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Scali,Director � , MASM Building Division 039. ♦0 j°rEo 3.�s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 PERMIT# FEE: $35.00 P SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less. -Z 9 3. 0 Vd ZE V)' l tE Location of shed(address) Village r kiA-CQ0 Nl nl on��q Property owner's name y Telephone number 10, x �� e 2 � � O Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? fjQ . You must file with Old King's Highway Conservation Commission(signature is required) Sign-off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEETHE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED 1W A` PLOT PLAN Q-forms-shedreg REV:040914 :......a......................................:........ ' Ad Ass: -------------,: 293 Old Cralgvi//e Mid Aaigarat, 201 ' Proposed i Shed i �os�ert yWer: Thiago 0, Mendonca North ��teV_�_-- one. 7> 978,886.9445 Parc-e_LAr 247104 Foisting No - ZONE House . r^A:* �,t a, i .;$pia, - ' r Setbacks Front; 72' Side; 10' ..v_._._.._._.__...._...........-__.__..._-�p¢0- t �'�flwp apt_I ¢0_._._......--...--.._..__...._....._...._-...__.------._...__.._......._ Near: 90' t nnf� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A"I � Parcel— Map P ace "Application # Health Division Date Issued l 13 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH -A — Preservation/ Hyannis Project Street Address d. crA,ll l Village Owner T k 1IL4 aA 40 C Address s'a,mG Telephone 48 IRLrJ t Permit Request AA CO Ask Wale VIA14 -09 11A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach -porting docunnentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's HighwayA_❑Yet ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )lo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name MAI owt AC, Telephone Number 56a �4_RD� Address A (TvA License # .�. C Home Improvement Contractor# '� Email Worker's Compensation # WV(3085 133 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (a,�fr10►d,,l Y� � q SIGNATURE DATE a I L l FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED I E MAP/PARCEL NO. E_ ADDRESS VILLAGE ' OWNER _ r.- DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �I DATE CLOSED OUT '' ASSO0IATION.PLAN NO. 3 Building Permit Authorization /a& /�G1LC�c�/�`G'� , as owner. - - hereby gi a my permission to Ca a Save; Inc. 7-D Huntington Avenue south Yarmouth, MA 02664 Office:508-398-0398., to take all necessary steps to obtain a building permit to perform work at my property located at 293 Old Craigville Road Centerville, MA 02632 Signed Date `0 , / • I The Commorarvealth of Massachusetts >, Department of Industrial Accidents Office of Investigations ' _ 1 Congress Street, Suite 1 Q0 ;• t r Boston,MA 02114-2D1? , y wwru.Mass wpldia Workers' Compensation insurance Affidavit: Builders/Contractor s/Electricians/Plumbers; Applicant Information Please Print`LegibWv Name(Business/Organization/Individual); Address: 70.;Huntingt6n Ave City/State/Zip: South Yarrnouth,.MA 02664_ Phone##- 508-398-0398 Are you an employer? Ok the appropriate Type of pr0 1eet.(0 quired):. 4. I am a general contractor and I 1. I am a employer with 6 Q New construction` `. , employees(full and/or part-time):' have hired the sub-contractors 1 2._0 I am:a sole;proprietor or partner- listed-on the:attached.sheet:'` 7. ❑Remoiieltng. " ship and have no employees. These sub-contrac L.tors have g. [];;Demolition workingfor in an ca aci °. ' employees and have workers' ' , Y P ty 9 ❑:Building addition [No workers7 comp.insurance.. comp:insurance required.] 5 .0 We ar-e a,corporation and its 10.(�':Electrcal repairs or additions of:"icers have exercised their I I 'Plum bin rir airs or additions 3.❑ 1 am.a homeowner doing all work �. g P. myself.[No u�orke"rs'comp. right of exemption per!VICE 12.D:Roof r"epairs insurance required..]t c. I52,§I(4�-and we have:rto q 13. `Other` Insulahort:,: employees. [No workers comp.insurance required:] Aoy,applicant that cliecks.boz#tl must aisb Fill outdte section below showing therr workers'pirpensation-policy infotmatron. Homeowners who submit this affidavit indicating;fhey arc doing.All t+pork and then,hire outside.contractoes:_must suhmi anew affidavit.'iridicatrn ' uch 'Contractors that check this box:rmist attached an additional sheet shop>-ine tfae narne o�ihe'sub-contractors and slut&wh6her or riot ihose'enhtres eve employees: if the sub=cantraetors have employees;They must,.provide their workers'comp:-policy ngrnber. 1 g1n all employer that is providing workers'compensation insurance for n1y employees. Below is the.poli y and joh:site informadorz ' insurance Company Name: Weseo.Insurance.Company A Policy#or Self'ins. #: WWC3085633.. : .. Eaptiat on Date: 04/09/2015 Job Site.Address: City/State/Zip- �,e/1 f V 1.11 f Attach a copy of the workers'compensat>on policy declaration page(showing the polaey n:umber;and eapirat�on Failure to secure coverage as required under.Section 25A of MG L c. 152 can Lead to the imposition of:cnmutalpenalies of a tine up to t,50�00 and/or one-year tni(n`sonme,nt,aswell as civil penaties in the forrri.of a STOP WORK ORDER and a fine: of up to$250.00 a;day against the':violator Be.advised that a copy of this.statement may be forwarded to the.Office of investigations of the DIA t'or insurance coverage verification: ' !do hereby lc 'under the a ns and' enalties o er` that the in`oritiation provided.above is true-and corree L _. Senature:' Date ._.Phone#: .909399-039$; - Off crt/rrse ortl� Do:nvt write rn this urea,;to 8e cor:pleted by crfj?of tosurrociul. a City or Town: Permit/License-# Issuing Authority(circle one): 1.Board of Health I Building.Department 3.'City/Town Clerk 4.flectrical4nspector 5..P1uml)ing inspector b.Other Contact Person: I ,�casrn' CERTIFICATE OF LIABILITY INSURANCE DATE(mmroDivvVv) 4/14,/2 014 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 THECERTTFICATE HOLDER. IMPORTANT, If the:certificate holder Is an ADDITIONAL INSURED, the.polley(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,certiflcate does not confer rights to the certificate holder in lieu o€auch endorsement(s). _ . PRODUCER: NAME:CONTACT Colleen Crowley Risk strategies Company PHONE (7$1)986--4400 FAQ No;{Te1)963-4420 15 'Pacella Park Drive ccrowley@risk-strategies.com . Suite 240 INSURE S AFFORDING COVERAGE NAIC>t Randolph MA 02368 INSURERA:Seie6tive- Ins. of America INSURED INSURER B:Sa't et III(SuraTICIB-CCIMPany 33618 Cape Save, I,nc INSURER'c-WesCo Insurance an D. HuntingtC+n, Ave INSURERD: fNSURER:E: South Yarmouth MA 02664 - INSURER.F:.. - ... . . .- COVERAGES CERTIFICATE NUMBER:CL1441475243 REV1510N NUMBER: THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCE?LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF .ANY CONTRACT OR OTHER DOCUMENT INITN'RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS>OF SUCH,POLICIES.LIMITS-SHOWN'MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITRR`- TYPE OF-INSURANCEODL ROLICY'Nt ABER. - MMI�YEFF MMlWlY`fE`NY LIMITS .. .. . .. ......_._., I. . _.... _. _. . .__. _ .. GENERAL LIABILITY EACH OCCURRENCE -$: 1,000,000 X 'COMMERCIAL,GENERAL,Ll4BILiTY PREMISES Ea omurrencel 100,000 A CLAIMS-MADE a DCCUR S1994480 0/16/2013 0/1.6/2014 j.MED EXP{Any one person) $ 10,000 PERSONAL SADV INAJRY $ 1,000,006 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER; [PRODUCTS.-COMP/OP AGG $. 2,000,000 POLICY 7X ,Ea X,:LOC AUTOMOBILELIABILMY - E COMBINED. BIND.SINGLE"LI I 1. 000 000 —� ANYAUTO - BODILY INJURY(Per,person) $ B ALLOrNED SCHEDULED 208200 1/6/2013 1/6/2014 AUTOS 'X _AUTOS.. BODILY INJURY 1Per accident) $ MO,N-OV4 m PP,O PERT Y DAMAGE X 'HIR.EQA{lTOS X AUTOS Peraccdent $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000;,0.00 A EXCESS LIAR' CLAIM&MADE AGGREGATE $ 1,ODO,O00 DED RLTENTIOr : :III 1994480 0/16/201,3 0/16Y2019 _. C - WORKERS COMPENSATION. - poers Included.ror NC.STATU- 'OTH-ANDEMPLOYERS`LIABILITY YIN X 'IM R ANY PROFRIETORlPARTNER/EXECUTIVE rage E.L_EACH ACCIDENT $ 500 000 OFRCERJMEmBER EXCLUDED? N I A (Mandatory'In NH) 085633 i /9/2014 /9./.2015I.E.L,DISEASE-EA EMPLOYE :$ 5:0.0 000 Jfyes, IPTIO®untler E:L:DISEASE,-POLICY LIMIT '$ 500,000 As, OF OPEFi4TiONS beibw DESCRIPTION OF OPERATIONS fLOCATIONS"tVEHICLES(AttachACORDY07,Additionai Rein arksSchedule,If more space Isrequired) Issued as evidence of insurance. .Issued as evidence Of insurance.. Thielsch.. ingineering,, Inc: is listed as ;additional. insured as. respects General Liability as .required by written. contract-.. - .. CERTIFICATE.HOLDER CANCELLATION msong@capelightcampact.Org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Sight Compact ACCORDANCE WITH THE POLICY PROVI810N& Atta: Margaret Song PO BOX 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable-, MA:. 02630 chael Chris tian/CLC ACORD25 2t)10I05 ' e t ) . O 1988-2010 ACORD CORPORATION. All rights reserved. iNSit25(2oloos).o The:ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation ` 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation _ Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUErp SOUTH YARMOUTH, MA 02664 =— - ------ - r Update Address and return card.Mark reason for change. SCA t .• 20M-05111 _ Ej Address Ej Renewal V Employment Lost Card g b•• License or registration valid for individul,use only � C' (i/I iIG>l/llda-C((/��Cr'-yl/�•CIJJ!/(!1/[.IGCi ' Office of Consumer Affairs&Business Regulation g X V-PE ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: -_17f380 Type: Office of Consumer Affairs and Business Regulation xpiration rr�31.41201.6: Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. PIS;, r PS x m WILLIAM MCCLUSKEY J, . 7-D HUNTINGTON AVENUE- O SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CSSL-102776 WILLIAM J MC CLUDV7 37 NAUSET ROADs West Yarmouth MA 0 6 ' 92.,... Expiration Commissioner 06/28/2015 J & R Products Inc. . 