Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1560 SANTUIT-NEWTOWN ROAD
�. f �� ��*a i 11 Barnstable, Building Town of s Post This Card So That it is Visible From the Street Approved.Plans Must be Retained on Job end.th�s Card Must be Kept' PostedrUntil Frnal,lnspection.Hes Been Made r 4 L �� u . , Permit ,aa<" Where a Certificate of Occupancy is'Requ iM reed,such Building hall Not be Occup�eduntilra F nail Inspection has�been made .. d. Permit No. B-20-612 Applicant Name: Paul Eaton Approvals Date Issued: 03/19/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 09/19/2.020 Foundation: Location: 1560 SANTUIT-NEWTOWN ROAD,COTUIT Map/Lot 024-016x-- Zoning District: RF Sheathing: Owner on Record: PINTO,WALTER&DANIELA Contractor Name: LFPAUL A EATON Framing: 1 Address: 233 HATCHVILLE ROAD Contractor License CS-0�88720 2 EAST FALMOUTH, MA 02536 Est Project Cost: $38,000.00 Chimney: Description: install 11.025 kw solar panels on roof.Will not exceed roof.Panel, -Permit F e: $243.80 but.will add 6 to roof height. 35 Total panelsi Insulation: / Fee Paid' $243.80 Project Review Req: { Date: 3/19/2020 Final: Plumbing/Gas v Rough Plumbing: fficial This permit shall be deemed abandoned and invalid unless the work authorized by thispermit is commenced within six months after ussuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws and codes. Rough Gas: 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 work until the completion of the same. x Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection � * 3.All Fireplaces must be inspected at the throat level before firest flue l ining is installe Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Perso con with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Buildingplans are to be available on site p Fire Department -ate 1 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final M ` Town of Barnstable Certificate of Zoning Compliance Certificate 2018-40 Map 024 Record Owner: Parcel 016 Address 1560 Santuit-Newtown Rd Federal National Mortgage Association Village Cotuit PO Box 650043 Dallas, Texas, 75263-0043 Zone RF Single-family Overlay Wellhead Protection Resource Protection Overlay Year Constructed— 1940 Property Use: Single-family dwelling Lot Size 0.22 Setbacks: VACANT Front Yard 30 Side Yard 15 Cert of Occupancy Issued: Yes_ F Rear Yard 15 Date Pre-dates records Permit# Open Permits: Yes Code Violations: See below: Open Permits: 64 Sq Ft Addition for H/C bath issued May 31, 2002 Building B-61444 No final inspection Electrical E-64679 Failed Plumbing P64879 No final inspection Zoning Violations: None Ordinance References: 240-14 RFResidential Single 240-35 Groundwater Protection 240-36 Resource Protection Overlay Attachments Provided: None Reviewed by Title Date: Robin C. Anderson Chief Zoning Officer 6/20/2018 Commonwealth of Massachusetts ~� Town of Barnstable roa 200 Main Street(508)862-4038 PERMIT REPORT BY ADDRESS Address: 1560 SANTUIT-NEWTOWN ROAD,COTUIT <. .. , •;� � rk Descrl ptton .;I , 3.Su Owl' nsRact ion , Ins „acted, n ,lns s- tatus Comment: B-2012-07144. Closed Addition/Alteration- 024-016 CAPE"SAVE ADD R-38 CELLULOSE Building Insulation 2/5/2013 Pass JLAU:AS,PER Residential jT0 THE ATTIC..ADD R- AFFIDAVIT 14'FIBERGLASS TO SUBMITTED BY. THE BASEMENT BOX CONTRACTOR SILL.DENSE PK r WALLS R-13 CELLULOSE AIR SEAL B-2015-05986 Closed Siding/Windows/Roof/Door 024-016 CAZEAULT,RICHARD RE-ROOF STRIPPING s JR OLD B-2015-66353- Closed- Addition/Alteration- 024-016 CAPE SAVE ADD R-11 CELLULOSE Building Insulation 10/20/2015 Pass JLAU:AS PER Residential TO.THE ATTIC AFFIDAVIT SUBMITTED BY N. CONTRACTOR B-39572 Closed Siding/Windows/Roof/Door 024-016 TOBEY,EDGAR F& REROOF EXISTING s CECELIA V HOME B761444 cCl ' Addition/Alteration 024-016 NICKERSON.M.K._ ADD&X8'BATH H/C Building Frame 11/12/2002 Pass ose� DMAT: 4IResidential E-64679 Closed Electrical Add/Alter - 024-016 RP HINCKLEY&SON ROUGH WIRE BATH Electric Rough 10/24/2002 Fail ADOH: 1 <500SF CK#4860 - P-64879' Closed Plumbing 024-016 GILMARTIN,DAN, 5`FIXS CHI4648 Plumbing Rough 11/7/2002 Pass EJEN` b � Total Permits: 7 14650 459 • i PEMCO LIMITED 24537 DATE INVOICE NO COMMENT AMOUNT DISCOUNT NET AMOUNT 6/7/2018 6000489536 1560 Santuit Newton Road 75.00 0.00 75.00 J J w � Check: 024537 6/7/2018 Town of Barnstable 75.00 I jaiPEMCO ll L I M I T E D PEMCO-Limited 4600 South Ulster Street,Suite 530 Denver, CO 80237 _ _ C _= Z2: Town of Barnstable ATTN: Robin Anderson W 200 Main St w Z Hyannis, MA 02601 En _ tw Date: 6/6/18 r i rn RE: Code Violations Search Dear Building Dept, Please see attached check for the $75 search fee required by your municipal. PEMCO Limited represents Fannie Mae,the owner of record of the property located at: 1560 SANTUIT NEWTON ROAD,COTUIT, MA 02635 We would like to request copies of the following: 1) Copies of open code violations and summons(if applicable)attached to the property. 2) If there are open invoices or past due-liens pertaining to the code violations, please send copies along with the fee breakdown. 3) Send copies of code violation notices/letters attached to the open lien. Thank you for your time! Alanna Toomey Compliance Specialist Direct:-(720) 509-3244 Fax: (303) 284-8026 alanna.toomey@pemco-lirriited.com PEMCO-Limited,4600 S.ULSTER ST,STE 530,DENVER,CO 80237 1 f ss � `� � l� l/ I. ' � { I � �� T Town of Barnstable Certificate of Zoning Compliance Certificate 2018-40 Map 024 Record Owner: Parcel 016 Address 1560 Santuit-Newtown Rd Federal National Mortgage Association Village Cotuit PO Box 650043 Dallas, Texas, 75263-0043 Zone RF Single-family Overlay Wellhead Protection Resource Protection Overlay Year Constructed— 1940 Property Use: Single-family dwelling Lot Size 0.22 Setbacks: VACANT Front Yard 30 Side Yard 15 Cert of Occupancy Issued: Yes ®o Rear Yard 15 Date Pre-dates records Permit# Open Permits: Yes Code Violations: See below: Open Permits: 64 Sq Ft Addition for H/C bath issued May 31, 2002 Building B-61444 No final inspection Electrical E-64679 Failed Plumbing P64879 No final inspection Zoning Violations: None Ordinance References: 240-14 RF Residential Single 240-35 Groundwater Protection 240-36 Resource Protection Overlay Attachments Provided: None Reviewed by Title Date: Robin C. Anderson Chief Zoning Officer 6/20/2018 Anderson, Robin To: Alanna Toomey(Alanna.Toomey@pemco-Iimited.com) Subject: Certificate of Zoning Compliance 1560 Santuit Newtown Rd 06192018.doc Attachments: Certificate of Zoning Compliance 1560 Santuit Newtown Rd 06192018.doc Please find the certificate of compliance for 1560 Santuit-Newtown Rd,Cotuit attached. Please let me know if you have any questions. desb� Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 91 01 ®e N ��eal flf` aial S��b'9�0 NMOI P E M C 0 L I M I T E D PEMCO-Limited 4600 South Ulster Street,Suite 530 Denver, CO 80237 Zc Town of Barnstable ATTN: Robin Anderson w w 200 Main St - z Hyannis, MA 02601 — ca Date: 6/6/18 jv rin RE: Code Violations Search Dear Building Dept, Please see attached check for the $75 search fee required by your municipal. PEMCO Limited represents Fannie Mae,the owner of record of the property located at: 1560 SANTUIT NEWTON ROAD,COTUIT, MA 02635 We would like to request copies of the following: 1) Copies of open code violations and summons (if applicable)attached to the property. 2) If there are open invoices or past due-liens pertaining to the.code violations, please send copies along with the fee breakdown. 3) Send copies of code violation notices/letters attached to the open lien., Thank you for your time! Alanna Toomey a Compliance Specialist Direct: (720) 509-3244 Fax: (303) 284-8026 . alanna.toomey@pemco-limited.com i PEMCO-Limited,4600 S.ULSTER ST,STE 530,DENVER,CO 80237 tr. Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2018 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< Print Owner Information-Map/Block/Lot:024/016/-Use Code:1010 Owner Owner Name as FEDERAL NATIONAL MORTGAGE Map/Block/Lot G/S MAPS of 1/1/17 ASSOCIATION 024/016/ P 0 BOX 650043 Property Address 1560 SANTUIT-NEWTOWN ROAD DALLAS,TX.75263-0043 Co-Owner Name Village:Cotuit Town Sewer At Address:No GIS Zoning V e:RF W Assessed Values 2018-Map/Block/Lot:024/0161-Use Code:1010 P� 2018 Appraised Value 2018 Assessed ValuePast Comparisons Building $124,300 $124,300 Year Assessed Value Value: Extra $17,100 $17,100 2017-$242,200 �u J Features: 2016-$244,600 � v 2015-$269,900 2014-$270,000 Outbuildings:$2,100 $2,100 2013-$266,900 2012-$269,400 2011-$267,600 Land Value: $103,100 $103,100 2010-$268,000 2009-$290,500 2018 Totals $246,600 $246,600 2008-$290,800 2007-$290,300 Tax Information 2018-Map/Block/Lot:024/016/-Use Code:1010 Taxes Cotuit FD Tax(Commercial) $0 Cotuit FD Tax(Residential) $559.78 Fiscal Year 2018 TAX RATES HERE Community Preservation Act Tax $71.09 Town Tax(Commercial) $0 Town Tax(Residential) $2,369.83 $3,000.70 Sales History-Map/Block/Lot:024/0161-Use Code:1010 http://www.townofbamstable.us/Assessing/propert-ydisplayscreenl 8.asp?ap... 6/20/2018 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 History: Owner: Sale Date Book/Page: Sale Price: FEDERAL NATIONAL MORTGAGE ASSOCIATION2017-08-21 30710/258 $277000 TOBEY,CECELIA V ESTATE OF 2017-04-07 30408/128 $0. TOBEY,CECELIA V 2008-11-25 23283/239 $0 TOBEY,EDGAR F SR&CECELIA V 1953-10-23 856/543 $0 Photos 024/0161-Use Code: 1010 Sketches-Map/Block/Lot:024/0161-Use Code:1010 SAS �y -� D 2 A_ AS Built Cards:Click card#to view:Card#1 Constructions Details-Map/Block/Lot:024 1 016/-Use Code:1010 Building DetailoFu Land Building value $124,300 Bedroo USE CODE 1010 Replacement Cost $207,239 Bathro Lot Siz 0.22 (Acres) Model Residential Total Rooms 7 Rooms Appraised $103,100 Value Style Colonial Heat Fuel Oil Assessed $ Value 103,100 Grade Average Heat Type Hot Water Year Built 1940 Type None Effective 40 Interior CarpetVinyl/Asphalt depreciation Floors Stories 2 Storie nterior Walls Drywall Living Area sq/ft 1,990 Exterior Wood Shingle Walls . Gross Area sq/ft 2,790 Roof Gable/Hip p Structure' Roof Cover Asph/F GIs/Cmp http://www.townofbamstable.us/Assessing/propertydisplayscreen 18.asp?ap... 6/20/2018 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �Map'— �� Parcel Permit# Health