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0038 HAWTHORNE AVENUE
o aq-iIr e, i Town of Barnstabl:e� 14 BA 0 200 Main Street, Hyannis MA 02601 508-862-4 � w 6"3� Application for Building Permit Application No: TB-19-1817 Date Recieved: 5/31/2019 IUJ .' Job Location: 38 HAWTHORNE AVENUE,HYANNIS Permit For: Building-Tent Contractor's Name: State Lic. No: Address: Applicant Phone: (800) 649-2055 (Home)Owner's Name: MCPHERSON FAMILY LLC Phone: (508)775-1368 (Home)Owner's Address: PO BOX 506, HYANNIS PORT, MA 02647 Work Description: Install one temporary 20' x 60' NT Frame Tent for Saturday,06/08/2019 wedding event. This in conjunction with wedding tents at 41 Hawthorne for the same dates. Tent UP: 06/09/2019 Tent DN: 06/09/2019 Total Value Of Work To Be Performed: $2,200.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Philip Cusick 5/31/2019 (800)649-2055 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : .$2,200.00 Date Paid Amount Paid Check#or CC# 1 Pay Type Total Permit Fee: $25.00 5/31/2019 $25 00 3 XXX 70{JGX X}OC{ € Credit Card I .. 7068 Total Permit Fee Paid: $25.00 Lauzon, Jeffrey From: Lauzon, Jeffrey Sent: Tuesday,June 11, 2019 9:48 AM To: 'phil@chasecanopY.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-1817 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) The application is incomplete. No floor plan submitted showing exit access, occupant load, lighting, fire extinguishers and no smoking signs. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45)days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon(a)town.barn stable.ma.us J y 1 oF��E r Town of Barnstable *Permit# Expires 6 nthsfroetlssue date r Regulatory Services Fee j � BARN6TABLE, + 9cb mass. Thomas F.Geiler,Director s6S9. �0 ,�,�J AtFD MA't A .,44 ` Building Division , , Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 0260'1, rc'9,� ,p www.town.barnstable.7. Office: 508-862-4038 Fax: 508-790-6230 'lla .,._ EXPRESS PERMIT APPLICATION - RESIDENTIADONLY Not Valid without Red X-Press Imprint Map/parcel Number 286/008 Property Address 38 Hawthorne Ave.,Hyannisport, MA 02647 x❑Residential Value of Work 20,000.00 A/Ilnimum fee of$35.00 for work under$6000.00 Owner's Name&Address Susan McPherson TR, 41 Hawthorne Ave,Hyannisport,MA 02647 Contractor's Name E. B. Norris&Son, Inc. Telephone Number 508-428-2722 Home Improvement Contractor License#(if applicable) 102014 i Construction Supervisor's License#(if applicable) 015851 I MWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner i © I have Worker's Compensation Insurance Insurance Company Name Employers Mutual Casualty Company Workman's Comp.Policy# 5H46954 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders.U-Value •24 (maximum.35)#of windows 5 *Where required Issuance of this peniut does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. ,,.--- 2 SIGNATURE: yrd C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Client#: 646400 2NORRISEB ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 08/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the 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 ONTA T NAME: Dowling&O'Neil Insurance Ag arc"a Ext,508 775-1620 A/c Na; 5087781218 973 lyannough Rd, PO Box 1990 EMAIL Hyannis,MA 02601 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:Employers Mutual Casualty Compa INSURED INSURER B: E.B, Norris&Son,Inc. 138 Ostervllle-West Barnstable Road INSURER c Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADOLSUBR POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDOIYYYY MMIDO/YYY LIMITS A GENERAL LIABILITY 5D46954 05/03/2016 05/0312017 EACH OCCURRENCE $1,000000 X COMMERCIAL GENERAL LIABILITY PREMISES RENTED $100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENLAGGRE GATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS L1A8H CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 5H46954 05/03/2016 051031201 X WC STATU- OTH. AND EMPLOYERS'LIABILITY YIN I T' ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NM E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below. _LLE.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remark;Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE y� ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of I The ACORD name and logo are registered marks of ACORD #S1758421M175841 LS1 The Commonwealth of Massachusetts Department of Indristrial Accidents 4� Office of Invesfigations 1< 600 Washington.Street Boston,M4 02111 tvwm niass.gosldia `Yorkers' Compensation Insurance Affidavit: Builders/Contractors/ETectiicians/humbers Applicant Information Please Print Legibly Name{Busmemiorganintion(Individual): 'GL( Address: 159 05�C L_Le z�, City/State/Zip: kE_0 J ll o Z S Phone : tS ' �6 Are you an employer"Check the appropriate box: Type of project(required): PEI-Lem a employer with 2 Q 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2..❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have $_ ❑Demolition. working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance-1 required.] 5. ❑ We are a corporation and its 10.❑:Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]1 c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] 'Any applicant that checks boa 41 most also fill out the section below showing their workers'compeissation policy information_ T Homeowners who submit this affidatrt indicating they are doing all work and then hie outside coattactors mast submit a new affidavit indicating sacb_ =Contractors that check this box must attached an additional sheet showing the name of the sub•coutractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pmvide their workers'comp.policy number. I am aii employer tleat isproWditrg nrorkers'corrgmuation itmirmice for very ertrployees Below is the poky acid Job site inforatat'i©'t6 Insurance Company Name: EWLD I p Q Q 0' UA U- CC-b ul_ }` Policy I or Self-ins.Lic.#: Expiration Date: Job Site Address:;�� � t.e_Q. A3e City/State/Zip: �vL i SJ�d`t � z�o TT— Attach a copy of the workers'compensation policy declaration page(.showing the policy nu er and expiration date). Failure to secure coverage as required under Section 2.5A of MGL c.. 152 can lead to the irupmsition of criminal penalties of a fine up to S1,5©0.00 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 cel raider tits ns and es o peilury drat the inforatation pro-i ed above is tine and correct Si Lure: - Date: /2 Phone 9: Official use only. Der not write in this area,to be completed bti'cityor town ofciaL City or Tox%m: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrourn Clerk 4.Electrical Inspector 5.Plumbing Inspector � 6.Other Contact Person: Phone#: r ti m =- - �� ���v��z2.r�t%cr��t� a� �����cr-c% ell' '— f;, Office of Consumer Affairs and B siness Regulation _- g 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contactor Registration Registration: 102014 Type: Private Corporation _ Expiration: 6/30/2018 Tr# 288022 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. Osterville, MA 02655 Update Address and return card.Mark reason for change. []SCA 1 Li 2CM-05/11 Address Ej Renewal ❑ Employment Lost Card ��/n�merTrn-ir's" 1/' n�G%'egu1afion.