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HomeMy WebLinkAbout0097 WHITMAR ROAD r7.� �� �� � �� -. w{. �4 �/ i f i .. � .� r c � �, *. e' .. ,, r � ,. I � . _ 3 1 k I i i �� iy �, �, �� Cc� �%- � � so�� 9�� © z � Z '� ,; �� R` � c` ������ f i ���� � � �i���� ���� ��� a �.�.� Y___a_ � _ ,_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel'': Application20 Health Division `` "-Date Issued ova. Conservation Division Application FeeOz G?� Planning Dept. `Permit Fee: Date Definitive Plan Approved by Planning Board Historic _ OKH Preservation/Hyannis Project Street Arress 0- o Village ) nQ Lh/1 �N Owner i DuIMvv- Address Telephone - Z Permit Request d -e?1�+ , 2 I SA Square feet: 1 st floor: existing 12-5%proposed 2nd floor: existing 133 proposed 6 Total new Zoning District. Flood Plain Groundwater Overlay Project Valuation �U d Construction Type �rJ6 Lot Size q��3 �'t� Grandfathered: ❑Yes U No If yes, attach supporting documentation. Dwelling Type: Single Family .C' Two Family ❑ Multi-Family (# units) Age of Existing Structure r5 -- Historic House: ❑Yes Flo On Old King's Highway: ❑Yes Flo Basement Type: mull, ❑ Crawl ❑Walkout ❑ Other // Basement Finished Area(sq.ft.) Z lg, Basement Unfinished Area(sq.ft) D S Number of Baths: Full: existing 2 new Half: existing l new 0 Number of Bedrooms: existing A new Total Room Count (not including baths): existing new First Floor Roo CountIdn Heat Type and Fuel: U16 as ❑ Oil ❑ Electric ❑ Other m Central Air: Res ❑ No Fireplaces: Existing W ' � p g New � Existing wood/e��al stov w❑Yes ®"No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑e ting ❑•mew 7size_ Attached garage:Vexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other:(,.�,rl 4'9. o r' N Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �VNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION C � � (BUILDER OR HOMEOWNER)CA Cep`:S�� R 22-o2)), NameV'6 0111yt, te 6Q_ _ Telephone Number Address License # �- �r7 f Home Improvement Contractor# S '�L Worker's Compensation # '-1`7 (0 6 q S ALL CONSTRUCTION DEBRIS RESULTNG FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE 0 FOR OFFICIAL USE ONLY ' APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r } r DATE OF INSPECTION: FOUNDATION : ®Q FRAME O 946c l�s� loal/U -� �l©�iblp fMeA_ 0 INSULATION FIREPLACE 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 Office of Investigations ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance,Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information :Please Pr' t Le ibl Name(Business/Organization/Individual): ro -2L OA&,A Cx 'fir� o L Ca �Lt,(� ��t 5 5��✓ Address: Le X cvt City/State/Zip: rtt"o 14 P7'('01�PhoneW: Are you an employer? Check the appropriate box: Type of project(required): 1.ZY1'am a employer with 4. I am a general contractor and I - � 6. New construction employees(full and/or part tim.e).* have hired the sub-contractors 2. I am a sole proprietor or partner-' listed on the attached sheet. 7.. 0 Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingforme in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers'comp. insurance comp. insurance. required.] 5. (] We are a corporation and its 10.❑ Electrical repairs or additions :-3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors.that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. r Insurance Company Name: Policy#or Self-ins. Lic. Expiration Date: Job Site Address: 1W, e-r City/State/Zip: 1 (( Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the'imposition of criminal penalties of a fine.tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against.the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde ains and penalties of perjury that the information provided above is true and correct Si azure: Date: Z 3 ' O Phone Official use only. Do not write in this area, to be completed by city or town official .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons.to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any r P 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no.employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials. Please be sure that the affidavit is complete'and printed legibly. The Department has provided.a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or -_ town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file.for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 e6mmonweal0h of MassachUsetts Department of IndustrW Accidents Office of Investigadans. 600 Washington-Street Boston,MA 02111 TeI. #617-727-4900 ext 406 or 1-$77-MASSAFE Fax# 617-727=7749 Revised 11-22-06 . www.mass.gavldia Tti Town of Barnstable Regulatory Services . • • esis$ Thomas F.Geiler,Director �� '°rEn '` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize eL U 6YV-wm to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) �- V►�5� `2- b f Signatutof Owner Date —T Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:OwNERPERM ISSION Town of Barnstable zHME Regulatory Services BAST" Thomas F.Geiler,Director tFtnss . $, 1639. Building Division prED �a Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 vtiv.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:_ number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEON'VNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wofk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miller Mocartln Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Po Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis, MA 02601-6990 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Project Manager Of Cape Cod Llc 13 Lexington Lane Yarmouthport, MA 02675-0000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 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. 00 LTR ME Of INaURANCE POLICY NUMBER POLICY EFFIOTPIN DA7E POLICY EXPIRATION DATE A AND EMPLOYERS'LIABILITY LIMITS THE PROPRIETORI —mm PARTNERSIEXECUTIVE OFFICERS ARE: INCL❑EXCL❑ 4460098 9/27/2008 9/27/2009 STATUTORY LIMITS OTHER Coverage Apples to MA Operetlons Only. EACH ACCIDENT $ 500,00 DISEASE POLICY LIMIT S 500,00 ISEASE-EACH EMPLOYEE $ 500,00 DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS RE:NO PARTNERS ARE COVERED BY THE WORKERS COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 14 200 MAIN ST DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT HYANNIS, MA FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE NOIS-IA1�0..._ .— I O OZ 233 60OZ I Nlassachusctts- Department of Public Safct% Board of Building Regulations and Standards Construction Supervisor License License: CS 74174 Restricted to: 00 PAUL N CROSSEN t � 317 MAIN ST t 2 � ti3i. HARWICH, MA 02645 �4- -� Expiration: 12/14/2010 ('unuuisriuncr Tr#: 9006 071. 'Board or Building Regulations.and Standards i Lieet�s er registraiion valid for individul use only � i HOME IMPROVEI1iiENTCONTRACt0R. .. 