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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map5?14s . Parcel_ 61 Application. .
Health Division Date Issued
3 �J ,
Conservation Division Application Fee 16`1
Planning Dept. t Permit Fee
Date Definitive Plan Approved by Planning Board
V
Historic - OKH _ Preservation/Hyannis
Project Street Address77,
��
Villages
Owner G�/,!� N)�Ca �TO�G~�0` �.. AdAdrg!��."'4r_
Telephone Cl - Zt5�
Permit Request
Square feet: 1 st floor: existing/!proposed/ 2nd floor: existing�a proposed Total new
Zoning,District, Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered:_ ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family w/ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes a' o On Old King's Highway: ❑Yes B'11-0*_
Basement Type: J2rFull ❑ Crawl ❑ Walkout ❑ Other
Basement Finished Area(sq.ft.) k o Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing ._ new _ higlf: eA new
Number of Bedrooms: existing._ w - o
Total Room Count (not including baths): existing � new First Floor Room,Count
Heat Type and Fuel: SIG' as ❑ Oil ❑ Electric ❑ Other .,
cc
Central Air: ❑Yes ErKo Fireplaces: Existing New Existing wood/coal stove: 0 Yes"l No
e ' g ❑ ne size_Pool: ❑ existing ❑ new size _ Barn: ❑ exist lng ❑ ne 7v size_
Att ° : ❑ ew size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of ppeals thorization ❑ Appeal # Recorded ❑
Commer ' ❑Y ❑ No If yes, site plan review #
__C ent.0 _ ----_— - Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) <cog
Name ��� �,C� �rJ/U Telephone Number. �/ a z
Address ���• �G�� aello,6 License #
S ,�/'z�t✓/,S i�i2�` d1� � Home Improvement Contractor#��%� � O.�
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
DATE
SIGNATURE
>i 5
FOR OFFICIAL USE ONLY i
APPLICATION#
ti
DATE ISSUED
MAP/PARCEL N0. i
ADDRESS VILL�GE ;
f
OWNER
'I DATE OF INSPECTION: I '
FOUNDATION 9)SoatosQV4 I 4111
FRAME ►t T►�s.,�G K 01�'i�l l �Frel�1 �[ rho' J f
INSULATION&A6; r &96�E�
4 FIREPLACE
n .t
ELECTRICAL: ROUGH FINAL J
PLUMBING: ROUGH FINAL _
i' GAS: ROUGH FINAL
FINAL BUILDING
I I
i
i
DATE CLOSED OUT
ASSOCIATION PLAN NO.
� •�,,,ti Town of Barnstable
Regulatory Services
BARNSTABLE.
% MASS. g Thomas F.Geiler,Director
i619• ♦0
'°rEc�,,prA Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
August 8, 2011
t
David Whalen
53 Chandler Drive
South Dennis,Ma. 02660
RE: 144 Elliott Rd., Centerville Map:'248 Parcel:057 oo5
Dear Mr. Whalen:
This letter is in response to an application submitted to do work at the above referenced
address. Unfortunately, the application can not be approved at this time because the
construction documents are either incomplete or not in compliance with 780 CMR. The
following items submitted need to be addressed:
1) Provisions to resist shear are not shown on construction documents.
2) Construction documents show(3)10" sons with no additional footings.
3) Construction documents do not show sufficient detail of support attachments to
the house (size and spacing).
Please call this office with any additional questions.
Sincerely,
re L. Lauzon
Local Inspector
(508) 862-4034
4' 4
Q:zoning5
' The Commonwealth of Massachusetts
6 , Department of Industrial Accidents
^Y +` Office of Investigations
600 Washington Street
1 Boston,MA 02111
www.mass.g ov/dia
Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
Applicant Information Please Print Legibly
Name (Business/organization/Individual):
Address: i�2
City/State/Zip: J213. d s 1V 1jiS �,/,�, Phone#:' , S09 9
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 6. New construction
employees(full and/or part-time).* have hired the sub-contractors
2. V�I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp.insurance. 9 �guilding addition
[No workers' comp. insurance 5. ❑ We area corporation and its
required.] officers have exercised their I0.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers'comp. c. 152, §1(4), and we have no 12.E Roof repairs
insurance required] t. employees. [No workers'.
