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3890 MAIN STREET
o w r .. r • • I a •a _ ,k , �Z Town of Barnstable Post This Card So That rt is Visible,from the Street ApNWA proved'Plans Must;be Retained on Job and this Ca"rd Must be Kept ��� $ Posted UntlI Final Inspection Has Been Made �° e Y °i Wfie're a Certificate of OccupancyMs Required;such Building shall Not°be Occupied-until a Final Inspection has been"made Permit No. B-19-4137 Applicant Name: KEVIN FAIR Approvals Date Issued: 12/20/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/20/2020 Foundation: Residential Map/Lot: 335-021 Zoning District: RF-2 Sheathing: Location: 3890 MAIN ST./RTE 6A(BARN.), BARNSTABLE Contractor Name: KEVIN FAIR Framing: 1 Owner on Record: JUAN,YU WEN&MCCABE,JASON Contractor License: 153196 2 Address: 320 MADISON STREET Est. Project Cost: $ 17,000.00 Chimney: BROOKLYN, NY 11216 Permit Fee: $ 136.70 Description: CONVERT EXISTING HALL,CLOSET 3 PC BATH+_75 SF INTO NEW 3 Insulation: Fee Paid $ 136.70 PC BATH Date: 12/20/2019 Final: Project Review Req: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by�this permit is commenced within'six,months afterissuance. All work authorized by this permit shall conform to the approved appl cationand ihe'approved construction documeht'06r which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. 11 This permit shall be displayed in a location clearly visible from access street or[oad and shall be maintained open for public,inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Bu d ng'and Fire�Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:h fi Service: 1.Foundation or Footing 2.Sheathing Inspection ; Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ! tHE Tp� /,jV eC_ p� Application Number.... C.........................��.. sARNBTABLE. : V MASS. �' S lr�G �7�/ Permit Fee...... .........`:''T.. Other Fee,....................... 039. QTotal Fee Paid............................................................... ..... TOWN OF BAW'ioa' Permit Approval by...`M D..............Oa..� BUILDING PER Map........................................Parcel..............! :....................... APPLICATION °� o . Section 1 — Owner's Information and Project Location - Project Address m Q n /.4 Village Owners Name, M e, Owners Legal Address City r s, l State /V Zip /f ;/ G Owners Cell# 0 7 3; G 77 E-mail Section 2 —Use of Structure Use Group &'_ ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet RSingle/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description r C' -3�L' z La re Last updated: 11/152018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction??T Square Footage of Project :t `7 3' .f F Age of Structure T� Dig Safe Number N A- # Of Bedrooms Existing ' Total#Of Bedrooms (proposed) 6Z �? 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics alwiring ❑ Oil Tank Storage ❑ Smoke Detectors [Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom ; Water Supply ❑ 2 PrivatePublic � Sewage Disposal ❑ Municipal LJ On Site Historic District ❑ Hyannis Historic District B61d Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes r'No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,.coastal bank? Yes ❑ No L'! fi•t Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 APPlication Number........................................... Section 9- Construction Supervisor Name %' A/ 1?7 I^Zia ® Telephone Number (o -3 �� ,Z p Address Jo 0 ��m�� ���City �ir,�,������r A: tate >7g- Zip License Number License Type Expiration Date 7/l l 2.,0 2'-6 Contractors Email A c cl!h n- I fL, h_, e tell # 3 - 72 4�2 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requir y 7 and the Town of Barnstable.Attach a copy of your license. Signature Dated ,, ` 47`0!c/ Section 10-Home Improvement Contractor Name Telephone�_z Number Addresslyd City ,�/�r ,Gtfate-Zip Registration Number-( 5 3 /9,� Expiration Date /f 6 T 12 d I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re q ' ed y 780 and the Town of Barnstable.Attach a copy of your H.I.C... Signature) ;_ Date iz �rii Section 11 —Home Owners License Exemption Home Owners Name: 0 Telephone Number ell or Work Number I understand my responsibilities er the rules regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts Sta uilding Code. I unde d the construction inspection procedures,specific inspections and documentation require y 780 CMR and the Town of B ble. (4- Signature Date APPLICANT SIGNATURE Signature Date I Z i Z 2l9[ Print Name ;-Z' Telephone Number &-�03 E-mail permit to: Last updated: 11/15/2018 >1 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ C 1 � Fire Department . Conservation ❑ 3 For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization ' I, -�,,�h,�� �; , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of j ob) Signature of Owner date Print Name I 0 •� o. 1 -G . o• 00 T I Last updated: 11/15/2018 µ _ :# <��••- :.tf- �. � � �;': max.-��` d Ulm n _ s, y �. z i � '•„ ```„',,� � � ?t"3 d f d :. 'f; I t I t,F!$.,.A c - rF "£ a r rai ttricfttt fir F a.>,f :i}.I , 4 FR S;' `i t- r ;`xy V{ h��` �•� '� a ., ��. gw ."� ��,3�t t'.J a.e �1 } � f a`.. �, z" z' z�,���'t •�' m mqicmw 5'm ;'�`� ze � � "�•� "�"-,ri, � ¢�pp� pp J F A zz�� •.. � � �. � �. r e x�;afr�su� � `� � I.. � r; 41- �. '" £`a F-��i t J I f� - � _-�+�: .w- x< .g C` $ a " ' #x z ,z:: a ,c y. ,> 00 YARNIOUTHPORT MA 02676, a '"'r g i. ✓ � ;; ' Y NA , Y c -� officeof Consumer Affairs & easiness Regulation HOME IMPR OVSIVIENT CONTRACTOR TYPE individualMP !a« S. � t � _Exp s x t3 it str IC E P 5/2020 k 153`��6 '11 l0 = � � K VIN FAIR t i i 1 C nJG 2 KVIh! J, FAIR F V �QD � . { {�{ �: � r ^ ` u S S i� a :k s £ _ K Undersea ta gg 711,7 s � It ,,.;-._o- W,.".s. ,_,.. ,.. '£, .. _.. sx ,: .: ., ...... �,r :�.. ,., ..<,,, ,. ,. x:.:.. ... -". ,.,... N > :.. .,, .cs fig', -y..,•t ,. ..!".. .•:' ,„..�,.; �,....::. ":>...7k .._. ::_ y.-..,-..._. -s ...,__..._:._,._.:. <.� .,_...._�< ............... _...,::. _ .._...,..�_.. ...-._..-.�.,r .�_ .. .tea,......�'... _ „ ..s._a.,. __... ,.,s�`F-'. ..,.....,., .,, ..�.�».:......>.>_.. ...s.�b',_...v. .w<_Z.?.��>-i`. ' ' � 9" / .^ --- WORK CABINET TO CHASE. ADJUST SO TOP CLEARS *X-0" SHOWER EXISTING WINDOW TRIM LINE OF TYP 24" VANITY USE CUSTOM TOP W/ NOTE WASTE OFFSET TO CABINET FILLER OR INSTALL CLEAR FLOOR BEAM RAISED BACK SPLASH TO ` BELOW V.I.F. AND SLOPE CLOSE. SEE TOILET NOTE p BASE TO REQUIRED >50 CFM + LOCATION m FAN/LIGHT i j TOILET 12" OFFSET ASSUMED CLEARS BEAM BELOW. IF NEEDED PAD I RELOCATED H&C PER WALL TO TOP OF BACKSPLASH. CONTINUE TO PLUMBER EXISTING CHASE AND THEN FIT 42" TO NEW WALLED M I 16" LINEN SHELVES FINAL SIZE AND NUMBER PER G.C. m n m -7 v dKE V�I N FAIR SK- 2/2 NEW LAYOUT BATH REMODEL: 3890 MAIN STREET (RT6A) <r BARNSTABLE, MA SCALE 1/2"=1'-0" Section 12—Department Sign-Offs Health Department ® Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire depdrtment for approval+ Section 13--Owner's Authorization L�4 _ �'f , as Owner of the subject property:hereby authorize f(.�, �„ r�,— to act on my behalf, in all , matters relative to work authorized by this building permit application for: q i Address of job) Signature of Owner V r date ' �' E Print Name �L The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPUcant Information Please Print Legibly Name(Business/Orgmization/Individual): EU Address: Ito.0 5, City/State/Zip: AM Phone M 66-3 67..;?-� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.