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CSup�v.+sor'S�x�scT(�app�ab7e}�LLIL{�_ r cbeek om: L� I ama SOL- I baveWo*ef's mnen j or�rna's Co=.PoTicyT Cops ofTmSreraace Coxnplisxece Ce=ucare mvs=accarnlw eachpaxsait r PezznhRequ�aSF(abe�kbos} (Stapp old s } on debas�Ibe rrkto l ❑ � C�mocarane (ants iapa+� Goad Duct s hy,5 o£xnof Q ReP3ailtr�daws/doorJs�ders_U Vale (,•�=**n..*+,���Q�-v,�.ows Y a�'dcos= Ct S=ke1Caz60aM0aa;id&detect=4-Roorpla mn3j,-edwRhxedS2=dinspertionsxLagot & • Separate E3ecai.�T&Ftze�'exoxxFs seq�d_ '��rezeau3ccl:Issrm�a£iUsp�oradaesacc«rmpeeompF�rolcshoz5=soe�d��,������ 11* iT ore_ Property Omx sss exmyC3�enarl:eztero Fe missioa 4 calxv aFt�e kFonse LmpracemPn eConasdois License COnStMCti1DA Snpezaisoxs License is SFC�T�Tifk2� r- ozo�ltiS1S��goy�, _Ta7s1C ascst�?ook�S2i68DlTgV DP_YL"SS.doc Rcvised061313 '�� FRASre�Itf-Q i PARS �...� CERTIFICATE OF LIABILITY INSURANCE i D sns�a�o THIS C IFICATE 1S ISSUED A5 A lJIATTER OF INFORMATION ONLY A14 ND CONFERS NO RIGHTS UPON THE CERTlFfC-ATc' 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 TFE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the POGcq{ies)mast be andorsed. If SUBROGATION IS WANED,subject to the terms and conditions ofthe policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the cer8fcate holder in reu of such andorsemerrt(s). PRODUCER 5{i8 676-d3U8 CON acr PaNa Viveiros Insurance Agency,Inc. IHUI ASfTIe 375Alrport Road u°N 6f38-638-2713 IA:'C,Not: SID8324-4553 Fall River,MA 02720 AODReSs:APaiva Viveirosinsurance,corn INSURERS)Ar-FOR0INGCMr9PAGE NAIC# INSUREp - :INSURERAc Granite State Insurance Co Fraser ConstntcEion LLC r�SURETtl3: PO BOX 184b mssURl Rc: COtuit,MA 0263fi INSURER D INSUURE: COVERAGES INSLIRERF: f CERTIFICATE NUMBER REVISION NUMBER: THIS M TO CERTIFY THAT TH E POLICIES OF INSURANCE LISTED BEI.OLV HAVE BEEN ISSUED TO THE INSURED,NAMED ABOVe FOR THE POLICI PeRIOD INDICATED. NOTWf1HSTANDING ANY REQUIftEMch�,TERM OR CONDITION OF ANY CONi TRACT OR OTHER DOCUNwNT W}TH RESPECTTp VrriH THIS E!XCW IONS uDY BE ISSUED OR MAY PLICIES `HE INSURANCE AFFORDED BY THE POLICIES DESCRIED HEREIN IS 5U8SECT TO,ILL THE TERMS, IXCLUSiONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDVCED BY PAID CLAIMS. SR LTR TYFE DFINSURANC^e INS MD POGCY NUh16�.^2 GENERALL;ABILITr IIUIVtlDQ.. ! tdNOPnYYI WArS i �ACHOCCURRENC`c COtw09°RCW1.G&4ERALLIA$2ltY f i CLAINIS-WADE OCCUR { PHASES EEaamnrercel fff !II :ED FP(Any me Deism) S PERSCNAL&•AD%'INX;L( $ GEN'LACGRECA'iEWTAPPUESPER G '1-`�LAGGREGAT'e c %P.ODUCTS-COMP/OPAGC- S POLIO". 9w- LOC i S AU70rbOEI:E UABtLTf ANYALn•0 - E3lacadentl r ALLOWNED SCf�OULED - � SODLY6J.IURY(P�osrsan) S AUTOS NON-OWNW BODILY ff4XR:(Per.=dcat;• 5 l�f E^An45 AUTOS r.u i (PERACCDEVT) i .U& FELLALta OCCUR - EXCESS UAE LEACH OCCURRENCE S C AJI1S MADE AG^GiL1 CA:M S DEED RET M ON $ WORKERS COMPENSATION5 AtJD r=&rLO11-.ZV LrA$^JT.� 's�AST'$ A ANYPROFRETO�1PAf2TNEF rir�-CUrNE YIN WCDO993D11D! OFXICF�NIEMBEREXCLUDID� Q NIA 9/262014 7120-KZ�AIS ACCLOENr S 500,000 Ir6artdaWry evnQ I 500,060 Iyyes. FION OF ELDI$FASE-?Ac?,EIA:' S DESCRFnON OF OPERATIONS t:elrnr P.LD*EASE-FCL-C1Lw 500,000 I DESCRIPMONCFOPEPATIONSILOCATONSIVZMICLES(AtdCr ACORDtQ1,Addlfon�t Rer::ar3q Schedule,trmorespace is regwredj. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF MiE ABOVE DESCRI3ED POUCIEs EE CAijC=LLC-D BErORE Town of Barnstable Building Division THE EXPIRA•T{ON DATE 'FIEF.=oF, MOMCE WILL BE: DELIVEZi ED 1% 20EI Main Street AC=RDASNCfiWITH'rK£POL(Cy oRCVI51oNS. Hyanzris,MA 02601- AUTHORfLEO REPRE-SeNT•ATNE _ - .- O f 9ES-2010 ACORD CORPORATION.Ail r3ohts reserved ACORD 25(2010106) The ACORD name and logo are registered marks cfACORD the 09mmonwealth of Vassachusetts . Depannzent oflndusziialAccidents Office of lnvestizaations ;. 600 Washington Street r Boston,MA 021II wwwW 7nass.a oY1 a Workers' Compensation Insurance Affidavit:Btalders/Contractors/Electricians/PluiE3Ders AnOcant Information Please Print Leaibltr Name(Business/organ; 'on/Individual)__ t'� � LY1,uLf-men;�, Address: , ` x lv-ts City/State/Zip: rt Phone F Are y tz an employer?Check the appropriate box-- TI pe of project(required): 1. 1 am a employer with ) D 4- ❑1 ant a general contractor and I employees(full and/or part-time).* have bired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. L]Remodeling ship and have uo employees These subcontractors have ` 8_ ]Derzta1i15.on workng for me in any capacity. employees and have workers' insurance, 9 ❑biding addition jNo workers'comp.insurance con p- required.] 5- ❑ We are a cozporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [ o workers'comp. right of exemption per MGL 12.❑Roof repairsinsurance recplited_]t c.152,§1{4},and we have no employees.[No workers l,3.D Other comp.insurance requixed.3 FAny applicant that checks box#1 must also fill out the section below showing thoirworkets'corrpensationpolicy infotrnatioa Homeowners who submit this afEdavit indicating they are doing all work and tbcn hint outside eoutmrtots unit submit a new affidavit indicating si clL 'ConhT=tors that check this box mast attzched an additional sheet showing the name of the sub-contrzetors and state whether or not those entities have employees_ Uthe sub-contractors have employees,they must provid-their wor'xers'comp.policy==b=. .lam an employer that fsprov&z-ng workers'compensation insm•ance for my employees: Below is the po1rey and job site infmmadon. ,nc Col Ins�Ce Company Name `){` � an � � � 1115UCa Policy#or Self ins.Lic. 1/ Expiration Date: Job Site Address: CitylState/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 Se^tion.