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�,, a‘ ,.: 44" `4.aw '4`084 MAIN ST IRTE 6A(BARN.), ,,„sm ), reamg(1 BARNSTABLE m, N "t ,4 rrx� case# 4C. 1 730 Case#: C-19-730 Address: 4084 MAIN ST./RTE 6A(BARN.), Date: 9/18/2019 BARNSTABLE Owner Info: Property Info: LALIBERTE, JOHN A&SANDRA MBL: A PO BOX 332 336-051 CUMMAQUID MA 02637 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Low Priority Phone Complaint Summar y: Caller concerned about vegetation at intersection of Bone Hill Road & Rte 6A-worried shrubbery obstructs vehicular site distance. Action History: Action Taken Date Description Fee Inspector Close Case 9/19/2019 I measured the $0.00 bowerse intersection No violation is present Inspector Assigned to Complaint.: bowerse Filed by: andersor Comments: Comment Date Commenter Comment !'" ? 1'amp ^' ;" ' m ar 1 ^4it m w&,+s a i.,. > u � Date 9/19/2019 - �,� To�nrn Hof Barnstable ,, :`" M `°"N�w. _-. rr t .,, m''''2„ '4" "...:N:°E`. ',;h ......,.. :.,.. ,.°`T.:,` ':,..; 'i. .z ,sa«m�sa;,.=°w.,,.�.m. ,.. .... °.::"^nt�#m . OF THE r Town of Barnstable Inspectional Services • a�xr�srn / Brian Florence,CBO MASS � i639 ro Building Commissioner Tfo MA'S 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 4084 MAIN ST./RTE 6A(BARN.), BARNSTABLE Case # C-19-730 Inspection Type : Violation Inspector: bowerse Description 'Date Unit Status Comment Violation 1 09/19/2019 mm � PASS related complaint C-19-550 has attached pictures and related info I measured for code compliance there is no violation present I am closing complaint ,/" Town of Barnstable Building P,gf:of ard• o,That rt is'Ihsible From the,Street-A roved Plans Must°be1Retamed on,Job-an,d thitfac rth,Must be Ke t + QARNf3twB3JS� " '„ x a '��- „.� ..:, a;'�..(��;• pp � �-� ��° � �-• �P s Mom. Posted Until Final-Inspection Has Been Made ,,, • . Where a Certificate'of Occu ant` As Required such Buildm shall tO:I be Occu ied'until a-Final ins .ect�on has been,mad Permit alt _.;:,-4..,:z...M,:::„me- .�;: � :y€ :T.w.`awa a ;.f g� ,s',�. ;:s`�-w^ p i .,.a' ...,., "z s.p. - .a., s�:szz.,��.? -....«�«.N<��. Permit No. B-18-338 Applicant Name: MICHAELJ PATERNO Approvals Date Issued: 02/16/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 08/16/2018 Foundation: Residential Ma 336 051 Zoning District: RAF;2 Sheathing: p/Lot Location: 4084 MAIN ST./RTE 6A(BARN.), BARNSTABLE i Contractor Name MICHAEL J PERNO Framing: 1 Owner on Record: LALIBERTE,JOHN A&SANDRA A ; Cont�ractorLicense C5 070321 2 Address: PO BOX 332 t ' 7- -Est Project Cost: $3,500.00 Chimney: CUMMAQUID, MA 02637 -• : ''= .Permit Fe''e. $85.00 Description: CHANGE WINDOW IN SAME LOCATION DECREASE SIZE WIDTH BY 6" Insulation: FeePaid $85.00 REMOVE 29" OF WALL AND INSTALL BEAM 0 n 2/16/2018 Final: Date 4 Project Review Req: x ,* tt -- ,7/ 0 Plumbing/Gas AI f., Rough Plumbing: ,n,,,,,,,,,,,„, ..._ , �� ,ift, Building Official �f; � f Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within si onth&afteriissuance. Rough Gas: 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 st eet or road nd shall be maintained open for public inspect on for the entire duration of the work until the completion of the same. • r 5 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and�Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work g :! ' -� Rough: 1.Foundation or Footing ,,a�,�, •� �;�, �„ 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 OFZHET t ` p Application Number l(/� BARNSTABLE, N063:• Permit FeeOther Fee Total Fee Paid • TOWN OF BARNSTABLE Permit Approval by 44:47 ,on Os 6/8 BUILDING PERMIT 2 Map Parcel APPLICATION Section 1 — Owner's Information and Project Location Project Address `- 0 ?r 6 A- Village C (/fr7ra( 4)(/)p Owners Name sOt'i 1/ ' S A*DJ J L A-1-1 /3 RT J 014, Owners Legal Address T a r /)-- PE1108 • City C V M/ LLv u) State ) 21 • Owners Cell# E-mail E4 Section 2— Structural Use 'R Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment ❑ Sprinkler System - ❑ Addition _ ❑ Retainingwall ._-❑ Solar -_-- jg Renovation ❑ Pool. ❑ Insulation Other—Specify • Section 4 - Work Description Cal -1�G'j Lit I ND i iV S'A-P1i 4-0C-fi t7 De6R01116 S lei. 'NIo Vri y w kkt ND I (-SrAric_ B a -1- Tact undated. 12/7R/7M 7 Application Number Section 5—Detail Cost of Proposed Construction J 5 0 0. 00 Square Footage of Project Age of Structure 1 7.5 yg. 1` Dig Safe Number # Of Bedrooms Existing ' Total# Of Bedrooms (proposed) 11-0-MP-H—W--ind_Zone_Compliance Method 0 MA Checklist 11 WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public • • ❑ Private Sewage Disposal ❑ Municipal �:i On Site Historic District ❑ Hyannis Historic District 1E1 Old Kings Highway Debris Disposal Facility: - t 5 13_ x G D I am using a crane ❑ Yes No Section 7—'Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8 Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard -Required . Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Application Number Section 9- Construction Supervisor Name 111 J L H. fit 4J77Pk0 Telephone Number S 05 a 1% " 3 3 6 Address 1 vI SS A-L'/City W-S ?IT State &J -- Zip 0-' (o 9-9 License Number c S 6 703)-/ License Type' C S (/kRrlixpiration Date 3 -J-s '/ Contractors Email N 7-13 1 -Wk�Tf01-74 uip7 17 Cel#- -33 0 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.Attach a copy of your license. Signature (00—/. Date a _ /f Name Section 10 -Home Improvement Contractor Q�IN�$vIS J`� 1 "1 �d J h �`' Telephone(z Number S 0 f� a�f 6 - 3� v p Address /1'6 S17 r CityT f S��T('1 State �1 Zip Registration Number 154 1J 0 Expiration Date 3 - 3 ' / g I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature 1a. Date Section 11 -Home Owners License Exemption Home Owners 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 APPLICANT SIGNATURE Signature � Date `)- - Print Name 11 (6-A-m-rx F JET, (Z NO Telephone Number S 03 -3) 0 6 E-mail permit to: M 71Qk O S1' 'c/LT,o,f(� Lo Mc fir, I4 T Last updated: 12/28/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) El Historic District ix Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I, 10A ik.9 24L> t&-p j�— , as Owner of the subject property hereby authorize /i►Kin )'A-f Q pd to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) 0 Si .-ature o wner date Print Name • • ' 1 + 1 T,ast undated. 12/2R/2017 The Commonwealth of Massachusetts Department of Industrial Accidents _ _ _ _f -_ • '' Office of Investigations • 600 Washington Street Boston,MA 02111 www.mass.gav/dia • Workers' Compensation Insurance Affidavit:Bullders/Contractors/Electricians/Plinnbers Applicant Information Please Print Legibly Name(Business/organization/IndividuaI): / ( C i (/J-/7/ /- f)/7?/ /C) . Address: 1-#--6 ��N ,)�r1 City/State/Zip: /VA-f i1'1q'a4 4 .0)- 6 C/Phone#: '0 V d--9-6 3 J 0 6 • Are you an employer?Check the appropriate bum Type of project(required): • 4. I am ageneral contractor and I p I ( 4� �� I. I am a employer with 6. ❑New contraction employees(full and/or part-time).* have hired the sob-contractors 2.141 I am a sole proprietor or partner- listed on the attached sheet. 7. EXIRemodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' incrmanCe# 9. 0 Building addition [No workers' co comp.insurance comp. required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work • officers have exercised their 11.0 Plumbing repairs or additions mysel£[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.0 Other comp.insu elneu rtLjurred.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vybcther or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fie up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the and penalties ofperjury that the information provided above is true and correct Signature: -C4 Date: a 7 - Phone#: D )" G .3 3 O 6 • Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: � Massachusetts Department of Public Safet, �1Vi} Board of Building Regulations and Standards License: CS-070321 Construction Supervisor ` ,. MICHAEL J PATERNO - � 'a1 146 QUINAQUISSET AVENUE MASHPEE.MA 02649 •i. - - � ' �Ki' �l Expiration: `Commissioner 03/15/2019 Construction Supervisor Restricted to: . Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. . • • - Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:WWW.MASS.GOV/DPS • eAe VomvnwmtiueakA(A,wtaaaac`cuaet6 'L j- Office of Consumer Affairs&Business Regulation iI I � -=�;•OME IMPROVEMENT CONTRACTOR Y ei_= egistration: %154110 Type: License or registration individul use only — Individual h i g • tWi xpiration:_ $ before the expiration date. If found return to: ,I, Office of Consumer Affairs and Business Regulation !' MICHAEL PATERN 1c" r =!WIC I 10'Park Plaza=Suite 5.170 ti ?