1955 Lancaster Street Suite 6 ; §F "' : INVOICE . Bluffton, IN 467141Rrj ' 800-343-4446/FAX 800-518-4446 INVOICE INVOICE DATE ORDER PAGE J&RPRODUCT3,INC. 000250019 10/15/14 0233152 1 CUSTOMER PO ORDER DATE BRIAN 10/15/14 TERMS SALES REP CREDIT CARD 00 B 0092665-000 CAPE SAVE L 7-D HUNTINGTON AVENUE L SOUTH YARMOUTH MA 02664 T O P OUT ITEM NUMBERIDESCRIPTION ORDER CITY. B10 OTY. SHIP OTY. PRICE UOM PRICE EXTENSION o OF O STK SHIPPED FROM WHSE. J&R ON 10/15 REF 0233152-01 VIA UPS 3ROUND SHIP TO: ORDERED BY: CAPE SAVE , 7-D HUNTINGTON AVENUE SOUTH YARMOUTH MA 02664 RT-440 2000 2000 .16 EACH 320.00 20" R-STICK CS-109 48 48 1.49 EACH 71.52 RED DEVIL WHITE 40 YR LATEX WITH SILICONE CAULK 48 OF Lot # B-1-16 TOTAL THIS ORDER 391.52 Freight Chg/Allw 79.24 VISA PAYMENT CC# ********** *0265 Y# 470.76 TOTAL THIS INVOICE - .00 - - - - Payment Information ( .00% Discount) - Net Pmt Net Due Date9 Gross Amount Gross Due D to * 10/1 /14 10/15/14 G * Down payment applied y ******************* TRACKING IN ORMATION ************ ****** Carton # 1 1Z43449 0358004553 Carton # 2 1Z43449 0359109760 '. Carton # 3 1Z43449 0358903975 *------------------------------ -=------------------- -----* TOTAL 470.76 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 12/29/14 Thomas Perry CBO Town of Barnstable Building Division 1 200 Main St. Hyannis,MA 02601 ,; RE: Insulation Permits 0 Dear Mr. Perry This affidavit is to certify that all work completed for 293 Old Craigville Road, Centerville (201407579) has been inspected by a third party Certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds Federal and State Requirements'. Sincerely, William McCluskey ` Commonwealth of Massachusetts Sheet Metal Permit $ Map Parcel Date: a a f o& -Z� Estimated Job Cost: SEP 18 2�R Plans Submitted: YES NO TOWN OF �5 NO Business License# Applicant License# Business Information: ,f Property Owner/Job LocaAvd in Information: Ail,Name: . V Name: O o'Y ..0 Street: 3 ® . - l®Wi. 11 Street: 3 City/Town. !l City/Town: Telephone: 5�.I -1� ( Tel y 5 Photo I.D. required/Copy of Photo I.D. attached: YES NO c staff Initial J-1/M-l-unrestricted license J-2/M-2-restricted to dwellings 37storie8 or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other j Commercial- Office Retail Industrial Educational Fire Dept Approval Institutional itutional Other _ Square Footage: under 10,000 sq. ft.�— over 10,000 s .ft. Number of Stories: Sheet metal vvor to be completed: New Work: Renovation: HVAC Metal Watershed Roofing. Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: r 01d W\& i o , d()C--( C.J6fV j �A ��� Ln� I INSURANCE COVERAGE: = t I have a current liability insurance policy or its equivalentwhich meets the requirements of M.G.L.Ch.112 Yes No ❑ 9 It you have checked ,indicate a type of coverage by checking the appropriate box below: I A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement: I Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws, Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments - 1 Final.Inspection Date Comments i i Type of License: 3y ❑ Master title <. ❑Master-Restricted lity/Town Voumeyperson Signature of Licensee ermit# ❑Joumeyperson-Restr7cted License Number: =ee$ Check at wvvw.mass,aovldgl nspector Signature of Permit Approval Town of Barnstable Regulatory Services * LENbTA81i, MA Thomas F.Geiler,Director �a59-&� Building Divisi n Tom Perry,Building Commissioner 200 Main Sheet,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 1941C4as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. 4:1/ A &4/7�M LZ (Address of b) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner a Applicant Ioyv\�ilk A Print Name Print Name Date Q:FORM&O WNERPERMISSlONP00LS Client#:21832 2AIRRI ACORU. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 08/26/2014 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: Dowling&O'Neil PHONE 508 775-1620 FAX Insurance Agency -MIL Ext: ac No: 5087781218 A ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INsuRERA:National Grange Mutual Ins INSURED INSURER B: Air Rite HVAC Inc. 133 Old Town Road INSURER C: Hyannis,MA 02601 INSURER D: INSURER E: - 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 CONTRACTOR 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. ILTRR TYPE OF INSURANCE INSRLSUBR WVD POLICY NUMBER MM/DIDY/YYYY MMIDDY/YYYY LIMITS A GENERAL LIABILITY MPT8454A 4/13/2014 04/13/2015 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $500,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $1 O 000 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- LOG $ JECT 171 AUTOMOBILE LIABILITY COBINED SINGLE LIMIT Ea M accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCT8454A - 4/13/2014 04/13/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? F_N1 NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S136233/M134756 JRS e COMMOfVWEALTH OF MA§S .HtjSETTS a BOARD()F SHEET METAL'WDRkt it i _6 4 ISSUES THE FGL H- I h1G L I CENSE�� u AS A Jl?URNEYPERSQN UNRESTRICTED sx JQAQ M CHUMB S vJ c1 j �;1815 'F Ai MOUTH Rf7 I Z s.. " GEIdTER�I LLE��" (�A;'02632�.316) ,��� p COMMONWEALTH:OF nIISSACFIUSETTS E 60ARD*OF �'� � ` � Imo, ISSUES THE FOLbLQWIN6 LIfNSE� '- .lQ1JRNEYPE'RSON 11NRESTR<I C TED JOAQ#M,CHLIMB I NHQ 4 t' x.. rl r EUO to 1815' FALMf3UTHs�RD" by Z .w CENTERVILEE P4AY02632 t3tb� =tz` t I 0- 0 n,"+ ASSFACH`,ON-%,S M n D CEN S ,'� ��LICENSE Asa } END �4d NUMBER // x # �aa 03 201'l :NONE Sgi J%,.7008 es PR LA t z JOAO p3 +97 = g W= 81815.FALMOUTH ROAD - APT:AS ILLE,MA 02632.3167 zi. r_ CENTERV ` ; 0603-19-t07T4.Rev 07 iS2009.: - o�: axe Com�xor=}��rrl�o��assue�rrse Deparhaent qfhda3&ia1 Accidents - OKwe-ofIar lesdgga ans 600 Myskingfon&reet ffastar;,MA 02VI wtt:w.inass.goi-Adia 'workers' Campensaf oxxL mu—ace Affidavit$ualdersfContr-actors/EledricianMumbers AppBcant Infolrmatian ,f Please Print UTibN. Name Address-. ci yf ta _ ` pm ►s Phonf--9-- �3 -Are au an employer?thecktfie apgropriateboa� T of ect r 1 4-_ ❑ I am a dal c=t,,tor asid I 1 d}- - I am a employer with. 6_ New a ss:ft fora employee-{ffill and/orpart-#ime)* have hired the sub c�taFs. 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7_ ❑IZrmodeliag ship and haze no employees These sub-contractors have g_ ❑I7emolifiou -W for me in an Capacity_ �loyees and have workers' �� y - _ 9_ n Euildsng addition F- O Workers,coal-*insurance Corp_ 5_ ).e are a corporation and its 10-0 Electrical repairs or additions 3-❑ I am a homeowner doing all work officers hati-e exercised their 1I_.0 Plumbing maim or additions myself [No work-M,comp- right of esrmptionper MGL 12-01Znof repairs inmIrancereTnire l l c-152,§1(4} and weh;mno, employees,-INC,workers' 1 _�O.ther comp_insurance requirerl_j _� sy aPHC=t that chedLs boa ri—St also hll out the section below sbuwbxg their wa&ers'commea an poaT inffitazfimt t ffameaarnE:s ulm s�uLuit this affidsvif loco mat::-g they��e�nmg aFt rroxSc anal tiler 7mE sr�ssde ca�tiact�s nmst s¢b�it a ae�s�davit mcbca'�sac,I� =ct--tncmcs that check this bar�r�st stt8che d as additional sheer sb oumg tl>E namE of 8ie and staig vchetlxe[Grunt t3 se Vibes h anpfu-y-e[s_ If the smb-co-ntractars lyre empIo�y ees,the}must gtucae their worke€s'camp.palacg nwvhrr_ I am art employer that is prmidirrg workers'conTgruyu'o.n Lrmirancefor my emptoy ecu He&w is the park}an.d job sits i.�fotrnaliarU Insurance CoinpauyNarnL polio-y-4 r1r Self-ins- ExpirafibnDate: Job Site iddress: Cifystate/zig= Attach a copy of the-workers'comp eusatian policy decTaration page(showing the policy number and expiration date). Failure to secure coverage as re paired under Section 25A,of MGL c. 152 can lead to the imposition ofcrimiaal penalties of a fine up to$1,500.4a andlor one:-year iuprisanment,as well as cirrg penalties in the faun of a STOP WORK ORDER-and a fine of up.to$250-00 a day against the violator_ Be advised that a copy of this statement may be ftrrwarded to the Office of hiut�estigations of the DIA fix M- SUAc coveragevetifiCation I da here&S,cexti s enaWas of per zuy th at irc�{orrnatian pratddsd abvs hzr$ turf�carrect Sienattzre: s Date._ r}U Doge# Off Ec at Erse anfy. Do trot write fn this area;,to be carnpfeted by ct[y at torn offic&L City or Town: PermitUcense# Fss-trite Antharitg(drde one): 1.Bearcl of Health .2.Building-Department I Cit O dwa clerk 4_Elect ical Inspector �.Piumbfng Inspector .6.Ckher Contact Person: Phone#_ 6 Information and. Instruction Massachusetts General Laws chapter 152 requires all employers to provide workers'compe ation for their employees. Pursuantto this statute,an employee is defined as"-_.every person in the service of anothe der any contact of hire, express or lied, oral or written." fin employer is defined as"an individual,partnership,association,corporation or oth legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal representatives f a deceased employer,or the \ receiver or truste of an individual,partnership,association or other legal entity,e loymg employees. However the owner of a dweIlin ouse having not more than three apartments and who resides erein,or the occupant of the - dwelling house of anoer who employs persons to do maintenance,construction r repair work on such dwelling house or on the grounds or b , Qing appurtr-nant thereto shall not because of such empI ent be deemed to be an employer." r MGL chapter 152, §25C(( ko states that"every state or local Licensing age cy shall withhold the issuance or renewal of a license or permit to operate a business or to construct boil ' s in the commonwealth for axy applicant who has not produce acceptable evidence of compliance with e insurance-coverage required." Additionally,MGL chapter 152, §2 (7)states"Neither the commonweal nor any of its political aubdivisions shall enter into any contract for the perform cc of public work until acceptable evidence of compliance vY'i`h the insurance requirements of this chapter have been p sente-d to the contracting autho ty" '' Applicants Please fill out