�a a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for mein an act employees and have workers' Y capacity. 9. ❑Building addition su i [No workers' comp.insurance comp.incnran�.t 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 1equired.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contiactors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:avrOn f—/'P� Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/zip Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c der a aims and penalties of perjury that the information provided above is true and correct Si 41 Date: 49, tl zJ 2 U Phone#: d r Oj wkd 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 M -- I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' comp ation for their employees. Pursuant to this statute,an employee is defined as"...every person hi the service of anoth under any contract of hire, express or imph'ed,oral or written." An employer is defined a&"an individual,partnership,association, oration or oth e ,or two or more P�!' ,� � P g�anS' any of the foregoing engaged•in`a joint enterprise,and including the legal representativ o a deceased employer,or the receiver or trustee of an indiv partnership,association or other legal entity, p g employees. However the owner of a dwelling house ha ' not more than three apartments and who resi in,or the occupant of the dwelling house of another who . loys persons to do maintenance,constructi , o repair work on such dwelling house or on the grounds or bufiding thereto shall not because of such em o ent be deemed to be an employer." MGL chapter 152,§25C(t7 also states "every state or local licensing a cy shall withhold the issuance or renewal of a license or permit to o�em a business or to construct b in the commonwealth for any applicant who has not produced ac ep4ble evidence of compliance the insurance coverage required" Additionally,MGL chapter 152,§25C(• sates"Neither the commonw nor any of its political subdivisions shall enter into any contract for the perfOrman public work until accer evidence of compliance with the insurance requirements of this chapter have been pr\s ted to the wntracting rity." Applicants Please fill out the workers'compensation affii it completely,by c ecking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), , ss(es)and ph umbers)along with their certificate(s)of insurance. Limited Liability Companies(LLQ Limited Li ab i Partnerships(LLP)with no employees other than the members or partners,are not required to carry wo ers'comp on insurance. If an LLC or LLP does have employees,a policy is required Be advised that affl ' be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. o be to sign and date the affidavit. The affidavit should be returned to the city or town that the application f e or license is being requested,not the Department of Industrial Accidents. Should you have any questions the law or if you are required to obtain a workers' compensation policy,please call the Department at the er listed below. Self-insured companies should enter their self-;n�„�,nce license number onthe appropriate line. City or Town Officials Please be sure that the affidavit is complete and p ' ted legs The Department has provided a space at the bottom of the affidavit for you to fill out in the event the ce of In e�tigatz'ons has to contact you regarding the applicant. Please be sure to fill in the permit(license numb _ which will ed as a reference number. In addition,an applicant that must submit multiple pernWlicense appli �'ons in any year,need only submit one affidavit indicating current policy information(if necessary)and under" ob Site Address" applicant should write"all locations in (city or town)"A copy of the affidavit that has b officially stamped ed by the city or town may be provided to the applicant as proof that a valid affidavit isA file for future penmi o licenses. A new affidavit must be filled out each year.Where a home owner or citizen is Ataining a license or p tot related to any business or commercial venture (i.e.a dog license or permit to burJea, s etc.)said person is NOT to complete this affidavit. The Office of Investigations woulo thank you in advance for ur operation and should you have any questions, please do not hesitate to give us a The Department's address,teleph ne and fax number: The Commonwealth of M lb +� - Department of Industrial A -d is Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 •Fax#617-727-7749 www:mass.gov/dia F� Town of Barnstable *Perini _ 12- 0 wee 6 months om issue date Regulatory Services r r Q MAsa Richard V.Scali,Director 1639. A�� A'FD1 Building Division 14AR a Paul Roma,Building Commiss 0 fin//� Og 2018 200 Main Street,Hyannis,MA 0260 °�!0 www.town.barnstable.ma.us `•- Office: 508-862-4038 tr-790-6230 EXPRESS kRMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �� �{ Iv Residential Value of 7VklV 6� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address .� Contractor's Name V gL�- PJQQ�- f (, `AM? Telephone Number,� 5 C� L p Home Improvement Contractor License#(if applicable)12_%o S I Email: Ll>-(�QQ.Q����C �.1.� 9L� •e 6Zr?AA Construction Supervisor's License#(if applicable) (�(� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor Pam the Homeowner ,have Worker's ompensation Insurance Insurance Company Name 1"WLICA-1� Workman's Comp.Policy# L S(020L?(n0v:0:: 00- l Copy of Insurance Compliance Certificate must accompany each permit. Permit Regtest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to!,4Q�AAQ�� I ANN! - ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement tract o s License&Construction Supervisors License is r.c,��7 ired. SIGNAT C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 � w i The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www massgov/dia N orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legribly n Name (Business/Organization/lndi 'dual): 1, Address: City/State/Zip: A, 0)42�'S Phone#: Are yo n employer?Check the appropriate box: Type of project(required): 1. I am a employer with.__(____employees(full and/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Q Remodeling any capacity.[No workers'comp.insurance required] 3.Q I am a homeowner doing all work myself.[No workers'comp,insurance required]t 9. ❑Demolition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property.tY• I wt11 10 Q Building addition ensure that an contractors either have workws'cam pensation insurance or are sole 11.El Electrical repairs or additions proprietors with no employees. 5.Q 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.Q Plumbing repairs or additions These sub-cont actors have employees and have workers'comp.insurance t D)•�oof repairs 6.Q we are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required] *Arty applicant that cheeks box#1 must also fill out the section below showingtheir workers'compensation t Homeowners who submit this affidavit indicatingg rifteis policy information they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: �c J o Q l Expiration Date: k') •"2�L 3 Job Site Address-aL 2`0-- f City/State/Zi S'�2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby ti der the pal and p of p Fury that the information provided above is true and correct Si afar I Date: 20 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#: Payment schedule: balance upon completion. Res .Submitted, Olhtr Kelly. Proposal accepted by; Date 18 If acceptable please sign a re copy to the address a� ve, ng a copy for your records, this proposal s val' f 4 ays from date abo , ple call to verify thereafter. - Office of Consumer Affairs and Business Regulation = =' 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home ImprovemlikGontractor Registration Type: Individual Registration: 128957 OLNER KELLY 8 RHINE RD Expiration: 06/13/2019 YARMOUTHPORT,MA 02675 a - Update Address and return card. Mark reason for change. sea, i; zorn-osm _ 17 Address n.Q� I n c�nlQvmpnt.C1 LostCard ���e ipa�uo�ca�trveal��c�G�lLcu.icrc�utell3 - ' Office of Consumer Affairs&Business Regulation . 