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4005 MAIN STREET
a . - \ V intZ'/I Y1 1-10 e. , rt s : •5 anc . , h. w ,� � ... d 1tc, �. -., ,. :ate. ;y' .' ''�y "` ' , wt yo- y s� k r. u 3 , . , Sri. z i n a '" * d . r ry _re k-itip e hddre ss i S -_ s -aA) I� oo`7 rna, A_St -Boil-y‘s40: le Cc Di-la. : g t l]�► P •, • Q ---- IRC._NOL.-1,R;C01_ ' r..bad L Town of BarnstableBuilding 47 ,� _ �.a� !` ern `" �"-- :- ,,v 3a 3 �4. , ��w?'. §'',': 5 ;` J'+ .� . ?'' '"• .� �.,e ,I Post This a'rd So That it is Visible From; he Street=A roved;:Plans Mustbe Retained on:Job"and this Gard Must be Ke t, F BA;,. ,f, - :', : }, - o: "v. `i};: w Pp a ys• t ..' i* q �.- P •, . " t .v ,T3f? dOccu ied until a Final Ins"ection has: JjJI er l� p � p.,a �." P w, Permit No. B-18-1791 Applicant Name: Michael Maille Approvals Date Issued: 06/08/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/08/2018 Foundation: Location: 4005 MAIN ST./RTE 6A(BARN.),BARNSTABLE . Map/Lot 335-032 Zoning District: RF-2 Sheathing: 7 ,ram �- . 7-.. Owner on Record: DUNNING, BARBARA A TR =` Contractor<�N"ame PROJECT MANAGERS LLC Framing: 1 4Contractor-License 'p155863 Address: P 0 BOX 1236 2 MOORE HAVEN, FL 33471 ..� Est Protect Cost: $2,400.00 Chimney: Description: Siding Permit Fee: $35.00 r `� Insulation: lAtistOiNM Fee Paid 535.00 Project Review Req: i Final: Date 6/8/2018 Plumbing/Gas Rough Plumbing: *V .�•w" •- BuildingOfficial 7 , � f s Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theapproved construction documentsfor�which th s permit has been granted. All construction,alterations and changes of use of any building and structu,er s shall a in compliance with the local zoning b laws ar d codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open foir p blic'�inspection for the entire duration of the work until the completion of the same. .y �, x Electrical I � ��,.. Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officialsiare provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: , ; r'" Rough: 1.Foundation or Footing 3 w g 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r x —i '' —I q /I o* Application� number r I •►�li A1. 9 A=PRESS r? D. .f cued V ` s. ` L8' 4 9. �� ' juN 0 5 2013Building Inspectors Initials...( 3 las TOWN (* I-JAHN 9, .. vl?o TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY tNFORMATION C N. 4\ le U`A, I J.Address of Project: 4! fil A i '4-- S J 6 A- Cu`'"`-tr^' t v' ER STREET VILLAGE ` Owner's Name: e (( '( Phone Number S'O eg 3 Ca a �3-'1 q Email Address: Cell Phone Number 36)-d. 1 I, o-e, / Project cost$ a_goo, Check one Residential ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application .r p ding pe 't in accordance with 780 CMROwner Siature: p _ Date: 6 / 5— / ,` TYPE OF WORK Siding [2 Windows (no header change)# 0 Insulation/Weatherization El Doors (no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name (711_67 c An A0—A- -ttriS LL(. Home Improvement Contractors Registration(if applicable)# (Ts 6 3 (attach copy) - Construction Supervisor's License# GS "Oil-7 (attach copy) Email of Contractor 1(1.4v 4' it • t°Iv cC ('es �P one number ° G / �� ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN ______ .._.. ._....�.....�-w., I iternDir A DDD/ll/AI Rc nRF A PFRMIT CAN BE ISSUED. APPLICATION NUMBER ford.. *For Tents Only* Date Tent(s)`will be erected Removed on , number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit - non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. k *WOOD/COAL/PELLET STOVES * Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side - HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number - Cell or Work number 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 required by 780 CMR and the Town of Barnstable. Signature Date ANT' I ATURE J Signature Date / / All permit applications are subject to a building official's approv ' (to issuance. • r The Commonwealth of Massachusetts `: Department of Industrial Accidents �• °® :' Office of Investigations _ y • -= = 600 Washington Street • `i°, E Boston,MA 02111 K v'a y' _. w T. _ www.mass.gov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/E1ePctriiccianslee �umberrs Applicant Information / � Name ness 0rgaiuzation/lndividual): 416 4_ � A--? Cam— Address: i M v4 OV c 1„ Phone#: 5c5 Y 6 /Y 6 City/State/Zip: • • Type of project(required): Are.yo n employer. Check the appropriate bog: general contractor and I 4. I am a • 6. 0 New construction 1, I am.a employer with have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. El Remodeling 2.❑ I am a sole proprietor partner- These subcontractors have 8. []Demolition ship and have no employees employees and have workers' 9 0 Building addition working for me in any capacity. +nrn>�nce� o workers'comp•insurance comp. 10.❑Electrical repass or additions [No 5. 0 We are a corporation and its required.] officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I myself,am a homeowner doing all work right of exemption per MGL 12.0 goof repairs un er workers'comp. c.152,§1(4),and we have no 13.0 Other______—_insurance required.]t employees.[No workers' 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 contactors must submit a new affidavit indicating such. tContractors that check this box must pshowingdeir name'comp.f the b-coicy moors and state whether or not those entities have employees. If the sub-contractors �R and job site I am an employer that is providing workers'compensation insurance for my employees. Below is the policy I information. ,�-n �7'v �` ' Insurance Company Name: ,� G iJ�• 1�0 —`(^ (`� Expiration Date' / �--a / }��� Policy#or Self-ins.Lie.#: ,,n � 4 � V�•�l � � l� — 1,4/ �' City/State/Zip: Job Site Address: page thepolicynumber and expiration date). Attach'a copy of the workers' compensation policy declaration a e(showing tiond of . Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties d/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine fine to$1,500.00 an Y maybe forwarded to the Office of of up to$250.00 a day against the violator. Be advised that a copy of this statement Investigations of the DIA for insurance cov :e verification. under e p an p /, ; o fpy =formation provided above is true and correct. I do hereby certify 6 r5� l % Date: Signature: 2-Z (____Le- .--. y G (L?U 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): Inspector 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing 6.Other Phone#: Contact Person: 1 • Information and Instructions Massachusetts eneral 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 defied as"an individual,partnership,association,corporation or outer legal entity,or any two or more of the foregoing engaed in a joint enterprise,and including the legal repres a. es of a deceased employer,or the receiver or trustee of individual,partnership;association or other legal entity employing employees. However the owner of a dwelling hoe having not more than three apartments and who resides therein,or the occupant of the dwelling house of anoth. who employs persons to do maintenance,contra ,,on or repair work on such dwelling house or on the grounds or appurtenant thereto chall not because of such::..ployment be deemed to be an employer." MGL chapter 152, §25C(6): o states that"every state or local licensinl agency shall withhold the issuance or renewal of a license or pe it to operate a business or to construct •. dings in the commonwealth for any applicant who has not prodn,-• acceptable evidence of complianc::with the insurance coverage•required." Additionally,MGL chapter 152,.25C(7)states"Neither the comma• ealth nor any of its political subdivisions chall enter into any contract for the p- .rmance of public work until ac •table evidence of compliance with the insurance • requirements of this chapter have t4en presented to the contractin_.authority." • Applicants Please fill out the workers'compensation a:.davit compl- -y,by checking the boxes that apply to your situation and,if . necessary,supply sub-contractors)name(s), .•• -ss(es) .•, phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC),•r -t. Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry w• kers' .mpensaiion insurance. If an LLC or LLP does have employees,a policy is required. Be advised that . s davit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. 4 o be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application a permit or license is being requested,not the Department of Industrial Accidents. Should you have any questi.a ding the law or if you are required to obtain a workers' compensation policy,please call the Department.• the •,••.•,.er listed below. Self-insured companies should enter their self-insurance license number on the appr•. '.• e. City or Town Officials • Please be sure that the affidavit is complete ..1 d printed legibly. Th. Department has provided a space at the bottom of the affidavit for you to fill out in the ev..4 the Office of Investi•:...ns has to contrt you regarding the applicant Please be sure to fill in the �.. - permit/license ber which will be used.< a refe rence number. In addition,an applicant 'that must submit multiple permit/license .lications in any given year, ed only submit one affidavit indi 'a: current ' policy information(if necessary)and um,- "Job Site Address"the appli should write"all locations in (city or town)."A copy of the affidavit that has •een officially stamped or marked b the city or town may be provided•to the • applicant as proof that a valid affida ' is on file for future permits or licenses A new affidavit must be filled out each year.Where a home owner or ci' - obtaining a license or permit not relat- to any business or commercial venture (i.e.a dog license or permit to burn eaves etc.)said person is NOT required to •lete this affidavit The Office of Investigations wo :d like to thank you in advance for your cooperati.. and should you have any questions, please do not hesitate to give us : call. The Department's address,tel�hone and fax number. '_ E, / The Commonwealth of Massachusetts Department of Inchistrial Aeo dents Offite of Investigations 600 Washington Street Bow,MA 02111 Tel.#617 ` 27-4900 ext 406 or 14 MASSA Revised 4-24-07 Fax#617 727 7749 w .roass.govfdia • , k13,—, Mas-s-achusetts Department of Public Safety) Board of Building Regulations and Standards License: CS-095981 Construction Supervisor WILLIAM F PLANINSHEK 15 LEXINGTON LANE• 501 i YARMOUTH PORT MA 0267 ,5;'- *..' 0.1 , Itliii 1.,- . Commjssjoj Expiration: 10/25/2018 • . , I Cl/be V , , V 1 i.. ,. Office of Consumer Affairs and Business Regulation • 10 Park Plaza - Suite 5170 . Boston, Massachusetts 02116 — Home Improvement ontractor Registration _ Type: LLC Z .............07` ................. Lo Registration: 155863 PROJECT MANAGERS LLC Expiration: 05/14/2019 15 LEXINGTON L . -, ........... , •••••••••••nor omeammote >, YARMOUTHPORT,MA 02675 , .......r. _ t., \1, 141 FLL s'Is 1 Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 „ ::: Ittizr?am, a'.i i=427c-14:1iyi. -Ae Woln/m,olievectia cia/a/saa,chtedeas 1 Office of Consumer A t f a i r s&Business Regulation , HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC -,.. . before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation r- r---;-,=-"155863 _ 05/14/2019 • 10 Park Plaza-Suite 5170 _____...;(2. PROJECT MANAGERS L t 0,, ,,' Boston,MA 02116 YARMOUTHPORT,MA 02675 fidot valid without signature Undersecretary k I ...-^ i 1 I , ,mo ty t Town of Barnstable • Building Post'This Card So That rt is Visible from the Street Approved Plans Must-be Retained on'Job and this Card Must be Kept Toh_ 761:5�w . Poste�d�Untihmal Iris �ectign Has-Been Made � v � � �"�.� ����°t � �� 1: i 1 �.�1 �,��<���� Where,a Certificateof Oc`ci pancy is Required;such BuiI uig shall Notbe Occupied until a Final=Inspection has b4Iadee Permit .. Permit No. B-17-3182 Applicant Name: DUNNING, BARBARA A TR Approvals Date Issued: 10/24/2017 Current Use: Structure Permit Type: Building-Demolition-Accessory Expiration Date: 04/24/2018 Foundation: Location: 4005 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-032 Zoning District: RF-2 Sheathing: Owner on Record: DUNNING, BARBARA A TR ''' g= Contractor Name:., Framing: 1 Address: P 0 BOX 1236 Contractor License: 2 Est Project Cost: $ 1,000.00 MOORE HAVEN, FL 33471 , Chimney: Description: raze existing barn �i ' Permit Fee: $50.00 k Insulation: ` Fee Paid:. $50.00 Project Review Req: i ._ Date: 10/24/2017 Final: . . //;✓ '' Plumbing/Gas ` Rough Plumbing: t rv, Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedby¢this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved applicat on and the'approved construction documents for 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 or` by lav�sfand codes. . , This permit shall be displayed in a location clearly visible from access street road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. 