•/l� License or registration valid for individual use only Office of Consumer ffairs BSc Bus' ess egulat�on g f HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 102014 Type: Office of Consumer Affairs and Business Regulation Expiration: _6l30/2018 Private Corporation 10 Park Plaza-Suite 5170 ` . Boston,MA 02116 ERN B. NORRIS Craig Ashworth _ •� 138 Osterville W. Barnstable:rd-` Osterville, MA 02655 Undersecretary Not valid without signat re 9 Massachusetts Department of Public Safety +� Board of Building Regulations and Standards License: CS-015851 Construction Supervisor CRAIG N ASHWORTH 138 OST W BARNSTABLE- OSTERVILLE MA 02606 Vie= Expiration: Commissioner 09/2812017 QFZ1iE r Town of Barnstable. Regul.atory Services 8 Thomas F.Geiter,Director :."�prgQ z.� a, ......................: _.. ....:....... ..�. .::-._.Buildzng. .xvision._ ........ --_......_-__.,-_.. ._:... ..,.,...., __...._:.:............_..._:_..._.__:._....,.,_. _.._..__....._.......__..............._................_............................._2o.r,.pPr, ,...6.u#ld ung._C.omm3ssioner._ 200 Main Street, Hyannis,MA 0260 t www.town.barnstable,maxs Office: 508-862-4038 ....... ............_... .... ..........._.........._.... Fax;...508.790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder I Susan Mcpherson• ,as Owner of the subject properly herebyauthorize E.B Norris and Son,Inc. to act on my behalf, in all matters relative to work authorized bythis building permit.application for: . 38 Hawthorne Avenue,Hyannisport,MA (Address of job) Signature of Owner Date— 1 Susan Mcpherson Print Naxa p i Q:F0RMS;0V NE"EW15STON i r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � � Parcel Application # Health Division Date Issued •-10-6- I Conservation Division Application Fee Planning Dept. Permit Fe>�y '0 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village t f Owner C 5 L 4---1 Address Telephone ���-"72b - I(C-6 �. �E F Or:,�CJ S. A�-: -ti �C"C Permit Request a: +q �e c�• � . � � 1 vS or- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay nProject Valuation d `Construction Typed Lot Size' e) �Z �-S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family t2. Two Family ❑ Multi-Family (# units) Age of Existing Structure 16 V Historic House: Yes ❑ No On Old King's Highway: ❑Yes 01110 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new zj Total Room Count (not including baths): existing new First Floor Room Count l'i[it • I Heat Type and Fuel: d-Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 0 No Fireplaces: Existing New �� Existing wood/coal stove:,❑Ye Ag-No ' 4.:t. Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing O�ew�lze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: nn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A5-No If yes, site plan review# Current Use 61 1, Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -� l `� I Telephone Number Spy 46 Address I3` 6�' SJ� �, D�u,_5{ � License # C5 0 1 S 6S 1 6sLs 30 tt. . etL D a, -5 Home Improvement Contractor# ;6)q Email Cc�-5 ()e( V c:-"fCLS o (Cn— -Worker s Compensation # (,)f✓ oz f 7 IL IN- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Al l I� FOR OFFICIAL USE ONLY i i APPLICATION# f? DATE ISSUED w MAP/PARCEL NO. t , -ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL j FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a I , 0��41E,p 'Town of Barnstable. B�L , Regulatory Services MASS.BnzTneE ; Thomas F.Geiler,Director sa Division . . rFD MA'I .. . ..... .. Tnrr,_Perry., $��ilung.Commission,er ....... .. ........ ... .. .. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us 230 Office: 508-862-403 8 Fax;. 50$-790-6... Property Owner Must Complete and Sign This Section If Using A Builder I Susan Mcpherson ,as Owner of the subject property herebyauthorize E.B Norris and Son,Inc. to act on my behalf, -in all matters relative to work authorized bythis building perrnit application for: . 38 Hawthorne Avenue, Hyannisport,MA (Address of Job) Signature of Owner Date t Susan Mcpherson Print Name Q :FORMS:MNERPERMISSION APR-23-2015 11:11 From:508-394-5019 Pa Cie:1"1 nationalgrid April 23, 2015 Attn: Jeff Annis/E.B. Norris&Son Inc. RE: 38 Hawthorne Ave. Hyannis. MA This letter is to notify you that the gas service located at 38 Hawthorne Ave, Hyannis, MA, was cut and capped on the property on April 20, 2015. If you have any questions, please feel free to contact me @ 508 760-7463. Thank You, Sarah Brillant Gas Customer Fulfillment National Grid 127 Whites Path S. Yarmouth, MA 02664 Tel #:508 760-7463 Fax#:508 394-5019 ® ® Ap r, 1, 2015 9:55AM NSTAR-SUMM No, 5514 P. 1 E �/ E RS®U RCE One NSTAR Way Westwood,MAA 02090 ENERGY April 1, 2015 Susan McPherson PO Box 506 Hyannisport MA 02647 RE: 38 Hawthorne Ave, Hyannisport MA 02647 Dear Ms, McPherson:. .At Eversource, we're committed to delivering great service. This letter serves as confirmation that, as of 4/1/2015, the electric service to 38 Hawthorne Ave, Hyannisport MA 02647, has been removed. . Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797. Sincerely, v'1 Martin Sullivan New Customer-Connects I BORTOLOTTI CONSTRUCTION INC. DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS March 30,2015 E.B.Norris Attn: Jeff Annis 138 Osterville W.Barnstable Road Osterville,MA 02648 Telephone: 508-428-1165 FAX: 508-428-1196 Email: Jeff(&ebnorris:com RE: 38 Hawthorne.Ave—Hyannis Port,MA On 3/30/2015 the sewer line from the house to the septic tank was cut and capped approximately 1' +/-off the septic tank and the septic tank was pumped down. The water service to the house was cut and capped at+/-property line. Hyannis Water Department informed us they were too busy and opted out of the inspection of the cut and cap. Sincerely, Michael Leone,Vice President Bortolotti Construction,Inc. P.O. BOX 704 • MARSTONS MILLS,MASSACHUSETTS 02648 • (508) 771-9399 • FAX(508)428-9399 bortolotticonstruction@verizon.net I Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor < . I License: CS-015851 CRAIG N ASHWORTH , 1 138 OST W BAR AT ;y OSTERVILLE NfA 02G55 yr t Expiration I Commissioner 09/28/2015 i ,1, f Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite.5170 J Boston, Massachusetts 02116 x=: Home Improvement Contractor Registration Registration: 102014 1 Type: Private Corporation � ' . Expiration: 6/30/2016 Tr# 252322 a s 1 --g 1211� ERNEST B. NORRIS & SON INC ; , Craig Ashworth 5. -== k 0 138 Osterville W. Barnstable rd. Osterville, MA 02655 *%Update Address and return card.Mark reason for change. ❑ Address 0 Renewal Employment Lost Card SCA 1 Co 20M-05/11 License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: UPME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation , . gistration `62014 Type: iration 6/I—-", 6:, Private Corporation 10 Park Plaza-Suite 5170 p Boston,MA 02116 ERNEST B.NORRIS&-S-ON IITC i�It Craig Ashworth S l f�i1 138 Osterville W.Barnsfa60-@F 4" Osterville,MA 02655 Undersecretary Not valid without signature €ir • The Commonwealth of Massachusetts Department of Industrial Accidents Office of rnvestigadons 600 Washington Street Boston,MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ARRUcant Information Please Print Legibly Name(Businewormizatiodlndividual)• E.B Norris&Son,Inc. Address: 138 Osterville W. Barnstable Road City/State/ ' : Osterville,MA 02655 Phone#: 508-428-1165 j Are you an employer?Check the appropriate box: Type of project(required): 1.