the workers' compensation affida it completely,by eckiag the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addr s(es)and phon ni mber(s)along vaith their cer�:ncate(s) of insurance. Limited Liabil ty Companies(LLC)or L tied Liab Partnerships(L LP)wind no employes other than the members or partners,are not required to carry workers' compe ation insurance- If an LLC or LLP sloes have employees, a policy is required. Re advised that this a vit ay be submitted to the Deparnent of industrial Accidents for confirmation of inc,n-ance coverage- Also re to sign and date the affidavit 'llze a;�davit should be returned to the city or town that the application for the p t or license is being requested,not the Department of Industrial Accidents. Should you have any questions re e law or if you are requl-ed io ob :_�M a workers' compensation policy,please call ihe Department at the ber - below. Self-insured companies should enter their self-insuuraace license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and p " ed legibly_ The \an eat has provided a space at the bottom of the affidavit for you to all out in the event the ce of Investigatito contact you regarding the applicant Please be sure to fill in,the pert it/iicense number hick will be used e pace number. In addition, an,applicant that must submit multiple permit/licen-se applita ons in any given yea o y submit one audavit indicating current policy information(if necessary) and under"Jo Site Address''the ap sho d write"all locatio-,zs in (city or town)."A copy of the affidavit that has been o cially stamped or mar the c or town may be provided to the applicant as proof that a valid affidavit is on e for future permits or s- A ne affidavit must be filled out each year_Where a home owner or citizen is ob g a license or permit nted to any usiiiess or commercial venture (i-e,a dog license or permitto burn leaves e .)said person is NOT reto complete affidavitThe Office of Investigations would Iz7ce to auk you in advance for yoperation and sh uldyou have any questions, please do not hesitate to give us a call_ The Department's a-ddress,telephone d fax number: net COMM W-f,-ajth of Massachus-tts ' / Depart meat of 1- cdustdal Aacide,nt f Office of favestiot€axts . GqG Wasbmgto-a gftc, t Boston-_MA 02111 Ted- 617-T27-49-QO W.4-06 or I-&�I�A�SA�E Revised 4-24-07 Fax A 617 27-7749 www_mas&god is Mass. Corporations, external master page Page 1 of 2 vag 4� „ x` _,r ,. .ti 5 1, ",'Pi"/ •s at, Corporations Division Business Entity Summary ID Number: 464243024 j Request certificate I F New search Summary for: AIR RITE HVAC INC The exact name of the Domestic Profit Corporation: AIR RITE HVAC INC Entity type: Domestic Profit Corporation Identification Number: 464243024 Date of Organization in Massachusetts: 12-06-2013 Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 133 OLD TOWN RD City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Registered Agent: Name: JOAO MARCELO CHUMBINHO Address: 133 OLD TOWN RD City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT JOAO MARCELO CHUMBINHO 133 OLD TOWN RD HYANNIS, MA 02601 USA TREASURER JOAO MARCELO CHUMBINHO 133 OLD TOWN RD HYANNIS, MA 02601 USA SECRETARY GIULIANA R ALMEIDA 133 OLD TOWN RD HYANNIS, MA 02601 USA, DIRECTOR JOAO MARCELO CHUMBINHO 133 OLD TOWN RD HYANNIS, MA 02601 USA Business entity stock is publicly traded: r http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=464243024&... 9/18/2014 Mass. Corporations, external master page Page 2 of 2 The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No. of shares Total par No. of shares value CNP $ 0.00 100,000 $ 0.00 100,000 r r Confidential 01 Merger r Consent Data Allowed Manufacturing View filings for this business entity: iALL FILINGS Administrative Dissolution Annual Report Application For Revival ME. Articles of Amendment View filings Comments or notes associated with this business entity: s New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=464243024&... 9/18/2014 ,o- Home Energy Raters`LLC BTorrey,@EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 4 888-503-2233 , rt Duct Leakage Test - Address 293 Old Craigville Road Hyannis, MA 02601 Date — September 30, 2014 1 Contractor—AirRite t w Conditioned floor area =960 Sq Ft. (Area Served) To comply with the 2012 IECC.Energy Code in this home the., Maximum duct leakage CFM < 38 CFM (960/100 x4 = 38) Duct leakage tested = 32 CFM >; The duct leakage tested at this residence complies with the 2012 IECC Code ' Test Mode - Pressurization - Test Pressure = - 25.0 Pascals - Equipment - Series B Minneapolis Duct Blaster Duct Leakage as Percentage ofJ Floorarea_.=3.33% 'A° Contact our office with any questions, . Bruce Torrey, R , r Certified HERS Rater Home Energy Raters-LLC i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWIN Of Map qarcel I ¢ Application 10. Health Division Date Issued Conservation Division C- Application Fe Planning Dept. ` Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Stree d Village Owner �L� 1i- Address w �f Telephone Permit Request 71 Square feet: 1 st floor: existing 3(aproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation LW Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4 o On Old King's Highway: ❑Yes 40 No Basement Type: Full ❑ Crawl ❑Walkout - ❑ Other Basement Finished Area (sq.ft.) r° Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1 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: E'Gas ❑ Oil _ ❑ Electric ❑ Other Central Air: ❑Yes iSrNo . Fireplaces: Existing New Existing wood/coal stove: ❑Yes V No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: " Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name - � - ��-— � �' �—� Telephone'Number Address 1 /� License # Home Improvement Contractor# Worker's Compensation # ���� ALL CONSTRU ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A. SIGNATURE A-A-, E DATE d ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED A MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ,FQUNDATIQNII Wig i !,A . -f_M v_ N'i.s FRAME .. y INSULATION i = •� FIREPLACE P . ELECTRICAL: .. ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING " DATE CLOSED OUT ASSOCIATION PLAN NO. r iM •1 Hie Comnrunnw r th of Vassachusefs Depart of 14dusftial Accidents _.. 019ice of-Investigations 600 Washington Mreet Boston,MA 02111 wmv 7nasmgo,,1dia Workers' CompensatiunInsuranceAffidavit:Boulders/Contra:ctorsMectricians/Plumbers Applicant Infarmation Please Print Legibly Name(Susiaesdorgsnization/Individwi): cit3,fstatzl4p: Phone Are you an employer?Check the appropriate box: Type of project r 4_ I am a contractor and I � � J ����� I_❑ I am a employer with ❑ l� 6- ❑New oonsfnzctma employees(full and/or part-time)_* have hired the sub actors. 2_tFI am a sore proprietor or partner- listed on the attached sheet. y- ❑Remodeling ship and have no employees These mb-contractors have g- ❑Demolition working for me in any capacity_ employees and have woticers' 9_ ❑Building addition LNo workers'carp_insurance comp_insurance_I required_] 5_.❑ '%Te area corporation and its 10.0 Electrical repairs or additions officers have exercised their 1I_ Plumbing airs or additions I❑ I am a homeouln�er doing all work ❑ $� , myself- [No worker$'comp_ right of exemption per MGL 12_.❑Roof repairs insurance required-]T c. 152,§1(4),and we have izo employees [Na workers' 13-❑Other camp_insurance required-J. "Any sarpti�f that sheds boa W1 mast also fill out the section below showing ihea worke a compensation poHEy infermation Homeawnets vrbo submit ibis af5davit indicstiag tlrey are doing aU mul an3 then hae outside contractors must submit a new affidavit inx�suc11- *Contsactors$rat check this bmc must attached an additional sheet di fab,-,the nme of The sub-o�and state whether or not those enfifies Have employees_ If the sub-contractors have empIoyees,they must pmvide their workers'comp.policy number- -Tam arz employer tliat is pai idirrg tt orkers'com pvLwL ion insurance far nriyr emplpyea Reloty is the policy and,job sate rnformatL91L . Insurance Company-Name: Policy 9 or Self ins_Ltc- i=:. Expiration Date: Jolt'Site Address- t✓ityl5tate/Zig: Attach a cony 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 S 1,500.00 and/or one-year imprisonment,as well as ci%al 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 Intrestigations of the DIA for insurance coverage verification- _ I do hereby cr° • th dns penalfies ofpedury that the information pratidRd above is tore and correct Sit=uattme: Date: Phone#: 01cial use only. Do-not write in difs area,to be completed by city or town official. I City or Town:. PermittLicense# 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#: 6 H Information and Instructions o ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 ally 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 cerb:ncate(s)of insurance. Limited Liability Companies(]--LC) 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 LL P does have employees,a policy is required_ Be advised that this affidavit may be submitted to the Depatunent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. '171e affidavit should be retumed 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 are 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 ad-di'don,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 oa 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 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: The Commonwealth of Massachusetts Depaztment of ladustrlal Accident Office of kvestigatlous 600 WasbiVoa Stz�t Boston,IAA G21 11 Tel.A 617-727-4900 W 406 or 1-M-MAS E Revised 4-24-07 Fax#617-727-7749 vvww.mas.9�-govIdia �-ME Tok�t. Town of Barnstable Regulatory Services y� nrasACB g Richard V.Scali,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 ABuilder 6,0 EA01 n��, as Owner of the subject property hereby authorize ( L�' 6 R '�� to act