`'1 Boston,MA 02116 I'1 �� MICHAEL PATERN F I', 146 QUINAQUISSET i vE-===_: : � � - C" MASHPEE,MA 02649 ` 4 ��` Undersecretary { Not vali without signature — • A, : :i , . . ( *tt5 — tic a.:--- :1 . .: it 1 S f __..ri';..W..itXiflkiAAI/.:4_kl'i:tie,:L'I.ViVIT 7,7:-Illifi, • 49)t�f Z, , I : 1 r \-vk OF MASSA, 14p . o sTNoc'u-74 Q C / .0 9FQISSEP�G.� 444 V FFSSIO.„v. . .. , .. tz- r 7 - os1-r1. .fix f LA S .'- r op fu T Cefc.'4 } `�. bot)G , j= a t� ©E..z, �Eis 1 ~vJ/ 14ao 5 V .E - ' ` MICHELE CUDILO, P.E KITCHEN MODIFICATIONS Consulting Structural Engineer • , e.3.,"• pctA5 _._ Centerville,. Massachusetts 02632-1979 (50$)771-7601 Drawn By: MC Dote: 12/19/17 4084 ROUTE 6A (BONE' HILL. . RD.) Drawing. CUMMAQUID, MA Scale: of rlAs NOTED Rev. 0 SK- 2 File Name: PATERNO Project No.2017-329 f e 1 (;-1.71.___ Eroiti, Town'of Barnstable *Permit# �17 / I ores 6 months from issue date �, °: Regulatory Services i ee f BARNSPASLE, ; '\ MAss�� Richard V.Scali,Director IS, � OD i639. 1 �so Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us c ea �% Office: 508-862-4038 Fax p-gi' °0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA(CI,? r Not Valid without Red X-Press Imprint TOWN of . Map/parcel Number �Q f/tiIu lc ) ��l// J UN8�i Property Address y g9 ���� actAl,riA, / ®Residential Value of Work$ 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Ci®/i 1'ALA r 66 ' I P Contractor's Name 71 0(re) ,z le "GoV•/C k Telephone Number ,S-OP �22O /5 Home Improvement Contractor License#(if applicable) / 72( 7.6 Email: Yri e uovricke to fV 10. Construction Supervisor's License#(if applicable) Cg —/l/ 2 ®S orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner El I have Worker's Compensation Insurance Insurance Company Name `ce E� v r ✓� Worlanan's Comp.Policy# �� J r(� ~�j 7 - / y�- Copy of Insurance Compliance Certificate must accompany each permit. , Permit Rest(check box) �/ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to i" vwbCl. Ct Q ❑Re-roof(hurricane nailed)(not stripping. Going over_ existing layers of roof) ❑ Re-side _ ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property I r must sign Pr• •erty Owner Letter of Permission. A copy • • • Home Impr• n ent Contractors License&Construction Supervisors License is uire SIGNATURE: rpriir Q:\WPFILES\FORMS\bu I ding pe • • forms\EXPRESS.da O1/25/17 • • • The Commonwealtlt of.Afassadinsetts .-,,..� .l7epartoterrt of Industrial Accidents 1 ._g ` Office ofInw tigathants - =Eidj= Street —_ = + �Sf10rrsirtgtort — _ s _ Br stop,gA 02111 • r` ir` `' w-vwvW.11tcrss.gov/ilia rWurkers' Compensation Insurance Affidavit B ders/ intracturs/EIectri "ans/Phmibers Applicant Information • Please Priitt Fri tl'y Name i(Business tioafLd dnx _ 6 C Yiii-e- �(.�-kt/' — . Address: 2 -1I 0 ee�i ce.___ • . • c lstatef 0 rc i-Pif1 , Phone b�� 2�v 1 ��/ Ar y&u an employer?Checicthe appropriate bum ' Type of project(rer;�ed)•: I. I am a employer with. 4 ❑I am a general contractor and I employees dfor art=time * have hired fie-suit-cones---- 6. ❑New construction. • 2.❑ I am a sole proprietor or partner- • listed mite.attached sheet.. 7. ❑RemoilFgrig These sob-contractors have ship and Have no employees • $_.❑Demolition working, formeemployees andhave workers' capacity. 9. ElBuilding ar ifion [No'workers' comp_insurance Camp_Insurance-1 • . • rued] 5. El We area corporation.and its •, 10.❑Electrical repairs or add 3_❑ 1 am a homeowner doing all work officers have exercised their lip Pit or additions.. myself[No wodrkors'camV. • , riultt of IVremlwfion per MGl: 17❑Roofrepairs • ra insunce replied)i c.152,§1(4),,andwe have no • employees.[No workers' l3.❑Other con,_insurance required 'Lay appficsvtthat chedsbox ffl am/also SIl o�the section below showing their avothee compensation policy information • Iffamevwaers who submit this affidavit imArei•r,theynettaingalfwtakRodt an lire outside coatracn,.cams#snitmita near affidavit imiraingeach. ramtoactors flat checkthis box must attached=additional sheet sbowiogthanameof the sub-contractors said state whe2herornotthoseeoritieshave employees.If the snb-•cantradaashave employers,they must pmvidetheir warkexs'comp.policy number_ • • I am au employer drat;is providing workers'compensation insurance for my employees. Hetoev is thepatig and jab site information. Insurance Company Name: 6' � `f/ (JA-✓1 . 'Po-ay Self-ins. t1�C "3/ S- /�S�=O T� iratioai atte: 7/� 1 Job tp Addressy03 �1 RI G 1 CtJLCityfStaIZIP: // - . Attach a copy of the workers'compensation.polrcy-deciara4ion page(showing the policy number and expiration date). Failure to secure coverage as requirednnder Section 25A of MCI.c.152 can lead to the imposition of criminal penalties of a fine up to$1,540:O0 andfor••:r ear;rpisonmenf;as well as civil?enmities,in the form of a STOP WORE;ORDERand a fine of up to$250.00 a day aga; P.violator. Be advised that a copy of this statement.maybe forwarded to the Office of Investigations of the DIA a., i,:ur ance • .ge s (cation_ • • , .I rio hardly c• fy,rr , . parrs.► er . Jollies ofpedirrythatthe inrf arisur ion prmiffed above is true and correct Signature: Date: /d 6 a 1 V • Phoneik dd Oriel,' ' •e .,if. Do not w in this area,to be completed by city or town offrdni • City or Town: PermitfLicense# • Issuing Authority(circle one): ' L Board of Health I Building Department 3.Citydrown Clerk 4.Electrical Inspector 5.Phimbing Inspector 6.Other Contact Person: Phone#: —.-- — - -- -- -------- —_ - -- --—-- - 6 formation and. Instructions ' t Macsat General Laws chapter 152 regimes all Moyers to provide wo 'compensation fs their e¢rployees. Pmsuanttio this statute,an ezrigloyee is lift-Fined d as.".eveayperson.ia the service of Smother tinder any contract°flme, egpic or implied,oral or what." • • Au employer is rTel:frrt e�as'art individual,partnership,assocralicsn, •,.•oration or other Legal entity,or any two or more . m a joint andinclndmgthe I-:- -•, - �afrve s of a drrr ed em:ployer,or the of the foregoing�g�ged� 3 � ]ny��. However the receiver or trastea of an mdividnal,per,association or oth :- entity,employing • owner of a dwellinghouse havmgnotmorethantlz<ee apartments d who resides therein,or the occ apant ofthe- who I persons to do m ainfpn ,construction or repair work on such dwelling house house of anotheremploys P dw�eIImgto bean or on the grounds or�bm7rTmg appurtenant-thereto shallnotb= ..• of such.employment be deemedtnemployee' n - shall withhold the issuance also sidir�ti,at'every state ur •cal lief Sig agency • h 152, 25 � r ter MGL � § renewal of a license or p- ..I to operate a huataess or ■. construct bruldings nl the commonwealth for any applicant has notpro• ,_■-• acceptable evidence of impTancewith the iasrtrance coveragereguir'ed•" PP oIiiicalsnbcfvisions Shalt ofits Additionally,MGZ chapter 152, .25�states`Neither•��a nor airy 2 rnitr into any contract fc)r the p' T.......ce ofp-ohne - •■. until acceptable eviri n ce of compliancewitli t3te ins rare% • requirenienfth of ti-r iR chapter have 13...14,• .w girded fn the .r...:.andhozityf • Applicants , Please fill oil the world.'compensation affi Nit co m.Ietely,by thrdcing the boxes that apply to your sitnaiion and,if • • phone nnmer(s) along w certificate(s)of necessary,supply sub-contractor-Cs)name(s), and b with their insurance. L.imitedLiability Companies(LLC)or Iigl ityPartn hips(LLP)witb.no employees other than the members or part ems,are not rimed to carry we `compensation insurance_ If an LLC or T T P does have . - employees,a policy isregaiied. Be advised That iiic "Ka maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage o b.sure to sign and date die affidavit The affidavit should beretruned to the city or town that the application •the p-.•', or lir�n co is being requested,not the Department of Industrial r�ial Ace duets- ShDn-yon have any quest) regardmg e law or ifyou are required to obtain a workers' compensafion policy,please call the Department the number ,-.below Self-insured companies shouldf+m r their self-insurance license number on the appro 1 e- City or Town Q fErfn k - r Please be slue that the affidavit is complete and;• _• legibly- The Dep-' ent has provided a space at the boifmn of the afirla- t for you to fin out in the event■. Office oflnvestigations has\;. contactyouregarding the applicant Please be sure to fill in the pe:1-_cLitlhcense m,ernwhic wilt be used.a need.o••carober_In one affidavion, applicantg - -. thql-must submit multiple p app any given ym ri' tin current policy iofornatian(if necessary)and under ,.b Site,4dIress"the applicant the •'i..'- 'all Ior -inns in (may cr town)."A copy of the-affidavitth at has been?fficially s tamed or ma d ed by the city'. town may be provided to the - applicant as yt uofthat a valid affidavit is on the for ELL,.e'par ifs or ID- ses Anew-pie,davit must be:fined oiot Pa rh year.Where a home owner or citizen is obfa> mg a license or permit not relatedta any b.Y`s or commercialve e • (ie.a dog license or permit to bum leaves ,.)said person is NOT required to complete this davit •b yen advance for cooperation and should nHave any questions, • The Office of Investigations wouldhlm o y° please do not hesitate to give ns a call - The Department's address,telephone and.rs number__.