[] I am a employer with 20 4. ❑ I am a general contractor and I employees{full and/or part=time). * have hired the sub-contractors 6. ❑New construction 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. ❑Demolition working for me'many capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition i required:] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions i 3.❑ I am a homeowner doingall work officers have exercised their 1 I. Plurabin ❑ g repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 3 a.❑ I am a homeowner acting as a employees.[No workers' ME]Other genera!conuwtor(refer to#4) comp.insurance required.) 'Any applicant that cheeltz box$1 moat also fill out the section below showing their wod=!e ean�tio&• oUcy information. t Homeowners who enbmit dds affidavit indicating they am doing all work and then hire outside contractors mast submit a new affidavit indicating such. tConnacton that check this box mast attached as additional sheet showing the name of the sob.eonttacka and state whether or not those entities have employees. If the sub-coatractcns have employees,they mast provide their workere comp.polity number. I arm an employer that is providing workers'compensation insurance for my employees Below is the policy and Job site information Insurance*Company Name: Acadia Insurance Policy#or Self-ins.Lie.#: WCA021246417 Expiration Date: 05/03/2015 , Job Site Address: �� City/State/Zip: MA 0'Z6 Attach a espy of the workers'compensation po cy 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 S1,500.00 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 anti n a the p and of perjr the nrformadon provided above Is tare and cornet i 4-9-15 pbone 508-428-1165 i F se ordy. Do not write in this area,to be completed by city or town official owa: Permit/License# uthority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person' Phone#: Client#: 646400 2NORRISEB TE(MM ACbR DA IDD/YYYY) DTM CERTIFICATE OF LIABILITY INSURANCE TE(MM2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling & O'Neil PHONE 508 775-1620 FAX 5087781218 AIC,No,Ext: AlC,No: Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis, MA 02601 I INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance INSURED E. B. Norris &Son., Inc. INSURER B: 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY A GENERAL LIABILITY CPA005234525 05/03/2014 05/03/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence s250,000 CLAIMS-MADE F xJ OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE. $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ A WORKERS COMPENSATION WCA021246417 05/03/2014 05/03/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY y/N TORY LI IT ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? NJ N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms, conditions, exclusions, other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE a, ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD i` $C14nQ15/M13nQ1A I S1 I awe - I. p o 8 - EXIST. - HOUSE ==:NNW - 1 b MUDROO ` " --- 4 -- IL J. co MRxurwxn NEW CLO I.' BATH b FIRST FLOOR PLAN NOTES: �ls 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS --- O -_- JFArMILY ::: B DIMENSIONS IN THE FIELD A - - -2.)CONTRACTOR TO VERIFY ALL INTERIOR S EXTERIOR MATERN NEW —' win DETAILS,BP` SHES IN THE FIELD WITH OWNER HVAC 9U ® j S)ROUGH OPENING HEAD HEIGHT OF WINOOWS AT - �J FIRST FLOORTOBEB�ABOVESUBFLOOR "� © i� B 4.)ALL CONSTRUCTION TO CONFORM TO TBO CMR MASSACHUSETTS _ FNIAEW I m ss I $e S IIIpgT10 STATE BUILDING CODE.STH EDITION AMENDEMENT S IRC2009 S)110 MPH EXPOSURE C WIND ZONEB.)ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY,ORHORIZ WN YW/BLOCKINGATEDGES,TEDGENTFIELDNWUNGALL LVL LUMBISMEAMS TO BE 1.N—LOADB),SEECERTFIEDPLOTPLANDEVELOPEDBYBAXTERNYEENGINEEMNGB ---- I SURVEYINGFORAUPROPOSEDSEXISTINGDETAILS : CLO_S.— I 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF I ALL SIMPSON COMPONENTS �- 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS 5 SLABS TO BEAL W/L PSI 11.)VERIFY ALL Y PLUMBING 6 ELECTRICAL DETAILS OWNERS ON THE SITE DURING FRAMING CONSTRUCTIONVE © W 1Z)TIMBER FRAMING TO BE SPRUCE/PINEIFIR NO.2 GRADE BATH - 13.)FOLLOWALLREOUIREMENTSOF E11UMPHCHECIGISTSUPPUED 14.)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE'C A --- S WITHIN ONE MILE OF NAMllCKET SWND PER STATE OF STUDY MASSACHUSEff9 WIND SPEED MAPS 15.)GLAZING PROTECTION PER TBO CMR W01.21.2 TO BE IMPACT GLAZING OaRP.va VERIFY ALL WIND BORNE DEBRIS PROTECRON REQUIREMENTS inreawrt WI OWNERS PRIOR TO START OF CONSTRUCTION I I nw nY I `\-•;. - I�Ta xexw 16.)FOLLOWALL REQUIREMENTS OFTHE IECC2M2 RESIDENTIAL ENERGY I I aree� q. _er wn�rn EFFICIENCY REQUIREMENT 68VERIFY ALL OETAIL9 WITH THE INSULATION - I CLO6.1 INSTA O I \may ym u0iaw g LLE-ONTRACTOR. - iT.)ALL HEADERS TO BE}2X 8'a UNLESS OTHERWISE NOTED L---, ® — IS) INSTALL SILL PANS S FLASHING AT ALL WINDOWS S DOORS TO ELIMINATE WATER INTRUSION I I B WINDOW SCHEDULE --_—_ —_ RR TYPE MANUFACTURER'S UNIT I ROUGH OPENING REMARKS A MARVIN INTEGRITY ITHDUH0 3'Jt 1?X3'�1/1' DOUBLEHUNO --_ —_=y B MAWN INTEGRITY ITHD38B4 3'L 1?XS'J tl<' OOUBIEHUNG NEW C MARVIN INTEGRITY RHD3558 9'-0 1?xq'-0 tlq• OWBLEHUNO -------y PATIO D MA M INTEGRITY IAMM7 75 12'J Sla• I AMINO —_—_-- - E MARVIN INTEGRITY ITHO4284 7A 1?XS4— DWBLEHUND 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH GWNER AND ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF-HOOWS 2.MARVIN INTEGRITY OR ULTIMATE WINDOWS SIMULATED DIVIDED LTTES LOW*E GLAZING WISCREENS 5 STD.HARDWARE.WHITE COLOR mC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS, `' /�ATE ZONEU(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION LOWER LEVEL PLAN TABLE 002.1.1 MINIMUM PREBCRIPTWE INSULATION S FENESTRATION REWREMEWLI TRs `wvMua s. nn.M.nrw.R � 10°°^0Fp ' EXTERIOR WALL DIMENSIONS LEGEND: NO S: n M 1Yi° SHOWN TO BE FIELD VERIFIED p .EXISTING WALLS ®SMOKE DETECTOR TTiAALUeN+E�NwIMMs aH uPawroRsnRE wAaiNuus. . s1RSAAEHTMIAIS.ax THBIMERXM OR EXTERnn _ ==7 CONSTRUCTION TO BE REMOVED ©CARBON MONOXIDE DETECTOR OFTHE HOME OR R•13 GVfIY NBUUnONATTHE INTERIOR OF THE BMEMEM VULL 3 fER TO IECC 1a12—ER groR.0 lHwnAI1CNSExERar REO111REI¢N!9 � NEW CONSTRUCTION DRAWING NO.: aQ�COTUITBAYDESIGN LLC NEW ADDITION/REMODELING FOR: a ra° SCALE: E,: 43 BREWSTER ROAD MASHPEE MA 02649 FAX 38'94�2 MCPHERSON RESIDENCE �,�� , DATE 38 HAWTHORNE AVENUE HYANNISPORT. MA ^ Mna �XN°wMna 1/23/2015 Al �R,�Ra El I LLD Oro] i mnwrwnpceu 0 aYWVAllaelomFEL WEST ELEVATION -- � f� mull R P==�ff m W JI i 4 SOUTH ELEVATION - - - SCALE: DRAWING NO.: BC{BCOTUISIGN.LLC NEW ADDITION/REMODELING FOR: w�. 1/4._1,_0, 43 BREWSTSTE R R OAOAD �� MASH �� PEE MA.02649E rsrsg FAX(SOedj 539-�940 MCPHERSON RESIDENCE- � � . 38 HAWTHORNE AVENUE HYANNISPORT. MA DATE: 1/23/2015 r HE EH ' E03 E 1 00 . . m FMooa � ❑ p �wrmam ss � m 1 i. xewuee"exrew I rewuxma"cen a - __� ��.�_ EAST ELEVATION NORTH ELEVATION BQ®COTUIT BAY DESIGN-LLC NEW ADDITION/REMODELING FOR: SCALE: DRAWINGNO.: 43 BREWSTER ROAD 1/4" MASHPEE,M".D2649 MCPHERSON RESIDENCE bM PH.(808 274-1168 "'" .°A � FAX(5°a>63 a�462 38 HAWTHORNS AVENUE HYANNISPORT. MA ra DATE: 1/23/2015 A3 r .An„pRsru➢ oE„➢}, ENezn x "RT 2x6 WALL 1 Ro,e ��•� _ Pr'AC7 l,l ' Nlxzx •6 STw . IST ?lr xelxa��,TRNx �e�: 'AR ➢.. i xo�Lxr.r.D6» 1 w . i I I m9TE RS.REBnR r0 BE CFNrFREO U1 xOl,➢OVN w_'N TMGDEo ROD Ax➢LOCATED/lam O 5. 