of m' s rrance coverage. Also be sure to sign and date the affidavit The of adavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Deparrtment at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you retarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be-provided to the applicant as proof that a valid affidavit is on file for f aturt,permits or licenses. A new affidavit must be milled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Ike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: nt] Commonwealth ofMassachusotts Degaz4ment of lndustial AQCidmts Qffice of Iavf' tiga tiaras 600 Washingtan Suet Boston=MA G21 I I TeL#6I7-727-4900 at 406 or N MASWE Fax#617-727-7 749. Revised 4-24-07 www.mass,gciVaa Massachusetts -De artrhent.of Public Safety c P Y � �/e�anunaoau�ea//a���aacficcQeC/J Board of Building Regulations aud Standards -(1�1- Office of Consumer Affairs&Business] Cons"truction`S4ervisof OME IMPROVEMENT CONTRACTOR- License: CS-103504 I egistration (.-02458 Type: I; xpiration- DBA I: JEFFREY L WIL - c 1E 10 WEEKS PONDiDI� J L WILLIAMS CONSTRUCTION C© II FORESTDALE MA 02' 4 � s� JEFF WILLIAMS t t \ I 10 WEEKS POND DR`" ., Expiration FORESTDALE,.MA 02,64.4 015 I Undersecretary" PP Comm 12/14/2 jssione� !� Liceifse-or.:registration.valid.fo.r individut,use only ;^. before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation j 10 Park Plaza-Suite 5170. j a Boston,MA 02116 N val' out signature THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A , I I / � �G�"- L DATA r ` _ 0 C= ���rs. 0 ME mmm-mm. . I mmmmmm 0 Eli 102 IMMUNIENNEENEEM MEN IN a, MOMMEMMEN ME IN 0 0 1! mimmm m "MEolljmmmm I I IN IN m MEN if 0 1� No MIMMEM IN IN 101 ME x ME IIN RMINMEMIMMIEN No MEMENIM ISM N MIN no ONE mmos�wn �1- mml 0 zhl� MEN IN ON IN NONE ME m oil IN ON Mors Wammloillbollmom" law IN IN ME MANSIONS! EM lim IN JIM m IN SEEMS! IN M.;!-, WIN 10 INEWM""mms IN ME MEN ME MMlNlw�w,ll"mml ME E 0 ME MENOMINEE a immilm IN mommommommm ism MEMMEME MIA'OWN 0 ME ME mom ON MENNOMMMMMMMMMMMMIN MIN mom Parcel. Detail Page 1 of 4 q aAaL.rTARrE `'o LtT ,o�;.f Logged In As: Tuesday,April 24 2012 Parcel Detail Parcel Lookup Parcel Info Parcel ID 019-017 I Developer Lot T 150-A&B& 151-13 Location 114 RUSHY MARSH ROAD �' I Pri Frontage jr282�Y Sec Road POPONESSETT ROAD I Frontage 200 village COTUIT I Fire District COTUIT Town sewer exists at this address No I Road Index 1395 Asbuilt Septic Scan: Sri P Interactive , 019017_1 MapI Owner Info Owner PERKINS, LUKE& MCCARTHY,ALLISON I Co-Owner F � 77 7 _ I Streetl 11 ABERDEEN WAY,APT 104 I Street2 _ I City(CAMBRIDGE I State MA Zip 10�2138 Country Land Info Acres 1.19 Use Single Fam MDL-01 ( zoning RF v Nghbd 0106 - Topography Level I . Road ,Paved Utilities I Public Water,Gas,Septic I Location. �I Construction Info Building 1 of i Year'------'-i 984 Roof uct GGable/Hi - Ext Wood Shingle Built I Strucf+ �vT p Wall� g Living 1 1350 Roof Asph/F GIs/Cmp 1 AC Central T J Area- cover Type w . Cape Cod I Int stered Bed Style Pla Wall Rooms 13 BedroomsInt Bath ModelIResid�— ential--� I Floor Hardvvood Rooms 2,Full : _ Heat Total Grade[Average I Type Hot Air I Rooms 15 Rooms ( s Stories 11 1/2 Stories. !! Fuel Gas Fund- Poured Conc. J eat. ation Gross 1_3140 Area I Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=666 4/24/2012 Parcel Detail Page 2 of 4 Issue Date Purpose Permit# Amount Insp Date Comments 10/5/2005 New Roof 87329 $5,800 9/2/1984 B26945 $60,000 3/15/1985 12:00:00 AM CO 9/1/1984 B26945A $0 12/15/1985 12:00:00 AM CO 1 1/2S Visit History Date Who Purpose 2/8/2012 12:00:00 AM Jeff Rudziak Sale Review 1/25/2012 12:00:00 AM Nancy Finch Sale Review 3/21/2005 12:00:00 AM Paul Talbot. Meas/Est 8/28/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 7/23/1999 12:00:00 AM Frederick Stepanis Meas/Listed-Interior Access 3/15/1985 12:00:00 AM FR Sales History Line Sale Date Owner Book/Page Sale Price 1 7/6/2011 