1 ' F' n date. If found.return,o d of Iiuhdin,iRegulations and. Stat � btfor ` Registry i- 128528 Boar e j Expiration 4/1512009 Tr# 130543 :� One Ashburton Place) > ` ' l ,. Bostbn,Ma Q2- I )Me-- ividual f'.. p PAUL;N;CROSSEN PAUL CROSSEN 1 j 317 MAIN ST -11ARWI¢H,`MA 02645 Adminlst,WOr 1 Not valid without signature n y • A ; ff rrUCE VEVUN DESWN" CHATHAH, HA• P5O8-428-6191 Ltnn —rucsulMrT_...AIW.6UTT6R ._:-. _.,-. I i n . 0m d esigns copyright 1904 ----- -- - -- All Rights -- --- -- I Reserved .— II tY71Y V ..... w ..-. . . --- Rep GU-JA4 CIMB0A0.D.S—� I I as.0 Msus.ct.o.rt. t .awn Prel—naty plans and layouts by D.C.D.ate for the use of their<ustornets Only.Any other 71 is st r.0 tly P,.h,b"edi L . s s � f --- � SCALE `. 508.428.6191 =- @ustom . - — o esigns --— c opyrignt P 1994 — All R.ghss . �--- Reserved - Tt V n r+~teauu. r 7aalf.btaaL. 1 L_= �U C_C�.'C 0 Z Preliminary Plans and layouts by DC .ate for the use of their customers only.Any other use is sln(fly proh,b,le S i 11 4 O M1OARO GvHRE� = is A vnnre C[on0.suisryu.5 T i ' SCALE DATE I_lrr 508.428.6191 @ustom o esigns J. Colayrlght 01994 .L. All Rtghts ..LI ir:C Reserved �I I -- t111 R14WT ELEVATION w J. Z v C r av. h2 � tf e Preliminary Plans and layouts by DC.O.are for the use Of (heir customers only.Any Other use ii sI ri Ctly proh,Dtte - tt O_ C4_ 4.4'.. 4'•n•• tt'•1" - Iwo* . C P, _jT= V Ti y v ma's r: 0 �-'- C -. I• 0 1 •� � I _. SC.LLE oaTE _.CFTC.rtO4.Cl•TUX,)...... I inFT6-= yZafT4 U , 1'•4 1:T" 1•4•.. V 4�WOO F.o FOUND. in _�. 1 Q 508.428.6191 o CEeviin @UStom ��. � c u esigns 'U copyright O 1994 Reser ent J f"i.$_[t1gL.fILLCM UIJ ram.- _— If{FFF w _._.FOURDAM0?4_P_115LV- CL I� M' w r Preliminary plans and layouts by DC D.are for the use of their CuslOmers only.Any other use it strl(tly proh'b'lr - i 1 � , p � F PnG1 1 a ;f Q• ,3 P N I- J i r i p O n� 0 F 3 -a c p � r 7 toU � e T � m Z i ^ I I i • i r ' 1 60. 0 0 3 O 1 o ^ c T m v — 0 CD a pA^ Gl. �2 A C e 0 qm nr o A :. o 2 ro ao I q P FPD4EA LP I I i , . P y F s_ r T s a 1 ra I a's a 5 2'B so 10 r f I� 8 j � g J � i C� c i O I • 0 i b ; o � 0 � O � 1 O I 1 o I o I I i > o O £ IC a �z � 3 a C Q om co 1 cY 6 3 �• m N p i yU-mob � o i moo. 2.e tG\tt6Ry . .. :..__._ Lz•Pw.voon - I IwS 61MPPI4C, a_ ...S 9rRAPPINCI... .,�It"6UEFTCAGK..:.: �---�• -..._!1".:6MIlTRC3GK__�._.. -.-R>0141dA•(MIgN tsFN51IY) DAIE V . O Q II•F'f O"'. WtL104 Fy 7.14 Plv\VOOt3 r, v'Tlc PEr\vOo 808.428.6191 2.IO:J013T6 Ct0 I+15U1: 1.6 6T¢APt'% C, _ Qevi i n w11.446TQLEEAM -818•P•C"C0.}11E1T¢DGs( hs 6TQAPPIN4 (�Vst�m Cna lnuAi) '-114•.64E1TROGt(" . a esigns t . cogriynt Q 199I }- All Rryhts Tl4"RNVOOf3 Reserved 4.10 JOISTf. ... __F.L P•T:Slll\vl StM¢R _JS'TIM:CASK'.ynf3�wP'-.. .... .._..... .._... � i 1 I I �•:TIK.tAWC:WR__ __._ � I I I- o Preliminary Plans and layoull by DCD.rre f.r the use 01 (he, Customers only Any other U1t is llri(tly Prnhlb:te. Y § t ¢ \ ) f , @ % , ,. . 7 . . . . ,.( � ,. _ � 478 . r / - � _ \ \� \ G ( § \ #�! ■ » � . ( \ 4 A i . t � �r« ■ A ( �� . & -- j I _ | )¢/- , - { � . y� w2R�mE£F ° G A / -- f 0 ul § OW |` - < ■ , | _ ■ � � . $gym• - � r COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY %'^ %:= re„t OF ONE ASHBORTON PLACE - MASSACHUSETTS BOSTON,MA02108 c :loe @. of C,lc tic; e..:.. L.T CENS-E CAUTION EXPIRATION DATE ' ' ' ' FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS r PRINT IN APPROPRIATE a g BOX ON LICENSE. F ?"li i lfit•;" F'I":Flfi':=�i 114 BLASTING OPERATORS 151 MUSTJNCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEE:. - �• NOT VALID UNTIL 9 BY L SEE AND OFFICIALLY HEIGHT: STAMPED-OR• THE COMMISSIONER �I1 I N � DOB: i .:.THIS DOCUMENT MUST BE « SKIN NAME IN �E�SKiAJA�1JRE LINE CARRIEOON THE PERSON OF SIGNA RE OF LICENSEE THE HOLDER WHEN EN- OTHERS•RIG04T THUMB PRINT GAGEDINTHISOCCUPATKkI COMMISSIONER +, L�f Gl C���� Town of Barnstable �p4 THE)p� Regulatory Services Thomas F. Geiler,Director - M 59 Building Division- r�1) Tom Perry,Building Commissioner .. 200 Main Street;.:Hyannis,: 2601 `., rust le.ma.us Office: 508-862-4038 Fax: 508-790-623C PERMIT# FEE: $ -" SHED REGISTRATI i N 120 square f e; or le as Pi Location of shed (address) Village a Property owner's name TIWHa number ¢- Size of Shed Map/Parcel �0q` Signa e .Date Hyannis Main Street Waterfront Historic District? Old Icing's Highway Historic District Commission jurisdiction? Conservation Commission(signature is fequired) Sign off hours for Conservation 8:00-9:30 & 3:304;30 PLEASE NOTE: IF YOU ARE VVI=THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS;THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. SEE THE APPROPRIATE COMMISSION FOR DETAILS. PLEASE 0 , THIS-FORM-,-NW.ST BCE„Accom..PANII;D BY A � CA PLOT PLAIT �b r - -Q-forms sh6&6g -REV:042506 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map g 5 6 Parcel 0 6 5 Permit# (0 ( 0 �9 = 12 Health-Division `�1-32s co r�-�) -COV -Ao ;V o Aite" '� 03 Date Issued 0 2 - O 4 -O 3 L OG ^�' r Conservation Division i ZZI-1 16 3 Ott, �...�,3,.�4 r'�'� �' i Application Fee ll Tax Collector S00'R Yo k L 03 r Permit Fee Treasurer L '- 0_"3 "" -- - SEPTIC SYSTEM MUST BE Planning Dept. '+�`� �G'```~'IATA:I.ED IN COMPLIANG ,A/t//®3 "M TM i Date Definitive Plan Approved by Planning Board E M ONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUL T.IONS Project Street Address 97 Whit mar Road, Village Cotut Owner Crossen, . Michael K. & Joanne' K) Address P.O. Box 83 Cotuit Ma 02635 Telephone 5 0 8-4 2 8178 7 9 6 Permit Request Renovate main entrance'- w/new-mahog6ny step, column's, .roof, exterior-trim side wall shingles,- mahogany front door, '2 new oval wi n�nw' i ngul a ion & haat; Al cn, install 1 niew slide-r 1n break- fast area, 1 new-hinged French Wood door in family room and 1 new Anderson,-casement window in kitchen , Square feet: 1 st floor: existing 17 8 4 proposed 4 o 2nd floor: existing proposed Total new 40 Zoning District RE Flood Plain Groundwater Overlay Project Valuation $2 8, 0 0 0 Construction Type wood frame Lot Size 1 acre Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 8 years Historic House: ❑Yes Jl No On Old King's Highway: ❑Yes 13 No Basement Type: Y Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) unknown Basement Unfinished Area(sq.ft) unknown Number of Baths: Full: existing 2 new 0 Half:existing 1 new 0 Number of Bedrooms: existing 5 new o Total Room Count(not including baths): existing 10 new 0 First Floor Room Count Heat Type and Fuel: Z]Gas ❑Oil ❑ Electric ❑Other Central Air: W Yes ❑No Fireplaces: Existing 1 Newer_ Existing wood/coal stove: ❑Yes ❑No Detached garage:`�`Pexisting Cl new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Coexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W No If yes,site plan review# Current Use residential home Proposed Use' same BUILDER INFORMATION Name C. H. Newton Builders, Inc. Telephone Number 508-548-1 353 Address P. 0. Box 922 .License# CSO46192 Falmouth MA 02541 Home Improvement Contractor# 107888 Worker's Compensation# WC 9 7 6 9 5 0 4 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bourne /4-1/6 /SIGNATURE ^ DATE F FOR OFFICIAL USE ONLY PERMIT NO. i %J DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 47 DATE OF INSPECTION: . FOUNDATION FRAME d� I' ,✓ ti INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL �t w cae FINAL }PLUMBING: ROUGH �,,: �,-� ;�.v. GAS: ROUGH ?