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 la4zisonment,as well as civilpenalties in the fozza of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator_ Be advised that a ropy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage veil£cation. 7 do hereby certify under thepains and penalties of perjury that the infornurtionprovidedabove is true and correct. Siauature: Date: q cW / Phone Offieuzl use only. Do not write bz this area,to be completed by City or town official City or Tow= _ PermitlLicense# Iss;vJmg.A utbority(circle one). 1.i rd ofHealth 2.BmEdiugDepartment 3.C it^y*/Town Clerk 4.EIectrical Inspector 5.Plumbing inspector . eCoc#person Phone Of ce of Consumer fairs and Business Relation 10 Bark Plaza-SeLe 5170 Boston,Massachaset-ts 02€i5 Home Impro-vexnesL C6nta-ctor Regis ou • '. Regisaai;c•n: 112536 � JYpe DBA Expir2ton: 3MI2017 26MC-7 FRASER CONS RUCTION CO. DEAN FRAScR P-v. BOX 1846 CO T UiT, MA 0263 update Address and return c2rd_i4La:k r�sos�;ar:hauye_ sca `cu-osJz D A.ddress 7Renew2i GI naaloy;na�t mast Caz& &�v�iempammer�acuaatf.�i orOQ/�1�ia:xe/auQeQ�• Office off Comer AMC=,&Busxcess Reg-- aSon I�cense or regWrzfron%-Zd for individul use only, OM_E]M_PROVEMEj\i i C0MT ACTOR before the expi-,Idoa daze_ ;ffio=d return to; on: 112536 Type= OM(:e of ConsumerAffairs and Bztsieess Regulation E piratiom -3J232e17 0SA 10 PaxkP3ara-suite Boston,MA 02116 FRASER CONSTRUCTION Co. DEAN FRASER 04 TMNN VIEW LANE E rALMOU7K MA 02536 'Efndemecramry Yat v.-4d Without siogmat-sre JJ-Z':`i Construction SUprn isor x CS-097668t DEAN C FRASER 104 TWINN VIEW LANE:. EAST FALMOUTH-MA:02536 `�,• 06/07/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION g 1 Map Parcel f f Application # 0?6I'-!y Health Division Date Issued Conservation Division ra Application Fee - � . Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board `} QE) $I17h« Historic - OKH _ Preservation/ Hyannis Project Street Address 3 Village OaAtv' Owner 2A 4 4o_A4. :SAr(tH_L Address 311 F4&M Telephone J� I -) - S:D � ��b Permit Request �� !�'� EA1,� (1;-tV6 SL NV CRC 69 1&,S5L671b S_)06 L eb 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed,,,-� Total new Zoning District y Flood Plain Groundwater Overlay Project Val uatio i 0_Apy Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Wd/ Two Family ❑ Multi-Family(# units) ,Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes lei No Basement Type: Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) I , Number of Baths: Full: existing new _� Half: existing new Number of Bedrooms: existing Y new rt Total Room Count (not including baths): existing new First Floor Room Coi5at _n Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Others, Central Air: ❑Yes ® No Fireplaces: Existing New Existing wood/coal stpye: 3 Yes VNo Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing O n size_ W s Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: co Zoning Board of Appeals A thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 20 If yes, site plan review# Current Use 3 ✓6 Proposed Use A) APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name e� p Telephone Number Address �,��r P'�Q-�(�1 �7"1 -t�� License # or4leruap_-, Home Improvement Contractor# 1 �' Worker's Compensation # "L�S�I ]Men ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 9 AA A/ F A SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE ' r C OWNER ji DATE OF INSPECTION: f FOUNDATION ' I� i I ) FRAME INSULATION 4 b , FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL r GAS: ROUGH �A; FINAL y FINAL BUILDING l 1(115 41 DATE CLOSED OUT ASSOCIATION PLAN NO. = r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ' Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly N3n10(Business/Organization/Individual): Address: i I' Ki l;[� `zr) r e,��.. City/State/Zip: Are u an employer?Check t 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. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ZKemodeling . shipand have no employees These sub-contractors have 8. ❑.Demolition working for me in any capacity. employees and have workers' insurance.$ 9. ❑Building addition comp.[No workers'comp.insurance required.] 5. ❑ 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.❑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 13.❑ Other employees. [No workers' 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. .Below is the policy and job site information. �+ Insurance Company Name: #U46�A Policy#or Self-ins.Lic.