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HomeMy WebLinkAbout0007 COTTAGE LANE t, 11 1 4 �rri f � tl , . r � <i�i! t1 I' AI-,I �� 1i. 1 w „ t , :4 . , ,° 0I a ku o . q,,, a o , , 9 `, :.d.,. k. , ' I . V ... , III ,A@. c . o F. n t, T - , I ; y . .0I ," .. I ,;it t I `k ,t + t Ls '; t: { t t ' i t t 1 fs ` 4 ,;L i I. ° n 1 r. e II e t E ' _ I s :I f$, I r i :1 I k - ' i .5 r i 1 '�4 fi r ,, ,a r d t' !k'' A 4 , 4, A 1 1 d + 4 1 N f d y .,J: I� f j Qh f a,., I 4 11 [ t I a 1 ,, F 1 .;.N•( � 4 1 E'.0 .� +e O' a;" r' A ..i Ili t 7 f1 q; f 8 i �{ i�� _ .h, 5 ° .� 1 f IS! ri i i ! a' '� I>, , . V ,1 1 , 7Nt �2, 1 se , I ii I I r• R. �° tt I r w 5, " t 1 ' I 4 ;t tl I! '.b {1 —I Q I ry u {1 q 0 d �� x ✓ . 11 " I W. i° ` i F. .r. .. r r. e a.,.._,. - .. �. ,-i - .�s}=1., ,:. .. �t.:. .,Ps. .. .Mf.. --V(,:" . .u.1<if..S1YttMAl�l 4h�aA1vE7.91atf.fa wEYI ALTERNATIVE WEATHERIZATION Date / 9 i I Town of Barnstable Building Division 200 Main St Hyannis,MA 02601 i The insulation work at �1 !�" has been completed in acco': x80CMR.; othy Ca President CSL 105454 i 58 DICKINSON STREET FALL RIVER,MA 02721 I (508)5674240 I ! ALTERNATIVEWEATHER179IONOGMAIL.COM .� Town of Barnstable Building """"M.l..'. ^x? YPY.�"' .,»- p.w+Y+r+u.,s. w m`.°""....,...,..,.•"'",�„R°. P:v x,' ^.-.r-�'y^ "t"�'rT.nN`ZG''k.:Cw.. rnrr 4.'•�iw:._v,r-�."" fi g.'. -'^"a•n .; r:, Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and,this Card Must be Kept ", �A1iNS`CABt.E, • _ `a r »,-_ mv .1 vx�ya.*t�1 ,*1' ' '"" Posted Until Final Inspection Has Been Made ;., Permit mot• Where a'Certificate of Occu ahc is Re uired;'such Buildin shall I 't'be Occ 1 ill ( s �p p y q g upied'until a Final Inspection has been made Permit No. B-17-4099 Applicant Name: TIMOTHY CABRAL Ap provals Date Issued: 12/01/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/01/2018 Foundation: Location: . 7 COTTAGE LANE,CENTERVILLE Map/Lot: 229-088-001 Zoning District: RD-1 Sheathing: Owner on Record: SCHILLING,GEORGIANN Contractor Name �ALTERNATIVE WEATHERIZATION, Framing: 1 a' INC. Address: 7 COTTAGE LN ,. ;- 2 ' Contractor License 175683 CENTERVILLE, MA 02632 * � Chimney:':_.. y:' Description: INSULATION/WEHATERIZATION Est Project Cost: $3,422.00 k r t ?Permit Fee: $85.00 Insulation: Project Review Req: ,' Fee Paid: $85.00 Final: Date.l 12/1/2017 Plumbing/Gas Rough Plumbing: x " Final Plumbing: ° Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. ° Final Gas: 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 structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. 3r Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on'this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �U 1 Application Health Divisions Date Issued Conservation Division �� �"��y Application Fee Planning Dept. t'�y I> Q Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 19 Project Street Address ,O Village ,=rJ*_,r-V l I t e, Owner "nn S�( um Address T Telephone —o13-1— 8 Permit Request &_r Sea ' & VWv, 4fwc. r� PcY--eo?y&o-, dz& uwer � T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 ML 01) 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) Name raL Telephone Number i _ 7' Ya YO K Address l. Lark License# 1d5(_11S1'/ GI A;ver MA 6oZ7,A Home Improvement Contractor# ` 7(S—&f3 Email Q, ?-�'/tial'Ve t,JP.�,�f{�-/ill�It @,rr 1 Worker's Compensation #cem ��10� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )YAW S C SIGNATUR DATE �!/r2 F/o, 7 FOR OFFICIAL USE ONLY APPLICATION # ;.DATE ISSUED r MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION . FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. Y The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia , Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type Of project(required): 1.�✓ I am a employer with 16 employees(full and/or part-time)." 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.[]I am a homeowner doing all work myself.[No workers'comp.insurance required.]+ 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.* 14.❑✓ Other INSULATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepoliey and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: Ph ff4L City/State/Zip: -t `( /�� Attach a copy of the workers' com ensation 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$1,500.00 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde th ins an a 'es p rjury that the information provided above is true and correct Signature: Date: ff/"2 Phone#•508-567-42 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -`•.� f ALTEVVEA-01 SNERONNA CERTIFICATE OF LIABILITY INSURANCE DATE 1MfYVDDry7 s�2s12o1.7 i 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 i BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),-AUTHORIZED i REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder Is an ADDITIONAL INSURED,the policy()mast have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,.subject to the terms and conditions:of the policy,.certain policies.may require an endorsement A statement on I this certificate does not confer ht to the certificate holder in lieu of such endorsemen s. j PRow,cER �cT ChrhWne Costa I Mason.