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TNRGDEOII AN➢L—TE➢3'm 5'➢➢VN FR➢11T EIF ______________ ___________ _______________________ Fmn➢1—WALL AETueR•s SPEcv,GI PER SWSO, - _ —_—__— - _ _____ _________________ __ -- ___ --- q-r. 1xER n5 F S: 11 3•m Y aT a a iv 5Z N°➢EA Zam�x�xRw a: u A I 1I 14 sic � 5 S ,SST. j 111TAE R ALL PLANVIEw HOLD RDOWN @ EXTEIOR BUILDING CORNER SHEARWALL SCHEDULE, SHEARWALL HOLDDOWN SCHEDULEg 1'T..Em x.Rnaa+�. ttt 3T I T II I " NEW L-----------"" BASEMENT rA, Tvx��Nrm.F FouN➢Anox xDLu➢Rww: � r.r.r.r.e•.� I 4 11 I .. .�m�.."m.,•..�®.m »o,.om,.,onmrm.w,o.»,®a.ea.r _______� ' � 11 I ,weMr,m I NEW 0.o<.��..°.'. •F•.®.e A , I i j 3III � I �"�°,enwrow'.,:„Ainnw II I PATIO 'PE1 I I — SEAM L TIONS SHONM NHERE UISTINOSEAMSARELOCATED II I QrnmsrmoMw.a�r I (VERIF ALLLCOATIONS INTHE FIELD)n II I I I II I Qro..m.d»•"+ro�. r..s awuLernowe I I _ - — NweNr II I A. •.. �" p~ m.....Y �y .I I I r--- ---- — — ----------------'�I 1 .w. ..."c...moq,.,. LEGEND, CI I L NEW PATIO rx ANCHOR BOLT DETAIL FOUNDATION PLAN COTUI STBA DESIGN- E IGN-LLC NEW ADDITION/REMODELING FOR: - - „_:° " SCALE; DRAWING NO., 43 MASHPEE,MA.02649 MCPHERSON RESIDENCE r., s�,eM�' va"=r-o" PH.(5081274-11% ,,,s FAX(50)539-8402 38 HAWTHORNE AVENUE HYANNISPORT. MA ' DATE: �� , RR�ARe 1/23/2015 w ww.uux EXISTING av HOUSE lid xovwau.em x.a.na xarw.a a.maeae fa t NEW ® ® o 0 o m o NEW FAMILY _ HALL B ROOM ROOM NEW - e�'Jv: HVAC _ e ----------_ %SECTION @NEW BASEMENT I -- - — —"--- "n GENERAL STRUCTURAL GENERAL STRUCTURAL (torero) „m 'r NOTES- - NUTES; ,'�qa• .eiee.niax�ueroxoarx.n WALL FRAMING UPLIFT'CQ--CTIONS: wxusswe rorvun.,ne ,,,ov,,,,,,,,. iu �mn caarnoa• me v�.im.iis xxue TYP.STEEL BEAM INTERSECTION DETAIL - e�w.. - __� waa�si'a`so..u.o"nre�-nfOmax«b ms°w-n am.o..uanix�, aa:aro nwe'`w'"oa"emriveasmuin°arm wo vxx'e°a w ain is STEEL BEAM/POST DETAIL ft-- SCALE:i/?=1'-0' nre ernucnis.si0tnexiwmC1oms�ee�x 1r� .e(eE.vo"�'na.xeU°I.seMeoxm _ e"..euvi.nmxrme msrumwsv as a.v eee°°evx:°esuao.�n voa°°s6ODOivns,en.®iecmi.svwn a.srcxx ,erec,nrvv..nvasx.u, wnxmnns,x.e"r . vm. ,�, ®pia��vPxPvcO"w.,1°X0VP9mnY0xm`,.c�:s�eYHEx rovamwnox m.1OPu"reuamsi°ui ov EXISTING - ra,mxomonumv.ecnn.r,svcoxs..cro.s ATTIC ..«oec.xn a,ns owin..o..m xP""wDxw n''°Om°s�i°we�raww. - srsuvnwxcc°.n wrmw.sw,rx °cruwPQ°,io1°ia ..mxx� eeaeI.P.iearooer.a,.wa EXISTING EXISTING FRAMING CDNNECTIDNS� •u°� m�)'N'� HOUSE EXISTING BEDROOM owosmaawrans _ av�-+i"s HALL - wax ovea`i`aors ,',°m+ax s'"w'"ivuR17nmP1Ocov:.`ll a. mur"n msw• ....mae.I.vvrooeua�.nm - mmen ms11bw• we°'°wiaeu.1Omnx'�+o°02 w nwre're moi esa�`iv�:,iu°nw"rewmrn'mecnase1prowsx°nv°n . soxxen°x wme iwr oe nm . �ra�,on.na�eaa�an,o.xoxnv°P,x reawse°xuu ' - aaPwxw,mx.wao..n rro,xP�rev EXISTING EXISTING - oro oauvrnrroPounwi°wiss,e0ax:.w.o.mxcneresuu. DINING LIVING owie oe1Nevvo.mw.e""wm'OOi M'�"°noro"'':ovromei'® ham ' xas°u"n vexnunon xs aeov�xso..enninoroee x,r.cxeo _veo)wmimeerac.r . rov.0 exawaawxuwi m.oc rovwm .,. _ __ u.ou.eouuaa)vensa,w"re.ne oio xeww.n.roz w®,www".w,cu w.w.ae.ovw � rroxosr��veovxm�ia`wwo we v ro°,e®u°a si"o x'�",:°�rmna°mw_ Pxoar ax.w NEW WALL CONST. °L1°R's`"io06eBiVa' vmeWaassv vaow exasxwosrvo,o Davao euraov + aaewx.vroro.vure.woi�r�..W a.xosmew NEW. NEW FAMILY Y1°Bvon®ue`"m°u"�ee:Os.%1Ore�,awavw STUDY :BATH ROOM ppW eO°P6 a"�" °a•'°�w°^ss roeomox.umxxeerroxsvecvrev wxono,uov. °1�1i°"s" n'°i0msmvmsowwue.sxeuww.xoiaoaxo"w..®.rro w...� - P.SaOro�aP¢n eaxuP°i.,ni'olfm�°s�°ivuUxleel�le�aM"i SECTION @ NEW BASEMENT na,:rM aaaP,xe,w n.nax,xe,aPxe�a.a�a.eaP AS 8Q�43COTUITBREW BAY DESIGN.LLC NEW.ADDITION/REMODELING FOR. SCALE: DRAWNGNO.: 43 BREWSTER ROAD .uxx� 1/4"=1'-0" MASHPEE M-1166 9 MCPHERSON RESIDENCE- FAXI(5od)539-9402 /'-!' ^» „ DATE 38 HAWTHORNE AVENUE HYANNISPORT. MA N �� �� 1/23/2015 A5 r r I � I I r--- L_--J O I I j I II. -EL Ilk I" —�----- to I o --- ----I SHEAR WALL PLAN "re�sn.maV+.�io�mm:."r SCALE: DRAWING NO:: aQ�CORUW,T,YDE5IGN.LLC NEW ADDITION/REMODELING FOR: 43 BREWSTER ROADw+« �n 1/4"=1'-0" MABHPEE MA 02848 PFAHX.((550088 7)25'/349--19148082 Iv's "°^re�exm m ""•"M �MCPHERSONRESIDEN/ C DATE: 38 HAWTHORNE AVENUE HYANNISPORT. MA 1/23/26 15N 6 EXIST. EXIST. HALL PORCH EXIST. - e A KITCHEN - IIIII I I111 A i .1k EXIST. PANTRY 9 LIVI NG p LIVING II I I II B EXIST. EXIST. a PORCH DINING k e I FIRST FLOOR PLAN ®C{®COTUITSCALE: DRAWING NO.: 43BREW BAY RROADDESIGN,LLC EXISTING CONDITION PLAN FOR: 1�4"_,,A" 43 SREWSTER ROAD MASHPE)E MA.02649 MCPHERSON RESIDENCE SATE: FAX�(SD I)599 9402 38 HAWTHORNE AVENUE HYANNISPORT, MA 1/6/2015 F , IST. ATH IN: I• 'k EXIST. - a BEDROOM BEDROOM A ck A I EXIST. O EXIST. HALL v EXIST. ® a BATH a a k e ggD'o Yk� a EXIST. BATH EXIST. EXIST. O BEDROOM BEDROOM a 5�-SF10K�Dn'ecro2 SECOND FLOOR PLAN ®Q®COTUIT BAY DESIGN.LLC EXISTING CONDITION PLAN FOR: SCALE: DRAWING No., 43 BREWSTER ROAD �/4"- -0° _ MASH08 MA.02649 MCPHERSON RESIDENCE "'"°"'"°'° ° .. EX2 FAX((506)539,9402 �O1"1°" 38 HAWTHORNE AVENUE HYANNISPORT, MA DATE: .�: �; 1/612015 BAXTER NYE ia1 ENGINEERING& wAN�NARc NA / sY GENERAL NOTES SURVEYING NaL / e/ EL-z..s waW IJ MOE�iiml a���sa m9sso EDW u a wnma[uw[ / Uv2z-3 / Aa'/ Fegixterc0 vrolmbrwl Ergmeen L / girW� Mp zl•msis Iw me __ �Ea: a a L9Da surwlare •- ® rAnr u< rttniEra Rrx Ilzsi // apN m 4 I er 4 Vae o ]a NMh St..1 PARCEL zafi afi xnai mn"N/n R.w av w I N/Tnniq Nass9chm0te 02601 rye\ N/T—E—ER B.ANOREW9.TRUSTEE ml DEED eppK >99.PC N2 Phone-(508) 1-72 771 7 I pNW� L Rum mnua:(xow41uc lac sD F wmwE art Fax- (SOB)]]1-]67622 -IN, R� / IO,W��5]Sgpw F rJ]ne..veame ....baxfT-nle.ewn �q L il ANv TANP 11@@b DY i lI _- v�IlaWt•#uapamons WA rIF, / _ - _ CgyvyAp� -_ _.._ Ir, MrN,\ iam nm-nlsrc• wm-IS/Is' / / sER iy 4 p DnW\ omR®IBIS Io[ W.N maaem 33P-SA W H "aREI•"ff�9�IYl H��T 0� / A / { QY�`\ 61xsUnU41 fO�l[EM4au101 9�6&iFD�0�49Af AwLH[RIO➢ /% i c \ CA k Mcsigy 1 \ e�Um xrc�ErAu��aW•"�9m"In"wca-1Lmi CONSULTANT FE'WEnNC 3� r I iN W I M mro EaFve[I W YOa611e aT•u M R FLIA•!M L(IxF9ttlG1) / / ( / •21.9 i MpT� ALL I a/pnLVRAv9u Arwwramrn new n:mmtn.. mWmm CONSULTANT RA // ,�/ // � oIIbF3irnp",,c � 1 i eawDm wear rc wa Ran m Wss C., A E(ur.al CAB o Bo,I�Eroeel I� �gprarwmAaA e•sru["swm za[x o.DFD rnx waLw¢ PREPARED FOR: E, MCPHERSON F AMILY LLC 9R ma RE uvEa i a-ami•rmc i mxllivl I i•s9nii E FR a P.O.Box 506 Hyannis Port. MA. 02647 IRS / // /� //k, �-Icy"Ano `��� \�i o.),m•.wraiana w9ie _., :] M w�xmeTox� RE49 I-ei oW-Sa0 Aw vnm mrum i ue9[ l . ff pv3 0 - r7 rm�Lc upn¢ iIwE�9�iwNWw��wl�w I.Pa Aa 9pEx { / a`�' m wHRL �m naL E, .i O # l g/_3imrlx•Lias r•uex i laAlE"o wwmEawr.vD ulemLs wrnr r mD mmina "i n PFoft \ - Rw iEDumlt�mlmai 9wE Imar nE DlvEi moor m '.1 .J 1�3'FDII1 P F 286 ODE pimla'wr W,gym. �,v maim wm DamIID E1Daa rc vnm[N --, DEED CUUp1AA RE uwm°om rt"�p ii— m�O ¢r�io�ime ar— � LnFr„'1REA SnMc np DEED 600N R3a13 Pc 9a ` rmlmu" m.Lm iomml fi W�RE anlr fi roR�i Dar Ln `\- 03 9xi w"�NnE _ F-- / F awx a 116 R.w R:40-1"am mtmvM 9RI01 E. l / / —r(E S1mR PAAEL/tgyl, as sell I¢[a ims5 C 3 .. _ �rm w"rm a Q / / .. - wt)ionaowii+ .. _ _._. STATE ovico consiu BANK m�z vp a o nI/N""I �� m h iwEE ¢g ----------- — YEAppW(.A-OT—) 3 ' - ! ..a,• a0 zor p1m' / I _ roxN a 9ARNSTAa1F a:.u'xi•L Nr mEm r"a•"i'"mc w:ll1p"` $N Lanvaac nWE:ms Eii w uK 3 EEp ppEATEn PARCEL 286 008 - gATosn a3nTEu —E.rnAsru aANN m / / I 18,204,` S.F. 'wl�reuia is a"e.--a•-�- -, D.E.P.Ne#SE 9• m / - - .