Division Date Issued 3 j '6—L— Conservation Division Z� Z�`O-Z Application F e b0 Tax Collector ' 0�3 —(�oZ Permit Feey 0 Treasurer L ' 43--®o`- SEPTIC SYSTEM MUST BE C4k�)— Planning Dept. INSTALLED IN COMPLIANCE WN TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWIN R", � c0 ' i Project Street Address 4560 R y7 Village OU;i i T Owner &n6ffi2 Address /S'6d �Gw�ov✓it/ Telephone �0 E_ y-,_ 6 9,7 9 Permit Request X If- Fo< 4"voy ti.P Square feet: 1st floor: existing Cy ` proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation .2 o ovo c� Construction Type Lot Size Grandfathered: O Yes ❑ No If yes, attach supporting documentatl&''. - < N, Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) C' Age of Existing Structure 6, s Historic House: ❑Yes Q<o On Old King's High ay: ❑ Fes ;3 No as Basement Type: ❑Full Crawl 0 Walkout ❑Other o rn Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new —" Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas a- it Cl Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing --- New Existing wood/coal stove: ❑Yes a-No Detached garage: ❑existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name--- /� ci<��2s��/ Telephone Number .5 G,f^ Address '� '�t�15 t4/,Q y License# l''S 7 5�7iZbl L C— ZW Q1C Home Improvement Contractor# /0 0_56-0 Worker's Compensation# G!G , 3 —�7— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DO Yy o S iwC' SIGNATURE / DATE 4 FOR OFFICIAL USE ONLY it PERMIT NO. DATE ISSUED T!s MAP/PARCEL NO. ADDRESS''` VILLAGE OWNER r r. DATE OF INSPECTION: , 1 ' FOUNDATION � I , FRAME b�R-m U7 ! 9(�A INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL is �� � • .. GAS: ROUGH:A { ► FINAL ' FINAL BUILDING - K ' .hJ •~ `'` !;� �� fir. #- , ( / r DATE CLOSED OUT -� ASSOCIATION PLAN,)NO.J# t The Commonwealth of Massachusetts Department of Industrial Accidents t OfflCV 91117009NONs . 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance Affidavit name: A77 '110,CA�5 gSo i'u) location: /u � city 7 t k V I C C C phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workingin capacity %%%%%%%%%%/%%%%%%%%/ ////%%/%O/%/%%%%/%%����%/%%%%%%%%%/��O%%%%%%/�%/�%%%�%%��////%�%%%�//// am an employer providing workers' compensation for my employees"working,on this job..:: < '<': :.............:...........:.................................. . ................ acid>ess � !tii.' "'?:W.C•::"v Y/::i' ..............ii»:{•i:4>i: ........:.........................:..:.:.......................................................... ................................................................................................... :?i:^i::•:iiiii:isv:4:•i;}iii::•:is?:4:vi>ii::i:C•:>X:�:•>:?}!i;i:i>i:i.•i•i};is>::•:i::ii:i•i:.::�i>::4i: ....:......::?'Li:ih'::::: �:::::................... .......................................................... .. .... v::-::.�............. :: ':iv::':. .::^i:'i:>ii:v(:•:ii::'.:i:::�:::�i�..':::�:'Y.:: .:ii:ii::.::�� '.� i',:;>:;:}i....... .. ......<::::.............. , ':::i:::::i::'::.'::::::isr:'::':!':i::::::::•i:::i::ii::i:'�::'isv:::i::::iii:i::ii:i::i:':::};:!;;:i Yi:viii:i::::i'::i::::::�.:iii:i:: `.i::�i:>'.:):::::i:..:::...i:v:i:::':''':. ...:. ....................::::.�:•::•..... ... ......... ............:., rr!^°!:.............:.:::.::'::•i:v'•i::•::::'•i'...... .....:••ii.,:".i':•::::. •::::�..:::: .::..:•:: .::iM.:• :.iJ:.::m' :::.�:.:::•:•iii::i::C::i:i:i:iii:::::i:::>:::is .....:.:..:.....:.::.�•.;.. •-.:: .'l.•ii i •i>i:::::::•::..'::: is ''ii:ii:::::::.:::::::::::::::::•::.�::::::.:�.::::.-:;.i .: :::•i:. .�:: .�::.:� :: ::::::: •::::::::: :•:::::•n:::.�:•. tisurance:>¢if:»<:: 1 �=3 ;�.x:�:•;;;ii:..i .;, :: ofY...#.......... ....... .. ��... ,� ... ................................::. ❑ I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who.,,-. have the following workers compensation n polices: ::::::::::;:: : :. .:...: :::::: cfltu an <nam >< are •;:.:c:�>si:•;i:->ii:;•:::::::::::.�:.:::::.�:.:�::•:>::::::,.�:..:................................,.. r:.i:�i;:x•i:::?:•;::•i;•>:->:-::�:•:::�>:-::.»:.>:�::»:•::•>;r..>r:.i:;•:;-i:-:�:->:�::::•>:•::<+n:.::•>:: »>:�::<�::.>:;>:�:•:...:...... Y �i#:E;EEt;i;Ei ;i:'%`iii?i '%) ? `;<'i one d{i ::.a:::- ii•>:•»>::•ii}i:•:.i4>i:•::>i:tiv:v::•: 4:iii>Tfi i?: bi::•>:>:+•.ti:4:ii>:i:•>:.•ii>: :vvvv!i4:3>:-.:>+l�:�jeiii:i ��+�i"�iiii:;: . y.. ................ ................................... ......................................"...:... ... �j •....."""""":i" L•>i'-i>:ti•:::::::::::: :.:�:::::i•:i:.h:�::::^?i:-i:C:^iiii:i4:::.•i:•::::::::;::[::.}-(:h:vi:> o�'.�iM�i::�i::•:is�i:•is.•ii:ii::�iiiii::i•i:ti�::vi:::i:i4:i?:iii::C:::?:iL:•i:iN.:•i:i•Xi•i»>Y:i:<v'!j;i»:�: •:::..: :aclih ..................:::::... .... "`h c ��'04�'•':<:::::•<',::':Cv:;:ti:isi:�:�.i•:.:'•:.:����:?;�!?v;:.��������:!:L�:',:,�:�i:;:•:�::i;:��:�:;::::�::,:': !?};:;�:'';:i'{+�� iv;j��:':�ii:�:;:`:::•,:j�:: ll M112'�1ll:C.� Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up"$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification ___-- ._-----Id hereby certify-under-the pains- pe es-of perjury that.the-informationprovided-above_cs tru4_and correct----- ._.----- _:...._........ Signature Date �l�"�77 Z2 Print name SOnJ Phone official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office _01lealth Department contact person: phone#; ❑Other (c=tiw 9/95 PJI) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire, express or implied, oral or written. An Y emP to er is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of rise and including the.le al representatives of a deceased employer, or the receiver or the foregoing engaged in a joint enterprise, g g ep g g�� J trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a therein or the occupant of the dwelling house of dwellinghouse having not more than three apartments and who resides p lhng . v� 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 section 25 also states that every state or local licensing agency shall withhold the issuance or-renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 with the insurance requirements of this chapter have been presented to the contracting authority. . .: Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law"or if are required.io obtaida workers' compensation policy,please call°the Departiueni at the number listed below:. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom Ofr& affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please. r be sure to fill in the pernutlhcense number which will be used as a refeience number..T i6�affidavits may returned t �.._.. : the Department b mail or FAX unless othei arrangements have been made. - Y ;.. . The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. . please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of InYestigadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY M'r EDGE OF DECIDUOUS TREES ^ EDGE OF BRUSH ----------------- .- I__i ORCHARD OR NURSERY MAP 24 w v-v EDGE OF CONIFEROUS TREES 15 MARSH AREA 1 f 5 4 V EDGE OF WATER '- ___= DIRT ROAD DRIVEWAY E--PARKING LOT � E ---PAVED ROAD - - - DRAINAGE DITCH ----- PATH/)RAIL PARCEL LINE MAP# 21—PARCEL NUMBER ----- *leso—HOUSE NUMBER 2 F00T CONTOUR LINE --ice— 10 FOOT CONTOUR LINE EJauotion based on NGVD29 X 4.9 SPOT ELEVATION M-A-P 24 - STONE WALL -X—X- FENCE w 4& RETAINING WALL ---------- -------- � � RAIL ROAD TRACK STONE# 1560 SWIMMING POOL PORCH/DECK I----I 0 BUILDING/STRUCTURE DOCK/PIER HYDRANT Ep VALVE o MANHOLE 0 POST C7 FIAGPOLE T O W N O F -B A R N S T A .B L E 0 E O O R A P .N I C 1 N F O R M A T I O N S Y S T E M S U N I T ,o. so e. STOIWI Me w I'llu D Suffi IN RET *NOTE:lha map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimehia(man-made feaanes)were interpreted from 199S aerial photographs by The James - 1°=100'scale ma and m NOT meet of nY•Topography w8 p�OraPce by GEOD 0 UTIUTV POLE p TOWER w .. P W property boundaries.They are not true hlcafiola and W.Sewall Cemppaa and station were interpreted from 1989 aerial �. 20 40 National Ma Acwracy Standards at this do not represent adual reldonshi ro 1 ob'ea Cor ration.Planimewc;to and vagePation were ma to meet National Ma Aa ww Standards f:\dgn\conservation.dgn 05/23/02 09:38:17 AM •���n�,,.p � �q}a. �• i;'�.n'.: 4 "1 ^.M`4i:��?�JA' ':2,a�,• .�;a,'a�..RT!.,.,5,.. :�(:3!r .Qf n 'f _ 4";�,'.N'+ ... d * '7�' "', Q,. ^Y15'.:j , .� J, ,* i:4 R}•.T t i +,.,Ir i, ,11;q, x� j..�l�'y'• "?�.li ''� ,,sy,}''t�'.;.r,,.,. .t ..fig... `i3'b f's 4 Ct7sMoe� 3a1 a (A�PI1Ro�tr HArL) „= !t foiGrcavy aF `���F E>rr�ip� d0 vfvl rltaA KlcHpo a`�R�� CM'•�y,> �At 'd�►s f�ast� �Oo.p. Gl'GK aLA „ Q( AtO ,--7x lsr;,b h1DoS� 3 v T6 P,cyc,�ovD Rai QE's IZoc�,� -2Xlo NEx►DE� ?A9 A- O, �lz ebx >< G A� caQD 86MOVE EX kS7iN G 4c xG �V DOrh F�K�hl/4 LWCW o e T_y. co in S'� C0x �5� P�yl✓bOD G/Nl7Fi R�I }</ll i'J� �X1STiN � /bp So�✓� v �s S/ � o•�. � ND6�/Tiv►v 4 _ Prnrtipthe Pscks;a forams aad Tw,Fsmtly RddaaslslBs umw Hand with Fad Fads MAXIMUM A�YIIHUM 31ab l�agiCooling Glazing GLtriag Ceiling �ihll F7aor Htoemeat Ft d=w? B Area'(•/.) U.vsluc• R-value' R vsltw� Rrvdtu; p .B. om ti Package 5T01 to 6500 Hemstding Dust DAW Namal Q 121,111 0.40 31 13. 1 19 10 6 R 12% 032 30 19 19 19 6 Notmsi 3 i3 AFUE 12Y. . 0.50 31 13 19 'l0 6 T 1S'%. 016 . 33 13 2s -NIA N/f N° U lS•/. 0.46 33 19 19 .10 Normal 6 V 1 SY. 0.44 31 13 23 WA. NIA 1S AFUE W 15% 032 30 19 19 10 6 W AME X 18% 032 31 13 23. N/A WA Normal Y 11•/. 0.42 31 19 23 IVA WA N� Z 18•/. 