&Mason Insurance Agency,Inc. I(��,Fx*(781:)623-M7 I FAX.No): 1458 South Ave. Whitman,MA 02382 ecosta@masoninsure.com INSURER S AFFORDING.COVERAGE "C 0, I INSURER A•Evanston Insurance Co.. 35378 I INSURED !wsuRER a:Safttv Insurance Company 139454 Alternative Weatherization,Inc. sNsuRERc:Star Insurance Company 18023 2 Lark Street i INSURER o• j Fail River,MA 02721 INSURER E: t I INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED.TO THE INSURED:NAMED ABOVE FOR THE POLICY PERIOD I j INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WhMICH THIS I 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. I iNSR; Type OF INSURANCE ADDL SUER POLICY NUMBERPOI:ICY 6% POLICY EXP iLIMITS ! . i A X 1 COMMERCIAL GENERALUABILnY ' 1. `EACH OCCURRENCE S 1.;000,000 1 � i3C42fl$ 06t0712a471 iSll?12018cL41MS CLAIMS-MADE OCCUR DAtNAt£TO R'cNTED 1Qfl QQa MED EXP(Any one Person) 1 S 6,I100 I _ • i I PERSONAL&ADV INJURY 'S 1,flflfl'flflfl j ! j GEN'L AGGREGATE LIMIT APPLIES PER: 'GENERAL AGGREGATE `$ 3'��,�fl POLICY _JEa �;LOC i I PRODUCTS-COMPX3PAGG !S I 1 i I OTHER: '$ B I AUTOMOBILE LIABILITY ' ;. CAA4BINED SINGLE LIMIT $ 1,000,000. ANY AUTO 52377fl2 04lfl812017;0410=018;BODILY INJURY(Per person) 3 S —I OWNED — ,SCHEDULED l AUTOS ONLY !AUTOS BODILY INJURY leer accident),S O 33 �j�j j OPER AMAG£ I AT1 NL Y n's OIRLV I S i 5 A UMBRELLALUiB' 'X;OCCUR' EACH OCCURRENCE S 1,00fl,Oflfl X EXCESS LIAB CLAIMS S jXOBWO619616 06/0712017 i?6/0?12018, 1;t3iY0,00o I AGGREGATE DEC) I RETENTIONS I $ C IYJ 1(ER3COA1pEN$ATiON X ;SE ' i.OTH• I I. ;ANDfMPLOYERS'LIABILITY ; !ANY PROPRIETORoPARTNER/2XECUTIVE YIN ' 09287 flIl 04I04I2017;INNOb/2fl I$;E.L.EACH ACCIDENT S 50'�0 fftCER1MEMa R EXCLUDED? N I NIA! ? ' 500,000 DISEASE-EA EMPLOYE 'S 10 S�CRdIION Of Of PERATIONS ba}w ' 'E.L.DISEASE-POLICY LIMIT 1 S 5fl0;Ofl0 i i I I ! ! DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Addillib a!Remarks Schedule,ma�r_be aCao�It mare spare is requiredl ;Action Inc.and.Nabonai Grid USA,its direct and indiraet pafentS,suibsidiaries:and atfitiates shall be named.as additional insureds on Commercial.General . ;Liability policy per terms and conditions o#forms CG2010 and CO2037 and Commercial Auto Liability policy per teams and conditions of form SCA 00S-(02 I16).Forms Available Upon Request CERTIFICATE HOLDER CANCELLATION I 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I 1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I National Grid ! ACCORDANCE WITH THE POLICY PROVISIONS, 40 Sylvan Road Waltham,MA 02451 1 �AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2016 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD r 'a ds fE.• . a t aq r d I T ' "tee_ r 4 irl. d"A OR oft,*0 t A-31 x ? ` rry 1 .w - ST..✓ ova. .. A QJW Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Ma.sk,husetts 02116 Home lmproveme ontractor Registration `'^ Type; rt�tlon ti Registration: 175683 ALTERNATIVE 1NEATHERIZATiON,ING s Explratfort: 0512812019 2 LARKST g� 5 FALL RIVER,MA 02721 Update Address and return card. Mark reason for change, ......_...� __ l .Jj... .. w..._., .,..,,.._..............� �[i[I!f @� l�tlh9.4lW9i Iaf'15�:.. ,-,nt�@ .A1'S�_..._...__.... " \ Office of Consumer Affairs&Susirim Regulation y n n; HOME IMPROVEMENT'CONTRACTOR Registration valid for Individual use only ' TYPE:Corl3yaatian before the expiration date. if found return to: �i atlan CiiiIS3t1 Office of Consumer Affairs and Business Regulation 05/28=19 10 Park Plaza-Suite 6170 ALTERNATIVE W EAT 11iEFMTIpN.INC. ,MA 02116 TIMOTHY CABRAL F`LLRIVE A R,MA 02721 Undersecretary R H To Town of Barnstable Regulatory Services * BAXNSTABLE, Richard V. Scali,Director y MASS, e: °oA, � 39. �' Building Division Ep MA1 . Paul Roma 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 I, Georgiann Schilling as Owner of the subject property hereby authorize A` a ram. '� (VY, to act on my behalf, in all matters relative to work authorized by this building permit application for: 7 Cottage Lane Centerville, MA 02632 (Address of Job) Signature of O er Date Tint Nand If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 �A office(1st Floor): l! Aa ap and lot number Conservation �--� � �111a Q�� "d G ` t � s� � �� 'rP� :Board of Health(3rd floor): %TALLE': EN COMPLIANCE • L ` �s�y�ncr Sewage Permit number WITH TITLE S. o Engineering Department(3rd floor): I\8VIROMMEN TI AL OOIDE AND ` °moo air►��� House number TOWN REGU ATiONS Definitive Plan.Approved by Planning Board tg A (- APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-i00 P.M.only l..< TOWN OF BARNSTABLE PLQ" 0�' � 1 BUILDING INSPECTOR APPLICAT ION FOR PERMIT TO Cadn/s71<vC-r GuFL(_T�'�� TYPE OF CONSTRUCTION 19 i`f! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information; I . n r 2 ti�eyV1 /�f Location � Y Proposed Use �'"5 'a' "-l,� �l�,c Zoning District Fire District - U J 4 M Name of Owner ree 6,-� me s Address l' u, %3vX 5/d (�e 1 "-tern; //-e Name of Builder S `L Address 5_0 A -e Name of Architect �rC,A " ��c /+ S 5 ` Address JZ E , 7,F eeA-fcrv;!L� Number of Rooms �° f Foundation nuv.� <✓ C"ri r r e Exterior e-/�O �'�`""� / �' �� �L-eS Roofing Floors �' V` A_z f / t'� Interior 5 ke c.-&r` 4, Heating ' Plumbing 2 Fireplace E r r Approximate Cost S- /-CU �C Area Diacfrarn of Lot and Building with Dimensions Fee t a % OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS / I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r g r ng the a ov construction. Name ;7' Construction S e isor's License 6013 F-7 Permit For Location 7 Owner Type of Construction s Plot Lot Permit Granted 19 • f Date of Inspection 19 p Date Completed 19 { : Cam_ FIB j•� �•-. ��1 i f j • E 1 y . office(1st Floor): ap and lot number 1) 9 /? f !� o*TN E>o v r Conservation `��i• �111i.4 ��°w `w Board of Health(3rd floor): t DASl7T►Dtt Sewage Permit number 1 7 _ � r"a Engineering Department(3rd floor): !( �o�i639• `oa° House number' 1411 / - o NO a Definitive Plan Approved by Planning Board ` " 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only f 4w TOWN OF BARNSTABLE crt^ � BUILDING INSPECTOR -' dl= ?�" APPLICATION FOR PERMIT TO (7 UN s rid v C r to F t r TYPE OF CONSTRUCTION _ S c iv G C t� /�/�r s c •� o o U 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r Location 2-( ` Proposed Use Zoning District Fire District � " 0 - M)y Name of Owner r P'� r ` r0 `f ' Address -y ?A F-r„ /I t Name of Builder Address Name of Architect r " ° c �' ' ` ' Address r , Number of Rooms Foundation ��� v Exterior j"� �'°` w � Roofing J Floors c�''�y 1 ` Interior f P t E' e. � r r Heating 41 1 `' S Plumbing k0 c-u0. Fireplace f Approximate Cost Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree.to conform to all the Rules and Regulations of the Town of Barnstable regarding r 9 g g the above construction. Name it Construction Supervisor's License t ` L Permit For Location Owner Type of Construction Plot Lot Permit Granted 19 Date of Inspection 19 Date Completed 19 i J' S Zw� e L-Engineering Dept.(3rd!floor) Map 229 Parcel .'0 8 8/0 O l Permit#' House#. 7 4:;JJ Pate Issued -2 ` 'Board of Healtfi'(3rd floor)(8:15 -9:30/1:00-4:30� 4 0 RRIME BE &5,UO Conservation Office 4th floor 8:30-9:30 1:00.'2:00 �. tP— OMPIUANCE ( )( / ) \ IN IN C Planning Dept. (1st floor/School Admin. Bldg.) WPtN E 6 ENVIRONM E'AND Definitive Plan A ed by Planning Board 19 TOWN NS STABLE. MASS QED 39.�` q 010-S TOWN OYBARNSTABLE Building Permit Application \ (, viollage ect Street Address ' 7 Cottage Lane ( formerly 1411 Falmouth Road) �� Centerville t Owner Georgiann Schilling Address . 7 Cottage Ln. , Centerville 02632 Telephone Home 775 0469 Work 775 0700 `Permit Request _to extend existing deck' on back of house to include c`steps xxxxxRP r �:�, � First Floor 800 square feet Second Floor 650 square feet Construction Type Wood frame Estimated Project Cost $ ' p o G Zoning District RS Flood Plain Water Protection Lot Size 20 , 038 s/f Grandfathered n Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 3 mo s . Historic House ❑Yes >0 No On Old King's Highway''❑Yes ,0 No Basement Type: ❑Full ❑Crawl 3�3 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 800 Number of Baths: Full: Existing 2 New Half: Existing New No. of Bedrooms: Existing 3 New 'Total Room Count(not including baths): Existing 6 New First Floor Room Count 4 Meat Type and Fuel: JUcGas ❑Oil ❑Electric ❑Other Central Air p Yes >Q No Fireplaces: Existing 1 New Existing wood/coal stove ❑Yes X3 No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) N/A ❑Attached ze(size) 7 ' 0" X 11 ' 0" ( ) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes UNo If yes, site plan review# Current Use Proposed Use Builder Information Name4V-7��. Telephone Number Address 7 Cottage Lane) License# Centerville , MA 02632 Home Improvement Contractor# Worker's Compensation# J - NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE TE BUILDING PERMIT DENI FORT F LOWING ASON(S) a FOR OFFICIAL USE ONLY r PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER k DATE OF INSPECTION: FOUNDATIONf FRAME - _ INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL r ' , PLUMBING R_&UGH FINAL GAS: '7 WI GH FINALco - FINAL BUIk M tr DATE CLOAD I" ASSOCIAT O� ,I PL tmo. 1 ; S � ` e i 1 , ROUTE 28 N 104.469 co LOT D u 20,000 SFt 1 N/F 0.46 ACRES* I • JOHN CARPENTER W 0 0 � CONC. I FOUND., 30.5*' 1 314 C ;a Tt N/F ' � JAMES CAREY 98.34' i LOT C JOB # 96-185 CER TIFIED PL 0 T PLAN LOCATION : RT. 28 CENTERVILLE, MA PREPARED FOR: SCALE : 1" = 40' DATE : JUNE 25,1996 REFERENCE LOT D PB 161 PC 119 VA UGHN 5'- I HEREBY CERTIFY THAT THE STRUCTURE HOMER UILDER S, INC. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of o 8oe--ae2-4sa ♦`��� off soe 3e2—o880 AFM Jo N. wa capetmeering, tna CIVIL ENGINEERS LAND SURVEYORS139 mom at Yarmouth, ma 02675 DATE — — -- REG. LAN OR f ti THE tp� The Town of Barnstable • saxxsr+sce. • MASS Department of Health Safety and Environmental Services lED '' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to. structures which are adjacent to such residence or building be done by re istered contractors, with certain exceptions,along with other requirements. Type of Work: et'CP&Oq �(1, Est.Cost Address of Work: r 10—fle— (2el-�Ylllto Owner's Name �J 1 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. uilding 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: Date Contractor Name Registration No. OR Date Owne Na rs me • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION l Please print. . - r/ � / ��.• , DATE JOB LOCATION / b e Number Street address Section of town HOMEOWNER" I �L� Namd lome phone Work phone PRESENT MAILING ADDRESS 1 lc_ City/town State Zip ccc The current exemption for "homeowners" was extended to include owner-cc-;= dwellings of six units or less and to allow such homeowners to engage an i. dividual for hire who does not possess a license, provided that the owner acts as super71SOr. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, a one or two family dwell_:; attached or detached structures accessory to such use and/or farm st_ruct=' A person who constructs more than one home in a two-year period shall nct i considered a homeowner. Such "homeowner" shall submit to the Building Of__ on a form acceptable to the Building Official, that he/she shall be rescnz for all such work performed under the building hermit. (Section 109 .1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. the unders4 eyned "homeowner" certifies that he/she understands the Town of 3arnstable Building Department minimum inspection procedures and requiremieT and that he/she will comply w' t said procedures and requirements. 1CM--OWNER'S SIGNATURE �/ LPPROVAL 'OF BUILDING OFFICIAL } fate: Three' family dwellings 35 , 000 cubic feet, or larger, will be require: :o comply with State Building Code Section 127. 0 , Construction Control. The Commonwealth of Massachusetts rjnlr Department of Industrial Accidents Office offatyestigations 600 Washington Street -' Boston,Mass. 02111 Workers Compensation Insurance Affidavit name: location: 7 YZ467 i�_ _ G 1 �T&����hone city 7 # ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compensation for my employees working on this job. company n am address: city /C2 c 9 Ile nhone# �l V insurance co. Y)4-2 614/0 poficv 12 O 4 S ❑ I am a sole proprietor, general contractor, r homeowne circle one) and have hired the contractors listed below who have the following workers' compensation polices: ........ company name address _cit 'Gl�f/` phone ... . .. insornnce ca .. nsur//nnce//////////%///////////////////////////////////%//////////////////////%%//////i////////////// ////ice com anv name: address: city- nhone#• .::.... oiicv# insurance co.. G/%% /�//%/��%/ / G/�/ / Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as we - civil pen es in the form of a STOP ORDER and a fine of$100.00 a day against me. I understand that a Copy of this statement may b cud to the OMce o o 'DIA for coverage verification. 1 do herebv certify at oration provided above is tru,-and correct Signature Date Print name l �ty tz t u t. Phone# ����� 7 oinc6l use only do not write in this area to be completed by city or town oinnial city or town• permitNcense 0 QBuilding Department ❑I,1censimg Board ❑check if immediate response is required ❑Sdectmem's Oisce QHeaith Department E. person: phone ti; ❑Other�� (revues 9195 PJA) • r 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 employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 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 you 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 applicant. Please be sure to fill in the pi number which will be used as a reference number. The affidavits may be returnod Tn 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, 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 >� Affice of lollesugadoes _ 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 i ZX/OS �iG"D.G. Exls%. xf 1 fw W X/7 i `1l 4��¢s L4.LL Y�CcLUM, j EEC/ST 3 2 L41Ly I :4-r2EMOv< COCCII�IJG' i • 13' 9" �C C r' 1 O I• I � ZXIOS �iG"D.C. � NEW W/OK/ � cAP PLA c S/-f/,11 4S,VE"c!_7ED NEB+! 4f% LALLy 1CaLu�,v G 1 I EKlST.3 2'L�4ccy =4,2EM0�� �acu��,, i 13 Z 9"' ScC 10Al/ i 1 TH I ff�11 - rTT i. rrm FB r � 1 N CW DECK _ EXl S r/NG � NEVN cXfST/N6 DECK _ t AEC1C ' i LEST" Sly t/11�1 � THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A I m / L DATA 1 met md3war8Lx I i 1. !! , ill rm i ' 1 EXfS7-/N6 DECK 1 PECK I L EFT S/DE- V 16 VV L" 'Il 8 1 _ 1 0� 0 2 x8 4R4 �s r- ! SOIST fff4NGE2 34 X 6 P. T, 0600NG c „ .7G/6r HA)UG,eje 2- �2 `A6 40tTs 2X 8's !