5 HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: ' Registration Ex iro ation Office of Consumer Affairs and Business Regulation ,' 11(957 06/13/2019 10 Park Plaza-Suite 5170 il�Y n, 02116 y`101 OLFVES M.IC:LY -e_� 8 RHINE RD. ` YARMOUTHPORT,MA 02675 Not valid without signature Undersecretary, 1 {�s. Commonwealth of Massachusetts Division of Professional Licensure ! Board of Building Regulations and Standards Construe#on.S�JpF+! r Specialty z , CSSL-099167 E' ires 09/28/2019. ° OLIVER M KEL.LY 8 RHINE ROAD: T YARMOUTH PORT MA'02676 N'- s 2� �rr .1C G - r .-- Commissioner " l & , DATE(MMIDD/YYYY) � - � - � _ �E °I�CATE �F_LIABILITY INSURANCE 1 W6/2017 + is ISSLIED ASA:i1b1TfEROErU�ORNIATiON ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER.THIS r-... 'i€i�s t►f3€AFATtYELY OR NEGATIVELY AMEND; EXTEND`:OR ALTIi THE.COVERAGE AFFORDED AY THE POLICIES TE >IAAIGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .: OIB1 t ER,AtA3;THE CERTIFCATE HOLDEFL !f tie holder anADDITIOtVAL INSURED,the polllcWteq must be.endorsed. If SUBROGATION IS WANED,subject to - of the poClryt,certain policies may require an endorsemenL A"statememon.thIs certificate does not confer rights to the CONTACT � �w�� _�liter isA�o#such mldorsemem(s). MARL Joanna Bednark £YNEIL INSURANCE AGENCY PHONEaWo 508 T(S-1B20 p�No ADDRESS: bednark doins.com 11V` RD INSURER AFFORDM COBEF" NAIC# WANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667 MWEEP INSURER B �ROOFING INC INSURERc. INSURER D. B' : INSURER E; YAFMIOUTHPORM MA 02675 INSURER F: COVERAGES. CERTIFICATE NUMBER: 205988 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..NOTVffHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11611 R 1TEMOFMSUI&ANCE D �� POLICYNUMBER POLICY EFF POLICY EXP LIAMCOMMERC[A . L.6EIIIERALLIABIIITY EACH OCCURRENCE' $ CLARMS44ADE ❑OCCUR DAMAGE TO PREMISES Ea D $ MED EXP(AM one $ WA PERSONAL&AOV INJURY $ �rLA 6ATELIMIT APPLIES PER: GENERALAGGREGATE $ 2 i?! i:d3:T1,10C PRODUCTS-COMP/OPAGG $ "4 •`. t $ - .` COMBINED SINGLE LIMIT _. ._. accident 3 BODILY INJURY Per person) $ ANDS a�, N/A BODILY INJURY(Pm accident) $ + PROPERTY DAMAGE Per accident $ i $ M=WM3JLAL4A2t OCCUR FPER RENCE $ I I CLAIMS-MADE WA AND � Y/N E. ER A I WAI NIA wa 6562U68H08580917 05/10/2077 05/1012018 EL EACHACCIDENT $ 500,000 N EL wsEASE-EA EMPLOYEE $ 500,000 ' below EL.DISEASE-POLICY LIMIT $ 500,000 WA DESCF4PnON OF TIONSf Y WINES(ACORO 101 Addilionel Remarks Schedule,may he attached d more space is required) Workers' b will be.paid to Massachusetts employees only::Pursuantto Endorsement WC 20 03 06 B,no authorization is given to pay dauns for benefiIS tD ampbyees In Sys other than Massachusetts if the insured lures,or has hired those employees outside of Massachusetts. This certificate of insurance sty the potiyrat force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this of insurance)_ The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at xwr mmss.govll%der m- nsabonriinvestigationsi. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN Mr Richard Perreault ACCORDANCE WITH THE POLICY PROVISIONS. 25 Princess Path AU1n(O;®R 3ntESE TAnVE Dennis MA 02638 "' C Daniel M.Cro�Iv icy,CPCU,Vice President—Residual Market—WCRIBMA O 1OW2014 ACORD CORPORATION. All rights reserved. ACORD 25.(2014101) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel CJ� Application # ; Health Division Date Issued 3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board #" P 2--?,-7 —4 3 Historic - OKH _ Preservation / Hyannis Project Street Addressj'1'1 Village Owner V 1 aA1 1CL_ A U 1CW Address 6 Telephone SbS "c3 al t 1�11S_ Permit Request J Sn4aU (Icbrk- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Y!�_lUo 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 ❑ No On Old King's Highway: ❑Yes ❑ 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 Q m Cou Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ oal stove: ❑YEs ❑ N6` Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ e� istin ❑ new�,t. ize g 9 9 9 9 .,,. 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 JdSk Eft-Y7J Telephone Number/"9,7F— Address lotg✓Dx 10 G 7 License # 0 -- Home Improvement Contractor# � A "36 �i G Mo1,r-�:u 4�ps Worker's Compensation # ttx yoD'2391?®o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE :7 f k FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 't ADDRESS VILLAGE OWNER F DATE OF INSPECTION: FOUNDATION FRAME E t INSULATION h FIREPLACE i ELECTRICAL: ROUGH FINAL :kf PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �r The Commonwealth of Massachusetts Print:Forrn Department of Industrial Accidents ---- Office of Investigations F 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): djN, ,�, 7- Address: P0 l�� City/State/Zip: ,/� M6_kone#: Are an employer?Check the appropriate box: Type of project(required): l. I am a employer with !b 4. ❑ I am a general contractor and I employees(full and/or part-tune). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g_ Demolition workingfor me in an capacity. employees and have workers' y p �'• " 9. ❑ Building addition [No workers'comp.insurance comp.insurance. required.] 5: ❑ 10.We are a corporation and its ❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LQ Plumbing repairs or additions '' myself. [No workers' comp. right of exemption per MGL 12.Q R99f 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 employee& Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: �i!(��J�3 l�� Expiration Date: v X1.3 Job Site Address: 33 7—D b i City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb E!rg&under the airs and enalties o that the in ormation provided above is true and correct Si ature:f . -__ _ . �. . _ ._ _ _ _ _ _- -._--Date _-_ Phone#: — �� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 02/26/2013 01:20 9787778415 PAGE 01 coR� V INSURANCE z CERTIFICATE OF LIABILITY INSURAN /26/2013 �3 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 AFF�b fJ`. 