0.42 32 13 19 10 6 90'+FUE AA 11•/. OJO 30 19 19 !0 6 40 AFUE T. ADDRESS OF.PROPERTY: d-7-v� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: /2 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S: SELECT PACKAGE(Q=AA-see chart above): ' NOTE: OTHER MORE INVOLVED MEMODS-OF DEIER[Vf MG-ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q.forms-f980303 a Footnotes to Table J5.2.1b: Skylights, and sk Y Glazing area is.the ratio of the area of the glazing assemblies (including sliding-glass doors o basement windows if located in walls that enclose conditioned space,but exeluditig opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded.from the U-value requirement. ft'of decorative lass may be excluded from a building design with.300 fl of glazing area- For example,3 g Y . = After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness. over the exterior walls without compression. R 30 insulation maybe substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity.insulation plus insulating sheathing (if.used). Do not include exterior siding, structural sheathing,and interior drywall..For example,an R.19 requirement could be met EITHER by R-19 cavity insulation.OR.R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,Iog)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass.doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see TableJS-Z.la NOTES: a) Glazing areas and U-values are maximum acceptable.levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include strucmrai eomponeats. b) Opaque doors in the building envelope must have a U-value no greater than 03-5.Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U=value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c)if a ceiling,wall,floor,basement_wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). . 43 THE r Town of Barnstable P tiO " Regulatory Services * s"MSTABLE' r Thomas F.Geiler,Director 9QA i639 `fig DD tE0 MAV A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. `mot Date 3 'v 2 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Gr/,->bi7 2 ,,,E r 1/C Fr &9WEstimated Cost 000 c v Address of Work: /SG o /J/��✓y��,�✓ �� , Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: � 2? 0 7 ��KE�Son� Date Contractor Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav T1. Panvnw�e uea�ie'a�✓�aaaac�u�ae47a BOARD OF BU1LD.4NG REGULATIONS Lieehse: CONSTRUCTION SUPERVISOR eR� 014358 Numb Birthd�te Oft 1946 Ezpirq-A2 Fl b2~4 Tr.no: 12975 MELBOURNE NIG EIS r 13 THIS.WAYS— ;��k �%{ (. w•,�t,- OSTERVILLE, MA Adminlstratbr r -CNam T NONE INPROVENENT CONTRACTOR T? Regi, ration: 100560 Upiratiop: 06/19/2002 j Type: 'm •f I N.K. NICKERSON BLOO. 8 RE. ourne. Nickerson ADMINISTRATOR '3 :This day • I Ost.erville �, ,b t1A 02655 N�P`pF 1HE , The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services �p 1679• IEOM p Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW 'Q l Owner: ✓ Map/Parcel: 0 Project Address: �W v t/�' f fv Builder:, The following items were noted on reviewing: I (NA �A -iV,5 D iA� To 13 3 Reviewed by: Date: L gUilding:forms review REGISTRATION AND CERTIFICATION FORM: FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the-first paragraph of section 2 (foreclosing:party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 15(oO 05=r4=-)1 - Assessors Map#: C)2.y Parcel#: Ul Land area and description 22 Building(s)description and contents +1- c�� rl-N 1 �l Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: ° other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: 'INHas possession been taken If so, please explain and complete and file the Imaintenance and security plan form(unless exempt as stated above) � � t Section 2—Foreclosin P Information Foreclosing Party(full name%title) F—ltir—A -� Foreclosure Case Court: Docket# i Date filed: '6 12-1 1201-1 Current Status: Foreclosing Party's representative(s) for property (entry, management,repair, etc.)(name, title,): Company(if different from foreclosing party): Address: Phone: email: other: If an exemption is claimed,please do not complete the remainder. Other representative(g) (if foregoing representative is.primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information (i. e. "none" or"see above")). Name, title, other: _DPrVL 0 t-Vc_j Company(if different from foreclosing party): -yL> p-G-3A- R- Address: y53'3 PA-L� e-�o C'.l=tea=-V 44 Lj Phone(s):ZA-`f6S-K1 UU email(s):-J K�*lLco'z `/1 -other: C ,=A� Name,title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name(if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. nac.t.� ti-- Date: 511 t h Name: Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable f w a- .:: i}�����t.�r { L, J —AR��STABI REGISTRA'I ION AND CERTIFICATION F ORM>E, FOR FORECLOSING/FC3RECI OSEI?PROPERTY �' . . : .. _. :nafik You pr re9AStOrng.in accordance with'Toi ni of Barnstable Code chapter 224. sections 224-3 and 224 4 Please complete one farm for each property<-ln foreclosiure" R - (sect on 224.3)or already foreclosed for which possession has been taken(secttion 224 . 4). Please file the onginal wit lh lBuilding Commissioner and a copy with. e Chief of :; the Fire District in'which the property is located „ . : If you claim you Are exempt from registenng under Massachusetts law,please state the reasari{s}and complete sechoii l (property infannation}and the first paragraph of section"2 foreelosin{ g party, court, etc:'and foreclosing party representatt' but not other representatives and attorney)so that the Town can review the exemption and update its records. .. _. . . .. . . 1. Section 1 —Proi*Ay Information Property Address. 5I h 1 �t� ��-- � rAssessors Map'#: C'a2�-4 'Parcel# lo' Land area and description : =' 9 Buildings)descn tton and contents � + "� S mil'. .... P .:,.. _ + ... _. Occupied : ccupant(s)(zf borrowers so state and`:include naane(s)} . .. _ .. ... ..: : .. .. .. .. 1. . ._ :: Phone: email other: Vaunt i Date Anticipated hength of vacancy p O)(i Last oceu ants f borrowers so state aad include nameN .....: _! _ .... .. :.. Phone ` email other: . Has possession b . taken If so please explain and`complete a i file the maintenance and securry plan form.(uriless exempt as stated;above) Section 2—Foreclosin P Information 1. I' �t ,� Foreclosing Parry(full name/title).'� � s^C l Foreclosure Case Court: ��10 �2 Docket# , . q . . : . : 1 Dace filed;; I .1 �7Ct Current Status. i .... Foreelosig Party's representat�ve(s)for property (entry,management,repair, . : .. .. etc)(name,title;) s Company(if different from foreclosing party1. ) 4 Address,, .. . Phone A ema1.il other: If an exemption is claimed,pleaseF not complete the remamier. .. _. I. Other representahve(s) (if...-going`,representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters con. . ming.the,property and/or foreclosure;please so state and do not complete contact information(i a "Wane"or"see above")) Name,tithe; other11-vc'[� t . .... _ Y .... ... ::: Company;(if different from foreclosing party) t,JP "�A,fi. Address : 5B IA;U%-tLt C.I=T� .✓�.t.t Phones 1�6-��$t(A email s 'J 4.e� � �/�=�:.1���4 C-C, �c�--t O � ) . . _... o then: . . Name, tale, other: Company lif different from foreclosing party) .. . Address Phone email. .. other: . Attorney representing foreclosing party . Finn name(if different:from attorneys name). Address: ; Phones) email(§):' >. -`p.:other.' T acknawled e that the rnformataon rovided is accurate and correct I also understand g_ . p that any inaccurate information wall result in no comphance with section 224 3 of ehapter`224 of the.Cade of the Town of Barnstable. t -- Dater /t , Name Title .. . .. ::: ::. ::: :: ... .. .. ..,. .. Z::: .... .. ... ... ... ......:, ... ... ::. ..... ... .. -. ... .. ... ... :::,..: ... ..Fl :::: :. t' .:::: ::.::: .::: ... .... .... .... ... .... .... .:: -::.. .. ... .. ...: ... .. .. .. ... :..: ....... ....:..: .'.: E...... .......,.. -.. .... ... .... .. .. .... ....- .-. .. y ... -.. .... :: .. ... - ... .. -.. :i.. r �, �:: I hereby certify that the above-named foreclosing party is in corripliance with the provisions of section"224-3 of chapter 224 of the Code of the Town of Barnstable. '' . ... _ . _ . _ .. _ ..._ _ _. Date Building Cvnnmissoner,Town_of Barn table __ _ . . _. _ _ _ .... .. .. .:. :: .. .. ... .. ... .... F .. .... _-.::: ..:: ..... .. .... :.. F ... ... ... .. .. ... ... .... ..,: :: ...: ::. :: ::: s '.:.. . .. . .. .... ... .... ._. .... :: .. ... . <. .. . .:: ....". .... T .. .. :::'. :.:: ... .... :.. ..:: '.: :'. :: ., .... ... .. .. ..:. .. ..::i: :: . .. .... .... ... .. '::: .:: .. ..... .... .. .:: t ': ... ... .. ..• ... ... -.. - ..:. ... ... F :: .. .... .... ._. ._ .. .._. .:'. .. .... .... .... . .. _. .... .:.:: ::i a .. .. .. .. ... ._ ::; .. .. .. ._ _. ... .. ... .. .. .... t ::: ... ... ... ... .. .:t, :::: .. ... .. .. . .... ..: ... ........_. ....... ... .. :: ..: .... ..._ ... 6 .. s ... .. ... ...: ..r.: ':! ..: :: .. .. ::: ... ... .. .. ...i' xe .... '.::: . .. .. .. ., .. :: ..: .._. { F .. ....... .. ...... ::: .. . .. .. .. .... _. ... ... _ ,_. ..... ._ !. .!. p._. .... ... ... :'. .. .:: ..:. ... .. :: ,. .. :: ... ... REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please.complete one form for each property in foreclosure = (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are.exempt from registering under Massachusetts law;please state the reason(s) and complete section I (property information) and the first paragraph of section 2.(foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section I Proper1y Information Property Address: 15(=O `-fir�It.• Assessors Map# Parcel #: 02Ll-(31�,o Land area and description .22 12k=►•-c- 13uilding(s) description and contents Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant:, Date: Anticipated Length of Vacancy: Last occupant(s)).(if borrowers so state and include name(s)) Phone: email other: Has possession been taken. If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above): Section)2 Foreclosing P Information I Foreclosing Party (full name/title) c , Foreclosure Case Court: � ►�- -4 Docket# bC . . � ..�r..►-lgt to Date filed: Current Status: Foreclosing Party's representative(s) for property(entry,management,;repair, etc.)(name,.title,): .,,.,�-s J , C,o; Company (if different from foreclosing party) Address: Phone: email: other: if an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able.to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information (i.e. "none"or"see above")).. Name, title, other: IDA Vn HAMLX , VLY4L7tU;Z; Company(if different from foreclosing party): F ' Address: 11533 IP-41.y Phone(s)SJ%• $i33 email(s):7>4vt a— N-ocX C-:—:, other.: Name, title, other: ' Company(if different from foreclosing party): Address: r Phone: email: other: Attorney,representing foreclosing party Firm name(if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct..:I also understand that any inaccurate information will result in non-compliance with section 224-3:of chapter 224 of the Code of the Town of Barnstable. Date: Name: Title: I I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter,224 of the.Code of the Town of Barnstable. Date: Y Building Commissioner, Town.of Barnstable ,., .. .. 