comp. insurance required.] 13.❑ Other
*Arty applicant that checks box#I must also fill out the section below showing thcir 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.
cCotractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and their workers'comp.policy information.
ram 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. Lie.#: �/� ,S Expiration Date: 2.
t
Job Site Address: 1/&V ��/O
,—, �' City/State/Zip:-C8/i/�!✓!/��i,�
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 in ante verage verification:
I do hereby certi der a pen s of pe ' that the information provided above is true and correct
Si ature:
D
r9
Phone#: G;d
F
al 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 comionwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C( )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 of 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 thatthe 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 an i need o I P any ear,g Y � n y,submrt 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
(Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would Re 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. # 617-727-4940 ext 406 or 1-977-MASSAFE
Revised 5-26-05 Fax # 617-727-7749
www.m,a,-z&.gov/dia
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c�Q � Board of Building Regulations anti Standards
Office offo► mer t rs rYsiness ego aho�Pn Construction Supervisor License
ppp��1 HOME IMPROVEMENT CONTRACTOR License: CS 2782
Registration '1,,15205 Type:
Restricted to: 00
Expiration: 1/6/2012 DBA ,
DAB WHALEN CONTRACTING' DAVID G WHALENr ;
t= � r 108 MOSS LANE
DAVID WHALEN\ t: BREWSTER, MA 02631 "�,
108 MOSS LANE �
1 �a
BREWSTER, MA 02631 Expiration: 10/15/2011
Undersecretary P
t'unnnissiuncr Tr##: 9673
License or registration valid for individul use only
before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
10 Park Plaza Suite 5170
Boston,MA 02116
i
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No alid' ithout signature
1
Town of Barastable
• Regulatory Services
WAMThomas F.Gefter,Director
Building Division
Thomas Perry, CBO Building
Commissioner 206 Main Street,
Hyannis,MA 02601 _
www.town.barnstable.ma.us
Office:50S-862403S Fax:508-790-6230.
Property Owner Must
Complete and Sign This Section
If Using A Builder
�.;as Ownerjbf the'subject property
C`w'��X �etCaid� J/JJ. puv
hereby authorize. to act on behalf,
in all matters relative to work authorized by this building permit applicarion for:
(Address of Job)
Signature of Owner s Date
Print Name �Gt�/I Ci UeS�vIC I�wtCc 1205�((�E�`�
If Property Owner is applyinffor permit,please complete the Homeowners License Exemption Form on the
reverse side.
Revised 0721 JO
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°F THE
he Town of Barnstable ,. g
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t •
+ 3ARNSrABLE, t
9$ "9. ,��' Department of Health Safety and Environmental Services
AIFo w+o�" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 ;t Building Commissioner
a - ,
October 30, 1995
Mr. William O'Brien
Prestige Properties, Inc. r
1645 Route 28
Suite E1 4
}
Centerville, MA 02632
Re: 'Lot 3 Elliott Road, Centerville
Dear Mr. O'Brien:
A review of your file has resulted in this office being of,the opinion that Lot#3, Elliott
Road, Centerville is a buildable lot from d zoning standpoint.
Sincerely,
Ralph M. Crossen
Building Commissionerµ
RMC/km
- .' 41
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__ _ _ _
PRESTIGE PROPERTIES5 Inc.
Builders • Developers •Realtors
October 25, 1995
Barnstable Building Dept.
336 South Street
Hyannis, MA 02601
Att: Ralph Crossen, Building Commissioner
Dear Mr. Crossen,
As a follow up to our brief telephone conversation, enclosed is the approved ANR
plan for seven lots on Elliott Road, Centerville.
Lot#1 is presently built and occupied and an application for lot#2 is complete and
ready for permitting.
I am closing for my land loans for lots#2 and#3 next Tuesday, October 31. The
lending institution has requested a letter of buildability for lot #3 for their file until such
time as I can obtain a building permit.
The lot has been perced and town water is available. Should you need any
additional information to assist in the decision, please contact my office at your earliest
convenience.
Thank you for your time and consideration.