--.. I. o wac wi Im•m npmuwlE Aa ms:r�iw9en eo ii mn"-i a war•wD x wm z v m,17.IFT R DETECS REVIEWED ` o N 9.' ----- / ----------- -----_ NEE TITLE �l 4Z c- ————— Wetlands Permit Plan A!/EjV BARNS BUILD NG DEPT. DATE New Foundation& UP2z-S/ONW�DNW� UE —' A DATE Landscaping _ FIRE DEPARTMENT � MEET Np — uPzx-aA— E A oNW_p ————————————— B07H SIGNATURES ARE REQUIRED FOR PERMITI WPP .0 ■I r WWI.OIL ro zo IN FEET Town of Barnstable �, LE• Growth Management Department Barnstable Historical Commission QED MA'S A www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Len Gobeil OCT Ted Wurzburg 20114 z i�t11 .,c7 f Paul Arnold,Alternate NR�INSTABLE TOWN CLERK DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: McPherson Family, LLC Subject Property: 38 Hawthorne Avenue, Hyannis Assessor's Map/Parcel: 286/008 Hearing Date: October 21, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on August 29, 2014 a duly advertised and noticed public hearing was held on October 21, 2014 to determine whether the significant building identified as the single family dwelling on this property is preferably preserved and whether demolition delay would be imposed for the partial demolition of the dwelling on the parcel addressed as 38 Hawthorne Avenue, Hyannis. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the demolition of the portions of the single family dwelling are not preferably preserved significant buildings. The portions of the single family dwelling to be demolished are identified in plans submitted by Cotuit Bay Design, LLC dated October 20, 2014 and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the demolition of the portions of the single family dwelling would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. Lail& You" October 23, 2014 Laurie Young, Chair Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f);508.862.4782 . r, 1 r" � 1 Town ®f Barnstable Growth Management Department Barnstable Histodcag Commission w!w�.!4ym.a'msL;4!�ma.usihis!aricatrc"~m`ssion NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT W&DING Date of Application O l27 I�� (�Pull Demotion 9-FaOrtial Demolition Building Address:0 O HA-i, J e Aueo u E Number Street Assessor's Map# Assessors Parcel#8 Q viDage ZIP Property Owner. mc'pt 31.3 ac None Phone# / Property Owner Mailing Address(if different than building:address). 03 5b� E'�yAfyI51; i Property Owner e-mail address: r' L .-7 Contractor/Agent 1?-ICSI/.4y JfG� Lam. Contractor/Agent Malting Address: ) 'M�� Contractor/Agent Contact Name and Phgae# Nsrme Phone# Contractor/Agent Contact e-mail address:_�1 Ve C&C Detail of Demolition Proposed:_I c.e'}LIC?t)'ff D)JG �pf}-17co,,y Type of New Construction Proposed: p� �� - (bJ (A,T Provide information below to assist the Commission in maldng the required determination regarding the status of the Building.in accordance with Article 1,§112` Year built C'IZCA r c/ Additions.Year Built Is the Build" ed on the National Registerof Historic.Places.or is the building located in a.National Register District? No Yes Prope Owner/Agent Signature May,2014 I P . t Town of Barnstable 04 BARNS,TABLE MASK Growth Management Department °'� Barnstable Historical Commission www:town.bamstable,ma.usihistoricalcom mission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil TedWurzburg ,,,, Paul Arnold,Alternate Chapter 112 Historic Properties,Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 38 Hawthorne Avenue,Hyannis Map 286/Parcel 008 Pursuant to Intent to Demolish Portions of Single Family Dwelling The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on August 27,,2014. This structure,located at 38 Hawthorne Avenue,Hyannis, MA is 2 story shingle style.dweiling and is architecturally important in terms of period-and style ofahe neighborhood. Built in 1908.it is a contributing building the National Register Hyannisport Historic District. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined.that this structure is.a significant building. 200 Main Street,Hyannis,MA 02601(o)508.862-4786(f)508-862.4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)5ON62-4782 Town of Bamstable Geographic Information System September 11,2014. 287151 1 287054 28707s 287081 0037 266032 287162 4 #38 287051'287052 2✓�e�43 046 #44,...l#62 #636' c 287009 #4 # 287076 #as$ 287057„ ---"r 287076 4a 851#3f 8 1 7 287078287132 287166 287059 #55 287077 287074 10 #25 287008 "#,16 2871366 #18 #43Z #40 287153 287154 4 941 287061 • 2#50 #47 #676 #6gg 287139 #1 72 287073 287007 #21 U 287070 #172j 287004 #688 28T064 e 287003 #692 #120 � 287071 # 287001002 #17A 287062 28713EI l #162 175 ? 6A # i# �110 � 28-7069 28T005 7 #26� 287001001 #770 287066 287 #165 2802 V #133 #143 97147 066 26706s 287066001 00 286005 286017 287065 1#0 #Ill '#131 #29 2860168 5 #8� #401.1` 2#1511 266031 28SW6'2868p1 #47j, 286014 265011002, 286018-286019 es #2 '#71" t019 �#9' #67 m'#26W- #732. 286+0 286021, i 286034 "' 1#4� #14 � 286007 022 '286003 28601 t3 #561� 285028 10 26501111001 #12 #17 #,>o 286013 �'qiQ #33 #26 286010 #80 Cygy 286Q23 NTIC AVE #23 T #60 Apt A 286W9 ®2#11 a 286008 #22 286011 286012 #11 ru- 012 1:1; # #68Llmms 2860��1 265#00 5: 286002 #27 #47 286001 #41, #61 286027" #23 286028 265009001 286030j #57 #31 285031 #St 286029 #9 #51 ' 286033 LLL111111 026 288032' •265013 #6 #63 265012 266002 #45 #0 265015 #177 0 148 Feet DISCLAIMERS This map is for planning purposes only. It is not adequate for legal Map:286 Parcel:008 Selected Parcel Q boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:MCPHERSON FAMILY LLC Total Assessed Value:$1957500 1°=100'may not meet established map accuracy standards. The parcel.lines on this map ,.. are only graphic representations of Assessor's tax parcels. They are not we property Co-Owner:C10.MCPHERSON,SUSAN S Acreage:0.42 acres Abutters- boundaries and do not represent accurate relationships to physical features on the map Location:38 HAWiHORNE AVENUE y such as building locations. Buffer Y'' r ( `lac,Ct REVIEWED MAR 3 0 2015 - Town of Barnstable I — Historical Commission R Q WEST ELEVATION -- �a Ell SOUTH'.ELEVATION 7 r i ..9 SCALE: prow No No. „Ro,,, NEW ADDITION/REMODELING FOR: „4 -T-17 S,Q�I BAY DESIGN LLC i�ic4zy � MCPHERSON RESIDENCE' , A2 5o�)sse.°a°Y __.._. DATE: 38 HAWTHORNE AVENUE HYANNISPORT. MA 1/232015 i REVIEWED 313 'zm5 . u� MAR 3 02015 Town of Barnstable Flistoar:oa! Gornmiscion 13 El ME 111 Ll �. ----------- EAST ELEVATION is NORTH ELEVATION NEW ADDITION/REMODELING FOR: Mao�.m SCALE: DRAW G NO.: , ,PEE MCPHERSON RESIDENCE q 3 FM Aus-sm38 HAWTHORNE AVENUE HYANNISPORT. MA _ _ �, cW2 E015 f-� 12312 iJ PRELIMINARY DRAWING FOR DESIGN REVIEW BID LU all a � � El 1 fi m, hEEP I I f ! - i III WEST ELEVATION 8 01 Eli Brul i i I I t I FfflI 12EBMI r— - I. -- 4 _ SOUTH ELEVATION sa,::KcEJ° A4D�ApiGN LLC NEW ADDITION/REMODELING FOR: SCALE: DRAWING MASp X�8 2�4-11 8 MCPHERSON RESIDENCE w E: FAx(9o�,s�asaD7 38 HAWTHORNS AVENUE HYANNISPORT. MA a DATE: A2 M na 9/11rto14 L PRELIMINARY DRAWMG { DESIGN REVIEW f S Ili i FBIElI i i # , I JER - EAST ELEVATION f o.� i in Woj t{'. 19 'Eli I � k Ed i i =j E � _ NORTH ELEVATION I EMQ�,3BREW B RROAD GN LLC N ADDITION/R€MODELING FOR: SCALE: ORAWINGN°.. 43 BRE1NSlER ROAD "'�50) °�°' CPHERSON RESIDENCE FA7(1(SD8)574 38 HAWTHORNE AVENUE HYANNISPORT. 