1. . .:: y.: .. _.. :. ..... ...:` .1 .. `: REGTSTRATION AND CERTIFICATION FORM £"I F B1. �' 1 T� �.& FOR FORECLOSING/FORECLOSED PROPERTY .. .... . .... ,'., 1 > t� . �{-{. } , Thank you'for registering m accordance witl Town of Barnstable Code chapter 224 sections 224-3 and 224 4. Please complete one form for each property in foreclosure (section 224.=3) or already foreclosed for which possession has been taken(secrion 224 - 4) Please file the!original with the Bwlding Commissioner and a copy with the Chief of V'a the Fire District�n which the property i$located LGW1R'�c- If you cla2n you are exempt from registering under Massachusetts law;please state the reasons and corn lete sect- 14 ro information and the first ara a h of O p (p p�Y � ) p l� P section 2 (foreclosing party, court, etc;'and foreclosing party representative)but notother xepresentatives and attorney)so;that the Town can review the exemption and update its records _. Section t ;Prope Information .�-- Prop: *.Address I (d�"7 �c-jr�c{-ij�t, 1��b� " , . Assessors Map#, Paicel# 02.�4-Ql< Land area a':':.:.:!n.::::�::,.& nd tiescnpuon # - t�C.r c-: B ulding(s)description and contents : , -- I 1 1„ c� :...: . ..r:. .. .:: .w... ....� ::.: .. f' . o t .. . .. .. .: ..Occupied Occu ant s° if borrowers s. state and include names j . p . O( .... O) . . , . ' , Phone " email other. Vacant Date : Anticipated Length of Vacancy Last occu—....U.1))(if borrowers so state and include name s ( )) ti2rx . . .:, l Phone Mall .:i' other: Has possession;been taken If so please explain and:complete and file the` maintenance and security plan form(unless exempt as'statei V ., .Ve) . . ... _ : :.. Section 2 Foreclosing Party Information : Foreclosin Part full name/tttle Foreclosure Case Court rr �k Docket# G ` ;' V, } .. .. _. .. .. .. 1 .. } \.� i I. .. ... .. .. .. .. .. i;: `:X.: .. { ... ... ,1 :: :: .: _. .... : :: . . ._ ... ....... .. _.; ...r, _ : ..Date filed. 4l2c i.tS Current.Status : :. Foreclosmg Party's representatives) for:property(entry,rnanagerrent,repair, v .� :: ; : etc)(name, title,) . C+c, Company(if different frorn;foreclosmg party) Address: . - . Phone:; email other. .. If an exemption is claimed,please;do not complete the remainder : :: Other representatives) (, foregoing representative is prlmanly responsible for pro ert andlor foreclosure and is most ikely to be able to address';town matters p, Y _. concerning the property Oar foireclosure,please so state and do nat complete cont act.lnformatlon(l e, "r1Qne"or"see'above")) . Marne, title, other. ✓ rC. k-►e:.t.�"" , Ystr-C.:*, : Company(if different from foreclosing party) ' ? Addressi C533 ��4l�^+�'�Ca.S"t`�C` �� t�"1�'t��lU. phones) psi 33 '!email(s) "Iv r� N-c7 cT other. �, ; � ,,�, Name,t.'tle,.other Company(rf different from,foreclosing party),, ` �. Address:. . .: Phone emul ' other ... :,:: ....._.. .... .: . . _. .. ... Attorney representing foreclosing party x : :: :: _.. ... _.. ... r ...:: :.:: ...... :: ::: :: :Yrt _ .'Ti rm name(if different from attorney's.name) Address: Phones) ,` email(s) other I acknowledge that the information provided`is accurate and correct I alsa understand that any inaccurate infarmation;;will result in non compliance with section 224 3 of chapter 224 of the Code;tthe.Tawn of Barnstable: . .; : . ., w :: .. `� -c��, .rf. a -, 1Lc.e1 .: Date; . .7 .. Name t, , Title.! ` `' - „.: ,... 4.: t.'.: : ... ..... ... .: V ..... .. .- .. ... ... ... ... - i ... ... .... .;:.. :: .. .: .: ... . .: :::. :: .:::: ,::: :: ... ..... .:. ....: .... ..... ....... ....... ..... ...... .... z ::t : 1. .. `.. :.. t: .I ...._.........._.. ..._....:. .._:,.._ ...... .... i :i . .. f...... >:'' ... .... .... ... ........... ........ ....: ..._ >. .__.. _. F .... ... ... y„ f :::.. ::. :. ... :... .:. ... .. .. ... .._. - . ... ..... , - ....., ... .: F ............... ................................................................. .......................... :::::::::i :i;: .::::::::::::::; :............ ...... ................................................................. ...... ......................... ....... ......... .......... ....................................................... ..... ............ . .. :: . , :,'::: : ::::::::::::::::: ..... ........................... I hereby certify that the above named foreclo`smg party is in compliance with.the provisions of section 224-3 of chapter 224.of the Code of�the Town of Barnstable Date: Building Cgmmissoner;Town�of Barnstable;, x .. r + ..... ..... ._... .._ ..... ...... .... ._.:. ... .... R r w V r � a' Y > 4 v .... .. ... ... :... ....... .... ...,:.... .....n� Y e� t: ..... .... .. .... i i ., .mot .. .., .. •. .' .. .. a ::: '�' � s t'. ARNSTABLE 6awm & FF�c �F Vic® �►� c� � YANS 'A , �A 367:Maln1YGls: war+id rw "i. M;yannis,;Massachtasetts 0260.1 39Q7' I'hore 508';862 462t} Fax 5'Q8 862 4724 RUTH J UU�It,Town Attorney ruth Wail@town barns ple.ma us T DAVID GUGHTON1aAssris,AnssXistawnntTAotonrn Att orney' cahvardlah CHARLSMct4U , ;s0.nugclhauognh(lin#o@wtno. 4,IN J wbanrhstabla.ma:us barn`sta6)e:ina.tas Septetrrber.1,f2017` VITA E-MAIL ptouerU ese>;ya6pri Jfanniemae cam I+annie Mae Proper t-+P esdvAtii n Re Iylassacl isetts RE0 Property 1:560 Santuit Newton Road,C'Afi MA TO Mlon It luny Concerti: Fannie Mae has an RE0 property at 1560 Santurt-Newton R`oatl,Cotuit 02G35 that has"}een rdentrfied by the Distressed Property Id:entriicaton aird Revttalrzatror Prograrrr ofthe Massachusetts; Attorney General. We ate wrrtiiig fq",deferrrtrne'what your rMP't�ons are as tq thrs propeilw.Ond ay. you p;pe"ct rt to retrirn ao produetrve� se:: You:should also;be aware that tlie,towq of Ba nstab,clj ppte6 an ordinance relating to vacant and for eclosurg propetres,Clapte► 224 of the Code:of the Town of Barnstable,:a;eopy of whrch rs attached',. As it relates to above referenced REO poperty.:,;,Section 224 4B rnairdates Sliat a rrrortgagee'of avacant property 1>avtng"tak possession or ownership of a property regrster.'tlre property with Barr stables bt►. ldrng,comrmsstoner and comply with the delineated mamteriance rega».ements. ou are=not repirp-; to;post a,bond,at this.-time. Please coitaet ine Fly September 15,2017 as to your ttentcors with this property, inchrdin a rehabilitation plan and estimated'date of cotnp'etton if}roux rritentron is to rehabilitate the property.;Also; PA ease provide proof of,qur eornplrairce wrth.:Ghapter•224,of th- Code,: fil anlcyou.for your prompt,attentron:to thrs,ri after W;e loak`forward to wiA4 with you; Very trulyyouz.rs, Ruth: e 1, rr ttorn y Towt of$ar s bTe . 367 Man�:St et; Hyaj nis, MA-02601 862:-4:62Q; RJWIs�r= , r Cape Save Inc. VA Of 7-D Huntington Avenue R South Yarmouth, MA 0266,VM3 ' Tel: 508-398-0398 Fax: 508-398-0399 1-15-13 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 1560 Santuit Newtown Road,Cotuit has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-38 Cellulose Walls: R-13 dense pack cellulose Basement: R-5 fiberglass foundation perimeter and R-19 fiberglass box sill All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey cR Cape Save Inc. ''f �i^ 7-D Huntington Avenue South Yarmouth, MA 02664 ' ip Tel: 508-398-0398 Fag: 508-398-0399 10-19-15 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St.Hyannis,MA 02601 . RE: Building Permit#201506353 TO: Building Inspector(s), f This affidavit is to certify that all work completed for 1560 Santuit-Newtown Road, Cotuit has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey - e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 01Ly Parcel Application,alAo qq Health Division Date Issued 1 � Conservation Division Application Fee Z� Planning Dept. Permit Fee �!J Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis .Project Street Address 15160 S A.A4%N1 l' - �A C w+o W tit Village C 0+UL,+ Owner C e c&�Io,_ -T obey Address Telephone 5 0 8- 418 - 61 -4 9 Permit Request Au 2-38 ee tk1050 -1,0 +1 P, a:W1,C,. ��d 12- 14 f thedau -tQ +he basemen' to Nim tack walls wTA R- l3 crl1%l Ox. r Sep) 4e 04k 110.nG unc; 6YCA64 With PxAa4d,q +-04M- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type.: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure I4 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas a Oil ❑ Electric ❑ 2Other Central Air: ❑Yes H No Fireplaces: Existing New Existing wood/coal stove: �0 Yes O 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 9 No If yes, site plan review # Current Use Proposed-Use, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I I C[is 6 Sae. _ I7x- Telephone Number 508 -3 9� R8 9 g Address _ - 41A61r4on tx License # .a-C, So xi k �Ann o iAA N D 6 6 K Home Improvement Contractor# Worker's Compensation # 1 C�33(2.O 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE / / i r � 't FOR OFFICIAL USE ONLY i r APPLICATION# DATE ISSUED E MAP/PARCEL NO. ADDRESS VILLAGE # OWNER DATE OF INSPECTION: r FOUNDATION FRAME >� INSULATION t• FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. '.. � � ��� r , F .• .46C3 West �'I air ,tx eat MA 0'1601--698 --ENERGY & HOME REPA-J'R CORPORATION ' ` TTY on all llnes 9 ptyy. HOME OWNER WEATHERIZATION WORK PERMIT$ FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE , ,THE APPLICANT HOME OWNER.'-''. /i I ' 'C''4 1�ogr hereby consent to and agree that weatherization work maybe done by the Weatherization am of Housing Assistance Corporation( hereinafter referred as "Agency") on the property located'at: J ]� i The weatherization work done will be based on programmatic priorities and,availability of funding and it may include all or some of the following measures: - . - •- ♦ • ; • o fey . Weather-s�[ piwg&caulking of windows:and doors, insulation of attics,.sidewalls basements, attic and other votilation measures and possibly replacement of badly deteriorated windows.In considerat op of the weatherization work to be done at my honie I agree to the following: 1. I gt've permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. ,. 