1`° <s : � ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by theBuildi ng and Fire Officials are provided on this"permit. Minimum of Five Call Inspections Required for All Construction Work:: " 1 Service: • 1.Foundation or Footing c '� Rough: 2.SheathingInspection 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). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 5 Parcel Application # Rs—ri.-- 2.. , Health Division Date Issued lb �/7 i°ll ' Conservation Division tdk / ` Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board"f9/C -el Historic - OKH Preservation/ Hyannis e '4e - -../ z yt-r c. Project Street Address 1+0OS HAW 1 /P'rE &A i/4i^ova., Village A11-01 . kl01.E q L Owner t r x t r 9 i BA-1213 AAP% t grit . Address PO o eby. %2 3 to 11 air Ike 4 cki r Telephone 33 Li1 1 Permit Request 'R Alt e-posiei IV Ly GA-1&1J Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ✓Project Valuation I/ rrCr6 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 Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: U.Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No y;. Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: . Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION 4 (BUILDER OR HOMEOWNER) • N AName 1 T J A ilk.- 6P f9 Telephone Number Address (7o 6 6 rk, I 1'36 License# Oy o 0'1' -FL 3310 C Home Improvement Contractor# Email l tGCA-Ira G P'en ca'f`'\ Worker's Compensation # 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I' EA "rAk/Ar04.31, ifi (i4eJ e,l 1,yktd g1,11 SIGNATURE 169-44" f DATE 94i/i? FOR OFFICIAL USE ONLY -- APPLICATION # • DATE ISSUED ._ MAP/ PARCEL NO. • ADDRESS VILLAGE OWNER • DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE • ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I 3 CUM lid 9/I 9 c7 f , I s, Y 4f I Pt 8 w k 3. P'a9'-Sep.. - ,p ..•. Y . t KT ' + 36 fifi' .p t r z f,�1€ Y. ; J �A �` a i. tee„-°a`$+ f; x^ $ .x as ' p r - a�` p tI. 1. i ` .� y '•. d ^ —, s ! 4 § f �.^ F J u' sg i 4". �*d. y �y y. a > ' t is , ,g: _ , , ,,i; /g7P---4-'7II:4'.- '''''..--.1 „.-'414: '' `" i Y ctt /AI 1. R,,, $11. 341 ^%>,.... iii,, ` I" ,: t 1 / 4. t Sri . i x * �, f . h. 'de h, mm. -M ettmoix .,,tee, A ' P y, Mckechnie, Robert From: Logan, Erin Sent: Thursday, October 19, 2017 4:14 PM To: Mckechnie, Robert Cc: Jenkins, Elizabeth Subject: C4005M5in Street, Barnstable, Map 335, Parcel 032 Attachments: 4005 Main St Barnstable DEMO.pdf Good afternoon,Bob, I have been given authorization by Elizabeth,to sign-off on the demolition of the garage located at 4005 Main Street, Barnstable,Map 335,Parcel 032,as per the attached engineering report.The demolition of this structure does not require Old King's Highway review,per the 2008 Old King's Highway Regional Historic District Commission Bulletin,October 2008 ed.,page 8,Section 7-Exclusions. Please let me know if I can be of further assistance. Best Regards, Erin K. Logan Erin K.Logan. Administrative Assistant Town of Barnstable Planning&Development Department Old King's Highway Historic District Committee Barnstable Historical Commission 200 Main Street,Hyannis, MA 02601 Phone 508.862.4787 erin.logan@town.barnstable.ma.us • a _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # g I 1 - 011 i Health Division Date Issued Zk a 7 Conservation Division Application Fee Planning Dept. Permit Fee I 0 C o Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/ Hyannis Project Street Address f' ' ' Village 41,11 Owner f�\ ��u�.� Air(3exlc,,,L,e-, Address ki`c.-- kj"^ -NO> 6 Telephone � :� i'( — j i "e Permit Request �►� C5 e—d x— yam, Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,06() Construction Type \. 4 Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure (tO Historic House: ❑Yes ❑ No On Old King's Highway: es ❑ 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 BUILDING DT. Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Mani Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other TOWN OF BARNSTABLE Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `=- - Telephone Number Address \C) �$S ��- License# CC IS I'N( CS-11 Home Improvement Contractor# i LA t Email A-C -)Oj�vlCIWrker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROQM THIS PROJECT WIL,L.BE TAKEN TO SIGNATURE DATE 36 ?- t ( / FOR OFFICIAL USE,ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL FINAL BUILDING • DATE CLOSED OUT ASSOCIATION PLAN NO. • • The Comman akh of Massachusetts _..__ pvwDepartment of IndustrialAccident • tf �e Investigations _tlj�r�dy 600 Washington meet • �� Boston,MA 02111 Workers' Conapeniation Insurance Affidavit B {ieI s/Co I c rstElc_c ri ion clPlara , - er5 Applicant Information Please Print Leery Name iT& \ . Cr AddresK • cayistaterzip: Phone is: Are you an employer?€heck the appropriate bus; Type of project(require_ L 0 I am a employer with. 4. 0 I am a general contractor and I • �•:• �yees(fall audforpart-timed* have 7ured.'the sub-co 6- ❑Idewoonstn ion 2. • am a sale proprietor or partner- listed matte attached sheet 7. 0 Remodeling ship and have no employees These sob-contractors have 8. 0 Demolition working fame in any capacity employees audhave workers' Pro 'comp.f i lire: Comp.%Hen an I • 9. Rnitcim addition require 5.0 We are a corporation and its l'�❑ a- repai re rs or additions 3.0 I am.a doing all work officers have exercised their 1L0 P "..grepairs or additions myself[No workers'camp. tip of exemption per MGL 11'.►1. , •ofr epairs insurance iequiredj T C.1522,§I(4),andwe have no • employees.[No workers' 13.D Other • coin.insurance required] °Any spiaftant thst rheas box must elm fill ant the s an Wow shamingtheir=Aare coropeirsatianporicy inforrasacm. Ecaneawnearwhosubmitdtis•sfficizaZi gtheyxedaiags1 erork End then.hire=sidecaa smartsuhmitanewal:adseitIndian:iogsacx :Cantina=Sze check this box mast set euaddiiiana2 sheet shaoriag the aaxaaeof the sn#-antnectaa.end state whether at not Muse er esha e • emp'ioyees.lithe snh-r.a=ctushive employee,theynn 'cramp.parity number_ • I am au euipkper that is providing workers'compensation insurance for my a rrplo3e= Below is the policy and job site iH, orirxafian Insurance Camps • • Policy or Self-ins.Iic_rik Expiration.Date_ Job Site Addre= City/State/4n Attach a copy of the workers'compensationpolicy declaration page(showing the policy member and ea piration date). Failure to securer coverage as required under Section 25A of M .c.152 can lead to the imposition of criminal penalties of a • fine up to$1jOO.OQ andfor onone-yearimprisonment,as well as civil permitiPc m the form of a STOP WORK ORDER.and a Rae • of up to 52501 O a day atTrn,st the violator. Be advised that a copy of this statement maybe forwarded to the Office of . Investigations of the DIA far insurance coverage verffication. I do hereby card un" `�der tT ' andpenalties q fp4zwy f#r'atthe hzfonna� nprovided abor is trans and correct aal„rR- � Date: fi�io Phone Official use only. Do not write in this area,to be completed by city artoPFri official - City or Town: Per icense# • Issuing Authority(circle one): L Board of Health 2.leg Department 3.Cr yf Toren Clerk 4,Electrical rove/4or 5.Plambing Inspector 6.Other Contact Person: Phone#: - 6 . - . ,. . • Information and Instructions- . . . . .,. Massachusetts General Laws chapt-er 152 reclaims all employers to provide-wodmrs'compensaticm for their employees. • Porsuant-to this statute,an enstroyee is rlf-Inerl vs..' every person_in the service of mother under Earl contact of—hire, • =,,, empress or implied,oral arvaten." . An ernployfrris &Caned as'an.incEvidnal,partnrersbip. , .,-,.-.-,..... corporation or other legal artily,or ally two or more of the faregaing=gaged io.a jaiat ezteriorise,aadinniThrrrng it, legal re -eserrtatives of a clec•-•,-cod employer,or the receiver or tra,stee of an individual,partnership,' asS'ociation., otherIegal exclity,amployin g employees. However the owner of a chkrung house having-not more than three ap:. Ira=,..& cmd-who resides therein,ca-the occopant ofthe - - dwelling house\Df mother who FENIDyg p=scos to do in.- il... p-ncrc ccEasfradiOn or repair 7=k Oil St1011 dwelling house • or co.the? •...•- or bufirriug apporterututthereto cl-r•Thrint u ecanse of such employmentbe deeraedto be an employee' ). . ••',. * , . ' - ,, MC IL chapter 152, • C(6)also states that'every state a local licP-Tvzhig agency shirr withhold the issuance or ,•, ' - renewal of a fir-F--rme\iif,permit to operate a baseness 0 •• con-strut buildings in the commonwealth for any . applicant who has notproduced acceptable evidence ,f cairpriance With the insurance coverage requir' ecLn Acirfitionally,MM.chapief 152,§25C(7)states'Neifh the commutrwealth.mutiny ofits poTitirml subrirvisicans sTIpt1 enter into any contract Rat=perr-n-rmPrice ofpoblie--,•,.. Troia acceptable evidence of complimacewith the insurance'. LeLluir&uiects of-dais chaptehaave liceri kam.ented to .. contracting anthcatY." _, \ . . • .Applicauts I , - • _ ,. , . ., Please fill ant the -•.....,'compensation affidavit/amplefely,by rirfking The bolos that apply to your situation.and,if _J. . necessary,supply NO• wime a'ma' S.)nampksNh es)=Lapin:Tap namber(s)alcmg with.their certificate(s)of insurance. LimitedV..iahility Companies(LLC)or " LiablIrty'Partneerlips.(LLP)withno employees other than the members or •, ..,..= are not uiL1tt\2XIYWD4e compensation.insurance. If an LLC arr T 13 does have • • employees,a policy" required. Be ariviskriTh at. ' it maybe submitted to the Department of Industrial Accidents for co.........:.,. of insurance cover4 Also be sure to sign and datethe affidavit. The affidavit should be returned to the city. townthat the appli .\ fca-fie permit or lir-en ge is being requested,not lite Department of Indutria. I Accidents. `i.•• •you have any qo4ms riga:Erring the law or ifyou are required to obtain a workers' ' corcoprm•a-'-irm poficy,p --:.- call the Departmeol the=ober listed below. Self-insared.companies should ezur their self-insm-ance licease •,,- an.the ' . - City.or Town.OfariPTc . • r __ . Pies CO be si.u. that the affidavit.-complete,..,i irriatedlegibly. The De:partramot has provided a space at the bottom ' -of the a-ffiria-vit for youth El out-..the event 'H. Office\ofluvestig- ations has to contact yortregartling the applicant Plea Re be SIIM ID fillip-the pm:10;1in.,=SC•1••••• veliciMI.be used as a refereace nomber. In.addition,am.applicant that must submit multiple pernaifili - Ce app'.. .). in-;.‘• gives year,need only submit one affidavit ineir:7-ting ccurent Pohl.-'. ••••• ;cm(if necessary)and. ,, tier oh Site •.. - the applicant should.write'all loCations in (city or town)."A copy of-the-affidavit that has 1..--... officially stacopd or mmiced.by the city or town may be provided to the • • : applicant aaProof that a valid affidavit- cut file for Rture pen\nits or licenses_ A new affidavit most be filled out ea r-li • . • year.Where a home owner or calif=is o..: - &license or pe\mit not related.th any business or commercial verdure (i_e_a.dog license or permit to bran leaves:-, )said person.is NOT required to complete this affidavit 1 - 1 . - .. The Office of Investigations would hire to. you in advance farNyour cooper and s hold you haVe any qazslians, u please do,not hesitate to give us a call_ l .. - . • \ • • 1 • - . The D-epaTtacent's address,telThnne and fax um.i..... - 1 - - - . • . .. . ,. - • - aarar 8_0 ..=:-,-: as Of J _'s.?,,. inSeatta .- .n . . nil au ,0 MTh:Edda-IA*0:a . . . . OM= i javegag .tin,Ti$ • • 1 ' • WI WaltiS:le i &Mei . ' 13aSt13332 ° ' ail 11 • . . a . t • Thl...#617- - tzsct '.• 3 6 or 17715-ASA-FE , . • • Fa if 6.17---1 7-774.9 Revismi 4-24-o7 • \ • • - - ....