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Home My WebLink About0044 COTTONWOOD LANE • w < - a o Y � r c 00C _t a . 41 �oFZHE ropy Town of Barnstable a Inspectional Services ` aA WSTAX.Z ' Brian Florence,CBO r� 1639. `0m Building Commissioner ''lEo MA'S s 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 44 COTTONWOOD LANE, CENTERVILLE Case# C-19-517 Inspection Type : Violation Inspector: lauzonj -- — — ---- — - - ---..................--- ---- --- --- - -- ------- Description Date Unit StatusComment Molation 01/06/2020 PASS 8 23/19 Building permit issued for retaining wall and storage container. Property currently has an active family apartment permit.. Supplies removed from site.. 1/9/20 SITE INSPECTION OBSERVED storage trailer not present. No violations $observed. 'Violation 01/06/2020 PASS 8/23/19 Building permit issued forretaining wall and storage container. Property currently has an active family apartment permit.. ISupplies removed from site. 1/9/20 SITE INSPECTION OBSERVED storage trailer not present. No violations i observed. Inspection Type : Violation Inspector : lauzonj ......... .. ...... ....... _. .. . ......... _...---------- — - Description Date Unit Status Comment Violation 08/01/2019 FAIL Follow up inspection. Notice of violation posted on property. Notice of violation physically handed to wife of property owner. Notice which was sent certified never claimed at post office. t ncreased supplies present on site for usiness. F . oFZHE Toy. Town of Barnstable ti Inspectional Services MUMSTABM AE& Mnss. ' Brian Florence,CBO y �°' 039ft•. .m Building Commissioner lED MAC a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 44 COTTONWOOD LANE, CENTERVILLE Case# C-19-517 Inspection Type : Violation Inspector: lauzonj . Description Date Unit Status Comment Violationµ 08/01/2019 FAIL Follow up inspection. Notice of violation posted on property. Notice of violation physically handed to wife of property owner. Notice which was sent certified never claimed at post office. Increased supplies present on site for I business. a Town of Barnstable Building Post:This Card So That it is Visible From the Street-Approved Plans.Must be Retained on Job and this Card Must be Kept MAIM Posted Until Final Inspection Has Been Made. ^� �� Where a Certificate of Occupancy is Required;such Building shall Not beOccupied until a Final Inspection has been made Permit No. B-19-2599 Applicant Name: YASKAVETS,YARASLAU Approvals Date issued: 08/23/2019 Current Use: Structure Permit.Type: Building-Trailer Expiration Date: 02/23/2020 Foundation: Location: 44 COTTONWOOD LANE,CENTERVILLE Map/Lot252-166 r, -- -E Zoning District: RD-1 . Sheathing: Owner on Record: YASKAVETS,YARASLAU . Contractor Name Framing: 1 Address: 44 COTTONWOOD LANE Contractor License' 2 " :Est. Project Cost: $0.00 CENTERVILLE; MA 02632 �'`°� m Chimney: Description: Permit Fee: • 25:00 • Description: Permit for rental_container,in-order to use stage container for l $ household furniture for 6 months Fee Paid $25.00 Insulation: a Final: Project Review Req: NO STORAGE OF HAZARDOUS MATERIAL.TO BE REMOVED-BY Date• 8/23/2019 2En+s"vf_0 �L'� 2/23/20. — w: f Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months'afteeJssuance. All work authorized by this permit shall conform to the approved application and thesapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. . This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. # The Certificate of Occupancy will not be issued until all applicable signatures b the Buildin-and Fire Officials are rovided on this permit. Electrical P Y pp g Y, g p p Minimum of Five Call Inspections Required for All Construction Work: ! Service: 1.Foundation or Footing 2.Sheathing Inspection „� ' " Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: y 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MG c.142A). Final: Building plans are to be available on site Fire Department (� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application Number............... ................... �G g MARMABLE, A MAS& Permit Fee............................ . ........Other Fee: ................ 1639. FD �� _ ® . 0" Total Fee.Paid............. .................................................. ...... TOWN OF BAi*SABI'l Permit Approval by. .................. on...;F 7VJ C, ............ BUILDING PE*� HT .Map........*.x✓........................P=el............ wo..................... APPLICATION Section 1 — OWner's Information and Project Location Pioiect-Addres.s- Vood Village cealeAnzle- Owners Name Owners Legal Address q6( awod /-Jl City . 1.4q1*-01 State Zip c)e-65?- Owners Cell# -E-mail Section —Use of Structure Use Group_ El Commercial Structure over 35,000 cubic feet -Commercial Structure.under 35,000'cubic feet Single Two Family Dwelling Section 3 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure Change of use ❑ Demo/(entire structure) 0 Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild El -Deick Apartment El Sprinkler System ❑ Addition El ' Retaining wall Solar M Renovation Pool El Insulation Other-Specify. Section 4 - Work Description 4 14 (o tease, 11/1 1CMA1 Q Application Number...................................................... Section 5—Detail u Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) Y i 110 MPH Wind Zone,Compliance Method 1E], MA Checklist ❑ WFCM Checklist E] Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage' t ❑. Smoke Detectors . e E �J ❑ Plumbing ❑ Gas ❑ Fire Suppression a 9 ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public . ; ,` Private . Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑' Hyannis Historic District _ ❑ Old Kings Highway Debris Disposal Facility: I=using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation , Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. a Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed:` `. } Side Yard Required Proposed { Has this property had relief from the Zoning Board in the past?., ElYes t0 No Last undated: 11/15/2018 . i► ley a wr ® Legend Parcels w � • z$E . is-. $ t � Town Boundary y 45216MG Railroad Tracks 62 E Buildings 252168HOIO Approx Building #62,', El Buildings . , 252169 Painted Lines 25215 '. 252167 z `\#935 Parking Lots 56. \, Paved Unpaved ' df Driveways w Paved �,.. ��;; " sue_ .. !L � .' '{sUnpaved z' :� 2,a245 Roads 43 Paved Road ' u y Unpaved Road l �,,. ':„' "� .c ' .:u ^� `' s� Bridge r- `u', e r s• Paved Median O Streams ` 'w � 252170Tt1O � Marsh Water Bodies � y ' #92:5' e � /, \ 252165 a !sm 2171 #9�9 25217,1 HO Z G 'J 252164II r .#2 252.11 ` 251lb4HQ 252,173 u °ems #900is .. p purposes y p y graphic r P Town of Barnstable GIS Unit Map printed on: 8/13/2019 This ma is for illustration oses only.It is not Parcel lines shown on this ma are only a hic adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi O 42 83 0 an on-the-ground survey.it may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 • reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us • s � Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number. Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date — Section 11 —Home Owners License Exemption Home Owners Name: �0.�OS�CTrt/ `f as�f/•P Telephone Number �0 g'2g '��f� Cell or Work Number I understand my responsibilities under the d gulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building C erstand the c nstruction inspection procedures,specific inspections and documentation required.by 780 CMR o arnstable. Signature Date --� AP CANT SIGNATURE Signature Date 0g11-/9 Print Name � �0-1 Telephone Number oe V, E-mail permit to: S_I Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval, Section 13 — Owner's Authorization � c as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of job) � J ) Signature of Owner date Print Name .r �. N .r , t a f . Last updated: 11/15/2018 Town of Barnstable i111Ci111 _ MA Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and:this Card Must be Kept Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied ernl n ntil a Final Inspection has bee made. G m Permit No. B-19-2600 Applicant Name: Approvals Date Issued: 08/23/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/23/2020 Foundation: Location: 44 COTTONWOOD LANE,CENTERVILLE, -Map/Lot 2S2-166 � Zoning District: RD-1 Sheathing: Owner on Record: YASKAVETS,YARASLAU. Contractor Name:_„ Framing: 1 License: �� Address: 44 COTTONWOOD LANE Contractor 2 CENTERVILLE MA 02632 ''^ Est Project Cost: $20,000.00 �._ Chimney: Permit ee: Description: front retaining wall, most is 4.5ft and under but so me of"it,is 6ft. $ 152.00 Exposed only 15ft long. Built with Redi Rock recast concrete blocks Insulation: P Y g• P. � "Fee Paid:, S 152.00 meants for residential. _ Final: v "« Date: r 9/23/2019 Project Review Req: PER ENGINEERED DESIGN. � � --- Plumbing/Gas , G� oPlumbing:R ugh ""',,Building Official -' Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after-issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for-which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access-street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Officials are provided on this permit. Minimum of five Call Inspections Required for All Construction Work:' Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed gym^ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: r; Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in IVIGL c.142A). - Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: r Application Number............................................................. BAPJMA33LF, MAS& Permit Fee..:... ..............................Other Fee:....................... 