2. The Mousing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on-an ongoing basis for nomore than five (5) years after theweatherization work is completed. € I have read the provisions of this agreemetif as list4and freely give my consent. Home Owrigz: (Signature) Date: Agent (signature) J , . Date: HAC approved Weatherization Company Caliber 1.5-Izilding'&Remodeling Cape Cod Insulation Cape Save Creswell Construction Lohr& Sons Peter Smith' Resolution Energy. All Cape Insulation .. R`7 ; + The Contnionivealtli of Massaclztesetts 'Department of Iitdtistrial.Accidents Office of Investigations 600 Washington Street Boston, lt,1A 02111 tivwiv.mass.9 ov/dice icians/Plumbers ntractors/E1 e ctr Workers' Compensation Insurance kffida�fit: Builders/Co please Print LeaMY A licant Information —}-+ Name(Businessi0rganizationilndividual): Address: O 3 pA(A Phone#: SC- City/State/Zip: �� �aclrou. 1�1A Fe ect(required): Are you an employer?Check the appropriate box: onstruction 4• I am a general contractor and I l,& I am a employer with�_ have hired the sub-contractors employees(full and/or part-time).' delinglisted on the attached sheet.2.❑ 1 am,a sole proprietor or partner- These sub-contractors have litionship and have no employees em to ees and have workers'working for mein:any capacity. p Y ing additioncomp.insurance�TIo workers'comp.insurance cal repairs or additions required.] 5, ❑ We are a corporation and its doing all work officers have exercised their . III,[]plumbing repairs or additions 3.❑ I am a homeowner g g t of exemption per MGL myself.[No workers'comp. right P P -12.❑Roof repairs.. c.152,§1(4),and we have no —r t insurance required.]t 13.19 Other I1 Ut.� on employees.[No workers' comp.insurance required.] Any applicant that check box'at 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 ihen 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, 1 am an employer that isprovii ing 1Uorkers'compensation insurance for my employees. Below is tl:epottcy gnu log site infor madoll. Insurance Company Name: Teo; n 010 n s w�an cC Co.fn 5 A Policy#or Self-ins.Lic.r: C 3 3 g Expiration Date: 4 1 7 �II r p Job Site Address: (J 6 b J tnt tl City/State/Zip: fl y Attach a copy of the workers'compensation policy.,declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Sectiarr25A of MGL c. 152 can lead to the imposition of criminal penalties of a ; fine up to S1,500.00 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 coverane verification I do hereby certi,fig under the pains and penalties of perjury that the inforntatiolr pTt•ided abo 'cis true and correct Sienature: p Date-, Phone#• 3 4B ' D 4R facial else onlF Do not wrire inn this area,—to he completed by city or towlt official - t • 'City or Town: . PermitlLicense 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 our: } (MMM AC;R12 CERTIFICATE OF LIABILITY INSURANCE DATE zoi2) 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 terns 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 Cp EACT Shannon Sperrazza` Risk Strategies Company PHONE (781)986-4400 FJAIC No. (781J963-4420 15 Pacella Park Drive AOIve ,ssperrazza@risk-strategies.com Suite 240 INSU S AFFORDING COVERAGE NAIC� Randolph MA 02368 iNSURERA:SelecUVEI Insurance INSURED INSURERB:SafetV Insurance Company 3618 Cape Save, Inc _wsuitmc.Technoloqy Insurance Company. 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER- COVERAGES 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. ILTR D S POLICY EFF POLICY EXP TYPE OF INSURANCE PO CY NUMBER' D MIDD LlMrfs GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 TO RENTED X COMMERCIAL GENERAL LIABILITY DAMAGE �PREMISES(Ea occurrence) S 100,000 A CLAIMS-MADE ❑X OCCUR S199448001 0/16/2012 0/16/20,13 MEDDX one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 i GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,000 X POLICY PRQ LOC S AUTOMOBILE LIABILITY, COM I'd niSl L UM s 1,000,000 ANY AUTO X s /2012 BODILY INJURY(Per person) S B ALL OWNED SCHEDULED, 6208200 1/6/2011 1/6 BODILY INJURY(Peraccident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS 14a t T Underinsured motorist 9l split S 100,000 X UMBRELLA LJAB HOCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAS CLAIMS-MADE AGGREGATE S 1,000,000 DED RETENTIONS 199448001 0/16/2012 0/16/2013 S WC C WORKERS COMPENSATION officers excluded X OR LIM11 OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE NIA FC3318007 coverage E.L.EACH ACCIDENT S 500,060 OFFICERIMEMBER EXCLUDED? /9/2012 /9/2013 (Mandatory In NH) EL DISEASE-EA EMPLOYE S 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB 5 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is requlmd) Issued as. evidence of insurance. Issued as evidence of insurance. ' Thielsch Engineering, Inc. is listed as additional' insured as respects General Liability as. requi=ed by written contract. CERTIFICATE HOLDER CANCELLATION msong@capelightcompact..org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION .DATE THEREOF, NOTICE WILL BE DELIVERED IN. Cape Light Compact r ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margaret Song PO Box 427/SCH AUTHORIZED REPRESENTATIVE ` 3195 Main Street Barnstable, MA 02630 , • Michael Christian/SMS _ ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved: INS025/9MMS1n1 Tha At'nRrl nmmea anti Inn^arm raniotamel merim of ARnRIt Ala cacitusctts- Dcltartment (if Public Safrt1 ' Board at• Building, Regi laticnl and Stand:trtls Construction Supervisor Specialty License • 4 ' License: CS SL 102776 Restricted to: IC. : WILLIAM MC CLUSKY ' 37 NAUSET ROAD ;- WEST,YARMOUTH, MA 02673. Expiration: 6128/2013 i. i r=•-102776 , - (.sliillll��ls sfll•1' —_ Office of Consumer Affairs and Ksiness Regulation . ry , OR r 10 Park Plaza- Suite 5170 4 4 Boston, Massachusetts 02116 , Home Improvement Contractor Registration, Registration: 171380 Type: Corporation ' Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. _ - WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE - SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal Employment i; Lost Card PS-CA1 0 50M-04/04G101216 9/W•ea„uuaiicaeaet a`' .uad,i e& License or registration valid for individul use only 1�• , Office of consumer Affairs&B siness Regulation „ - ; before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Re istration• 171380 " Type: ' Office of Consumer Affairs and Business Regulation 7 ' 9 F' ! Expiration 3/14/2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CA Pt SAVE INC US WILLIAM 7-D HUNTINGTON AVENUE ga SOUTH YARMOUTH.mKd2664- Undersecretary Not valid wit o signs 1" 0. Ct1���� Town of Barnstable *PermitExp Regulatory Services F,res 6 mont s issue date �xtvsrnsi����r 1 p 1639. ftrRichard '""� V.Scali,Director , frp r AAAY6�j 14 205 �J Building Division TO OF 34 f,,V Tom Perry,CBO,Building Commissioner S"' 200 Main Street,Hyannis,MA 02601 SL www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �� ®I Not Valid without Red X-Press Imprint Map/parcel Number (( 'Property Address �p-6 !ah e W �v� rco �0 � Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4- / "n q@' _r d SaM Contractor's Name lY ?l/ c�Z�GU ( Telephone Number_`ra F_ 2 6 Home Improvement Contractor License#(if applicable) w d 313 Email: Ca Z e4,0 / 77 6 Construction Supervisor's License#(if applicable) [2Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name /", G S \� e Workman's Comp.Policy# �-b t-a — 06 2Z /-3`6 3 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 (maximum.32)#of windows #of doors: ❑ 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 Contractors License&Construction Supervisors License is required. SIGNATURE: i / f C:\Users\DecoliMAppData\Local\Microsgft\Windows\Tetnporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 The Commonwealth of massachusetts D4xwhraent of industrial Acciderrts Office of Investigations . _ 600 Washington Street - Boston,MA 02111 wmv,.mars gov/dia Workers' Compensation Insurance Affidavit: BuiIders►''1Contrac ars/E.IlectticiansfPhunbers Applicant Information Please Print 1* '01 Name(Business/Or _dual),: 6o,,2.. Address: City/State/Zip: Cam' Phone*- J Are you an employer?Check the appropriate boa: Type of project(required): 1_25 I am a employer with /' 4. ❑ I am a general contractor and i employees(fu11 andforBort-time). have hired the sub-contractors 6. [-]New construction 2-❑ 1 am.a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling slip and have no employees These sub-contractors have g. ❑Demolition working Ear me in any capacity. employees and have worloers' g 9. Building addition [No wormms'comp.:risura ce. comp.insurance 1required ❑ -] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions myself[No wormers'coop. right of exemption per MGL 12.❑Itoaf insurance require&]i c.152,§1(4} and we have.no employees-[No warms' 13 JA Other Ye A16f comp.insurance required.] *Any applicM abet checks boat#1 roust also,fill out the section below showing trek workers'cmmpemsaton policy infmnareatL I Homeowners who subndt this affid=indicating they are doing all work and rhea loge ou=de contractors Est submit a new afdaM indicaung sECIL k'anuscmrs that cbecg this boat mw attached are additional sit showing the aane of floe sub-comments and state whether or am those ewaies bave employees. If the sub-canumors have en4AWw%they now provide the workers'comp.policy number. lam an eanpko w that isprovzalfeag workars'eotnpermtwn immr aRce for my awpinyea. Bekw is the p Ucy aerd pob sate i►iforvataiiora r7� Insurance Company Name: Policy#or Self--ins.Lie.