�4 " 29 `"= ` � FINAL :'ate i� t^• a'i,, FINAL BUILDING -< z - 3:3 DATE CLOSED OUT ASSOCIATION PLAN NO. �`7 1 1 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE q0 square feet x$96/sq.foot= 3 BYO x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 7-5 square feet x$64/sq.foot= 50'00 x .0031= ` • D plus from below(if applicable) U�6 4 O 2 S 9 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS t Open Porch x$30.00= (number) s Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 '— (plus above if applicable) Permit Fee � �Z,r 9g P y :projcost ✓�eK�aninzanuieca�� a�.:l�aat�zcrutae%t6 BOARD OF BUILDING REGULATIONS' License: CONSTRUCTION SUPERVISOR Number: CS O46192 Birthdate: 09/19/1960 Expires: 09/19/2003" -"Tr.no: 3500 Restricted: 00 DAVID L NEWTON PO BOX 922 ( ...�, FALMOUTH, MA 02541 Administrator f , r - s t ' ✓lze Ui amvmarccuealC� G�✓l GCWJCLC�[LJCCtd Board of Building Regulations and Standards License or registration valid for individul use only f HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 107888 Board of Building Regulations and Standards V's Expiration:, 8/10/2004 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation C.H.NEWTON BUILDERS, INC. David Newton 549 Main Rd 28A �--K Y.� W.Falmouth,MA 02541 Administrator DNot valid without signature 4 EVE ratio Town of Barnstable y� Regulatory Services i BARNSTABLE, ' Thomas F.Geiler,Director 1639. e,`�� g Buildin Division lfD Ma't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. 10 MZ Type of Work: Estimated Cost g Address of Work: ci h 30 Owner's Name: A&�A k £ 1ann e k DABS G-n Date of Application: I hereby certify that: Registration is not required for the following reason(s): QWork 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. SIGNED UNDE PENALTIES OF PERJURY I hereby apply for a permit as the age. the' er: r Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffiday.. L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Jv!a f Parcel n' Permit# .11) Health Division L '� ol��l� 'v Date Issued Conservation Division s .J a f1 Application Fee Tax Collector Q� Permit Fee r,00 Treasurer S&PT/C , Planning Dept. T Date Definitive Plan Approved by Planning Board �'J Historic-OKH Preservation/Hyannis �� } Project Street Address 97 � Village OCy Cb lT Owner -f k C 4AA CA, R 0-,,sQ:-AJ Address Telephone 506 +Z?J e-79 (4> Permit Request �L90-� 11�'t� �1 �®oyiccfngtr 00 LEI4✓_ I•36 P7"_r Square feet: 1 st floor: existing proposed _ 2nd floor: existing proposed Total new Zoning District 1 Flood Plain Groundwater Overlay Project Valuation '� 1�;5 Construction Type &CI�� 1 Yp � Lot Size loco A C, Grandfathered: ❑Yes ❑No If yes, attach supporting documentatipn. �� yp Dwelling Type: Single Family N( Two Family ❑ Multi-Family(#units) Age of Existing Structure C e-i �C� Historic House: 0 Yes ,No Oh Old King's Higkiay: ❑Yet JNo Basement Type: XFull ❑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 �w Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION 4 �� gay - � Name �� � � Telephone Numbereo 4;�>c 0 590 Address A-2 �7 I License# c)7.4(74 Dp_,�_n e�P- Ge -'� h-1 A. ®��� 1 Home Improvement Contractor# Worker's Compensation# 37-00`LP,--45:)1 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0/Z—. _ Ya FOR OFFICIAL USE ONLY PERMIT NO. } i DATE ISSUED MAP%PARCEL NO: t ADDRESS UILIIIAGE /;' f Ol ry ; OWNER DATE OF INSPECTION: _ ` -' ` ' l 7N t FOUNDATION - C73 FRAME INSULATION 4 f r f `r' FIREPLACE w 1 ELECTRICAL: ROUdi FINAL'. PLUMBING: ROUGq FINAL` f GAS: ROUGH° ;,o FINAL FINAL BUILDING r DATE,CLOSED OUT-' ASSOCIATION PLAN NO. OK ��i25.00 •� � �50, �� 52.2' `s2 ao S9- 35.2' 'J �•\ \o v New Concrete Foundation 2 � � OP4 9 � 34.8' O� c 0 y a co 0 Lot 22 °``�``°�"�� � ;•`'� `'q °.00 43,560±SF 4r � O O p 61 REFERENCES: \ Assessors Map: 56 Parcel: 65 LCC 39614B O �22s2 O sg, `� ZONE:RF �10, Setbacks: Fron t: 30' Side: 15 O� Rear: 15' t/ v�IVVtN°Fass�� I certify that the structures RICWD y�s� shown hereon conform to the o R. setback requirements of the LSEUREux Zoning Bylaws of the town PLOT PLAN 4 #34312 of Barnstable. IN , 03 BARNSTABLE rofessiona nd Surveyor D to COTUIT MASS. NOTES: DATE: 11/MAR103 SCALE:1 -40' 1.) The structures shown were located on the ground 0 20 40 60 80 FEET by conventional survey methods on 11/MAR/03. PREPARED FOR: 2.) The property information shown hereon was Michael K. & Joanne K. Crossen compiled from available record information and 97 Whitmar Road does not represent an actual on the ground survey. Cotuit MA 02635 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C576G1 FIELD BY: MDH/WHK (508) 420-3994 / 420-3995fox 1 t ^- - RESIDENTIAL BUILDING PERNIIT FEES _ APPLICATION FEE- New Buildings,Additions _ $50.00 Alterations/Renovations $25.00 ` Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot=1 7 x.6031= �Jl� •O 6 plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >i20 sf-500 sf S 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 - >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch _x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool . .$60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost _ . The Commonwealth of Massachusetts — .f o Department De Industrial Accidents — P Office oiinvestigaffons . _ t 600 Washington Street Boston,Mass. 02111 Workers' Com sensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one worki>1 in an ca achy 7/00 //%%%%%////%% %%%%%/%%%%%%//%///%///%%/%/%%%//%//// %/O%%%%//%%%%%%%%%%%%%/%/%%%%%%%%%%�/O%���%%%�%%%%%/O/%�%/ I am an em loyer.praviding workers' compensation for my employees worlang on this•job.: ....::::: :cam 8II ::name : > "�atss ..:::: ,.:.v......,:..::::.:. :. ::. hone#...:::..�.: ................::.::::::::::;!.��.::::.:��..:. .;;;:.:�:.;;;:.;:::;:::::: :. ...:.;::... r. ...: ❑ I an!a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers compensation polices: ' any n m coIIp %s> ...I...................... sii i2<> asi?i>i>i i Isis i? i>< ? ' J '<i'<' >s `i2i i i?> ?asi i" 2 ;i<t i?i 2 iY......... ; asis atlr Tt n tip - r;;>;.CBiiCQ:i%2i:>?;i%%%:i•• <` i ?`Yi`<+ii° isi <isi'ii`i;':.; .>:?:.