163 I0//ww 9G� /��O ........................................... ...... Total Fee Paid......... TOWN OF BA 5S IAP L? Pemit Approval by.. . BUILDING PEfT (Q (� % Pa=1................... Map APPLICATIONZo ................... ...... Section 1 — Owner's Information and Project Location Project Address 4q W *Ck*1000( Z-fit Village Owners Name � aroslaw Owners Legal Address vl U Wilk Wood Lo City._eO(A� _p,, Ut State I zip Owners Cell# 6'09— 2E)-46-15— E-mail e-Cod 10 11X I Section 2 —Use of Structure Use Group_ Commercial Structure over 35,000 cubic'feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Se&ion.-3 —Type of Permit ❑ New Construction EJ Move/Relocate ❑ Accessory Structure - E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall Solar El Renovation ❑ Pool EJ ksulation Other-Spec Section 4 - Work Description bq4- -s oa4<— otf r s69!�e�- engaq ' o�lq i Otte (A)t rAT ca_54-- eopf drerte- D(44f-KS Tate+A.+.A- 11/icmniQ Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method' MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage S ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑l_Public El -Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—.Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed �. Side Yard Required.- Proposed Has this property had relief from the Zoning Board in the past? ❑ Yesj, ❑ 'No Last undated: 11/15/2018 The Commonwealth of Massachuselft ,Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ` www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Lezibly Name(Business/Organization/Individual): G6r�S`�l✓ ��$G�/ Address: ��[ �t u��0� Lo City/State/Zip: Phone#: Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* ' have hired the sub-contractors 6. [1 New construction 2.❑ I am a sole proprietor or partner- listed on the attaahe&sheet 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity.acitY• employees and have workers' 9. [1 Building addition [No workers'comp.insurance comp.msuran0e t 5. ❑ We are a corporation and its 10.❑Electrical repass or additions 3. homeowner doing all work officers have exercised their 11.ElPlumbing repairs or additions dia right of exemption per MQL myself[No workers comp. 12.❑Roof repairs insurance required.]t c. 152,§1(4),andwe,have no employees.[No workers' 13.[1 Other' 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 hue outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sbeet showing the name of the sub-contractor,and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. , Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonmen 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 ed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuran a verification. 1 do hereby certify under enaMes ofperjury that the information provided ab etrue,and correct. Signature: Date: 9ZI211 Phone#: ' Of]kW use only. Do not write in this area,to be completed by city or town official icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other '- - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." ° An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shad 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,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other tlian tine) members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. , The Department's address,,telephone and fax number: y The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of bwestigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 ►:maw.gov/dia i MICHELE CUDILO, P.E. Consulting Structural Engineer .123 Cottonwood Lane,Centerville, Massachusetts 02632-1979 • (508)737 8521 • mcudilo@comcast.net August 12,2019 Alex Yaskavets 44 Cottonwood Ln. Centerville, MA 02632 RE: Existing Segmental Retaining Wall 44 Cottonwood Ln.,Centerville,MA Dear Alex, Per our site review on August 5,2019,the design for the existing segmental retaining by constructing a 6' height reveal wall at the street property line using 20" precast concrete blocks with the cavity infilled with soil,founded below grade on a 34" wide minimum bed of 6"thick crushed stone. There is a 10%approximate back-'slope in the front yard. This office contacted the manufacturer of the block,AR Precast Inc.,for review of the design in accordance with their specification limits,and installation guidelines. Due to the larger 20" units,the blocks may be installed to this height without geofabric. Their representative,Jeff Macomber, Business Development I Retaining Wall Specialist, AR Precast Inc.,was given this installation parameters,and states the construction is adequate for the intended loads. s. We discussed providing some method of hydrostatic relief at the wall face since the exterior face of joints is trowel grouted,using small diameter pipes through the concrete grout,20"deep into the wall,spaced 4'on center vertically and horizontally. I trust this provides the information required to indicate my approval of the as-built construction of the 6'reveal segmental retaining wall. incere y, (% H P�� OF MgSsAc Michele Cudilo, P.E. / o� MICHELE CUDILO /2018-255 STRUCTURAL y No 34774 FQISTEP ��' o�SS/ONAL�G O M T E 1='1_A N LOT :1 :7C? ,. -%-q- tom.OTTON§40O0 1_ANEF: C R B FEALTY_TRUST, OWNER DAVID Co THULIN, P.E. 178 ROUTE 6A, EAST SANDWICH', MA* e—N 47031�30 E- - - . f w 41' t o z p ' M _l LoT _178 �► � � raj FO.UNDA'T1.pN � � 0 0 LQ I ° « T M � OF go DAVID �y -o— N 490 O 6, 3 0 1, C. c THULIN '^ c� No-29976 -' y �IS7�`��`� COTTOKIwOOD LW FSS/ONA4 ENG SCALE` �_30 I CERTIFY THAT THE EXISTING PLAN REFERENCE.:_LC.20239_ C_..,._.__...._..__.___.__�_ FOUNDATIO ON THIS LOT IS ASSESSORS LOT N02251-166 LOCATED � RELATION TO THE NOTES: _ .................... ... EXIST �' MO T S HOWN , INDICATES STAKE tt_ NAIL FOUND / / `�-'1-I 1 s L-or %s til Flop c. DATE // Reds Rock Wall Sketcher F Job Name Centerville, MA m_ Sumaiv Project Notes: Residential - Ledgestone Retaining: Free Standing: JTC Contracting, Co pan //Person _ John Callahan _ Full blocks_ 50 Full blocks 0 Hair blocks_ 0 6"Cap 0 Address__ _ 44 Cottonwood Lane _ End blocks 0 Half blocks 0 2'x 4'x 7"Step 0 Corner blocks 4 Cit State.Zip Centerville, MA____ Square Feet 288 Square Feet 23 Telephone 774 353 6401 Retaining Wall Blocks —____-- 60-- ---_---_--__--_— Freestanding Wall Blocks 4 Steps&Caps 0.0 Total Square feet 311 The copy button may take a moment to transfer the Columns 0 blocks to the other program. Total Blocks 64 1 1 , Retainina Series Legend Column Series Legend 41"BLOCKS 28"BLOCKS 28r i 28"Top 17 P Planter 0 ETa End Top 0C Column 0 UHT 28"Half Top 0 HP, Half Planter 0 £M End Middle 0 EC End Column 0 M 41"Middle 0 28M ;i 28"Middle 16 xD Drain 0 E=8 End Bottom 0 LC Line Coiumn 0 r HMi 41"Half Middle 0 28HM 28"Half Middle 0 HD Half Drain 0 ==5= 7"Step 0.0 L5EJcorner Column 0 B 41"Bottom 0 �286 ; 28"Bottom 17PP Protruding Planter 0 [ CS 7"Curved Step 0.0 HB 41"Half Bottom 0 2eH8 28"Half Bottom 0 ACT+ ,? Curb Top 0 60"BLOCKS 21"BLOCKS 9"SETBACK BLOCKS [ CAP ]Column Cap 0 •'ALL' 60"Middle 0 21"Top 0 9"SB Middle 0 • 60"Half Middle 0 lA 21"Half Top 0 9"SB Half Middle 0 .; 60"Bottom 0 UM 21"Middle 0 �M60"Half Bottom 0 21"Half Middle 0 21"Bottom 0 = 21"Half Bottom 0 Free-Standing Series Legend: CORNER BLOCKS FST` FG. G BGC, FS Top 0 FS Garden 0 C Garden Corner 2 Bottom Garden Corner 0 CFT Curved Top 0 CFG Curved Garden 0 HGC Half Garden Corner 0 "BFC ' Bottom Flat Corner 0 FM FS Middle 0 GB Garden Bottom - 0 FC b Flat Corner 0 BC Bottom Corner 0 CFM Curved Middle 0 Fl B Flat-Top Bottom 0 HFC I Half Flat Corner 0 1, 9"SB Left Corner 0 FB FS Bottom 0 CFfB ,Curved FlatTop Bottom 0 MC Middle Corner 9"SB Right Corner 0 Page 2 of 4 2 r cCF6't .Curved Bottom 0 CAP 6"Cap 0 MC Half Middle Corner 0 21"Left Corner 0 [HCAP] HalrCap 0 "21"Right Corner 0 i Page 3 of 4 21 18 15 12 9 6 3 0 0.0ft 3.9ft 7.8ft 11.6ft 15.5ft 19.4ft 23.3ft 27.1ft 31.0ft 34.9ft 38.8ft 42.6ft 46.5ft 50.4ft 54.3ft 58.1ft 62.0ft 65.9ft 69.8ft 73.6ft 21 18' , � 15' 12 9' 6 3 0' 492 ft 496 ft 500 ft 504 ft 508 ft 512 ft 515 ft 519 ft 523 ft 527 ft 531 ft 535 ft 539 ft 543 ft 546 ft 550 ft 554 ft 558 ft 562 ft 566 ft Page 4 of 4 21' 18' 15' 12' 6' GC' 28T 28T 28T 28T 28T 28T 28T 28T 28T 28T „28T 28T 26T 28T 28T„ ' '; ,28T, 28T ,GC+`` 3 �� MC 28M" 28M; ,28M 28M , z 28M; 28M n„ .TM 28M 28M 28M'; �28M ,w ,28M x .2SM, 28M 28828B 28B Oft 3.9ft 7.8ft 11.6ft 15.5ft 19.4ft 23.3ft 27.1 ft 31.0ft 34.9ft 38.8ft 42.6ft 46.5ft 50.4ft 54.3ft 58.1 ft 62.0ft 65.9ft 69.8ft 73.6ft Application Number............................................ Section 9- Construction Supervisor Name Telephone Number r Address City State Zip I License Number License Type Expiration Date Contractors Email -Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the.rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: qkva (a4z c w Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Bu' C de. I understand the construction inspection procedures,specific inspections and documentation required by 780 d the Town of Barnstable. Signature Date ©gAl� LV ICANT SIGNATURE Signature Date Print Name �� G� Telephone Number E-mail permit to: Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval. Section 13— Owner's Authorization 1 as Owner of the subject property hereby ' authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Ik • 5 t N, Last updated: 11/15/2018 33zTC 'F=•I-AN � I._QT :L Xc;), ,. -q QQTTQN1400D I-ANE-: C R E REALTY .TRUST, OWNER DAVID C. THULIN, P.E 978 ROUTE 6A, EAST SANDWICH, MA. — N 47031�30 E- _ w i 3 O � :dT _178 N >`c�.uNcA'Tt.oN o% Ln 00 q' 41't I 0-10 • +l 4.1 r . m - M I M OF�yqs 115:00 DACVID y� ►J q 9° O 6' 3 O" o THULIN N No.29976 co G/Vlli�� .Q o olsTE� ��, COTTOMWOoD LN N A4 ENG SCALE` r ' (; I CERTIFY THAT THE EXISTING FLAN REFERENCES LC 20239 C FOUNDATIO ON THIS LOT IS ASSESSORS LOT NOS251-166 LOCATED RELATION TO THE NOTES*-_: EXIST G' MO �'T S HOWN A INDICATES -Als I or 1S T�If�T�114 /�_�F�a PLOD p , DATE // .-----. - Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street Hyannis MA 02601 """�"e�•�"A"'�'`°"°• """'S MNSigNS MLLIS•0.5tEAviIIF•MST&ANSTA&E > > 1639-201a www.town.barnstable.ma.us �g . Office: 508-862-4038 - Fax: 508-790-6230 Notice of Zoning Violation(s) and Order to Cease, Desist and Abate: Yaraslau Yaskasvets and all persons having notice of this order: As property owner.or tenant of the property located at 44 Cottonwood Lane,Centerville, Assessors Map 252 Parcel 166 and known as residential structure,you are hereby notified that you are in violation of the Zoning Ordinance of the Town of Barnstable 240-11(A), 240-10 (C) and are ORDERED this date 8/1/2019 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: - Summary of Violation: On or about 7/31/2019 this department observed of a violation of the Zoning Ordinance of the Town of Barnstable 240-11(A); specifically, supplies and equipment associated with a business use stored in a residential district along with a storage trailer. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 14 days upon receipt of this notice the following action: remove all items and equipment associated with the business and maintain the property as a single family property. And if aggrieved by this notice and order,to show cause as to why you should not be required to do so, by filing a notice of appeal within thirty days in accordance with Massachusetts General Law 40A Section 15. By Order, #J /re?'L/ Lauzon Chief Local Inspector. (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us Town of Barnstable Building Department Services Brian Florence, CBO ,Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 WNSiO"5 MILLS•OSiE0.VILLf•WFSt&"NSiI&£ J - 1639-2014 www.town.barnstable.ma.usDg Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Yaraslau Yaskasvets and all persons having notice of this order: As property owner or tenant of the property located at 44 Cottonwood Lane,Centerville, Assessors Map 252 Parcel 166 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 8/1/2019 to: ABATE all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 6/28/2019 the Building.Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically, retaining wall greater than four feet in height constructed without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: remove all unpermitted work or alternatively obtain a building permit and all subsequent required inspections for retaining wall. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, jZ®re4yL./Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us F Town of Barnstable Building Department Services Brian Florence, CBO DST Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 BPRNBTAB F•�N A EK0 IT•HY NNIB M0.9 NSTA NI115.OBifNVlllf•W3i-HMNIBIE 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Yaraslau Yaskasvets and all persons having notice of this order: As property owner or tenant of the property located at 44 Cottonwood Lane,Centerville, Assessors Map 252 Parcel 166 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter.l Section(s)R105.1 and are ORDERED this date 7/2/2019 to:ABATE all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 6/28/2019 the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically,retaining wall greater than four feet in height constructed without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: remove all unpermitted work or alternatively obtain a building permit and all subsequent required inspections for retaining wall. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, e . Lauzon hief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 MUtSi0N5 MILLS•OSTf0.VILLE•N£SI"4RNSTR&E 7 Y 7 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violations) and Order to Cease, Desist and Abate: Yarasla Yaskasvets and all persons having notice of this order: As property owner or tenant of the property located at 44 Cottonwood Lane,Centerville, Assessors Map 252 Parcel 166 and known as residential structure,you are hereby notified that you are in violation of 780 CMR, the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 7/2/2019 to: ABATE all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 6/28/2019 the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically, retaining wall greater than four feet in height constructed without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following.action: remove all unpermitted work or alternatively obtain a building permit and all subsequent required inspections for retaining wall. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, r . Lauzo Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us p1HF t Pointed On:712/2019 , CQMplaint ChI Report e+nnsresLL A 44 COTT ONWOOD LANE;,CENTERVILLE X 04 Ca"se'#" C-19-517 Case#: C-19-517 Address: 44 COTTONWOOD LANE, Date: 6/26/2019 CENTERVILLE Owner Info: Property Info: YASKAVETS, YARASLAU MBL: 44 COTTONWOOD LANE 252-166 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Interior-Exterior Maintenance,Zoning, Medium Priority Phone Prohibited Use, Unlawful Commercial Activity Complaint Summary: Caller lives at 33 Cottonwood Lane. She reports : She has never had any water issues in her basement for 36 years. Since the neighbor at 44 Cotton wood Lane installed an 8' stone wall at the front of his property water has been diverted and runs off into her property and other properties on the road. She also states they installed another driveway for his business and he keeps his vehicles in the back of his property. The caller states the owner of 44 is a roofer and his businesses vehicles including dump trucks and trailers (kept int he back end of his property). Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint. lauzonj Filed by: sheas Comments: Comment Date Commenter Comment Date: 7I2/2019 . b � Town of Barnstable- 'Insulation Certificate 44 Cottonwood in Centerville, Number and Street city Barnstable County Subdivision Lot Number Permit Number Description of Installation BASEMENT WALLS Product_Closed Cell Foam Lot Number Thickness (inches) 3 Thermal Resistance (R-Value) 20 Declaration I Hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy'Efficiency Standards. Yaraslau General Contractor(Builder) License Number 12/03/2018 Signature and Title Date Ca De Cod Spray Foam LLC CS 111878 Sub-Contractor(Insulation Installer) License Number —manager:—Ivan Pauliuchenk 12/03/2018 Signature and Title Date CPPy u � Town f Barnstable Buildin sd�"'"' `'e,,.;.ec O O :i� �;,.. �„�. .+z•� �' � % fPost;This Gard So.That it rs Visible From.the Street :A roved IPlans„Must,be Retained,pn,Job andahis Card..Must be.Ke t .r enuvtrewet.c. �.,,; r MAC. � 1�.,.,..y 4, 3 ,� .na a, ,%.�+� �„� ��.b �� , ..� � �s�a dr�x.tx`,. �,�. �`� .,�'l`". � "� .�. £ �� '%',', §� • p. ¢Posted Until Final Inspection Has.Been„Made a a earn Whecea"Cert�ficate;of Occu anc �sRe u�red uch Buildm 5h�all Not�be0eeu red unt�I aFinallns eet�onhas��been'rnade , :y Permit "� p Y� 9d��.�...� g.�.E,. �u�h�. �.,a .,..&.>:�p Permit NO. B-18-2483 Applicant Name: YASKAVETS,YARASLAU Approvals Date Issued: 09/24/2018 Current Use: Structure Permit Type: Building-Family Apartment with Construction Expiration Date: 03/24/2019 Foundation: �/OIZ'Z ha' YP g Y p Location: 44 COTTONWOOD LANE,CENTERVILLE Map/Lots 252 166 Zoning District: RD-1 Sheathing: foRkI" 7 "F � Owner on Record: YASKAVETS,YARASLAU Contractor Name Framing: 1 1 Address: 44 COTTONWOOD LANE Contractor;license 2 CENTERVILLE, MA 02632 NEst Protect Cost: $70,000.00 Chimney: Permit Fee: $432.00 Description: Family Apartment with Construction.Apartment Located in ;. Insulation: Basement. Family Apartment my mom and dad�MothersElena Fee Paitl`` $432.00 /ZJ//�B Yaskavets a � Father Sergei Yaskavets. Main House YaraslauXaskauets(,Owner) Date 9/24/2018 Final: Putting in.Smoke Dectors will enlarge the opening flu hwith walls and ceiling at office entrance i Plumbing/Gas Rough Plumbing: . ,. 