- II t.N.r. !VII Vial • • '' r • ' I \ • - • . , ., . • . , . . . . . ,--..... ,. . • . Mckechnie, Robert From: todd cantara <tcantaral@yahoo.com> Sent: Wednesday, February 22, 2017 3:39 PM To: Mckechnie, Robert Subject: Re: plot plan Our intension is to stabilize walls and replace roof rafters and back wall framing...we are hoping that we can do all of this with the repair permit and not have to tear it down Bob. Sent from Yahoo Mail on Android On Wed, 22 Feb 2017 at 3:15 pm, Mckechnie, Robert <Robert.McKechnie@town.barnstable.ma.us>wrote: Todd, Thanks for dropping off the plot plan. It is what we need. Have you looked harder at the structure to make sure that you won't end up with a demo/rebuild of it and have to reapply for the correct permit at additional expense and time? Maybe I should stop by on site to see what it looks like? Email with what you think so that you can get on with your project. Thanks, Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Page 1 of 1 • Puckett, Carol From: Brigham, Anna Sent: Friday, February 24, 2017 10:30 AM - _ To: Puckett, Carol Subject: FW: 4005 Main St Cummaquid shed Found it "„GEMENto Ai►nnaBrigham 1,14 Principal Planner o Town of Barnstable*200 Main Street *Hyannis,MA 02601 1 arrna.brigham town.barnstable.ma. s 40401 No roi e Town Website• Business Barnstable• HyArts • Barnstable iForum From: Paul Richard [mailto:pgrichardmill@gmail.com] Sent: Thursday, February 02, 2017 12:30 PM To: Brigham, Anna Subject: Re: 4005 Main St Cummaquid shed Hi Anna, Shed does not need OIKH approval. On Thu, Feb 2, 2017 at 9:46 AM, Brigham, Anna<Anna.Brigham@town.barnstable.ma.us> wrote: Good morning Paul, Todd Cantara was wondering if the repair of the shed on this property needs to be reviewed by OKH. He proposes to repair the walls and roof, like for like shingles and walls. As you can see from the . photos, it's in bad shape. There is a Form B for the dwellings on the property, with quite a bit of history, but it doesn't appear to me that the shed has historic value. Please advise if this repair of the shed, like for like materials, needs OKH review. Thank you. tlwrt ,,� %%'P Anna Brigham I. Principal Planner Town of Barnstable*200 Mahn Street *Hyar ntsr MA02601 ti anna.ba he a@ttwn,barn table, .a.rrs r 5084524582 4149,OP alkav • Town Website •Business Barnstable • HyArts•Barnstable iForum 2/24/2017 Y , • Shea, Sally From: Shea, Sally Sent: Friday, February 10, 2017 9:33 AM To: 'tcantaral @yahoo.com' Subject: Permit/Application:TB-17-294 at 4005 MAIN ST./RTE 6A(BARN.), BARNSTABLE for Building -Addition/Alteration - Residential Hi Todd, Please supply a plot plan so we may move forward with your permit. Thank you Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 1 r N p Q� iy% t . •• •• (fir A , Yr,I '� ' . 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Si tt t r'_ - �"r_ C`, 7 s' i f ' .,„. - ,,.. , 0---. ,*w 0 C!r'r a arti„ • , :Jr ..t r .-.vi. 7 • ,. .; �+� ""•'./4' - c .fir, y,; •� r ��r�+ "ram^'-7iI '^ .. 1•._ � .� •-r - . ; • Yi ,� .{0 Y ific`"��°;�. f,. '�.+'�'^ `v Fr '* •�4'3" M�• ~' • n r7• ,,.;l. -�.-,. . p �. - r / ,.�,._... �"jri e s r• . gyp .i -.�..• .,/.,,"/+... y; - .,r. r'y, rry, ., " r�.�a • 0*114E yoitt, Town of Barnstable Regulatory Services 13ABINIABLZ. * jJ Richard V.Scali,Director • • 1619. Building Division Paul Roma,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 • e---2CLr b e7er-i-L-e-- • ,as Owner of the subject property hereby authorize I 49 C.1-a- 9e to act on my behalf, in all matters relative to work authorized by this building permit application fon D Arm Pv- tr?Ipti, HA— • (Address of Job) **Pool fences and alarms are the responsibility of the applicant.Pools are not to be filled or utilized before fence is installed and au firm] inspections.ate.performed and accepted. Signature of Owner Signature of Applicant 3darL Print Name Print Name • i/ i)-11r7 Date QTORMS:OWNERPMESSIONPOOLS I 1 Parcel Detail . Page 1 of 5 • iii,ki.,':•,-''' ifif7-----i,;";\"...,.:..: ''',--:,-,•,°:„'„;* .„.',;,,,,,,,,,' ''''' . ty— / tAti: , — ,.',-t41.4.4frk .),,,,,,,,,z .54-vv-rii,..,i—.,,,,,..m.-44.- , -,- , _...... ,„ .,„ egp, „..,r, _ ,„,,,,,„c„=„,,,i, 1,1, .,..-.., ,, i'llipi, (Th yin 1if,o �07',. • �l w ,0,.'TO .,._ � E«1Ti/•.I�r lC+ � 4 lf� E rc/ , `dam x y- f �d,.a.,. ....... ......r. t'14< •.,a +"rw'Y.e Logged In As: Parcel Detail Friday,February 3 2017 Parcel Lookup w Parcel Info Parcel ID 13335-032 Developer Lot LOT 1 Location 4005 MAIN ST./RTE 6A(I Pri Frontage 145 Sec Roa ��� Sec Frontage Village B nstable ) Fire DistrictBARNSTABLE Town sewer exists at this address yNO��um Road Index 0949 I Asbuilt Septic Scan: i � aA 335032_1 Interactive Map 1 ",it16' ‘`,1ev",..,",•-;:,,rt, :} v Owner Info owner DUNNING, BARBARA Al owner tC/O OEFFNER, BARBAI street!�P O BOX 1236 WV I Street2u� City MOORS HAVEN ) state FL 1 zip 33471 1 Country Land Info R 1 00 [Multi Hses MDL-01 ,,aM,.w,.,.., � , .I Acres use Zoning I F-2 Nghbd 0109 Topography'Level Road Paved utilities[P bli uc Water,Gas,Septicl Location 1 Construction Info • Building 1 of 2 Year 1850 scud Gable/Hip wa Wood Shingle Living r2072�"— 1 Roof As h/F GIs/Cm ( AC None i Area Cover p Type a € Style Conventional Wall Plastered -1 Rooms!4 Bedrooms I a Model R Floor I 1 esidential I"t Pine/Soft W ood l RoomsBath1 Full-1 Half I Grade!Average T e HG yp t of Water �� Rooms a�Rooms Stories 2 Stories ( Fuel iGas I Found- ation Stone Ftgs —1 iC, Grossm»-�- Area 2516; Building 2 of 2 • Year 1991 .R.. .. Reef E'�'`Cla board �� Bunt struct, p wall p Living 408 """.,N" 1 RoorAs h/FGIs/Cm 1 AC" I Area E Cover p p Type Style'Ranch km walk'Drywall Rooms 1 Bedroom Model Residential 1 Floor,Carpet 11 Rooms 1 Full-0 Half I Grade Average Type H t Air I Rooms Rooms 2/3/2017 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=28156 . la Massachusetts-Department of,Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-075281 t TODD.,CAMA - ,'', 4,:% 10 West EatOrmouth MA t } I 1 ®® YI �iRsx+...& S )1"ISI S' Expiration Commissioner 03/12/2017 0 47F 3,,,,,,r44 1a F *e''.L.51.'dateu 1 !=,:m xr+ - f,yF+a t tY� 1. k `�ni H)ranttaleeeld era/letpacArtaeltd etit i.¢' 'ti•. Office of Consumer Affairs&Business Regulation !: • x ',; • r ME IMPROVEMENT CONTRACTOR P %N I •:gistration 159211 Type _ _ , xpiratlon: 4/1012018 Partnership y i' : ECHO CUSTOM CARPENTRY 1 , I: TODD CANTARA I. 10 ECHO RD. • j • i W.YARMOUTH,MA 02673' Undersecretary' i F.,':. ',i1:.:v` '""' .ate 4",.1'1' "i k'' 7t"9" ' ; • License or registration valid for individul use only 4 before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ,^ 10 Park Plaza-Suite 5170 c Boston,MA 02116 7 Not valid without sign u_re f .1 • , 1 '2 vj ., �.:, .. I r vim.- �. r9'rlit< 1t1'rkb!l .t' E a�,..sv.a _ '- a r �:. <, rea; s - Fitter by<i rtment Reviewer Awn ar'# ent—>Stata�s e 1� \F rheas R�v� k�rrd • Suildin Admin—:Pending stteas Reviewed Zanirtt >Approved • 2/31201710: sheas ReviewedZoning—ding 2(3120171D: stress Rev wet Zar ng->A p vect 21312t}1710: st*eas Reviewed Zoning—>Approved 2131201710: t Status,+Cl sed • ed i3rr rng-Adrnin— A arov+ Zt3i2017 9'0 Prrmitcr Gay Work-Description Fixture Oven •ed Cons rvatiort—>A roved 2/3120t17 S:0 erect acne Date Sub.Submitted 8/2t'S12016 4 23 OQ R9 ed Health-->Approved 2132017 8:5 �' herrandk Reviewed Barnstable Historic—>Approved 21312017 8:4 209 herrandk Rev ved Oki Kings Highway Approved 2/312017 8:4 209 • • ,t �''�° ¢E s k,. xx •u • ! AK". ' a - st ,',:.: - ,,, g sue. ,a " �t F Page I of 1 1 S, a.,x ti m . k "- t _ a 1,1 ti at, 1 ai% t •i.� aa4 i :y� l _ w! yr.ir� I�{iE .,, .,, - 1 ) 3-z: lit 4 ' - ' . i,44: clar('alt121 rxt ,. i0. 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'qa �' 41,' .. .*a.w.N, w a A w• r. k � a. del e P 'ate},, `s'''iji; '0 f�.eriiiie i, • .C.*,i+'• tr. # .r�K,,, ,. s- i �.�, �r .��, ... ..w.. -.. A#+"r,,, - .I y.. • 2/7/2017 file://isvisions/images/00/10/13/16.jpg' r- Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 335 Parcel Q3 1 1 Application # /✓ -4 la Z3 1 Health Division \�� Date Issued Conservation Division o 31 \4 Application Fee Planning Dept. Permit Fee S , Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 4 o c S n DO c S*r ik C.V. Village lil cmn3iG Owner ar bq", ton f l) Address 5a-me, Telephone 5 0 8 3 6 tit QS Permit Request - 9_ c e Li I 'I-a -I- ac , gi W-lt) rrci. i tot 14.-6A '+ -{-ILL Coma GJbr(Ce. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District qq Flood Plain Groundwater Overlay Project Valuation •14-05 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 2 1 -i Age of Existing Structure Historic House: ❑Yes ❑ No On Old King',s sighway: 0 Yes'..-4-❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other -. , , , -7-1 CM Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)I x, Number of Baths: Full: existing new Half: existing i navy .-`�'-� Number of Bedrooms: existing _new Ico Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 1 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 ttli iro cCA*) Led /CT Skit:T-4.c, Telephone Number an 34 8 b3? Address 7-D -1\--vo\-4.?,y4-0 4 Niv License # ?C 10 Z 3-'7 6 5. ‘Gitrmo..,. L f I ` i 0() Eli Home Improvement Contractor# iT "TKO Email Worker's Compensation # IIJC 0 5 540 7-00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �irr,,,.4I SIGNATURE DATE a,3 16 FOR OFFICIAL USE ONLY APPLICATION # - 'DATE ISSUED ._MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. /( r to Town of Barnstable Regulatory Services • suss Richard V.Scali,Director t6'fr-r' Building Division Tom Parry,8uikting Commissioner 200 Main Street,Iiyrmnis,MA 02601 www.town.barnstablama.us Office: 508.862403E Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ising..A�Builder • dit47 r/44°C;° 1, M// L)wi i,t„ as Owner of the subject property f hereby authorize /,c — to act on my behalf, in all matters relative work authorized by this building permit application for: _*.V14.:AnVa' k 41004,!n=L:t- 44, (Address of lab) " 'Pool fences and alums are the responsibility of the applicant.Pools are not to be filled or utilized before fence is installed and all final inspections are performed and acceptecL Signature of Owner Signature of Applicant • ��.Pt • a�«ham k bow mg*, Print Name Print Nam C ia> 1 EP , ,t1 p.. Date/1*//" QiFORMS OWNIMPERM{SSIONPOoLS • f i The Commonwealth of Massachusetts / Department of Industrial Accidents =1®1- 1 Congress Street,Suite 100 _;.{_ � Boston,MA 02114-2017 %4.1r J= www.mass.gov/dia sV� Workers'Compensation.Insurance Affidavit Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 15 employees(full and/or part-time).* 7. ❑New construction 2. am a.sole proprietor or partnership and have no employees working for me in ❑I 8. ID Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions. proprietors with no employees. 12. Plumbing repairs or additions 5.Q I am a general contractor and I'have hired the sub-contractors listed on the attached sheet. 13:❑Roof repairs These sub-contractors have employees and have workers'comp.insurance:: 6.0 We area corporation and its officers have exercised their right of exemption per MGL c. 14.D Other Insulation 152,§1(4),and we have no employees.[No workers'comp.insurance required] *Any applicant that checks box#1 must also fili out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Star Insurance Co. Policy#or Self-ins.Lic.#: WC085540700 Expiration Date: 4/9/2017 Job Site Address: 4005 Main Street City/State/Zip:Cummaquid 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. I do hereby certify under th pains and penalties of perjury that the information provided above is true and correct Signature: Date: 6/23/16 Phone#:508-398-0398 Official use only. Do not write in this area,to be completed by city or town officiat City or Town; Permit/License# Issuing Authority(circle one): 1.Board of Health 1 Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person:, Phone#: 0 ., ACOR Cr DATE(MMIDDmwY) ,r.-. CERTIFICATE OF LIABILITY INSURANCE 4/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED • REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyQes)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In.lieu of such endorsement(s). PRODUCER _.._ .. _.. NA EACT,Risk Strategies Company Risk Strategies Company HO No,EaR): (781)986-4400 A/C,No):FAX (761)963-4420 15 Pacella Park Drive ApA s:randolphcld@risk-strategies.com Suite 240 - - INSURER(S)AFFORDING COVERAGE NAICS Randolph MA 02368 INSURER A:Selective Ins., of America INSURED - INSURERS Allmerica Financial Alliance Ins Co 10212 CaPe Save, Inc INSURER C:Star Insurance Co 7 D Huntington Ave INSURER D: INSURER E: ' South Yarmouth MA 02664 INSURER : COVERAGES CERTIFICATE NUMBER:CL1641211375 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 E.TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUER POLICYEFF POLICYEXP LTR TYPE OF INSURANCE pm WVD • POLICY NUMBER. . (MMIDDIYYYYI (MMIDD/YYYY) LIMITS X, COMMERCIAL GENERAL.UABILrrY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RD A CLAIMS-MADE X OCCUR PREMISES Ea occcuE ence) $ 100,000 X s1994480 10/16/2015 10/16/2016 NEDEXP(Anyoneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00.0. GEN'L.AGGREGATE LIMIT APPLIES.PER: GENERAL.AGGREGATE $ 2,000,000 POLICY X ,PIERCT LOC - PRODUCTS-COMP/OP-AGG $ 2,0.00,00.0', OTHER` $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ee accident) B _ANY AUTO BODILY INJURY(Per person) $ AUTOS X AUTOS ABBA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per accident)- $ NON-OWNEDPROPERTY DAMAGE X' HIRED AUTOS X AUTOS (Per accident) $ $ X UMBRELLAUAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS-LIAR- CLAIMS-MADE • AGGREGATE $ 1,000,.000. DED X RETENTION$ . NIL• S1994480 10/16/2015 10/16/2016 $ WORKERS.COMPENSATION - Officers Included for X ANO-EMPLOYERS'LIABILITY - STATUTE 'ERH - .. YIN ANY PROPF?IETORIPARTNERIFYFCl1TIVE - Coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? . N NIA C (MandatorylnNH) , SC085540700 4/9/2016 4/9/2017 E.L.DISEASE-EA EMPLOYEE $ 500,000 if yes.describe under DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY LIMIT;$ 500,000 r • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects'to the General Liability coverage of named insured as required by written contract. ai . . CERTIFICATE HOLDER ' . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light compact ACCORDANCE WITH THE,POLICY PROVISIONS. -Barnstable County - 460 West Main Street - AUTHORIZED REPRESENTATIVE Hyannis, 14A 02601 Michael Christian/CLC -°'- - '" �;-' ©1929-2014 ACORD CORPORATION. All rights reserved. ACORD 25:(2014/01) • The ACORD name and logo are.registered marks of ACORD INS025(201401) C . _ s c Office of Consumer Affairs.and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 . 1 i Type: Corporation • 'a 'I7• , a 4* '' Expiration: 3/14/2018 Tr# 419291 CAPE SAVE INC. 3 ; .� �; WILLIAM McCLUSKEY r _, N ci 7-D HUNTINGTON AVENUE t ' •--v - ' r . SOUTH=YARMOUTH MA 02664 t ' = - ,;F r r " ▪ -- �' '' C ' ' Update Address and return card.Mark reason for change. • - • L'' Address Renewal Employment � Lost Card SCA 1 -i 20M-05/11 1 P_Gi2e Wc-mmo/ziueai,'0f04;/aidrtcl ccdett ,4-N\ Office of Consumer Affairs&Business Regulation • License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date.'If found return to: Registration 171380 Type: Office of Consumer Affairs and Business Regulation Expiration 3/14/2018 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 I CAPE SAVE INC. rn 4 1 x WILLIAM McCLUSKEY ef , 7-D HUNTINGTON.AVENUEm : , - _ t — SOUTH`YARMOUTH MA 02664 • Undersecretary Not valid i signature C3/ Massachusetts -Department of Public Safety Board of Building Regulations and Standards i o3 S. S_ , c.,tr�iti uEi�ilii .rif:i3' i�i-onnCinir License: CSSL-102776 tif WILLLAM J MC all. 37.NAUSET ROAD • ' it West Yarmouth 113A e i i, ✓2.., .11'`' Expiration Commissioner 06/2812017 02-26-16;09: 11AM.From: (4'"11 To: 15085349266 ;5088889609 # 1/ 1 --- --- - -- H E , •• DEMILEC " TECHNICAL DATA. SHEET Floatlok'"Is a two omponent,closed cell,spray applied,rigid renewable soy oil ,and the blowingagenthas zero ozone p y pp g polyurethane foam system.This product uses recycled plastic materials,rapidly CeunCil's resident al and commercil ui ding codes and is dcoommonlleting y used as a thermal nsullation,ompiles �air barrierth the ,aporhretarder and water resistive barrier In above�g ode,below grade,interior and exterior applications. g. tip: a1Se��yyH, �'It3�y� ,! � F Ti b1 ,1F klf mwem gv.rr�m°ny . tx• i�'r L ;.�*„P`.��.�a,�1'Z\;�, .Y'NYSICAL',PROPERvn•D :, I, e 7 ,"t1,r7.. , 0 e ASTMD1622 r Density "d�ra°c 'a�tenirrsrlv.t ., 'hL� DVas5` `' }�9`+F�wC'1i4,;1 fsl'rt c YY i L''l Lr,r�i ?Y��, S3ES.Fri""r: uts� r 2.1 Ib/ft' 33.6 kg/m' ASTM C 518 I Aged Thermal Resistance(R-value(a)1 inch) See ESR 3210,Table 1 for additional R-value information 7•4 ft'h°F/BTU 1.3 KmZ/W ASTM E 283 Air Leakage @ 75 Pa @1" -- ASTM E 2178 <0.02 L/sm' Air Permeanco @ 75 Pa @ 1" — <0,02 L/sm' ^ ASTM E 96 Water Vapor Porrneance l:1.2" Qualifies as a Class II vapor barrior per IBC Section 202 <1 perm <57,2 ng/Pa•Srm' ASTM 0 1621 r Compressive Strength ASTM 01623 ■ Tensile Strength 28,7 pspsi 198 kPa ASTM D2126 Dimensional Stability @ 158°f•(70°C)97%R.H. (%46.2 volume 319 kPa (168 hrs,sample without any substrate)L/W/T -. /-0,4 /40.272) CA Spec 01350 VOC Emissions Standard -1.37/-0,42/ —�-- — Compliant Fungi Resistance - ASTM C 1338 ASTM D 2856 Closed Cell Content No fungal growth Tom- ° 90% o -.¢ 1��1,. .�',�•" . Y 1'Sao f .7,7 T^ �)� �1 rl . "i ''''T",^"7"'rr"`"7"m ''''' rr w`1 f..A,,1:4;;N7'! v:'�t��,. ,�4>; .fse,'F,IRE.TESTRESULTS',,:`�4"M1 4 7e ,�k1,y—r�il�('-Zylrr ,, i ,r4,,G t z t.L t,,.urim`aaw4w.fhuuJ.wrlw.'»md.k.a.�61. , �+w.,,,, hd„ltC, a S.a...l,•1 7- �rt; y. , ?ty`��. Surface Burning Characteristics,4"thick """L -'z ` r 'wrt� �waT�° ASTM E 84 Flame Spread Index `� „„....: , ) Smoke Developed —Class I NFPA 286 Ignition Barrier-Compliant with 2006,2009&2012 IBC and IRC,and ICC-ES AC-377 r 4t0 y, Appendix X,for use in attics and crawl spaces without a prescriptive ignition barrier,thermal ;P ii as 1� ;r barrier or intumescent coating, NFPA 286 Thermal Barrier-Compliant with the 2006,2009&2012 IBC and IRC,as an interior finish 1 .__ ca without a 15 minute thermal barrier with 9lazelph""TEX at 11 mils dry film thlekness. `�• ASYM D 1929 Pad s -.;„ r Ignition Properties(spontaneous ignition temperature) �d .�';"" �� �i���'�� i�"• �� t w,�, .. 932°F(500°C)�--- Etc- ASTM 1`• ,f:'oF A Z ` ' .,ee�..,�,.m..i.o..r �•,mr�rT+nrp+m,ot^. L.,n v r In ou 1 �REC•YCI:�D"&'5B AI1LE;C'CN7ENT OF HE "�""P7"'"M�'TK 1"1 �" 'i" 1 Polyols Containing sva 13Morr""'`-�" ^'6'+ ..Tome tmo r„�y ATIOKRE51N �r..4. 1 F. 4 1�(12,a,, ,1& a, , Pz • Y taming •ecycled and Renewable Content "�'QCdaivT""a'� x"L � ° � �is z Renewable Content ~�" 40% -- Pre-Consumer Recy,led Contentnall Post-Consumer Rec clad Content In Progress Total Recycled Cont•nt to Progress In Progress „�.*,Jq-4...�Yt. p,. j,� .x. ,,,,, w .,,,,Nt1,./ 1y\'' ^T.cTivi RoFI y 4,i . •,/. t. :ir t.� .i nrauaiwY1/,E'C'C71c,to.'p(7FIL� (�, 7's " °1Y ��1 1•t\tl 444q Cream TI _ a�uaa u•�wmm a ui1wJE sc:J����iS,f� " t 'i'•', Titf t ,�? �lh(?n� tip Gel Time .a.�ur�:�,, w ..,_ „" 0-1 Seco • �2—4 seconds End of Rise r 3-5 seconds 4-6 seconds 3315 E.Oivdion Street,Arli gton.TX 76011 Phone(817)640.4900,To I Free(877)3 -4532 Fax(817)633-2000,Info(•,°emilec.com,www.pemilCc • Heatlok Technical Data Sheet .Cp111 Last Revision S-5,IS - page I of 2 Cape Save Inc. 7-D Huntington Avenue South.Yarmouth,MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 n: o 7/28/16 -11 Thomas Perry CBO Town of Barnstable w a CO Building Division tri 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 16-1823 Dear Mr. Perry This affidavit is to certify that all work completed for 4005 Main Street, Cummaquid has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, \\\\V William McCluskey , . ' ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O Map Parcel Application ab 5cc--) 41/4° Health Division ' ' `'' Date Issued / "/ P►C Conservation Division Application Fe: ► Planning De I • Z t. � ���=e„=...w,. - � t(G p f;a`F Permit Fee by... . � `..• . Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address (-t 6735 -Ve (Ls Village cr.51-4.010, Owner c. Address .gq\ 'jo C,\\ CL Vk.. Telephone RLon\ -'311(41\AbMsCRA ,c„, ka,(N, FL Permit Request r ' V,6 V" CJ \)c,,,\\`c ( -Acc,` \A � ,s4 - s c1„, 06r- \ok)\,,,, Square feet: 1st floor: existing roposed 2nd floor: existing 30 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation lit ebb Construction Type (c Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ID Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Cl No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 6;1-6rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new Half: existing new � I Number of Bedrooms: J existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: C as . ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes vel o Fireplaces: Existing I New Existing wood/coal stove: ❑Yes We) Detached garage: 12 existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes CYNo If yes, site plan review # Current Use Proposed Use "APPLICANT INFORMATION —�-- (BUILDER OR HOMEOWNER) - Name LC% CCAvA7C.Crie. Telephone Number S�t �a ! k\SA Address \.6 &ww ‘a License # (S r)SZg Home Improvement Contractor# Email *QO , % 9 c ova-, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO` OrlivNek_ SIGNATURE DATE 6 l 1� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO.• • .7 r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME } INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t , PLUMBING: ROUGH FINAL • GAS: ROUGH • FINAL 1, FINAL BUILDING • DATE CLOSED OUT • ASSOCIATION PLAN NO. ti. 4\ The Commonwealth ofilassachusetfs Department o,f Industrial Accidents 4 —'f t Office o, Investigations600 Washington Street =rj�.. ' Boston ?IfA 0ZiII� • r '50' WPM.mass.,ovIdia Workers' Compensation Insurance davit:Buiblers/ContractorsfElectricians/Plumbers Applicant Information Please Print Legibly NrNn i (Bus thganizationIfndividual)T Address: `C City/State/Zip: " ° L /. I- A, Phone# J V( '5( [`1 `c t Are you an employer?Check the appropriate box: ' Type of project(required): I am a general contractor and I 6. New construction I.El I am a employer with 4. ❑ Ioyees(full and/or part-time).* have hired the sub-contractors 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 working for me in any capacity. employees and have workers' [No workers' Comp_insurance comp.insurance.! 9. Building addition required] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exPscised their 11_0 Plumbingrepairs or additions myself[No workers'comp_ right of exemption per MGL 12.❑Roof repairs • insurance required.]i c.152,§I(4),and we have no employees.[N'a workers' 13.❑Other comp_insurance required.] *Any applicant that checks box#1 toast also fill out the section below showing their-workers'compensation policy information. I Homeowners who submit this affidavit indicating they are cloiag all weak and then hire outside contractors nmst submit a new affidavit indicating sot i =Canuactors that check this box must attached as additional sheet showing the name of the sub-cantractac and state whether or not those entities have employees.If the Sub-tontractoes have employees,they but provide their workers'camp.policy number. I ant 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.I_ic.#: Expiration Date: Job&te Address: City/State/ET: 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 c-an lead to the imposition of criminal penalties of a fine up to$1,500.00 sailor 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 drat a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. . . I do hereby c er the pain nd penalties afperjuty that the information provided a re is true and correct Sitnature: —c 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.Cityffown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: • -linformatiort and struc on Massachusetts Ge'neral Laws chapter 152 requires all employers In pLuvide wormers'compensation for their employees. Pursuantto this stye,an.employee is defined as."_.every person in the service of another under any contract of He,ir expicsa or implied,oral or " • An employer is defined as"an mdividnal,partnership,association,corporation or other legal cntily,or arTy twu or more the legalis esen±aiives of'a riff.'-red employer,or the of the foregoing engaged in a Jo enterprise,and including .�,- _ mF receiver or trustee of an indivisu-L .artnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides,herein,or the occupant of the dwelling house house of another who emp1. persons to do maintroance,construction Or repair work on such dwelling house or on the grounds or bpi-Ming app u thereto shall not becanse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states •. "every state or local licensing a ency shall withhold the issuance or renewal of a license or permit to operate . business or to construct b gs in the commonwealth for any applicant who has not produced acceptable evidence of compliance the insurance coverage required." Addition a Tly,MGL chapter 152, §25C(7)states either the coma nor any of its political subdivisions shall enter into any cout.act for the performance ofp.: 'c work until acceptab evidence of compliTncewith the insurance. rprz,irenients of this chapter have bPrn presrmtPrl to II e contracting anih rxty." Applicants Please f 1T out the workers'compensation affidavit comp.-=ly,by :••_the boxes that apply to your sitnation and,if necessary,supply sub-contractor(s)name(s), address(es)an. •one r. ...ber(s) along with their ceriifirate(s) of insurance. Limited Liability Companies(LLC) or Limited arbersh_rps (LLP)with no employees other than the members or partners,are not required to carry workers' comp.. i'on ins rance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit .e submitted to the Deparbnent of Industrial Accidents for confirmation of insurance coverage. Also be sup- to ti• . and date the affidavit. The affidavit should bereturned to the city or town that the appliration for the p a.