#. v 0 6 Lf30 Expiration Date: Job Site Address: /f�� -Sail; J, —/ ic� pG,/ City/State/Zip: Co Attach a copy of the wormmrs'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 S 1,500.00 and/or one-year imprisonment as well as civil penalties in the forum 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 certi,&n tRt prt' sand pence ' pedury that the infbamatcon provide d?abbove rs andd/correct Date: Phone#: d - Official cress only. Do not write in this area,to be completed by city or tmm official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City/Town Clerk 4`Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i a� CERTIFICATS-OF LtABjL.ITY INSURANCE 3I5W5 THIS CERTIFIC ATE IS ISSUED.AS"A MATTEW OF INFORMATION`ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC CERTIFICATE DOES NOT AFFIRMATIVEiIi OR ATE HOLDER. THIS NEGATIVELY AMEND, EKTEND OR ALTER THE'COVERAGE AFFORDED BY THE POLICIES - BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CnNSTITtiTE A CONTRACT 6t WEEH THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OA PRODUCER,AND THE CERTIFICATE-HOLDER. . IMPORTA/IF': Tf the Certificate holder Is ad ADDITIONk IpSyg a,the P,O"j.S)must tie endorsed:If SUBROGATION LS su terns and aondfii�of the Poky, certgn ��nay require an endcdgmelL A staternert on this Otte does WAIVED,er.hts to the certificate holderin Neu of such wwwsement PRODUCER McShea l P Y pjsk I=R11MO &I Rd RT 28 Ste 2 SW 634-4589 AiG 866 Z15-8118 Cellttwirft MA 02632 �wess PD . rlri; ,• W81lR�Dco asu k_ NAIC3 Richard Cunuit Jr ' RoUffi t Eat 198 Fwe`Cornem Read mLSUaet a CentwWft PA 02632 Dsuaae a MUM E 'COVEiFj . MISUHR ERTiFICATENUA1t3®t:f r- THQ is TO CEit7 ifiAT THE POt lCIE3 OF 1NSURHNCE-1�7Ei3 BELOW HAVE.BEEN•1�UEo THE EIttSLp7l�Itl : INDICATED.NQ7WErttSTAND@iG ANY RE ENr.TERM OR CONDIMN OF ANY tNsflRED NAMED Al VE i�R THE PAY P6itOD CERTiF�ATE MAY BE ISSUED OR PAY PEItTAIbi,-THE lt+ibllRANCE- CONTRACT OR OTHER'DO�AENT WITH RESPECT TO WHICH THIS AFFORD®BY THE POLICiEg pESCR1ED.HEREB�f 15 SUBJECT TO ALL THE TERMS,:::. INS,EXCLtLS[ONS AND ODP OF M tCH p�IC1�5. � MAY HAVE BEEN REDUCED BY PAID CLAi)d!S LTR rn+EarsuaAxcE . __._ oarERALttgsnnr DISK:WVD �OLiCTtO7NaER DOnTM utRrs - d AUTONDBRB U"WlY WORKERS CpWEgSKMX ARD PLQIY Rs'LtARmny YIN. TCIl ATU+ O ANY PROPRIETOPJP ORY La�r'S RR A OPPICEMM813t EXq R Made rs� RtA „ .❑ VVC—'V-2040309&W 021 WM15 0204&Ms F-LEMMACCtMff a�;90II aessrae undw OESCRlPTDl1-oF .. DESCRWTDN OF. nONs I IACATIONS/vEHICtEs(qtt y RCORO101,A4Qifie&stONWdge Re�ia oucv R .0 StAednl�. mote_apses is regata�,; mw - 4 :. .___..-.....- •' —'T NA Five Comers Road Ceut,e>,+�.-ne ■ert CERTIFICATE ER ... R CEU ATION AhlDUtDANYOFTHEA6-OVEDE&bftEIED POUGES BE-CAMA LLED BEFME THE EXPI RATION DATE THEREOF.NOTICE WILL:BE DELIVERED IN [Bwkung of Bair ACCORDANCEW[rHTHEFOUtYPROMSIONB. � A A 206 Mem St Hyannis,MA OZ601 Sl9tkture_ _ w AWRO 26(2MM*) -\_ Office of fonsome� tlaus t4r ti !per fiegalahon UCense or registration valid for indmdol ase odiy HOME IMPROVEMENT CaNTRAC,OR before th'e expiration dad, .If fo e Registration 16860Z and retain to T}rPe 43fire of Constlater Af#'aiis artd Snsmess IItegnla Expiration 78/20iT Iitdf U91 1Q Park;Plaza,Snrte 51:?0 RICHARD P.CAZEAbIL A Boston,lti'[A d2116 RIC;HARp GAZEAClI1` 198;:FIVE CORNERSRQ � CENTERVItLE,MA t)2b"32 ��' `' — ion Understcretari. . • . . Idiass��lase�' -�7epartnaQnY of�`� =a.,s �'y r. COnStlUftlAn''�Il]1e�S6F-- = RICHARD P-CAZJAII)i 1"Five Corners Rosh y Centerville MA 02632 w - pit.m 4 } ••: : OpvniSvt1t1�P a TKE BnentsznBM • Town of Barnstable Regulatory Services Richard V.Scali,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 Property Owner Must Complete and Sign This Section If Using A Builder ' f 22��j f . I C ,as Owner of the subject property hereby authorize ,16C to act on my behalf, in all matters relative to work authorized by this building`permit application for: ` c ,• (Address of Job) i f Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Oudook\2PIOIDHR\EXPRESS.doc Revised 040215 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel ©d 6 Application ���Q� � J Health Division Date Issued o Conservation Division Application Fee Planning Dept. Permit Fees 35 ID Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 S 6 0 SZAX."�"VA.+' ` IJaW!Ln W A 0 G(1 Village Co+tA, Owner Address erm-E Telephone 568 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total n6A Zoning District Flood Plain Groundwater Overlay Project Valuation 6 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )<No If yes, site plan review# . Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - c Name W;11Ia1o1 m c C 1VJ 61 � -Telephone Number 50? 3 /a "3 4$ Address �-� � �' n License # mil--C S. yosmoll k Home Improvement Contractor# 8 b Email Worker's Compensation # W W C 313 6 a 4-K ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO YarJc+10�l1�} SIGNATURE DATE a` c) 4 FOR OFFICIAL USE ONLY 'APPLICATION# `DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts. husetts - Department of Industrial Accidents: *• I Congress Street,Suite 100 r Boston,MA 02114-2017 ww».massgov/dia '° «'orkers'Compensation.Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED.WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legiblv Name (Business/Organization/Individual) Cape.Save Inc .Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 phone#;508 398 0-398 Are you an employer?Check the appropriate box: ' Type of project(required): 1. ✓ I am a employer with 20 employees(full and/or pa;t-time),* r "+ Y 0 New construction 2. I am a sole proprietor or partnership and have no employees working,forme in 8: Q Remodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doingall work myself. o workers'co t a 9. Q Demolition y [N inP.,insurance required.] Q 4.�I am a homeowner and will be hiring contractors to conduct all work on my property:.I will 10 Building addition ensure that all contractors either have.workers'compensation insurance or are sole 1 LF1 Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑I am a general contractor and I.have hired the sub-contractors listed on the attached sheet. 13;a Roof:repairs " These sub-contractors have employees and have workers'compAnsurance.1 6.❑we area corporation and its officers have exercised their right of.exemption per MGL c 14.[]Other lnsulation 152,§1(4),and we have no employees.[No workers'comp.insurance required J ' *Any applicant that checks-box#1 must also.."out the section below showing their workers'compensationpolicy information. t Homeowners who submit this affidavit indicatin&theyare doing all.work and then}lire outside contractors must submit anew 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 numben I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job.sate information. Insurance CompanyName:Wesco Insurance Company Policy#or Self-ins.Lic.#:WWC3136274 Expiration Date:04/09/2016 ` Job Site Address: 1560 Santuit Newtown Road City/State/Zip: Cotuit Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to,$1,500.0.0 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.A copy of this statetnentmay be forwarded to the Office of Investigations of the DIA.for insurance . coverage verification. , I do hereby cetWfy under the-pains and penalties of perjurythat the information provided above.is true and correct. Si ature: Date: 9/25/2015 Phone#:508-398-0398 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.Boird of Health 2.Building Department 3.City/Town Clerk 4.Electrical.Inspector 5e.Plumbing Inspector+ 6.Other Contact Person: Phone#: . ..%. .: r r ACCO r CERTIFICATE.OF LIABILITY INSURANCE OATE(MM)DDIYYM 3/24/2015 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`;[HE POLICIES BELOW. THiS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT�SETWEEN THE ISSUING INSURERS};;AUTHORIZED REPRESENTATIVE'OR PRODUCER;AND THE CERTIFICATE HOLDER IMPORTANT: !1 the certificate holder Is an ADDITIONAL INSURED,the poticy(ies)must He.endorsed.. ifSUBROGATIM 13 WAIVED,subject to the tenns:and conditions of the policy,certain policies may require an endorsement. A;Statement on this certificate does:not confer rights to the certl8catehoider in iieu.of such endorsernen s. PRODUCER NAME: Colleen Crowley Risk strategie any PHONE (781)986-4400 FA • C No:<7813963-44Zt! . 15 Pacella Park DriveAppgp;�p .ccrowley®risk-strateges.com Suite 24Q __ , INSURER S AFFORDING COVERAGE P.333t�i NAIC i 3& f12358 INSUREDINSURERA:Selectitre 'Ins. OF ;America _ INSURERS A l-IIIIeY3ca 1.-111=ial AllialACe 0212 Cape Saver Inc INSURERC Wesco Insurance, ComDany 7 D Huntington Ave INSURERD INSURER E: South yametith NX 62664 IrVSURERF: COVERAGES CERTIFICATE NUMBER:CIa5i32491501 REVISION NUMBER: T##fS IS T43 GEi2TifY TFIAT TfifE,f?O!{CIEs C3F iNSi3iiAiriCE'tiSTEt BEi( /cJ'HAVE BEEN ISSUED TO THE 1NISURED NAWED-AI3OVE FnR THE°Pt)L1CY�'ERiOD i4tft3(miiuU. NOrIToTtiSTANDIatG ANY REQUiREIGe4 TERM OR CONDiTiON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO NMICH:THIS CERTIFICATE MAY Sr 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. LT R TYPE OF INSURANCE PO�.EFF .MPMOIj ICY EXP ; POLICY NUINBER OprYYyY LIMITS GENERAL LIABILITY EACH OCCURRENCE: $ 1,Door,000 X COMMERCIAL GENERAL LMILITY N I?D PREMISES Ea occmre"'o $ 100,006 A CLAIMS MADE Q OCCUR' 1994480 0/16/2014 O/ Q2015 ME �(An one person} g 10,600 PE#2SONAi.a;Anu IN.u.Rv •-s- - 1`,QQO,O.OQ GENERAL AGGREGATE` $' 2,000,000 GEN'L AGGREGATE U.MR APPLES PER_ PRODUCTS-COMP/OP:AGG $ 2,000,000 POLICY X PRO X IJECT LOC AUTOMOBILE LIASILrTYIN SN - Ea accident 1 00'0 000 B. ANY AUTO 130DILY INJURY(Per person) .$. ALLOViMED SCHEDULED '46796600. �1/6/2019 1/6/2015 AUTOS_ AUTOS BODILY INJURY Per aedd rt HIRED AUTOS AUTOS ' =FR�;PERTy.-MtA�;E,: X UMBRELLA tU18' X OCCUR EACH OCCURRENCE $ -1,000,000 A EXCESS LIAR CI?.1MS-0AADE '�"�'�'•_ - AGGREGATE $ 1,000,000 DED RETENTION HI 199448Q 4/15/2014 0/7512015 C, `e+DRKERSCOMPENSATI4N . f£ieers Yiiclt►ded.fo'r X o c SrA u o ff AND EMPLOYERS'LL9PTY ' ANY PROPRIET"ARTNERIEXEculflVE v overage R - OFRaj_'fMEMBFR E>Q C.LCj L7 N.JA El.EACH ACCIDENT $ 50'0 000 (Mandatory:inNH} 13i51 4 /9j201`5 /9/ 1b I f yyaas desaibe under E:L.DISEASE---EA EMP&0YE $ �I a GGO DESCRIRTIONOFOPEI2ATICNS:beorr E.L.DISEASE-POLICY GMIT S00 .000 R , DESCRfPiION OFOPERA nOhlSi LDCAT1pNS 11/EHICLES-(At6ch ACORD ial Adcl tional RemarF s Schedule,Amore space is requi.ed)Issued as evidence,o€;insurance.- 6_1. Thielsch Engineering, Inc. is listed as additional insured.as respects° General.E.iabili as :xeguired„by wri>ten coat tact CERTIFICATE HOLDER CANELLATiON t n 2ghtC act.�g' SHOULD AWyrleef THE ABOVE'DESirIF(BED iyOitCtES.i3E CANCELLED 9E ORE THE EXPIRATeON DATE THEREOF, NOTICE WiLL SE DELIVERED` IN Cape Light:•CoMact ACCORDANCE WITH THE POLICY PROViSIONS. Attu: Margaret..5ong.., • t0 1�4X �27r5 .. AUTHORizEDREPRESENrA71VE 3195 Main Stre6t Barnstable, M13,; 02530 chael Christian/C);C . ACORD:25 M10/05) Cgl'I888,WWACORD Ct712pORATIAAi All ri trts reservsd. tNS025(z°,00s},°f The ACORD name and logo ar®registered marks of ACORD Housing Assistance Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGHT THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. v , I � o hereby consent to and agree that weatherization work mair be. done by the weatherization Program of Housing .Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: weather-stripping & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect , the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. .I have read the provisions of'this agreement as listed and freely give 'my consent. Home Owner(signature) Home Owner email: Date: Agent: (signature) Date: HAC approved weatherization Company: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration X Registration: 171380 �. Type: Corporation �l Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. _ WILLIAM McCLUSKEY - 7-D HUNTINGTON AVENUE ` SOUTH YARMOUTH, MA 02664 � � z --=---- --- -- Update Address and return card.Mark reason for change. scn i Co zoM-osn i Q Address Renewal [A Employment 0 Lost Card �T e`�r ii,r�u nu,e-ulG�a`r?t/lllJ:i!"IC1I�Cif:�/� ,_Office of Consumer Affairs&Business Regulation License or registration valid for individul use only AU OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: '171380 Type: Office of Consumer Affairs and Business Regulation Expiration --3%1- 16. Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. 41 WILLIAM McCLUSKEY 7-D HUNTINGTON AVENt1E7 _� - e SOUTH YARMOUTH,MA 02664 Undersecretary Not vali „�thout signature f Massachusetts -Department of Public Safety Board of Buiiding Regulations and.Standards \.I1111t1 u1t11t11.Jul-/CIY)1111JI7t,LiAlty = /{r�K License: CSSL 102776TM TS' WILLIAM J MC 37NAUSETROAD I IF West'Yannouth NA l , 6%�...r Expiration Commissioner 06/28%2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# _' . 3 Q 77 Date Issued - `1 Ln 15onsetvatienr9wision 9 r Fee Tax Collector 0 ✓ Treasurer 07� a ® Planning Dept, w ` Date a ini Rv an Approved by Planning Board y 14190—ric-7m Preservation/Hyannis t F r � ,Project Street Address S 6 Village 7'0 /3 e y Owner Address Telephone e 9 7 r Permit Request 411 a Square feet: 1st floor: existing proposed ti 2nd floor:existing proposed Total new Estimated Project Cost yOdU UD Zoning District Flood Plain Groundwater Overlay ' t , Construction Type i� Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 2 Full ❑Crawl ❑Walkout ❑Other r X Basement Finished Area,(sq.ft.) Basement Unfinished Area(sq.ft) " Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing / ' new First Floor Room Count Heat Type and Fuel: °0 Gas caloil ❑ Electric l]Other' Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:O 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 ❑No If yes,site plan review# ' ' Current Use Proposed Use BUILDER INFORMATION Name_ C;7 GtJ Telephone.Number , Address Z!�:y �� �a� ./? License# Home Improvement Contractor# ' Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING-FROM THIS PROJECT WILL BE TAKEN TO , SIGNATURE DATE `� .r FOR OFFICIAL•USE.ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO.i ADDRESS i f VILLAGE , 4 i OWNER DATE OF INSPECTION: k. __ ;; vs `•+ ; FOUNDATION 4 x FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH 3 FINAL GAS: ROUGH FINAL - FINAL BUILDING } DATE CLOSED OUT ( ASSOCIATION PLAN NO. -• - r .. - - , r • 3 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 KUL - Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMlION Plem Priat DATE �7 � g V JOB LOCATION: �® ,�.eu-� l DaJW 01 inc7-ZL`/{ number street tillage "HOMEOWNER": Afr a Marne home phone# work phone# CURRENT MAILWG ADDRESS: 15C-Y � atyhown stile sip code The current exemption for"how"was reloaded to include owner-ecxunied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,moulded that the owner acts as stroetSdsor. DEFII MON OFSOMEOWNER Person(s)who owns a parcel of land an which he/she resides or intends to reside,an which there is,or is intended to be,a one or two-family dwelling,attached or detached stnuc=w 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" - �onstbie for all such work performed under hn't ingp (Settion 109.L1) 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 tmdersmnds the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �. Sl of Homeowner 6dezt---l" r Ap of Building O>$ccial 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 immeown r performing work farwbich a building permit is eegMieed shall be exempt tram the provisions of this seedon(Seatian 109.1.1-1loeusing of Supervbmy provided that ff me homeowner engages a permn(s)for hire to do sash work,thstsink Homeownershall act as supavirac" Many homwwaas who use this exemption are uuawaie that they are assuming the responsUbles of a supervisor(see Appendix Q, Rules&Regulations for Lioaksimg C mucdon Supervisors,Season Zis) This lack of awa:a -often results in serious problems. pactiedarfy when the homeowner hires t dicemed persons. Ice this case,our Board COMM;,R I IP l against the unlicensed pason as it would with a licensed Supervisor. The hotneowner.ackmg as Supervisor is nWmately responsible. To enstne that the homeowner is folly aware of his/her responsibilities,many cavities require.as part of the permit application, drat the homeowner certify that he/she understands the:espomibiilties of a Supavisoc Oaths fast page of this issue is a form carendy used by several towns. You may cafe to amend and adopt such a famloa-'Fi ion for use in your community. The Town of arnstable �►KAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-403 8 Building'Commissioner Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 4-'12 Estimated Cost % 70 Address of Work: n /e-24 C-,au Owner's Name: Date of Application: , — i j I hereby certify that: Registration is not required for the following reason(s): Work excluded by law 216b Under$1,000 Building not owner-occupied &weer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Communwealus of Massachusetts j Department of Industrial Accidents 600 Waslcington Street Boston,Mass. 02111 Workers' satin rance Affidavit ����......%�%OMr1144V/0 . s�37I)RCZ22L>1TiftlriSYIItliRLrf. �MM;�M�� �r� r riir,, name: location / S—G ✓/,r_� /l/e z ,,— f hone# �� G 7 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any ca achy am an employer providing workers' compensation for my employees working on this job. comnnnv name: address: city phone#: insurance Co. nniicv# ///////1%/////////////////GO//,oiiii//� %% ❑ 1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the foIloning workers' compensation polices: comnnnv name, address: di~,. phone insarnnce co. i%////i//iri////i///////i.%//////////////////////////////////////////////////////////////% / ///// U /// comnnnv name: address: citN- phone#� insarnncc co. ; �to a�.;s��:� ,sib/�%%///�///%/%%%/�%//%%/%/%%/%%%%/G Faaure secure coverage ss required under Section 25A of MGL 152 can lead to the imposition o[crtminal penalties of a fine up to S1.500.o0 and/or one years'imprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do herebv certify the pains and penalties o rjury t the information provided above is trap and correct Si�tature Bn'� r ate Print name Phone# oincial use only do not write in this area to be completed by city or town otnciai city or town: permitilicense# ❑Building Department L]Licensing Board check if immediate response is required (DSelectmen's Office ❑Health Depattinent contact person: Phone#: ❑Other. cmvm y;95 PIA) •y,x Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for th..: employees. As quoted from the "law", an employee is defined as every person in the service of ancthe under any cc---- 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 c: the foregoing engaged in a join enterprise, and including the legal representatives of a deceased employer, or the recce v. to However the owner of a of as individual artaershi `association or other i entity, loving employees. H trustee �P P, � �P than three apartments and who resides therein, or the occupant of the dwelling house of dwelling house having not more ap ccup � who employs persons to don *tea+*+ce construction or air work an such house or on the grounds o another emp ys p mP building appurtenant thcreto'shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the commonwealth nor any of its political subdivisions shall enter into any contract fo :the performance of public woik�mtii acceptable evidence of compliance with the insurance requirements of this chapter have beea presented to the'conrmc•-•n a authority. . , Applicants Please fill in the workers' compensation affidavit completely, by checking the box.that applies to your situation and supplyingcompany names, address and phone numbers along with a certificate of incnrtnce 4as all affidavits may be submitted to the Department of Industrial Accidents for confirmationk of insurance coverage. Also be sure to sign and -date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is of D artment of industrial Accidents. Should have ions re the`law"or if You being requested, n the ep y� any qua g�� are required to obtain a workers' compensation policy,please call the Department at the number listed below. ---------------------- City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applic= Please be sure to fill in the permitllicease number which will be used as a reference number. The affidavits may be rcturned ro. the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. pease do not hesitate to give us a call. The Department's address,telephone and fax number. 'J The Commonwealth Of Massachusetts` Department of Industrial Accidents , Offlee of imtestl0 adons s 600 Washington street Boston'Ma. 02111 fax#: (617) 727-7749 • 37 . 406 409 or 5�� hone #. 61 727-4900 ext. , BROTHERHOOD OF NTERS, CORATORS AND PAPER MARS OF AMERICA LOCAL ##427 HYANNIS, CAPE COD,.AASSACHUSETTS MIT GRANTED TO CONTRACTOR AS: _ .TED BELOW THE DATED LINE ob Location Is At ers working on this permit must sign his name, card and S.S. number below DATE 196 1 i z:Et V i 0 V 2 ; M "NM BROTHERHOOD OFF BITERS, 7HisJ,b ORS AND PAPER HA RS Of AMERICA LOCAL #1827 HYANNIS, CAPE COD, MASSACHUSETTS NTED TO CONTRACTOR AS LISTED BELOW THE DATED LINE ion Is At Members working on this permit must sign his name, card and S.S. number below DATE 196- M .1 PLATE-9063 R.A.Sales Book Corp. 1742 Milwaukee Ave.