1?1 MAF1#rCTee'1 LL, BELOW. THIS CERTIFICATE OF INSURANCE DOES'NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU (9, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cWtlllcats holder M an ADDITIONAL INSURED, the POlky(ide)must be endorsed, If SUBROGATIOI��. tM lenna and Ccrldlt1011s of the pulley,cerfaM Policies may re*dre an andorsemenL A atatament on thls WrtlRcats does not confer.rights to the ceruflaab holder In Ihw of such endoraement(s). PRODUCER COUNTY INSURANCE AGENCY INC rRu 123 Sylvan St PH0 (978)774-2463 �. ,:d9a8777-9415 Danvers, MA 01023 AbWEss•0 s 1.) ; ..So. INSUPIE a) AFFOaGINO COVERAGE INSURED INSURER A:Comprerce Ing. Co. Building Performance Contracting, 7•Td_ INSURER a:ES®ex In19. Co. INSURERC:Atlantio Charter P.O. Box 63 3 INsuRER D Truro, Ma 02666 INSURER E: INSUR F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE I POLICY NUMBER M MMlD LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1 000 000 % COMMERCIAL oENERAL LIABILITY n EMISEs Ee n.01_ s 50,000 a AIMs#1ADE 7 OCCUR MED EXP Any one person) s 1,000 9 3DE9441 11/19/12 11/19/13 PEF48ONAL&AOV INJURY S 1 000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGp S 1,000,000 POLICY L7 PRO LOC JFCT AUTOMOBILE LIABILITY 3_ (Ea acciden 1 000 000 ALL AUTO OWNED SCHEDULED LQ3989 BODILY INJURY(Per person) 9 A AUTOS X AUTOS BODILY INJURY(Par accident) S HIRED AUTOS ANO$WNED 2/2/13 2/2/14 s accident X UMBRELLA UAa occuR EACH OCCURRENCE s 2,000 000 D EXCESS LIAR CVBW3904112 5�1/12 5/1/13 AGGREGATE $ 2,000,000' CLAIMS-WOE DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY C OFFICAW PERNEWER EXQLVoe09 y❑ NIA 11/23/12 11/23/13 E.L.EACH ACCIDENT S 500,000 (M*ndK"In NN) WCV00939900 EL.DISEASE-EA EMPLOYE S 5()0,000 If yea.desefflIe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMrr S 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACDRD 101,Additional Remarks Schedule.If more apace Is MQUlred) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable, Ma THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED R NTATIVE (b 19 18-2010 AC RD CORPORATION.U4Qh1s reserved. ACORD25(2010/05) The ACORD name and logo are reglistered marks of kCORD License or registration valid for individul Use only Oniice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Tom. Office of Consumer Affairs and Business RegUW istratlon: ::j7235 10 Park Plaza-Suite 5170 WE'ration: AM LLC Boston,MA 02116 m ::; BUILDING PERFOR6E CT1NG,LLC. JOSH EDMOND S KINNIKINNICK RD t' _. ��.�--7� v ✓ of valid without signature TRU RO MA 02M underseeretary �tassaehusetts-Deliartment of Puhlir Safeh Board of-Buiidin-,ROMIations and Standards ..ram._....-_ License: CS. 7W5 = ' JOSH EMOND P 50 SUNSET"DRIVE BEVERLY, MA 01915 Expiration: ('ommbMk)ner _ Tr# 1 OWNER AUTHORIZATION FORM IVIA LAA) (Owner's Name) ' owner of the property located at (Property Address) C U mn,a, ( rope(Oropeo Address) I ` t hereby authorize sit �C. (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. caner s Signature Ova— Date Building Performance Contracting,LLC Nauset Insulation P.O. Box 1044 N.Eastham,MA 02651 Phone(774)316.4464 Fax(774)316.4462 Date �� w RE: Insulation Permits Dear Mr Perry, This affidavit is to certify that all work completed for the insulation work at �Aw' �T- has been inspected by a certified Building Performance Institute(BPI)Inspector.All work performed meets or exceeds Federal and State requirements. Respectfully, s mond00 C Town of Barnstable Regulatory Services pFtN¢ Thomas F.Geiler,Director Building Division snxivsTnste, + Tom Perry,Building Commissioner y MAM g' 1639• 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinances Violations) and Order to Cease, Desist and Abate: Terrence J Boylan, Sr & Virginia and all persons having notice of this order. As owner/occupant of the premises/structure located at 3890 Main Street, Barnstable,MA Map 335 Parcel 021,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,May 25,2011 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: Chapter 240 Section 11 (A) 1 RF-2 Residential Zone 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: Art shows, exhibits, retail sales, classes and related advertisements, any and all uses other than that of a residential single-family home And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof) within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. der, Robin C.Anderson Zoning Enforcement.Officer Q/FORMS/viozonel COMPLETE •N COMPLETE THIS SECTION ONDELIVERY ■ Complete items 1,2,and 3.Also complete A. nature Item 4 If Restricted Delivery is desired. ❑Age ■ Print your name and address on the reverse .T X 9Addresse, so that we can return the card to you. B. N by(Printed a C.Date of Deliver. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1: Article Addressed to D. Is delivery address different from ftem t? WYes If YES,enter delivery address below: ❑No -41 v t it 5< �.,y�a,1 Ida Cc-,/M� 3. Ser Type Lmertmed Mall ,:O resa Mail v v'',0.-q V,A ( V,` r ❑Registered []'Return Receipt for Merchandise C;)L po � ❑insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Feel Yes 2. Article Number 70�b p813 13001 . 3525 5859 (rmnster from service label) - - 'PS'Form 3&T1,lFetiruary 2004 t I {Domestic Retum Receipt ttnsssoz M ts4 • Er . . ■ Ln I. CD • . Coverage Provided) Ln Ve F• Al Ln m Postage $ a NIS o Certified Fee r3 Return Recelpt Fee ostm Cy C3 (Endorsement Required) Here O Restricied Delivery Fee ¢[/ ri (EndorsementRequlred) € all _ ._. CIO O Total Postage&gees C3 .Se C3 r4l X. N -NOB shee orP08oxtVo. ���� �ltr ..... ........... - :. .City State,ZIP+4 ` t Sculpture In Steel Page 1 of 2 Edward Lyman Rondeau Sculpture In Steel Home e x About The Artist 1. *A;. $ TJr Why I Sculpt k.' V AXf' ate .` m ands ° ;t °3 The Gallery I' Contact Me y "#, ,- 2g +se'��+' '"' m'« '. "'� Yb` o-`"# y t t o ^,�., ,«,. ,y.. X a"* � Shows&Exhibits ��+ „���� �"����� � ����' �'� i� �, •`�'N,. Press , Awards&Honors ` x a #, (ShowS-&.Exhibits Current and Upcoming Click Here To Switch Views -Shows Recent Shows Show Gallery Garden City Art Festival Garden City, RI route 2 (Reservoir Avenue) Cranston, RI June 11, 2011 10:00 AM - 5:00 PM p � _- §' 100 artists and crafts persons will exhibit their work. w q ' ut 0,4 10 Free a (Rain date, Sunday, June 12, 2011) Q xis »� 2„ :" Al � r Art on the Lawn `U. 3890 Main Street, x �` � , Barnstable MA 7 a ` ' � ���j' (In the village 9 of Cumma uid Q MA) June 17, 18, 14, 2011 , Va x ;Fri. 12:00 - 5:00; f r�'� � 1 � ' �: Saturday and Sunday 10 00 AM --4:00-PM -- ° exit-7-off-Rte. 6.--turn-right to.end.then turn left on Rte•6A. nqi, Narragansett Art Festival < ` Veteran's Park at the "Towers" overlooking Narragansett Beach Narragansett, RI June 25, 26, 2011 e - ���. �, 9:00 AM - 5:00 PM ,. 1<a + yt 100 artists will display and sell their work at this annual event The Bill Krull Gallery z- h, 142 Boon Street 7a. " Narragansett, RI October 1-31, 2011 Ed will show his metal sculpture with mixed media artist, Richard B. Grant Opening Reception &Hours: TBA (401) 782-1715 Old friends...New work III Sockanossett Crossroad Garden City Cranston, RI Dec. 1 - 31, 2011 An exhibit of metal sculpture, painting and photography including New http://www.sculptureinsteel.net/shows.php 5/27/2011 Sculpture In Steel Page 2 of 2 work by Ed Lyman Rondeau, Richard Grant and Terrence Boylan The gallery will be open during all library hours of service Cape Impressions Brewster Ladies Library 1822 Main Street Brewster, MA January 1 - 31, 2012 Tuesday and Thursday 10:00 AM - 8:00 PM Wed., Fri., Sat. 10:00 AM - 5:00 PM Featuring the work of Ed Lyman Rondeau,Terrence 3. Boylan and Richard B. Grant. The gallery will be open during all library hours of service 1 (508) 896-3913 Copyright @ 2007 Sculpture In Steel http://www.sculptureinsteel.net/shows.php 5/27/2011 Town of Barnstab s Regulatory Services t o& E�iyti Thomas F.Geiler,Director Building Division " SA ASS,LE,MASS, ' Tom Perry,Building Commissioner Mass. 1639. �� 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Terrence J Boylan, Sr & Virginia and all persons having notice of this order. As owner/occupant of the premises/structure located at 3890-Main-Street;Barnstable, MA Map 335 Parcel 021,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,May 25,2011 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: Y Chapter 240 Section 11 (A) 1 RF-2 Residential Zone 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: Art shows, exhibits, retail sales, classes and related advertisements, any- , and all uses other than that of a residential single-family home And, if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof) within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. rder, Robin C.Anderson ` Zoning Enforcement Officer i I QNORMS/viozonel LAW OFFICES OF RON S. JANSSON Tt1':'fix OF � } i NI T P I P P. O. BOX 147 r��.