%;!i:;:xyi%ii:as 'i;?:iii:;:< ;>;yi::;: 071 ib�IIralt .. .... c an.na address.:::: . .. . ,:..... Faflure to seem a coverage s,required wider 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 weII a9 civil penalties in the form of a STOP WORK ORDER and s fine of 5100.00 a day against me. I understand that a copy of this statement may be fo�sarded to the Office of Investigations of the DIA for coverage verification. .I do hereby ee the and penalties of perjury that the information provided above is true and-coorrect� ' Signature Date. Print name !�✓ , / S � Phone 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 Oeyked 9195 PJA) Information and Instructions F r .. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance orrenewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the.performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be.sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required.to obtain"a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please 6. _.; be sure to fill in the perniit/license number which will be used as a reference number. The affidavits may be returned`to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and.should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvestlgaUens 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r �OF'THE, Town of Barnstable .Regulatory Services 91nxxSrABLE, Thomas F.Geiler,Director �OIpp 5 6. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. '—tV 3 Date �' Z 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: rlms Vl G rl K 1� + � ✓oam Estimated Cost Address of Work: b / Owner's Name: 1(I CL� ��U GL-A Kk_C �(� SS E-A Date of Application: ' Z 3 U 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. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: t 23 -�Z CA 6 5 SEW Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav /l� h �.,eeac/ztcaella it j /re �animoouuea i, d ./ ABOARD OF @U�ILDINGrRECsULA i r ,r License CONSTRWCT ON�SUPERVISOR _ Board of Building Regulations and Standards + r '` 074174 ` I Numbe�;„CS HOME IMPROVEMENT CONTRACTOR k�' 1 ' 1y1144129Q508 Birth 2 74174r Tr.no: Expires• Expiration: 04/1.5/2003Registration: 128528 I Type: Individual trided To: 00 PAUL N.CROSSEN PAUL N CROSSEN ,�, :� ' PAUL CROSSEN PO BOX 1114 Administrator �� M A 0263 9 T r.. PO BOX 1114/101 LOYVER COUNM�n�,t, ,i p DENNISPOR DEPl�!ISPORT,MA 0'?839 r AR WCIP LIBERTY nation and MUTUAL. Workers compensation ISSUING OFFICE 354 Employers Liability Policy INFORMATION PAGE Boston Liberty Mutual Insurance Group/ ACCOUNT NO SUB ACCT NO. LiBCRTY MUTUAL INSURANCE co. iss2s 1-328028 OOUO ICY NO. D/CD SALES OFFICE ODE SALES REPRESENTATIVE CODEN/R ST YEAR POLICY ASSIGNED 3000 1 2001 1.01 WC1-31S-328028.011 XX X STWOOD r r Item 1.Name of PAUL CROSSEN FEIN 03-3424912 Insured Address PO BOX 1114 JUL U 3 RISK ID 342662 DENNISPORT,MA 02639.1114 Status 01INDIVIDUAL Other workplaces not shown above: SEE ITEM 4 Mo. Day Year Mo. Day Year OS-17.02 Item 2.Policy Period:From 05.17-01 t0 12:01 AM standard time at the address of the insured as stated herein. Item 3.Coverage p lies to the Workers Compensation Law of the policy A. Workers Compensation Insurance: Part One of thea p states listed here: MA B. Employers Liability Insurance:Part Two of the policy applies to work in each slate listed in item 3A.The limits of our liability under Part Two are: each accident Bodily injury by Accident 100,000 olio limit Bodily Injury by Disease 500.1000 policy b Disease 100,000 each employee Bodily Injury y � listed here: - C, Other States Insurance:Part Three of the policy applies to the states, if any, SEE END WC 20 03 06A D. This policy includes these endorsAGE ements and schedules. SEE EXTENSION OF INFORMATION P Rates and P Item 4.Premium -The premium for this Policy is subject lined by our and change bysaudiRu.e , anu Rating Plans. All information required b J LINE 110 Premium Basis Rates Estimated Per$100 ' Estimated Annual Code Total Annual of Re- No. Remuneration muneration Premiums Classifications - SEE EXTENSION Or,INFORMATION PAGE 1,743 Premium $ 500 ( MA) Total Estimated Annual Premium $ Minimum - Interim adjustment of gremium shall be made: ANNUAL This policy,including all endorsements issued therewith, is hereby countersigned by SEE ATTACHED FORM 1710-.-- Authorized Representative. Date=:Oti 20 Ol- Audit Basis Periodic Payment RatingBasis pol.H.G• HomeSAtate Dividend NEW BUSINESS. Term.Oiler. - lac.Code NEW 06.20.01 NR wcoo 0o01 A Copyright 1987 National Council on Compensation Insurance GPO4030 RI BROKER Cam" YL.c-)OCrFU G�`��1�1 5c8 4!5o 42-8 8q{( _ 31/z O - �L(u�L� a, `1 C 6)a iDG- YLC -macQ 02 0 Oa-rx) ,-�- , H A. 5c)8 4!>o c�e p 60b 42-8 8?.g(,=3 vl: V. ,II i:U 14,J. ttL.L VVJ Ito IL10 Uiln Lllvv u U 1,LL1.• - __ Client}} : 3248 2NEWTONCH ACORDW CERTIFICATE OF LIABILITY INSURANCE n 01/0'/02' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & 01 Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A enc Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR g ALTER THE COVERAGE AFFORDED UY THE POLICIES BELOW. 222 West Main St _ PO Box 1990 — - Hyannis, MA 02601 ! INSURERS AFFORDING COVERAGE INSURED - ' INSURERA:ACadia Insurance C.H. Newton Builders, Inc. - ...--- --..._ ._.-,...._ ... j INSURER B: P. O- Box 922 Falmouth, MA 02541 wSuRERc:. . INSURER D: - INSUREH E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY IItOUWLMLNI. TERM OR CONDITION 01- ANY CONTRACT' OR OTHER UOCUMENT Willi AL•SPLCY 'IO WHICH TFIIS CERTIFICATE MAY BE ISSUED OR MAY PFRTAIN, THE INSURANCE AFfOADFD BY THE POtICIFS DFSCRIRFD I IFRFIN IS SUBJFCT TO AI_I_ THE TERMS,LXCLUSIONS AND CONDITIONS OF 3UCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I,N !POLICYEFFECTIVE!POLICYEXPIRATIO - I, TYPE OF INSURANCE POLICYNUMBER D ODIY ! A , MMI LIMITS A GENERAL LIABILITY 'BINDER189054 01/01./02 i01/O1/03 EACHOCCIIRRENCE -_-E1, GOO, OOO .._.._.,- }( iCOMMfNCIpI GE NEHAL LIABILITY I _ FIRE DAMAGE(Any Ono 11re),$250, 000 CLAIMSMAOE) XI OCCUR I MEDEXP(A-yoncperoon) ;$5, 000 PERSONAL tADVINJURY ;sl 000 000. X 0cp GENERALAGCREOATE :S2, 0001 000 CENL AGGREGATC LIMITAPPLIFSPF•R:I PRODVCT£-OOMPIOP A00:$1., 000,_o00 POLICY IPHO- ,_,.....LOC..I A AUTOMOBILE LIABILITY 1BINDER189055 : 01/01/02 01/01/03 COMBINED SINGLE LIMIT _. X ANY AUTO i - - .! - (Esaccident) ..s1, 000, 000 All.OWNEDAV10`3 - BODILY INJURY : ` j= SCHEDULED AUTOS (Per person) BODILYINJURY ' X NON.OWNE0AUTOS _ (P6racclaon)) X Drive Other Car a I PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY - `_i AUTO ONLY-(-A ACCIDENT 3 ANYAUTO !OTHERTMAN EAACC S AUTO ONLY: AGO S EXOESS LIABILITY EACHOCCUIVRENCE t OCCUR :CLAIMS MADE ;AGGREGATE L VEUUCTIBLE Sj RETENTION S A WOMERSCOMPENSATIONAND BINDER189056r 01/.01/02 01/01./03.]Y I.ORYL AWCSTT •.;OER EMPLOYERS'LIABILIT ... IE.L.EACH ACCIDENT 1500, 000 E.L,OISEA$E EAEMPLOYE $5' 00 000 -.L.DISEASE-POLICYLIMI I S500, 000T - OTHER DESCRIPTION OF OPERATIONSI LOCATION SIVEHICLESIEXCLUSION$ADDE0 BY ENOORSEMENTISPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. 