�' 1b"o,C, �— ��X S`�.4NCJIOk'BOLA ,; Hi 7, �,Y/,4pTLSrA64 4445E Jam. it ' O � /6"o CANG COL UM A1.5— W /O"y2=6x 2=G 4 I i TYPICAL SECT ION �win aNmPasr tawWA146 r TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY ( PARCEL ID 229 088 001 GEOBASE ID 14164 ADDRESS 1411 FALMOUTH ROAD (ROUTE PHONE Centerville. ZIP - iLOT D BLOCK LOT SIZE DBA 4 DEVELOPMENT DISTRICT CO PERMIT 19594 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#14637) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox I ( CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, + MASS. J31DRESS NER ZEOLI , BARBARA A 03g9- & ED M1r►I 1395 FALMOUTH RD CENTERVILLE MA BUILDING DIVISI� DATE ISSUED 11/27/1996 EXPIRATION DATE `I."_)`WN OF l3ARNSTABLE BiTILLING PERMIT ' PARCEL 1*D ''may 0848 00 t:ie.()EASE 110 4.16,1 ALDtE'S 1411 FAH 1UTIR -,.A j T17 " I Pri V N entervii1t. '� ry{-J. ' �'�I�MF.t' '.1 3 {: {;u�;I�T ''f'IC)1. 1NG:L2 FAMILY DWRLL SIG (ON TOWN ri,Yr; sE E ?,E; 1Z3i�'rdl [ . , ',�I.,L�t� PM1�'Department of Health, Safet3 : '<C't v-:I ,r'r sa•r f': T and Environmental Services •'ti' :�'_i' I'll�:lil•..' ,'y t7�}_'lam ' 1, .�t',......RI..';C'L 10, .Ji.'z_- •_i 4'`.l0 o J(,`0_00 BAM 03 9�- 1� - A '.3dl•i.i:.s.< <.ia��.1. � L-�,!':f:ibi?���-. fi }9 b J s' BUILDIlYGMMSION �p BY 6'`.F .'fi- -•-�. ry i, 1 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK O Y PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER T ILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLMGRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS O Y APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED .� FOR ALL CONSTRUCTION WORK: APPRNED PLANS MU3T BE RETAINED LIN JOB AND 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED L'NTiL F!NA! €iVSPECT!nN WHERE AP-LICABLE, SEPARATE 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- c PERMIT' .•,..,r- ' , IIRE; ono (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,P-,m:rNG Arvu ML-, 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. - ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. 1 i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 / 2 kl 1 � � 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2V. BOARD OF HEALTH lip OTHER: SITE PLAN REVIEW APPRO r K SHALL NOT PROC ED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS NSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY OUS STAGES OF CONSTRUC- MnNTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- NL 'ABOVE. TION. 59 Assessor's Office'(lst floor) Map 29 Parcel O _ Ner t#} A6 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 4 /1 1-(•c sued 17 ® / � Board of Health(aid floor)(8:15 -9:30/1:00-4:45) e t eq i-e z.4„?y Engineering Dept..(3rd floor) House# �� �- 4� Planning Dept. (1st floor/School Admin. Bldg.) SE(MC S ST ale D*imApproved by Planning Board 19 �p� 1iVSTAL�.�D . LIANC WITH TITLE 5 i TOWN OF BARNSTABIAVIRONMENTAL CODE AND 47Building Permit Ap ication TOVUIV, - EGULATI®mS Pddress Village Owner �r. /I�b�.�-� :M Address -'� Telephone Permit Request -First Floor 6 9b A square feet Second Floor square feet Estimated Project Cost $ t0 aD Q Zoning District KD Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization / Recorded Current Use Proposed Use rConstruction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished dr Old King's Highway Number of Baths No.of Bedrooms t-S Total Room Count(not includingbaths) First Floor �Z/V©S� Heat Type and Fuel #A- 0 Central Air Fireplaces 44 -, Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ��! �`�� Telephone Number • � �"� Address License# C5 006�7f-2?/ f D Home Improvement Contractor# /d y&�3 Worker's Compensation# /y NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PEAIT DENIED FOR THE FOLLOWING REASON(S) FOR.OFFICIAL USE ONLY , 1 1 r PERMIT NO. - DATE ISSUED t r MAP/PARCEL NO. r t 1 Y �� � ," •, err ,� '' - ADDRESS ! h VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME' �•J �. �llJ� = = - INSULATION -FIREPLACE ' •'ELECTRICAL: ROUGH FINAL' PLUMBING: ROUaG FINAL fn GAS: RO Ix_ 0 FINAL •r; •a GJ�'Y FINAL BUILDING in % 17 DATE CLOSED OUT '~ ei ASSOCIATION PLAN d(7.` ' pp THE The Town of Barnstable BARE. MASS. p , Department of Health Safety and Environmental Services 0 t639. Building Division 367 Main Street,Hyannis,.MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection ✓� �J Location �t� ` � � O(41ermit Number Owner , \ �.(/(�I� Builder One notice to remain on J'obsite, one notice on file in Building Department. The following items need correcting: Li L v r- pr 12 S-� c. it Please call: 508-790-6227 for re-inspection. Inspected by , Date r `oF,HE rti The Town of Barnstable BAE. = Department of Health Safety and Environmental Services 7 MASS. Fo39. y0. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 ` , Building Commissioner Inspection Correction Notice Type of Inspection r Location , VNAjt -1 0 Permit Number ! Owner`,� Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: G) 44q VAPA LAIX t7t Go i,.n 0\'\�At-, -to ev, Please call: 508-7.90-6c227 for reeinspection. Inspected by \� _ Date C� { 4 tNE t The Town of Barnstable BARAq-% E. MASS • Department of Health Safety and Environmental Services 9 . 0,39. �0 p�Fo �a. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection _ Location Y 4 [ w" ���4 Pel rmit Number 1463 ' Owner Builder t f-VU A One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: - v Please call: 508-790-6227 for reeinspection. Inspected by Date � ' ROUTE 28 N 104.46' Q LOT D w 4 20,000 SF± if N/F. 0.46 ACRES± JOHN CARPENTER w 0 N o 0 a � CONC. o p FOUND. 30.5i: 44,4'* rn J F1� N/F ' JAMES CAREY 98.34' LOT C JOB # 96-185 CER TIFIED PL 0 T PLAN LOCATION : RT. 28 CENTERVILLE, MA PREPARED FOR: SCALE : 1" = 40' DATE JUNE 25,1996 REFERENCE : LOT D PB 161 PC 119 VA UGHN I HEREBY CERTIFY THAT THE STRUCTURE HOMEB UILDERS, INC. SHOWN ON THIS PLAN 1S LOCATED ON THE GROUND AS SHOWN HEREON. `MOf off 308-362-4541 � fmc 508 382-9880AFM I N. do�►n cape englneeri�g, lac. CIVIL ENGINEERS CAi( --- LAND SURVEYORS DATE REG. `� TEa� OR )939 main sL yarmouth, ma 02675 ��M HENRY L. MURPHY, JR. MURPHY AND MURPHY J. D000LAS MURPHY TELEPHONE (508) 775-3116 COUNSELLORS AT LAW G. ARTHUR HYLAND. JR. 243 SOUTH STREET F A X SUSAN MERRITT-GLENNV • (SOS) 775-3720 LOCK DRAWER M -- HENRY L. MURPHY, III HYANNIS. MASSACHUSETTS 02601-t412 NOTARY PUBLIC •ALSO ADMITTED IN CONNECTICUT REPLY OUR FILE NO. March 21, 1996 Ralph Crossen, Building Commissioner TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 RE: LOTS A, B, C AND D AND THE "WAY" AS SHOWN ON A PLAN OF LAND IN CENTERVILLE RECORDED IN PLAN BOOK 161, PAGE 119 Dear Mr. Crossen: I have been requested by Guy Coletti, a local builder and contractor, to you provide with an P Y attorney s advice with regard to the status of record title to the above-referenced premises in 1984 at the time of a zoning upgrade in the Village of Centerville. ' Based upon information provided to me through an abstract of the records in the Registry of Deeds for the Count of Barnstable my advice is as follows : Y , 1 . l/. Barbara A. Zeoli, sole, is the owner of re Ford title to so much of the above premises as is descried as Lots B and D and she has been the owner of said lots continually since January 11, 1980 . 2 . Barbara A. Zeoli, Trustee of The Zeoli Family Trust has been the owner of record title to the premises shown as Lot A and Lot C and the Way on the aforesaid plan continually since March 4, 1983 . While I am not privy to the Schedule of Beneficiaries associated with The Zeoli Family Trust, I have obtained an Affidavit executed by Barbara A. Zeoli under penalty of perjury (copy enclosed) , certifying that the beneficiary or beneficiaries of the Zeoli Family Trust have been, since its inception on January 11, 1980, persons other than herself and persons over whom she has control . She further certifies under oath that at no time has she individually held the sole power and authority to direct the Trustee or the affairs of The Zeoli Family Trust which Trust requires that the Trustee, before taking any action, obtain the direction and assent of the beneficiaries. In my opinion, assuming that the facts recited in the aforesaid Affidavit are indeed true, then Lots A and C have been in separate legal control from the ownership of Lots B and D since at least March 4, 1983 . In addition, research I have requested from the records of the Registry of Deeds indicates that the abutting land owners to the west of this property have been John C. Carpenter and successors since at least September 2, 1983 (holding title to the parcel abutting the northwesterly portion of Lot D) ; and Helen S. Bank, et al and their successors since at least January 28, 1977 (holding title to the remaining premises abutting Lots D, C and B on the westerly side of locus) . In addition, such research discloses that Daniel J. Fern, et al have held title to the entirety of the premises abutting locus on the east since at least February 6, 1968 (by deed recorded March 12 , 1970) . I trust the foregoing is satisfactory to determine that the locus shown on the above-referenced plan recorded in Book 161, Page 119 has been held in separate ownership since prior to the zoning upgrade; and furthermore that Lots A and C have likewise been held in ownership separate and apart from that (and under separate control from) that exercised over Lots B and D so that the four lots shown on the subdivision plan continue, and will continue to constitute four separate buildable lots. If I can be of further assistance in this regard, please give me a call or drop me a line. - Sincerely, J. DYk�gls Mur JDM:rj j enclosure cc: Guy Coletti C.W.a �. CEILING ASS=hi2LY .TOTAL R = J/rA7, `1 U_ •its 2 WII1df�Y15' c r . TOTAL R=30 : 0 r; n fln n SHE cx R = 0.45 ' tr o0T70I,l SURFACE . . R= 0.61 „ t TOTAL GAS—OIL HEAT R=12 . 