-Chic,q,47,III. a Assessor's map and lot -number .............................. ..... SEPT►C SYSTEM NIUS ` -,�'a•- 7 7 : INSTALLED IN CONIPL ANC '11,/ c,. t WITH ARTICLE It 'STATE ;. SeA-'ge Permit number .............. SMI(T RY .............. .................... A CODE 'ABLE AND TOWlq *THE t TOWN OF BARNS' �T�ABLE c a i 33 STADLE, "3` DUILDING INSPECTOR am i63q• �� c'r, � APPLICATIO?4FOR PERMIT TO ......... .. ................... ......................... .. .............. ...... ......... ••'•••/ TYPE OF CONSTRUCTION ,( ................................................19. `TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......J.!/`�'��.... ��..... ............ j11 .. ..... , :......:................................................... ProposedUse .............. .....17' �71�................................................................................................................................. ZoningDistrict ..... ...............................................................Fire District ....... ........................................... Nameof Owner . �v .......... �(..c...... ......./1.6Address ...............................................:.................................... Nameof Builder ° .r •!!••`••`• �`� dress ............................................................... ............. ... , '���, f... .... Name of Architect �� ....Address............ ................ r. ................ Number of Rooms .......... kl.rl..!?.i.%.....................Foundation .......................................................................... Exierior ...... .............. � / .....................Roofing ........................................... .................................... Floors ..............ay.✓14: ...........................................:.........Interior .................................................................................... Heating ".., ..........Plumbing 60 Fireplace ..................................................................................Approximate Cost ................r.............................. ................... 12 Definitive Plan Approved by Planning Board ________________________________19________. Area .. ...... ....................... ,� Diagram of Lot and Building with Dimensions Fee l ._ SUBJECT TO APPROVAL OF BOARD OF HEALTH k I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................ ................................ ................ .............. Tobey,, Edward & Cecelial No .... Permit for .....M.01.11;1.9.111............. .................... .......................................................... Location .....NWPQW..Bd S.Antult............... .......................... .91 A it...................................... Owner .... ............. Type of Construction .........Wood........................... ................................................................................ Plot ............................ Lot .......... ..................... Permit Granted ......................................December 20...19 77 Date of Inspection ........ Date Completed .... 19 PERMIT REFUSED ................................................................. 19 ................................................................................ ............................ ................................................... ............................................................................... ........................................................;...................... Approved ................................................ .19 ............................................................................... ........................................................ ................... Assessor's map and lot number ........................................... 7 SewagePermit number .......................................................... TOWN ' OF BARNSTABLE ii ARBSTABM M9.Ar.1 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...................................... ...................................................................................... TYPE OF CONSTRUCTION ............. C) ............................................................... ....................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the,following information: Location ................................................ ..........;..................................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........ .........................................................Fire District ............................................................................... Nameof Owner ................................................. ..............4Xc1dress ..... ............................................................................. • Name of Builder -1 ) i"t -./", .......-/re�11-7//.............Address .................................................................................... ... .... .. ...... .. ................... Name of Architect ..................................................................Address .........................................V\--� ............................................ Number of Rooms ............ .. .........................Foundation ............................................................................... .............. ............... r Exierior ........ ...................................Roofing .................................................................................... Floors .............. ......................... ...................... .......................Interior .................................................................................... Heating ...................................................;'...............................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...........Ft................................ ................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area n..................................... Diagram of Lot and Building with Dimensions Fee ..... ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...............��f�'..........��..... ....................................... C— Tobey, Edward & Cecelia -77 No J"Q..... Permit for ....Mdi.tft-g.n.............. ... ...................................................... Location ....NP.W.1t.9.M..Rd*........Q%1W1%i,................ ............................................................................... Owner ' .*.. ...We'o d....T..a..b..e...y........../ Type of Construction .................................. ........................................... ......... Plot ...................... .. Lot ................................. Permit Granted ..DTl.e.....ce..m......er.....................19 77 Date of Inspection ..................... ..............19 Date Completed .................. ...................19 n'ER T REFUSED 19 ....................... .... ............................... ................. .......... ...i..... ... . ... . ........... ... Z. ................ ........ .. . .. ..... ....... A................... ................. ............................................................ Approved ................................................ 19 .............. .................................................. Assessor's office(1st Floor): i,1 A P P R 0 V E D o Assessor's map and'tot number p( C!oC tP� + f: of-THE T Board of Health(3rd:floor): i r + , Barnstable Conservat�on Sewage Permit number d Engineering Department(3rd floor): House number L V �� StgnBd o0 9. Definitive Plan:Approyed by Planning Board 9 p MAY a• APPLICATIONS PROCESSED 8:30-9:80 A.M.and 1:00-2:00 P.M.only , t f- TOWN :. OF. .BARNSTABLE BUILDING I'N'SPECTOR APPLICATION FOR PERMIT TO (� ,� 1 f TYPE OF CONSTRUCTION 19 I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �✓ d d Proposed Use Zoning District Fire District Name of Owner - Address /C S� I Name of Builder Address Name of Architect Address Number of Rooms Wad Foundation Exterior Wad Roofing Floors Interior Heating Plumbing Fireplace Approximate Costd Area � D Diagram of Lot and Building with Dimensions Fee �U S i OCCUPANCY PERMITS REQUIRED FOR WE LI 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construc' &5 Name ' C c Constructio -upervisor's License TOBEY, EDGAR SR. IS No 34517 Permit For Build Deck Single Family Dw 1 •; ng 4 t: Location 1560 Newtown Road cotuit Owner Edgar Tobey, Sr'. Type of;xConstrudtion Frame Plot M P Lot } t t Permit Granted' ` August-1.2,,i 19 ` ` Date of Inspection 19 Date Completed- 4 19 r. y Y: ,, '�,�� /. K , �, 1 P \ 1. ✓• � j � - ' l • l r `�',. j4' � f ;, ._,.� .�• � ' ;mot ` _ , � • k , i r, r vf'r rrJ:rJ g4Y .gar. r,,`fi..n ;w�F ,^l "t+ Assessor's office(1sf Floor): w Assessor's map and lot number \y( o*THE To Board of Health(3rd,floor)• Sewage Permit number !r✓ CA-yz' Engineering Department(3rd floor). / / r q. House number /YYl Definitive Plan Approved by Planninard ` 19 APPLICATIONS PROCESSED 8 30-9:30 A M.•`anid 1:60-2:00 P.M.only -- TOWN ' OF BARNSTABLE fBUILDIN,G INSPECTOR - APPLICATION FOR PERMIT TO .`✓ / JPs . TYPE OF CONSTRUCTION ,, t f r\,:w f 19 -771 c of, TO THE INSPECTOR�OF BUILDINGS " The undersigned hereby applies for a per according to the following information: f' Location Proposed Use Zoning District_ ' `t Fire District �l ~v.:• �'f Name of Owner CJ Address /!C fit Name of Builder �t-�Gr/h�-C Address Name of Architect Address r Number of Roomsr Foundation Exterior- "" Roofing Floors U) Interior Heating Plumbing r • Fireplace Approximate Cost V v Area "7 Diagram of Lot and Building with Dimensions Fee 2aa4wIx. Yoe . d' ` OCCUPANCY PERMITS REQUIRED FOR NEWDWRLL IN I hereby�agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above cons ructidri- Name f a Construction eUDp`erPvisor's License • A' yI y 4 y t TOBEY, EDGAR SR. No 34517 Permit For Build Deck Single Family dwell ; nq Location 1560 Newtown Roar] Cotuit Owner Edgar TobeU, �r r Type of Construction Frame Plot Lot Permit Granted August- 1 Z; 19 ' 91 ' Date of Inspection 19 Date Completed 19 e7, � „ -