#: L `0 Expiration Date: (0 j Job Site Address: '��, � ��� � �Juk'o 6(U t 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 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 c rtt under the p and penalties of per'ury that the information provided above is true and correct Si afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I . C DATE(MM/DD/YYYY) , ;4oRo ERTIFICATE OF LIABILITY INSURANCE 06/29/2011 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 terms 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 - NAME: Germani Insurance Agency PHONE - FAX 908 Main Street AIc No Ext: 508 428-9194 (A/C,No E-MAIL ADDRESS: Osterville,MA 02655 PRODUCER CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC# INSURED - 'INSURERA:. Essex Ins.Co. - Scott E.Crosby Builder,Inc. 1112 Main St.Unit 7 INSURER e Osterville,MA 02655 INSURER C: INSURER D: INSURER E: Hartford Ins.Co. INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. INSR LTR TYPE OF INSURANCE IRSR W D POLICY NUMBER MM POLICY I D/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY 2CL2173 I 01/12/2011 01/12/2012 EACH OCCURRENCE $ 1,000,0001 X r COMMERCIAL GENERAL LIABILITY. DAMAGE PREMISES * PREMISESS(RENTED occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO - - BODILY INJURY(Per person) $ ALLOWNEDAUTOS BODILY INJURY(Per accident) $ . SCHEOULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ E WORKERS COMPENSATION - TBI-0521839 6r23-2011 6-23-2012 WC STATUORY - I OTH- AND EMPLOYERS'LIABILITY - YINLIM ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? n NIA (Mandatory In NH) E.L.DISEASE-EA EMPCOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Scott E.Crosby Builder,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fax#:508-428-9080 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i i Town of Barnstable MMITAGUL KUL Regulatory Services Tbomas F.Geiier,Director Building Division 1 Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 wnrw.torrn.barnstable.ma.us Office: 508-862-4038 Fax; 508-79046230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 4 �� b C l-rl�C'✓ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Addcees of Job) ( q 20�1 Signature of Owner at Print Name Q:Formamp trg Rcv1wW140! 1 _ , z�z•d 080682b80ST:0l :wodd d2t7:20` i002-6T-nnf t � oonnzoozruea r e Office off Co mer Affairs&B siness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: : 151882 Type: Office of Consumer Affairs and Business Regulation Expiration: 211.3%2012 Private Corporation 10 Park Plaza-Suite 5170 Sy E CROSBY BUILDER INC_? Boston,MA 02116 SCOTT C ROSBY � - 1112 MAIN ST UNIT OSTERVILLE, MA 02655Y Undersecretary Not valid without signatu e IVLtssachusetts- Department of Public SafetN Board of Building Regulations anti Standards Construction Supervisor License License: CS 43556 SCOTT E CROSBY 62 CROSBY C1R • OSTERVILLE; MA 02655 Expiration: 1211312012 Commi.siuner Tr#: 7837 Ftj _ � s JOB , f stio TAYLOR DESIGN ASSOC., INC. SHEET NO. OF Z P.O. Box 1313 02 ��-+ � '2 t Forestdale, MA 02644 CALCULATED BY C�� DATE /_ " - 1 i Tel./Fax: (508) 790-4686 - CHECKED BY DATE SCALE N OF .. .... TAYLa+ ... . AL. .. . ... .... �,, ' ._( vim _, - ©o .(,�.� n3. - ---- -' i3�,,ate.._ '3o L:o ' . 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I................I ............. ........... ...... .............. ....... 2- ............ ............ .. .........1 1-1- :11-...................... ..........I .............. ................................ ............................... TOWN OF BARNSTABLE Dtt. r�.n sr. r 1 JJOB �s J 1 TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 �►+ Forestdale, MA 02644 CALCULATED BY �o� � DATE Tel./Fax: (508) 790-4686 CHECKED BY DATE 'r ALE .... . . ..... _ t � J ...... t 3 `�.m�ac�._ .. ... . ...... ...... ... ..._... ...... ...... .. . ..... ... ..... .. .... . ... i ... � .. ... ... ... . .... ........ .... . 1 _. l....... - ........ ....... ... ..._ . ........ ....__....._ -... _ ..... ........... ._.. .:..........:. ....-::..... :..... ..... ......... ..--.._. _ ..._..:.... - .. .. .. .- ..._ _-. .. .. .... .. .. o TO ii OF SARI TA E -3 riff 9: 12 D tl !,r4N r , it i PROJECT NAME: .� � �C, . ADDRESS: PERMIT# PERMIT DATE: /Z./ M/P: LARGE ROLLED PLANS AR E BOX � { ►LOT Data .entered.rn MAPS program on: 13- r( B Y: G I J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION s ti C Map Parcel Application Health Division Date Issued 1 Conservation Division '; Application Fee F Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Al Historic - OKH Preservation / Hyannis Projec` -Street Address-x 31 I Ii�A-K� sr Vi I I�� ag�`e� nV2V t C.�>, 1�� (� Z,�3 ZOw�ne� d ( ZC.�t 2R�JTTL �Address�i[ A �T � y i u � Telephone I77 - Sti l 0 P 1,,P�mit Requester Me-j c-, Q ,AAc't TO L►3.S-,* -E ajblele- A*39 -P l-e1.T MIT 7D lM 6MNNe- aC 10%il k t_ &YUJ A.)b A& Square feet: 1 st floor: existing proposed 2nd floor: existing proposed q 9 p g p, posed Total new Zoning District Flood Plain Groundwater Overlay +Project-Valuation 1Z,UT-0b Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, C9( Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: O.Full ❑ Crawl ❑Walkout ❑ Other Vz- C'aaw i tVA-rJT Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new. Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: M Gas . ❑ i yp Oil ❑ Electric ❑ Other Ct 0 Central Air: ®/Yes ❑ No Fireplaces: Existing New Existing woodkoal stove: ❑Yes ❑ No �-= Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:f0 existing "I new� size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ W , Commercial ❑Yes Yl o If yes, site plan review # @ n Current Use t 1)eix&% Proposed Use R6;3 l 4 Lt+�l APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name, e , elephone Number n 06 ,--ddr-es`s��t 1 � �� �� fib l� � Lic' ense # �?i�7 �A5'1 f; "iA 62-r3(�a Home Improvement Contractor# Worker's Compensation # _ °C, o6 4306,6'29 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO GNATURE ®ATE Z3-e 411 I - n S . t FOR OFFICIAL USE ONLY 'w APPLICATION# :T + i DATE ISSUED r MAP/PARCEL NO. pt C t ADDRESS VILLAGE OWNER DATE OF INSPECTION: Y :FOUNDATION FRAME `4 INSULATION FIREPLACE Y ' _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ,GAS: ROUGH,-E:,r - FINAL ;iFINALB,UILDLN;G - ®►ti _ DUZILI DATE CLOSED OUT r. ASSOCIATION PLAN NO. ' F t i ' The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street ' Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business,!Organization/Individual): etAstOc+ V1pp--r4 QLCA-t_ Address: 4q7 _I tyVIA5 �. �JWeK.S VA Mil, City/State/Zip: �-r �A7 i-,Mwt-at AM Q7,5'g(, Phone #: Are u an employer?Check the appropriate box: Type of project(required): 1.9I am a employer with 1`2 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. 7. [4emodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp: insurance comp, insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I 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.#: LQ6 0 0 L b 0 6.T'Z z Expiration Date: 31 1 e f tZ Job Site Address: wA%t1J�"T, CWri V itxq City/State/Zip: C-ijJ rZ-�tll(.t,t,—�tM6�-t 7-63 Z 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 and /M e pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A CORD - 7DATE(MM/DD/YYYY) I TM. CERTIFICATE OF LIABILITY INSURANCE 05/1012011 PRODUCER Phone: 506-540-6161 Fax: 508-457-7660 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALMEIDA&CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 664 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR r FALMOUTH MA 02641 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Company . BAYSIDE MECHANICAL INSURERS: Chartis Insurance Co 497 THOMAS B LANDERS ROAD UNIT 1 INSURER C: Travelers Insurance Company E FALMOUTH MA 02636 INSURER'Ds Travelers Insurance Company INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR IINSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE -POLICY EXPIRATION LIMITS DATE MMFEC DATE MMIDD Zn GENERAL LIABwTY 211OC489 12/06/10 12/06/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETORErrrED PREMISES Ea ocwrence $ 300,000 CLAIMS MADE❑X OCCUR MED.EXP(Any one person) $ 5,000 A X BLANKET ADD'L INSURED PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000 POLICY PRO- JEC T LOC AUTOMOBILE LIABILITY BA8646L45509 12/06/10 12/06/11 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDUL9DAUTOS (Per person) $ D HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ Per accident GARAGE LIABILITY _ AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 8504Y910 12/06/10 1`2/06/11 EACH OCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 0 C $ , nDEDUCTIBLE $ x RETENTION$ 10,000 $ _ WORKERS COMPENSATION AND WC STATLL OTHER EMPLOYERS'LIABILITY WC004306529 03118/11 03118/12 TORY LIMITS ANY PROPPJETOR1PARTNERIEXECUTrVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yea,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE-THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO TOWN OF FALMOUTH DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: o i�� ACORD 25(2001/08) Certificate# 9180 ©ACORD CORPORATION 1988 ~ I THEr Town of Barnstable Regulatory Services sAxrrsrAst.� uAE& Thomas F.Geiler,Director 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 I lff 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) J1,30 I � ignat= of Owner Date riot Nimeo If Property Owner is applying for permit please complete the Homeowners.License Exemption Form on the reverse side. Q:FO RMS:O WNERPERMISSION T� Town of Barnstable try - yam. o Regulatory Services *` S Thomas F. Geiler,Director Building Division `reo � Tom Perry, Baildfng Commissioner 200 Main-Str-ot,_Hyannis,MA_02601 www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 110 r�OWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityRown states 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. DEFIATMON OF HOMEOV 1NER Parson(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 structures accessory to such use and/or farm structures. A person who constrticts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be 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.he/shr understands the Town of Barnstable Building Department minims inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Offrcia7 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 permit is required shall be exempt from the provisions of this scction.(Sectioa 1D9.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that suCch Homeowner shall a as supervisor." }r{any ct homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see 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 of his/her responn'bilities,many communities require,as part of the permit application, that the homeowner certify that helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ccrtification for use in your community. Q:farms:hcmcexcmpt "wEALT i®F n�AssA0.1 J. _ _ 5 ► 1IASTER UNRiESTR1�T7 ^ Atf-RE DR G,kAGN E 1} A +I L 1 Fcs Q Ilq,Tli K. 