5 R.r ,tom t/2 PLYWOOD' INSIDE SURFACE REAR" EL ,DTI N }' R 'o"62 R = 0.69 4 WI LL ASSEM9LY G.W.A. �ro�0' I/Z" SHEETR0Cx TOTAL SrHNGLES R = 0.45 R 40TOTAL ELECTRIC HEAT R=20 0`, U = n•b�3 Y.INDCn' 07, i t OUTSIDE, — ERGLASS. I, INSULAi ION SURFACE _ R -0:17 [ R - II > SURFACE 'RESISTANCE R = 0.61 OORS.' FINISH FLOOR '1i R= 0.91 FLOOR ASSF_,MSLY " � PLYWOOD TOTAL R = `24•73 a SUSFL OOR ' nIGHT SRO Ilk - :u E1 VA R _ 0.62 SURF++CE I UUU UUU < # VI!N00N3: rTOTAL R=20 . 0 I _ jq FOUINCAT_ICh!~ 1 z~ r CUtrD Y'll^LL AS"51:4SLY I� t`c.o� s: R ,'•�I SUr F4CE ? SljTar:Cc ( I,t^Y_ E R = 0.aI Or FLOCK 4 SUE INSICE SURFACE U G L f. x 3/3' T P C'( . �R 0.32 f . _I I' STYROr P�'r �T' r ► n 5' p 170Cr(S P�R.A tl NT,LY "CNSTALL_O STOR1.t- 5Y1`4O0`,'d� ' TrJ E US=O M3 C. art > 14 OIa ,.,,. �� '('` r± �: y // �(/9•• _ F �.(//✓/ - �/� i 'Ii. }s 7 t?li 'yam' x"i- } 5•. ,,. •y •J / F• V[// - ,.,•vl'. :9 ICJ S L `r• ti }� R4.t' q � , Bo0K3047PACE 114 � " 1 �,r BON, c. WE, GUIDO F. ZEOLI and BARBARA A. ZEOLI, husband and wife, 1395 Falmouth Road, Centerville, Town and County of Barnstable f !' of* lif:STERLI' by la Massachusetts for consideration of less than $100 paid, grant A�ildn BARBARA A. ZEOLI of 2395 Falmouth Road, Centerville Town and County Said premises are si Ys \ t4 of Barnstable, Massachusetts with QUITCLAIM COVENANTS two certain — ,1 Y °f way and easement: I'ricst and Louise } parcels of land located in Barnstable Y 4 stable County Regis (Centerville) , , County, Massachusetts ( nterville) , Barnstable , bounded and described as follows: VT I!ereby conveying th PARCEL l�ON'E_ " ux and et als by de The land in Barnstable (Centerville) Barnstable Count stable County Regis chusetts, bounded and described to follows: x � - of Alice R. Battagl y e Idassa . w. Jr. and Pearl Batta NORTHERLY: by the State Highway as shown on Ian hereina€ter . , F dated March 1, 1974 tioned, 134.74 feet; P a men _ try of Deeds in Bool EASTERLY by land s , This conveyanc formerly of Evelyn F, Sumner Crosby, as ^;�' The considerat said plan, 382.81 feet; shown o � +,�i � Z a stamps are recuired SOUTHERLY by Lot B, as. shown on said plan 117,89eet f 9F.STERLY by Lots C D �.'� WITNESS our han� , as shown on said plan, 402.26 feet, Being shown -as LOT A and the whole of the 30-foot way on plan en- titled "Plan of Land in Centerville, Barnstable, Mass. Belon g to Carl E. F, Louise K. Priest f, Gerda S,Paasi _ gin 1961 Nelson Bearse $ Richard Law, Surve ors 1 in, = 50 ft. March 2 u u ohich plan is duly recorded in Barnstable Registry Centeroofl Deeds ain Plan , �~ Book 161 Page 119• he 30-foot way, �, f all PersonslawfullydentitledTtheretoescribed isvined.andubj overtthto the e same.rights Iereby co nveying the same premises conveyed to Alfred Battaglini et t ux and et als, b IBARNSTABLE, SS: y deed dated October Bo 1135 and recorded with the Barnstable County Registry of Deeds, Book 1351, Page 58 and the dee of Alice R. Battaglini, Michael N• Batta lini g Jr. Then personal!) datedand Pearl Battaglini to Cuido F. Zeoli and Barbara A. Zeoli dated March 1, 1974 and dug Alfred G. Batta lini �t�* < BARBARA A. ZEOLI anc try of Deeds in Book 2009 t recorded in the Barnstable County Regi Tt at Page 069. their free act and < !'ARCEI, TWO: ,i The land in Barnstable (Centerville) chusetts, being shown as LOTS B C ) Barnstable County, Massa �i , , of Land in Centerville, Barnsta lei IAND D, on a plan entitled, "pla Louise K. Priest and Gerda S• Paasi, scale beinchongin 1961, Nelson Bearse F, Richard Law, h g t0 Carl E. and ' � � = 50 ft. , March 2 �'� recorded in Barnstable Count Re Surve•vors, Centerville, Mass," � Page 1"' and bounded and described tas £ollowry of ss in Plan Book 161,' A sE oYF,ee° ';Ortherl Y by the State Highway, 104.46 feet; LAW OFFICES JN Q THOMAS EASTERLYq:, HEAFDON A TNOMAS "li REAR°E'8 WAY y foot Way, i' Ca"tk OF 8EAR°E'0 WAY a thirty-foot y, 402.26 feet; :AssEYY LANE NORTHERLY ' by Lot A as shown on said ; Mo BASSETT LANE 'F1SS.ozoB plan and by said Way, 117.8 ' POST 0.i,CE°oz°Y° • MASS.oze°, feet; i. Y1'WMI f.MASS.oleo, :n,•�e�° EASTERLY by land now or formerly of Evelyn and Sumner Crosby, 105.84 feet, more or less; G'.' (�,Y,77,•All4 SOUTHIVESTERLY by the waters of Long Pond, .... a F - I^ 4y^ E Aif � f � '� K $ems^ F, �A r Y` a dyt ix F'k'^3✓ y ! ..M1���•i r. ��wh° Ntl¢-..-'�l��j:���x 3+3`� �L�.�,^�7.-. 1 ��' F��FB' �W ��i3.� 1•s:S^. .... �_... �5 ..1....���'`1 a _.. .a _ .. ._.5 . ". .., 4,._ x•!•.w -,..._: .._. ,. ,.:.- �.�•- .,_ .3e.::.... l�'t�d *�-"sa.�t t'�". THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^�c� C DATA 5 — F Sri 9,;�e k ife�` -"w . ' `' �RLY i'`# bY land now or formerly of Mildred E. Pierce and s�` m i I d r e d B. Mott 588.82 feet more or less.AW blame , nt tp`k* � , ; `` 3 premises' are subject,to and have the benefit of rights, rights contained aandi'easements, all as contained in a deed from Carl E. nd Cou. Y ` and .Louise K. Priest and Gerda Paasi, recorded with Barn- �I ce�rta Y ` i�F fabllounty Registry of Deeds in Rook 1314 Page 1043. 