PERKINS, LUKE&MCCARTHY,ALLISON 25548/198 $330,000 - 2 10/15/2009 MARGOLIUS, MARY R 24095/344 $0 3 8/15/1988 MARGOLIUS, GARRY J &MARY R 6394/325 $195,000 4 9/15/1986 GROVER, PAUL E&LISA 1 5303/307 $1 5 5/15/1984 GROVER, PAUL E&CARY C 4097/185 $25,000 6 8/4/1977 MILLEN,GENEVIEVE H 2559/281 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $120,000 $25,100 $5,000 $210,500 $360,600 2 2011 $143,200 $4,900 $0 $244,500 $392,600 3 2010 $142,700 $4,900 $0 $258,000 $405,600 4 2009 $150,800 $3,900 $0 $259,400 $414,100 5 2008 $159,400 $3,900 $0 $289,700 $453,000 7 2007 $158,500 $3,900 $0 $289,700 $452,100 8 2006 $155,400 $3,900 $0 $284,000 $443,300 9 2005 $157,100 $2,700 $0 $188,800 $348,600 10 2004 $129,700 $2,700 $0 $188,800 $321,200 11 2003 $112,800 $2,700 $0 $103,700 $219,200 12 2002 $112,800 $2,700 $0 $103,700 $219,200 13 2001 $112,800 $2,900 $0 $103,700 $219,400 14 2000 $100,200 $2,900 $0 $67,200 $170,300 15 1999 $94,200 $7,800 $0 $67,200 $169,200 16 1998 $94,200 $7,800 $0 $67,200 $169,200 17 1997 $94;000 $0 $0 $62,300 $156,300 18 1996 $94,000 $0 $0 $62,300 $156,300 19 1995 $94,000 $0 $0 $62,300 $156,300 20 1994 $93,000 $0 $0, $70,100 $163,100 21 1993 $93,000 $0 $0 $70,400 $163,400 22 1992 $105,500 $0 $0 $77,900 $183,400 23 1991 $98,800 $0 $0 $83,000 $181,800 24 1990 $98,800 $0 $0 $83,000 $181,800 http//issgl2/intranet/propdata/ParcelDetail.aspx?ID=666 4/24/2012 Parcel Detail Page 3 of 4 25 1989 $98.800 $0 $0 $83,000 $181,800 26 1988 $75 200 $0 $0 $41,500 $116,700 27 1987 $75,200 $0 $0 $41,500 $116,700 28 1986 $75,200 $0 $0 $41,500 $116,700 Photos ftl w �5 f F � i A y� Y p d ' 4 K http:Hissgl2/intranet/propdata/Parc-.IDetail.aspx?ID=666 4/24/2012 _.• _ ii � '� '•+�, v:-,� ,g ��`�x+~ %„a.� Nye �" r y�. A - �.�. xkaaa".. 9 ¢ ro ''y+,.' 5 Ar: � .:1..�--•,-�. � � �^� �.;�e`ar,' :ADn :{�}'���t�4\., - --.d..._.s..__-wry_.c. b - 'fN .77 "q9y�. a.�zy.- .,..�-+w+ * ,"k-. -�. �. k'"`' �% r,,, &n ar +.1 ti•. as IM a . '.*Z Sn ir1`x �e � 4 � Alk, I off. I I ��• 1 II Assessor's map and lot number ............... . *THE T lSewi;�ce Permit number ...... ..... ........ .�.......... ......... ia9..1. D 10 C �' W1118 TITLE t MAJUSTAILE, House number ........................... ................................ - rnsa y� a Oak C ►�E�'��R�l�i�>Fd�t+���# �!_ . _ . .� o�re39• D a' TOWN OF BAR.NSTABLE G .1,4 RUILI G SPECS • 1 , S 'APPLICATION FOR PERMIT TO ....... 1..... . "•'••:/�� �!•��� ••��•�•• TYPE OF CONSTRUCTION ..........1!4rolo..... ............................................................................ . a..............., (..........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies `for a permit according to the following information: .. ... . ... s location ......................................................L.f� /ti0.e.s �� � �i� .? !- . ... ProposedUse .. ��. — .................................................................................................... ................... /- , 1. Zoning District .... ./.`•....�...............................................Fire District ...� ................................:..................:. ' ,L .. . .. / .....Address ...`o . .......4,,e%...... y� t Name of Owner . Name of Builder ....0K!�G�.... ........................................Address ......... :.................................................... Nameof Architect ......................................I............................Address .................................................................................... Number of Rooms .. .................................................Foundation .VU ie6....... ... y..G........................ / C� .w... ,�-+/ .. .... .............................................. Exterior ....(.(/.�!.�/..�......4(�-��4!�:!�.....��!�4�'1..�.�..;.Roofing ....L.fS ��l..l. .. Interior ....... /L GI���� Floors / ................................... ... :........ Heating ��f,............ . .............................-..— .