1� Building Official Project Review Req: FORMER FAMILY APARTMENT. OWN ERSHIPCHANGE ONLY. Final Plumbing: . x f .. Rough Gas: a Final Gas: Electrical s Service: This permit shall be deemed abandoned and invalid unless the work authoriz'Ri by this permit is commenced within six months after issuance. � x ', All work authorized by this permit shall conform to the approved applcationandthepproved co�nstructndoements for which this permit has been granted. Rough: All construction,alterations and changes of use of any building and structure' 4 g by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final: work until the completion of the same. Low Voltage Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. g Minimum of Five Call Inspections Required for All Construction Work: Low Voltage final:> 1.Foundation or Footing 2.Sheathing Inspection Health 3.All fireplaces must be inspected at the throat level before firest flue lining is installed 4.�Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) _ __E-I ssulation Fire Department 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. AIMc, 2 . C�-��'� ' J) SMOKE DETECTORS REVIEWED � � -?- PDX . A T B BU DING D T. DATE co �0 FI EPAR MENT r DATE L� BOTH,SIGNATURES ARE REQUIRED FOR PERMITTING ©o Q® RD Barnstable Bld .Dept. 1 y b Approved Y Permit#CW74 0 4/- z I eeg/.e;rl-o /W 3 r L0l.'�u� � 13 w�LL �N�u �b�9T1 o.cJ 2 �-► iW A-l�1_ ��o D.� . - Lo � � i _ o 70 CID n NCO x 99 ' LO t G co 0 00 Z -__ - — — 5 ,o EX e , wpfL! y TNT UcTMI-YDT)o,cJ �._`_.__�w 2 x�-►!W p-�.t_ �(o D.C . � - ,- tall C� C o .¢ Z ar�aikuG L)JgLL.. a�-LO y cU �6 G ��- STI A,)& I . 1 1 � . � . - _31�"_spa-- _ _�_ - - - - -+ ►% /;/ / ,- ----••r--i_._-, 1.- •- - - -' -- � I � � C�--,,UTVDRO VA-E- 2 i G A p F a D � I ° to ' DOOR I C � a I � ' a d I � d o S14Y5 LP,.UDIIJCs G'DEU?X►? � e A d 0 vo o I � e I , o x 6 � F- c)1Qb ILAAvr-(AJ& U , r I � A � 2 iMF-V-ioe w OCI IN v o 0 0 I �ap VVq) ("D C Z J` JS y, . Application Namber.......................J........ ................ {� O•a ' sARNMA M ` PeffiitFee. .-".'.. .. .......,OtivaFa... �!.�...... XASELTotal Fee Paid.. .. . ........:.........................:..... .... .. TOWN OF BARNSTABLE PecmitAwroval by........ ....................on....9 Yf«•....._ ll BUILDING PERMIT ..............P=CL............1:G ..._. APPLICATION Section I —Owner's Information and Project.Location Project Address &le9�C ��I Village `J Owners Name Owners Legal Address • State �22 ziP o� city IT Owners Ce E-mail 46LZas law t /arlr Section 2—Use of Structure Use Group BUILDING DEFT ❑ Commerce Structure over 35,000 cubic feet AUG 03 2018 ❑ Commercial Structure under 35,000 cubic feet TOWN OF t ARNSTABSUL Lf Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) oFinishBasement sty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System , Addition ❑ R mina wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description erg 4J�Gl tic �a�a Gh 44% . 6r tee% — tea, f Va" g�erfa- YNv14e - T Act and?+ :V 2018 Application Number..........................................;............ f ` Section,5—Detail j ' Cost of Proposed Construction' 000- 't'Square Footage of Project Age of Structure 5 Dig Safe Number # Of Bedrooms Existing 3 Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design . l Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing [] Gas "❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney "❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear YardRequired Proposed ti Side Yard Required' Proposed ' Has this property had relief from the Zoning Board in the past? ❑ Yes ' ❑ No- Last trodated 219/2Q18 r FTHE Town of Barnstable Tp� of Building Department Brian Florence,CBO RAMS17ABLE. v MASS. Building Commissioner �Ar i659. a 200 Main Street, Hyannis,MA 02601 fog Do'_ = 1 ,355 9;:6 09-21-2—'018 1 = 15 BARNS T A LE LAND COURT R GISTRY Office: 508-862-4038 Fax: 508-790- 230 AGREEMENT FOR FAMILY APARTMENT I Yaraslau Yaskavets, the undersigned, being the owner of property situated at 44 Cottonwood Lan, Centerville, MA holding title under a deed recorded with the Barnstable County District Registry of the Land Court as Document No. C213755, being shown on Assessors' Map 252 as Parcel 166, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Yaraslau Yaskavets Relationship to Owner: owner Residents of Family Apartment: Elena Yaskavets and Sergi Yaskavets Relationship to Owner: mother and father This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this D�' day of "l�,' 1�C� 20(�. TOWN OF B`RNSTABLE: OWNER: By. 6 Yaraslau Yaskavets Brian Florence, CBO Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), qon-dau 1�S V�� and. made oath as to the truth of the foregoing instrument,before me. GIM 67 Notary Public My Commission ExpiresU DANKLESLAKE M+7lary�0lic.Comrr�n�ae��hotAha�ac>ruset;, gsan,ple MyCmi6wEmirmiafts-oB.r?02� A ' EXAMPLE A Ar / TYPICAL BASEMENT EGRESS. WINDOW & WINDOW WELL Window well area [ must be 9 sq.It.min.. r; - ` —7 3--0" (Min.Regvred) LADDER OR STAIR PERMITTE ora TO ENCROACH MAXIMUM OF 61NCHES INTO REQUIRED DIMENSIONS - Treated Timber,galvanized steel or ollier perrnanenll y _ \ built window well. _—{ _ \ Mill.well width T-V C I 1 36 IN.MIN ll= 'If excess of44"+ 'fixed ladder required. 5.7 Sq.ft.openable area —11ii 'IIIi�.�I11=11li� lIII Min h[.24' Min.wth.20' 36 IN,MIN FOR DRAINAGE GEO TEXTI LE FABRi, -'8aserrient wall. .must be 44" MAX.SILL HEIGHT .•waterproofed •4.ORAINTIIE'.: '..:....___ -_ OPTIONAL BASED ON SOIL TIPE. t''•'':L'7xf+':+ �!^ -- Basement egress windows present an added challenge. Besides the height,width and overall square-footage requirements that the window must meet,there are certain requirements for the window well surrounding the window. Window wells must: • Allow the rescue window opening to be fully opened. • Provide 9 sq.ft.of"floor area,"with a minimum dimension of 36"in width and in length. • Contain a permanently affixed ladder or steps for climbing out if the window well depth exceeds 44". The ladder must be at least 12"wide and project no less than 3"from the window well. It can't be obstructed by the open window or encroach on the required window well dimensions by more than 6" All emergency escape and rescue openings shall have a minimum net clear opening of 5.7 square feet. Exception:Grade floor openings shall have a minimum net clear apening of 5 square feet. Grade floor opening is a window or other opening located such that the sill height of the opening is not more than 44 inches above or below the finished ground level adjacent to the opening. The Commonwealth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation I_nsurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name(Business/Organization/Individual): Address: yq City/State/Zip: � �wl/��f�. ��2a°3Z Phone#: 608 Z90 Kll Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.VI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' ; 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonm 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. B vised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' e coy a verification. I do hereby certify under the pe af'perjury that the information provided above is true and correct CSi F atur C_ -Date: Phone-#:--, 57 V 2-d O r qoo'-1r Offtcial 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#: . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also 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,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 446 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia _o �oQ • �J c c3DC.TE— F"I—Aa%%P L:d!!%FR N:S.—r d4 E_=:E_I- C 1=t4—6'-I.1. M L._I_C 3 C R�E; REALTY _TRUST , OWNER DAVID C. THULIN, P.E. 978 ROUTE 6A, EAST SANDWICH, MA. N .47031 �30 E _ r W - O 41 t 'I �"✓ 26't O _LOT _I7g Lo ;� FC�.UtND.fA'fi Ole1 O710 28,± Ln e' sl m � 'tk OF M . I DAVID �y� .4-- N 4 9° O 6' 3 O" C. N o THULIN ^' v No.29976 En /STF� �`� 'COTTONWOOD LtQ FSS'ONAL EN6 SCALE_ I CERTIFY THAT THE EXISTING PLAN REFERENCES LC 20239 C FOUNDATIO ON THIS LOT IS ASSESSORS LOT NOS251-166 LOCATED RELATION TO THE MOTES: _ EXIST G' MO S HOWN A INDICATES STAI•:E_R_NAIL FOUND. .__... — / �� (�LAI�QT 1S 1�1QT I t L. L. �=EMA FZ—DOD. DATE // -------- Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Tap License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the roles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number .r Address City State Tap Registration Number Expiration Date I understand my responsibilities under the riles and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation regiired by 780 CMR and the Town ofBaunstable.Attach a copy ofyour EUC... Signature Date 'zSection-It Home Owners-License-Exemption Home Owners Name: 7AqA6 laq VaSV4S Telephone Number CCell or Work Number I understand my responsibilities under the isles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Code. I understand the construction inspection procedures,specific inspections and Building documentation required by 7 and the Town of Barnstable. 'gip t-Date Og of -f APPLICANT SIGNATURE gnature -Date // Print Name'--YQ:�Z0-S(ag l a S&0,45 �_T'Iephone Numbers �?e 2&V-��/S'_ E=mail permit to: - Vf; 0 50W�� L•C'D� .. .. .... Section 12—Department Sign-Offs i 4 Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire depardnent for approval Section 13 Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last=datc&2192018 BLDG DEPT. U.S.POSTAGE >>PITNEY BOWES 200 MAIN ST. HYANNIS,MA.026011 ZIP 02601 r 7017 1000 0000 6757 2836 - 0000.3.36455 JUL, 02. 