1 . able�. � 1 *� �"`.�-��s >. , x � � ��by, conveying the same premises conveyed to Alfred Battaglini et by deed dated December 7, 1965 and recorded with Barn 11 ti � I ! a £*r SbeCounty Registry of Deeds, in Book 1320, Page 829 and the dee - fajlfce R .Battaglini, Michael N. Aattaglini, Alfred G. Aattaglini saq� * 'a xs i Tin�1P,ear1 Battaglini to Guido F. Zeoli and Barbara A. Zeoli f x � °eutrlarch;l, 1974 and duly recorded in the Barnstable County Regi ter gp � oDeeds in Book 2000, Page 069. j' � a s,' �This�>conveyance is subject to outstanding mortgage of record. ( �` ri ' ' ,iThec'onsideration for this instrument is such that no revenue ;I Showy, ` � I 1( * a st ps,are required. ` lt'ITNESS our hands and seals this day of January, 1980 }} f raging y'Y u i n eo i inP , � ' Barbara eo i r , A _ a�• 'gyp ze i y- a '' °� COMMONIVEALTFi OF A'ASSACHL'SETTS 9. z�k�M * ARNS ABLF.s, SS: JANl1AR1' // 1980 i wltli "»` the ! r k µen personally appeared the above-named G11ID0 F. ZE(1LI and ttaglfi ARDARA't ZEOLI and acknowledged the foregoing instrument to ZeoYi unty�Rit free act and deed, before me C � 7'. �. Notary Public Ced A p# �` f "t M ' Commission expires.:f' Alaicb� ' 6I' + _ " t ok 1 3 C ��'. Zt Crosby � ,� � � • N Q RECORDED JAN 21 190D fie? �;/ o rt 74 A w �C �� 1 .r• a '�S ` The Commonwealth of Atassachusetts Department of Industrial Accidents ' til. � Ofllceol/IWest/0at/oas 600 {f ashingu)n Street �� .- Boston,Mass. 02111 Workers' Compensation Insurance.AlMdavit ..... ...r..........:..... ,.:.: .. Please PR1NT`le b ,O,Rnite�..• ....v... ./ � �'L�„SL�—'S� 01 f ' r locit on: city C-P,4-A ahod�'� 6 2A, ❑ a homeowner performing all wort: yself. �sDl�am a sole proprietor and have no one working in any capacity 0 lam an entplover providing workers' compensation for my employees working on this job. company name- address: c:r.•• phone#: •imsurangt ca, Dolia# I am a sole proprieto , general contracto or homeowner(circle one)and have hired the contractors listed below who have the following wo •e po ices: company n•tme• - address- 11hone _ 32 �u U •• _,,,._.,T•�� ..:KJ!•✓:..4•:.Tr'Cta r,s•%•:�•f�Rt: •� �!f�4.• 7F.:!.��+!! - •^'�'7S m nv name:__ . phonek0519 MW7—g Q lO t � :Atiachadditional'sherctitnee �':: Failure to secure coverage as required under Section 25A of h1CL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the D1A for coverage verification. I do hereAr cerrifj•un er th ins and !ties ojpe a ^slat the infornmdon provided above is true an/correct Signature r�' V ate G� Print name Phone# J(J •7�/�� 7�o official use only do not write in this area to be completed by city or town official city or town: permit/license iY nlluilding Departii eat OLicensing Board: check if immediate response is required OSelectmen's OMcc CIHeallb Department contact person• phone#; nUthcr (revised 1195 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their employees. As quoted from the "law", an emplityee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defincd)as an individual. partnership,association,corporation or other .cgal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the le-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling_ house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwellint, 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 even state or local licensing agency shall withhold the issuance or rene,tval of a license or permit to operate a business or to construct buildings.in the commom%ealtl� 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. :•�w777777 �''T 7 ..,rw.w�n �`:1.^i i.. "1,.:. r, ^1 N< 'I,''� .r••J i:�iil•Ai. -M �• . .. -��� 1 .•.. :.':... .•.. .. � sp. :a:: 'y.M1`f.,l ,a.»_ ,,r'> _ h :: fir• �••�. ;l r 'r: V1 •.\• .l .. moo. i�i�_ •t,«i�5 !'��•�� ,a"ly• Applicants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and supplying-company names. address and phone numbers 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 affidal it. 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 you are required to obtain a workers' compensation policy, please call the Department at the number listed below. e.•^'^ww.�w�raOROA1•!'•eP'R — y r ., .� ,•ram.. Cite 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 full out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to full in the permit/license number which will be used as a reference number. The affidavits may be returned to 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, please do not hesitate to give us a call. t, �•..V:..:� ... .• 7777 . �.t••r +SY:Y. 1 The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 yt �rt�•y, +�.'K'•,' 'ay'*.t a��� r`�' S.r b ,� t,'wF .��; 4 � ;�: ; y., ,. �; 1 ,Y sf-sy£ri}� Cr ft ,f��y,^, Pam+.,r'i• 7 c S +$� ^*. ;�; r .""3 r�-�4"s�. �s �: y. 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