— —Plumbing ..........:.......60-4 ............................... 4 Fireplace ..... ......................................._.................,.............,.Approximate Cost ........ rat................. .......:.............. ` Definitive Plan Approved by Planning Board _ --------_-----—-----------19______ . Area ................ ....................;z......... Diagram of Lot and Building with. Dimensions Fee ,� �' .... �............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... r r. ... :..... .. .. ............. ....................... Construction Supervisor's License oft..er........................ ...... GIZOVER, C AREY & PAUL c. 4: "I {,a} ti .S �f�' t". dYr i. .rr.. :�" {•7 �.�. - - i M - .. - 18 `4o ..2 94.5.L Permit .for 12............................. ' f _ , n .......... S1r ,�..E'e3IC17,].T17.. ��1X]�p ................... 14 Rushy Marsh Road ' Location ................................... ...... ...... "C 14 a yT COtlllt :"u4 • ` '�C '' + Vs +.r ; .. ......................................................... . .., :T§' ip r JL f• r y. s. 7 W Yt t., Carey i& Paul Grover, Owner ....... .... Type of Construction • .. ,m ..' s t t° y .................................................. . . .................. Plot ............... ......... Lot-^ "P............................. Permit Granted September . Q,,. .. .19 84 Date of Inspection/ 27 .... 01:1 7 '. r e,5 � �.�' _''� !r Date Com eted k , . Eli ji 7 !,'.. • - ram' - fl ^!�` ,y./f s I .4 ., �' ... 4 � r t�• i YF 6 t � �- IF 4 }. •t. .. .' '._. ��1 r. __._ .. :_ `._ .._:.�.: -r. � , t - ,w..Pii.ra..a :=.;i v rc'. , TOWN OF BARNSTABLE 26945 � Permit No. _____—___�___ � e Building Inspector I ��.n, ; � � Cash yew• � , OCCUPANCY PERMIT Bond Issued to Carey & Paul Grover ,. address 14 Rushy Marsh Road, Cotui: Wiring Inspector ��' %_ Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department �" Inspection date Board of Health _ '' i�> 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 MASSACHUSETrS STATE BUILDING CODE. .................................................... . 19.......... .................................................................................................................. Buildinh Inspector � r 1 TOWN OF BARNSTABLE _ BUILDING DEPARTMENT ssaiaT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 '�'Eo rnr►• MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #. ............ �.,7i.. ........ ....................................................................................................................... issued to ......... (,, _ l1,<,/ •` '- . 1 !/t.,Q'dll/1.......................................................... » ..... _. ._...__w. »w� Please release the performance bond. ' s Assessor's map and lot number ......... ..L.7.1.../..................... Sewog'e Permit number .............7V:�13)---1...... ......... L BABd9TULL, i House number ................................. •::. ................................ qpo rb e e� 3 �0 DMA a. TOWN : OF -.-�A .NSTA T U . �: • BUILDING 114SPECT011 ;APPLICATION FOR PERMIT TO ... .. ...... ...................................................... ....... .............................. ..I....... TYPEOF CONSTRUCTION ..............................:...................................................................................................... s ................................................ F f. TO THE INSPECTOR OF BUILDINGS: n, The undersigned hereby applies `for a permi according to the °Ilo ip(f r �j (i � - C M ?7 Location .........................................f...................................:........................:.:. .............................................................. '........,.'..................................:........................ ....... ..... . ..... . ......:. ........: ::.. ;... Proposed Use ,..:................... .., Zoning District ...................Fire 'District ......... .... .