2019 �11 gal Q� rc 4 Yarasla Ya 44 Cotton . Centerville, Ma. 02632 iVLXI.E 015 DE 1 0007/25 /19 RETURN TO SENDER UNCLAIMED UNABLE TO PORWARD § 02601400200 , - ii��lllllll0�19i,1oe11a��„�i�l��llhor,l„hls�►�,a,e�ls�i�llll:� I ei N i ■ Complete items 1,2,and 3. 7AL ature■ Print your name and address on the reverse b Agent so that we can return the card to you. 0 Addressee ■ Attach this card to the back of the mailpiece, eived by(Printed Name) C. Date of Delivery or on the front if space permits. I 11. Article Addressed to: D. Is delivery address different from item 1? 0 Yes I If YES,,enter delivery address below: 0 No ! Xkrra S?/ r sfca s vel-s 3. I II I II�III IiII Ili I III I III I II I I I II II'II II II I I III I ❑Adult Signature Restice ended Delivery ❑Registered Mal Restncted! 0 Priority Mail Express@ ❑Adult Signature ❑Registered MailT 9590 9402 3630 7305 4653 78 ❑Certified Mail® Delivery I I ❑Certified Mail Restricted Delivery ❑Return Receipt for .❑Collect on.Delivery Merchandise I �i_2_Article_Number_(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation' 7 017 10 0 0 0 0 0 0 6 7 5 7 2 8 3 6 ' Delivred Mail ❑signature oration t ured Mail Restricted Delivery Restricted Delivery I br$500) ! - I� PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ! s ) I£((F 131 t3* Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner 0-i NSTABLE200 Main Street H annis MA 02601�] •OSiE0."ILL4•WFSt BRRNSLRBIE 7 Hyannis, 1639-2016 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Yarasla Yaskasvets and all persons having notice of this order: As property owner or tenant of the property located at 44 Cottonwood Lane,Centerville, Assessors Map 252 Parcel 166 and known as residential structure,you are hereby notified that you are m violation of-780-CMR,-the Massachusetts-State-BuiWing Code Chapter I"Section(s)-RIG5:1-and are ORDERED this date 7/2/2019 to: ABATE all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 6/28/2019 the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically,retaining wall greater than four feet in height constructed without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: remove all unpermitted work or alternatively obtain a building permit and all subsequent required inspections for retaining wall. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice, you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration,of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, dre L. Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.bamstable.ma.us Parcel Detail ��y�,,� l -�G�, Page 1 of 4 . VIE ' r Logged In As: Pa rice I Detail Wednesday,July 18 2p18, , 66 Parcel Lookup �� ' 1 L4 O-P.1 Parcel Info .._.... . .__ v..v_...._..._. i V Parcel ID 252-166 _ I oper Lot OT 179 ) L? Location 44 COTTONWOOD LAN Pri Frontage Sec Road A_ Sec Frontage�y Village Centerville I Flre olstnctC-O MM Town sewer exists at this address NO I Road Index 0358 ) I Asbuilt Septic Scan: 252166_1 Interactive Map 252166_2 Owner Info _ _., . ....•__...._„ .,.. ___ ... _._ ..... _.....,.. ��,��5 Owner.ASKAVETS YARASLA) owner 1 Streets 44 COTTONWOOD LAN Street2' city[HNTERVILLE m, <, T „<I state zip t02632 I country v Land Info _ . Acres O I use Ingle Fam MDL-01 zoning RD 1 I Nghbd[0107 Topography lAbove Street �� I Road i,Paved �I Utilities j ublic Water,Gas Septic) Location 7 l i Construction Info Building 1 of 1 Year Roof � Ext Built� Struct GHp `Vin I Sidin Wall A Y g Living 1 215 Roof As h/F Gls/Cmp AC'None Area Covers p I Type I C C Style Ranch Int Drywall Bed 3 Bedrooms Wall Rooms Model Residential <�<�, Ior Ca et Bath 2 Full-0 Half Floor� y� Rooms Grade AverageI Total TYPe Hot Water Rooms�5 Rooms Found- Heat ... Stories 1 Story Feel Gas ;Poured Conc. ation Gross 2574 � Area ✓� Permit History y �•(l Issue Date Purpose Permit# Amount Insp Date Comments �1 12/29/2017 Sidnd/Roof/Door : 17-4411 $27,462 Re-Roof(Stripping OldShingles). 6 VtsttHlstory_.,. _._. . http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18803 7/18/2018 Parcel Detail Page 3 of 4 28 1992 $85,400 $0 $0 $25,600 $111,000 29 1991 $82,800 $0 $0 $44,900 $127,700 30 1990 $82,800 $0 $0 $44,900 $127,700 31 1989 $82,800 $0 $0 $44,900 $127,700 32 1988 $57,300 $0 $0 $21,600 $78,900 33 1987 $57,300 $0 $0 $21,600 $78,900 34 1986 $57,300 $0 $0 $21,600 $78,900 • Photos ___.�....__..�.._ .. ...�._.......�._�._._ ..._� .._��_,......_.,......._ __ ......... ............................ F Ilk r n. y E N \ it http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18803 7/18/2018 Parcel Detail Page 4 of 4 �1: y �6 w, fir"✓"%, .x 7 ., , �r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18803 7/18/2018 � 31 09 12:21 p � p.1 ZONING VERIFICATION T0: Linda Edson FROM: Kim M. Gomez - Leased Housing Coordinator RE: Legal Rental Unit Verification Date: Address Village: 2��:c: � Unit Type: 0" 5 If Bedroom Size: Map & Parcel No.: The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not,please list reason here: 6arx AW t I"d t 6xor0 v 14— 1 S _ 9 �-- nk you for out assistance in this in �- LI l tG1 C� --- cn Si ature Print name ? Uj Date VIA FAX: 790-6230 MRvP section 8 Rev. 8./06 ' i 31 0.9 12:21p _ p.1 �i . 0 f n T \ ZONING VERIFICATION .Q. TO: Linda Edson �(� 604 FROM: Kim M. Gomez - Leased Housing Coo dinator RE: Legal Rental Unit Verification Date: Address Village: Unit Type: Bedroom Size: Map & Parcel No.: kg- The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: f ZEE Thank you for your assistance in this matter. �µ Signature ' Print name Date VIA FAX: 790-6230 MRvP Section 8 Rev. 8/06 i P. 1 Communication Result Report ( Jul, 31. 2009 12: 53PM ) 2) Date/Time ; Ju1. 31. 2009 12: 52PM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 4688 Memory TX 95087789312 P. 1 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size 31 09 1221P P.1 —q3/-;—, — ZONING VERIFICATION TO: Linda Edson FROM: lCm Al.Gomez-Leased Housing Coordinator RE: Legal Rental Unit Verification Date: Address: !I Village: Unit Type: LJJl1 �� Bedroom Size: Map&Pared No.: 1(2h The owner of the above listed property is entering into a contract with us for the nuts]of the properly as rested above. Please verify by signing below that the unit is legal and meets all zoning ' requirements for a rental in the town of Barnstable_If it does not,please list mason here: i _ o nk you for•oat assistance in thiMA s m z ` m aulm P4 riotname1-09 s w Date v m VLAFAX: 790-6230 MRVP sw6cm8 Rev.8/06 Assessor's map and lot number ..... .....P. .. `"�•- ✓ y0F'THE Sewage Permit number d�Q 4 Z SARNSTODLE, i House number, ............................. ..... ....../�,................... rhea A.....f P - �4 i639• \0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION .FOR PERMIT TO . . w s T .v�...�.....&-/..... �Gc /�i.w: .............................. TYPE OF CONSTRUCTION ..... 5�.`�'.�G�� ' L`i f .................... ........................................................................ 1 .................S. x.................19-L, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L o T / 7 J` ,G'OTaAv Gvco/� s7/,�/,dF Location ....................................................................................................................................................................................... ProposedUse .. t J.�.°. ...'Y.T .f' . ................................................................................................................................ Zoning District . . .........Fire District ................................................. .............................................................................. Name of Owner f �g✓� * T UJ T Address ..1 �.�L .�T �°rO ry rf s............................. ............................... Name of Builder ' u 5.............Address ,1 ........................... ........................ .................................................................................... Nameof Architect ..................................................................Address. .................................................................................... Number of Rooms .................Foundation ra w C 2 4 f ................................. ............................ Exterior ..... ........ Roofing G.. ( .. .................................................. ........:....................:.................................................... Floors G Interior � .. ..l'�.f .L C .T.... G(//�..�.................. ... ^j�.................. ........... .................................. Heating /- �i C C" O i�a 6V/,-1 � . ...Plumb g ...........�� '...........f....... ......I................................... ................... ..................................... in .... .... Fireplace ...��.1'.f..........�./.� ...........Approximate. Cost .......... C.G.... n Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ....................................... Diagram of Lot and Buildingwith Dimensions � ""� g Fee. ................... . . ........... SUBJECT TO APPROVAL OF BOARD OF HEALTHQti� r tl r ,f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .................. Construction Supervisor's License ................................... | [!, 6 B. REALTY TRUST �A=252-I66 . . , No for ..Oug.. ............. --..Si -------. Location —.!