� "7 - - - • r.- ( tt�Eaflef ra -r - 1 -.,. .. rrr t f}fx�Id _. i A t \ Office at Irmegtigatio= • 604 W inaban • Bt sMA.E2111 • -MI..4 61'-t; `/- �xt 4€�6 ar 1-4T MA SAS . _ • Fax# 1777 '749 - Rewised424-0l wvewTr,a.R1 g/� - Town of Barnstable Regulatory Services oFj Richard V.Scali,Director r ` Building Division '* BAP. r By. ' Paul Roma,Building Commissioner �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: • number street vill "HOMEOWNER": name home phone# work phone# • CURRENT MAILING ADDRESS: city/to state zip code The current exemption for"homeowners" : extended to include owner-oc• .ied dwellings of six units or less and to allow homeowners to engage an individual for hire ,o does not possess a lice. ,provided that the owner acts as supervisor. DEFINITION OF HO s OWNER Person(s)who owns a parcel of land on which he s a resides or inten. • reside;on,which,tliere is,or is intended to be,.a one or two- family dwelling,attached or detached structures acc'. sory to such us' and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a h.is eowner. S-ch"homeowner"shall-submit to the Building Official on a form acceptable to the Building Official,that he/she shall be -sponsib for all such work perfornied'under the building permit. (Section 109.1,1) The undersigned"homeowner"assumes responsibility for c. •fiance with the State Building Code and other applicable codes, bylaws,rules and regulations. v . . , The undersigned"homeowner"certifies that he/she un•-rstands th= Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will corn, y with said p ocedures and requirements. Signature of Homeowner • Approval of Building Official Note: Three-family dwellings con :ining 35,000 cubic feet or larger be required to comply with the State Building Code Section 127.0 Construction Control. ' - HOMEOWNER'S EXEMPTION The Code states that: "Any h meowner performing work for which • building permit is required shall be exempt from the provisions of this section(Se tion 109.1.1-Licensing of construction pervisors); provided that if the homeowner engages a person(s)for hire to do su I work,that such Homeowner shall act as upervisor." Many homeowners who us this exemption are unaware that they are as uming the responsibilities of a supervisor (see Appendix Q,Rules&Regulati ns for Licensing Construction Supervisors,S• tion 2.15) This lack.of awareness often. results in serious problems,partic arly when the homeowner hires unlicensed pe ons. In this case,our Board cannot proceed against the unlicensed pe; on as it would with a licensed Supervisor. The h i meowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,man communities require,as part of the permit application,that the homeowner certify that he/she understands the responsib''ties of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt • ch a form/cer'tification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Town of Barnstable Regulatory Services gu ry a., „� • Richard V.Scali,Director MASS.i,�6:0" 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 • • I, • - joi *i G.,q L.t i 6? ,as Owner of the subject property hereby authorize /66-1 _ 4A to act on my behalf, in all matters relative to work authorized by this building permit application for: • VO,?9 o C it 1cL • Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. • S tore •. .• er Signature of Applicant -14,0 ea2-g- Print Name Print Name • //-11-1 Date Q:FORMS:OWNERPERMISSIONPOOIS f • ACGR o /DDIYYI'Y) ® CERTIFICATE OF LIABILITY INSURANCE DATE 8(MM(MM/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 have ADDITIONAL INSURED provisions or 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 BRYDEN &SULLIVAN INS CONTACT 88 FALMOUTH RD PHONE FAX HYANNIS, MA 02601 • We Ne ) E-MAIL (A/C,No): ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED INSURER B: BEL ISLANDS HOME IMPROVEMENT LLC 204 CINDERELLA TERRACE INSURERC: MARSTONS MILLS MA 02648 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 37252607 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 LIMITS LTR INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 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) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ^ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC5-31S-615667-017 2/11/2017 2/11/2018 / STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 I - - • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, 397 MAIN ST ACCORDANCE W THDATE THE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE aae/1-4-1— LM Insurance Corporation ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • 37252607 I 1-615667 117-18 WC I n0270258 18/15/2017 8:34:49 PM (PDT) I Page 1 of 1 i , � ii ufltL3€v'&cr - t /il1 JGYM� s s, gulation k 0 (' LJLLirs&Busie #i f s mer Affa R i f 'Offce oCon TRACTO 8 ,� , OVFEMENTTCON Tp { fr $OMEIMPR R + yes.H itt .4472476_ Regstcato 0 DBA 722 .18- a ram' c - • rI i Egxpira+ ioEn£'. . x' �' - -° FIOMEIMaBELI NDS P . c,;: '.',.'!`;''OP,'-',,'.,. .r .¢ FRMALQ ` ,-4, 'QNopEIYY `, - r �_ NIDE2ELLA4' t,x � desece ry,,,204 F C ILLS M 028� � to-ARSTONSM , FM , 3,�. Gornmonwealtfi of_Massac'husetts,V Dluisron of Professtanal Licensure; x' � ':Board of Building Reg ulattons and Standards { Const Ot.► „,:: }.. 1 fires:0610112021 1 CS-111305 : it'll'iii: b : ANDRE YARMALOYi4�H' f : . 204CINDERELLO fE '0E i 4 i. MARSTONS MLL S I Corn.... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 33(. Parcel es- \ Application g©g I 7P Health Division Date Issued 13_("/ PP Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address ' c Village C Owner ,So Lp. . h c.a c-, Address c?_o . o y 33 Z. Telephone 'i CC‘.‘ - \'V. . c_".... ._.. a Q , -a , ca Permit Request \ z_ 06- • o +.' o z_ 3 40. Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4! 'too- va Construction Type Lot Size Grandfathered: U Yes ❑ No If yes, attach supportinNdoccmentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure tobSiD Historic House: ❑Yes ❑ No On Old King's Highway: ❑.Yes 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sjq.ft) Number of Baths: Full: existing 3 new Half: existing crew rri Number of Bedrooms: a existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil U Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing U new size_Pool: ❑ existing U new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name c_o.,o'� c.i �Zu Telephone Number 5 c£ - �- . '�3�a••( w� � p Address ' Pb•"SC.-c+-r s . �� License # o Z- A •. c� -^"Z� 6-tb.re__ Home Improvement Contractor# -A, z� 1 Worker's Compensation # too `co"3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ` - DATE 46//44 FOR OFFICIAL USE ONLY i; APPLICATION# DATE ISSUED MAP/PARCEL NO. f - ADDRESS VILLAGE • OWNER DATE OF INSPECTION: tiPEQ.UNDAT_ION'LA-s itANMl.; IJPItkiUM°.l:z - FRAME - - - - INSULATION.::. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ,FV FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 • •- - / N. v.w.irr£iirvorr/fTC Office of Consumer Affairs&Business Regniation License or registration val►d for individul use Only �� •h4@ IMPROVEMENT l! CONTRACTOR before the expiration date. If found return to: intration: Office.of Consumer Affairs and Business Re ulationR y19 171251 Type:' it xpiration: 3/1/2016 Pa 1nershap; It)Park Plana Suite 5120 Boston,MA 021,16 CON-SERVE ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE wLA/VH__1,en, t.nderserretar Nat valid--without signature • •;:k wst asp L;"t ad a€its - iMwez._ 'd ate 3;atmairta Regulations ,lrfe'h.-i 0,a,.1's .; � 7 '',.ip.i'ri• a at iar a : dE w v"CSS€.-102778: CO.DNOR f1 MC1NERNEY s�"'',« , • 39 SIA sCONSET.1311P/E • SAGAMOIIE BEACH.MA 62562 • ---on ,tea••,,±T 010`19/2014 The Commonwealth of Massachusetts „M Department of Industrial Accidents lr l=Q Office of Investigations=, 600 Washington Street, _ Boston, MA 02111 • "4szJ wwwanass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. ConserVision.Energy Address: 376 Route 1.30.Suite C City/State/Zip: Sandwich, MA 02563 phone #: 508-833-8384 Are you an employer?Check the appropriate box; Type of project(required): 1.[3 Cam a employer with 8 4. 0 i am a general contractor and I_. 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet: + 7. 0 Remodeling ship and have no employees. These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp.insurance. 9. 0 Building addition [No workers'comp. insurance 5. 0 We area corporation and its 1 required.] officers have exercised their 10.[I Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself [No workers'comp. c. 152, §1(4),and we have no 12.D Roof repairs insurance required.]:t employees.