on my behalf, in all matters relative to work authorized by this building permit application for. XV '�/v�E - (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Si afore f App (cant E�u�'ati yii� t (+72 Print Name Print Name Dat Q:FORNS:O\VN ERPERMISSIOINTPOOLS Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division BARRSTAELF� Tom Perry, 3uilding Commissioner AIASS_ 2659. & 200 Main Street;)Hyannis,MA 02601 pT�0 www.to barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEO R LICENSE EXEMPTION DATF: Please Print JOB LOCATION: 7 nurnbar village "HOIYEOWNTER": name S: h7oe phone# work phone CURRENT AvLkU_ING AD city/town 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,tot possess a license,provided that the owner acts as suT)ervisor. \1 DE R"Tlo" OF HOMEOWNER Person(s)who owns a parcel of lanAn which he/she re ides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures access to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be co -dered a horleowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he./s shall be rhiponsiblt for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeownef'assumts responsibi I compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she unde ds the Town.of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 ubic feet or large be required to comply with the State Building Code Section 127.0 Construction Control. Holym WNERIS EXEMPTIO The Code states that: "Any homeowner performing work for which a gilding permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Sup rvisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supe isor." Many homeowners who use this exemption are uri ware that they are assuming the I responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.1 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/he responsibilities,many communities require as part of the permit application,that the homeowner certify that he/she unde stands the responsibilities of a SupervisorOn the last page lyr of this issue is a form currently used by several towns. You may re t amend and adopt such a formIcertiflation for use in your community. QAWPFU_ES\FORMS\bui]ding permit fb=\E)TRESS,doc Reprised 061313 t- q a E., ,y ni 'Aff +4 Boise cascade Double 1-3/4" x 9-1/2" VERSA=LAM®2.0 3100 SP Floor.Beam1F1301 Dry 1 1 span I No cantilevers 1 0/12 slope Friday,September 05,2014 BC CALCO Design Report Build'3272 file Name: "Cotuit Bay Design Mendonca Job Name: Mendonca Residences Description:girt support ceiling over Living/dining Address: 293.OIdLLC-raigville=Rd3 Specifier: City,State,-Zip:_Centerville-MA' Designer: BC ° Customer.. Cotui.t Bay Design Company: Shepleys Code reports: ESR-1040 Misc: BO 14-00-00 Bl Total Horizontal Product Length=14-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2 1,400/0 767/0 B 1,3-1/2" 1,400/0 767/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Stair/floor Unf.Area(Ib/ft^2) L 00-00-00 14-00-00 20 10 10-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 7,097 ft-Ibs 50.8% 100% 1 07-00-00 End Shear 1,832 Ibs 29% 100% 1 01-01-00 Total Load Defl: U347(0.468") 69.2% n/a 1 07-00-00 Live Load Defl. L/537(0.303") 67% n/a. 2 07-00100 Max Defl. 0.468" 46.8% n/a 1. 07-00-00 Span/Depth 17.1 n/a n/a 0 00=00-00 %Allow %Allow Ce) Bearing Supports Dim.(L x W) Value Support Member Material U� BO Post 3-1/2"x 3-1/2" 2,167 Ibs n/a 23.6% Unspecified r 131 Post 3-1/2"x 3-1/2" 2,167 Ibs n/a 23.6% Unspecified l Notes Design meets Code minimum(L/240)Total load deflection criteria. . Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. 01 Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: Simpson Strong-Tie, Inc. User Notes Attic load only ° i Page 1 of 2 PDF created with pdfFactory trial version www.pdffactory.com Bolsecascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 11 span I No cantilevers 1 0/12 slope Friday,September 05,2014 BC CALCO Design Report Build 3272 File Name: Cotuit Bay.Design Mendonca Job Name: Mendonca Residence Description:girt support ceiling over Living/dining Address: 293 Old Craigville Rd Specifier- ' City,State,Zip:.Centerville, MA Designer: BC Customer: Cotuit Bay Design Company:, Shepleys Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based c on building code-accepted design t' properties Installation on of BOISE methods.engineered ed wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c=6-1/2" (800)232-0788 before installation.\n\nBC b minimum =6" d = 12" CALC@,BC FRAMER@,AJSTM, e minimum = 1" ALLJOIST@,BC RIM BOARD TM,BCIO, BOISE GLULAMTM,SIMPLE FRAMING Install Screws with screw heads in the loaded ply. SYSTEM@,VERSA-LAM@,VERSA-RIM Member has no side loads. PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are Connectors are:SDW22338 trademarks of Boise Cascade Wood Products L.L.C. I Page 2 of 2 PDF created with pdfFactory trial version www.pdffacto[y.com c 40BoiseCascade Double 1-3/4" x 9-1/2" VERSA-LAMO 2.0 3106 SP' Floor Beam1F1301 Dry.1 1 span 1 No cantilevers 10/12,slope Friday,September 05,2014 BC CALCO Design Report ° Build 3272 File Name: Cotuit Bay Design Mendonca. Job Name: Mendonca Residence Description:girt support ceiling over Living/dining Address: -c=293:OId:Craigvill Re d� Specifier: City,State,Zip;Xenterville;-MA Designer:.< BC Customer: Cotuit Bay Design Company:. Shep►eys Code reports: ESR-1040 Misc: } � v _ f 3 - yb a� } I�� � r t 33r fy1 yjf3 3a� P��t .. y >3r . S y4 s BO 14-00-00 61 Total Horizontal Product Length=14-00-00 Reaction Summary(Down 1 Uplift) (Ibs) Bearing. Live Dead Snow Wind Roof Live BO, 3-1/2" 1,400/0 767./0 . B 1,3-1/2" 1,400/0 767/0 Live - Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% ° 1 Stair/floor Unf.Area(lb/ft^2) L 00-00-00 14-00-00 20 10 10-00-00 Controls Summary Value %Allowable Duration Case Location �a Pos. Moment 7,097 ft-Ibs 50.8% 100% 1 07-00-00 End Shear 1,832 Ibs 29% 100% 1 01-01-00 i< Total Load Defl. L/347(0.468") 69.2% n/a t 07-00-00 E!) r Live Load Defl. L/537(0.303") 67% n/a 2 07-00-00 J­' ­j CD Max Defl. 0.468" 46.8% n/a. 1-. 07-00-00 t. ) Span/Depth 17.1 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.IL x w) Value Support Member Material ' BO Post 3-1/2"x 3-1/2" 2,167 Ibs r n/a 23.6% Unspecified B1 Post 3-1/2"x 3-1/2" 2,167 Ibs n/a 23.6%. Unspecified. Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: Simpson Strong-Tie, Inc. User Notes ° Attic load only Page 1.of 2 PDF created with pdfFactory trial version www.pdffactory.com ....;•';:_,t S\.. i. �,, 4 t i4 •, N �°�'i Wit'+ <<� ,x K'¢es,r.Yc.S,y,Sw, pe St.„vw'x{t b 4 ":f'a ;''" �asa3�`� �Boise Cascade Double 1-3/4"'x 9-1/2" VERSA-LAM® 2A s�t�3100 SP Floor Beam1F1301 Dry 1 1 span I No cantilevers 1 0/12 slope BC CALCO Design Report Friday,September 05,2014 Build 3272 File Name: Cotuit Bay Design Mendonca Job Name: Mendonca Residence Description:girt support ceiling over Living/dining Address: 293 Old Craigville Rd Specifier: City,State,Zip:Centerville, MA Designer:. BC Customer:. Cotuit Bay Design Company: Shepleys Code reports: 'ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • r• • particular application.Output here based c on building code-accepted design pro• t• ' Installation on of BOISE methods.erties and analysis engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c.=6-1/2" (800)232-0788 before installation.WnBC b minimum=6" d= 12" CALC@,BC FRAMER@,AJSTM, e minimum = 1" ALLJOIST@,BC RIM BOARDTM,BCIO, BOISE GLULAMTM,SIMPLE FRAMING Install Screws with screw heads in the loaded ply. SYSTEM@,VERSA-LAM@,VERSA-RIM Member has no side loads. PLUS@,VERSA-RIM@, VERSA-STRAND®,VERSA-STUD@ are Connectors are:SDW22338 trademarks of Boise Cascade Wood Products L.L.C. i o Page 2 of 2 PDF created with pdfFactory trial version www.pdffactorv.com Massachusetts -'Department of Public Safety Board Of Building Re t g Regulations and Standards Construction Supers isor License:,,CS-082493 � EULER DEBARR9'S 4766 FALMOUTH RDA# Cotuit MA .0263 �- Expiration Commissioner 04h5/2016 f The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation u , Home Consumer Rights and Resources Home Improvement Contracting Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Search by Registration Number Search To search by other fields, enter the search criteria in the fields below and click the 'Search Registrants' button. For the State field, use the two character state abbreviation such as "MA "for Massachusetts and "RI" for Rhode Island. All search fields allow partial text so the search will look for any values that begin with what was entered. For example, if you enter"Fr" in the City/Town field and "MA" in the State field then the search will return records for Framingham, Franklin,,and Freetown which all begin with "Fr" and are located in Massachusetts. To return less information enter in more criteria: For instance, entering in a state of "MA" will return a large number of records but entering in a state of "MA" and a city/town of "Medford" will lower the results. Search by Registrant's company's name f1debarros construction Search by Registrant's last name de barn City/Town cotuit State LqLa_j Zip code 02635 ,Search Registrants Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Monday, August 25, 2014. Search Results RESPONSIBLE REGISTRATION EXPIRATION REGISTRANT NAME ADDRESS STATUS INDIVIDUAL NUMBER DATE DEBARROS DEBARROS, EULER 179604 4766 FALMOUTH RD#A 08/21/2016 Current CONSTRUCTION COTUIT, MA 02635 ©2012 Commonwealth of Massachusetts: - Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. 