--.l7�t.—.4.4. ..Drive ------ ................................... ' ' Ovvnu, 'I��j.t_y. .................. ` Type of Construction ..FraJ�a---------.. . ------^-------------------. . ^ ` ` Plot ............................ Lot ................................ ' ' . June 14' 84 ' Permit Granted ---------.---.]V ' Date -of Inspection ....................................lA Dote Completed ...................................... ' - . . ' ` ` ` . / . i | . . ` e ' TOWN OF BARNSTABLE Permit No. Building Inspector �•�+*•_ Cash ------------------ rya 9 yew. "6. OCCUPANCY PERMIT Bona Issued to Address 44 Cottonwood Lane, rente?-vil1 e Wiring Inspector Inspection date Plumbing Inspector f; j1 /J Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... ]9.........._ ..............................................................................................__.............._ Building Inspector MURPHY AND MURPHY TELEPHONE AREA CODE 617 HENRY L. MURPHY, JR. COUNSELLORS AT LAW 775-3116 J. DOUGLAS MURPHY 243 SOUTH STREET NOTARY PUBLIC LOCK DRAWER JEFFERY JOHNSON HYANNIS, MASSACHUSETTS 02601 T. DAVID HOUGHTON April 18 , 1984 OUR FILE No. 6014 Joseph DaLu_z Building Inspector Town of Barnstable Hyannis , MA 02601 Re: Lots 178, 182, Land Court plan 20239-c Cottonwood Lane Centerville, MA. Assessors Map 252, Parcels 163-167 Dear Mr. DaLaz: Please be advised that I have examined record title to the above captioned lots and find -the following : 1. Mar Realty Corp. , obtained title to all of the aforesaid lots October 27, 1966. (c+f 388852) 2. Mar Realty Corp. conveyed lot 180 to Alland Development Corp. on September 3, 1971. (c+f 52337) 3 . Mar Realty Corp." 'conveyed lots 179 and 182 to Holly. Development Corporation on September 3, 1971. (c+f 52336) Therefore as of September 3 , 1971 and. until the present, the record owners of the above lots are as follows : 1. Mar Realty Corp. lots 178 and 181; 2. Alland Development Corp. , lots 180; and 3. Holly Development Corporation lots 179 and 182 I .have provided a copy of Land Court plat 20239-c for your records . Should you have any questions , please don't hesitate to call Sincerely, r, ff r on 4� SHEET 9 / a w p /S► R s,� ;.04 d � 4 10100 oo �_e o3,` /95 o . 0 0 s 3y� o '.- .. d. o r 0 6p.o Cal ,�'. • � a /�6 0 '�Nype Joe .` 40 94 ill °f moo• � a • 0 � 0+7s3 , � ry 1 ?' � �� ; h m ti h ro/93 h v Z O Bk I U t'3 N $Z o ,. c, -- a/S. � V /81 oc 19/ o oil h A N �►'• �72 �•yo ir, j 36� 3 % Q . ti 204 . •J ti s 0g •' o N p0 .tih N36'/0'50•w of 2 o ot$�5' r� /8 0 p �. $0 _ Ann) 0 4 oo. o p �lh 1 c 190 ay ` N . 1. vs� o 1: ti•� Z 0483 � y � 9y Z.qB � N 203 j Borl.a 5y o �o, ! �' �184 Z 189 " o •. 0 0 �' .- 96 A� � w . � � i• � �:.�� i BRnS �`� .• �,ti� a � � 0 :� � �8� �1 • toQ 202 AX718 . ti ` �► ZOO �" 1gp99 -b a �4 4 = t r . • CON N RS ��,� s v F ,M� Y,,F�.M k �" i Jh�� i Sri;�; �•",.�i :.y., � �:;U t f •� ?","r� ��n'�i"`a r �. '� ' Ci' J �,�'»�a'•f r 4aY �e•�/�' ofh/a p/.m1n .0..0. �' j n < ...,..-�.,�...».-,..-.�r.......:v'......a:a-c�v.�w"....fr. warm+A�.e:w*+...a.�"�*��e•,.+..v..,.xv3+«ro..wm.:...zsasve:.xveli�:'�vti.�.z.vFv :wJt�+1-w.awr..` wr"� . rl7 ,. - i fh h �.^M w�.$t`1'" n, r��w1; Ai f"�1$+• s ° � ,.t��sr .t,,. a+; I C & E; REALTY TRUST, OWNER DAVID C. THULIN, P.E. 978 ROUTE 6A, EAST .SANDWICH, MA. " r c:f — N 47031�30 E - i w 3 41, } �� a qI o 8 `� d t\' �x1_s-r -r J7 `n � N FQ.uNDA'TT:O�lI 0` vi 00 LB It -44 m M � - `SN OF M9s I t5.0o DACVID �y� ►� 4 9 0 6'. 30" N o THULIN � No. 29976 H A �F Gi vrv�o .Q �oF C�ST6� ��. C0TT0KIWOOD LtJ FPS/ON AL ENG SCALE.' L!::E�Q . I CERTIFY THAT THE EXISTING PLAN REFERENCES LC 20239 C FOUNDATIqV ON THIS LOT IS ASSESSORS LOT NOS251-166 LOCATED RELATION TO THE NOTES: _, _.._.._..._..__............--._............................ ........ EXIST G MO S HOWN ♦ INDICATES STAI:E-_RNAIL FOUND................ _ or kS 1,4 �I.� b, r-EMA FLt0DD pLAt1y - A � - � I'{; •-•- 6 •: C v j :t.M' Off,♦ x�4�}A �.`y"'Sa' it y .. - .. � ♦ _ .4 I ( itf�' Z', � .�. w:�„`T.r: Via'. 1 l .x� . B' •� r' � ^2- � ' r K S, Assessor's map and'lot.number THE Sewage Permit number ... sm t� , t s - q.2 g4 ON u" eAR35TADLE. i House number. ...... ..... ...... ... �..�% ...t.. ��** 31111 HilAA 1639- TOWN OP B A1AMEE1,1 . s D.UILDIHGINSPECT"0R r s- APPLICATION FOR PERMIT TO ... T? el ...:... ............................................................................................................ TYPE OF.CONSTRUCTION .....X kv. L 4' ..........!`�..:.` ..................................................................... ` , t .................5��. .................19..�'� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the. following information:' Location L T / 7 ...CG?-G w I,riC.G s�k/a✓F tF..............................c... .......:............... ��... ....... ............ Proposed Use .�! C f i o [' 'Y.r 14 �................................... .........................................................`.................................. 4 Zoning District .I'l.C..l:........... fire-District' ......................... .... ...................................... Name of Owner ..G'. ..r...D E �r�....1-... UJ T Address .aL•L i l...s ......t'./r''�•ro wi..�`2. .�..:... Name of Builder .:n 71c ..................Address ..... .. Name of Architect `.............................. Address ................................ ............................... Number of Rooms .......... tp�y.. 2[9' (/=v�.� ) ... ......... ......... Foundation .................................................... !. . Exterior ....ltl P:o.. O.........................:............. Roafing ... r.... .:........................................................... Floors' ....1�........ f •^..�.............G.��..................................... .......................................................................Interior ............ Heating ... % .....Plumbing ...a?....1��fi�....................................................... r Fireplace ... ......... .....:............ .................;.:...........Approximate C�'f. ost© ..G:G.°........................ ........... .. Definitive Plan "Approved by''Planning Board ------------ ________. Area 1..2 � . ......S..`.......... ..... ....... . .. Diagram of Lot and Building with Dimensions Fee 7� SUBJECT TO APPROVAL OF BOARD-OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • u ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. pp Name ................. _ � � 7 9 Construction Supervisor's License .�........ & E. REALTY TRUST No .2588.... Permit for .One StorX.............. ' s.?:?��1,�.Family..Dw U:l nJ......... Location Wt.1:7.9.......44..CA.ttonwood .................' e1 t,4AMUQ................. ;**** Owner ~' - & B. Realty Trust -:Type' Construction' FK1 I: 1�r....................... .; Plot ^....................... Lot .......... ..... ........ r jtA Pe�mlt Granted .June..14, ..............1�9 84 -Date of-,Inspection ............:...: .....!'........19 ' ? q• Date Completedp ..v . t.`19�� 71 In al f r lov 14 x_ �oFtHET�,� Town of Barnstable �a sARNSTABLE. Building Department 200 Main Street m Hyannis, MA 02601 $'°TEo MAC' Tel. (508) 8624038 Certificate Of Occupancy Permit Number: B-18-2483 CO Issue Date: W30/2020 Parcel ID: 252-166 Zoning Classification: RD-1 Location: 44 COTTONWOOD LANE, CENTERVILLE Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: Permit Type: Residential -Single Family Type of Construction: Design Occupant Load: 0 Comments: FAMILY APARTMENT IN BASEMENT WITH INTERNAL ACCESS. ELANA AND SERGI YASKAVETS (PARENTS) ARE OCCUPANTS. 2 2 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition OaWtrUrO WK 1� r, z / � s 's 44t f, EF f F�He r Town of Barnstable Building Department Brian Florence,CBO BARNSCABLE, " v MASS. $ Building Commissioner �Ar 1639. ek`0 200 Main Street, Hyannis,MA 02601 FnF"p O01_m i y 354 P 9;B6 09-21-2018 1 = 18 . L?ARNSTABLE LAND COURT F GI STRY Office: 508-862-4038 Fax: 508-790-�230 AGREEMENT FOR FAMILY APARTMENT I Yaraslau Yaskavets, the undersigned, being the owner of property situated at 44 Cottonwood Lan, Centerville, MA holding title under a deed recorded with the Barnstable County District Registry of the Land Court as Document No. C213755, being shown on Assessors' Map 252 as Parcel 166, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Yaraslau Yaskavets Relationship to Owner: owner Residents of Family Apartment: Elena Yaskavets and Sergi Yaskavets Relationship to Owner: mother and father This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. p 1n WITNESS our hands and seals this �I day of 1✓ 20S. TOWN OF B`RNSTABLE: OWNER: t. By: Yaraslau Yaskavets Brian Florence,CBO Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Oq la I ad Uarras �a� �asuv�i�S `�� Then personally appeared the above-named. (owner), made oath as to the truth of the foregoing instrument, before me. - Notary yCo Public I�(�V� 4 M Commission Exp fires',, � u. � — �ry�tmlic.C��hotA9a�Achusett� `= gsan,pleC�mafi3n��lresJanul��.i?62^ Town of Barnstable �OF SHE TOh'I� o Building Department Brian Florence,CBO BARNSTABLE, ' 9 Muss. Building Commissioner �Al'b34� 200 Main Street, Hyannis, MA 02601 epF,�, p Do-_: I r 354 P 9u6 09-21-20IS I _ 18 6=AR NSTABLE LAND COURT REGISTRY Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I Yaraslau Yaskavets, the undersigned, being the owner of property situated at 44 Cottonwood Lan, Centerville; MA holding title under a deed recorded with the Barnstable County District Registry of the Land Court as Document No. C213755, being shown on Assessors' Map 252 as Parcel 166, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Yaraslau Yaskavets Relationship to Owner: owner Residents of Family Apartment: Elena Yaskavets and Sergi Yaskavets Relationship to Owner: mother and father This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this �I day of �1 I r f✓CJY 20 TOWN OF B`RNSTABLE: OWNER: By: \ 1 6 Yaraslau Yaskavets Brian Florence;CBO Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), �QIYaS 4�U 1USU�/�J an,d:..