Sinc r y
i r erties I
Willi O'Brie
Pre ident
1645 Route 28 Suite E1 • Centerville,MA 02632
�pF THE Tp�
o Town of Barnstable
Planning Department
BAMSTABM
MAS& a 230 South Street, Hyannis, Massachusetts 02601
9�A 1 39. ,�e T A (508) 790-6290 Fax (508) 790-6454
F
O MA
d
TO: BARNSTABLE PLANNING BOARD
FROM: ROBERT SCHERNIG, DIRECTOR
JACQUELINE ETSTEN, PRINCIPAL PLANNER
DATE: DECEMBER 10, 1993
RE: Approval Not Required Plan for Carl Reidel and
Allan White, Map 227
Location and Zoning
Assessors Map Map 227/57
Location Elliot Road and Copper Lane
Centerville
Zoning RB Single Family Residential
Area requirement: 1 acre of upland
Frontage: 20 feet
Overlay district: AP
A small portion of the land is zoned RC
Plan
The plan shows a 9.2 acre parcel of land divided into seven
lots all of which exceed the one acre minimum lot size
requirement. Six lots meet or exceed the required 20 '
frontage and access from Elliot Road, a private ancient way
which has been paved to a variable width. In the vicinity
of the parcel in question, the pavement width is 15 feet+.
Lot 2 has 20 feet of frontage from Copper lane, a 40 foot
Town Road off Old Strawberry Hill Road with a paved width of
20 feet. Lot 1 has both frontage and access from Elliot
Road and Copper Lane.
LOT AREA FRONTAGE' ACCESS
(upland) . (feet)
Lot 1 43, 561 sq ft 128. 38 , Elliot Rd.
20. 83 Copper Lane
Lot 2 43, 595 sq ft 20 . 83 Copper Lane
Lot 3 43, 568 sq ft 352 . 6 Elliot Road
Lot 4 55, 335 sq ft 25 . 7 Elliot Road
Lot 5 43,561 sq ft+ 284 .55 Elliot Road
Lot 6 63, 974 sq ft+ 20.0 Elliot Road
Lot 7 43,561 sq ft+ 251.61 Elliot Road
All lots meet the shape factor requirements.
Access to lot 4 from the frontage on Elliot Road is not
practical because of the presence of wetlands. Access to
all lots can be concentrated on to two access easements,
which will reduce the number of driveway openings on to
Elliot Road.
There are two major issues with regard to this plan.
First, the issue arises as to the adequacy of access of
Elliot Road for additional lots. This road is not a town
way. Efforts by the town to take this road were thwarted by
residents. The width of pavement is variable, in the
vicinity of the land in question, it is reduced to 15-16 ' in
width because of slope and wetlands, elsewhere the pavement
broadens somewhat.
In order to find that the plan submitted is entitled to
endorsement as Approval Not Required, there should be a
finding that Elliot Road provides adequate access.
Standards for adequacy of access are defined in the revised
Rules and Regulations, Section 3-1.3(2) . Elliot Road does
not meet these standards because of the narrowness of the
ROW and pavement.
However, it should be noted that there are no other
subdividable parcels off this road at current zoning one
acre requirements, and that the reduction in the number of
lots will result in less impact than the prior subdivision
plan.
The second issue is whether the prior subdivision plan
should be rescinded. The conclusion of a brief conversation
with the Ruth Weil, Assistant Town Attorney, was that this
was not necessary, however she will explore this issue
further with the Town Attorney. Perhaps Mr Ford will
address this issue with the Board, if he is representing the
applicants.
Recommendation
If the Planning Board finds that Elliot Road is adequate
access for seven additional lots, it is recommended that the
plan be endorsed as Approval Not Required, the plan is not a
subdivision . plan.