[No workers' 13' 11;; Other Weatherization comp. insurance required.J 'Any applicant that checks box ill must also till 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 their workers'comp.policy information:11 I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. insurance Company Name: CS&S/WORKCOMPONE Policy#or Self-ins.Lic.#: 6011316349 Expiration Date: 03/11/2015 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator: Be advised that a copy of this statement may be forwarded to the Office of.. Investigations of the DIA for insurance coverage:verification. I do.:hereb )5't der th p 'Its'�(ind penalties of perjury that the information provided above is true and correct Signature: ._. � ) ``` Date \ — 'g- \y Phone# Official use only. Do not write in this.area,to be bycity or town official. r.� 3' completed ty .� � City or Town: _ Permit/License# Issuing Authority(circle one): 1 Board of Health 2.Building Department.3.City/Town Clerk 4. Electrical Inspector S..Plumbing inspector 6.Other Contact Person: Phone#: _ ._ Ac DATE CERTIFICATE OF LIABILITY INSURANCE 03/1 7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER`OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CS&S/WORKCOMPONE NAM PO BOX 946580 PHONE - FAX! (A/C,No,EA),; (A/C,No): .MAITLAND,FL 32794-6580 EMAIL Phone-877-724-2669 ADDRESS: Fax-877-763-5122 INSURE/2(S)AFFORDING COVERAGE NAIL* INSURER A Continental Casualty Company - 20443 INSURED INSURER B;: CONSERVISION ENERGY 376 ROUTE 130 INSURER c SUITE C INSURER ;Continental Casualty Company: 20443 SANDWICH,MA 02563 INSURER E:::Continental Casualty Company 20443 .. ... .. INSURER F: COVERAGES CERTIFICATE:NUMBER: REVISION NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY.CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES OFc1'RIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID r. CLAIMS. • • AWL. SUER _ . POUCY.EFF :: POUCYEXP LTR TYPE OF INSURANCE IItSR WVD POLICY NUMBER .. (MMIDDIYYYY) (MMNDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE Si rO40+000 XCOMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 1 CLAIMS-MADE El OCCUR, A Y N. 6011316335 03/11/2014 03/11/2015 MEDEXP(Any:oha person) $10,000 PERSONAL a ADv INJURY. $1,000,000 GENERAL AGGREGATE $2,000,000 :. GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY®PRO-T. LOC JEC COMBINED SINGLE LIMIT. AUTOMOBILE LIABILITY $1,000,000 (Ea ANY AUTO . BODILY INJURY.(Per person) ALL OWNED * SCHEDULED • BODILY INJURY(Per acdde rt A AUTOS AUTOS. N N 6011316335 03/11/2014 0.3/11/2015 ) HIRED AUTOS x NON-OWNEU: .c=AUTOS PROPERTY DAMAGE (Per accident) X UMBRELLA LIAR OCCUR EACH OCCURRENCE $1,000,000 0 EXCESS LIAB ~ CLAIMS-MADE.. N N 6011316352 03/11/2014 ..:03/11/2015 AGGREGATE ' - $1,000,000 IDEO XRETENTION:$ 10,000 WORKERS COMPENSATION `X,�� WC STATU- OTH- • AND EMPLOYERS'LIABILITY 'y TORY LIMITS ER. ANY PROPRIETORIPARTNERJEXECUTIVE YIN_ $100,000 E OFFICER/MEMBER EXCLUDED? . N N 6011316349. 03/11/2014 03111/2015 E.L:EACHACGIOENT MandatoryIn NH) - . DISEASE-EA EMPLOYEE $104(}00 EL. If yes,describe under • - } DESCRIPTION OF OPERATIONS El.DISEASE-POLICY LIMIT .: $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attsclt ACORD 101,Additional Remarks Schedule,it mote space is required) • Certificate Holder is;added as an additional'inured as provided in the blanket additional insured endorsement CERTIFICATE HOLDER CANCELLATION Rise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1341 Elmwood Ave THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Cranston,RI 02910 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE' • UOV ©1988-2010 ACORD CORPORATION. All rights reserved: ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 6c48s5: • um � r • OWNER AUTHORIZATION FORM n L41/ 66rt owner of property located at L/00 4` %/4/N J • t ev"--fii470"4/ miel oZ 63-7 hereby authorize ConserVlsion Energy,to act on my behalf to obtain a building permit to perform work on my property. Owner Signat Date � � // ,,, 0 ille(„a 411,6 0 0:'' ''';'4„.* ' -07 ; #40.,,,, ,.0 „ ''*' w'l 'J'kt wryi 11/14/14 Thomas Perry, CBO Town of Bamstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr.Perry, This affidavit is to certify that all work completed for insulation work at 4084 Main St/Rte 6A (application#201405117) has been inspected by a certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, rtjL -,... c-, -Conor McInerney o ConserVision Energy :=;: -4 w > 376 ROUTE 130,SUITE SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM Anita&John Parker February 15,2008 4084 Bone Hill Rd. Cummaquid,MA 02637 David, We received your letter today and wanted to respond as quickly as possible. First,please don't think we're avoiding you.If we don't respond when you knock on the door,it is because we are away or at work(Anita's office is in another town,and John works on the third floor,where it is practically impossible to hear anyone knocking). Now, to your concerns: We do notice that there are tire tracks on the area of your front lawn closest to Bone Hill Road. As you know,there is always considerable delivery traffic on Bone Hill Road,so we cannot know which vehicles left those tracks or when. However,when spring comes, we will inspect the damage with you and cooperate in making repairs that seem reasonable. As for cleaning the surface of Bone Hill Road,we will get to work on that as soon as the mud dries and it's practical to sweep away the debris. Parking is a more difficult issue. Unlike the site where you built your house,we have only a short driveway with room for one vehicle(we must park one of our cars in the drive,because one of the garage bays is used for boat storage).There is simply nowhere for the contractors to park their vehicles other than along our side of Bone Hill Road. Our understanding has been that if a contractor parked in your driveway, it was only while waiting for a delivery truck to leave materials at our building site. It seemed that your house was unoccupied,and that no one would be inconvenienced by this. However,we and the contractors now understand clearly that you do not want us to use your driveway. The good news, as far as parking is concerned, is that the project is on schedule to be completed by early April.The bulk of the building materials already have been delivered, and there will be little or no need for larger construction-related vehicles to use Bone Hill Road during the remainder of the project. We're sorry for any problems this work may have caused you. If you have questions,feel free to call us at 508-375-3365. Sincerel y, Anita&John Parker cc: Town of Barnstable Building Department I F Building Department February 15, 2008 Town of Barnstable 200 Main Street, Hyannis, MA 02601 Dear Sir or Madam, We received the attached letter today from David Parrella concerning our remodeling project at 4084 Main Street, Cummaquid. It appears that you were sent a copy of that letter. We responded to Mr. Parrella by letter today, and we're attaching a copy of our response for your files. We intend to work out these issues as quickly and amicably as we can. The project is on schedule to be completed by early April at the latest, so this is very much a short-term situation. Sincerely, Anita& John Parker 4084 Main Street, Cummaquid 02637 508-375-3365 rn co- " II Certified Mail David A Parrella PO Box 1211 Barnstable,MA 02630 February 14, 2008 eitA4la RE: 15 Bone Hill Road Landscaping Damage and Parking Issue Remodeling of Parker Residencef4084 MaiiTSt.;Cummaqui Dear Anita /A .C{ I have stopped by your home several times to talk to you in regards to the situation or. • people parking in our driveway and driving on our sodded lawn to no avail. I've knocked repeadiatly and no one answers the door. As you can clearly see, our front lawn area has been severely damaged from vehicle traffic on Bone Hill because of construction vehicles being parked on the road and not enough clearance to get by without driving on our front yard. There is not enough room on Bone Hill to have your contractors park on the road. As you will remember when we did work,I personally was sweeping the roadway several times a week for the entire construction duration, and we did not park in your driveway or on Bone Hill. We never authorized anyone to park in or on our property and hereby request that you have your contractors cease all trespassing. We have left notes on your contractors vehicles telling them not to park there. I have had to move one of the vehicles myself so I could obtain access to my own house. It would be appreciated if your contractor clean the road immediately. I would expect you extend the same courtesy to us and your neighbors as we extended to you. This Spring, I will look to you to repair the damaged areas by re-loaming and re-sodding and repairing any irrigation heads that were destroyed. • i Respec yours, c: rn Lc avid A Parrella ��.. CC;Town ofBarnstable Building Department LT) r.' rn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 34 Parcel 15 / Application# � .07 07`7.1 7 Health Division Conservation Division --2r.