�W BARNSTABLE, MASSACHUSETTS 02630 `, 7 .`� �;, STREET ADDRESS: 86 Willow Street, Suite 4 TELEPHONE: (508) 362K_- 3377 Yarmouth Port, MA 02675-1758 FACSIMILE: (508) 362 3433 r i IV �f June 22, 2011 Thomas Perry, Building Commissioner Building Division Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Ginnie Boylan, Fanciful Furniture 7 3890 Main Street, Cummaquid, Massachusetts .Dear Mr. Perry: Pursuant to our most recent conversation, I am including an application for Home Occupation together with the following documents: 1. Sketch Plan of Lot showing four proposed parking spaces; 2. Copies for your file of photos of the property together with the types of furnishings on which Mrs. Boylan does her painting. As we had previously discussed, the house appears to have been built well before the adoption of zoning in the Town and is probably a pre-existing non-conforming a structure. It would appear that the Boylan's will comply with all of the provisions of Chapter 240, Section 4.6. They have advised me that they will not in anyway conduct any retail sales, have any art shows or exhibits or have any advertising which in any way reflects the address of where Mrs. Boylan will be conducting her classes. Per your suggestions, we have provided for four parking spaces within the property behind the 30 foot building set back. As I had explained to you, the attached barn which has been utilized by the Boylan's for a significant period of time consists of over 600 square feet and therefor is not in strict conformity with the 400 sq. ft. requirement. Mrs. Boylan however, assures me that only 400 square feet will be utilized during her classes. The remainer of the space is occupied by home -furnishings. If you prefer to have portable screening put up during the time of her classes, please advise. It is my understanding that you will allow her to have up to five students attending a class and that the hours of operation for her classes will be limited to weekdays from 9:30AM to 4:OOPM. There will be no evening hours or weekend.hours. All parking will be kept on site. When we met, you had suggested that Mrs. Boylan be allowed to be open on two days.- I am not sure whether we have reached finality on this point. However, after speaking with Mrs. Boylan she expressed her preference to be open on three days. Her rationale on this is that she has had up to 8 students in her classes and she will now have to split her classes up because of the five student limitation per class. Accordingly, she will need more hours of operation to accommodate the students. Finally, it is my understanding that the Notice of Zoning Violation to Cease and Desist is now corrected with the filing of the Home Occupation Permit subject to the within limitations. If I am incorrect in this regard please contact me immediately. Very truly yours JR !S.t3ason f RSJ/sb Encl. cc: Mr. & Mrs. Boylan � r. . _ _,-ems► I LAW OFFICES OF - RON S. JANSSON TOE;N OF BARNSTAL . P. O. BOX 147 BARNSTABLE, MASSACHUSETTS 02630 �c( € JUN 27 ? � STREET ADDRESS: Pi 1: 86 Willow Street, Suite 4 TELEPHONE: (508) 362 - 3377 Yarmouth Port, MA 02675-1758 FACSIMILE: (508) 362 - 3433 DIVISION June 22, 2011 Thomas Perry, Building Commissioner Building Division Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Ginnie Boylan, Fanciful Furniture —�38890 Main Street, Cummaquid,_Massachusetts Dear Mr. Perry: Pursuant to our most recent conversation, I am including an application for Home Occupation together with the following documents: 1. Sketch Plan of Lot showing four proposed parking spaces; 2. Copies for your file of photos of the property together with the types of furnishings on which Mrs. Boylan does her painting. As we had previously discussed, the house appears to have been built well before the adoption of zoning in the Town and is probably a pre-existing non-conforming structure. It would appear that the Boylan's will comply with all of the provisions of Chapter 240, Section 46. They have advised me that they will not in any way conduct any retail sales, have any art shows or exhibits or have any advertising which in any way reflects the address of where Mrs. Boylan will be conducting her classes. Per your suggestions, we have provided for four parking spaces within the property behind the 30 foot building set back. As I had explained to you, the attached barn which has been utilized by the Boylan's for a significant period of time consists of over 600 square feet and therefor is not in strict conformity with the 400 sq. ft. requirement. Mrs. Boylan however, assures me that only 400 square feet will be utilized during her classes. The remainer of the space is occupied by home furnishings. If you prefer to have portable screening put up during the time of her classes, please advise. It is my understanding that you will allow her to have up to five students attending a class and that the hours of operation for her classes will be limited to weekdays from 9:30AM to 4:OOPM. There will be no evening hours or weekend hours. All parking will be kept on site. When we met, you had suggested that Mrs. Boylan be allowed to be open on two days. I am not sure whether we have reached finality on this point. However, after r speaking with Mrs. Boylan she expressed her preference to be s.open on three days. Y Her rationale on this is that she has had up to 8 students in her classes and she will now have to split her classes up because of the five student limitation per class. Accordingly, she will need more hours of operation to accommodate the students. Finally, it is my understanding that the Notice of Zoning Violation to Cease and Desist is now corrected with the filing of the Home Occupation Permit subject to the within limitations. If I am incorrect in this regard please contact me immediately. Very truly yours Mson RSJ/sb Encl. cc: Mr. & Mrs. Boylan Town of Barnstable Regulatory-Services �Of. HE ro�L o Thomas F. Geiler,Director Building Division BABNMELE, _ v� i639. Tom Perry, Building Commissioner ? °reot,�ta 200 Main Street, Hyannis, MA 0260.1 lvsviv.town.barnstable.ma.us a, ri Office: 508-862-4038 FA6: 5Q'790-6230 ti Approved: Fee: r� JPermit#: . HOME OCCUPATION REGISTRATION Da[e: 6/22/11 Name: Terrence- J. Boylan. and Virginia Boylan Phone #: 508-362-7945 A(ldress: 3890 Main Street Village: Cummaquid Name of Business:—Ginn Boylan• Fanteiful Furniture r17ype of Business:• Decorative Painting Instructilft)/Lot: 335/021 t ' INTENT: It is the intent of this section to allow the resideuts of•the'lToiwn of Barnstable to operate a llonle occupation frithin sntgle family dwellings,subject to the provisior>.s of Sectioll 4-1.4 of the'honing ordinance,provided that the aetkrity shaII not be discernible front outside the dwwelling: there sliall be no increase in noise or odor;uo�isLlal alteration to tile' prermises luhich would suggest anything other