••'' or li •a• e is being requested,not the Department of Industrial. Accidents. Should you have any questions a tgai•.. the law.'r if you are amitilied to obtain a workers' ' compensation policy,please raTl the Department at the num.'s listed belo• . Self-insured rnmpanies should enter their self-insurance license number on the appropriate line. City or Town Of driats Please be sine that the affidavit is cot,,l,lete and p legally. The Departure.;has provided a space at the bottom of the affidavit for youth f]l out in the event the 0"`ce of Investigations has to coFfact you regarding the e},�Brant Pl ce be sure to f l in the permitilicP:nse number •'ch-will.be used as a refca uce\number.In addition, an applicant that must submit multiple permitllirFnse apply •ons in any given year,11 'd only s mit one affidavit indirating current policy information(if necessary)and under" •• Site Address"the applicant should t: "all lore ti,^,ns ia (city or town).."A copy of the affidavit that has b- . officially stamped or marked by the city or,town may be provided to the applir_ant as Proof that a valid affidavit on file for future permits or lirPnses. A new davit must be foiled out each. year.Where a home owner or c - obtaining a lirPn sP or permit not related to any b ess or commercial venture (i.e. a dog license or permit to bi,- leaves eta.)said person is NOT required to complete affidavit The Office of Invest/gad. would I1ie to thank you in advance for your cooperation and sbo d you have any questions, please-do nothesitatP#n Bs a=caIL_- --- - - -- — — - • 'e The Department's address,telephone and fax number. T3�e Commanweatic of Ma Bch tts - . Department aflidastial Accid_entt ic eve t gatio- 60Q Warsbingtou Stmet Erman,MA 02111 617 727-4 4€6 Or 1--a MASSAFE Fax#617-727-7749 Revised4-24-07 wwwTnas, gogfilia Aug 17 15 01:08p Cantara 1( 349266 p.1 • • ' • ovTHE. Town of Barnstable 'fr°11 " Regulatory Services p$�isna Richard V.ScaIi,Director 65 Braiding Division Tom Perry,Eu lding Commissioner 200 Nfain Street,Hyamric,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 • • j 73 A-213A-Q t c �� INN�� 2. as Own.x o t f tilt-subject property hereby authorize � 70, to act on my behalf, in all m7tters relative to work authorized byth;s bullrling permit applicPtion for: 90a‘, Zoe le *to ✓r (Address of Job) / '`Pool fences and alarms are the responsibility of the applicant. Pools are not to be filed or utilized before fence is installed and all final inspections are performed and accepted. 3-hddi" Signature of Ow r Signature of Applicant m34 - - ea-P o '- L e e Pent Na MP Print Name gA7//er - Dare Q:FORMS:OWNERPERMISSIONPOOIS • . Massachusetts Board of Building RegulationsStandards and Stand -Department of Public Safety Construction Supervisor License:CS,4)71211,1,, • • TODD J CANTARA % 10 ECHO RD /11=acl_J, V West Yarmouth 113A 021)7T )r Expiration 03112/2017 Commissioner di Wo:w2malzetietzla 0/G4tddadaaelli; Office of Consumer Affairs&Business Regulation $ 'Ig•ti.•-"214 OMB IMPROVEMENT CONTRACTOR , egistration: 0.69211 _ Type: (141,7/Expiration: atuyioit, Partnership 14 ECHO CUSTOM CARPENTRY, r'f: •O` TODD CANTARA < ' 10 ECHO RD. • ,t. VV.YARMOUTH,MA 02673' Undersecretary r: " T • 1. - • c20/a6 -- 3 L( a Town of Barnstable *Permit# r Expires 6 months from issue date (--- " 's regulatory Services Fee . * aAaNgTABLE, 1*....,3 ......_ 1 59. 1 U LI 2 7 2012 Thomas F. Geiler,Director Building Division r F".. . TOWN OF BARNSTMSEEPerry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number :335 a 3�� Property Address M QO- '\\ (or\ \&k. Y ,J 12 sidential Value of Worl 31C�� 3i' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address tckrd5(_ Ce-c r" kid6C CY471\,,,S0 , Contractor's Name 1- A Telephone Number j% -7 l ISI Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C... `7R ( , ❑Workman's ompensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Fikl<iside #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. py of the Home Improvement Contractors License&'Construction Supervisors License is r qui . SIGNATURE: Q:\WPFILES\FO S\building permit forms\EXPRESS.doc Revised 053012 , c.k The Commonwealth of Massachusetts. �' t Department of Industrial Accidents ..c — Office of Investigations Iv ,.tea_ c, ,r._ 600 Ff'ashington Street :S.:.l Boston,MA 02111 -•-id ww►i.mass.govldia Workers' Compensation Insurance Affidavit:Bulders/CnntractnrsfEllectriciansfPlumbers Applicant Information Please Print Legibly Name(Bu rganizahon/Indivl�l}=___$b�_c Csar%;9(r.",‘. Address: kO R.: , 1 City/State/Zip: V . (11 ,cliv\oi, _1.41 Phone# COt No7)— tl`S\ Are you an employer?Check the appropriate box Type of project(required): ❑1.El I +. a employer with 4. I am a general contractor and I 6. ❑New cansiruetiot, loyees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7- Remodeling am a sole pr vgnie#nr or paler- ❑ ship and have no employees. sub-contractors have 8_ ❑Demolition waking forme in any capacity_ employees and have workers' [No workers'comp.insurance comp insurance.Y 4- ❑Building addition 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 insurances I c. 152, §1(4),and we have no 12.0 Roof repairs employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant list checks box#1 most also fill out the section below showing:their workers'compensation policy inhumation_ I Homeowners who submit this affidavit indicating they axe doing all work and then hire outside contractors must submit a new affidavit indicating such_ :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees..lithe sob-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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. 1n2 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 foam of a STOP WORK ORDER and a fine ofup to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification- I do hereby certify under the pai d penalties of perjury that the information,provided above//is true and correct Signature: Date- E I�i(i Phone# 6 . /i 1.l t, Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License ii Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Gityi Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 :Massachusetts- Department of Public S tfct , Boar(l.of Budding; Regulations;and Standards Construction Supervisor License License: CS 75281 .- TODD J CANTARA i , ' 1.0 ECHO9Rt5 �, 1IV YARMOUTH, MA 02673 - 41. ` . ik �--G- —� Expiration: 3/12/2013 ('nnnnnliaruer, Tr#: 12068 ,01 �. A ( iivniaieu e o ':/ 4 LacAf&. /a — OOffice of Consumer Affairs&Business Regulation License or registration valid for individul use only o HOME IMPROVEMENrCONTRACTOR before the expiration date. If found return to: Registration: 159211 Type: Office of Consumer Affairs and Business Regulation -� Expiration: 4/10/2014 Partnership 10 Park Plaza-Suite 5170 Boston,MA 02116 ECHO CUSTOM CARPENTRY; TODD CANTARA • 10 ECHO RD. W.YARMOUTH,MA 02673 Undersecretary, • Not valid wit ou 'gnature iPt":1411 � BARNSfASLE. •` Town of.Barnstable 9A i639. `0� Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 'Bow , as Owner of the subject property . hereby authorize T(Scj6 to act on my behalf, in all matters relative to work authorized by this building permit application for: C ) &K-re\S- \ (Address of Job) • Signature of Owner > ate • Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 . SENDER COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ° ■ Complete items 1.2,and 3 Aso complete �vAgent Item 4 If Restricted Delivery is desired. X 40 - ' ' 0 Addressee ' II Print your name andaddress on the reverse ... so that we can retum`the card,toyou. B. Received by(Pr! -)J C.Date oFDelivery ■ Attach this card to the back of the maiipiece y 7� �6 • or on the front if space-permits. D.Is delivery address different from item 1? 0 Yes 1. Article Addressed to: It YES,enter delivery address below: 0 No. . d uz oX ‘a3t ' t,ll oar 1 ,a,erl; '1 t 3. ce Type 3 3`4 l Or-Certified Mail ❑Flf.wt.Mail ❑Registered etum Receipt for Merchandise ❑Insured Mall ❑C.O.D. _ . _ ❑Yes 2. i i PS Form 3811,February 2004 Domestc Return Hecelpt 102595-02-M-1540 U.S. ,F ostat Servlcew r , Ak r CE TTIF(ED MI�ILTh` REebriz '� R (Domestic Marl;Only;iNo Insurance Coverage Provided) 9 CFor delivery mfoimatlon,visrt our website at www bspscom 1 t Postage $ r` f,. 3 7 Certified Fee tV D %kirk '11 7 Return Receipt Fee c�. (Endorsement Requited) 0 H D Restricted Delivery.Fee , d 1`A •1 (Endorsement Required) ✓ �? 11 Total Postage&Fees $ H D Sentro 'Si otr Apt.No.; otPO8oxNo. r �5» ka� City,sraft,ZkCCICR.. -r1 L. 33 1 PS Form-38000 June 2002-"' L See Reverse for In t+; Town of Barnstable Regulatory Services ,THE to Thomas F.Geiler,Director ss Building Division BARNsrABLE, t Tom Perry,Building Commissioner 9��b 9 � 200 Main Street, Hyannis,MA 02601 lE�P�p'1� Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Barbara Oeffner and any party, parties or tenants with property rights And all persons having notice of this order. As owner/occupant of the premises/structure located at 4005 Main Street, Cummaquid, Barnstable, Ma ; Map 335 Parcel 032 ,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,July 7, 2008 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 RF-2 Residential Zone Operating a business in a residential zone contrary-to the governing single-family RF-2 zoning 2. COMMENCE immediately, action to abate this violation. SUMMARY OF ACTION TO ABATE: Sales of produce and items nOt grown on subject property and advertisement of sales via unapproved and un- permitted signage. • 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 Bamstable,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. B order, — t �� Robin C. Giangregorio Zoning Enforcement Officer • Q/FORMS/viozonel \, capecpdonline ment spends your tax dol- land,so this is commerce.I for lars inappropriately,it either one am all for these families reduces spending to core making the trip to central Mas- Respond online services or raises taxes.Neither sachusetts,to-bring.back corn. is an acceptable choice." It's good for our state,good When the I-35W Bridge in for tourism,and good for the . don't admit to the hospital,or Minneapolis collapsed into the families. I those with no doctor at all. Mississippi River last August, Do the town fathers expect, j it my While treating their own and lives were lost,the public . with acreage selling in six • on patients,hospitalists are avail- became aware tax dollars were figures,that Cape Cod is going ones. able for consults to specialists. going to other places than to to see a return to local corn :dal At the hospital 24 hours a day, maintaining or improving our fields?That is about as likely as they facilitate admissions as transportation system.Simi- buying up waterfront property iil- well as discharges.The hospi- larly,tax dollars to operate the to build a really productive salt for tal's goal is to have 50 percent existing fire station in East mill. .ter C") of discharges occur prior to Sandwich are going elsewhere If the town wants a piece of rfa 1 " noon!How can emergency in town,leaving a good portion the pie,how about a vendor's C\J per center wait times improve with of East Sandwich residents license?And let us locals and .' ,- any fewer doctors? with excessively long emer- tourists enjoy the charm of '4 a- ime Z I fear that the few hospital- gency response times,directly native produce. •, ady mists left will be overwhelmed, threatening the survival of ANNE JORDAN ,,-u n I resulting in a decrease in residents and homes. .. Ostervilie ' deli= —quality of care cuts y .Yes, be As a taxpayer I want rep- _ and made.However,those involved volved •resentation that will never in direct patient care should compromise core governmental Still wafting for drop ' o s be off the list.Isn't our main ser vices such as 1' r. public is safety. in gas oline ne prices iffersafety? concern patient David and transportation:It is one g ng Reilly's quote that"patient care thing when there is not enough TX Thile we are all happy to with won't be affected"is erroneous.- money to adequately fund core V V hear that the price per iin- That should be decided by the services;it is another when barrel of oil has dropped more 8-20 people who actually care for those services are being com- than$20 in recent weeks,we he patients,not just by those look- promised by broadening gov- are still waiting for the price they ing at the numbers. .ernment into other interests. at the pump to dropaccord- L Let's look at money wasted SUE POMMREHN ingly. e on rarely used Internet ser- East Sandwich In the past,when the price vice or how the brand-new of a barrel of oil went up,we o Mugar floors already need -- !"- "'"' , ,,, .., . .immediately saw an increase.in . to be replaced.I think most �'AFarm stand charm.more _ the price at the pump.Why is it criy people would prefer a doctor at ..._the `w' imp®rtant than zoning�' _� we don't see a corresponding ieir . their bedside over the wireless \ - - 'drop at the pump when prices hate keyboard collecting dust in the ou know the ones-small ' 'decline?It's been two weeks. hou- bedside drawer. I signs that offer native corn RAYMOND CAMPBELL ho JAMI CARDER and tomatoes,maybe a few South Yarmouth •se Yarmouthport peaches toward the end of the i season.I always love stopping <REDGE at these charming stands.Dur- Irwich Taxation priority must be ing the height of the tomato .