-- Permit# It-''' Tax Collector Date Issued Treasurer Application Fee 5 d- • Planning Dept. 1 (3Permit Fee '�se p. 8v Date Definitive Plan Approved by Planning Board 1 1611a— Historic-OKH Preservation/Hyannis A g/ Project Street Address 70 �vb �''l Village .`j1Jj a. Le Ownr i1N &Nl ,( Gt►' Address ,9 ealc. Telephone S 375""3-.346— Permit Request qwdj /<D'/" --- /3,sfel,^o 0M . r ( 2/uj) i) 6( .2.1) s.7 S rs Square feet: 1 1st floor:existing13`I o CID I I— _mo t q I proposed -' 2nd floor:existing 11�I 1 proposedTotal new Zoning District Flood Plain Groundwater Overlay d N.) r- zz '`- Project Valuation�3� 5-0 ConstructionType 1 i _-. Lot Size Grandfathered: ❑Yes ❑No tf yes, attach supporting documentation. _� Dwelling Type: Single Family 1 Two Family ❑ Multi-Family(#units) ' i \ " Age of Existing Structure 100 ys-S ± Historic House: 'Yes ❑No On Old King's Highway: laYes ❑No « Basement Type: W-Full 1-Crawl CI Walkout CI Other ('dP.c e.0 ci '' 644.- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) f 00 - Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing lib new 2- First Floor Room Count -7 646 4 ti�.ew) Heat Type and Fuel: ❑Gas Oil ❑Electric 0 Other Central Air: ❑Yes iiNo Fireplaces: Existing -2~ New Existing wood/coal stove: ❑Yes dNo Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:aexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . Commercial ❑Yes �a No If yes,site plan review# • Current Use ee6 `d O_.-e - Proposed Use ,e 5 (G /C/)C--__, BUILDER INFORMATION Name 6,ajr' P7-1),a1/iS �/ �Telephone Number D ' fag-Sc ` Address v t t� License# 30 • erg � f��-e � � � �! �, elm isMiff- /01.�/6,0 Home Improvement Contractor# mpj3E Worker's Compensation# 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 11 ) ItoI07 r r+ 6 • i k FOR OFFICIAL USE ONLY � 1 t . PERMIT NO. DATE ISSUED 1 • ; I MAP/PARCEL NO. I ADDRESS VILLAGE 4 • 1 OWNER - 1 - : c . } i • 1 DATE OF INSPECTION: FOUNDATION ,5-�,„... 7�£.S • % I FRAME alo ®f- a INSULATION '$1 7' /o s "--- - tl FIREPLACE . . I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - ; t - GAS: ROUGH FINAL I , E FINAL BUILDING , i y DATE CLOSED OUT d ASSOCIATION PI:*NO. 11./26/2007 14:22 5083945460 GEORGEDAVISINC PAGE 01/01 morn:Steve'TaBent Al;Noril Biel Irisotau we 31:I vi�n y.,li LC F9AID,No,(I'131ei ITIBUialloe To.Michele 3asiINCll Dale,6/22/2007 12;OB PM Page,2 of 2 • ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID ST DATE(MMIDDIYYYY) GEORG-6 08/22/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE North2tar ins. services, inc. . HOLDER..THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 65 Walnut Street Ste. 380 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wellesley MA 02481 Phone: 781-431-2500 Fax:7S1-431-6134 .INSURERS AFFORDING COVERAGE NAM a INSURED • INSURER A: Ate_Companies _� ^ INSURER B: George Davie Builders, Inc. INSURER. George Davis - 9 New Venture Drive-Unit 7 INSURERD: South Dennis MA 02660 INSURER E. • COVERAGES • THE POLICIES OF INSURANCE LISTED REI.OW HAVE BEEN ISSUED TO TI•IE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NDTIMTHRTANOINO ANY REOIJIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SIJILECT TO N.I.THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE SEEN RCDUCCD DY PAID CLAIMS. rULILY�l•I•bI.IIYE I•'ULILT xrIKADUN L 'TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY • EACH OCCURRENCE - D,w{L,E T UTIENTmD COMMERCIAL.GENERAL LIABILITY PREMISES(EA 000uronoo) $ CLAIMS MADE L—I OCCUR MED EXI'(Any one person) $ __r PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'I.AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ -af'OLICY n JEC n LOC AUTOMOBNLE LIABILITY • COMBINED SINGLE LIMIT ANY AUTO (En nrcldan)I ALL OWNED AUTOS BODILY INJURY SCHEDULED ALTOS • (Per parson) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS, (Par nccI i nt) _ PROPERTY DAMAGE (I'er onolrlent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY All0 • OTHER THAN EA ACC $ - _ AUTO ONLY' AGG $• EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE B OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X TORY L uvr_LI101 a n EMPLOYERS'LIABILITY IMITS ER-4 • A ANY PROPRIETOR/PARTNER/EXECUTIVE WC1768491 03/05/07 03/05/08 E.L.EACFIACCIDENT &lOO,000 OFFICE/MEMBER EXCLUDED; E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under - SPECIAL PROVISIONS below EI..DISEASE.-POLICY LIMIT $500,000 OTHER • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS • • • CERTIFICATE HOLDER CANCELLATION BARNS TA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION • DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIN. 10 DAYS WRITTEN Town of Barns table NOTICE TO THE CERT1VICATS HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL • Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER,ITS AGENTS OR • 200 Main Street Hyannis -MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Margaret Herlihy ACORD 26(2001108) I ACORD CORPORATION 1988 '- ��c Z J TTia va a+.s..a..N Iron..v-.— l�- �{S. :,' '' • Regulatory Services o� • t ai,E, t Thomas T,Geller,Director. . s ss, $ •9� ,6�9 �,� • Building Division • ' pree Tom.Perry,Building Commissioner • . .200 Main Street, Hyannis,MA 02601 . www.town,,barnstable,ma.ns ' • Fax; 508490-6230 . Face; 508-862-403S, • Permit no. • ' . . . Date • • • AFFiDAVTT ' • HOME IMPROVEMENT CONTRACTOR LAW ' . • SUPPLEMENT TO PERMIT APPLICATION . • MGL c. 142Arequires that the"reconstruction,alterations,renovation,repair,Modernization, conversion, improvement removal, demolition,or construction of an addition to any pre-existing owner-occupied - bwlding containing at least one but not more than four dwelling units.or to structures Svhich'are adjacent to such residence or buuldg be done by registered contractors,with certain exceptions,along with other 1 requirements. / / Estimated Cost �3I5 � 'Type e of Work: /'_/, �j/1 4'l • Address of Work. D g! eD1(71---r_ ili-- . ' owner s Name: / A rA� • ' Date of Application: 11 I n)l,4 • ' I hereby certify that Registration is not required for the following reason(s); ❑Work excluded by law • ❑Job Under$1,000 . ' [Building not owner-occupied . ❑Owner pulling own permit . Notice is hereby given that: • • OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH'UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE . ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDERMGL a,142A • SIGNED UNDER PENALTIES OF PERNRY . I hereby apply for a permit as the agent of the o er; • __ 71.° * ' . /73,?_3 ontractor Signature egistration No. ' Datete - . OR . • • ' Date Owner's Signature . Q;tirpfiles.ionns:h0T°eaffidav • . Rev: 060606 • ' I , q �lZe L/'o7rtortonweac( z. oA.•0�addackedeC a � - Board of Building Regulations and Standards L HOME IMPROVEMENT CONTRACTOR if Registration: 107333 .. Expiration: 7/31/2008 Type: Private Corporation GEORGE DAVIS BUILDERS, INC. George Davis 9 NEW VENTURE DR. UNIT 7 .� So. Dennis, MA 02660 Deputy Administrator .. - • - i Board of Building Regulations and Standards " ' t� Cons i v,0 truction Supervisor License : � License CS 56130 1 Birthdate 2/29/1968 .s' Expiration 3/112009 Tr# 9698 Restriction 00 'fz GEORGE F DAVIS',,,,' t` �' ' � ` G-- 9 NEW VENTURE DR#7,, i`' S DENNIS,MA 02660 Commissioner • Nov 19 07 11 : 14a ALL CAPE INSULATION 5083942220 p. 3 t Permit# Permit Date 0 REScheck Software Version 3.7.3 Compliance Certificate Project Title: George Davis Builder Report Date: 11/19/07 Data filename:C:\Program Files\ChecklREScheck\DAVIS-main st.rck Energy Code: Massachusetts Energy Code Location: Barnstable,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 14% Heating Degree Days: 6137 . Construction Site: Owner/Agent: Designer/Contractor: 4084 Main St George Davis Builders Cummiquid,MA 9 New Venture Dr,Unit#7 S Dennis,MA 02660 Compliance:Passes: Maximum UA:134 Your Home UA:122-->9.0%Better Than Code(UA) Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss: 325 30.0 0.0 11 Ceiling 2:Cathedral Ceiling(no attic): 240 30.0 0.0 8 Wall 1:Wood Frame,16"o.c.: 680 19.0 0.0 35 Window 1:Vinyl Frame:Double Pane with Low-E: 69 0.330 23 Door 1:Glass: 36 0.400 14 Band Joists(Bsmt):Wood Frame,16"o.c.: 75 13.0 0.0 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 530 19.0 0.0 25 Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design,o as specified in Sections 780CMR 1310 and J4.4. .„..., / ... 641V ,---17 ilk)/ ,iet-e..