Assessor's.Office(1st floor) Map Parcel_ '�Permit#
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00 6.Z , $gate YsM
Board of Health(3rd floor)(8:15 -9:30/1:00-``4:45 0-V
Engineering Dept. (3rd floor) House#
Planning Dept. (1st floor/School Admin. Bldg.) n✓ `r _` ^ - '31 . � � �E
Definiti Approved by Planning Board +�f v /v Ii�S�61-� ® 6 '�' �`�
TOWN. OF�BARNSTAM �` �� L ®� �®
Building Perneit Application
Prod{ treet Address r o rr � 5) r v�/
Village
Owner e r d a s 7�` 1� Address
7-7 ! _ 600 3
Telephone
Permit Request L.f
First Floor 1014 Y square feet 916
Second Floor 9 square feet
Estimated Project Cost $ //d, G 0 0. ,
Zoning District Flood Plain Water Protection
Lot Size i• 32 Grandfathered? `
Zoning Board of Appeals Authorization Recorded
Current Use la Ax4 Proposed Use
Construction Type w o v c1 �rd ►"tiQ
Commercial Residential
Dwelling Type: Single Family x Two Family Multi-Family
P�
Age of Existing Structure K to Basement Type: Finished
Historic House Unfinished k
Old King's Highway ^/a
Number of Baths 3 No. of Bedrooms
Total Room Count(not including baths) 7 First Floor
Heat Type and Fuel FN A (r a s Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool �^
Attached de;v F u^rl e,- ') Barn
None Sheds ^!a
Other 0
Builder Information
Name fllesE;je r° art`�s mac_ Telephone Number -7
Address 16 Y s : l k..a License# 6(�U 8 6
e e n1�e r V /t p 1u/� PC 3,) Home Improvement Contractor# �_,r-u h 4 221 Gf
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STR CTURES ON THE LOT.
ALL CONSTRU ION DEBRIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO
:::ISIGNATUREWW DATEVA 14
BUILDING PERMIT DENIrlh F R TU FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY: ..�. 1
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. a '
ADDRESS VILLAGE
OWNER r ! f
DATE OF INSPECTION:,—
FOUNDATION
FRAME '' ' Z�,- ea. Z�
INSULATIbN
Is
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING ROUGH :" FINAL l
GAS: ROUGH FINAL
FINAL BUILDING r4 , f
_ t
DATE CLOSED OUT `
t S
ASSOCIATION PLAN NO. (
The Town of Barnstable
9 BARNS.I;-q.
MASS. $ Department of Health Safety and Environmental Services
1639. �0
CFO Mn+° Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Cfi'� \ Building Commissioner
V, /1,:�2 ?4'�t �spection Correction Notice
f� q � 1 3
Type of Inspection I ) _1AA
Location � U J G Permit Number l• ��
Owner � �( Builder ��Le-
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
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TOWN OF BARNSTABLE ;,:
t= �' CERTIFICATE OF OCCUPANCY
( PARCEL ID 248 057 005 GEOBASE ID 37175
ADDRESS 144 ELLIOTT ROAD PHONE (508)771-0003
CENTERVILLE ZIP -
LOT 3 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 25862 DESCRIPTION
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
I
d CONTRACTORS: Department of Health,Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: THE
BGND $_00
CONSTRUCTION COSTS $.00
i
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE Pr,'**)?
B1IiN3TABLE, ;
MASS.
OWNER PRESTIGE, PROPERTIES INC E1 9.
ADDRESS I
1645 FALMOUTH RD BUILDING'�DI�VI ON I
CENTERV I LLE MA BY
DATE ISSUED 09/24/1997 EXPIRATION DATE Z'k—"
9 F
PARCEL I'D 248 057 005 GEOBASE ID 311.75
A DRLbS 144 ELLIOTT ROAD PHONE (508)771-0003
Centerville ZIP -
r
LOT 3 BLOCK LOT SIZE
' DBA DEVELOPMENT DISTRICT CO
PERMIT-s., 16205 _ DESCRIPTION SINGLE FAMILY DWELLING (SEW_PMT_#96_2_9-1)
PERMIT TYPE BUILD `XITLR' NEW RESIDENTIAL BLDG .PM`1'
CONTRACTORS: !PRESTIGE PROPERTIES, INC. Department of Health,! Safety'
ARCHITECTS: and Environmental Se v-Yees
'�;OTAL FEES: $341..00BOND
THE j
CONSTRuy CTI(
101 SINGLE FAM HOME DETACHED 1 P:4:3�;��.,..
* HARN$TABLF,
MA83. �►
OWNER PRESTIGE PROPERTIES, INC. ;
ADDRESS
1545 FALMOUTH ROAD - ?
BUILDIN
CENTERV I LLE, MA BY
G�DI VISION
DATE ISSUED 07/01/1996 EXPIRATION DATA:
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE•A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INRT4L-LATIONS.-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. - -
4.FINAL INSPECTION BEFORE OCCUPANCY.
� ® m
BUILDING INSPECTION APPROVALS _ PLUMBING INSPECT ION APPROVALS ELECTRICAL INSPECTION APPROVALS
Awe
�v eK . f a2?