�..../................. Name of Owner ress ..... ... ...... ......... .... ....... ... ... ....... .................. .... ........ ....... .. ... .. �.. Nameof Builder ...................... .................. ............................................................Address . ........................... Name- . ........:.........................................................Address t ,, Number.of Rooms .....LJ........................................................Foundation ............. .... .... ........ .............. ............... -: c........ � � %6l1C/�a:...Roofing .....'-^:.%��'! i /� Exterior .... . .... .'`��....:...... .... ...:............. ...........:................................. Floors :..: ! f: .........................Interior ....... _ . tin P ...... ..� ......... . ..........`.......... ......` .......:. .. .::::. PlJrrjbrng ., /� .......__ ............................ ...Approximate Cost..._,_... .��� ............... .... ........ Fireplace .... . ......... QY Definitive Plan Approved by. Planning Board ------------- -19--------. Area . ...............:. . Diagram of Lot and Buidd}.n with. Dimensions, g. Fee ............ �.. SUBJECT TO APPROVAL OF BOARD OF HEALTH p b i , 1 • 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 .................. - Construction Supervisor's License .................................... -G_ROVER, CAMP & PAUL No 2F�945:.. Permit for ....................................12 Story 4 r ' _ "a -t ire �r . .. ..........angle.. audly..Wali.ng... ......... 14 Rushy s,. r- s Marsh Road �. = x tµ. Location ... p. �, zs„ oTX : d �y ' Cottait .... .. .. ....... .. Owner ....Carey & :Paul Grover .. Type of Construction ....Frame.. Plot ...................... ..... Lot . ............................. r, r, September 10, 84 � ' Permit Granted ..............19 t-; Date of Inspection,'...! .... .. . ....19 Date Completed .. ...... .....19 > ,_. {, �, x ,• lk v,D rC •�" `. r.,r' '' ..t ; 1 - � a �� - .. �t . •� r i• 7 wa <f ' F Y r }`i.'•�4. f u(� # y i )OSEPH D. DALUZ TELEPHONE: 775-1120 Budding Commissioner EXT. 107 TOWN OP. BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 22, 1987 Mr. -Paul Grover 14 Rushy Marsh Road Cotuit, MA 02635 RE: Assessors #019-118 Dear Mr. Grover: The property identified as, assessors map 019, lot 118 consisting of .88 acres would appear to be buildable from the information you ,fur- nished from the Registry of Deeds. Prior to 1957 the area was zoned RB-1 with a lot size requirement of 10,000 square feet. In 1957 the zoning was changed to RD-1 with a lot size requirement of 20,000 square feet. In 1973 the zoning was changed again to Residence F with a lot size requirement of one (1) acre. The property has been in separate ownership since 1950 and subject fo the regulations of the Board of Health a building permit could be issued. Peace, puilpd h D. Da uzing Commissioner JDD/gr C'�OC/fERs Iv i3•R.8 �J O i_- FN O -z-v, `( V EXIST�Ny CONC• FOUNT/o N _-N P 7 5-11 380± r 0 1 `VI I.J z(f)NE �F SETdNL I�5 FRO/CIT. ZD' POP�NESSE TT OA p r�,El4r�• I�� SLOT rHE S T RuC ruRE S SHO wN wERE IN L OCA rEO ON rHE GROUND ON s�n 77 90 s 4 , Mi4 SS. rIVIS Sxf rcH /S FOR 100-1 O-' 'A"N PURPOSES ONL r AND SHOULD SEP r NO T M USED FOR AN r OTHER PU OSE. a �jN OF,yg CAPE OEE TANTS NT PR/SEC ROAD 76 C. NrANNIS, MASS REG/STEREO L AND SURVE rOR FRANK c WHITING Irl v No. 29869 t i �ti�CIST���,�0�, PRO✓ECr NO. 03- /a76. o/ SUR%J 1 FND CY EXISTINy P _ q6. ti --N TOTI14 L 4RE1=+ 5i, 38o+ r r 00 -. SFra�Ks ' FROII/T: 3O' POPBNESSE Tr ;00.z.q/V THE STRUCTURES SHOWN WERE IN L OCA rED ON rHE GROUND ON S�n7. 4- 9�4 U/ T' oT MASS. rH/S SKETCH /S FOR PL oT RAC PURPOSES Oft Y AND SHOULD SEp r J7 Nor 8E USED FOR ANr O rHER PU OSE. P& OF Mq CAPE COD SuRVEr CONSULTANTS 76 ENTERPRISE ROAD NYANN/S, MASS REG/STEREO L AND SURVEYOR FRANK o WHITING -+ 'JI No. 29869 <i FC/S7E �0� PRO✓EC r NO. 03- is 76. of Su ROE y