--- /0/4)7 Builder/D--igner Company Name Date George Davis Builder Page l o— — -- -- -- Page 1 of 4 Nov 19 07 11 : 14a ALL CAPE INSULATION 5083942220 p. 4 • a a 1 ; REScheck Software Version 3.7.3 Inspection Checklist Date: 11/19/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity Insulation Comments: ❑ Band Joists(Bsmt):Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor.0.330 For windows without labeled U-factors,describe features: #Panes. Frame Type Thermal Break? ,Yes_ No Comments: Doors: ❑ Door 1:Glass,U-factor:0.400 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2, Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Lis)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be Identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: George Davis Builder Page 2 of 4 NQv 19 07 11 : 15a ALL CAPE INSULATION 5083942220 p. 5 ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,Including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturers installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. Zi The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: • Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 2095 of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. George Davis Builder Page 3 of 4 Nnv 19 07 11 : 15a RLL CAPE INSULATION 5083942220 p. 6 q, l Table 1:Minimum insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) George • Davis Builder Page 4 of 4 The Commonwealth of Massachusetts Department of Industrial Accidents 1, Office of Investigations _.mil_ =:e = • 600 Washington Street Boston, MA 02111 INI www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0 .0109Q 1\akii ) , I n c Address: et N!b City/State/Zip:S . .I fl 15 . Q• MU Lo O Phone#: 57)3( Are y m an employer? Check the appropriate box: Type of project(required): 1. I am a employer with • I 2_, 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors �,� 2.❑ I am a sole proprietor or partner- listed on•tile attached sheet t L1G Remodeling These sub-contractors have 8. ship and have no employees ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance . 5. ❑ We are a,corporation and its • required.,] officers have:exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions' myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs 1 insurance required.] t employees.oyees. [No workers' 13.0 Other comp.,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing'their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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. #: lA) C)C)6()25 I Expiration Date: 3/ 57O ok . Job Site Address: � �f�_ City/State/Zip: f f d ( `j Attach a copy of the workers compensation policy declaration page(showing the policy number a>dd'expiraI'ion date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and.a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under ins and penalties of perjury that the information provided above is true and correct: Signature: Date: Phone#: '39 •� ,�� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i H.Acts of God or Otherwise Extraordinary Events It is the intent of the Contractor to complete the project within the terms of the Contract. However,should an event so extraordinary and/or catastrophic recast the social, economic or physical environment on which we based our decision to enter into this Contract,the Contractor reserves the right to take whatever basic steps are necessary to ensure the viability of George Davis Builders,Inc.. It is expressly stated that such steps are not to be taken in order that the Contractor may enjoy greater profit or opportunity; but be limited to the minimum necessary steps. I.Entire Agreement This Agreement represents and contains the entire agreement between the parties. Prior discussions or verbal representations by the parties that are not contained in this Agreement are not part of the Agreement. IV.HOME IMPROVEMENT CONTRACTOR REGISTRATION COMPLIANCE LANGUAGE A. All home improvement contractors and subcontractors shall be registered. Inquiries concerning a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,MA 02108 B. The owner may have three-day cancellation rights under MGL c.93, §48;MGL c. 140D, §10, or MGL c.255D, §14,as may be applicable. C. All warranties and the owner's rights under the provisions of 780 CMR R6 and MGL c. 142A D. In the event that the Owner does not pay the contractor per this contract,the property is subject to a mechanic's lien. E. No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure. However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in the possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and owner for withdrawal. F. No work shall begin prior to the signing of the contract and transmittal to the owner a copy of such contract. I guarantee that all our workmanship and materials will be of high quality. Additionally,we are licensed,registered,and fully insured. Our signatures indicate that we have read,we understand, and we accept all provisions of this agreement. Do not sign this contract if t r ar y blan s ces. Owner Date ( ( © ( ( a -7 J ads r Owner C � it ' Date Anita Parker Contractor L � Date i 015 )C Mks,9'1' 1 George 'is�,President George Davis,Inc. Page7of7 Lic. #156130 Reg. #107333 T , ~ .1-~"? . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 33 , Parcel 05.! Application# O / g /' Health Division Conservation Division P-�R Permit# Tax Collector NDate Issued Treasurer 0 r-----Dcb Application Fee , Planning Dept. Permit Fee ' ' Date Definitive Plan Appr Planning Board Historic-OKH 0 f IPA Preservation/Hyannis Project Street Address 110 PI Hith") Village r-----0G0 S Owner A NL_ et/4 Address &X M - L,i(L$rhil.�G�__ 1 Telephone �vAl — 375- 334_< + / .Permit Request !'�.�•✓ -tplY_Sect— / - MI.#11.111k J kc-g_ GL11 i,c iid,.... 4.0)4(5.0,74 S 1 z-e cu e 1.s I",S , aio'-29 icAletc) — GtJ®& Square feet: 1st floor:existing7G°v proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay V Project Valuation 1.S-0-0-0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. - Dwelling Type: Single Family e Two Family ❑ Multi-Family(#units) Age of Existing Structure I"/o5 Historic House: ❑Yes ❑No On Old King's Highway: AYes ❑No Basement Type: ❑ Full *rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing _3 new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other-. Central Air: ❑Yes No Fireplaces: Existing ..c&Warf V Existing wood/coal stove: DLYes No L,f - ., Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑.new size I Attached garage:`existing ❑new size Sheddexisting ❑new size — Other: I F- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ / -. .- Commercial ❑Yes ❑No��'If yes, site plan review# • Current Use fP eSr .Ge- Proposed Use bStimiesz., BUILDER INFORMATION , . 53 37 336,3-- Name it ), C. /Z°-- 0 fl•.(il Telephone Number iJ Address t O)S I License# f71 l d 2(y 1 Home Improvement Contractor# , Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE jbate .ii ((i(�L/� DATE 6pp‘ FOR OFFICIAL USE ONLY 1 "PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �� C J`�^' '-/14 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH / FINAL "!!; "'® •FINAL BUILDING i � -- II DATE CLOSED OUT ASSOCIATION PLAN NO. -` 0 Andersen 400 Series Frenchwood Double Hinged Patio Door UNIT W4'11-1/4"H6'7-1t2" R0W5'0" H6'8" HEADER2-2X8 S-3"SPAN _ 2x4Jack 6'-8"H with full heayld 2 x 4 stud spiked — together.Sill to be replaced if necessary. .780 CMR table 3602.2.6 Headers in bearing walls supporting one story above drawing not to scale approx 1/2"=1' John and Anfta Parker 4084 Main Street Barnstable,MA 02637 Installer!Builder Tom Camire —— 508-385-9699 CSL#091339 Department of Industrial Accidents 'F _ j{►.= � Office of Investigations iFiri • 600 Washington Street : _ 't= Boston, MA 02111 ' �:irw*Ct- www.mass.gov/din' • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plnmbers Applicant Information Please Print Legibly (Name (Business/Organization/Individual): 1 fil, Petrk7 . Address: 110SV L 61 5-P. • ' City/State/Zip: • 6,,,,,,,,�I L()--G B � • Phone#: 3 ' ' 7S-3 3.S---- Are you an employer? Check the•appropriate box: Type of project(required): 1,❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (fall and/or part-time).* have bred the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet i 7. 0 Remodeling ship and have no employees These sub-contractors have • ' Sc ❑ Demolition •• ' working for me in any capacity. workers' comp.insurance, 9. ❑ Building addition o workers' camp.insurance• 5. ❑We are a corporation and its • 10. Electrical repairs or additions required.] officers have exercised their ❑ 3.1E I am a homeowner doing all work right of exemption per MGL • 11.0 Plumbing repairs or additions • • myself.[No workers' comp. e. 152,§1(4),and we have no 12.0 Roof repairs . . inanraace required.]t . employees.[No workers' . 13.0 Other • camp,insurance required.] ' *Any applicant that checks box#1 roast also fill oat the section below showing their workers'compensation policy infotxaatioa: •.