- made oath as to the truth of the foregoing instrument, before me. In Notary Public ��y fir, ' My Commission Expires',_ ,,�1U1fI M y I�(D�U�t DAWEILLEBLAKE NO�ryPtjbtic.Cmmnorr►�e�hotAh3�Chusstt, gsample hRq�AtARi1 4nElbff�j2flow.n02n k r t Town of Barnstable .*Permi - - 7 Building Department ' ems onths from issue date _ ■ARntsrui.e, Brian Florence,CBO IDMAM 1639� ( /J �� Building Commissioner °i 200 Main Street,Hyannis,MA 02601 www:town.bamstable.ma.us o Office: 508-862-4038 Fax:508-790-6230 `EXPRES PERMIT APPLICATION - RESIDENTIAL ONLY n Not Valid without Red X-Press Imprint Map/parcel Number Property AddressYr�1 !V I'k 2 2 Residential Value of Work$ Minimum fee of$35.00 for work tWer'$6000.00 ' Y . Owner's Name&Address3 �1 ff n q Contractor's Name P��' 1 C�G Map t Telephone Number S'G 's T� J73 Home Improvement Contractor License#(if applicable) Email: 0g6le k Pl {d Io00 . Construction Supervisor's License#(if applicable) ❑Workman's mpensation Insurance. Ch one: I am a sole proprietor 17 ElI am the Homeowner _ DEC 2 2 .2011 ❑ I have Worker's Compensation Insurance E 1 I TOWN OE BARNSTABLE Insurance Company Name Workman's Comp.Policy# - Copy of Insurance Compliance Certificate mustaccompany each permit. Permit Re (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 r ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: , '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: C:\Users\decollik\AppData\Local\M erosoft\Windows\INetCache\Content.Outlook\9NNOKXYW\MIDENTILONLYEXPRESS.doc 09/26/17 The Commonwealth'of Massachusetts Department of Industrial Accidents Office of Investigations ; ' .600 Washington Street' Boston,MA 02111 w"W.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information F Please Print Leeibly Name(Business/OrganizationAndividual): HyTech Roofing Solutions { Address: 12 Baldwin Rd. City/State/Zip: Dennis,MA.02638 Phone#: 508 776 7173,- Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ✓ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6., New construction R, 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g Demolition working forme in any capacity. ' employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: , required.] 5. We are a corporation and its 10.. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13. Other comp.insurance required.]. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ` t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: , Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 44 Cottonwood In r. City/State/Zip Centerville,'MA.02632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of'a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ai agd pe Ides of perjury that the information provided above is true and correct. Signature: Date: Phone#: 508 776 7173 Official u'se 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 r Contact Person: Phone M ' G-. Office of Consumer Affairs and Business Regulation _ _ 10 Park Plaza - Suite 5170 s Boston;Massachusetts 02116 ' Home Improvement Co actor,Registration �q Registration: 184383 �,_. Type: LLC Expiration: 1/5/2018 Tr# 274212 HYTECH ROOFING SOLUTIONS-LLC srµ, PATRICK CLIFFORD . 12 BALDWIN RO DENNIS, MA 02638 ' Update Address and return card.Mark reason for change. . Address I<i Renewal Employment Ct Lost Card r--_ --�'�r'�anrr�radre�Fea/f�o��,�a6o�%r�n e/h3; •• .. ... ._ .,: _ Office of Consumer Affairs d Business Regulation License or registration valid for lndividul use only before the expiration date. If found return to: -' OME IMPROVEMENT CONTRACTOR MA 184383 Type: Office of Consumer Affairs and Business Regulation , expiration 1/5/2018 LLC. 10':Park Plaza Suite 51.70 -1 0 y Boston,NLA,02116' HYTECH ROOFING SOLUTIONS LLC'. : PATRICK CLIFFORD ,,, _ -• /, � 12 BALDWIN RD; DENNIS,MA 02638 Undersecretary Not.valid without signature r s Massachusetts Department of Public Safety Board of Building k gulations and Standards License: ML-105951 g Construction Supervisor Special3yY PATRICK CLIFFORI) 12 BALDWIN ROAD, - 55 DENNIS MA 02638.1 t ( - IJL- ,Expiration: Commissioner • 06/0212018 ¢ ACOO CERTIFICATE OP LIABILITY INSURANCE DATE` °°""'"' 7/25/2017 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 CONTACT Joanne,Bretton NAME: Southeastern Insurance Agency, Inc., PHONE E (508)997-6061 FAAIXC No):(508)990-2731 439 State Rd. ADDRESS:jbretton@ southeasternins.`cam. P.O. Box 79398 INSURERS AFFORDING COVERAGE NAIC d North Dartmouth MA 02747 INSURER AArbella Protection Insurance 41360 INSURED - - INSURER BAEIC All Cape Exterior Remodeling LLC INSURER C: 12 Baldwin Road INSURER D. INSURER E: Dennis MA 02638 INSURERF: COVERAGES CERTIFICATE NUMBER:2017 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. �7R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER 1MMfDDIYYyYI (MMfDDIYYYY1LIMA X COMMERCIAL GENERAL LIABILITY r ` - EACH OCCURRENCE $ 1,000,000 - A CLAIMS-MADE R❑OCCUR " DAMAGE TO RENTED 100,000 PREMISES Ea Ocwnence $ 9520048113 1/14/2017 1/14/2018 MED D(P(Any one person)' $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: r GENERAL AGGREGATE $ 2,000,000 X POLICY❑JEa LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: e $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMB $ - Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS W18 HCLAIMS-MADE AGGREGATE $ DF-D RETENTION$ $. WORKERS COMPENSATION- PFJ2 OTH- AND EMPLOYERS'LIABILITY TATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE Y� E.L.E. EACH ACCIDENT $ 1,000,000 OFFlCERIMEMBER EXCLUDED? NIA B (Mandatory In NH) WCC50078962017A 1/9/2017 1/9/2018 ' E.L.DISEASE-EAEMPLOYE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project: Gosnold, 1185 Falmouth Road,,, Centerville, MA Consery Group is listed as. additional,insured. CERTIFICATE HOLDER CANCELLATION (508)888-6566 . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Consery Group _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 278 ACCORDANCE WITH THE POLICY PROVISIONS. Sagamore Beach, Imo, 02562 AUTHORIZED REPRESENTATIVE Joanne Bretton/JB �►�'�'� � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) t r t � TA -rj, 7,.e —Aff W,A WNW , 500-�776A=-7173 12 Baldwin Rd. Dennis, MA 02638 ROOF REPLACEMENT PROPOSAL Date: December 1, 2017 Customer: NAME: Yaraslau Yaskavets TEL: 508 280 4515 STREET: 44 Cottonwood Ln. CELL: CITY: Centerville,MA. 02632 EMAIL: Yarslau89(a,gmail.com HyTech Roofing Solutions hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Roofing Shingles from the Entire Roof Deck Area of The House. Inspect and Re-Nail Any loose or popped plywood or boards on the Entire Roof Deck Area of the House Supply and Install CERTAINTEED LANDMARK SERIES LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION, CLASS A FIRE RATED, COPPER/CERAMIC STONES for PROTECTION AGAINST ALGAE CONTAMINENT,235-300 POUND,EXTRA HEAVY WEIGHT, 130 MPH WIND WARRANTY, CATEGORY III HURRICANE, STORM/HURICANE NAILED (6 NAILS PER SHINGLE),MULTI-LAYERED,LAMINATED ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR. `I1 ,!Weathered Wood'. 1 Supply and Install HICKS VENTILATED ALUMINUM DRIP EDGE on the entire roof eaves of the house. Supply and Install 8"WHITE ALUMINUM DRIP EDGE on the entire gable end rakes of the roof. Supply and Install CERTAINTEED WINTER-GUARD (Ice &Water Shield) WATERPROOF UNDERLAYMENT SYSTEM 3 feet coverage on the entire roof eaves and valleys and on top of Soil Pipes &Vents, Under Step Flashings, and running up the walls of the Chimney and Skylights. Supply and Install CERTAINTEED ROOF-RUNNER SYNTHETIC UNDERLAYMENT PAPER on the entire roof deck area as required per warranty specifications. Supply and Install CERTAINTEED SWIFT START adhesive asphalt starter strips on all eves and Rakes with a V2 inch overhang Supply and Install CERTAINTEED FILTER RIDGE (SHINGLE VENT II) ridge vent on the entire ridge area of the roof using the 3" hand nailing method. Supply and Install CERTAINTEED HIP AND RIDGE CAPS on the entire ridge/hip area of the roof using the 3" hand nailing method Supply and Install ALUMINUM & NEOPRENE SOIL PIPE FLASHINGS Clean and Remove Debris from the work area after the job is complete Pricing: - Good Better Best Brand: Landmark Landmark-PRO Landmark Premium Recommended for Inland Inland High Wind On the Water Weight: 235 Lbs. 250 Lbs. 300 Lbs. Algae Protection: 10 years 15 years 15 years Max-Def Colors: NO YES YES TOTAL $139255.00 $149262.00 $159998.00 Investment: 2 f' Supply and Install: 2 NEW VELUX"No Leak Guaranteed" Skylights over the master bedroom and living room.This Includes all refraining work and ID- lumber required to create a proper opening to install the skylights and any necessary interior trim and drywall work required to ensure a perfect finished look. Skylights will be installed in accordance to Velug's skylight flashing and underlayment installation specifications to ensure the full lifetime warranty on the product For Solar Powered Venting with Solar blinds: $13,200.00 Size: VSS-M06 ***replacing skylights on your house with new Velug Solar powered fresh air skylights you will be eligible for a 30% federal tag credit on the entire cost of the roof replacement as well as the skylights and installation. An estimated total-sav ngs of $8 2U."