„ w G core government services scare;hydroponics grew big, plump safe red beauties. novernment must focus Well,after 17 years the town 1 on providing essential of Barnstable is shutting these . services that can be provided stands down.Their reasoning? poLicy , 1 (-J by no other entity and must . Zoning violations:No signs in im be,cautious about broadening residential zones,no operating Guest columns of no more than ��-� dosed government into new areas.' a business in a single-fam- 600 words on timely, Cape- ) y In his July 23 MyVew corn- ily zone(sorry,no lemonade related topics may be e-mailed �l si mentary,state Rep.Jeffrey D. stands). to wmills@capecodonline.com. me Perry wrote,"There is a direct . The town notes they don't Include name,address and hat connection that when govern grow the produce on their own phone for verification. t. Coy . MY VIEW their 1 S y , It is still difficult to find a "dental home" P acce t this insurance: 'It is our °n1O responsibility as a community t for children covered by MassHealth as few to stamp out this preventable • it - The General Laws of Nlassachusettsf go -Sea rel- theLauvs` Go To: Next Section Previous Section PART I. ADMINISTRATION OF THE GOVERNMENT Chapter Table of Contents MGL Search Page General Court Home TITLE XV. REGULATION OF TRADE Mass.gov CHAPTER 94. INSPECTION AND SALE OF FOOD, DRUGS AND VARIOUS ARTICLES FRUITS, VEGETABLES AND NUTS Chapter 94: Section 99B. Sale of fruit, vegetables or turkeys; designation as "native"; penalty Section 99B. No person shall sell or offer to sell or pack for sale or distribution in the commonwealth fruit, vegetables or turkeys in containers bearing the label or designation"native"nor cause fruit, vegetables or turkeys to be advertised as "native"unless the name of state in which such fruit, vegetables or turkeys were grown appears immediately after the word "native". Whoever violates any provision of this section shall be punished by a fine of not more than one hundred dollars. r - - 4 ) C/ Page 1 of 3 Giangregorio, Robin I From: robin [robincgl @yahoo.com] Sent: Sunday, August 03, 2008 9:05 PM To: ken anderson; Giangregorio, Robin Subject: {Disarmed} Cottage industry Text Size: AIAIA 3. . Print this Article IlEmail this Article ShareThis var isoPubDate= 'August 03, 2008' August 03, 2008 The Barnstable zoning administrator recently had to blow the whistle on a roadside vegetable stand on Route 6A in Cummaquid—it was neither a modest unattended shelf of produce grown on the property or a properly licensed commercial enterprise. True, it may have been a convenience for locals to pick up a few items without miming to the supermarket—which isn't very close—but it didn't fit any provision of the local bylaw. The Barnstable bylaw is very tolerant of home gardeners who want to put a few items of excess produce out by the road with an honor box. But the veggies must be grown on that lot, and it cannot be a business—no employees. It's a bylaw written with the gardener in mind, which is nice, and not necessarily the buyer. Other Cape towns have quite different rules. One town requires a grower to have a two-acre lot and declare gardening to be his or her home occupation in order to have a roadside stand. Another town won't allow selling from a roadside wagon or table. It must be from a building. Town vegetable stand rules are an odd hodgepodge, apparently fashioned to meet local concerns and guard against intrusions into residential neighborhoods. For the most part, they seem out of touch with the current emphasis on buying foodstuff locally or regionally—which supermarkets find hard to do. Maybe there ought to be some general principles. One is that the selling of local produce ought to be made as easy as possible—the more roadside stands the better, as long as they're not a traffic hazard and sell local and regional produce. A gardener ought to be able to put his produce out for sale whether he or she has grown the stuff at home, on a neighbor's lot, in the community garden, or at the parents' home in another town. And it ought to be OK to pay a neighborhood kid a few dollars to tend the stand during rush hour. Towns should make sure their rules raise no barriers to marketing by local truck crop growers, either on their own property or elsewhere. Also, truck crop growers from, say,Rochester, Mass.,who find the Cape market better than the market at home, ought to be able to set up seasonal stands on the Cape and let them call their produce "homegrown," too. They won't drive any of the few Cape growers out of business. 8/12/2008 Page 2 of 3 Some towns have weekly farmers' markets and they're fine for growers with a substantial flow of produce, but not very useful for the homebody with more tomatoes than he or she can use. Maybe there ought to be a special category for such vendors. Towns and local-food promoters should take a close look at their regulations to make sure they're fashioned to help bring growers and consumers together in every way possible. document.write(unescape(xtraFacts)); HOME init_Img(); Reader Reaction Before you sign up to post on our discussion forums, you MUST read our terms of use rules. These discussions and our forums are not moderated. We rely on users to police themselves, and you must be registered to report abuse. In accordance with our Terms of 0,01 Service, we reserve the right to remove any post at any time for any reason, and will restrict access of registered users who repeatedly violate our rules. View All Comments Ei function PTAC_SubmitTalkback() { var domain=document.getElementById("PTAC_domain").value; var newUrl= "http://" + domain+ "/dir-app/acx/ACPost.aspx?toUserld=O"; newUrl+= PTACAddUr1Param("webtag"); newUrl+=PTAC_AddUrlParam("folderld"); newUrl+= PTACAddUrlParam("tid"); newUrl+=PTAC_AddUrlParam("subject"); newUrl+_ PTACAddUrlParam("contentld"); newUrl += PTAC AddUrlParam("returnUrl"); newUrl+= PTACAddUrlParam("contentUrl"); newUrl+= PTAC AddUrlParam("signature"); newUrl += PTACAddUrlParam("body''); window.location=newUrl; } function PTAC_AddUrlParam(elmld) { var ctl= document.getElementByld("PTAC_" + elmId); if(ctl) { return "&" + elmld+ "_" + ctl.value; } else { return ""; } } romaneagleAugust 03, 2008 12:22 PM report violation Chill emc, I think we all have bigger problems about misrepresentations. Lets start with just the local government and continue up the ladder. OK? When you buy your vitamins at the drug store, do they tell you 90% are made in China?or v Full Message emc (iamemc)August 03, 2008 11:22 AM report violation My beef is only with stands like the one on 6A that misrepresent the value of its produce.I wouldn't have a problem if they stated where the produce came from and whether priced on top of retail, which would give people fair information to make a purchase with. The commerce thing does not bother me. Full Message FrycookSpankyAugust 03, 2008 10:33 AM report violation EMC, many if not all of the road side stands on the cape are selling either off cape produce ( se mass farms) or wholesale purchased produce.I've seen the same zucchini/squash boxes at some of these stands as I have bought from produce purveyors.I'd like to think it would make sense as a by law, that the garden need be visible from said stand.As for the CCT's concern over rotten produce, I can think of several good uses for it. Full Message emc (iamemc)August 03, 2008 09:51 AM report violation Free enterprise does not allow-deliberate misrepresentation of a product's value, or in other words...false 8/12/2008 Page 3 of 3 advertising by way of omitting the truth.So you'd better stop selling that stuff, roman! :) Full Message romaneagleAugust 03, 2008 09:28 AM report violation So its America? Its called free enterprise. Full.Message emc (iamemc)August 03, 2008 09:13 AM report violation I'm familiar with the 6A location mentioned in the article. My husband saw the produce stand owner buying LOTS of produce in the supermarket. I have little doubt it was to re-sell since he doesn't grow his own produce. Does it make a difference to anyone that the produce is sold under the impression that it is locally garden grown, and that buyer is unknowingly paying over the retail price? Full Message romaneagleAugust 03, 2008 09:01 AM report violation Is this America or Communist China?America was built on free enterprise. Nothing but more powerplays trying to control people. Whats wrong with selling veggies for a few months on your land? I know now, loss of tax revenue. Full Message Airman123August 03, 2008 08:04 AM report violation This town is so anti-business. So what, a couple of cucumbers and tomatoes. I hardly think this will put Stop Full Message Lai �AdCom ` nt Browse Opinion Forum Browse all Forums Report Abuse if document..tetElementById('PTAC_tid').value.toString().length> 0) { document.write 0 View All Comments ( View Entire Conversation '); document.:etElementB Id 'forumMoreLink').innerHTML= 'View All View All Comments Comments '; }else { document.write("); document.getElementById ('forumMoreLink').style.display='none"; } El View Entire Conversation *Posts may not appear immediately and are subject to Cape Cod Times' Terms of Use. 8/12/2008 Parcel Lookup Page 1 of 1 , /--q-§ 11._,,j-E_,r0.4\:44T' • I:1,i', .14.4,1AZ:• ,v,#• „ K--." 6p/ ,,:,,, ,,._,,,.....„,... .,„,..t .-,.r, ti 1,.. .111.47; ,. .11..r.,:' -411,-.4 4.,,,.t.,:,..,.v:1' ,0----'',,, , , 9 t_...07 aY91[{45'rsaa. ):t �. 4.- ,-- ,,,.,,w,07,4,:its :„..;.„.'ion''J.,'--..;:27':%:',„..,''4."'''''.....wiwm,,,,.. Logged In As: Parcel Lookup Thursday, February 15 2018 Nancy Lamed Road Lookup Condo Lookup Multiple Address Lookup Reports 6.Search Options Search By (Street µ Street# 14005 m j Street main Name I Ed Village 'Barnstable Search <Prey Next> Page 1 of 1 Rows/Page: 10 El 1 Parcel Location Owner Village Index Map 335-032 4005 MAIN ST./RTE 6A(BARN.)-Multiple Address DUNNING, BARBARA A TR BARNS 0949 335032 (4007 MAIN ST./RTE 6A(BARN.)-Cottage) http://issgl2/intranet/propdata/lookup.aspx 2/15/2018 4/7i. Ile Town of Barnstable :' ...st,- Building Post.This.Card So That it,is-yisibie'From the Street Approved§Plans Must be;Retamed on Job and.th.is Card Must be Kept ,: ,. Nana: Poste Until Final Inspection Has BeentMade .. �` r q � i a ems` Where a Certificate of OccupancyisbRequired,such Building shall Notbe Occupied until a Final Inspection has been made ;: Permit No. B-18-278 Applicant Name: FRANCIS S SHEEHAN Approvals Date Issued: 01/30/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/30/2018 Foundation: Location: 4007 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-032 Zoning District: Sheathing: Owner on Record: OEFFNER, BARBARA A TR ', Contactor Name; ...FRANCIS S SHEEHAN Framing: 1 Address: P 0 BOX 1236 Contractor'License CSSL-105941 2 MOORE HAVEN, FL 33471 Est Project Cost: $4,300.00 Chimney: Description: weatherization Permit Fee: $85.00 Insulation: Project Review Req: r Fee Paid: S 85.00 Date. 1/30/2018 Final: a '1, ',, �--�-r�C ��0 Plumbing/Gas Rough Plumbing: :r .: .i Building Official Final Plumbing: '� Rough Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months after issuance. g All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or;road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire ial Offics are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: , � � � �4 fix:;:..- Rough: 1.Foundation or Footing ''-'.--,';,;.:1 , , 5 .. I':.' , 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i - - , , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3 0 Application # 13- �- c �I Health Division Date Issued of/30��/ei; Conservation Division Application Fee Planning Dept. Permit Fee 2S Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address -1 007 ly,1 13st- /g4e. Village f bi Owner 4QA- QeI‘QL Addres ' I 2840 rACOAC het I L4 L, 3/1 Telephone c)33-1 '1 -7 1-- Permit Request(-I `fet-e l , it 2 ?OL1 5Q 2-4 5 u f Sf ; ( , , tots-,s Q.Q.1vluye,To cA-tIs Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District // ++ Flood Plain Groundwater Overlay (I Project Valuation O0, onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Zr 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 Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: ExistingNew Existingwood/coal stove: ❑Yes ❑ N No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing MI new size_ Attached garage: GI existing CI new size _Shed: CI existing CI new size _ Other: 40®/V � J4N p7. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ /okf a.ace 9 ZOs Commercial CI Yes i Il�o If yes, site plan review# ®`��q� Current Use�.Q�t t�1T�`r1L� >� �.�Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name <' ,\QQil Telephone Number ?7I937" i lb Address no() C LUI ell, P-0 License# /D / --Attt f1_ n\Aoatd3[ Home Improvement Contractor#/60Y4 -qr. Email Mtn 0)HE r -,'2 .Q(Qe b°4,CVr's CompensationU#®&®/5J c / 7/1 ALL CONSTRUCTION DEBRIS RES LT NG FRO HIS PROJECT WILL BE TAKEN TO iZq OwD 4 I V a #-- • (ICH /14 a ) f SIGNATURE DATE / 3 A e FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE . OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4ae. r ®kr. 460 West Main Street ausing;` Hyannis, MA 02601-3698 Assistance Tel: (508) 771-5400 Fax(508)790-2425 Corporation TTY on all lines Cape Cod Free Weatherization ! Your tenant has requested and is eligible for weatherization of your rental home through the. Weatherization program at Housing Assistance Corporation. An average weatherization job is worth $4,500 and these services are provided at no cost to you. The following weatherization measures are applied to the typical job: air sealing in the attic and basement, insulation in the attic, basement and walls, weather-stripping doors. Bath fans may be installed if necessary. We will test the efficiency of the refrigerator. All work is professionally done by licensed and experienced contractors. HAC will conduct a final inspection to make sure that all work is completed in compliance with qualitywork standards. p Prior to the work being done you will receive a letter from HAC showing the actual measures that.will be installed and the total dollar value to the work. To confirm your ownership of the property, we will pull the appropriate town assessor's report. If necessary, we may ask for a copy of your tax bill or deed to prove ownership. The work on your rental property will begin when we receive the signed copy of the attached Agreement. If we do not receive the Agreement, HAC will conduct an energy audit but no weatherization work can be done without the signed Agreement. During the energy audit we will install energy efficient light bulbs and will test the efficiency of the refrigerator. If you have any questions please contact Suzanne Smith at 508-771-5400, ext. 123 or ssmith@haconcapecod.org LANDLORD: D 14 ,-4. TENANT: a '✓1 i.i0 . . , .4,.{ email: .-xF.•'bc�,,: 0 '!r-i•- - 1�- .,j ��_ 1 t ^, email: PHONE: (home) a f) —I ��=� ! • PHONE: (home) (cell) Y"b 3 z- 3 _1 c):3(1 (cell) 14. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: 0 Date tt/31 Phone: Pi,> "d-7,' 3 n Address: 7 �- ;'errLs , �`' 334 7 Tenant Signature Date • Agency Approved Weatherization Company Adam T. Incorporated / All Cape Energy / Alternative Weatherization Cape Cod Insulation / Cape Save / Cazeault Frontier Energy Solutions / Lahr Home Improvement _ / :Tupper.Construction Agency Signature �. Date \ \ a • 8' 2.15 I . . ,.. . . • .., • ° • • The.Commonwealth,of Massachusetts _ ---• ..-....,,-,-.. 1 ,Pelie.titnott:of litd.itStruitAceitients I Congress Street,Suite 199 . •:. ' • ',. --.±A • , ••,-:-:.:...;,"tf.'- ..:,.;(y• 1304.tol..,.MA 02.1142917 • W- 0•J...,*.11,440:00v/dief worikeis,' Conipensatioraits.nranee Affidavit: Minders/Contra etnesiEleettieian's/PDIO)bees. TO BE PILED WITITTFIE:PERMPFII:NG NUTriCMITY. AnOticant..0fornaa tion 'Please.Print Lealik, ..._.. ,. f Name 1.13u4M6sAlrigarlizatiortiiindivicludrii (761,•tiA'17 0,.,7 I:VA t2 t•Ok\-," . (ILL),'fir C fl II"C:::. IL '''. ,..) ' Address. ... • -•i:,), . citvistatetzii)•' .F.•,.4-f fp.s4-144-: f A•::• , 02.: , •( .plIone 7#.... ;74:-,.- 2....• .,,5,:.'1...:- a LAH:),Q-1,4 • ' '''''' 6 ...., r Are you an'emplOycr?Check the.:±pptioriale hex. Type of project(required). ' 1:.,[31 am..it employer with 1'0. employees(lull:and/or part-ilme),' • 7. 0 New ccinstrurction z.Cli,•am a sole:proprietor or piaiiiiielS'hip'and-have no employ'ries sycaking for-me M 8. 0 Remodeling • any capocityallo workeis insurance requiredij , .9, 0 Demolition 3.01 ama homeowner-doing 41 Welittrtys'eff:liNei,ivorkOrs'eiNTIO,intrahce required.), ',1. LQ-D LIOII.ding:Addition.: 4,01 am.a..hooto4yricr and rout trOiliferrfe eoeifaetom to'dpi:iditaiiltwOit tio.iny'OropOy. I....sill- • ensure rhim.i111eOMMOtorS elther hasio'SiitirkertVOmpertiihriOn insoitinteiOlihrelole 1,1.,C1:FlOCtije41 tepairsor:anditiOos proprtebrsi ssiiii-i iti.t.eiriplidyet.ik; • O.,EI.Plutabing repairs or additions . . $.0 lam agorieral.contiactor noel haiii •hited the•sutiii.ehntretors listed on the attached sheet. I 3.E‘RoOfrepairs; TheSeiimh-Ountraetors hhOeierOPloyetis and ha',,t workeri'.comp.insurance.: 7, I 14.1[2(Other(7)Q.-4Tii/Cr,2.()71-,0/1 • 6.0 c*.:Ofe:a corpnratiorthOd its isilleiiisliiiye ekertised their et or eititimp.iion perWill.,c. .1-52.!i1(4).and we have no employees.[No tihlets•eonip.insurapc'e.required.] ... .. .. . . . .• • ,_ , i . . . , ikiti5iihpfilicatit.,that OfieleSiihoei't till iffe,sciron1)ehis•siiillovirigthir workers ecmjejl;stition.pot it;e.informitioR,l'i-oti106,4iirir who$oht n his zre.O.oirn a I wnr: Od'ffi6b•b:4eioilcside:edotra,40fiMOst,siillinit ri:6-6‘,..iffidaliit iodieating such,. tCorttrae:ors rhatc.fiedk this box ri104tieekied-ab•addiOnajSheerishovilivhe.rearoo.ofille sub-contractors'iind•schre MI0*r Or riolthOsoerilideikhiave- • employees. If-1.N,cub-contractors hityc'eibrilo!.*-..tlieyintit$0)Foyidel'lleir Oiorkere corn?.pOli(si-nuMbet. • . . ta.M.,atiernphiyerthatis,proijiding'W.orkers•'compensation insurance for my employees. Below is the policy and join Site information. r Insurance.Company Natrie.:1 .-tA: RJ.c.:-Pclk.\,. '--1-..., -,!\S'Q r ei,,.s'Cr...a— ( 0 6.1Y, 4 . . 4 • 1 - • Policy if.or Selflins,:Lic,4 :.1-.,f .7 f,Of,).---,‘...61..S.--,3[S '-.. 2.0 7 if-).. . Expatioh bate:. .3.A.. 1.. . .0/4'21.:••• •_.........,... :.. , . lob.Site.Address: City/Star _. __as_ , • .. ''''' Attach a.topy of he-workers'.e0mOinSafino:iiolity declaration paael.('SkoMng the polity.number and expiration.date). Failurelo.secure,tovetage:as:-iteuired under NI.(1L.c. 1 52::§25-A.is a criminal viola:Wit punishable.by.a fine up to.$1.„.500.QQ. arid/or one-year'-inipriSonnient;•ASA.,.,,iell .c.i'fil:penalties•in tile„fOrm of a STOP WORK...ORDER and Fine.of up to S250:00 a day against the.vioIatot. A.,etypy,cif-tkis:StateMentrnay be fot*arded to the Office.o.f.=Inyestigations of the DIA.f.ot insurance cOeca‘.4.:.yeriftc4tioO.. • ,. .,.. . . . . [do heob,,,4:ettifs under the pains nt-:..• ies',Ofperfary:di.at the inforinntion.prOS:itler..a'a ls e .1 , ,: t.correc ......„..., , iitffiture: . Date:: ... . ... . . Phone*:_ .7 74, '21-7:- .6'q i•6 Official use only. Do not writ in this area,to he completed by cio or town official City or Town: . • •Perntiti-LiCenSe,# Issuing Authority(cirele:one).:: I. Board of Health 2. Building Department 3. CityfrOwn Clerk 4.'Electrical Inspector 5. Plumbing Inspector 6.Other ... -Contact.PeesOeu Phone#: ...• •• „ .... . .. L' E Office of Consumer Affairs&Business Regulation• before the eipirntion date. If found return to: I'= HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration ' a 160854 Type; j I0 Part.Plaza.=Suite 5170 ,. , Expiration 9t8/2018 LLC Boston,MA 02116 FRONTIER ENERGY SOLUTIONS;= £ i FRANCIS SHEEHAN •i I 502 HARWICH RD yr BREWSTER,MA 02631 "'• ' Undersecretary tti t vat' ithou signature { 1 • • Construction Supervisor Specialty i Restricted to: i liliassachusetts Department.of"Public Safety CSSL-IC- Insulation Contractor Board of Building Regulations"and Standards_ • Lin cese.CSSL-105941 Constriac.ion Supervisor Spec'aity FRANCIS S SHEEHAN 502 HARWICH"RD • BREWSTER MA 02631 "'•"' Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. ! h ; aCion, DPS Licensing information visit: WWW.MASS:GOV/DPS Cc�€`nfnissie:ner 02/17/2018 • ACGRD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDr YYY) `..� 03/16/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC (iE-M"HON ,Ext); (508)398 7980 FAX N,): AIL ril ADDRESS: ma @ OgefSgfay.COm 434 ROUTE 134 INSURER(S)AFFORDINGCOVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: FRONTIER ENERGY SOLUTIONS INC INSURER C: INSURER D: 502 HARWICH ROAD INSURER E: BREWSTER MA 02631 INSURER F: COVERAGES CERTIFICATE NUMBER: 134675 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A NIA N/A VWC10060153152017A 03/14/2017 03/14/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Frontier Energy Solutions Inc. 502 Harwich Road AUTHORIZED REPRESENTATIVE Brewster MA 02631 c Daniel M.Cro by,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 61,,66•67 � ( ��"�� '' � # � �tb@ .� € l 1 � ' ! 'i � � � Y kl a � ir € ay, E . .aa6i � in, � � � I{U;I,�ii ah f Al..; a1. s ' a IJ, u ,i„ 3 ,,, !s1 1 ,,,, t sil , _ u , � 16 d1; x N ,,, , I ,$, 4' S t Y 11 `-, & ' P E p ,@ d.144 it L 9E 111�i.aF� 1��`�IU C`[& � +''•�I €z� t li hz �� � 3'li� �a&F* �( ��Ali�t�? 'x;S�'�'�� Q ���i _'-�S"�`"�f�� �i'� �� t � �`���' "� ���, ems+ iAtz Y� s {,. ', s y t itgii'�of w'" }p i iilk, ,Y , cv N, qu�y�aY'67a.. d ' z ''Y k1 �{ I� v y r ' �sS 4,', I�i ( {{E 1�, 1/ y' �I r'a�a " ,'/ ' Town of Barnstable Final Inspection Affidavit Date: Building Division 200 MairStreet Hyannis, MA 02601 • RE: Insulation Permits Dear, This affidavit is to certify that all rk co feted at: Street: 1 u�,,, Sfi 1 Village: , 5s-Q-- has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applic tion nu ber:.Q--) --07c Issue date: Sincerely, a Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com BUi DING DE PT_ MAY 1_4 26 TowiN or 6 :6440 TABLE P 1 1* t-`'4" • i d J 1111 , TOWN OF BARNSTABLE • Permitf No. 34531 BUILDING DEPARTMENT i "':�. } TOWN OFFICE BUILDING Cash ;' N/A a.+''� HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Barbara Dunning Trustee Address 4007 Main Street (Route 6A) Barnstable, Mass. 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. March 26, 19 92 Buildin Inspector - • / , •< - Assessor"s office(1st Floor): 50 30 a'� f Assessor's map and lot number33 J ,r„1 i"E>o Board of Health(3rd floor): '1, SEPTIC SYSTEM MUSt ,•,.,,s *. �` Sgwage,Permit number ��� �a INSTALLED IN COMP Engineering Department(3rd floor): t.— s, t..- WITI�TITLES (cik' aaa3rsncc House number O 7 c 1 44 `a ENVIRONMENTAL CO �.G �6,. Definitive Plan Approved by Planning Board 19' TOWN REGULAT O c N APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .1 ,� TOWN -- OF BARNST �EE p o v BUILDING INSPEC °,,�,rV�t=°n o�m� 1 f APPLICATION FOR PERMIT TO U/ ✓, /I ' 1 j6'A d SZ°h ' TYPE OF CONSTRUCTION (Al Q p Q /%��4 h� Date _ 9/ Au 6 . /02 .19 %/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (Co rrrm-o-e--> Location Z/CCU s - 4 /74i4, g r C 4 C C,1-r>A �Vi.0 Proposed Use Si A,6z< F4TY/L 1/ /ZCJ'/L cp.,cc (a-n '.%,--01/��/G�d'/' f / Zoning District ' Fire District /✓l/t 'J7 1(3G< Name of Owner I34 t a a/L4 OO v,A,N1 '6 ?tiLfT6� Address 1/CCU S /7✓i N `S ` Name of Builder 6-CO/C.6E Coy LE Address y 41./ w.✓l SO4-- (14 . S4 rt,0 w/C ii fri„,_ so,. IA-1,N b'7a , Name of Architect 1-iu/ti 6- L6S/6✓VS Address /3/ 95L,AkCc/k . nC6T/ AG A1611-6 X0 , ' Number of Rooms --3 Foundation oX/fTiu 6 COrvc-/1 12 •A6604 Exterior CC fie ra04/12 Q 5i.1.‘&4e-(1 Roofing A S lip r4 G7� Floors ,1- L/1 o v0 /C-.4/tr2- Interior Da/ ✓�L L `f Heating 6- ` ' - /4 1 Plumbing /- / 4-15U Fireplace /L O pv Approximate Cost 7 O o d ' U o J 1 Area �O g Y� Diagram of Lot and Building with Dimensions Fee 6G, r) 4;1j-1. _ • pi,P}4,,,,,‘ q P-OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . Name 4 L 1 �� 4. Construction Supervisor's License 0 Z L. /?5 . - r ,,.E ._ �_�;,_ ..,_ _- BARBARA/fDUNNING' TRUSTEE ) No 1 4 5 1 1. Permit For REBUILD 1 STORY - r i. Sincrie Family Dwelling . _- Location ' 7 Main Street (Route 6A)- - - Barnstable _ . . l ' O • wner Barbara 'Dunning Trustee A -• ' tJ Frame , Type gY.Gonsfruction . e. Plot ', .. • ' Lot - _ :"'"! . - • Permit Granted • August. 16,' 19 91 .. . + . Date of Inspection 12``E"r(- - 19 •• . 7 'at G d 0CS - � 19 ' 2j9 06 �� r 0C„ % - CO ." Z "i . —t \0, — , , . _ . . c i i .. 1 0ea.., �� - - . �� _ • . ,- v; . ,, . r' a%1 . 4 . "�,±C.zuY)Pi t , . Y<,:-I.,- -, .. .i;;.. -;,,�. ,..t....�`',', (..�i'Qn' U1Lb Q'� TWN OF MASSACHUSETTSIN "z. A�335-03Z August 16 91 - DATE p 4 ��s�s p APPLICANT George Coyle ADDRESS 4419Winn sor R�• M�oillaWi , P7N���i . 