2 UCM!6�+ir q.�'® 2�&,�nrii
Qcc c�j -
y
3 1 fiVATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARq QF,F9 TH
OT.aHHE__R: SITE L#N REVIEW APPROVAL
t �
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J
rh
f � u
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THE t The Town of Barnstable
BARNSTABLE.� Department of Health Safety and Environmental Services
MASS.
t63q. �0
�fD MPy A Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection t1J
P
Location 8CU Q T Permit Number ��-
Owner (rQ C Builder Vim{?M
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
CtD--�TLUV110�4:f
Qom-
( 1k
a rJ Own
Please call: 508-790-6227 for re-inspection.
Inspected by ,,�`- 1(,
Date
Y r
t' + 3
................................................. .............
C-1 DATE(MM/DDNY)
)RD 77,�Eo,,i*,R..
I C.I......."'..
. ....... .
06/26/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
McAlpine Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
One Center Place- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1550 Route 28 COMPANIES AFFORDING COVERAGE
Centerville, Ma. 02632 COMPANY
A Eastern Casualty Insurance Co.
INSURED
Prestige Properties , Inc . B
1645 Falmouth Rd. , Suite E-1 COMPANY
Centerville, Ma. 02632 C
COMPANY
D
........... ....................................
.. ....... .............
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 ALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS..
Co TYPE OF INSURANCE POLICY EFFECTIVE POLLICLY—EXPIRATION
LTR POLICY LIMITS
DATE(MM/DD1YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
1 AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND YSTATUS I .. ..................
....... ...................
LIMITS
X.
...... .......................
I TOCR
A EMPLOYERS'LIABILITY WCV0022768 06/27/96 06/21/97 EL EACH ACCIDENT $ 100 , 000 .
THE PR(?PRIETO INCL EL DISEASE-POLICY LIMIT ,PARTNERS/EXECUTIVE 500 000 .
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100 , 000 .
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Building contractor.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Building Inspector BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Main St. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Hyannis , Ma. 02601 AUTHORIZE REPRESENTATIVE
0'
"N'I N
The Commonwealth
Department Of IndustrialAccidents
600 Washington Street
SOMA,Mass. 02111
Workers'Compensation Insurance Affidavit
C.
,,
location: vs &V
61V 12horc it -71 t-&n-3
I am a homeowner performing all work tuyself.
�I arna sole proprietor sand have no one working in any capacity
I am an employer providing workm'compensation for myumplovees working on this job.-
Lampany narne., d
n1I 1:
inxitrance ca..
n toy 0
M I J� I 1 111
auffAUMMUM � ;ERNE
[J Iam a sole proprietor,general contractor,or homeowaer_(_C&cIe one)and have hired the connectors listed below who have
the following workers' compensation polices.,
f.QMI]anv name'
address-. .....
city* hni�t.oh
insurance ep.,
mamma== :Ile
in ign
city!
48SUr2nCr.CO.
SIMON
Failure to secure coverage as regain eonjitr Section#A of IMGI-152 can lead to the imposition oferevoinal Penalties of a flue up to$1,500.00 and/or
noc years'imprisatubcal as well asAvil)Icnalacs in Wrm of 2 STOP WORK ORDER and a line of$100.00 a day apiest me. I andermud that a
copy of this state MAY a and to the ves"Itutinns Of The VIA for coverage verification.
ldohaekvc rfi y r sins dpen 0fJ7ffFI4?Y That the iqf0rMIffd0nPr*vi&Ird above is an,and cvrp=
Sigiiature I Atc
Print numc �.•vlo ik (Y�e. -5, hcnc _7-7 1-6
V
n n(Ticial use only do not write I"this area to tw tompleted by city or town ofnd4t
tr.ci.I use only do not write I"this are.to 0,tompi,t,d I
city or town.-- perinitAicewc rIBuildiall Department
0,C h k r, required
[3 U"nsing Hash
3 check if immediate response is required (38clectiatnIN 0mce
es 1) (3Hc2ith 10opartment
contaetperson: phone C30ther
(review 1191 PJA!