06--30--201 tea- a 12% 01 tp QUITCLAIM DEED We, Christina M. Dalzell and Adrian D. Dalzell, a married couple, of 293 Old Craigville Road, Hyannis, MA 02601 For consideration of One Hundred Seventy-Five Thousand Dollars ($175,000.00), Paid, Grant to Thiago D. Mendonca, individually, of 17 Canterbury Circle, Hyannis, MA 02601 With quitclaim covenants The land together with the building thereon situated in Barnstable(Hyannis), Barnstable County, Massachusetts, bounded and described as follows: Being shown as Lot 2 on "Plan of Land in Barnstable, MA (Centerville) Prepared For: Thomas & Dona-Marie Vages, Scale: 1"=20' dated June 24, 2004. Eagle Surveying, Inc., 923 Route 6A, Yarmouth Port, MA 02675" recorded in Barnstable County Registry of deeds in Plan Book 609, Page 40. Subject to a taking by the Town of Barnstable for Strawberry Hill Road dated April 7, 1967, duly recorded with Barnstable county Registry of deeds in Book 1362, Page 287 LOCUS: 293 OLD CRAIGVILLE ROAD, HYANNIS, MASSACHUSETTS 02601 Being the same premises conveyed to the grantors herein, recorded in Book 23216, Page 232. See also deed recorded in Book 21398, Page 309. Grantors release any and all homestead rights to the within premises, whether created by declaration or operation of law, and further states under the pains and penalties of perjury that there are no other individuals entitled to homestead rights to the property being conveyed herein. mp �E `► Bk 28236 Pg30 #28584 Executed as a sealed instrument this day of 2014. MASSACHUSETTS STATE EXCISE TAX - BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 06-•30-2014 a 12:01Pm --r'-- Fee: $598.50 Cons: $175,000,00 BARNSTABLE COUNTY EXCISE TAX Christina M. Dalzell ARNSTABLE COUNTY REGISTRY OF DEEDS Did;-�; 06-3'u-2014 & 12:fi1Pr Dort: 28584 Pran. $4.72.50 . Cons" $17501-10.nn 17 Adrian D. Dalzell COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 30' tiay oft, 2014, before me, the undersigned Notary Public, personally appeared the above named Christina M. Dalzell and Adrian D. Dalzell, proved to me through satisfactory evidence of identification, which was Mr-% Lt C41,6'eS , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily, for its stated purpose and as her free act and deed. C� .' r.1�� '`'ON • Notary Public a� oUo My Commission Expires: `'•• tiorasr. �JP�4b* /'''• C�A4MON�'AJ ''�4q,MASSAG;,�� • BAMSTABLE REGISTRY OF DEEDS I (SEAL) COMMONWEALTH OF MASSACHUSETTS LAND COURT DEPARTMENT OF THE TRIAL COURT v �J' 2V A xTCf',. r �2 MfSC 468918 � ORDER OF NOTICE TO: Adrian D.Dalzell and Christina M.Dalzell and to all persons entitled to the benefit of the Servicemembers Civil Relief Act, 50 U.S.C. App. § 501 et seq.: 3PMorgan Chase Bank,National Association claiming to have an interest in a Mortgage covering real property in Centerville,numbered,293 Old Craigville Drive,given by Adrian D.Dalzell and Christina M.Dalzell to Universal Mortgage Corporation dated October 7,2008 and recorded in Barnstable County Registry of Deeds in Book No. 23216, Page 234,and now held by plaintiff by assignment has/have filed with this court a complaint for determination of Defendant's/Defendants' Servicemembers status. If you now are, or recently have been,in the active military service of the United States of America,then you may be entitled to the benefits of the Servicemembers Civil Relief Act. If you object to a foreclosure of the above-mentioned property on that basis,then you or your attorney must file a written appearance and answer in this court at Three Pemberton Square, ' Boston,MA 02108 on or before QLf. 15, -IV 1; or you will be forever barred from claiming that you are entitled to benefits of said Act. Witness, KAREN F. SCHEIER Chief Justice of this Court on Attest: J A TR11E COPY . ATTEST: FIECOsi�ER Deborah J. Patterson Recorder C301.2551 (PLEASE SEE REVERSE FOR RETURN ON ORDER OF NOTICE) I IIIIII IIIII III IIIII IIIII IIIII ICI IIII Abiitt/scofield 304 Cambridge Rd. Woburn, MA 01801 BARNSTABLE REGISTRY OF DEEDS � ?o I Ll REGISTRATION AND CERTIFICATION FORM , FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable.Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken-(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the.Town can review the exemption and update its records: Section 1 —Property Information Property Address: 293 OLD CRAIGVILLE Ma /Block/Lot:247/ Assessors Map#: p Parcel#: 247104 104 Use Code: 1010 Land area and description ' Building(s) description and contents Occupied: x Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: No Date: - Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone email: other: Has possession been taken If so,please explain and complete and file'the maintenance and security plan form`(unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) JP Morgan Chase Bank Foreclosure Case Court: Docket# Date filed: . 1/14/201312:00:00 Current Status. Pubrc NOD " Foreclosing-Parry's representative(s) for-property (entry, management,xepair,,etc.)(nane, title,): Frances Guerra a Company (if different from foreclosing party): M&M Mortgage Co . a , '+ Address: 1338o Sw 131st St- Ste 123Miami-FL-33186 r Phone: 303-232 4300 Fxt- email: frances-guerraammmortgaae.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name, title, other: Y Company (if different from foreclosing party): a Address: ` Phone(s)- email(s): other: Name,title, other: Company (if different from foreclosing parry): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: 4 Phone(s). , email(s): other: I acknowledge that the information provided is accurate and correct. 11 also understand that any inaccurate information will result in non-compliance with section 3 of chapter 224 of the Code of the Town of Barnstable. / Date Name: Eric Moore Title: President I hereby certify that the above,named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,-Town of Barnstable .'° Aug 11 2008 16:25 Law Office of M. Ford 508-430-9979 p.2 cs - /ZGGI f i Ur E? =MI),i 131_E RARNST�`,R!_E ' r �.O".�' Y'; 2008 AllIG 12 Fi 4.. 12 3, mum >t '. T7 DEC.19 P 3 :54 - lsiViSit�i Town of Barnstable ' Zoning Board of Appeals Decision and Notice a Variances 2007-092 and 2007-097-Vages 2 : Section 240.13(E)Bulk Regulations-Minimum Lot Area Secbon 240.91.H, Developed Nonconforming Lot Protection - to legalize undersized lot created by an Approval Not Required plan recorded June of 2006 and allow demolish of a cottage on Lot#1 of that plan and rebuild a new one-bedroom singe-family dwelling. . Summary: Granted with Conditions Applicant: Thomas&Dona-Maria Vages ✓J Property Address: :293401d7Craigvib11e Road?tF n""" is,,MA ` C Assessor's Map/Parcel: 1155- 2 of°Map 247,-Parce1-11 04±001 t Zoning: Residence B Zoning District } � Relief Requested& Background: f L l Gq The two appeals seek to; legalize an undersized lof consisting of 20,016 sq.ft.(0.4646res) sown as Lot 1 on an Approval Not Required (ANR)plan dated June 4, 2004,endorsed by the Planning Board under MGL Ch 41,Section 81 L and recorded at the Barnstable Registry of Deeds in Plan Book 609 Page 40,and to permit the demolition of an existing"cottage"structure located on Lot 1 and build a new single-family residence. Originally,293 Old Cragevi Ile Road (Lot#1 and #2 on the ANR Plan)were a 0.72-acre parcel fronting on both Old Craigville and Strawberry Hill Roads. The lot also abuts Hudson Road,an undeveloped way. According to the Assessor's record 293 Old Craigville Road is developed with two residential ,structures. The principal dwelling being a two-bedroom,,one-story, single-family dwelling consisting of 936 square feet. The second dwelling is a one-bedroom 16 by 25 sq.ft. accessory'cottage' structure. The principal dwelling dates back to 1925. Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning4Board of Appeals on September 5, 2007. 'An extension of time for holding the public hearing and for filing of the decision was executed. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened October 10, „ 2007,continued October 24,2007 and to December 5, 2007,at'which time the Board found to grant the variances subject to conditions. Board Members deciding this appeal were, Ron S.Jansson,Jaynes R. Hatfield, Sheila Geiler,John T. Norman,and Chairman, Gail C. Nightingale. t Attorney Michael D. Ford represented the Vages who were also present. He gives a history of the lot and ownership and noted the Veges were previously before the Board seeking similar relief to divide the two lots. In that appeal,the Board did not find variance conditions so the applicants decided to approach the issue via the subdivision control law and so an Approval Not Required Plan was Aug 1.1 2008 16:25 Law Office of M. Ford 508-430-9979 p. 3 Town of Barnstable-Zoning Board of Appeals-Decision and Notice r Variance 2007-01934093-Vages � .;p, b prepared,submitted and'endorsed as an 81 L plan for the land upon which two buildings existing prior subdivision control. The cottage structure is:a'two-room building placed on the lot after the hurricane of 1938 and 3 remgdeled>in"1,940 Mr. Ford:submitted affidavit to the Board supporting that information. The Vages L ynow also seek to.raze-and,replace the cottage. He cited that the resulting'tw6 lot from the ANR Plan, a, yj'k galthAugh undersized the are,;still larger than most'lots`.in-this neighborhood. E t 6" 1Mr.Al o d'discu"ssed the;issue3ofthe location being;in a Wellhead Protection District and would be i , .. subject to the 330 rule>`He acknowledge that'based upon the existing development on the two lot this Lot 1 would be limited to one-bedroom. Mr. Ford indicates that they would agreed to the one bedroom but doesn't have the plans as of yet. Attorney Ford discussed the proposed plans for redevelopment of the lot noting that the proposed new dwelling would be about 2,300 square feet The Board requested hardship conditions and Attorney Ford indicated that hardship regards Chapter 81 L as that statue contemplates properties that have this unique condition of two structures that pre- eicist;the adoption of subdivision control law would be allowed to be divide in two lots. However if the:variance relief isn't granted they will not be able to take advantage of that and as a result,a hardship will exist. Recording an ANR plan with any nonconformity creates a