93 (NO.) (STREET) `J'DW (CONTR'S LICENSE) PERMIT TO Rebuild dwelling 1 ) STORY Single family dwelling EBERNG UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 4007 Main Street (Route 6A) Barnstable ZONING RF 2 (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE , BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #91-360 • AREA OR 308 tt VOLUME �Q• f t• 27,000 FEE 5iO.00 ESTIMATED COST 41 (CUBIC/SQUARE FEET) OWNER Barbara Dunning, Tr. '•,: ',,�. BUILDING DEPT. �`' "..y)„ ADDRESSBY c/o 44 Windsor Road, Sandwich, M� 1i lVyU�1. • THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY ►:PRPERMANENTLY- ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE A OVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY'BE OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIOI OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR AFOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN EPERMITSI RL E PRLEL Q UIR I. FOUNDATIONS OR FOOTINGS. C MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ED D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TO LATH). E FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBINGJ- INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 �" -16 - 7/ 1 n 0/7 /(ov4 )� rp��/1h 1 - -(a4x-e_ (04--- P 14... C g... .5:44:111.Ps 1 (.:1,/ , '2 2 rout Ei P //j ._...7......Qg )113/9.1/ —6-r- HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I '�3-'-'q� BO, ffRD HEALTH ce4,4., 7 il....257.. OTHER / o 'roe X (508)790-6231 /BOA/'Dip c 414-0.‘ E. L. JENKINS BUILDING DEPARTMENT /d[[! WORK SHALL NOT PROCEED UNTIL THE INSPEC- TOR HAS APPROVED THE VARIODUS STAGES OF TOWN OF BARNSTABLE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. /9.i L. ARRANGED FOR BY TELEPHONE OR WRITT; NOTIFICATION. TOWN OFFICE BUILDING PLUMBING INSPECTOR --_. ^___ __ 367 MAIN STREET OFFICE HOURS: - HYANNIS,MA 02601 8:30-9:30-1:00-2:00 43 I 111 • 0.'f 44Nn10 9 ;<,_ loaf eutir' . Ce we 's e0 Xr It `�. �� I/io.4 Jr S NJNbYM 0 4.4 e f.11 @ k� •iw`ee 8� ®�� 'I`i/ �® �ilq IY.1 �'r0I'fb�® e. i. c/ ''-, 10 n1� Pi Ode f♦ o �4.{yb�,0 .to •� y rd ♦0 r i tiv ..o1.ao 4>>��. 184jr is , : M Odk b� 'f' rf'�tI •i0 a !Gs.b.) 4 jjf 11� t 1 0f .Oj 10 ys ONi V IJI M b r y,f , �.,,a� .. _ 41 °" . , 4 ,•:•-• 04 i ; . • X •o. a 7 4ra0�s ;ik p�., Cli a w °[fl EP1 el M,Oiot/.!®Iy Valor, �b � •,... .. .. ,_ `' ,../Pei .. ~ M•of,so./O/V 'rrw.....ie Ok Q t i i II Y poll we '/ai/ ire'in 'pa No2 NSA a18 'Ir i+YOOi' ° Q 1 U.' 1 i 04/ O• 42 �d® e` �.� HRH e f K4 j. q 31 I • N.Q., . - ;r1.0 ' 4.' •.'A.;f1:410„fir'.,44,;,;'-'1„ . . 5 r ._6. - • 9 -8 -,-• . T.4:'-''',A.:;:fi..,:ifffi'4,'"r . ,..1. rt — .---- 1 i ii 1 LL...2", CONC. FI ED Sol IC;TURE 4-'- •1 :IN. BELOW GRADE (OPTION FOR DECK) \ ri. r 1 - DECK IS NOT IN CONTRACT 4-1 I 1 I I 1 ,,-OPTIONAL 8' X 10* P.T. .DECK rr-_-_-_-T-_ 1-1-1 •••--4 1 I lei WITH HANDRAIL AND S ft.I-S r 1 1 i i .1 I 1 I 1 1 1 ,... ..: -1 t I 24'-0" I 15'-6" 4 1 8'-6 i 1 / _ ..1. 4'-4" rl -)-4" 5'-2" I i : i I •-•?..S,- . I 1 ; I 1 \ \ \ .,..., !..1 • 1• I 11 I F1 1, Ar 1 2410 P,1 I= 5 -0"X6'-8" SLIDEna? t,k1 0 42 a 1 to . • ', g 1,1 1 .-',5 , ... b •/I b I II CV KITCHEN- • ttf . 1.6,4 BATH 1 i ?.'• io csi DINING 1 •:- l'r 1-1 Min 1 3 -0 2 LINEN 1; = 05'FF= 4 1 tq ' " '-2" 1' • i ki isi V-0. X tr-e• afro= El , , b , ...,—,.w.6.:ersierm...7, :i.,,,,z .7..——— 6~..v--i----j-,,,Aiiir-- F,--r-a-,z-z-,..cz.-e,:kr: ,,7„.• b , - 1 \/ 1 A t% 3.-0" CASED OPENING-7 )': ,i 1"--.I,fi 18" .2'-6" 8'-0" ! , 1 io ; to 'i to . i 1 1 'J I. 4 ..1' • r' b c•I BEDROOM— r? I b I 1- LIVING ROOM --— -,,- 1 1 ENTRY DOOR 4 to 2'-6" X 8' 4,i, to ... , i ? lo ,,, i r.,%. '1. 4 il .,...1 X 0 \ '1 :. 2442 ,. .„) 24142 S! 4.4 4...t•i \ 3k \- r'l •i:1 . k:A.*..-...L,-.r. . ...,• ,...........e,:,..a...:..,.....,..i.a,..,...,..",..... •,..-..-- 11 11-.1 ti ..-y:.7,,,.;::,...1.1,-,:=1,-..i=7:•r.. .,.:. ..................-.....!It.'°•,.. ,.........4...?11..".-i.: \ I I I 4'-6" 4. 7'-6" 4. 2.-0" 5'-6" 4, . 4'-6 pr. 14'-0" 10'-0" ' 1 , 24'-cr e ,- FLOOR PLAN ,. . i I ___________I '---- • EXISTING BULKHEAD 7/r/// //r///r// 7//r//r//ice/i//r//7// i 2 X 8'S 0 G' O C. / b / _ e' �- / ,4� 8'.-3 - r ,� T s" k fj / / FROVIDE• BEA1A POCKETS 4" MIN. BARING // Di IST1NG CHIN NO I —1— . r / 4 3 1/2" C NC. �1LLEE STL: �OLJ�N / -—2'-G' X 2'-6" K 10" P.C. FOOTI G tr EW 3-•j 2 ) 10'S W000,BEM ,'Yj/ PROS IDE CROSS&RIDGING 0 MIDSFAN or ALL JOISTS • b r7-- 1------- --- . . 4 2X8'S016" O.C. ✓/ INSTALL NEW BASEMENT WINDOWS LDING CODE 7/ 7/ j' ' ' �A ISTINPG CO CMA S BLOCK TATE U FOUNDATION WALL r / /J �//1/// //7 /T T///// /�//�, 1 ST FLOOR_ FRAMING 0 V 1 N 1E • . ,{3 E 5.111 a' N, mo' • FLOOD 1 . . • . - JEFFREY' A. BARNABY . . 131 QUAKER MEETINGHOUSE, RDAD,'';EAST, .SANDWICH, MA. TEL.. 508 98A---2747'; . ""fit 4 7 ,4 ' • _ - , • • 'i_. a#. 3.5 'r > }',� ,s sf 4 ,, %- ,rSa ;,' fir.'4 : :.4,; 4. - CONTINUOUS RIDGE VENT - , • ,, iA° ,P t- 2 X 8 RIDGE BOARD 2 X 6 RAFTERS 0 le O.C. 4 414104, 4 . �� 2 X 6 COLLAR TIES 016' O.C. ..' � _ `--. EXTERIOR PLYWOOD 15# DER 4 '`.=" .� \ 23 ASPHALT ROOF SHINGLES PROVIDE 2 X 4 NAILER �..� � 't" ; 9' R-30 F.G. INSUL PROVIDE BLOCKING. 2 X 8'S 0 1 6' 0.C. :. - _ DRILL. HOLES TO PROVIDE FOR AIRFLOW 'I�4It t4rJoM ... 1 X 8 FACIA... 1 1 X 3 STRAPPING 6 16' 0.C. ^ 1/2" GyPSU - 1'-0' OVERHANG - RAFTER ENDS ARE TO BE LEFT EXPOSED ' • z-2 X 4 BEARING WALL ,p _ 1/2' GYPSU TYPICAL WALL CONSTRUCTION 1 ' WHITE CEDAR SHINGLES 0 5 1/2". T.W. . �� OVER°"TYVECK' OVER 1/2" EXTERIOR PLYWOOD .OVER.2" .X 4 X 7'-4' STUDS ® 1.6' O.C..WITH 2 TOP AND 1 'BOTTOM 44" PLATE 7'-8 1/2" `STUD WALL '` t ' 3 1/2" R-11 F.G. INSUL 2•X 4 BOTTOM PLATE °•''.�4 - 6' R-19 F.G. INSUL 5/8' PLYWOOD SUBFLOORA 2 X 6 P.T. SILL W/ SILL SEAL � � NEW 3-2 X 1 WOOD B . - - •— � # `ZtO. � REUSE EXISTING �Itt1 ANCHOR BOLTS /a®a7i/ /q' N'N 'V " EXISTING 8' CONCRETE BLOCK WALL /���/ 4'.'#4.. . rii/ / ����# - �NEW'3•,1/2' .GONG. FILLEE'rTL COLUMN' t '�w D(USiING P.C. SLAB .� FOUNDATION IS EXISTING r4 EXISTING P.C. FOOTING �--`} , 2'-6' X 2'-6' X 10' P.C. FOOTINGS • . 4 BUILDING SECTION GENERAL NOTES: 1. SLATERS PAPER OR "TYVECK" TO BE USED ON ROOF AND SIDEWALL 2. BASEMENT UTILITY WINDOWS AS PER STATE BUILDING CODE, 2% OF FLOOR SPACE 3. PROVIDE GUTTERS AND DOWNSPOUTS 4. PROVIDE FLASHING ABOVE ALL WINDOWS AND DOORS 5. PROVIDE CROSSBRIDGING CO MIDSPAN' OF ALL JOISTS -. , 6. DOUBLE JOISTS -UNDER ALL PARTITIONS 7. ATTIC SPACE TO BE .VENTED AS PER STATE BUILDING CODE / t • l Assessor's office(1st Floor): ,j f Assessor's map and lot number .,�,.7 0,3c4 le' , 'SE C sire Q�e THE to`` Board of Health (3rd floor): NSTALL 111;i as Sewage Permit number /� 'L-s ,A'ED�N CQMPLs Engineering Department(3rd floor)': .4- ,j007 0 ? �� - ENViR®N • ENTTITLES ,o rb q ! House number /� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.-and 1:00-2:00 P.M.only =� . TOWN : OF BARNST a t` b'E OI, ED BUILDING IHSPEC Sj _ 0.12 e d • APPLICATION FOR PERMIT TO , 4 err o L.,l sq.! TYPE OF CONSTRUCTION )0 of iZ A n 6 bQ to i9(/ 6 - 9 Q 19 f I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: CST Location 4/00 S -A 17 4 i.^-) S j 1 G 4 C,I✓,77/7`t pt./Q Proposed Use rC Zoning District A T °)` Fire District li Name of Owner "4/,t) -& ,Z(4C-f/ -MAC-7/ Address Name of Builder 6.co266: Cv>ft e' Address Yy £FiOi-CO/t./ /Z4 • S4oI,OLt /G// /74 li\ - Name of Architect i Address I Number of Rooms 1 Foundation Exterior 1 Roofing i Floors Interior Heating Plumbing Fireplace Approximate Cost Area _ (To4 *IdDiagram of Lot and Building with Dimensions Fee YiF De71 uS , 8 /6 .o 9/I Cad . 3) 30 yb . boM p. — a 4 x.r wr Ao(re-:3 gcry /&user- "1".' --D. f yo.54c., 9, , 2,,,,,,,,,,.. /,50 -7--a 66.— ' ---,-.7--.)1 0 4/A-e-in cr. D0k.pf, - A-7— ,/. O . 4/1,-,o,o --/LL. . •3 ,, ' , :tiew,„ „454.-eies444 rtst , 6JA2i,--: 8//-R/9 i TOWN OF BARNSTABLE ENGINEERING DIVISION 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ./ CO-L./A L , • �. Construction Supervisor's License 0�.'/ 9-6 ') _ rI MAIN STREET REALTY TRUST ' 'No •34530 Permit For Demolish Dwelling _ . Single Family Dwelling F Location. 4 0 0 5A Route 6A • Cummaquid ' iOr/_,, ; Owner Main Street Realty Tru at 1. s • • Type of,Construction Frame i /A o ; f .t 11f w • -Plot Lot 1 • / Nj Permit Granted August 16, '19 91' . Date of Inspection' j19 r • Date Completed / f - '19 1 t I ''''i ! d r\ i , s� �. C) ' c` ca :. r • au , _ • t i 1 "` .17 Nx c '' ' 4 ", `•1 1 4:33E- 0.30? ,„ t%'yTticTo� d�• : The Town of Barn 11 stable_i tAp1T►t6t : . ,.,� Inspection Department p,. r670• `,� � 're4►�' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner March 22, 1993 Ms Barbara Dunning 1480 Masters circle - #171 Delray Beach, Florida 33445 Re: 4005 Route 6A, Barnstable, MA A=335.032 Dear Property owner: During a recent inspection of the above referenced property, it was noted that the existing fireplace and solid fuel burning stove were both in unsafe condition. The fireplace, which recently was the cause of a fire in the adjoining partition, must be repaired by a qualified mason to the specifications of the Massachusetts State Building Code. The solid fuel stove in the kitchen must also be installed, inspected and approved in accordance with Massachusetts State Building Code regulations. This office would also recommend that both chimneys have flue liners installed where needed. If I may be of any assistance, please contact this office. Very truly yours, . (- zd2k1.-7 .---. A feed E. Martin Building Inspector AEM/km cc: Chief William Jones, Barnstable Fire Department L9303228 � oFTN[TC • s' M . . ., The Town of Barnstable r I� )AAIt7ULL 1 Inspection Department �or[Y 367 Main Street, Hyannis, MA 02601 508 790 6227 Joseph D. DaLuz Building Commissioner April 27, 1993 Ms. Paula Tatro P. 0. Box 514 Cummaquid, MA RE: A=335 032 4005 Route 6A, Barnstable, MA Dear Ms . Tatro: Enclosed, as per your request, please find a copy of my letter to Ms . Barbara Dunning owner of the property located at 4005 Route 6A, Barnstable. Very truly yours, i /J Alfred E Martin Building Inspector {>; AEM/gr enc. _ . . ,, ..__ . _ _ __ __ . _____ _ _ _ __ -,- S. OK:______- SERF/ C SYSTEM PROFILE F/A/A.5-1--/ (7 7e..4,e)E ,:.")(/.6"ie _ScZ.6-: C, . ,,/:,-?' ,P/T ---, I ! -' ,-.----1 /1 :17,0 j !, 1/ \C-77-Thr- Si 4„ A F:v--:, 1 ./7 ,<, '-' ' v . -7/ ' - , ,i; , ,t, \ li'L it, , -,' R VC i.- .•'-. /47//Jr: ...--. 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' ',,-,-• -- hi /0 RE:',1,t/FORCS2.) 1.3 , , - - ir ,... 1 , . . 5E/°7-/CTAA71( , ..... _ ' - 1 To se e•-r- otki A LeVgi- AI,* 67A131...< f3,A5 _ , , go 9' __ _ ,:a•-,'..,,..r..,_ 1 LA',.--1.Vk ?-577-/0410 C , t-,(r'e'F':;;E---Co E-QUAL ) _ ..... , ' ' r • ,k . i< , f . • \ .--4 ifrie,,-- 4# X tt • A A ! \ - 0 - 0 .." ? • 0 ' '.-.3 o' (01 "2 70 S: 0 / 6 ),,., .0-7-"rrY--", c'F Tre -i- fete `,k,ii oR A Lisrep yVAieg. ce./.44 LEACI7///t/6 ./'/T 1_,EveL. ---,?..1-- C4-I A s-773, 1-4- AD L-e vL.- ----a-- • MA-16 , (Li t'l kAP-6 /144-A040 0R, A,rf,e_oveD e_quA L. ,-- ,y PI C) -•i 6- A , DES7cN C/?/TER/A , , - 3 OF D.4 . - -___ 4 ,,v.,,itiziEkr- .5E4-.,Roc,,,,,.., .... CS - ! ' i *,, ,,---t- ,,, '' ' " , . ,- 07/C , I le .•-• ....'''' N alit 4'‘t 4'4 71 1 '' 41L 4. .' //AA::I/ AA/413_ //5,/5 .il., . .... _ ,4•142 -- - \ .E2, .34-0 _ ii T./.‘1/4 4 r r 7. • i'v°4 1'.. ' - -- .4rvi ir , ,5/D6 ,4Aiez:(fizi7/eP775 oitz&--- • I ‘ , 4 1 .qt41 , _ WA-Ferz AT ',. AlOittz-- • wA reE_ AT 1, /-,---6 ,5A- .( q P.0 1 t • 085ERVAT/iON P/ri ,8077em AREA , . /-.° A . .i I .L.7.4)- 4, • i . , _,s -,e-,oirre 'ATE "911 -/"' /f5'7 • 56 '51 4P1'; '? .5-62 4P4) 1 7,‘4 *e 5 1 I 45A#& $411.1 I .-- -------- '7 ' ' '- - 'R'el 1 v e i"} ' ''''-- - e-'''' ''''-' , rorAL zE/9(W//t/ PAC`1//0 E, # tl 419'18 ' Ast frioi • ". '-' ' ' - 7 . g y -:- . . ' '• 4-;‘, ".. Z TN* e 131Al'v'Al 4 ', - , e- 27,2 t i I -• 1 (V 1 I I\5 § qi I 11 18-'14 ,T '----.-: 7N:--4 44..1"41(44".....,w......11 1 ' 'VOTES : , ExtT114Z., P,97" t_etIA1-1014 z >, 90 I ‘ 1 ' - 4,-1.4-„/4716A1.5 ,tee 13/15,e ) OA/ •,.4. 50,--Lfitrz> 2:;?4,V,A1, V(141-1746 Coq-rot)le- — 24 — ----- o — . 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Ping 6 •IN rtfe ,ArkifTAP-;,‘( • 5'YS Teti Si/ACC .I 4 0 ....5.i: • • eV,C_ SC14- ic) QN artigiAile 1107-et) FIRE DAMAGED STRUCTURE 1 1 13._ 4t.v.., cortrop4e,t4r5 or Tke ›AktirAey $-rs Teti stota_h_ se eitrABI __,... `... 0 • •*9 '4‘ OF MTN 5TAMOU4C, 0-10 4.4.9AD144 . 6- zo L-MP(dc, 5414{,L ge . , ' ''*90o 2 /e 7-e, ec.,4 • USED thqjxg. og W[Third to F7 or- vfves ele, F./Oat/46 , i 4\ . in - ,-,4 ir/A•ir A24',7*4drzo -.5-7110riveir "iv , Re17nv44) • ' e9.4140 Re"fidrideeb do, exAsr/s04 A-4/04) • 4. /4#44.44 .ri?1,)/ 2=z, AI A . ' 1„..\ L sr.- -r / i Of M 4 ) I VI I 0 1 I 1 i s , PO 1 i fa fr' ry '1' to r- OF hti 44f. ' • ill() • /f9 1:7 '' - 44 t LeBARON ,., , _ , cl'*‘'111 Jxi,v,v, t/PPE RC APE ENGINEERING 1 "6 No.30763 ct -,- r , „ I I, I al, ' - - 4-5 J. I v . . y/3 ATZ:' .6/9 - ./-2('-')_ /.30, /7 1 oisliip74."- , - ;•-- EitAc..g. -- A/o,v- MO 041,01tif AV 4 0 j z- G.* -4 , Z. S 4A/Aaiti/C1-,J N14. i 1 '...-;14114 , 9,‘ •4:".. •C"' ,,,,49, „._.,3c1F,'L 14 CO3 y. A. 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SAYERY /A/C. \ Fc,s,E��QQ ' �__ . .„.. .� REGISTERED `' i:raj ENG/NEERS 01 LAND .SURVEYORS /� # NYANN/S •- SovrH YARMO uric/ 7/ /Q 40 4