Information and Instructions
to ers to
Massachusetts General Laws chapter
152 section 25 requires all emp y provide workers'compensation for their
"law"
employees. As quoted from the ,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, pp,artnershi association,corporation or other legal entity,or any two or more
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 tion or repair work on such dwelling hous
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state.or local licensing agency shall withhold the issuutnee or
renewal of a license or permit to operate a business 6r to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of pub)is work until acceptable evidence of compliance with the insurance requirements of this chapter ha
been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names,address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
affidavit should be returned to the city or town that the application for the permit orlicense g the �iss being'if
�uircd
not the Department of Industrial Accidents. Should the you have
any questions
u s at the nib listed below•
to obtain a workers' compensation Policy,please
NEW
Oil
City or Towns
Please be sure that the affidavit is complete and printed legibly. De Department has provided a space at the bottom lc f
the affidavit for you to fill out in the event the Office be used a�s a referhe�ttce nu to�tnbert you regarding The�avits may be returned t
be sure to fill in the permittlicettse m=ber which will
the Departrnerit by mail or FAX unless other arrangements have been made.
The Office of Investigations would i ike to thank you in advance for you cooperation and should you have any question
please do not hesitate to give us a call-
The Department's address,telephone and fax number.
The Commonwealth OfMsssachuscits
Department of Industrial Accidents
Once of Wiens
600 washington street _
Boston,Ma. 02111
fax#:(617)727-7749.
phone#: (617)727-4900 e%L 406,409 or 375 M
Fidelity anDepositd Company
HOME OFFICE OF MARYLAND BALTIMORE, MD. 21203
License and/or Permit Bond
KNOW ALL MEN BY THESE PRESENTS:
Prestige Properties, 1645 Falmouth Rd., Centerville, MA 02632
Thatwe, ...............................................j......--•---.....-••--••......--••--•-•-....1..---•---------------•----•--�•-----............--•--
as Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, incorporated under the laws of the
State of Maryland, with principal office in Baltimore, Maryland, as Surety, are held and firmly bound unto
Tokn..a£..13%UWtab1e------------------------------------------------------------------------------------------------------- --------- as Obligee,
in penal sum of....$4000 One Thousand Dollars,
- - ----------------------------------------------------------
lawful money of the United States, for which payment,well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly, by these presents.
WHEREAS, the above bounden Principal has obtained or is about to obtain from the said Obligee a
license or permit for...._Lot---#3,F144_;Fll ott)Road,-Centerville-I M... 02632....................................................... ..........
............................................................................................: and the term of said license or permit is as indicated
opposite the block checked below:
:U Beginning the--------- 27th day of June -----------------19-.96 and
ending the-----------------27th-------------day of-------------_ 7•me---------------------19........97
❑ Continuous, beginning the----------------------------------------day of---- -------------------------------------------19---------
WHEREAS, the Principal is required by law to file with------Town of Barnstable
----------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
a bond for the above indicated term and conditioned as hereinafter set forth.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the above
bounden Principal as such licensee or permittee shall indemnify said Obligee against all loss, costs, expenses
or damage to it caused by said Principal's non-compliance with or breach of any laws, statutes, ordinances,
rules or regulations pertaining to such license or permit issued to the Principal, which said breach or non-
compliance shall occur during the term of this bond, then this obligation shall be void, otherwise to remain in
full force and effect.
PROVIDED, that if this bond is for a fixed term, it may be continued by Certificate executed by the
Surety hereon; and
PROVIDED FURTHER, that regardless of the number of years this bond shall continue or be continued
in force and of the number of premiums that shall be payable or paid the Surety shall not be liable hereunder
for a larger amount, in the aggregate, than the amount of this bond, and
PROVIDED FURTHER, that if this is a continuous bond and the Surety shal so elect, th' bond may
be cancelled by the Surety as to subsequent liability by giving thirty (30) days tice' writing t said Obligee.
Signed, sealed and dated the...............27th...........................z-- ay --- --•- -•---- .------•------•--- ................19-96•.
----- ----- -•-- ..... a... ••-- ---------- ....... ----•-. -•••--••-•-••--••-•--
Princi al
By...................• ..............
---------•• ................... •--• .......................