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',�+..x '2 + � Ew aY "'tat 4Ptali -: t3c:. -r ,�^.;ems{ ,. .wd' V +[ in a 0w has=. t x "�'� t +3 zt z aaets� e r= ! t f / t q T- 4-1 , + }y y Y ^",lot (T. � Raw 'f`,#A ; X . . �• ,a,. ,. ,: a' �'W * tY`r,.,+„^x�;. , ;� r xt ,,. t t �: p , � ,„a .. w pp ,M f i? A? sa! . ,,"m Yx�r� '�" g ,� 4+t ,:yv r5 h ., . R Six it ft� .�.r r- • +a " s : m "�y t.R ,+} war �^ M '',,.a. .....r'w"'✓ �S* ) �.. y f� � ,c�'1 .<, r b„, �)� w t� ?I"i � �, a h.,� r�., *a1" ,�i �.. l v....._. ,...�r,._.�...i'*�� 'i ` �` ''.`ys�.,a�c' .� •�°� `. .tsT''.e'� UW=..�'�-" �"'.':�t' �.3,wha{• r � L` IKE Town of Barnstable BA M�BM Growth Management Department BARNSTABLE Barnstable Historical Commission ArFO MAr A _ www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Chair .,',' George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg .i-t ,'_i� -t Il,,? s;t ';_c r . Paul Arnold,Alternate August 29,2014 Re: Intent to Demolish Portions of Single Family Dwelling 38 Hawthorne Avenue, Hyannis, MA Map 286, Parcel 008 Steve Cook Cotuit Bay Design, LLC - G�P 43 Brewster Road Mashpee, MA 02649 — Ann Quirk,Town Clerk _ 367 Main Street, Hyannis, MA 02601 ' T-5 fThomas Perry, Building Commissioner d 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on September 16,2014 at 4:O0pm, 367 Main Street, Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.362.4787 or marylou.fair@town.barnstable.ma.us for processing information. Sincerely, Laurie K.Young Laurie K.Young,Chair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 _�• oFt� Town of Barnstable • ftBTABULEB"MA&& • Growth Management Department 9�A ' `� Barnstable Historical Commission rFD N1Ar� www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg ; Paul Arnold,Alternate `r Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 38 Hawthorne Avenue, Hyannis Map 286/Parcel 008 Pursuant to Intent to Demolish Portions of Single Family Dwelling The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on August 27, 2014. This structure, located at 38 Hawthorne Avenue, Hyannis, MA is 2 story shingle style dwelling and is architecturally important in terms of period and style of the neighborhood. Built in 1908 it is a contributing building the National Register Hyannisport Historic District. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 Town of Barnstable Growth Management Department Barnstable.Historical Commission vv.n/_town.bamstable ma usthistoricalcommission NOTICE OF INTENT TO,DEMOLISH A SIGNIFICANT'BUILDING Date of Application ZLz /ZQLe-f DFull Demotion artial Demolition Building Address:3 9- l- w I .Number street vpta 98 ��ts> Z l 0 Z�� Assessors Map#w�. Assessor's ParceF# Property Owner: AGP O4.S 1�, ac Name Phone#. Property Owner Mailing Address(if different than building address) `f�D 3sk fyucSRx�'� Property Owner e-mail address: Contractor/Agent: S l C�7O�; Glbl i'BJ'Ay Contractor/Agent Mailing Address S! f r its A 0 zc.�� Contractor/Agent Contact Name and Phone#: G'til 6zScir, Name Phone# Contractor/Agent Contact e-mail address:__ ( � .ca Detail of Demolition Proposed: 4=—)Lj0UE �j (S]�j•�� ��--� #j � Type of New Construction Prop)sed:-NCW Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance with Article 1,:,§112 Year built CIRCA I cto6 Additions Year Built: Is the Buildi fisted on the National.Register of.Historic.Places or is the building located in a National Register'District? No. yes Propert Owner/Agent Signature May,2014 w � Engineering Dept. (3rd floor) Map - Parcel /1 d�' Permit# 13 House#; 6 Date Issued Boa6of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee, �c e Conservation Office(4th floor)(8:30-9:130/1:00-'2:00) y Planning Dept. (1st floor/School Admin. Bldg.) a THE Definitive Plan A d'by Planning Board 19 - BARNSTABLE. _ �0jE1n 9. TOWN OFBARNSTABLE; Building Permit Application ; Project ProJjff4*WJ,,3 V #&WZ� + � Village CC/Y') f S ' Owner " / SQL Address i I///,fw i 02 Telephone ' 041/9 AL ; Permit Request ICQ S� f✓lam ° ° s . s .First Floor square Fee Second Floor square feet Construction Type Estimated Project Cost $ ®B® " Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New r Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No . If yes,site plan review# Current Use Proposed Use n Builder Information Name c�&AJ. ` ' Fj7 �,6 Q, 4 Telephone Number Address 6,9, .. ( License# / Home Improvement Contractor# J> �� Worker's Compensation#A Q/3/5 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE pr BUILDING PERMIT DENIED FOR THE F LOWING REASON(S) k - FOR OFFICIAL USE ONLY PERMIT NO. e DATE ISSUED MAP/PARCEL NO. ADDRESS E VILLAGE ' OWNER ' E w, DATE OF INSPECTION: FOUNDATION _ FRAME ' INSULATION ` FIREPLACE w - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH : FINAL GAS: , ROUGH FINAL . r t FINAL BUILDING DATE CLOSED OUT ; ASSOCIATION PLAN NO. + 1 mer The Town ®f Barnstable MASSg1 Department of Sealth Safety and Environmental Services 1679 Building Division 367 Main S11 =4 Hymmis MA 02601 Raipn Gam: Ofce: 508-7,90-621-7 ' Building Co.-: Fax: 508,90-6230 For office use only Permit no. Date A h AFFMAVIT , HOME MWROYEMENT CONTRACTOR LAW SUPPLEMF-'`1T TO PERMIT APPLICATION _ MCL c. 142A req wires that the "reconstruction, alterations, renovation, repair, modernization. n to any conversion, improvement, removal, demolition,ei one bntconstruction ot�moref an than four dwelling IInl�ts arIng to owner occupied building containing at registered contractors, p+-iti; structures which are adjacent to such residence or building be done by certain exceptions.aiong with other requirements Type of Worlc• Fat. Cost ccvvt� Address of Work: Owner's Name Date of Permit Appiication: I hereby certify that: Registration is not required for the following re=on(s): Work excluded by law Job under SI,000. Building not owner-occupied Ownerpuftg own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALMG WITH UNREGISTERED HUME VEMENT WORK Do NT HA CONTRACTORS FOR APPLIGAB GRAM OR GIJRA�RAN FUND UNDER MGLO 142A VE ACCESS TO THE:NITRATION PRO SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner. C Regis A-h ) Cilntracmr Naffie tration No• Dar Tllt' C11,1111101111'C11 t/l o as ac I u1 Clls Depart»Ic'r1t of Indavrial Accidents _ ►y:,`► ..i ONCZ011,7yeSll9atlonS •��j=,�: _.� :� 6(1(1 if a.v1zhz,;;rul1 Street ' Btivulr, A1aax. 0111 «'orkcrs' Compensation Insurance Affidavit �!'P1ic'ntinformati�ri Plc'tse PRINT- iliiv Inc jinn �'r' 1 /i/7 C !R Mhone — 1 am a homeowner performing all work myself. ( am a sole proprietor and have no one working in any capacity I am an enlpiover providing workers' compensation for my employees working on this job. rnntrl rnt n rrne- cite nhnne 0• niirt f! n L incur^nrr rn. �`_. _.--•--• .._ am a sole proprietor. general contractor. or homeowner(circle otte) and have hired the contractors listed below w•c the "ollo%vin_ workers compensation polices: cmmr,•mc n•trnr• atirirr«• tIt nilnne-4• nniirt' in<nr-err rn •�--•-- cnnln,'+,nl' nnlnt.- �titirrcc- rir�•• nitnne t�• nniic`• incur^nrc rn - Attzch aliditio_nai shcet if neceSSart'�--_ •- -•1i "a...�ur` �..r ' 'r' 'I• - -+•-... �._....v_ _"y'M- `"�w. .� Fanurc it)secure cut crake as required under ziectton��A of AIGL 152 can Iead to the imposition of crtmtnai penalties of a line up 10 SI�OU.UU anurct unc %cars" imprisonment as 1%cil as cit it penai(iCS in the form of a STOP WORK ORDER and it fine of 5100.00 a dad against me. 1 understand that copy of On, statement mat L)c funs arded to ttte Office of investieztions of the DIA fur coverage verification. 