• I Aorrieowatts who submit this affidavit indicating they are doing all work andthen hire outride contractors most submit anew affidavit indicating such •. ;Contractors that check this box most attached an additional sheet showing the mane of the anb•ccotractore sad than workers'comp.policy information. r am an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site inf ormaiion. •'•' Iasuaance Company Name: •Policy#or .lac.;r P : - ' kb Site Address: City/State/Zip•• : Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secarc coverage as requited under Section 25A of MGL c. 152 rail lead to the imposition of criminal penalties of a fine up#d$1,5(4.00 and/or one-year imprisonment, as well as civil penalties in theform of a STOP WORK ORDER and a fine of up to S250,00 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 pains and penalties of perjury that the information provided above is true and correct. (Sae: Lk /?&-1 -' Date: 7I4 06 Phone#: 3N- I -3 365'• 11 eau Kss . Do rot a in area,le be c spin d• ,city or .cad • 111• • City or Town: 'Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5,Plumbing Inspector 6.Other : I I Contact Person: Phone#: l • • • .p • • °f pur • • Town of Barnstable nw ws71 ° Regulatory Services . • • LE, Thomas F.Geller,Director ' lbA • PED9. '`� . Building Division. • MA ‘1 Tom Perry, Building Commissioner • 200 Main Street, Hyannis,MA b2601 • www.townlarnstablepa.us • • ffice: 508-862-4038 . . Fax: 508-790-6230 • Property Owner Must • Complete and Sign This Section. ' • • •If Using A Builder • 1 Phi ,as Owner of the subject property hereby authorize I / 14i to act on my behalf, in all natters relative to work authorized by this building permit application for; • . 5D(', (Address of Job) • • (24;;;; &A/06 Signature of Owner Date • J�/� ��✓ • • Print Name • • • • Q:PoRMs:owrrERPIRsiox I . ' • Town of Barnstable ,,„„.THE Itki. y/ass,, Regulatory Services • BAB STABr.E • Thomas F.Geiler,Director 'q�to poi a�� Building Division �6g9• .._. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print i 10 6 (DATh: JOB LOCATION: 1-Mg7 Hph /if./ Till er street ]` 2/ villa4.1-A"""tag "HOMEOWNER": Alt P /W Jg g-r/✓(- 3 J(O�J/ Alt name [�home phone# • work phone# CURRENT MAILING /ADDRESS: 6oX a ( J (a C�� t) 7 city/town / state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be Xresponsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require ents. .Signature of Homeowner P . • • Approval of Building Official • Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed . Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by . several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I • P "'• . i . . t- otISE Toss, Town of Barnstable ., �; Regulatory Services LE' ` Thomas F.Geiler,Director AlfO rr►xi',� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ° www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied 1 building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ¢ ,, Type of Work: 0 �iu�Uhl Estimated Cost j��1 C Address of Work: �� (j� Hifr. �"�, . q �cr/ t / Owner's Name: 4 /)i4 P4/fra-1 Date of Application: 1 Li 0'6 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 ['Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. ( //11 1°6 gurt. pa440_,____ Date Owner's Name Q:wpfi les.forms:homeaffi day Dec 12 06 09:02a Sara Porter 1-508-362-6469 p.1 CSara Jane Porter Architect P.O.Box 640 , Yarmouth ort MA 02675 P Tel/Fax:506-362-6469 sjparch@comcast.net 1 112) 0 aD NTP"cr-D.. -G- etA.cs3 a ' te_ fl CLO D' P C1 \ •C-k 490 t 'LsT - 1-4-4-14 'N.) „ (1)GA r 0,, Iv Assessor's office(1st Floor): ,/ Assessor's map and lot num•., fi �i /�_" C �U ���T'Q O�oi TM,j,. SYSTEM�U1$ E • Board of Health(3rd floo ' F ��COtwpsr�it• S Sewage Permit number e / WITH TITLE 5� ` o � yy®� p � rua � SJS_'� �/ u�+°N1 a AL Ceps : :'t♦0r►' �'i O �6Jq. `�� Engineering Depart ent(3rd floor):' ' House number gif /Y2A//MIS7-• res�i/74-9a cx/ ,?2/2''� �'o�; it l;", r' ,� 6,,,, „, .,.,,,� Definitive Plan Approved by Planning Board FJ f, - , 19 - -�- APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only tMDr fir V TOWN OF BARNSTABLE . BUILDING ! INSPECTOR <1.& G1gi 4- APPLICATION FOR PERMIT TO 1...tt..: xt'sTzi4 c F 6 S',` -`- /, x .c ,,,,� TYPE OF CONSTRUCTION LJoc� , R.-A.41A F. i } 7' / ��� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location , /0gY/22//(/Vk ' C//7?if /I�0 Q26g 7 ,(Lrr `33 Proposed Use Dla/(s- s E �1'9 Lil Zoning District c-Yr . Fire District ./` ,r� m/7aC.__ Name of Owner FlAtheenfi ///s7O7/ -. Address SoO/3-e- Name of Builder DEN I S G. lI t it ISMS Address lie Pdu19 `S"f-- b S7'el / ev94. Name of Architect Address Number of Rooms / Foundation FA('s.7 1/N16 Exterior AZOCI.2 /vy// ta Roofing /gyp H--4( T Floors gYd77 (/ Interior Heating --SUS )%tf Plumbing Vat Fireplace I'c.l%t`JsJc; Approximate Cost "4"JQ COO Area d, Cj7194/GL--- Diagram of Lot and Building with Dimensions Fee ©/— 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 . ,-- ,--1 b — Construction Supervisor's License OOC) 397 „FLAHERTY, TIMOTHY J. -k-- ' 4. . No db-bru bi Permit For RAISE ROOF SINGLE FAMILY -DWELLING . . . . Location 4084. Main St. , Cummaquid , • 't • ,. . . . _ i . • _ , . .,, , Owner' Timothy J. Flaherty - . , , • Type of Construction , . . • _ - Plot Lot , ,.• ' • '' . . .. . r Permit Granted • June 21 , 1994 -.•/ , I . Date of Inspection:- .. . ''. Frame t 19 ' . . , '-. - Insulation 19 -, • - „. , Fireplace 19 Date Completed 19 . • i ' , 1 . : f .• % ... ..- **4 • :, . . . 1 .. t* I ' • ;. . • 0 t7,; .-... ,.. • , _ , . . . r 1 ,, •-, 2 0 -:7.1 • . i 4im a 4pi 9. 1 A t... 4 ,. — 1 r. . . .1..., , pii affl. .• — . • .' t . 'i is I ...... _ , . _ .... . , i Timothy J. Flaherty MASS.CERT.GEN. R.E.APPRAISER LICENSE#405 25G Mid Tech Drive Fax (508) 790-4778 West Yarmouth, MA 02673 Tel. (508) 775-1223 November 12, 1993 Town of Barnstable Historical Commission 233 South Street Hyannis, Massachusetts 02601 Dear Chairperson: As a homeowner who enjoys the historic atmosphere of Route 6A, I am concerned that cheap advertising is being allowed and not policed by the Historic Commission. Please take a look at the enclosed picture. The balloons are placed there daily; the banner is new. I truly do not believe that this type of advertising should be allowed. My residential address is 4048.Main Street-in Cummaquid. I would appreciate hearing from you as.soon as possible with regard to this matter. Sincerely, Timothy J. Flaherty TJF;nb ._ g3 Enclosure: picture - . . . . • . . . . . . - •• - . . . . • . ' • • . . .. . ..: . . . * . . . . . . .. _ . .. , . , .......----""___ ••.:!•%:-•.- .::: iS---'.* -:',''. ..-.•:* . . • . - .-::::.,..i;--••;4,'..--...:..;; NI - ./YL---Er Apots: • , •,.. , 4 i . .19g,017,6',5 el?Xed14 Z/IV .....--- • 1411* ,• :,•..: I , • 1. I • , \Nek, ,.•••• ,. L,_) SI 0}A 1 ,T, 1 , .' . ," -Th____(/----- . • (,,) ‘.5/2/Aier - I i L • . • . -. .. 1 L _ . . .. . Pir • .. . . . ..: : . • : :. J . ! i , , . . . ND c ir1"1-1 EL.E-VA7T01.1 I 'lit"=110" 1 ..... • . . - , • . . . . . .-.- • 0 • .,,,,,,,,,,,,,,,,:7:?,,,, .f` ,�'8���'osr 8 D•C, i . -I • - ti - - - t-x0sr-NG, ea ELF _ { At-@ 6Ase 1 ��. . �R SP�xr W/Sr�EL I. 1.. I • I i C2055 sEcT_.'oN s�v -^�-T y 3r?".=1=D„ I . . . I I _, v 0 i _.r. ; ; . �` I .\• - ! iI I greUy3 A80vEEi;JTiwln' _ / ., • ‘, , . • . . • , , „ v I I C,,,v„ . , i , , ,,,,,, ,,o, �� ..• ; .,. i , • " . • i ga, . • • Vie, . . „ . ; ,,,, , . ; .. (.„, . , • ..,,,,,, ti,„....... , .. . . . „ , ; ,,,) , , _, , . , • ; . , . , • „ . . .. . . . • . ...•" .• •..• • . • ,. . . I , '. .. . . . . . ,. . . . . . .. { • i . . . • Q, i, - 3 • G /J�ii/% ,(tt d0l7'1 - - -- -- TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PE MIT [A_3j June 20 94 NQ COC3 Denis G. Williams` DATE 40Pond Si:. ,P reRMITsLer t10. APPLICANT ADDRESS w � "� 000997 (NO.) (STREET) (CONTR'S LICENSE) ' PERMIT TO Raise roof 4 ( ) STORY Single family dwelling NUMBERN ODWELLGUNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 4084 Main STreet, Cummaquid Z NINNG CT— RF2 (NO.) (STREET) • BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY _ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Sewage REMARKS: • #83-441 VOLUME AREA OR No area change ESTIMATED COST $ 10,000 PERMIT $ 50.00 (CUBIC/SQUARE FEET) - Timothy J. Flaherty OWNER /2 ADDRESS 4064 main street, l:UmmaQuld, MA BY BUILDING DEPT. RA .,'r ;,,;,',...,,,-`. a::-.+t-,:ir..ras,,.aa ,k...h.,...s,,,,.a..wtr*,.. ,..... ..aw-i "`rFA.A.,;C7.4.)'.0.'a"" .air.--k" s f4rv.+c,,,,,„;+. , TOWN OF BARNSTABLE, MASSACHUSETTS - BUILDING ,ERMIT ., 336 05 June 20 94 NQ -46808 g3°7 DATE 9 P RMIT O. APPLICANT Denis G.