zoning violation. Therefore,without the variance relief,they are unable to take advantage of that provision of the subdivision control law. Public comment was requested and no one spoke in favor or in opposition to the request. Chairman Nightingale cited that letters in support of the granting of the variances were received form; Lois Pena, former owner of 281 Old Craigville Road,Mr.and Mrs.Scott Quilter of 247 Strawberry Hill Road, Raimondo R. Cafolla of.,29 Old Craigville Road, Hector R.Sanchez of 286 Strawberry Hill Road,Mr. ari&Mrs. Adrian Dalzell orr293 Old Craigville Road,and John Burnett of 257 Strawberry Hil I Road. ;';' The;Board determined to:continue the appeals.to October 24, 2007 to allow for a new plan of the `home to be developed andthat plan to be reviewed by the Board of Health for conformance to that of a one bedroom under there regulations. At the October 24'h continuance, a request for a further continuance was received and the Board continued the appeals to December 5, 2007. At the December 5"continuance, Attorney Ford submitted a revised plan with a copy signed by the Health Division that the plan met the Board of Health requirements as only constituting a one- bedroom dwelling. The Board reviewed that plan and discussed the issues before them. Findings of Fact: At,.,*,,hearing of December 5, 2007, the Board unanimously made the following findings of fact: 1. Appeals 092 and 097 are two applicant of Thomas & Dona-Marie Vages seeking variances for property addressed as 293 Old Craigville Road, Hyannis, MA. The lots are in a Residence B 2 Aug 11 2008 16: 43 Law Office of M. Ford 508-430-9979 P. 1 Town of Barnstable-Zoning Board of Appeals-Decision and Notice Variance 2007-0193&093-Vages Zoning District and,a Wellhead Protection Overlay District. The variance is sought to Section 240-13 (E), minimum lot area to reconfigure a single lot with two dwellings on it into two lots each with its own dwelling located on it. Lot#1 is to be an undersized lot of 20,016 and contain the ' cottage structure and;L'ot42 is to be 11,148 sq.ft.,and contains the main dwelling unit The ` d cottage structure located on lot#1 is th n to be demolished and a new larger dwelling is to be wlt u,b' pon-tlhat lot. Tfiet'new dwelling is14o be a one-story building one bedroom single-family `i { 'dwelling consisting of some 2,016 sq.ft- The dwelling located on Lot#2 is to remain as is. 2: The division of the lot is shown on an Approval Not Required (ANR) plan dated June 4, 2004, endorsed by the Planning Board under MGL Ch 41, Section 81 L on February 28, 2005 and recorded at the Barnstable Registry of Deeds on June 6, 2006, in Plan Book 609 Page 40. 3. The history of the cottage shows that it is an independent residence that dates back to the late 1930, early 1940. ft predates adoption of the subdivision control law in the Town of Barnstable. 4. The property, that is located approximately 630 feet up-gradient from a public supply well and fully within a Wellhead Protection Overlay District is serviced by a private on-site septic system. The lot is subject to the local Board of Health's 330 regulation and the State's Title 5, 440 Nitrogen Loading limitations. The existing residence to be located on Lot#2 is that of a two bedroom and the proposed new dwelling to replace the cottage is to be a one-bedroom. Therefore the overall bedroom count on the two lot will conform to that 330 rule of the Town of Barnstable 5: The only change in granting the bulk variance is the ability for the owner to convey out one of the building on its own lot into separate ownership. Therefore, the granting of the variance will not be a substantial detriment to the public good and without nullifying or substantially derogating from the;intentor purpose of the zoning ordinance. _.­61 .MGL Chapter 41,Section 81 L provides for the applicant to divide the lot based upon two dwelling that!existing;on the-lot prior to the adoption of subdivision control. To not grant the variances r would involve substantial hardship to the petitioner to utilize there property to the fullest. Decision: Based on the findings of fact, a motion was duly made and seconded to grant Appeals 092 and 097 of 2007 subject to the following: 1. This variance is granted to both lots as shown on an Approval Not Required (ANR) plan dated June 4,2004 and entitled; 'Plan of Land in Barnstable, MA (Centerville) prepared for Thomas & Dona-Maria Vages",as drawn by Eagle Surveying, Inc. Which plan is recorded at the Barnstable Registry of Deeds in Plan Book.609 Page 40. 2. Both lots shown on the plan shall be restricted in the number of bedrooms. The dwelling located on Lot#2 shall not exceed two bedrooms, the proposed new dwelling located on Lot#1 shall not exceed one bedroom. 3 Rug 11 2008 16: 38 Law Office of M. Ford 500-430-9979 p. 1 Town of ear6stable-Zoning Board of Appeals-Oecision and Notice Variance 2017-0193&093-VaM f - r 3 The dwelliikbo be developed on Lot#1 to replace the'existing cottage structure shall be substantially,in conformity to the plans submitted to the Board and as approved by the Health ',Division of a Town!a.s a one Bedroom. That ne :dwelling shall not exceed 2,016 sq.ft. w 4` Qtter thane construrhon of'tfie new dwelling as authorized herein on Lot#2; neither of the ''dwe{ling shalt'be increased in-size-and arfa without-permission from the Board: There shall tie no furdwIdivision of the lots.nor shall any portion of the two tots be deeded out * r This;varian sFiall be recorded at the Bamstable;R4 ,ry of Deeds. A copy.of which shall be submitted tothe office of the Zoning Board of Appeals for this relief to be in effect and a copy submitted to,the Building Division along with the application for a building permit for the new dwelling proposed for Lot#1 - if the variance is not recorded at the Barnstable Registry of Deeds within that one year from the date of issue it shall expire. If a building permit is not applied for within that same one-year period that part of this variance shall also expire. The vote was as`follows: AYE: Ron S.Jansson,James R. Hatfield,Sheila Geiler,John T. Norman, Gail C. Nightingale rNAY: None �• Variancesr200 -1 and.497 have been granted with conditions. Appeals of this decision, if any, i,F%al!Ube,'made�ur5uantaoMG L Chapter 40A, Section 17, within twenty(20)days after the date o the. filing of this decision in the Barnstable Town Clerk's Office. If no appeal is made and upon certification-by he.Town•Clerl;,this decision rnust.be recorded at the Barnstable Registry of Deeds for it to bei�n effe Notice.of<thar recording shall-be-submitted:to the Zoning-Board'of Appeals Office. The relief au th° ized by this decision must be exercised within one year. R _ G C. Nigtitingal Chai Da Si I, Linda Hutchenri er, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has bee filed in the office of the Town Clerk. nde ins d nal ' s of per, Signed and sealed this day f Linda Hutchenrider-Town Clerk f .' A. } 4 f La Ford 508-43.0-9979 7 P ' . i ' , • Sri • - , M. u. L r,r F Y -�.,{)hp r 4f. �•SL�r.S L 4 t 1. f t -�'. 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AMEL&� � - : HYANNESPORY, PO BOX 796 I4t.C ,RiCHARE]N MA 02647 ee�aiAR e C W + DESANTIS,30M J MARTEN C TRAYWICK Pa aOX 299 KYANNISPORT, _ & MA 02572 f MATHIAS.STEPHH4 304 STRAWBERRY CEIVI ERVItSP, IF&MUR13EL MA 02632 MILL AD 177 FULLER'RD CENMVILLE, MORRILL PApil3:A' MA 02673 307 STRAWBERRY CE NMVILLE, r r 70HPLSON,RAB9lT, HELL RD MA 02632 ,� KATHLffN Nation of abutters.If a, NOT oan a at aeutims and is a_ c.asaa aM to the dewm { t bol�we tlde$t oa�Ced?he aweer end'sEdriesa dam on tlds mt 6 s:i�e�adC bow.. tea,�sn3rloo�. ..: . r 1 1 4 •..•••••'?a...-7L1 A A!�'f MnM btll; V V tMwn�1A9[1fCPsCE►�P vna ;e/2ara*►oc/aa+we+mneo+w/®8.s,44n.Dmo+.++� • r oFn+e Town of Barnstable Planning Board BMM9rnBM MA-9& 200 Main Street, Hyannis, Massachusetts 02601 ArF16 9. , Tel: (508) 862-4786 Fax: (508) 862-4725 March 2, 2005 Tom Perry, Building Commissioner 200 Main Street Hyannis, MA 02601 t Re: Potential Zoning Violation Approval Not Required (ANR) Plan for THOMAS & DONA-MARIA VALES: "A plan of land in ( Centerville) Barnstable, Mass., prepared for Thomas'& Dona- o� Maria Vages " dated June 24, 2004. Land Surveyors: Eagle Surveying. Assessor's Map 247, Parcel 104. Zoning: RB Lots: 2. Location: Off Old Craigville Road & Strawberry Hill Road. 293 Old Craigville Road, West Hyannisport Dear Commissioner Perry At the Planning Board meeting of February 28, the Board voted to endorse the ANR Plan for Vages, referenced above, since it met the requirements such endorsement. If recorded however, the Board is of the opinion that the plan would create violations of the area requirements of the Zoning Ordinance. The details of the issues relating to this plan are contained a report from the Planning staff attached hereto and dated February 17, 2005 In all fairness, Attorney Michael Ford has stated that he understands the zoning area issues and will advise his clients to obtain the necessary relief from the Zoning Board of Appeals. Not all attorneys take this position however, and so the Board will notify you of all plans that they have endorsed, potentially creating zoning violations. Sincerely yours F A. Roy Fo Igren, hairman N QI/!rQ�li1N.rwnn.al .. Q llfr Ar OtATW!I K faaNlM f �lnaQs�lanr Rp110 . Lourl V my aro r•rrr ro r lmrAr nleesr.. rs ea.aw� m r- .v ar w r• fOt.N' LOF I Z � g � lOIN MOM 0 a! LOt'T aaKwnv lIA •�o�rr irrrr nuaira rr sQWa w • - QlrYRlM Q i'1f lOQOCtO i ■Wlr/rw la�a6f r►rr)tll�Al�NlNr. dill YQl1Yt w...N JN .Q T +� PLAN OF LAND 0� �� fCEN TERV/LLEI ' IwlYMLO IOw r r THOMAS A OONA—MAR/A VALES alr�r Wwlr>t#M A EAGLE SURVEYING, INC Yi MY02 M OralWf ll7ltAl1/r♦/yllf �IIrIIU�' M►at.W.Oq7�AM S r[ft Niles r tr 1'rAw!! Arr Qrrrr. 