1 CERTIFICATE,HOLDER ADDITIONAL INSURED,•INSURER LETTEM: CANCELLATION ' SHOULD ANY OFTFIE ABOVE DESCRIBED POLICIES BECMCELLEDBEFORETHE•EXPIRATION Town of Falmouth Atten:Gail' DATE THEREOF,THE ISSUING INSURER WILL EN DEAVOR To MAILI..O DAYSWRRIEN 59 Town Hall Square NOTICETOTHE CERTIFICATE HOLDERNAMEOTOTHELEFT,t7VTFAILURS TODOSOSHALL Fi1lnioutji, MA 02540 - ,. IMPOSE NO 09 LIGATION OR LIA BILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ` ROPRESENTATIVES.. - _ - AUTHORIZED REPRESENTATIVE - .:` ACORD2S-S(7(BT)1 of '2 #24832 n ,_OACORDCORPOAATION19ee __ -- Department of Industrial Accidents exce afiay Iffatfoos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit. name: location city phone# a ❑ lam a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working %%in ca acity /%�� %% ❑X I am an employer providing workers' compensation for my employees working on this job: ................. J. company>name::::: ....... .. ... ...... .......... ....... .... .........ME a Ea :MQiitTi. ;t�LA:X. :0Z54I dtv� nhone�# 4a .;,I35<3.: :::::::: tL...Q..:Nel;:. c..:..:: .. atiaiiranceta;: g;.,;.;-:::,.::::�:<.::..::.:.._ ...... . :.:::.::::..-:::.::.::.. :.: olicv.#:::..:...:..:... ❑ I am a sole proprietor, general contractor, or homeowner(ezrcie one) and have hired the conft Ic m listed below who have t the following workers'.compensation polices: r ::.:::.::...:.:.:. ............:..:::.:..:.:.. .......... .................................... .. .......... %i i`i >3 5......i >>''i' isi2 is-'y:<=:i% i i i ``iiiii� '2%.i.'%2 coinpsnv n m ...:::.:....:.: :......:.... .... ........................................................................... ...................:,....... :........... . ...:: ... :.;::,:::::: ::.:.:.:::,..::::...:,:.;,.. ad ><Y... ne b .� :'::::::2:i:: ::�.is�:r�l�:4:':: ::::�::;: �: :.:. ` :.::<: ?s +'i ��.....?.....ii ::: `:.>: <:'•. .:%:.: 35. :`: 'v% ::.: >:.:.:3: :' :?:... • ::::::::.;;:;.,..:..::,,.,....,..,................::::::::.::.::., ...............:.....:-:::.::....:.r:::-:::::..::............ .: ...: .r.........n.: ::3.•.,: lttssnraltCC.CQc:;::::;; :::;:.::a::->::•: ::: :;:<•:::::: ::;::::c:;:•>:;%:;;:;:;»:: ;:;>::L::p>:..•.;::;.:.;.;.;: :............ t:Onlp anK718ine:................................. .... .. .... ...... ddress: ......:: III ...::.�:.�:.....: :.:.:.........:..�.... ....... �...::.�......................................... ��is ::::...:........ ::.:.::..::.:..:::.:... -.-,a j => , ;:: �.......................,n :;•»;;> ::::• ............................................................................................. :.:.....................,,..... .....:...:....:..:...::.::...:........,....::;.:.;.;.:.:... .:.:.... :::.............:•:.:... nsarance.co: ::::•::::::.:::.:.:,:.,.:.:::�:::.::::::::..:,::...:.:..,........................................... 11 iN Failure to seeme coverage as required under Section 2SA of MGL 152 can lead to the imposition of anal penawr of a tlae up to sl W&oo smd/or we years'hnprbo®m3 as well as civil pe:naldes in the form of a STOP WORK ORDER and a litre of 3100.00 a day opbist me. I understand thst a copy.of this may be forwarded to the Once of InvesNCations of the DIA for coverage verMcmdon. I do h uh pains and penalties of perjury that the information provided above is ow and coned ' Signa Date Printname David ' L. Newton phone# 508-548-1353 ofSclal use only do not write hi this area to be completed by city or town offidai city'or town: permft/license i! Building Departrnent clucea�g Board ❑check iflamtedbde respodse b required ❑selftban's Office QHesM Deparhneat contact person: phone!k;. ❑Other Urvsd 9NS PJ/V prsseript}rs Far3c+ctu fardna aad T"-FA""' S J • MAX1Mi1M Rr�( >:'Sax Bsa� '� F1fia� • •A��{'/.) S1-raluc R-v,clu,� R-�� R-� >i�•sFaa� FARO S7CS 'to 650fl Hescla�l Degs'sa�'� 6 I� 33 13 19 10 . N� iZ'.•, C.40 19 la 91 AFM . R• IZ'/: dSZ 34 �3 Sg 10 ' � �orsaa! 525. - 31; 13 6 3• l s'/. 0.7 8 , 19 19 10 i3 AE'L7E S1 : .15'/• a.4 6 71 13 23 VA ?VA25 Aug 19 34 la N ,d 30 ?S WA ?UA 13 tFataml X 1EY. 0.4Z 3 19 23 !i/A VA 31 9�0 AF{7E 1Ei. 1c1 6:. Y a;4Z 31 13 Z lg � gp AF11E • lE/. l9 19 1a a AA 18% 0-30 30 ' PROPERTY: y 7 (.��'•�r�� �a c�' ,1•, AD79RES� OF (���. �, • 2, SQZIARS FOOTAGE OF ALL FOR RIALLS: 3 SQUARE FOOTAGE OF ALL GLAZING G 4' a/a GLARING AREA.(#3 DNLDED BY PACKAGE( A.&-See chart a�aVc):' ; S;'SELECT YA Q"' . , . VED NiETHC?DS OF D G EriERG`i''REQVIREMENrB NOTE: 'OTHER MORE INVOL ARE AVAILAB14—ASK V5 FORTHI5 INFORIvIAT10N. BUILDII`tG INSPECTOR APPROVAL: NO: YES: q�forms•�80303a , Footnoie's to Tsble'J5.Z.Ib:' Glazing area is.the iatio of the area of the glazing assemblies (including sliding-glass door5o thel gross basement windows if located in walls that enclose conditioned space., truce CXeI dea.fraque doors)U value requirement. area- expresspd as a percentage. Up-to 1°/a of ll the total glazing area,building area. For example;3 ft of decorative glass may be exeladed froma buiidiag design ted by c manu °fa=irii in accordance with = After January 1, 1999, glazing U-"lues'must C test ediested and Qe r talcea frvtn Table 11.5.3a. U-values are for the Na�lonal' Fenestration Rating Council (NyRC) p , whole units:'center-of-glass U-values cannot be used. I The ceiling R-values do dot assume a raised or oversized to s R 3Q�uzsoilmlati'nn mIf the.ay be substituscd felt R S insulation thickness, over the exterior walls without compression; insulation and A-38 insulation may be subsututed'for R-49 i.asulatioa- Ceiling R-valucs represent the 'sum of cavity meting sheathing-must be placed between insulation plus insulating sheathing (if.used). For.ventilated uilings,. the conditioned apace and'tize ventilated portion of the roof. used Do not include Wall R-values mpresetit the sum pf the wall eavity.itrstilatian Plus insulating �iromeat could be met EITHER exterior siding,structural sheathing, and iaterior'drywalL For example, as R-19 requ uirements a 1 to by R-19 cavity insulation OR R-13'cavity insulation plus R.-5 insulating sheat£iu4& Wail req PP Y w goal-fr#e or mass (concrete,masonry,leg)wall.c°nstrUcddtu.,but do not apply to aietal�5raaie construction. 3 Tee floor'requireIIlenis apply to floors'over uneonditiniied spaces (such zs unconditioned erawLepaces,basements, ara es . Floors over outside air must meet the ceiling requiremez�• 0a a below de must � or.Zr g ) e do th less than 5 / � portion of an individual basement wall with an averag P 'boned (1;e entire opaque p Y • and sliding glass.doors of conditioned .as above-grade walls. Windows mc_t the same R-value requirement � bc,,ements must be included with the other glazing. Basement chars must meet the door U-value requirement d-scribed in Note b. additional R? for heated slabs. led slabs Add as ca , ' The R-value requirements are for unheated e ' If the building utilizes electric resistance heating use compliance approach 3 c+ or oc If you nPnan ;�u��l;wit icce.of heating a uipment or.mbre'than one piece of cooling equipm t, P than one g q P efficiency must meet or exceed the efficiency required by the selected Fg°• For'He g'Degree Day requirements of the closest city ortowa sew Table J52.1a. KOTES: ' a) Glazing areas and U-values are maximum accePtable.levcis.Insulation Cmpo es are minimum acceptable levels. ° of include structrsal camponcats. R-value requirements are for insulation only and d n . 