than a residential use;no increase in traffic above normal residential volume's; and no increase in air orgrouncllvater pollution. After rgistrntion liritli(lie Building Inspector,a customary home occupation shall be perrliittecl as of right subject to the following conditions: • The actMty is carried on by(lie perniauent resident of a single family residential dwelling unit, located Withift that dwelling unit.. • ;Such use occupies uo more than 41,00 square feet of space. • There are no external alterations to the dwelling rt'llich are not customary in residential buildings,and there is no outside evidence of such use. • No traffic iirill be generated ur excess of normal residential vohr111es. • The use does not-involve the production of offensive noise, lribration,smoke, dust or other partic•ul,ir matter, odors,electrical distluba rice,heat,glare, humidity or other objectionable effects, • There is no storage or use of toxic or hazardous materials,or flalluniable or explosive materials, in excess of normal household quantities. . • Any need for parldlig generated by such use shall be met on the s1111C lot Colltailllllg tile CuStolllaly Home OCCupatloa,all(! Ilot tiithnn the required front yard. • There is no exterior storage oi•display of materials or equipment. • There are no commercial vehicles related to [lie Customary Home Occupation, other than one will or one Dick-up truck not to exceed one ton capacity,and one tnliler not to exceed 20 feet in length and not to exceed if tires,parked ou the same lot containing the Customary Horne Occupation. • . No sigh shall be displayed indicating the Customary Home Occupation. • If the Custonluy Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Custommy Horne Occupation who is-not a penmanent resident of line dwelling unit. I, [Ile Undersigned, have re,I d aIld agree %601 th above restrictions for Ilny home occupation I dill registering. AppllCallt: K_ Dite:__ o>q,V— r YOU WISH TO OPEN A BUSINESS? TOWN OF RA 1N For Your Information; Business cerdfscates [cosh. .00 for 4 years). A business certificate ONLY REGISTERS YUUR NAME in fawn (which you i r-ir�st. rJsr by M-G.L.Z �° A ° �iv y¢°u �qfission To uNerate.) You must first obtain the necessary .Signatures on tliis form at 200 Main St., Hyannis. + Take the completed form to We c r> W-A s Office, 1st Fl-, 367 Main St., Hyannis, MA 02601 (Town Hail) and get tie Business Certificate that is i required by law. i DATE: 6/24/11 gc � Fill in please: I 1 `-� APPLICANT'S YOUR NAME/S: Virei BI JSINESS YOUR HOME ADDRESS: 1,99 1 Main St ! .-�'_ - __ _- - - - =_:•�� 508-3�2-7945 Rom,-„ ta131e , = TELEPHONE # Home Telephone Number ,NAME OF CORPORATIOI NAME OF NEW BUSINESSGin y Boylan Fanciful F l i tnrP TYPE OF BUSINES5 n -IS THIS A HOME OCCUPATION? YES X _NO St_ _Ramat MA4a/FARCELNLIMHER [Assessing] ADDRESS OF BUSINESS 38CM Main When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This farm is intended to assist you in obtaining the intormation you may rieed. You MUST GO TO 200 Main St. - (carner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S FICE This individual has fi�ee ed of y permit requirements that pertain to this type of business- :k Authorized Sign ture** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business, Authorized S'ignatare* WINI M ENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type 0( business. Authorized Signature' COMMENTS: .3, may{ 1 , ,{ fowl All ji u . , JA IV \G �y 1 .fir S r . •� • 1 ti•�'f 't. �" k tir.. � _ _ �t�PN. §•1„ Slr •r,. _ _ ...'� .a+ s 1. a - a, ,ram .. ` i , i AP r . i d •v + ..e .. 1 5 gam... "'E. a. atf fx Imo.. °.� �. :s .. .set .. At •``�\. 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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes, Parcel ��� Permit# C'(01 'CIO Health Division �;5`, 3—(�'d� a�Se Date Issued C�'Z Conservation Division zoo Fee Tax Collector bEPT Treasurer —/cs ( � r �`d��Ll.�®IN COMPLIANCE Planning Dept. %R11TH TITLE 5 'c,iVI,R�ONMENTAL CODE Af`l_) Date Definitive Plan Approved by Planning Board ;p 9 'Rr%-_-GULKrF0j\"V' Historic-OKH Preservation/Hyannis Project Street Address J y qz) iir�S Village Owner - ��' �n Address `w'T Telephone Permit Request ��11). r Dp_ gA_k)p1eA? P 4 M') Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 05 '4 Valuation 20M Zoning District Flood Plain Groundwater Overlay 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 o + Historic House: Yes ❑ No On Old King's Highway: 'XYes ❑ No Basement Type: 8/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 7 4f new First Floor Room Count Heat Type and Fuel: ❑Gas )�(Oil ❑ Electric ❑Other Central Air: ❑Yes ZfNo Fireplaces: Existing ) New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:Oexisting ❑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 BUILDER INFORMATION Name —Q j 1/ L,4A) Telephone Number 3 69 —79 Address 5�90 I A w License# �)u1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 116 DATE a f FOR OFFICIAL USE ONLY PERMIT NO. DATE IS -tJED MAP/PARCEL NO. f r ff ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING. ) t DATE CLOSED OUT ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts _ Department of Industrial Accidents ,� �=�•- = 0/flce of/osestigat/oos . - . 600 Washington Street % * Boston,Mass. .02111 Workers' Com ensation Insurance davit name V I�Zr i IJ lAL�FI� location �i ci kA phonef �� I am a homeowner performing all work myself. I am a sole proprietor and have no one worl� in ca ac�ty an em to er rovidin workers' compensation for my employees working.on this job. I am P Y P..............g..............................::::::.:::.:::::.:::.::::::.:::.:.:::::::::::.::::::::.:.:.::....::.::::::.::::::::.:::::.::::::.:...:.:::::::::::.::::::::::::::...:..:::::::::::::::::::.::.;'.;::.;:.: com an nam 8ilr�s `on h cr tw - '`z oh ituranc ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: com an ,. ame. ;;..: .::.::::.... tires a : ,:;:::. da iii{: :-R:Lii:•i " n ` X. >:.. vj :::........................................:................................................................................................................ ......:.... :: ;:::::::::::::::::::::•::::•.................. . . •:•:.:::::::::::.:::::::•::::::::::::::::::•:.::::::::::::::::•:::.:: .I...:::.::.: .::.;:::•::.>;::;::.::::>;:•:;;;:•::.;:-:•:;;:.:;:.::;:.;::•:;;:;:;.:::::<.;:.::.:;:;:;;.:;;:;;.;>: tine: ..... ........................................................................................ :. •�'����•L111:i:'v:v�:�::{�;::::::::?:::j::.�:;:;i:;:;{'iy�::;:�:;i:;:;::F+:�i:�`:<'v:�:2i:'r:�i:>:::}�:j:�:;:ii:�:`: ::t:i;:}f:i>`::::�:::::::::�:;:�.';'�:i�:i:;i iiv::::�:.. �tL7nrattcc %//. Failure to setae coverage as required under Section 25A of MGI.152 can lead two the impositlon of criminal penalties of a fine up to$1,500.00 and/or one yeah+in►pnisonment ani weII as dvfi penalties in the form ota STOP WORK ORDER and a fine of$100.00 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 ertify under the pains and p aJties of perjury that the information provided above is true cnd correct Sig�tature Date /�_0 / Print name Phone# official use only do not write in this area to be completed by city or town official city or town: per>.dt/licerue# Building Department ❑Licensing Board ❑checkif immediste response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑Other. oaviwd 9/95 PW Information and Instructions ` 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 or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 filln the workers' compensation affidavit completely,by checking the box that applies:to your situation and supp lying`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 be sure to fill in the permit/liceris 'number which will be used as a reference number. The affidavits may be returned io 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 Invesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORK,SHEET NEW LIVING SPACE square feet x$961sq.foot= x.0031- plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >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 Open Porch x$30.00= (numbW) Deck x$30.00= (n �) 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) G ' Permit Fee . ptojcost q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building. Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date /T-kZ 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: /�fl)l"�I C�} �� Estimated Cost Address of Work: 216' ! 11AIN wA4AQU1a J-,1A 02&37 Owner's Name: ( LJ7 UGC% ZEzILAA Date of Application:J�LOC-4 1 X at"b z'_ I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 EJBuilding 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: Date Contractor Name Registration No. cls,UU-0 llz&s� OR glorms:Affi v :rev-122001 PcdELGI,c/CrMY ' ZPrro T0/5 ra - • 1� G �Ec�/�4 • Zx 4 )g4aS 14EA T, 4ct�c6s RAMP i ZoyZ,&1 RE,51z),C,,Vcf. lif,4,A( STAfFT nn -Joe--- E VA 7/Ojc� �, „-- l t vF�cA L Op ZME Tp� . BARNSTABLE, : The 'down of Barnstable `' ' Regulatory Services �oOATFD MA'i a,�� Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main-Street,Hyannis MA 02601 . ce: 508=862-4038 Pax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �( JOB LOCATION: (�) umber 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 dwellines of six units or less and to allow homeowners to engage an.individual for hire who does not possess a lice the owner acts as supervisor. P license,provided that DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,Qn.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 bee onsidered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be rem onsible for all such work verformed under the building ermit. (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 . p cedures and re uireme L S of Homeowner Approval of Building Official Note: Tbree-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 perfom3ing 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 work,that such-Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are ass uming.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. 1 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:EXENRYjN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 33Parcel ® / Permit# � Health Division J Date Issued Conservation Division `7 J 12411 PAWP 03� Fee �`2.5, � Tax Collector % TreasurerLd (474—lzwo ' STEM ILI USA'BE Planning Dept. IN"21ALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board l,WI H TITLE 5 [,:WRONIMENTAL CODE AND Historic-OKH Preservation/Hyannis T61-PiN PTECU'LA` IONS ,Project Street Address Village Owner Address �� 0 ��j/Gr .n� �v�. o<25 Tel�hone Permit Request O ,r�CL3��' � l®r ,,V? Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type sLot 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 ❑ No On Old King's Highway:' WYes ❑No Basement Type: ❑Full )8 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: 'M Gas ❑Oil Cl 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:0 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 f BUILDER INFORMATION ��// !6 1 1. Name �C��i� Telephone Number Address License# (f 5 /f f3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �/fi� ✓4hil7f SIGNATURE - �'✓ DATE 6 f - FOR OFFICIAL USE ONLY PERMIT NO. - r DATE ISSUED 14� .r - i` ► - ` r r MAP/PARCEL NO. ' t ADDRESS ' _ VILLAGE - `• OWNER DATE OF INSPECTION: ! fi FOUNDATION FRAME . INSULATION _ rt FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH t FINAL GAS: ROUGH a FINAL f FINAL BUILDING ru DATE CLOSED OUT M` s ASSOCIATION PLAN NO. ! I 1 - f A TEO PROJECT COST WORKSHE� E,5TIM Value LIVING SPACE (high end construction) square feat X$1151sq. foot= s = (above average construction) qcare feet X 5961sq. foot (average construction) ' square.feet X 557/sq. foot= GARAGE (UN FINISHED) square feet X»S25Isq. foot= square feet X$20/sq. foot ` PORCH DEC K square feet X S151sq. foot= R square feet X S??/sq. foot OTHE = Total Esth uted Project Value At i •\ � "p ,`'`�-'���_' �1.� o c.,.vi"Gcfc.may.icy 4 uxcr�.4'>d"uP 'U4.vw%-izi Nc, 'K-'gd H'R IN<.,,6L.u/Jlrtpp(�N. R G�^14'L-s rl=U/4K&Sot.10 LI O. V.4 :4rAffT 6iJrD.FL2. \\ \ Crxt+C{-.:IX!+ •.'�. . 'ACliJn 'pR.iP:.)x$Fa'�-,.c�.tn:�Ba.-1�c.8�r-�rf 4:0.. NCR. 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I •a .... • 1 •••1••1• saw I[I. • _a ••• •1 •r •1 • ' •�• • � •• � •I a1 ' -.v• •ruuu♦ /r. a• •••nIr •• • •U w•r_• •a•• • •• .1•• K1•I •ti1�•1�•1 11aa1a •- II• ••are . tsoasi— • •J •r I 1 1 1/ •• / 1 1 1 1 1 1 oil : 1 1 1 1 • 1 11 • / I MAScheck COMPLIANCE REPORT I I Massachus"is Energy C9,de I Permit q I MAScheck Spftware Verb,Jon 2.01 I I I I I Checked by/Date 1 I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-3-2001 COMPLIANCE: PASSES Required UA = 33 Your Home = 32 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 90 30.0 0.0 3 WALLS: Wood Frame, 16" O.C. 175 13.0 0.0 14 GLAZING: Windows or Doors 40 0.310 12 FLOORS: Over Unconditioned Space 75 30.0 0.0 2 --- --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4• Builder/Designer Date Q ]I I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions• Mesh tape may be I omitted where gaps are less than 1/8 inch• Duct tape is not I permitted• The HVAC system must provide a means for balancing I air and water systems• I I TEMPERATURE CONTROLS: Q ]I I Thermostats are required for each separate HVAC system• A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided• I I HVAC EQUIPMENT SIZING: Q ]I I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4• I Q ]I I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources• Pool pumps require a time clock: I Q ]I I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in•) : I PIPE SIZES (in•) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp• 201-250 1.0 1.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I E ]I I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in•) : I I PIPE SIZES (in•) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- T MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 6-3-2001 Bldg• I Dept• I Use I I I CEILINGS: I 1 I 1• R-30 I Comments/Location I I WALLS: E I 1 1• Wood Frame, 16" O.C• , R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: E ]I 1 1• U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Tyoe Thermal Break? E ]I Yes E ]I No I Comments/Location I I FLOORS: E I 1 1. Over Unconditioned Space, R-30 I Comments/Location I I AIR LEAKAGE: E D 1 Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed• When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1• Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space• 1 2• Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity• The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and sha_1 be labeled• I I VAPOR RETARDER: E 1 I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors• I I MATERIALS IDENTIFICATION: E 3 1 Materials and equipment must be identified so that compliance can I be determined• Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided• Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications• I I DUCT INSULATION: Q I Ducts shall be insulated per Table J4.4.7.1• I I DUCT CONSTRUCTION: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map q Parcel ( .; " Permit# Health Division Date Issued Conservation Division _t6L01,1fWd-9fiol 9 Fee Tax Collector �,Q. "310gVq� SEP71C SYSTEM MiUS 'DE Treasurer INSTALLtD IN COMPLIANCE Planning Dept.p R WITH TITLE 5 Date Definitive Plan Approved by Planning Board M,14 ENVIRONMENTAL CODE. AN TOWN REGUL' •T d xs O Historic-OKH Preservation/Hyannis Project Street Address ail& s Village Owner ��� %�1 11��I Address ram. a 77 Telephone Z — Permit Request_'r �� u - C� 64 4,4!