'b N,Ap Zx5 3 6 7 7 fi r ta11lU1DNWEALT,H ®F IVBASSIR #11, TS 4 s ' H E 'MSTAsL WORKER! x AS A BUSt�NESS; . : lSSUES�THp�'OQU L(gE,NSE TO ! f,. BAYS I9E MECHAN'IC', L C©f2R ! 93 H©CIAS B UJA RS FtD m, JNIT� .c,. .. y A'14 V MAC*�32536 0D 11/24/12 9697� M Home Energy.RaterS LLC BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address 311._Main St, Centerville Ma Date — Oct 5, 2011 Test Type - Post Construction - Total Leakage to Outside Conditioned floor area = 2102 Sq FT To comply with Section 403.2.2 Of the 2009 IECC Code i p y n this home the Maximum duct leakage CFM = 168 CFM ( 2102 /100 x8=168) Duct leakage tested = 76 CFM. This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test:10.5.11 Technician: Larkum, Test Fie:Untitled Customer Building Address.: "311'Main& l Centerville,IVL4 Test Results 1. Measured Duct Leakage. 76.0 CFM 114.3 sq.in.(+1-0.0 0%) 2 Duct Leakage as a Percent of System airflow. 3. Duct Leakage as a Percent of Building Floor Area: 3.6 4. Leakage Split Supply Side: Return Side: 5. Duct Leakage Curve. Flour Coefficient(C): 11.0 Exponent(n): 0.600(Assumed) 6 Test Settings: Test Mode: Pressurization Test Pressure 25.0 Pa Equipment: Series 8 Minneapolis Duct Blaster Test Type: outside Leakage _ (Combined Duct Blaster and Slower Door Test) 6 i I Contact our office with any questions, C) Bruce Torrey, Certified HERS Rater Home Energy Raters LLC J Message Page 1 of 2 Barrows, Debi From: Barrows, Debi Sent: Wednesday, June 29, 2011 9:32 AM To: 'Phil Boudreau' Subject: RE: 311 Main Street, Centerville In order for us to reply to the fire dept. We need an.application completed.by the new buyer specifying what they plan to do. Permit will be processed as soon as we receive it, so not to interfere with the sale of the house. Thank you. Debi. -----Original Message----- From: Phil Boudreau [mailto:Phil@boudreaulaw.net] Sent: Wednesday, June 29, 2011 9:22 AM To: Barrows, Debi Subject: FW: 311 Main Street,Centerville Here it is. Philip Michael Boudreau,Esq. Boudreau and Boudreau, LLP 396 North Street Hyannis,MA 02601 Tel: (508)775-1085 Fax: (508)771-0722 Email:phi l a boudreaulaw.net This electronic message is intended only for the use of the individual or entity named above and may contain information which is privileged and/or confidential. Ifyou are not the intended recipient, be aware that any disclosure, copying, distribution, dissemination or use of the contents of this message is prohibited. If you have received this megM in error,Tease not&the sender immediately From: Phil Boudreau Sent: Friday, June 24, 2011 3:14 PM � . To: 'tom.perry@town.barnstable.ma.us' Cc: 'Larry Shind' Subject: 311 Main Street, Centerville Tom, Per our recent conversations;I represent the owners of the above-referenced property, which contains one full kitchen and a partially dismantled kitchen. The home is presently under agreement for sale with a closing date of July 6. In inspecting the premises for smoke detectors, the'second kitchen was observed and your office was notified. It is my understanding that the fire department is holding up issuing the smoke detector certificate until the issue of the second kitchen is resolved with your office. . Attached is a letter from the purchasers outlining their intention to renovate the home as soon as possible after their purchase. Their plans include removal of the current full kitchen and conversion of the partial kitchen to a new kitchen, leaving the home in its proper single family 6/29/2011 Message Page 2 of 2 status. Assuming that this is acceptable, l would appreciate your conveying that to the appropriate officer at the fire department so that we can obtain the smoke detector certificate. If not, please let me know what you require. Thanks for your help; and have a nice weekend. Regards, Phil Philip Michael Boudreau,Esq. Boudreau and Boudreau,LLP 396 North Street Hyannis,MA 02601 Tel: (508)775-1085 Fax: (508)771-0722 Email:phil@bou.dreaulaw.net This electronic message is intended only for the use of the individual or entity named above and may contain information which is privileged and/or confidential. Ifyou are not the intended recipient, be aware that any disclosure, copying, distribution, dissemination or use of'the contents of this message is prohibited. Ifyou have received this message in error,please note the sender immediately. 