- 3 POSSIBLE EXTRA CARPENTRY: Any rotted or otherwise deteriorated trim boards, plywood sheathing,missing metal flashing,side walling or any other carpentry needing replacement will be done and charged for as an Extra: materials plus labor at the rate of $ 60.00 per hour. PAYMENT SCHEDULE: A deposit of one half is due at the signing of this roof proposal and the final payment for the balance is due immediately upon completion. WORK SCHEDULE: All roof work is normally scheduled for completion within 30 days of acceptance and receipt of deposit providing the materials are available. Please Make Checks Payable to: HyTech Roofing Solutions HyTech Roofing SOIUtiOriS Warranties the Shingles and Labor for 20 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant. HyTech Roofing Solutions -Carries Workman's Compensation and Public Liability Insurance on the above work -Handles all permitting and planning involved with the above proposed work -- .:- .. -Is certLfied directly by�Certainteed�and.processes a1I warrantypaperworkmvolved TOTAL INVESTMENT: $27,462.00 - - (With All Selected Options) DATE OF ACCEPT � . • 2 /&b zo/(� ACCEPTED BY: SUBMITTED BY: i 1,2 Ya t,`aA,-(u'yiAavets Patrick Clifford OWNER (Business Owners) MA CSL license 105951 MA HIC license 184383 VT �� s,F �� 4 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: , 06/19/09 TIME: 13:33 -----------------TOTALS----------------- PERMIT $ PAID 100.00 AMT TENDERED: 100.00 CHANGEPLIED: 100.00 APPLICATION NUMBER: 200902843 PAYMENT METH: CHECK PAYMENT REF: 3009 fiS FIRER Town of Barnstable *Permit# �� t�9�3 Expires 6 months front issue date Regulatory Services FeeHAIMnABM � M^ ` Thomas F. Geiler, Director A s6J9. rFnn�a'�" 'PRESS 'lding Division om erry,CBO, Building Commissioner JUN Z 9 200.000 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma:us Office: 508,862 40038 �1 OF BARNS TABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY J / Not Valid without Red X-Press Imprint - Map/parcel Number 0 5 < `� Property Address Ci G,� �7 `Residential Value of Work - � (�y Minimum fee of$25.00 for Work under$6000.00 Owner's Name&Address .V Contractor's Name GY C Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation InsuranceT Check one: ❑ I am a sole proprietor 5r am the Homeowner a ❑ I have Worker's,Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ztr �� ✓/ 'i 6 C ❑ Re-roof(not stripping. Going over existing layers of roof) C _� ❑ Re-side ❑ Replacement Windows. U-Value (maximum ,44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si Property Owner Letter of Permission. H4ni@4mprov m for ' e se&Construct Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\Express\EXPRESS PERMIT.DOC Revise06O4O9 3 0o Ia1o3 cis ��15a LU�GO oo w?o Commonwealth of Massachusetts Idarn s;to bl a The Trial Court _ . Division Probate and family Court Department Docket No.02P-0I36-GCl PERMANENT DECREE OF GUARDIANSHIP GUARDIAN OF PERSON—AND ESTATE Name of ward Marie 0. Maddox At Probate and Family Court held at Barnstable -----,on September 25, 2002 Robert A. Scandur.ra presided. (des) (name of justiar) All persons interested having been notified in accordance with the law and objections being made—after hearing—upon representations of counsel,the ward—not—being present: The Court finds that the ward- IM is incapable of taking rare of himsetflherself by reason of mental illness. i 1 is mentally retarded to the degree that he/she is incapable of making informed decisions with respect to the conduct of his/her—personal—financial affairs and that failure to appoint a guardian would create ' an unreasonaUte risk to theward's hnalth,welfare and property,and that tine appointmentof a conservator pursuant to G.L.M.c_201,§16 would not eliminate the risk. 91 is unable to make or.communicate informed decisions due to physical incapacity or illness. This guardianship includes: ❑. authorization to adroit or commit the ward to a mental health or mental retardation facility,the action being in tfte best.interest of the ward. ord,inar medical care only. the authority to consent to l #LaliV�raDtaf > gittt} tiy�c tg 'this-appointment (toes not authori•re cht_said guardians to consent to the use of antipsychotic medications wittrout furth<_r order of this Court_ IT IS DECREED that: Pliere;t M. J.IyP�ur» t.rarne of q,,V dL rn(t)p 33 Cuttnnwood Lane, AarnStablc, ( Crntervi] lw ) MA 07.632 ,a (�lrrel rnklrvs�,1 ---(city or]Owu) -- •-- •-• -"'(st.!!c) .. ,np r�J.•. •a� ; °t —and_...ftobert :J._Maddos - -; ,"_. • .`. •(.�ymscLgia2�drvnlPl) •-..._. ..-- —• --- --• 'y �t+ ^1'; ! Yurf:hol.e Drive, Mashpge MA _,. _. —. 07 6 4 y Prom kfmcs). - - (city ur 7own) .. beappbirited Ihca permaru nt yuardian(s)of t)?e parson- and - the estate -of the ward pursuant to 01-101- 201, §6.—M—.6B.The yuardian(s).first giving bond—with— aU—sureties for the due performance ot, said trust: September. 25. 200'2 Cate .luMice W Noeate and Family court oeparlmrrr ciP ItB(1W331 The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations ' a 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians[Plumbers Applicant Information z z Please Print Legibly Name(Business/Organization/Individual): Address: 7` City/State/Zip: lU/��. Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.[] I am a sole proprietor or partner-' listed on the attached sheet. T. 0 Remodeling ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'"comp. insurance comp. insurance.$ ued.J 5. 0 We are a corporation and its '10.0 Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *My 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage wrification. I do hereby certify er the pains and es o rjury that the information provided above is trup-altd correct. Signature: Date: C/� Phone#: Official use only. Do not write in this area, to be completed by city or awn 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#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also 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,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),-address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the, members or partners,are not required to carry workers'compensation.insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business of commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: J The Commonwealth of Massachusetts Department of Industrial kcciaentsr Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE - Fax# 617 727-774 9 Revised 11-22-06 . www.mass.gav/din t zTgr,� Town of Barnstable. Regulatory Services 9 ' q $, Thomas F. Geiler,Director �qE0 �� Building Division Tom Perry,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 v as Owner of the subject property hereby authorize to act on my behalf, in all matters relative.to work authorized by this building permit application for. .(Address of job) I Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. r Town of Barnstable yw��OF'(HE t(y-�T -,Y Regulatory Services swteKsraste. Thomas F. Geiler,Director = . l�was . sbsq. �e� Building Division PlfD Tom Perry,Building Commissioner 200 Main.-Street,--Hyannis;MA 02601 _......... www.town.barnstable-ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE. /1:77 JOB LOCATION: numb /f sect/ /� village "HOMEOWNER": // �1 name home phone# /,,)e" ork phone# CURRENT MAILING ADDRESS: eityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEON'PNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended,to be, a one or two-family dwelling, attached or detached strictures 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 be/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner."certifies that-be/she understands the Town of J3arnstable,BuildipgDepartment rninirnum inspection proced and requirements and that he/she will comply with said procedures and re menu.. gnatim of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building parr»t is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a pmon(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an unaware that they are assuining the responsibilities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware ofhis/her responsibilities,many communities require,as part of the permit application, that the homeowner certify thtit helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may can t amrnd and adopt such a form/certifi cation.for use in your community. Q:forrrrs:homccxempt "'