11�1 f IiFN4 40 Cam)a�s+lac r�.er Yr. tsos)gas-crass anwa.r u. rua� Town of Barnstable Planning Division Thomas A. Broadrick,AICP BAMS ABM 9MAW `�$ 200 Main Street, Hyannis, Massachusetts 02601 Director of Planning, Zoning, �°iEON,a.�A Tel: (508) 862-4786 Fax: (508) 862-4725 & Historic Preservation Date: February 17, 2005 To: Planning Board From: Jacqueline Etsten, AICP, Principal Planner cc: Thomas Broadrick AICP Subject: Approval Not Required (ANR) Plan for Thomas and Dona Marie Vages Zoning: The area shown on the plan is zoned RB Single Family Residential with a 20 foot frontage requirement and a one acre area requirement. It is also zoned WP, the most sensitive of the well protection overlay districts, being within the 5 year time of travel zone to a public supply well. Location and plan: The ANR plan is of a parcel of land located in Hyannisport, between Old Craigville Road and Strawberry Hill Road, containing a total of 0.71 acres, developed with two houses and shown as being divided into two lots. Lot 2 would contain 11,148 sq ft and the larger house; lot 1 would contain 20,016 sq. ft. and a smaller house. The applicant has submitted information indicating that the larger house on proposed lot 2 was constructed in 1929, and the second house on proposed Lot 1 was constructed in 1938. These dates were verified with the Assessing Department which had similar, earlier dates of construction. Certainly the buildings were constructed prior to 1962 when the Subdivision Control Law went into effect in the town. Since both lots in question have extensive frontage on two public roads in excess of the minimum requirement of 20.feet, this plan is entitled to endorsement as Approval Not Required, even though the lots do not conform to the zoning one-acre area requirement. Only the frontage requirement is applicable to the consideration of Approval Not Required Plans. The applicant however, has applied on the basis that the land division is of a tract of land on which two or more buildings shown on the plan pre-date the Subdivision Control Law, in which case they would be considered not to constitute a "subdivision" requiring approval of the Board. This section can apply even if the lots created do not conform to the frontage requirements of the Zoning Ordinance—which these lots do. Most planners however, have take the point of view that MGL Ch 41 - Section 81 L of the Subdivision Control Law does not provide any exemption from the requirement to meet the frontage or area requirements of the Zoning Ordinance which is adopted under separate statute (MGL Ch 40, the Zoning Act), and only the Zoning Board of Appeals can grant waivers from these requirements. In the past it has been the more usual practice for applicants to apply to the Zoning Board of Appeals to obtain a waiver from the area requirements (and frontage requirements if need be) of the Bulk Regulations, and then proceed to the Planning Board with the variance(s) referenced on the plan. The applicant however is entitled to come to the Planning Board first, which is the course of action in this case. It is therefore recommended that the Planning Board make a finding that: 1. Each of the two lots shown on the plan, lots 1 and 2, meet the frontage requirement of 20 feet on a public way; and 2. the two buildings shown on the separate lots were constructed prior to when the Subdivision Control Law went in to effect in the town, in 1962. As such, the plan is entitled to endorsement as Approval Not Required; it is not a Subdivision Plan requiring approval of the Planning Board to the creation of access and frontage, i.e. a road. It is also recommended that the plan be referred to the Building Commissioner; if recorded at the Registry of Deeds a zoning violation would be created on lots 1 and 2. It should be noted however, that Attorney Ford has already stated that he intends to file for the necessary relief from the zoning area requirements from the Zoning Board of Appeals. Not all attorneys however, believe that such relief is required and so it is recommended that all applications for division of a tract of land on which two or more buildings pre-date the Subdivision Control Law and which would create one or more zoning violations, be referred to the Building Commissioner for enforcement of the zoning, if necessary. Of concern however, is whether or not the applicants have contributed to the degree of non-conformity of the area requirements of the Zoning Ordinance on lots 1 and 2, by . development of an adjacent parcel of land that may have been in the same ownership. This issue however, will need to be addressed by the Building Commissioner and the Zoning Board of Appeals, and cannot be addressed by the Planning Board acting under the Subdivision Control Law. Attached is the relevant statute, MGL Ch. 41 Section 81 L Definition (Subdivision) and a description of some of the case law on this subject. cc: David Houghton, Assistant Town Attorney Zoning Board of Appeals Arthur Traczyk, Principal Planner Building Commissioner, Thomas Perry 03/03/2004 14:27 5083628506 EAGLE SURVEYING INC PAGE 01 �-. 7-71 LOCUS AMP r � ` LrXr, V .\ . . OL to _ i 0 OL �� Q Wes" r. ro .• ) �; - . i J� LOT'? �•• LOT 11i o AD r 16 1 VL ILA pL - \� S / TE PLAN OF LAIV ��Iitwl TA�L�� fCENTERV�LLF) MA , • PRiPARiO FO/i� , THOM.4 S d D 0/VA - MA R / /A VA GE6 r, o. &off jig. CENTER L✓/ LE. M a A OR ,i? dCALE. / .f) .40 ocrooER ?3. 200J EAGLE � SURVEYO ! NO , I NC 023 Route GA YormOut hPrr Q. IAA. Oahe 0 (son) 3*3—/734 .\y 0 (000) 432--e343 V 0 Jm m. 01-1141 Fwar CALL: fAN/Ci7 CERI art' plllr LW r I OWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ntapr t241 Parcel /04 Permit# 1 16 2 Health Division 3-20(. 9i/291 o3 1 TBARHS_ru1%8LE Date Issued 1 p-&U U^i Conservation Division SEE 2 9 AN' : �3 Application Fee 05- Tax Collector 6�00 3 —(Z� — �L (f� Permit Fee Treasurer U 003 � � D3--�J6'K'iSla 11 Planning Dept. SEPTIC SYSTEM MU SE Date Definitive Plan Approved by Planning Board A NSTALLED IN COMPLIANCEWITK TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE ANIO TOWN REGUL4TInmi Project Street Address a93 014 (3r-A16V1U_6 Q Village N-Nlti"h_ Owner [am V14. a.5 Address Telephone 5® Permit Request &tJ51'11,UC9_N64A) D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoniiig District Flood od Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. DwellingType: Single Family � Two Family ❑ Multi-Family #units Yp 9 Y Y Y( ) Age of Existing Struct re Historic House: ❑Yes No' On Old King's Highway: ❑Yes Crl'No Basement Type: ll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing ( new Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 4 new First Floor Room Count Heat Type and Fuel: 21 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes &No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ e _ Commercial ❑Yes ❑ No If yes, site plan review,# Current Use -_Use-"_r -` Proposed BUILDER INFORMATION Name sed- 9- OUI Lie2 Telephone Number 0 Address a4l License# GAS U7?oqj ,LU1� � 4 OL(o3Z Home Improvement Contractor# 132-6gi Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RA�c � ,,r✓, 1� SIGNATURE DATE 1 FOR OFFICIAL USE ONLY t _ sue. PERMTT NO. as _ DATE ISSUED " MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION:. FOUNDATION \� `"� O3 i i• • FRAME INSULATION ` FIREPLACE I` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ' ASSOCIATION PLAN.NO. The Commonwealth of Massachusetts Department of Industrial Accidents elfice ot/oyesuffatioos 600 Washington Street -' Boston,Mass. 02111 l4� -- Workers' Com ensation Insurance davit name' 'nn Y u G Seal- tt. QUI Ll GAL location 24 3 d d iu�1%'i,�ou� city =nl MA Ozlo 3L phone#(—W) 771-02-Y ❑ am a homeowner performing all work myself. ( I am a sole rietor and have no one workiu in ca achy % /%/%/� %//%%///%��%/%%%%%%%%/%%%/%%%%%%%/%%/%//G%%%�%%%�/////�/%%%%////��%%%% ❑ I am an employer providing workers compensation for my employees working on this job. l)mU Y 3::s::;::::i r:;:::;:::`;:;<:::::i::::::;:2;:;: :::is:r5::::::::::>r::i>:>;:?•;J>:?<.:�>J;:•J:•::::::.;-..r::•:>::.:?.;;;::.;:;.::-;:.:::::;.>:::r:::;r:::::;:::::;;i: : :::.J•::::<;:;:J2>:.:::::r.::;'::::;:i:;::;isLin::;:::;;:::::::;::::::::i::;:>::;:si:J:`;:;:;:::y::::::::;<: ::?::;::%:::i;;;:::;:i::;i:Yt �:.:•>:??•:'•:•» XX ::: ?:::: 3 p ?i;ij %' X. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensationxx polices; contianv II IIit' ... :..........:..................:.........r................ .::.::...:..:..............::............... ........::.::.;: .: .....•••••••w:::::::::::::::::v:::.v .J:vJiiiJi:•i::3iiiiiiJl::?hiiiJ:•'rJ}iii:?4J}ii:i:Jiiiii:�:�:�iiJ:?v:-0iiiiJ:4':::•v:•v:•v:::•:i?4:i�^i:?4:LiJ:•y:::::.v:•v:•.......•••ii:ti?•J'J.?ti?•:?J:Giiii:?r:i:?i••v••..•.••v::::•••• ......... ..............................................................:: ....................:::.v:::::::::::::::.:......mow:::;..............v:J:�i:4'v::nv.....•• :.v:.<-:.v................. ... ....... .............r.........................:. vyr^nv:..;;.;......v. u�;{:j�v:�:!�ii�+:ri:iiifii`:?{:i i`ii:3i>i:�iiiiJvi'•}iiiiii.`•iiiii$i;S;::y}>�{ii:;:yi::ry?'J:?^ti:::;i::i::r:; �•••he:#,'::i:::•::<:JJJY.•i}ii:vN:4J:•:?•:iJJ:?�i:??-0:??•i::.???Ji:Y is?:ii:::?•i?^C:•i:•:TJ::JJ.}:JiJ::.;::�?:vi ?.iii:?•i:-J}i:•J::•J:{?•J::viJ::{:;:;i:;;??:•::•:i:•i::.::?v:•.:9:J:LJJi:+??•i:??????i•:.v.?v-•.�:^JJ'.........::::??i•:-:•:::.�::::v::.v.v:::::v.v:::•:.v-::.V V spa ....................... ..w::�:.::......::::::::::::..::�::.::::::::::::i::•:::::::::.�:::::::::::::•:::::::.�:::::.:iv:::::::::::::::.f:::. hsnrance co.......... .... .:............ addres :'•:`•i'%5 `"iif:ir'>ii :'ii`'33+ii� i??i<'?�i.� i�'i� as�`'3:i:'iiiii.'i:2saii�i� II w ::•'.7.. ....................::.........:.::............:...::.:......:......................::....:.. ......... I II]IIrBIIC ji. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine np to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify the pains and es of pedury that the information provided above is trw.and correct Signature Date Print name �! yI t , Phone# ��/ 77/OLy1 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board checkif immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; _.:_[]Other Umsed 9195 PJA) j Information and Instructions Massachus General Laws chapter 152 section 25 requires all employer to provide workers' compensation for their employees. As 'oted from the"law", an employee is defined as every p son in the service of another under any contract of hire, express or Lied, oral or written. An employer is defined an individual,partnership, association, core ration or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal r esentatives of a deceased employer, or the receiver or trustee of an individual,p ership, association or other legal enti , employing employees. However the owner of a dwelling house having not mor .than three apartments and who re des therein, or the occupant of the dwelling house of another who employs persons to maintenance, construction or epair work on such dwelling house or on the grounds or building appurtenant thereto shall n t because of such employm t be deemed to be an employer. MGL chapter 152 section 25 also state t every state or to al licensing agency shall withhold the issuance or renewal of a license or permit to operate a busi _`s or to construc buildings in the commonwealth for any applicant who has not produced acceptable evidence of co fiance with th insurance coverage required. Additionally,neither the commonwealth nor any of its political subdi 'ons shall e,ter into any contract for the performance of public work until acceptable evidence of compliance with the ce re ' ements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers'.compensation affidavp by checking the box that applies to your situation and supplying company names, address and hone rwith a certificate-of insurance as all affidavits maybe supp Y� mP Y p . i submitted to the Department of Industrial Accid on of insurance coverage. Also be sure to sign and *:. date the affidavit. The affidavit should be retu town that the application for the permit or license is being requested, not the Department of Industriah you have any questions regarding the"law"or if youare required to obtain a workers' compensation all epartment at the number listed below. City or Towns Please be sure that the affidavit is complete and rinted legibly. The Departm provided a space at the bottom of the affidavit for you to fill out in the event the Offi of Investigations has to costa o egarding the applicant. Please be sure to fill in the peimitllicense number whi will be used as a reference numb a affidavits may be retained fo the Department by mail or FAX unless other ements have been made. The office of Investigations would like to thank y u in advance for you cooperation and s ould u have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 II f �FZHETgf, Town of Barnstable Regulatory Services ' B"NSTABL& ' Thomas F.Geller,Director 9 MAS9. III �AtfG �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 9L3 (3 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &S6U,�, AI&I-) D6Ck_ Estimated Cost Address of Work: a93 ®1d &4i4-t 11L 4 09^/J&l!/l`<,—c Owner's Name: TOM Date of Application: 9�a3�G 3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. IGNED UNDER PENALTIES OF PERJURY I hereby apply for a permits he agent of the o e gla3 D3 3z 6 1 Date Contra-or Name Registration No. OR ate Owner's Na Q:forms:homeaffidav °F rati Town of Barnstable y Regulatory Services MASS. Thomas F.Geiler,Director 1639. oi 9. & Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 c Property Owner Must Complete and Sign This Section If Using A Builder I, su4 as Owner of the subject property hereby authorize '1�10 17� �U/L � to act on my behalf, in all matters relative to work authorized by this building permit application for: a43 O/� 6�w/6d/11E E�✓/t2V//�S (Address of Job) 4SaOwner Date Print Name Y Q:FORM&OWNERPERMIS SION f t. t rf : mB11 - Lice Tl2l?J'C 1IpA m Nwt, 07 � • : I Or��l�19j6k1 ..._ Tr.no: 780©0- Rest7cfe ° C• a`s7TuH '� PLO-iBiC •-- .,., ,1�,ll�tfl3l��li �� y 0262 ,per :.✓ �omrrco.uuec�di o�. uaaacleuaelt . \ Board of Building Regulations and Standards HOME IMP OVEME'NT CONTRACTOR Res�trat�on� 132691 Expira on 372312005 pie lMdividual SCOTT QUILTER., 1' SCOTT QUiLTER . 247 STRAWBERRY CENTERVILLE,MA 02632 Administrator If y/ ---- ,.f-�P.•..r�?�:I',�✓_'.'� .y..,�d�`�.f.� � , t 'I I �'H A i� �� I i f S f; � i � .... , — r a 2 � �.® � ? fit` r.•�s, +, S � ,; f � � �" •„7-,°„;,, ::�_,. ..}; .. .___ i�._. _.� .... ` - �__ .. � -;,. .._—' r �j-y�t f f ' �f k j�•` r r r • / I Y I ` _77 CjJ C �2S zs� r I certify that this >>ro erty is located CERTI FI ED PLOT PLAN in flood hazard Zone 0 (outside the 500 year flood) as identified by the Depart- LOCATION �A ' ���r•�c� �G�� ment of Housing ,and Urban Development(HUD) • SCALE . ..�.y' '��..• .DATE Lo.oz . Date 4uG / 4ZooZ �� 1� Or RD PLAN REFERENCE � EDWA ,r I Re CP °r JS LL1b THE LOCATION OF THE ORIGINAL DWELLING , SHOWN HEREON , EITHER WAS IN COMPLIANCE I certify to its title insurance company WITH THE LOCAL APPLICABLE ZONING I IN EFFECT WHEN CONS T RUC €L P I T " that there are no visible encroachments f or easements except as. shown and that this RESPECT TO HORIZONTAL DIMENSIONA REQUIREMENTS ONLY) ,OR EXEMPT FROM plan was prepered under my immediate VIOLATION ENFORCEMENT ACTION UNDER M.Q.L. supervision.,.- TITLE VII ,CHAPTER 40A, SECTION 7, UNLESS RT� OTHERWISE NOTED OR SHOWN HEREON. . _ . i The Town of Barnstable BARYsrAB1.E. Department of Health Safety and Environmental Services 9 MASS. e ,a M Building Division pTEpA�p� 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner:—T V a Map/Parcel: 2-4 ' — to 4- Project Address D r 1 t a— k� Builder: �- s r The following items were noted on reviewing: o _ nIZ ( IYe eve lu .� l _�lec.ln e hC c 2 U:e" CIO Reviewed by: Date: (� 0 a e q:building:forms:review f °FINE . � The Town of BarnstableBARNSTABM v� MAS& �0 Department of Health Safety and Environmental Services prFD.19. 6 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 3, 1997 Ms. Mary V.Vages 293 Old Craigville Road Centerville,MA 02632 RE: M-247/P-104 Dear Ms. Vages: On Tuesday, September 2, 1997,I inspected the cottage located on the rear of this lot. I found the foundation opposite the bulkhead to be bulging and in danger of collapse. Because of this,the premises must be vacated within seven(7)days if temporary measures to support the house are made or 24 hours if no repairs are made. Sincerely, Thomas Perry Building Inspector TP:lb g970903a I ® SENDER: V siComplete items I,and/or 2 for°additional services. I also wish to receive the or •Complete Items 3,4a;and 4b.• following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this forth to the front of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address a permit. Z ■Write'Retum Receipt Requested'on the mallpiece below the article number. 2. ❑ Restricted Delivery •The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. ' tt 3.Article Addressed to: 4a.Article Number E a Y V a 4b.Service Type a ` ❑ Registered ❑ Certified W 1 ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD a O�63 7.Date of Delivery w 9- � -� ? z o cc 5.Received By:(Pnn;Name) 8.Addressee's Add ss(Only if requested and fee is paid) 6.Signature: d r T P Ps Form 3811,bacember tees. A& ;ozsss s -B o,79 Domestic Return Receipt P 339 592 345 US Postal Service _ Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail(See reverse) l Sent to 5, irm Vi VAGe5 Street Nu r 3 �u&4a if st Office,State,&ZIP Code YER r O 6 Postage $ 7 Certified Fee Special Delivery Fee Restricted Delivery Fee U) rn Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees M Postmark or Date 0 tL rn a i, NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, I DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 4.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD EXIST. s.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS DECK I TO BE 3000 PSI Tz-0• -0^ 6.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION 7.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE 8.) VERIFY ALL EXISTING FLOOR, ROOF,&WALL FRAMING. REPAIR, REINFORCE, OR ADD TO FOR NEW CONSTRUCTION 1 EXIST. O. _ J EXIST. Q Q 1 EXIST.: 1 KITCHEN I W EXIST I ISLAND 4'-V BATH . EXIST. � ——— ——— I EXIST.411 I-USE Li i DOOR I REMOD. 4'-0" - X N CLOS.� HALL , W 2 REMOD. W REMOD. © 4'-2^ ; ; DINING a BEDROO 2.6-DOOR © 3'0"BIFOLD I I Il I r y g/1bK I I - 1I 11--- ic'x=v L NEW MULTI LVLBEAM ABOVE --- - 4 ---- ---_-------- ==3 - _--- SMOKE DETECTORS REVIEWED INSTALL NEW 4 x 6 POST UNDER W � EACH END OF NEW BEAM W!NEW v a ( LALL.COLUMN&30^z 30°x 12" CONCRETE FOOTING IN BASEMENT. CON © ( I N T 8 ILDING DEPT. D EXIST. EXIST. NEW:I REMOD. X DATE BEDROOM W.I.C.I LIVING w i rn •_ / �¶ 4$" YERIF'Y CHANGING THE DOOR ICI FIRE DEPARTMENT N TINE FIELD SWITCH LOCATIONS DATE BOTN SIGNATURES ARE REQUIRED FOR PERMITTING � n I r EXIST. EXIST. ExisT. FAST FLOOR PLAN \ LEGEND: 0 EXISTING WALLS - CONSTRUCTION TO BE REMOVED NEW CONSTRUCTION �r-0^ 22'-0^ ©SMOKE DETECTOR Q CARBON MONOXIDE DETECTOR RRORSIo DESIGNER SM ALL DOANY NN SCALE : DRAWING NO.: COTUIT BAY DESIGN. LLC NEW REMODELING FOR. CONSTRUCTION. THE BUILDING CONTRACTOR Ea 43 BREWSTER ROAD WILL BERESPN.RESPONSIBLE FOR 1/411� WILL BE RESPONSIBLE FOR THE CONTENT M E N D O N CA R ESID E N C E IN THESE DRAWINGS E IF CONSTRUCTION MASHPEE ,MA. OZ649. COMMENCES WITHOUT NOTIFYING THE C Q J cC ( DESIGNER OF IT ERRORS OR OMISSIONS. PH. (JOY Z/4-1�VV TOF HESE DRAWINGS REQUIR R OTHER USE OF EQUIRES R rrrENHE DATE FAX �so�� 539-9402 293 OLD CRAIGVILLE ROAD CENTERViLLE, MA ARCHITECTURAL COED.ANYPROTECT10N A 1 THESE OF TIGS REQUIRES THE WRfREN �/31/201 4 CONSENT OF THE DESIGNER UNDER THE I `7 ARCHRECTURAL COPYRIGHT PROTECTION Jy ACT OF 1B8U.