6/29/2011 John and Kelly Barrette 68 Marlborough Street#D Boston,MA 02116 June 24,2011 Mr.Thomas Perry Building Division Town of Barnstable 200 Main Street Hyannis,MA 02601 Re: 311 Main Street,Centerville Dear Mr.Perry: We are the Buyers for the above-captioned property, currently owned by Robert and Carol Hazelton, Our scheduled°closing date is July 6, 2011. We have been asked to state our plans regarding use of the 2 kitchens currently located on the premises. Our plan is to begin renovations as soon as possible after the closing which will result in the removal of the current full kitchen and reconstruction of the partial kitchen which will then become the,new, sole kitchen in the house. We anticipate that this work will take approximately 3 months to complete. Feel free to contact us with any questions. Thank you, Very trul yours, ./" John Kelly Barrette 2.2•d -UM titz:at 1e02-b2-rnf WOO ilOd Yz unr :penIaoaa Message Page 1 of 2 r!. Barrows, Debi From: Phil Boudreau [Phil@boudreaulaw.net] Sent: Wednesday, June 29, 2011 9:13 AM To: Barrows, Debi Subject: FW: 311 Main Street, Centerville FYI :Philip Michael Boudreau, Esq. s Boudreau and Boudreau,LLP 396 North Street Hyannis,MA 02601 Tel: (508)775-1.085 Fax: (508)771-0722 Ern ail.:phi l((�boudreaulaw.net This electronic message is intended only for the use of the individual or entity named above and may contain information which is privileged andlor confidential. If you are not the intended recipient, be aware that any disclosure, copying, distribution, dissemination or use of the contents of this message is prohibited If you have received this message in error,please note the sender immediately. From: Perry,Tom [mailto:Tom.Perry@town.barnstable.ma.us] Sent: Friday, June 24, 2011 3:29 PM To: Phil Boudreau Subject: RE: 311 Main Street, Centerville Phil, That would be fine.l'II let the fire inspector know that we're happy. Thanks;TP L -----Original Message----- From: Phil Boudreau [mailto:Phil@boudreaulaw.net] Sent: Friday, June 24, 2011 3:14 PM To: Perry,Tom Cc: Larry Shind .Subject: 311 Main Street, Centerville Tom, Per our recent conversations, I represent the owners of the above-referenced property,which contains one full kitchen and a partially dismantled kitchen. The home is presently under agreement for sale with a closing date of July 6. In inspecting the premises for smoke detectors, the second kitchen was observed and your office was notified. It is my understanding that the fire department is holding up issuing the smoke detector certificate until the issue of the second kitchen is resolved with your office. Attached is a letter from the purchasers outlining their intention to renovate the home as soon as possible after their purchase. Their plans include removal of the current full kitchen and conversion of the partial kitchen to a new kitchen, leaving the home in its proper single family- status. Assuming that this is acceptable, I would appreciate your conveying that to the appropriate officer at the fire department so that we can obtain the smoke detector certificate. If not,.please 6/29/2011 ' Message Page 2 of 2 let me know what you require. Thanks for your help; and have a nice weekend. Regards, Phil Philip Michael Boudreau,Esq: , Boudreau and Boudreau,LLP 396 North Street Hyannis,MA 02601 _ Tel: (508)775-1085 - Fax: (508)771-0722 Email:phil i0oudreaulaw.net This electronic message is intended only for the use of the individual or entity named above and may contain information which is privileged andlor confidential. Ifyou are not the intended recipient, be aware that any disclosure, copying, distribution, dissemination or use of the contents of this message is prohibited. If you have received this message in error,please note the sender immediately. . f 6/29/2011 MLS Page 1 of 3 OL Property History _Listing Summary Attached Docs Interactive Map Report Violation Listing #21100505 311 Main(Cent.)St, Centerville, MA 02632 Active (01/21/11) DOM/CDOM:45/45 $349,000(LP) Beds:3* Baths:, 2 (2 0) (FH) Sq Ft: 1593` Lot Sz: 21780sgft* Town: Barn Yr: 1925* Remarks In the heart of Centerville Village this ranch style home is spacious and charming: The home offers three bedrooms, 2 full baths and cheerful living spaces. It is set on a lovely =t" private lot. The home is set back from the street offering 4P' s plenty of privacy . E■j �' 11 ��,L. Pictures(10) .r1 P •nM '• y: re�""a'a- Aaew� - �1g� A, Location Description South of.Route 28 Agent Debra M Caney (ID: U097)Office:508-420-1414 Home:508-367-6171 Office Robert Paul Properties,Inc.(ID:ROBPL)Phone:508-420-1414,FAX:508-420-1472 Property Type Single Family_ Property Subtype(s) Single Family Status Active(01/21A1) Town Barnstable Facilitator Comm 2.5% - Listing Type Excl. Right to Sell Owner Name Robert H Hazelton County. Barnstable Tax ID 208=114-0-0-BARN Beds 3* Baths(FH) 2(20). Approx Square Feet 1593* Sq Ft Source Assessors Records Lot Sq Ft(approx) 21780* Lot Acres(approx) 0.500 Lot Size Source (Assessors Records) Year Built 1925* Listing Date 01/21/11 All Office Remarks Great property in Centerville village.Ranch style 3 bedroom 2 full baths. Directions to Property Main Street Centerville between Mothers Park and-Park Avenue intersection. Listing Page Commission-Other 0% Commission Sub Agent Comma Buyer Agent Comm. Dual Var Comm 2.5% 2.5% No Special List Cond. None Showing instructions Call Listing Agent General Page Zoning RES Year Built Desc. Actual' Total Rooms 7 Total Levels 1.0 Basement Baths 0.0. http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNANM=Capecod&PRGNAME=MLSPropertyDetail&A... 3/7/2011 i _ f MLS Page 2 of 3 Level 1 Baths 2.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Interior Access,Partial Foundation Block,Concrete Fndation Wing Width 0 Fndation Wing Depth 0 Irregular Yes ' Lot Depth 0 Lot Width 0 Topography/Lot Desc. Gentle Slope,Level Association No Annual Assoc.Fee .