1 do i,ercnr ccrrii r t/rc prrius avid pc ltiu of perjun•t/tat the information provided above is true and correct. We ha Print nam: �-� ` / G/� Phone rr ' aRciai use unh• do nut tt•ritc in this area to be eompicted by gin•or torn official t' permit/license d -,13uiidin_Dcpartmrrrt city or tntcn: C:Uccnsine Bitiard k sciectmen's OfGcc r- i. ` :heel; itiminedimc reSpunse is required Ctllcallh Department t: phoned• �Vthcr� contact ncrson: Information and Instructions .. vv Massachusens General Laws chapter 152 section 25 requires all emplovers to provide %vorkers' cnritp:-, 07 �?s:;tic:n etnnimres. As quoted irom the "la��'". an e•»rpturce is defined as every person in the service of :urctther unacr cottract of hire. express or implied. oral or written. oa An entplorer is defined as an individual. partnership. association. corporation or other legal entity. or any tt%,o or the fore_oinu cnga__t.•d in a joint enterprise. and includinL the le'—pi representatives of a deccasctl employer. or:hc recciver or tntstee of an individual . partnership. association or other legal entity, employing employees. Ho«e�. c 0"'ncr of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the d��cllin�: house of another who employs persons to do maintenance ;construction or repair work on such dtivellin_ or rnt the __rounds or IluildinL appurtenant thereto shall not because of such employment be deemed to be an er: titGi_ chantc; !5? section �S also states that Cl'Cr-% state or local licensing agency shall withhold the issuance or 1:1111•a1 of a license or hermit to operate a business or to construct buildings in the conimonivealtir Cor:rnv ic.:nt who lras not produced acceptable evidence of compliance with the insutrhnce coverage required. ACL;-:ionall\.. neither the commonwealth nor any of its political subdivisions shall enter into any contract for die peri6rmz::ce of public work until acceptable evidence of compliance with the insurance requirements of this chn�:: been prez2nied to the contracting authority. -kppiic:.nts Ple::se .'ill in the workers' coinpensation affidavit completely, by checking the box that applies to your situation sucpivin_ company names. address and phone numbers as all affidavits may be submitted to the Department of nc tr111' .Accidents for confirmation of insurance coVeragP. Also be sure to sign and date the affidavit. The :,%,it Ei:ould be returned to the cin• or town that the application for the permit or license is being requester. r :he Department oi'industrial accidents. Should you have any questions regarding the "law" or if you are rep_: o �ct�in �.arkers' compensation policy. please =11 the Department at the number listed below. City or Toxiis Ple",_ '�e.-ur: :ha: tite affidavit is complete and printed legibly. The Department has provided a space at the honor- [lie • aati it for ou to fiil out in the event the Office of Investigations has to contact you regardin` tite applicant. F be _ : to fiil in the permit/license number which will be used as a reference number. The affidavits may be returns: ,:ie Jenarttne:;t by mail or FAX unless other arrangements have been made. Tire -:)frice of 111%,es11cstions %would like to thank you in advance for You cooperation and should you have anti- quest: piecse do i:ot hesitate to _=ive us a call• �\ y The Department's address. teiepiione and fax number. The CommomveaIth Of Massachusetts Department of Industrial Accidents - Office at Investigations 600 «`ashin;ton Street Boston, Ma. 02111 fax T: (6177) 7Z;-7,749 _ niionc =. : 61 —) ! --'900 ..--a--.�-^^-•� T°.r�`� t � b �•hL�-t'' `Y`.:��.'EP• ` y .?::;y, .,r�i rK r' d' � i �4 i`P' ,;3�w � f :`'t � 'FS / � Y 'k puF` eJ'3 i��R'a�. 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(Applications rocessed-8,30-9:30 a.m. & 1:00-2:00 .m. __pp SE'PTIC SYSTEM MUST SE TOWN OF BARNS T D IN COMPLIANCE Building Permit Appltc ,tc��a_ ` H TITLE 5. • t�on�O���l=��.��y �•�. W Protect Street Addre g Gt�t,�l' ►'1QJ >���1� (�� Village 0j 5 nn'-L Fire District Owner 6)5&_n fnt_pkLr 07 i Address Telephone (n bg T9 b 1 In Permit Request: tA:)OJ) 6XjL4LL 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization. Recorded Current Use Proposed Use Construction Type Eaistine Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name A) o-rri':t, N. 50y,, e Telephone number ��� —nw5� Address 3$S 5e o,—t*�ru—(' License# "L Ej I Home Im rovement Contractor# ) Worker's Compensation # (Qb(p G,Q Lf t)j c?55 CAA NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO y[ As i-S i�S� Pro'ect Cost Fee SIGNATURE DATE " BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 5/11/95 3I� 286.008 ADDRESS 38 Hawthorne Avenue VILLAGE Hyannisport i Susan McPherson OWNER DATE OF INSPECTION: FOUNDATION r ! FRAME INSULA- - UN ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ? GAS: ROUGH E_. ' FINAL ' FINAL BUILDING: '`¢ '. _ DATE CLOSED OUT: '+ ,•' ASSOCIATE PLAN NO. '; i l`" 4 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY - I s �asctrrrant OF ONE ASHBORTON PLACE t pallure to Po MASSACHUSETT& BOSTOPi,MA 02iv8 coeg t.,,a,,,, 'or rarrcatlan LICENSE el`t=Tt `'CAUt10N EXPIRATION DATE CO,NSTR• SUPERVISOR FOR PROTECTION AGAINST 0 9/2 8/1 9 95 EFFECTIVE DATE LIC—NO. THEFT, PUT RIGHT THUMB RESTRICTIONS Ob/30/1 993 015851 { PRINT IN APPROPRIATE NONE 17070 o 6;I BOX ON LICENSE. ! CRAIG N ASHWORTH ° 385 SEA STREET - HYAiVsVIS mA 02601 .q MU ' ':INCLUDEIPHO ' PH ONLY) FE �ry+y�,yy �t a, m � 0 V O I] - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY �. HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER ; :J E.C 0 9 19B a '� ~� ~ . THIS DOCUMENT MUST BE {a SIGN NAME IN �Q S�GN�AT�I�E LINE ' CARRIED ON THE PERSON OFool SIGNATURE OF LICENSEE b THE HOLDER WHEA El T F '`�•� C M I SIONER OTHERS• ,PRINT GAGED IN THIS OCCUPATION. �Wll Y RY HOME IMPROVEMENT CONTRACTORS°� REGISTRATIONS �A ' oard of Bui ld� rig ,Regulations and Standards ' , �` Olie Ashbli urton P,1? eA � Room3*1301 Fz': r �Y ;ki • J ,' .„ -4 4 - Bos!.ton,u Massac husett's� 02108k 't x+:_ fa''s y ,..: e`•d; ^�" '4''^:•. >,.°Fw,s t €, a.'x z..t .t;"" ,„}s" ° x_.fir- 7" i 4 k HOMEIMPROVENIENT "CONTRACTOR Registrati0n; 102014 Expiration 06/30/96 >' 4 1 _ , Type PRIVATE CORPORATION` r ,.� HOME IMPROVEMENT CONTRACTOR'.,. Registration: 102014 ' 'Ernest. B: Nor r i`s. & Son Inc I ,Type PRIVATE CORPORATION Craig N Ashwo"r.th Ezpiretion 06%30/96 . r. .. 385' Sea St I L" Hyannis MA 02601 Ernest B. Norris & Son Inc- � � Craig N. Ashworth G Sea st . - -.. ' MA 02601ADMINISTRATOR Hyannis �. t a u iwatu�t�""A 02bo1 p4phemsse>i Office; :50$_790-6227 BURTMga0m>aiS5iOaU Fa�c 508 775 3344 For office use only Date AFMAVIT 4CIO_ HOME lldl'RO SUPPI"MTTAPPUCli-0M thatthc'Yaooastn>�o4aka ��°odaaaa�oa. MGL c.142A regUK oaratx oxapic3 imptt�axt.ttmovaL dcmolitioa or a of as addition to testy ps�- bu:ldittg n8 at least one but not mote than four dvmlling units or t(o situp which arc ad}aocat to such=Sidcaoc or building be done by t contractors,with oataia exoe otts.along with o$►er s- Tjp-of V'or-: 0G(� L DCL l (p p Est.Cost 5ODD'J Address of Work: 3� ��-1 h 0 lication: Date otPumit APp I hcscby certify that: Rcgistrztion is not rquircd for the follc-inf ruson(s): _Work<-,dudcd by 12- joi under SLOW _EcildingTKAo--n r-0C=Piw-, Q..rcr pulling own Pcrrtnt -Notice is hereby gi«n ih2c p�aIcc pt ILLI;�C T.