03.5. Door U-values must be tested ue no b) Opaque doors m the building envelope mast have a U-value cedure or taken from the door U•Value ed•b the manufacturer in.accordance with the NFRC PZ1° 'able include the document y or i not available,and for that do . U-value rating , Table J1.5.3b. If a d'o°r contains glass and an aggregate eta determine compliance of the door. uz U-valu • dusctheo opaque door glass area of the door with your windows an a�have a U-value gzzater than 035). re utrcmeiit i.e,may with excluded ham this � areas w One door may 6e exclu q c If a,ceiling,wall, floor,basement wall,slab-edge,or crawl space Wall caomponne t clud 5 water than or equal to different insulation levels, the•component complies if the area-weighted rag the R-value requirement for that carnpanent. Glazing or door camp om nt�Q 35 f°dothe ),Weighted,average U- value of all windows or doors is less than or equal to the U-value rrq - 43 WAtao ,,Two TOWN OF BARNSTABLE Permit No. ...3�.� ...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ........ 7 .YL 9 ,6T9.. �oUf HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY . Issued to MARKWOOD CORPORATION Address lot #22 97 Whitmar Road, Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November 2 94 19................. .........,. ..... .. � �. ...... Lildin Ins ector 9, P TOWN OF BARNSTABLE a " BUILDING DEPARTMENT = ssaiaTA TOWN OFFICE BUILDING rur. i659• � HYANNIS, MASS. 02601 n'Eo iur►. MEMO TO: Town Clerk FROM: Building Department DATE: e An Occupancy Permit has been issued for the building,authorized by BuildingPermit .............................................................:................ ..__.... ........... ....._...... .......... ... .... »_ . issuedto /..� G7....,,1;......'1 ;9 L1' ......................................................._........._......................_ Please release the performance bond. a TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT NLO. __36895 - la-056 065 DATE J. 19 2"i- PERMIT NO. APPLICANT ADDRESS J 0 (NO.) (STREET, ICONTR'S LICEt.'E) PERMIT TO NUMBER OF STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (L.00AT ION) 97 Wilitmar ;vd, lot 2 2, cot utt ZONING T�f --DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT-BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG By FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #94-328 AREA OR 2000 sq. ft. 000 PERMIT $ VOLUME -ESTIMATED COST $ 105 FEE I a 0 0 0 (CUBIC/SQUARE FEET) OWNER 1-laeWuod Corporation BUILDING DEPT", ADDRESS Ju BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ?A:.NIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SLICH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(REACY TO LATH' I 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. POST IH21S CARD SO IT IS VISIBLE FROM STREET BUILDING lt?PECXION APPROVA PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 4��. all r 4 -ki cj,Q4( 2f 2 14/,_ 3' HEATING INSPECTION APPROVALS NGINEE�eG DEP#TME 4/ BOARD 4 HEALTH OTHER SITE PVVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARICULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN. CONSTRUCTION, I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. Assessor's office (1st floor), �--� � S~Assessor's map.andalot number �................. SEPTIC SYSTEM MUST °ITN¢toy♦ Board of Health (3rd,floor): g` .+� INSTALLED IN,,COMP 0 "Sewage Permit. number'• :�a...'� ���!�.. WITH 9TGDLE,i Engineering Department (3rd,floor): �j ENVIRONME�A� ®DE 639 E so r House number � .Definitive Plan. Approved by Planning Board � q9A��S APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only APPROM oeos Tiv, N 'OF BARNSTABLE ` .IL*DIHG: INSPECTOR APPLICATION FORPERMIT TO E ........f2.*?z..... ` ..... ........................... TYPE OF CONSTRUCTION....... (..(.fx....� .......... . ............. /. Gh L TO THE INSPECTOR OF BUILDINGS: The unders' ne hereby applies for a per it according to the foil w' g information: Location ... ................... . ProposedUse ..... � . .. ... ►?!... ............................................................... .... Zoning District .............. ............. .......................................'..Fire Distract ... ........... .. .. . . Name of Owner ,/..l .... L .....................Address ..... .. .... .. .........: ............ Name of Builder .... G.....L.y......:.:.........:.................:....Address .. .... ................. • Name of Architect ....... ... '......Address ... ... . Number of Roo s ..... . .... . .. ... ::... ...... F ndation .... ...................................... Exlerio w `!.:. .... .... !.. ... .... ............. ..Roofin �. ` . . .. ..... ........ . .... .. .......................... Floors o !V....... .. . 3 / 4 Z....1..... ........... .. . .............Interior ...: ........ Heating .. ... r...-..... . ........ ...:....:..................Plumbing .... .... ........ ........ ....C' �7' �� (� l.. . .. Fireplace .... . ...... .............. .......1..!� .............Approximate Cost ....� /..L L/V...... d 4d 9 / Diagram, of Lot and Build; g wi h Dimensions F .4. ......._1* ee ... ®f. Ad OCCUPANCY PERMITS REQUIRED FOR NEW:DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barn` le regarding the above construction. : u - aName ...... ................................................ Construction Supervisor's License •CORPORAT �NiARKWOODI N A=Of)6 0 6 5, No' .36895 perrriit for ,:.BUILD DWELLING a ... ..............� .................. Location 97 ..Whitmar' Rd !r > 4 " Cotuit .` ... " ................ _ y Markwood�Cx®rp Ownery.. . ..... ... - ........ ,,fI� Type of Construction .. .. .......... .. .............` � ..... - ... .............. ................ - t 1 '- Z r • w.r • - _ . r. Plot ....T f f............. Lot...V 2...................... . f a July 22, 94 ' Permit'.Gran,ed ........................................19 _ ;. 