�c /Oy /U mf-� t0t¢A16yX f- . 4yy s;�- •, Square feet: 1 st floor: existing proposed /ZF 2nd floor:existing )!i�?of proposed Total new Estimated Project Cost f Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: *Yes ❑No If yes, attach supporting documentation. 02e1 y � Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure o2 3 a Y 0 Historic House: AYes ❑No On Old King's Highway: &es ❑No Basement Type: ❑Full kcrawl ❑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 C5 Total Room Count(not including baths):existing new First Floor Room Courvt — Heat Type and Fuel: ❑Gas XOil ❑Electric ❑Other Central Air: ❑Yes *o Fireplaces: Existing New Existing wood/coal stove: O Yes O No .Detached garage:❑existing l(new size Pool:❑existing ❑new size Barn:❑existing Xnew size 24- 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 BUILDER INFORMATION f Name Lo M Telephone Number Address (PO fb& 4D License#QO 4/ >n/►�16q tLk�? An L Home Improvement Contractor# P S—S� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2l �US SIGNATURE DATE FOR OFFICIAL USE ONLY # PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ! - VILLAGE 'r � OWNER � .. • µ _. ; Y DATE OF INSPECTION: _ FOUNDATION FRAME INSULATION " FIREPLACE ELECTRICAL: ROUGH- „' FINAL PLUMBING: ROUGH; °-t FINAL l GAS: ROUGH? 7 FINAL n + FINAL BUILDING DATE CLOSED OUT �y ASSOCIATION PLAN NO. } 1 I 1 i iI I V I I. F , rvni co AK 570 1 I � j. I ' 1 I y , I , 1_. I f i : 1 r I � 1 , I I i I ' f , I I : I 1 4 I , I I ; I 1 do .b! At , j ftrnstabk as I�arbor tips a 35��� MARx s w //j 1� cli, f D,xS h 50 INDIAN TRAIL f r .1 n 'Y ``E rI�MAcwla, MA 02637 f T #8 10�, _' {VIF a , Locus z " }.r Uii tli. VzF ZE T F S17 3 7 I t nterline Of.Ditch - -2U Ufl, dF 259 f B ` BOYLA.lV, TERRENOE .J SR B{I:YL AN,>- N1,4 CIO 'VA U7REE R E SER LOCUS MAP RICHMOND, VA 23224 f' f SCALE 1'=3000't �� may; PROPOSED ASSESSORS MAP 335 PARCEL 21 J SHELL LOCUS IS WITHIN FEMA FLOOD ZONE C (GRAVEL AS SHOWN ON COMMUNITY PANEL 050001 0001 D � � � � 'BARN' WING BASE)\y DATED JULY 2, 1992 ZONING SUMMARY _ `` ° 1/J IDQ ` a� r ° 0 9 0' 3C o/ ; ZONING DISTRICT: RF-2 RESIDENTIAL DISTRICT y� _ WALK Yz N1 f MIN. LOT SIZE 43,560 S.F. Q p MIN. LOT FRONTAGE 20' / LOT WIDTH 150' Q ¢ MIN. FRONT SETBACK 30 #3890 MAIN ST c }3, MIN. SIDE SETBACK MIN: REAR SETBACK 15' � , EXISTING SITE IS LOCATED WITHIN THE AQUIFER ' O V _ - KEINniGd ;( PROTECTION OVERLAY DISTRICT *. I RED + er 1 St�ONI.Ycc OWNER OF RECORD po° ' RUCE CO I B,/UN TERRANCE J. BOYLAN SR ET:UX: ,� � .% •. •. _I. __�. OB 13400 PG 008 7_4 6` FOUND ' " - - = _ R 77. 2 REFERENCES ` -- may_ FOUND : (1909 Layouts (HELD DEEO :BOOK 13400 PG .008 1et �29 NOTE: Ind ...... te WETLAND DELINEATIONS SUBJECT TO VERIFICATION BY —,n�►"" BARNSTABLE CONSERVATION COMMISSION. CONTRACTOR TO VERIFY ALL UTILITIES, NOTIFY DIGSAFE, e AND VERIFY IF SEPTIC SYSTEM IS H-20, MODIFICATIONSU. TO SEPTIC/BOLLARDS WILL BE REQUIRED IF COMPONENTS NOT WE I y� �,- off 508-362-4541 CURRENTLY RATED FOR VEHICLE TRAFFIC. i �f DA Imo- 5c � C)JryLA �,� Site Plan fax 508-362-9880 A. NI'L v�E • . PROPOSE© USE: ; ;€ 0JA a #3890 Maid Street wl,cog :co�, o �FJ: � p �mrna u�d Barnstable} MA doW1r r�►po gineetin ff, 17C. RESIDENTIAL DWELLING WITH ACCESSORY HOME OCCUPATION .1 � J a 1 _, civil engineers r DATE: 6-24-201 1 NOTE: SPACE #5 AND FOR RESIDENTIAL USE ONLY. tEXISTING} :I Scale: 1"= 30' land surveyors PARKING FOR FOUR CARS IS PROVIDED BEHIND FRONT YARD SETBACK . DATE DANIEL A. OJALA, P.E:, P.L.S. 939 Main. Street ( Rte 6A) I � ..._.: CE 11-150 0 15 yC 45 6C; 7� FEET YARMOUTHPORT MA 02675 Barnstabk HarbIQT I 3 S� # ARK SCIBEt31 0y5. 0 INDIAN TRAIL ' 02637 AS a[t, 13 — MbIAt311?, filA PLr ; k1F WF VVF J -- nAv4p sq a 2�+ ---- Now 251' "B nter/l Of hitch" YIF47 F I. o. b B0AA.N TERRENCE J SR BOYLAN QU/9 E i C/O 11ALU7REE R E SEm CES LOCUS MAP s, RICH OND, VA 232a� SCALE 1'=3000'f ASSESSORS MAP 33 P5 PARCEL 21 ' SHELL PROPOSED G LOCUS IS WITHIN FEMA FLOOD ZONE C �> All AS SHOWN ON 'COMMUNITY PANEL. #250001 0001 .1) "BARD' WINS BASE) DATED DULY 2, 1992 ZONING SUMMARY __- ZONING DISTRICT: RF-2 RESIDENTIAL DISTRICT I ._ WAL.ac ( �a MIN. LOT SIZE 43,560 S.F. .� ►� MIN LOT FRONTAGE 20' LOT WIDTH 150' � � #3890 MAIN ST MIN FRONT SETBACK 3fl' MIN. SIDE SETBACK 15' ~ MIN_ REAR SETBACK 15' EXISTING SHELL SITE IS LOCATED WITHIN THE AQUIFER KINO PROTECTION OVERLAY DISTRICT - RDENCf OWNER OF RECORD '` t3(wLy ' TERRANCE J. BOYLAN SR ET.UX. QF / DB 13400 PG OOs O7 FOUND _.... _ - R=y7. 2 REFERENCES I - a�x � ut �a E- L — —30 3 FOUND (1909 Layout (/-IELD DEED BOOK 13400 PG f)08 0 NOTE: in �._ $' ►'o WETLAND DELINEATIONS SUBJECT TO VERIFICATION BY BARNSTABLE CONSERVATION COMMISSION, ,,,..+•�"""'"+/" ---__ '�"'+`r..,�+�.�ry �'` CONTRACTOR TO VERIFY ALL UTILITIES, NOTIFY DIGSAFE, AND VERIFY IF SEPTIC SYSTEM IS-H-20> MODIFICATIONS �4 TO SEPTIC/BOLLARDS WILL BE REQUIRED IF COMPONENTS NOT - off 508-362-4541 CURRENTLY RATED FOR VEHICLE TRAFFIC. � � IA #I.ImLA LaIL Site Play I axOs- s2-s$so CI'illl_ � � �� !Y� � clowncctpe:com O PROPOSED USE: I0 — �� 7 c RESIDENTIAL DWELLING WITH ACCESSORY HOME OCCUPATION o�= � �Cul rn qua {B rust b e , NIA ��,�� _ � � ci l✓il engineers PARKING FOR FOUR GARS IS PROVIDED BEHIND FRONT YARD SETBACK S i �'` Scale:1�= 3tJ' — —2 C surveyors SATE' �� 24- {:�� /ai') NOW: SPACE #5 AND I6 FOR RESIDENTIAL USE ONLY. (EXISTING) 939 Adain Street ( Rte SAS DATE DANIEL k OJALA, P.E., P.L.S. YARMC1tJ'71-i'PORT MA t 2fi75 ' DCE # 11-}50 0 15 3€I 45 50 75 FEES i Z? 15) y 04 � Ef To fa of �TtttrG........... _ ........... ... f r f� � }-• ; -- ..„ __ _ `rf, � ` � �` '� O .... : •1 �E�DGe.` e�ti►oscAN D GsX/,S.T- //yc` 37' MA _ Al'q '> 7/li_=rrrr���=t�_ i _ _ e ee:12N an Val,F'�•. t [� r ►' 2.4 �/� „ •I� ,, „_ ,,,. •••-• ,,, ram' " '" ,t... "`v,.�.... -+. _ � =="""_ � .fQ.--- FL v L✓ P2v�aG�T'3/ L �iv� /S C�NTG��L ./'I�.r----,f- �, .,.. ._..-.. .` '�.. ;��..r•'�--*--...�_-.... Y.-._. _ .. .___._ . r :. .. ..:::.. Al) 1 , VAU 2 / T•"' . 4 CN 3 2CAI I, 71 36 , �' ,�_ 7- p.... 0'-...B�v.a _ /....._.......... ...... 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KELLEY No. 26100 0 / '`Fs ISTV, /ANAL LAW �- IV67S t , �.�...: _ JT VT -- �3 r" 11 t I a• ._.�1 _ a r jt- _ b f-- "Al4. ofs I , p lH _ ICA- to • , t - k + SCALE: e IO{T Lv a APPROVED BY DRAWN BY C^: tf`y'7t DATE: -C. REVISED 1 i "-" DRAWING NUMBER aA ti sti ' ry f C5 zN" 4L - - - - 37 b- SCALE: 1 ♦3 — 1_ Ufa APPROVED BY: DRAWN By,,c DATE: i $ REVISED z a DRAWING NUMBER C 6 G ' �T V�Appll .E 5 \ NF-W },00'F WAILS 1?s+�Qht SNED I NEW Ra7f.+CT�'� SETgACK Hoo5c AT � - -- � 1 AlT EA S t D� � �OREG¢OUND ' OF FSOlc / Iy.�ST• Poor- PC T + �j+4Kril 'I _ '1%C�CED EXIST. 1C71 O°J�uD�T_ �DY��+►�•.J R�Si�DCNGE ✓KA,L4t4 OR, 2001 , 073