-r]R O�:'�;�t- Oy D �= T`zC�:'lTri LT.NREGISTERED CO,`ER/SCTOIt 1'•� pL.•� � ACC`SS 1 IO�` IZOT FtiL FOR /-YPL]CABLE .Tr �P.cTTA�T10�PI;OG �t:OP=C+Jfcc+.� fl'��i ��'7rF.1;Gi <. 1<2F� SiG'�ED t✓I�DER PLl;ALTIES Of PERRI-r)' Qs.TCr �T12f�+C D2tc- „ • ='_ cam_ .. — -- --- Ez- K,•_ _� JJ'/.J'.:A J�'T OF Y. DUSI"RIA"*ACCIDENTS Goo v, SI-33?�'G7'O1�' STTJ�"T : Ga-nae+ BOSTON'. MASSACH-USL?"1-S 02111 James c--':ss'onc wORKLRS'COMPENSATION rNSURANCE A-FIDAVIT t l a� .' (licensee/permiacc) - wich a prinapal place ofbusincss/residcncczc 385 Sea Street, Hyannis, MA 02601 r • (City/Stacc/Zip) do hereby ccrti6, undcr the pains and pcnahics of perjury,>hat: n ' 1 am an employer providing the following workers'compensation coverage for my employees•+orl ing on this 'Job. - y 2401§305 Aetna 006 C MDAM CAA fnsurancc Company Policy Numbcr j) I am 2 Solt proprietor and.have no onc working for mc. j J 1 2m 2 sole proprietor,gcncr.J eontraor or homeowner(tirde one) snd have hired the eoncraaors listed bcloK• who h2vc the followingworkcn compensation insu=cc politics: 1�amc of Con=aor lnm=cc CompurylPolkv Numba N-zmc of Contractor . Ins=ncc CompanylPolicy Numbcr I�mc of Contmaor Inn=ncc CompznylPolicy Numbcr Q 1 2m a homeownt:r performing 211 the work myselL . <, I NOTE: ]'lc:sc b<a�+:rc zS:ts�c>cr__cowa<ri v.�o ctaploy pKrsoos to 10 m:iotcaaacc.coortrvctioo of repair�-or3c on s 2•-cl(inb of not mor<the a t5rc<ueits is•�i�t;<boracowacr also ru;lu of oa the�oouols:ppwzcaant t5crcto arc aot Eeoer"LUY I enr-24cecl to be crnploycrs=&r tsc C7aoxfi Corpcor:tioa Act(CI-C_151.scot. 1(5)),appliutioo by t botocowoce for a IicGDt< ` or perr+it r..:y cridcccc 6c 1ctJ ststt:s c!:z cr.-loycr t:odct t_tic GoticcrI Coropco:atioa ACL copy ois stcoctncrt%-;U oc ic�-•udcd to ti.c Dcprc-cnt of IndustriJ/,cod<nu'OGsc<of lao::.n rce for.co�ct:Y f iris c vcrifsc:tion:.nd that 6;lurc to accurc cnrcr-:c r,r<Suircd undcr$tenon 35A of MGL 152 L=n kad to t_bc irnposiuon of-c6r:sin21 pcnJucs consisting or: fine of vp to S1 Soo.00 truer i=prisonr it of up to onc yur and uYil pcn.lrxs in the loan of:Stop Z`✓ork Otdu Mn = I F ' fine of s i moo a day q:p nst me. 4'' 'z Sifvncd this 28th a2yof February 94 '. Lice .,QPermittec' LicensorlPerrniaor t:: 377% 0 THE COMMONWEALTH OF MASSACHUSETTS Board of Building Reg ulations and Standards Transaction No. One Ashburton Place - Room.1301.. Boston,Massachusetts 02108 ,Registration No. 102014 's Effective Date" a ;�:• Application for Registration as a ,.` �`' Home Improvement Contractor or Subcontractor { Expiration Date MGL Chapter 142A, CMR 780-6 ruk OFFICE USE ONLY r fi' Al. Date 6 '1 Name . Ernest B` Norris & Son Inc '- Print the name of the individual or business applying for the registration(not both) t508 ) 775-0457 =2 ' Mailing Address P• BOX 486 Area Code&Telephone Number h + H.. StateA... : tip 0 2 6 4 7 ` annAlis ort { r 4 StrretAddress(xfdifferent) 385 Sea Street H ,, stale Zip Fks ;Print street and Number(P.O.Box not acceptable) City 4 p Trust , [�}�rivate Corporation ❑kP,utilic Corporation S' Applicant type ❑ Individual ❑ DBA ❑ Partnership '+ (Seainstrucuons on back regarding enclosing a city or town registration:under the DBA or"fictitious name".law-MGL c 110,ss 5&6) fir} see instructions ;7"tNumber of Employees 17_ 1. n4 6' or Federal ID Number 0 4—2 5 312 91 '' ( ) — s `} � Last �. Peaden�t/Owner Title of individual responsible for Home Improvement Contracts individual hold an other constructiontelatesftsta►�e,city,town licenses or registrations? 10 Does the applicant or re'sponsibte mdx Y .: Yes No ifs '. -. T" If com lete the table below. Use additional paper i[necessary. .. yes, P :. Name of License Holder 3 Issued B Expiration"..License'or �P• Type license or registration y' Date. ' egistrbtion.nuatber :. . .. 28 95 Crai N: Ashworth 4>"C Constr. :Supervise MA 15851 k ur-� { . ' - List all partners,trustees,officers, directocs�and major own r (10%or greater of.awnership)oion below.Use f an applicant partnersadditional dill n I'ID cards for tkey Petso�❑ �5 See I'structions on back) Check hero if you wish to raxive an application for additional paper if necessary.( *� l j Last First; Middlerinihaltle in Applicant Business %Owner:> a'd shworth, _Craa.gN. fi President 100 205 Old Jail Ln : Barnstab e �'� - z,'t 12; Is the applicant claiming exemption from the registration feel (See the instructions on the back) Yes No yx '' If yes,include a copy of a current Construction Supervisor license or motor vehicle repair'shop license or registration. r, Guaranty Fund fee enclosed:$ ' 13: Registrat►on fee enclosed:$' Include two separate certified checks or money orders-one marked"Registration�Fee";one marked"Guaranty Fund". ALL APPLICANTS MUST TI INCLUDE A GUARANTY FUND FEE EVEN hceF EXEMPT FROM payable Eo ItS,oTm onwealtON hEof MassachtlsettsE.See "�on back for amount of fees. # Make all certified v t' E Pursuant to Massachusetts General I:aws Chapter, section 49A,I certify under the penalties ired under law perjury `I, ,,,y owledge an llef, ve filed al returns and aid all state taxes required President Title held with applicant Signatu of applicant or applicant's representative , ueslion In this application constitutes grounds for suspension or revocation of the applican ! t's reglslralion. A►n1 ansvrer lo`any q PP 1 11�, ft q7'-8' a� XIST. ��r....__..�. BATH EXIST. BEDROOM ,`• BEDROOM DN. , A A A5 UP65�lc_--1. .a 5 Ao EXIST: 8-41 EXIST. W.I.C. HALL EXIST. BATH 31-5) � jp q N j`y FD .yp i rwgtiw 4 + mx+ C A5 o EXIST..� BATH EXIST. EXIST. BEDROOM BEDROOM ro f-g° 5'.p° 30'-0' SECOND FLOOR PLAN THE DESIGNER SHALL BE NOTIFIED IF ANY C`r✓TU IT BAY DES 1 ��� ERRORS OR OMISSIONS ARE FOUND ON EXISTING IT N PLAN F R . THESE CONSTRUCTION.THE BUILDINGCONTTRACIOR SCALE PR/�1WING NO. a1 t 11 43 BREWSTER ROAD WILL BE RESPONSIBLE FOR THE CONTENT 1 I4, �„ ''� ,�(� MAS H PE E MA. 02649 IN THESE STRUCTION COMMENCE DRAWINGS THOUT NOTIFYING FY NG THE ~+ N RESID DESIGNER OF ANY ERRORS OR OMISSIONS. MCPHERSOENCE THESE DRAWINGS ARE SOLELY FOR THE USE FAX (508) 539-9402 OF THE OWNER NOTED.ANY OTHER USE OF DATE THESE DRAWINGS REQUIRES THE WRITTEN 1/6/2` I38 HAWTHORNE CONSENT OFTHE DESIGNER UNDER THE (yl°�E HYANNISPORT ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. f k 14'0" 44'10" 10'-0" ol 5 I l UP UP I I L if II If EXIST, HALL EXIST. PORCH EXIST. x ZO KITCHEN o A tll A If I UP 11'-2" EXIST. PANTRY Z. 6 EXIST. r to LIVING a � ti ii II 4 B B OLD 2x6's A5 16"O.C. NtoEXIST. EXIST. 00 PORCH DINING w .0" T-8" 5'-0° 8'-0" 22'-0" FIRST FLOOR PLAN THE DESIGNER SHALL BE NOTIFIED IF ANY AERRORSCOTUIT BAY DESIGN, LLC I THESE AWINGOMISSIONSRIORT START ON SCALE : DRAWING NO. : THESE DRAWINGS PRIOR TO START OF y [�[� t AI �j� � FOR : _ - CONSTRUCTION.THE BUILDING CONTRACTOR 43 BRE V V STE R ROAD WILL BE RESPONSIBLE FOR THE CONTENT 1/"^Y 11 v 1 1-011 MASH PE E MA IN THESE DRAWINGS IF CONSTRUCTION. �49 COMMENCES WITHOUT NOTIFYING THE PH. (508 274-1 0/�2r�s6 DESIGNER OF ANY ERRORS OR OMISSIONS. MCPHERSON RESIDENCE THESE DRAWINGS ARE SOLELY FOR THE USE FAX 598 539-9402 OF THE OWNER NOTED.ANY OTHER USE OF DATE : THESE DRAWINGS REQUIRES THE WRITTEN (� HYANNIS- PORT , �IV/20�CONSENT OF THE DESIGNER UNDER THE 38 HAWTHORNE AVENUE MA ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990.