4 :, c ,a Date of.Inspection Date Completed ...... .1.9 .6 r c _ f COMMONWEALTH OF MASSACHUSETTS ' -- DEFAXr?AENT OF LNDUSTRIALACCIDENTS + 600 WASHINGTON STREET -ames Car,-Poe': BOSTON, MASSACHUSFITS 02111 -or--+:ssione WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, gicensce/perminee) with a principal place urines ide t: (Gry/surd ip) do hereby certify, under the pains and penalties of perjury, that: [) I am an employer providing the following workers'compe=zion coverage for my employees working on this job. Insurance Company Policy Number [) I am a sole proprietor and have no one working for mr— I am a sole proprietor, encral r or homeowner (eirde one) and have hired the contractors listed b-ow have the ' llowing wo ers' compensation insurance polio tamc of Contract Ins uranCompany/Policy Numbs: Z2 Name of Contra . Insu ce Company[Policy Number T4 �p Name of Contractor Insurance mpany/Poliey Numbs: I am a homeowner performing all the work myself. NOTE: Plcase be aware that while homeowners who employ persons to do maintenance,construction or repair work on: dwelling of not more than three units in which the homeowner also resides or on.the grounds appurtenant thereto arc not gcner:rJy considered to be employers under the Workers'Compensation Act(GL C 152,sea. 1(5)),application by a homeowner for a lice:sc or permit may evidence the legal sums of an employer under the Workers'Compensation Act 1 undc-st:_nd that a copy of this sutemenr will be forwarded to the Depart err of lndustrial Accidents'Ofnee of insurance for covc.-q: vc-Mcation and that failure to secure coverage as required undo Section 25A of MGL 152 cart lead to the imposition of aiminal pc.:--:es consisting of a fine of up to S1500.00 and/or imprisonment of up to one yc: acid civr1 penalties in the form of a Stop Work Order arc; j fine of S 100.00 a day against me. 7 Signed d th' / der of `X.,-{�! I9 Y — 4LiCC--1scc!PcrmJnet 1.1ccasorMcrmittor Property Location: 97 WHITNUR ROAD MAP ID: 056/065/// Vision ID: 3671 Other ID: Bldg#: 1 Card 1 of 1 Print Date:05/20/2002 12:05 JLIESJ 47W��APW LUCAJ1UN;'' ]'Up 1V11%_n,%rU ZIL OL JUAININE Keve u is a er L)escription c;oae Appraised value Assessed value 117,7M RES-L-AND l0rG_______T27,000 P 0 BOX 83 6 ep as aved tic RESIDNTL 1010 276,600 276,600 801 COTUIT,MA 02635 Barnstable 2002,MA CE711, 1AL-D ccount ffit'JA an Ref. Tax Dist. 200 Land Ct# 39614-B Per.Prop. #SR Life Estate #DL I LOT 22 Notes: VISION #DL 2 CIS ID: 3671 ]""t.11 403,600 i L U1KyW1"'_"_ RE� EEW1Q.VNfA5,NZ, TV "HI ;O1%Pjj'Q&,q 11.5 V/ CROSSEN,MICHAEL K&JOAfNfNh 11� 04/27/199 U I 324,6UU UU Yr. Code Assessed Value r. o e ssesse a ue r. o el Assessed Value UD1999 I NORROWAY POND DEVELOPMENT CORP C147424 02/06/1998 Q 1 265,000 IL -ZW-M 0 127,90ZUUU 1010 99,UN1999 Ulf) n7mm KASTEN,JAMES J&ANNE M C134225 06/15/1994 U V 72,000 P 2001 1010 276,7002000 1010 226,2001999 1010 228,100 CALLAHAN,JOHN R TRS C104651 12/15/1985 U V 1 N CALLAHAN,JOHN R TRS C104650 12/15/1985 U V 1 N CALLAHAN,JOHN R TRS C100995 04/15/1985 Q 0 Totat.-I 403,709, ota 200, Total. 345,100 AM" A' .... ;­' I I I his signature ac now leages a visit by avata uouector or Assessor & Year ypelDescription Amount Go de Description Number mount omm. nt. 11f�1� A Appraised Bldg.Value(Card) 273,706 Appraised XF(B)Value(Bldg) 2,900 Total: Appraised OB(L)Value(Bldg) 0 I I ' 1 V Araised Land Vl 120 V, _ SppciaI Land Vaueue(B 0 Total Appraised Card Value 403,600 Total Appraised Parcel Value 403,600 Valuation Method: Cost/Market Valuation NetTotal Appraised Parcel Value 403,600 -,F'Vlf MIAMI I P_e_r_m`it­7D Issue Date I)vpe Description Amount Insp.Date Yo Comp. Date Comp. Comments Date urposelgesult B3BS95- 7/l/94 ---WD7— 105,U(10-717717579-5— 100 U0 2 S I OR ---4T6799F——FS 00 Meas/Listed 4/15/95 ME 't VA>aclv'It *,"T'L' IYDc. B# Use C;oae Description one D Prontage Depth Units Unit Price actor actor Wes-A qI16pecial Pricing Adj. Unit Price an Value T___T0T(F_Sing1e Farn 1.00 AC l0U'U0U.00 LIU 6 1.00 09BB 1.1 o-fe—s. U7T, 00_.W 127,000 ------ ota r.70� Tt Car an nits d Ld u l.UU AU an Area: To_t_a_FL_a_n_d_Fa_1uo lZ7,UUU Property Location: 97 WHITMAR ROAD MAP ID: 056/065/// Vision ID:3671 Other ID: Bldg#: 1 Card I of 1 Print Date: 05/20/2002 12 h .;y ' ::n/.:'tea` .. ,.:::i. '.':' �..... ..s, v, i..�.:.;.:-;•�. "..� ": ...�°i^' :... �.1 �ii .. ..: ^X� :.�/b.�c .�/ i;,: Element Description commercialvataEtements Style/Type o oma Element Description odel 1 Residential eat rade + Custom Grade Frame Type Baths/Plumbing tones Stories ccupancy 00Ceiling/Wall 12 i ooms/Prtns Exterior Wall 1 14 ood Shingle /o Common Wall 32 2 11 Clapboard Wall Height Roof Structure 03 able/Hip Roof Cover 10 Wood Shingle �. ATA Interior Wall 1 03 Plastered "K - ' FHS 2 ere Element code Description actor ^ } l BAS Interior Floor 1 4 Carpet complex FAT FUS / 0 BMT 2 2 12 Hardwood Floor Adj GAR 2 2 Unit Location BMT eating Fuel 3 Gas Heating Type 4 Hot Air Number of Units 1 16 C Type 3 Central Number of Levels /o Ownership 22" Bedrooms 5 5 Bedrooms 36 Bathrooms .5 2 1/2 BathrmsVALIJ r; 1 2 Full+1H nadj.Base Rate _ 60.00 Total Rooms 10 10 Roo oms ize Adj.Factor 0.92438 ath Type Grade(Q)Index 1.49 Kitchen Style Adj.Base Rate 82.64 Bldg.Value New 260,647 Year Built 1994 ff.Year Built (A)1995 rml Physcl Dep 5 uncnlObslnc 0 con 0 Code Description ercenta a pecl.Cond.Cond.Code da 1010 Single am juU Spec]Cond% 10 Overall%Cond. 105 eprec.Bldg Value 273,700 Code Description LIB nits Unit Price r. p t o n Apr. value irep ace Code Description LivingArea GrossArea Ejj.Area m Gost Undeprec. Value irsFloor103,796 BMTBasement Area 0 1,256 251 16.51 20,743 FAT Attic,Finished 264 528 264 41.32 21,817 FHS Half Story 224 320 224 57.85 18,511 FUS Upper Story 936 936 936 82.64 77,351 GAR Attached Garage 0 528 185 28.96 15,288 WDK ood Deck 0 384 38 8.18 3,140 t ross LivlLease Area g a: 260,647 N • b - M • V v LA o 0 1��1 NSTRUCT � (NOT CO 10 '5 3•2 4•E 242.0 l �---, " y r A L 0 T 2'2 y V ..-� m 59•s `� o0 43593 + S.F.; O �o . 7O X � N - � N Sh •w r , N _ 2g2 52 01 •W ' N� 6.29 w 56 N x , l CERTIFY THAT TO THE BEST OF MY PROFESSIONAL x KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS TOWN OF BARNSTABLE ZONING OF THE ZONING BY-LAW FOR THE RF DISTRICT. BY-LAW DATED SEPT. 14. 1989 ZONE RF SETBACKS FRONT - 30' - SIDE - 15' REAR - 15 PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT y ����`" of REPRESENT AN ACTUAL SURVEYo� �• rya ON THE GROUND. a FRANK No.zsss PLOT PLAN THE DWELL 1 NG DEPICTED ON-THIS 9FGISTER�� PLAN WAS LOCATED ON THE GROUND IN BY SURVEY ON JULY 19. 1994 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. 7�/�/'p SCALE 1'-40', JULY /9. 1994 THIS PLAN.. I S FOR PLOT PLAN ,' EAGLE SURVEYING A ENGINEERING.INC. PURPOSES ONLY AND NOT FOR 10 Seaboard Lane RECORDING. DEED'DESCR 1 P T I ONS Hyann[8. Ala. 0Z601 OR ESTABLISHING PROPERTY LINES. (508) 778-44ZZ 0 20 40 80 -2T7 PROJECT NO. 94 . EXISTING DECK REPLACE P.T.DECKING W/ P D N"r V.B.FIR DECKING 7J Ve, N 7381 * C . 5"0 I/2' - ' x BR,0/4. NBN FRENCH 001 R MEN 0 BLED WINDOW WISE•SURMA•JONES-ARCHITECTS New BIMPORD,MA 02740 'IID.RPHONB(s0808)."997-597 7 PAX(508)997-0993 . . ff "REF C.H.NEWTON BUILDERS . .. .. ..-____....__ .._ .