FIDELITY AND DEPOSI OMPA Y OF MA YLAND
By... --- ---
Martha J.Findlay Attorney- -Fact
J519-
No---------------------------------
License and/or Permit Bond
Effective-------------- -------------------------------------19--------
On--------------------------------------------------------------------------
To--------------------------------------------------------------------------
------------------------------------ ----------------- -------------------------
r
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Fidelity and Deposit Company
OF MARYLAND
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1
GRAPHIC SCALE
130
Lh� ��16,• 0� � 7
PUBIC WAY UfVDEFlAIED y1DTN
'¢�' VARIES PAVEMENT YID '
\. MOTH 15 t
S
�P 1 C�10
11.00`�,� 176e20' ..__._._ .., i 2a.313'
y l.Po
110*0
/
�. AL
14
LOT 7
,w ,sa 43,Z,58 sG. :.1.00 acret, upload coo -
Q; _
13,749 aq �, i 'za "�
.ft.Bret(, r
o LOCUSO. / 9P S# 2.1.14 �-. , � z
i� 1.00 AC. �.,._...,,.,,�" ' total = 57,317 aq.ft. 1.32 acres ) z � I M
N, _ LOT 1
S.
� 43,561 aq.ft.
s. v� 1.00 acres' G V)
I.P. FND "r'� r-:';" M, �► ^ JAL
S i
S MAP .6")2l `t. u;�!an� `,•: ��•5g I J
LOCU
SCALE 1 1 25,000 ,,.� LOT 7 `.� 38,P.1-1 Sq. WU Gncf
ASSESSORS33,109 �� 5�
12,630 sq.ft. upland . . \ to of �a.ft.2.0 nc�c�a "�` -1 '` 1gg'42 213•
MAP 227 PARCEL 57,etc. o+� 43,561 aq.4t. upland \ 00 ,�.6-b
N32.33.oar� S
.� 5,447 sq.ft. wotland S
Y
• ZONES � �. total — 61,638 aq.ft. 1.42 ocr�sa \ .:� �� S.B. FND. ., ,
A.P. v ` �' A& �� ?•
Ir >>,
RESIDENCE B
MINIMUMS �� � � ,
'Y 0
AREA — 43,560 S.F. " LOT 2
�p
TALE = 20' \ � �� � �
# FRONTAGE �0 43,595 sq.ft. 1.00 acres upland PQp�'
WIDTH 100'
•0f, 3,405 sq.ft.wetiand �Qb G• G
FRONT SETBACK = 20
ft
_ ��\ \ J total = 47,000 aq. . 1.08 acres '�
SIDE SETBACKS — 10�
OT
REAR SETBACK — 10' L • `�• '�` S.# 17.24=
BUILDING HEIGHT = 30 �,, t : . '.\ / 55.33.5 :, ft. acres upland r, \ .' 1.27 C,. p Op
O 1 �, '
(OR 2.5 STORIES IF LESS) o , ,w'\ �� / ..,`.::.:� < q. n �•a
% � '. \ C,721 rqf ft. 1.85 acres �� �2 "91ps�,ct,
0.
e,,
35
S.B. FND.
i /- n a.
oa• I.P. FNDJI
1.P. $,S7• �` ^` ?�
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Or �► A.
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4, 517 so f .wa,';t'; nd.
i 0
x A 6 n { 1.51, C7CT't9S
PLAN OF LAND t:
i
4
Y;
IN a
I 3
I CERTIFY THAT THIS PLAN HAS (HYANNIS)
�. �G
BEEN PREPARED IN CONFORMITY WITH
THE RULES AND REGULATIONS OF THEUS S.
REGISTERS OF DEEDS.
���► R.L.S. FOR
in ,1
BARNSTABLE PLANNING BOARD
APPROVAL UNDER THE SUBDIVISION
CONTROL LAW NOT REQUIRED.
DATE: �"y / � SCALE: 1" = 40' DAB: DEC. 2,1 9S3 F
BAXTER & NYE INC, f
REGISTERED LAND SURVEYORS
CIVIL ENGINEERS
OSTERVILLE, MASS, I.
,,�a.K V..i��,•�
NOTE: NO
DETERMINATION AS TO � rvC$01
4A!'0
COMPLIANCE WITH THE .,. /
ORDINANCE REQUIREME;N ASS
BEEN MADE OR INTENDED qY THk {Y _
ENDORSEMENT.
^
ABOVE END
DEED REFERENCE: ELUOT ROAD REALTY TP.UST BOOK 7113 FACE '-5. '
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