$0. Assoc.Fee Year 0 Garage :No #of Cars #0 Parking Description Improved Driveway,Unpaved Driveway Year Round Yes Separate Living Qtrs No . Waterfront - No Water View No Convenient To House of Worship,Medical Facility,School,Shopping Miles to Beach 5 1 Beach/Lake/Pond Craigville Beach,-Long Pond Water Access Lake/Pond,Nantucket Sound Beach Description Lake/Pond,Ocean Beach Ownership *Public ,. Street Description Paved, Public Interior Page Fireplace Yes Number of Fireplaces #2 Master Bedroom OxO Level:First Floor:.: Mstr Bdrm Features Closet,Wood Floor, wt, Bedroom#2 OxO Level:First Floor Bedroom#2 Features Closet,Wood Floor Bedroom#3 OxO Level: First Floor Foyer OxO Level: First Floor Laundry Room OxO Level:First Floor Living Room OxO Level:First Floor Living Room Features Fireplace,Wood Floor Kitchen OxO Level:First Floor Kitchen Features Dining Area;Vinyl Floor Family Room OxO Level:First Floor. Other Room 1 OxO Level:First Floor - Other Room 1 Type Other Floors Other,Vinyl;Wood' Exterior Style Ranch Pool No Dock No Energy Saving Feat. Other Exterior Features Deck,Patio,.Exterior Lighting,Yard Roof Description 4 Asphalt Siding Description ;Clapboard;Shingle ' Mechanical Heating/Cooling 2 Zone Heat,Natural Gas,Hot Water: Water/Sewer/Utility Septic, Electricity,Gas,Town Water Hot Water/Water Heat Natural Gas Warranty Available:_: No Legal/Tax Annual Tax. $2935 Tax Year 2011 http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail&A... 3/7/2011 MLS Page 3 of 3 Land Assessments .$171000 Improvement Asmt $128100 Other Assessments $5900 Total Assessments $305000 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single family Title Reference-Book 18207 Title Reference-Page 340 Land Court Cart# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown Publish to RPR Yes *Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject-to change.Copyright 2011 Cape Cod`&Islands,Multiple Listing Service,Inc..All rights reserved Copyright©2011 Rapattoni Corporation.All rights reserved. U.S.Patent 6,910,045 Generated:3/07/11 1:33 pm * r•avv���rs�s+r _ .. Tx http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPropertyDetail&A... 3/7/2011 tip? ;i•,. 41 1. WO, WWi�1 -1 A fix\ y"W MLS Page 2 of 4 fl 'All VA r a . I/ http://ccimis.rapmis.com/scripts/rngrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPicttireDescription... 3/7/2011 I MLS Page 3 of 4 , 7 r F t i http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PP,GNAME=MLSPictureDescription... 3/7/20I 1 MLS - Page 4 of 4 �..-� ` Information has not been verified,is not guaranteed,and�is subject to change.Copyright.2611 Cape Cod&Islands Multiple Listing.Service,Inc.All rights reserved Copyright.©2011 Rapattoni Corporation.All rights reserved. U.S. Patent 6,910,045 Generated:3/07/11 1:37pm Rilij I QA Ov http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescription... 3n12011 d� Assessor's map and lot number�.................�........... 7ME, o�= Sewage Permit number . . G SEPTIC SYSTEM MUST EE d INSTALLED IN C+DMPLIANC t EAHHSTME, House number .................................................................:.:.... WITH TITLE 5 rao !"a 6 FNVIRON MENTAL.CODE AN, ' TOWN OF `:BARNSTAI ;ONS BUILDING INSPECTOR I " APPLICATION FOR PERMIT TO /'! .� e.!. .��?k1.. '"`ram rbe)L ` � "� ...... �.. ...... ...................................... ............ TYPE OF CONSTRUCTION ...........r/..................................................................................................................... . .°J'....... -�.............19..+ s TO THE INSPECTOR OF BUILDINGS:'" ee' The undersigned hereby applies for a permit according to the following informption: Location ,l�. ..... :J..C�`' ... . 4�. ....... ................... ................................... � Proposed Use k9el. . I?.P ��1 .K�............. ..... a`!. .!�.lt................................................................ Zoning District ....... ........................Fire District ......� UL...I.`�...... .... .... Name of Owners:0L.7t '�1�. � ................... .Address ................'e � P .. Name of Builder49?Y'....... ., /�E� �. ...r....,,Address r�?�1'aul ..i ? Nameof Architect ................ ..............................................Address ..................... ........................ ............................. el Number of oo s ............................................... ............ .....Foundation fOur ... f . Exterior v0.. . ..'T''k>!.. .......". P � ..Jl...`.1.��.....Roofing ...... 5 ... ................................................ .L Floors ::a�a� Interior Y.. ....CN.�f: ...................I................................ .. 11 p� (� Heating Y�E;:L'.... .... Wqn Pf.......... ...lr! -.T, ...Plumbing ........: .Y... . ................... ' +�Iy Fireplace ......... rtC/ Approximate Cost ...el' o'�............... .................................... ......................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area �Qv. s�' Diagram of Lot and Building with Dimensions Fee 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constructign. ��J'=U�/ Name .. ............ ................................ YCCARTHY, JOHN F. 14o .2.3.3.9.9... Permit for ADDITION ................... Si` ql'e Family Dwelling............. .............n.............................................. C. LL �ati 311 affl=P Main Street ocation ... .................................................. r Centerville ................................................................................ �Iv Owner ...Jo.h.n...F......M.c C.a r.t.h.... . .. .. . .. .... .... .. .... .................. Type Frame, of Construction ...................... ................... ........................ ................................................. u ...................I...... Lot ................................ C�l August 21, 81 .......................... —.."9 Permit Granted ....... Date of Inspection ......... ......19 Date Completed ........... PERMIT REFUSED ........... .. ..........................................:F... 19 7 5 3 ........... ...................................................... ............................................... 44 . ..........-j.. ................................... .................. .... U ......... ........ ............................................P M Approved ......:.......................................... 19 ............... ............................................................... ........... ............................................................ �� l:la+' 7 1 Y t9 t 1 , .rI'�(:l 1:�,:,,:;';l'-.,�\T,,LI.��I,�,�I4.,1 4�,;;�,.�-':: ,,; t- r .,FR— T __� &-rne: Sohn+': '� CHARGE F/LE- I �- ,; ,.�t I-.,�,.�I.6.:.,1 I A�:,.;�'r I.,I;I,,T.'1,!, .,I..;"..��.��-.�I I ,,�Ir r�i:,,,,.,,,,',:..,:';-.���,.,,,,,.T-1,.I",I-.�,;'..I.,;,I�,�,,.:,.,I�-.;I...-��,,,-1.,�I i.-�.:1;�,..I�..�';.I,�- ,--,I.�;I.,,,I,-�,..,,,,�*.-�..",...�,,,I l.-���-�-f,�t,,--I,,I.&�I�-� ,, I -'.,I;'-II.-�.--,,��,I�'1..,.I,�,��6.,:�;",.�'.,,,.�-�',1.,..i-..,��; "; !?Fh , .t r ; k l 7 , PLANBK,/P.G _ ,1 SOT TYPE OF SLOG s .tyxg 6 t,ir, OlY R " ", I,-, ,' th��Cr� t �J �t}' i AFPLI�ANT �tttP° t�� r,i�trl��r: �} -- .w. d, p + ., fjt , , }, rr�r� ., rr te, ti. ti r It .' e 7 t .,,.0 / / _.:! �i.lYu�ji�a�7 �i��#�. 4 .,. 5, (J .# h F k .,I I!' fi b t } ("i 1 �"iG � II j ., II 6. 7(( , � , } b ; j. , 9 l, e 0 if tv ,.'.P J,# , :i F Ij# n n yt f. 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APPLICATION FOR PERMIT TO 1 TYPE OF CONSTRUCTION ............jA�� .............................................................................................................. ....................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location3a........4�lk�/Y.........................;....... X ........... .......................................................... ................................................................ Proposed Use 9,�hf.........�i�W?.O OAS............ Zoning District ........................................................................Fire District ...���.;��.�j.al.%? ...... Me ox rfi Name of Owner V. I.....................Address ....ew......... Name of Builder ....U, k 2Y.K.LW,...A.....Address f,194Z....... lfS ............ ............. .....a.0ek-. 4 V,V-*** ire.. Nameof Architect ..................................................................Address .................................................................................... ... .. ....... -3 ---�41..rf� ....... .............................. Number of Rooms ..................................................................Foundation ...61, Exterior ......-. ...... Roofing ............ ................................................ ........... Floors . .......... .I.............T.................. ..............Interior Heati ..ng r ..................;.................. ............. ....Plumbing .......... ............................................................. Fireplace ......... .................. .. ........................................Approximate Cost ....................................... Definitive Plan Approved' by Planning Board --------------------------------19--------- Area .................. Diagram of Lot and Building with Dimensions Fee ........... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constructign. Name ................ ,/................................ MCCARTHY, JOHN F. A=209 23399 ADDITION No ................. Permit for .................................... Single Family Dwelling Location 311 Main Street Centerville ............................................................................... Owner ......John F. McCarthy:....................................:: ..................... Type of Constructioni,,,,Fram ................................................................................. Plot .......................... lot .... ...................... 1 Permit Granted ....... ....gus........t..... ....,.........19 al Date of Inspection ...... ............19 Date Completed ...... .............................19 t PERMIT . EF,SED ........................................ .. ... .. .. 19 .........................../.... ..... ................................... 1 . . .... ... . ..... Approved ................................................ 19 ............................................................................... ...............................................................................