__. .. _. NBEW WOOD FLSMG�OORBN Loo— MERVA=MA 02655 UNLIMITID PLANS FOR CABINETRY RO KITCHEN and BATH SEE KITCHEN ANO BATH T&EPfiOP18 508)42B-9013 NEW GE L NB MOULDY INS, DESIGNS UNLASPIIID,INC. AND FIREPLACE MANTLE WITH 866 MAIN STREET!' BE DE TO CEILING-DEBIBN �R�MA 02655 SKENERIES FOYER WINDOWS V BE PELLA ARCHITECT - TO BE DETERMINED - DIVIDE WOOD FIXED OVAL WINDOW WITH SIMULATED O TELEPHONE 428-3999 AND LINE,INSULATED ED GLA59,LOW E'COATING AND ARGON FIWN6 NEW BAH'GA" OPENING FOYER WINDOW II n� -- —--— ,P- CONSULTANTS _ NEW S'CA5ED OPENINGS- EXISTING GARAOB - EXISTING LIVING ROOM EXISTING DINING ROOM I O'-4' TO BE RED OAK STRIP TO MA� ADJACENT PINING ROOM AND WING -- FADE OF EXISTING FOUNDATION - I ROOM-WOOD SELECTION CODA CHANGE . .. I n5 RE-BAR a 10S EPDXY INtO NEW FRENCH DOORS FOUNDATION WALL "REINFORCED FOUNDATION WA IH'OL 4 . I CONCRETE SLAB A P.T.2'xb' All'CASE LAGGED THRU P.T. EXIST P.T. DOORWAY I i SpAr A WALL WITH SHERLF TO RECEIVE I_ �. I FOUNDATI v HALLE3/H AIAG BOLTS.t&*O.G. _ - INS- 4=GONGRET SLAB-SEE SECTION I D,F,t�A„A Q A P.T.ND O PO' ON 6AlVANIZED IV - P.T.45�4'-POST C 9 T - - STAND OFF BASE � A r �:r R PR•P.T.-.JOISTS RIM JOIST , W — fTsilt-LOOR llt�OF DRESSED BEAM P.N.2'kH'JOISTS Ib'O.G. j ABOVE-SHOWN DASHED _ ij ON GALVANIZED JOIST HANGERS . MAHOGANT DECK B'0 F.R.P.COLD NON 10' - - . _ j,_ SQUARE BASE PLINTH -PORTICO FOUNDATION PLAN PORTICO FLOOR FRAMING - ' P.T.WxW POST5 INSIDE FRP COLUMN PORTICO PLAN FIRST FLOOR PLAN r 3 3 SCALE:'1/4"=I'-0" _ SCALE:1/4"=P-0" LL VO 3' 0 '3'U LL EQUAL H'-O° EQUAL PROPOSED ADDITION - REVISED: . 1 — - ' 1 AMMON&RENOVATIONS TO TM CROSSEN RESIDENCE 97. ® w I_JLLLi L-II.L�ItJ —LI11`LJ L11_I_I lJ I� TRS ROAD _ TALE _ _ - -� LJ ❑ v❑ ❑ PROPOSED FLOOR PLAN AND EXTERIOR ELEVATION! SCALE AS NOTED LLW H+H ®a ®� I ❑® u a�t� I�IJ1LI a LLLL�LI. DATE:.JANUARY 115.2003-FOR PERMIT ® - DRAWN:GJ oaoa DRAWING NUMBER 00 7��'•ELEVATION 7 �7 �7 �7 — INSTALL FLASHING�AT NEW FOYER A-01 SIDE ELE Y A 11O1V L FRONT ELEVATION ET L�7 A TTOT�T ADDITION-Pq7�BACK CLAPBOARDS PROPOSED NEW PORTICO/ENTRY FOYER SCA[81/4 1'-0" - FR N 1 1'.1 E V ATI 1�i AS NECE55gRy REFER TO 5HET A-02 FOR DETAILS SCALE:1/4'=F-0" PERMIT SET ISSUE W F7SB•SURMA•JONES-ARCHITECTS III—III—III— �m^^^^ rl'O In I I I—I I I—I I I III—III—III= WLSE•SiJRMA•J) ARCHITECTS LL �IIIIIIIIIIIIIII11 ° N CENTRE STREET NEW - — — — — MA 02740 TELEPHONE(508)997-s9n PAX(508)997-0993 C.H.NEWTON BUILDERS mnq�V 0 •� 9 MERVIIIX,UA 02655 Y Y TELEPHONE(508)428-9013 1p{1 ipSTti"m Q- - o '�I o KITCHEN and BATH V O - W DESIGNS UNLMITED,INC O z - - 866 MAIN STREET J 2 pp LL I I � �I' g 7 02655 TELEPHONE(50 8 4288 3999 tb Cl .LL��m�ClL" - z° CONSULTANTS O o p I, z xOz -p D�O�aQ W Ocv-,Ka m m yy[[®T, N m ••I OUJI �pQK� Q U +z K 20� r Z ... VXWIR m0- u Illz ooLL?� ' Ww Fm O �� LL _ h -4 - --- ..\t 'REVISED: - � !r W ° v x I L ill U l—III=111- Q 3 w O g p•-(^ z II a D I— I—III—i-I IiI-Iil-lil-- I=III=III=11 S o'-2In LLN 8 g8 I o III=III=1I1= ADDITION&RENOVATIONS TO THI s '�LL �� ��-21�2• �'-9. �'-lo,. (—III—III=1 I� " III—III=III= _ CROSSEN RESIDENCE LGG FLA5NINO I I-1 i t I I 1=1 I ®COLUMN CAPITAL III—III—ILI- 97 WHITMAR ROAD I=1 I i=1 I I=►I — -� Z COTOrr,MASSACHUSSITS — - - - - - - - - - - - - - - - - - - - - - - - IEIT=1Ill�l- - - - - - - - -� TITLE — — — _ — ° - - - - - - - - - - ---1 - -°— - - - 1-111=1L1=I� I I Q PORTICO - - - - - - - — -1 I M 11= I SECTION DETAILS I III=III=11 I a SECT NAND NWmm NV75fLL dad a�IG 35ve4.e I 1—III-1I1= SCALE:AS NOTED 1=1 11=1 I 1 I DATE:JANUARY 15,2003-POR PERMIT — =1I1-111= 1 1 W I I I—I I I-__I I DRAWN:OI 1-- C 11=111-111= DRAWING NUMBER PI--00 — — — - -- — — -�- -- --1 -111= A-02 - - I ICI I I=1 I -1 I I I PERMIT SET ISSUE 0 WISE-SURMA-ZONES-ARCHUEM i i N a b q ►7 V v ANE L LN ED1 h [1 AM1 TRuCT lNOT CoNS ti �y3•2A•E _ N 12�2.0 i. 0 LOT 22 � m 59•} 4.os 00 43593 S.F. o � x � O • W O v + Sn N 282 2 2 01 N 5 66 I CERTIFY THAT TO THE BEST OF MY PROFESS/ONAL KNOWLEDGE. INFORMATION AND BEL/EF THE DWELLING ' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 OF THE ZONING BY-LAW FOR THE RF DISTRICT. ZONE RF _ SETBACKS FRONT - 30' SIDE . - 15' REAR - 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF. RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY �y' ON THE GROUND. T THE DWELLING DEP/CTED ON THIS f f'`' PLOT PLAN P 1�� J7 �'C�i rAV�. PLAN WAS LOCATED ON THE GROUND HMI, IN BY SURVEY ON JULY 19. 1994 AND � i BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. /�//�l� SCALE: l'-40' JULY 19. 1994 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING a ENGINWING.INC. PURPOSES ONLY AND NOT FOR 10 Sea6oapd Lane RECORDING. DEED DESCRIPTIONS Hyannis. Na. mol OR ESTABLISHING PROPERTY LINES. (508) 778-4422 0 20 40 80 PROJECT NO. 94-277 9 N - Obi _ M N L� • AM NSTRUcleD, •ryh�� NOT co v .24 N 1201.42 �--, ' y n L 0 T 22 <.os Oo 43593 S.F. z • " lD s in N 2g2 920C �'. 66.2 v� S _... N. . . 1 ,y I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS • TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 OF THE�ZONI NG BY-LAW- FOR THE RF DISTRICT. ZONE RF SETBACKS 1' FRONT - 30' SIDE . /S' REAR - 15. r PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT E � os ?� REPRESENT AN ACTUAL SURVEY ` ✓/ �'. ,'`sue t ON THE GROUND. THE DWELLING DEPICTED ON THIS ;., :• ^ ��� PLOT PLAN PLAN WAS LOCATED ON THE GROUND .5� IN BY SURVEY ON JULY 19, 1994 AND BARNSTABLE, MASS. EXIST$ AS SHOWN AS OF THE DATE OF LOCATION. 7/1)/� SCALE: 1'-40' JULY 19.Y 1994 f THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING a ENGINEEBINC,INC. . PURPOSES ONLY AND NOT FOR 10 Seaboard Lane RECORDING. DEED DESCRIPTIONS llyann!s, Na. 0P601 OR ESTABLISHING-PROPERTY LINES, (508).778-44ZZ r i 0 20 40 80 'PROJECT N0. 94-277 .. N b V h 0 V NOT CON v ` o.53.24.6 N 7 242.O1 0 � v^ o .� L O T 22 � Z.. a 43593 S.F. 4p 9 v � p .N A W � m 'w 282.5201•V! 6.29 w S6 N , I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS TOWN OF BARNSTABLE ZONING OF THE ZONING BY-LAW FOR THE RF DISTRICT. BY-LAW DATED SEPT. 14. 1989 ZONE RF SETBACKS FRONT 30' SIDE - 15' REAR - 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE ,PLANS OF RECORD AND DO NOT ��L�14 OF REPRESENT AN ACTUAL SURVEY C. �yc ON THE GROUND. � �fl_ya�,�-'t;;FRANIK a ro,m== PLOT PLAN THE DWELLING DEPICTED ON-THIS �crsiER �a PLAN WAS LOCATED ON THE GROUND tl��'t s IN BY SURVEY ON JULY l9. 1994 AND BARNSTABLE. LASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. /��/�� SCALE: 1'-40' DULY /9. 1994 THIS PLAN /S FOR PLOT PLAN EAGLE SURVEYING a ENGINEEBING..W. PURPOSES ONLY AND NOT FOR F 10 Seaboard Lane RECORDING. DEED DESCRIPTIONS Hyannis. 11a. OZBOl OR ESTABLISHING PROPERTY LINES. (508) 778-44ZZ 0 20 40 80 PROJECT NO. 94-277 a I. 7 3 'b/4:' 7 elwr'R- �3u2ecg 5 P/.CvP,-_: f 6644 rXTAIL IT. F1 -t i _I. - I. ` I I ( I - ; i 1 0i _ t-F-\ `/vIl ON +� I f 4 � h _2x4tLEU -- -._ ;--tz i cr a ; t 50N I IT( iq I --tr�-• __ DRAWN BY SCALE: 7 APPROVED BY: HA 774,P2019I)SO t _ /�, I��HA i � . DATE: FL�J`'�8 --- REVISED .--- -- DRAWI G NUM13ER