• Williams ADDRESS 40 Porno Sc., Brewst'er, rui 000997 ` ., (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Raise roof (_) STORY Single famil:y`-dwelling OW EBERLLNGOF UNITS 1 (TYPE OF IMPROVEMENT) NO. .. (PROPOSED USE) AT (LOCATION) 4084 Main STreet, Cummaquid ZONING N DISTRICT RFL ZS (NO.) (STREET) BETWEEN k 1 AND . (CROSS STREET (CROSS STREET) • SUBDIVISION - - A..= ,,., LOT LOT BLOCK SIZE BUILDING IS.TOiBE FT. WIDE BY FT. LONG BY' FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #83-441 ` AREA OR No area change 10,000 PERMIT 50.00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) Timothy J. Flahertyy 7 r �), f OWNER 4034 "rain Street, Cummaquid, i A 02637 BUILDING DEP�f� 62, - ADDRESS BY if. .s:'-•1 .4 L.,1 i if • THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- r PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED "-'FROM THE DEPARTMENT OF PUBLIC WORKS. TI-E ISSUANCE'OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL •APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEIPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE. ) 3. FINAL INSPECTION BEFORE OCCUPANCY. ' .A POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS ' PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS / I 1 1 2 2 2 • 3 i 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL • WORK SHALL NOT PROCEED UNTIL THE INSPEC- I PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIOUUS STAGES OF i WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION• I BUILDING PERMIT Assessor's map; and lot number ;1934 .24771:17,P! fib:0' , N.0.014E \too * . . i S,..-1''' (91e.sokif E3i>1.- Efiy2Z. . ,. . Sewage Permit number /41. F-3 --- /c//5 - - s . - c, ,,A,„: 4,.: House number _,. ' TOWN OF BARNSTABLE - . . BUILDING INSPECTOR ,.. _ . ,...,,,.. „--- • APPLICATION FOR PERMIT TO e,,— —.,7 /-- , 6 .4.7/9‘.:4 /4.12/21./210/ • • .r, TYPE OF CONSTRUCTION ....WiaaP P/742%6V. . . - ' •2k. ' . • . . . M.Y 1913 . , . . . . . . . . 'I. . ... TO,THE INSPECTOR OF BUILDINGS: V. V The, undersigned hereby applies for a permit according to ,the following' information: , 1 Location , i-eitf* cl-ti/v ---lir . .(////‘1,09.42a/P- / - . . . . Proposed.Use Pei/0071C 6.4.4WZ . . • . . Zoning District ...e..15 45.0.4,k‘ 7 -..A. • Fire District ,goif.vd-r/9,474E Name of Owner Zeimbfl ii. /424#‘7177/• Address .o5,. .. ...fr At 42‘ 4v-mew 7 . Name of B ui I d e riPkiii/PrAD V/MV4..31220A1 Address iik.P.10 /4.ji 47/10;.:AY111P2y1.?er fC217( Name of Architect friffiAlL Address . . . Number of Rooms -ii,5/.09 - Foundation .1141 ,0, aoloOlee" . /e .e"..,f4oP Exterior , -, -4 ,vir .5diiiia.,‘,4". Roofing 1/14//it.6.42471F ailV.a4.4'. ' ' . . . Floors ....agcAorre- • • . Interior P/r4.1/Y.°‘ . Heating ' A4/t/ Plumbing 1144../g Fireplace ....24/401/.6 • - • - , • Approximate. Cost r- 46712e t . . Definitive Plan Approved by Planning Board 1 9 . . Area 7er17 ' • Diagram of Lot arid Building with Dimensions , /ogeff2ertribt .-- 41.11/ Fee //4. SUBJECT TOV APPROVAL OF BOARD OF HEALTH , • • , . /01494 a / . • '' ' . r N V . ' . ,., , et . ' r.<4% / ' . ',.. '• • . ‘b ' • . . .- . . . , •. .- •-.... -e5 oii r.-.) k ' ' 0 4" 0 % . -` ,--.. . .. r r ------be ". c ' • -5 • . i_ pacilOw . iitAir Ugh? , . . . v) \-0 . , ., '144. ChRACE '' — .• • • • • • ',.; • i P AcJi • . . ' i .. , - . .1' ,, yr, . . . . . . 849/1/6. 2 /17ii41". • ' " 4, , /2.3141 i , 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. . . ' t . Name 60-lird1/4"*J141;%-••" . . , . . • ' - • '- ' pot.0.3 Construction Supervisor's License . . , , FLAHERTY, TIMOTHY J. f No 25219 Build Garage 3` - Permit for , \ _ _ • Accessory to Dwelling V Lo • cati n 4084 Main Street • ��� �,: ' i Cummaquid • 1 � K; ,., r /j{ i • .y. - - .� iI,! .�, •_ ,. i Lrk • F Owner Timothy J. Flaherty ,� ,' .: ,`• 4 • • v , `..: .cad - •1•r j t - `+ • Type of Construction Frame r• _ t _ } 1 At • i rt.' R ate 't - Plot Lot �;r` • i '� f ! 4 T • e. • • Permit Granted' June 20,E• `19 83. . • _ =X a • Date-of Inspection 19 x_ • 1._ Y r - . • , Date, Completed 4 �19 r i r ; { • . ter:• = , • • a t 1 Epp •X .� - .. - �4, ,- ^ y �' w • 4'4 J , .1 ° •r�/ ±, .. ^ 1, ' tr , - • Vie..,.•m 4.. t.. +- .�' f, t0 + V - Tit , t ' .. r OM : ATTY ,7 MES h' LI I LSON PHONE NO. : 508 775 9248 Oct. 17 2000 03:53PM P4 ��; J2631 UNREGISTk RED LAND ornev: D EUA A CAVANAUGH �j¢ed I3oak p��,e Lendcr: PLYMOUTH MORTGAGE CO. pt �k pie Lvtla Owner; TIMOTHY J.aKATHLEEN A. FLAHERTY REGISTERED LAND L. JOSEPH P.5 HEIDI M. BERKELEY R .Book 217 )B Sheet l ot(a): B , Dgde:— TR199 Certificate of?ate 71196 Assess 's Mao Rik: LQt Ceusus Tr4 I MORTGAGE INSPECTION PLAN Sate: "=5O' 4084 MAIN STREET, CUMAQCIID, MA 0 r 4ol` 10.9 c / iIE C., 1 Zoe ARN STA BPREyER2V0A4 O Na"� HITSO Ir IB`v0 `q• I .ti 14.4%''Y ri,-- ' ko Paved 04084 ' 00' 11, r* Shed- ,� '�-!� ''S) Pe co O 00, � -0ZC , e Stry, io f. 109.10' MAIN STREET (Route 6) ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL APPLICABLE ZONING BYLAWS EFFECT WHEN CONSTRUCTED WITH RERPECT TO HORIZONTAL DIMENSIONAL.REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.G.L.TItLE VIt,CHAP.43A,SEC.7,UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY IN5TRUMENr SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN TO SE ONE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. ,FLOOD DETERMINATION THE MELLING Sf10WN HERE DOE$NOT BALL WITHIN A SPECIAL FLOOD co:ri 0 AS ZONE C DATED 712132 BY THE NATIONAL FLOOD INSURANCE PROGRD E AS DEl INEATED ON A MAP OF COMMUNITY.Zr NOTE: fur ' ,„ _, 1 THIS PLAN IS THE RESULT OF A SURVEY PERFORMED BY r I DOWN CAPE ENGINEERING, INC. ON JUNE 9 AND 14, 2006 ELEVATIONS ARE BASED ON APPROX. NGVD r x — THE LOCATIONS OF EXISTING UNDERGROUND UTILITIES I / / x-'`_x SHOWN ON THIS PLAN ARE APPROXIMATE. PRIOR TO ANY ; /x / / / 110.0b' x x a EXCAVATION ON THIS SITE, THE EXCAVATING CONTRACTOR o / �/ -� \ SHALL MAKE THE REQUIRED 72 HOUR NOTIFICATION TO DIG I / + ') "� I w �, Locus �'te sq SAFE (1-888-344-7233) AND ANY OTHER UTILITIES ( / / ( LOT B j' �� �� Or Ak WHICH MAY HAVE CABLE, PIPE OR EQUIPMENT IN THE x ! / 125,1621 SF± I \ I \r �, '' CONSTRUCTION AREA FOR VERIFICATION OF LOCATIONS. I N I ( / I \I �' THIS PLAN HAS BEEN PREPARED FOR THE PURPOSE OF I �_____� iiliiii iiiliiif-% OBTAINING A BUILDING PERMIT AND IS NOT TO BE USED i 1, x! ! ' /( II ( I ' \ 1 I FOR ANY OTHER PURPOSE. I I I I \ a I 1 I ( ' /' // ( I �_ \ II v c 03 ii, % / / `I N a —"f t \ \ \\ �\ ( ). r 0 \\ \ \ / LOCUS MAP I Z�' SCALE 1"=2000'f ! I l \ \ \ \ 3 II _ I \\ \ \S ASSESSORS MAP 336 PARCEL 51 I ! �) x \ \ \\ \\ k / o - LOCUS IS WITHIN FEMA FLOOD ZONE C 1 i \ -,,, I 0/ 0 1 i , \ \ / I I \ \ \ \x_ — \ EXISTING �\ \� v� — - FLOW ' 1 - ^42\ DIFFUSORS \ \ • ` \I I \ITH STONE \ ' \� `'V ZONING SUMMARY \ ZONING DISTRICT: RF-1 ` \ �`�� \\ \ ! MIN. FRONT SETBACK 30' ! I \ x _ �' ��,- MIN. SIDE SETBACK 15' ! \ \ \\ j r`\{! 1 .1,- MIN. REAR SETBACK 15' I \ N44 � \\ If(r ! ! - L; + --, . N/ I - - SHED \ \ A�\ \f .)\ V \ \ ` �{ } ! . r 208' 4s C Oo \ \ N , � \ ({ } �\ 12.00' OWNER OF RECORD - _ �_ - ANITA PARKER \ .i \ \ P.O. BOX 245 \� GARAGE \ \N \ \ \I ; CUMMAQUID 1 \ \\ \ x \ \ '\ Z ___-_- _I \\ \EXIST.\ \\X ! REFERENCES SEPTIC \ \ I Fri ---- \\r,-\T S K \ \ 1 CTF 170635 — i II . 5 \ \ \ \ LCP 21720B n \ ! VI \ I .� 1.- I .S ' \ �a m �- PROP. \ u> � ONE ! \ \ \ s o I STORY o. \ \ ! D IA I •Dn. \ x \ N ri / �, N EXIST. fig. \ cs #48`4 \ \\ \ \ '\ PLOT PLAN E /I A> ti�, \\ 4-;" ! SHOWING PROPOSED ADDITION I 1 I II � �` / ,Q<S IN 1 X/ ' Y 7' // `#-V.4 ,f ' \` (CUMMAQUID) BARNSTABLE / / / / /40 // / // PREPARED FOR / / , / �o / / - `°9, !-F PPM� JOHN & ANITA PARKER r GE 0 ' p / E off 508-362-4541 I / -�- JUNE 1 1 , 2007 14( fax 508 362-9880 ' / / �'- down cape engineering, inc. ` ` 0�� H. a CIVIL ENGINEERS OJALA �Q�' `` SURVEYORS _ e No.26 ; � ‘ / Scale:1"= 20' `` LAND _ _ Main Street - YARMOUTHPORT, MASS. jI"� ����� "�• 939 4 I' J f '� ����, _� 0 10 20 30 40 50 FEET DATE ARNE H. •JALA, -.L.S. -128 06-128 SP SB - — - � i II 1I - - /'----------..,• \,, , r , 1 - , •-, . , . - . . ,....---- - ( ---) SMOKE DETECe RS REVIEWED y/ ,,, 0 0 01/41- '1 .-..--......=-- A.1 1-- ..,..a...1 ,g 11 .. .......ei i,RNSTABLE B., _DING D ' . D , . ________ z -=-------±-------,--- 0: -----------::,--4-=---7:---- uf-y..,.., -7 7 - /.. . . -t • v r,\ Ot , . \\ v I FIRE DEPARTMENT DATE F . 1--- t_ BOTH SIGNATURES ARE REQUIRED FOR PERMITTING \s..-.',..,--.. 7..c....,,e_ i •H I 4 . -----)--- - _ 1: . -_, -----1. 1 CARBON MONOXIDE ALARMS - :). --41 MUST BE INSTALLED PER 1 ( 1.4\ ! I ____ , 4 6 4 Q MASSACHUSETTS BUILDING CODE .,, , 09 Fe.k.......1,-.' "---- -. 7 , 1 •s)ty_).--Lo . '-t -4, 1 1 -, - I. . . 1 __, I I I I I \ i , , • . 1 1 --1 II I I 1 I . ' I thwP 41,4t I I I I . 1 1 I 1 I UP' '. '77--) ,.-• .. ....-, I 1 I I I . FORMER-ferizoo I,f.5.,- ; if,, , .*.xv..,-r-4.:.-,-.7-ILLI r''''' 1 1--/i.'2-_--,,te-izi-iel•si ay.rv*. ci-‘,...---4,0,.i. - I -a-,.<1.---...:- p.-.-.--,-.6,1 -..y.:14,-1-. 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