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Home My WebLink About0055 LONGWOOD AVENUE 1t - - ---- � r--- -- � --- --� �� o� j . R , Town of Barnstable till Visible=From tfieStreet�='A roved.Plans:Must be�Reta�nedon Job and:thisGard Must;be Ke ,tk ,a PostThis�Card So�That rt is �pp,� � � � �� wtara�ewe�, � F ; MAN& Posted Unt>izFinal�Inspection HasBeen Made�E � y � �� :'� g•�•, � � ' ,,��. ne .is Re uired�sach;Buldin shall Not;beC►ccu red until a Final=lns ection has,been made3 ��.�) .. Permit ., _ �W.here a Cep ificateaf Occupa Y" q g _„ P t? Permit No. B-18-2216 Applicant Name: Mike McMahon Approvals Date Issued: 08/06/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/06/2019 Foundation: Location: 55 LONGWOOD AVENUE, HYANNIS Map/Lot�._287-055 Zoning District: RF-1 Sheathing: 3 Owner on Record: BERUBE,JULIE A - '. Cont�ractor Name: 4_MICHAEL T MCMAHON Framing: 1 A Address: 108 LIGHTHOUSE DRIVEz ConttactorL�cense��CS=068111 2 JUPITER, FL 33469 Est Project Cost: $7,900.00 Chimney: Description: Weatherization,air sealing,weather strippinle"and blown cellulose Permit Fee: $90.29 1: Insulation: Fee Paid $90.29 Project Review Req: ra� - s Date: „ 8/6/2018 Final: Plumbing/Gas Rough Plumbing: 7c "� : �� . . �� Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced within six month after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application andthe approved construction documents for which his permit has been granted. All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open for publ0iclhspecticin for the entire duration of the work until the completion of the same. , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Build ng�aneire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:. 1.Foundation or Footing Rough: 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pe ons con ing with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: cC' All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel DSO Application # Health Division �c,� � Date Issued Conservation Division ITJ Application Fee Planning Dept. -�r�Q� Permit Fee 3 Date Definitive Plan Approved by Planning Board n03Z®� Historic - OKH _ Preservation/Hyannis Project Street Address- 5rJ LLwj4 u)oo O A E�-jIJE_ Village 4-t 4C (-iA i 5 Owner -To 11-e, Address cQ5 5 &IJb& r� . Telephone 995 3 Permit Request BAT1114 - %T E-t J 49rMAZA - f?4WW-(_F7 Ob Wir� s EMOv elya. e-. t N 9LJGArwWA Square feet: 1 st floor: existing Qroposed _ 2nd floor: existing proposed ® Total new C Zoning District - t Flood Plain Groundwater Overlay Project Valuation sO 6600-°Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Iq NA Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: &Full *rawl ❑Walkout ❑ Other �Z $ 'IZ. Basement Finished Area (sq.ft.) 62 Basement Unfinished Area (sq.ft) Number of Baths: Full: existingJ, new Half: existing new Number of Bedrooms: 3 existingO new Total Room Count (not including baths): existing (_new 0 First Floor Room Count J Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other 140T PSI f Central Air: Yes ❑ No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes�lo Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION - c (BUILDER OR HOMEOWNER) Name f;j� "Ate+ CJFl S5 I Telephone Number :!Z) - J Address vn--ivvice,14i'4- License #km=At�2_� Am D I Home Improvement Contractor# w 1! Email orker's Compensation # 71 LP W EiPV Ipa43 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �5 v'rff SIGNATURE, DATE 111q1C201 rr FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. y v Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Ca tractor Registration Registration: 181969 Type: Individual aM ,� Expiration: 5/18/2017 Tr# 266360 BRYAN D. SASSEVILLE BRYAN SASSEVILLE # 188 TURKEY HILL RD RUTLAND, MA 01543 Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 ❑ Address ❑ Renewal Employment Lost Card . � �p V/ae (poem w ji,wea`C,o1Q#-doacf ujeff6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before IMPROVEMENT CONTRACTOR before the expiration date. If found return to: OME Iation: EMENT Type: Office of Consumer Affairs and Business Regulation egistExpiration: :5 %20°# Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 BRYAN D.SA SSE VILL E BRYAN SASSEVILLF E ONot .188 TURKEY HILL RRUTLAND,MA 01543 Undersecretary valid without signature f Massachusetts Department of Public Safety �t Board of Building Regulations and Standards License: CS-066946 . Construction Supervisor BRYAN D SASSEVILLE 188 TURKEY HILL R r; RUTLAND MA 054� CA-- Expiration: Commissioner 10/2112017 j fl 27m Commompeah*43&ssadiusetty Department e f ludna Acc deFrts - Oirwe of brPe*d Eons. ' 600 WasUzwto7z meet -- Bastm,MA 0211I k6'FtfktL7/IAS��,flP/�i�llt . Workers' Cumpens'xUanInsn-;mceAM Buildex-s/CantractarsMech cians/Plumhers AppUcard Informatiou Please Pxiut Legffily Na= W - Addresr Me 7Tueewcy. 6 !ZA-0 fit f tat�l r vTL�4N� OVY43 P1wao--.,',1'- 26�'730Z Are . u an employer?.Checkthe appropriate bow T of project r I_ I am a 1 R�ith � 4. ❑I am a general contractor and I F p ] ( = employee3 6. Q New consixudim (fallat for past^time�.* Isave luredthe salt�coadractos 2.❑ I am a sale proprietor orpartuer listed on tine attached sheet 7_XReutodeHgg slip and have no employees These sub-canfractors have ❑Demolition w Q forme in employeeess andhave wo&ers' , ryT. any' 9. ❑Building addition �4 iCo�tS'Cflnlp_�a2ranre COSIIp_xncnrarr &I reguia ed] 5. ❑ We area corporation and its 16❑Ekc dcal repairs or adddions officers!rave eYeir*ised their 3_❑ I am.a homeowner doing all worle 1L❑Plumbirtgrepaiss or adcfitirans . myself LNo 'OMMP- right of em nepfiou per MM 13_❑Raofrepaiis innxmcerequire&]i c.152,§IM andwe have no employees.[No workers' 13_❑'other COup-ms� ) Anyapp&omtearche3sbosfflmastalsnfiIlrn thesectFaabeTaw g�eawo�cecs}co�pR•�A�••pcycgiafn�sao� #�x�,�•�*ersteha s�b�t dris�da�s tag 9�ay axedam�ag�rc¢�c aadtbffih�xe av5i�eco�cFoasz�st submits newa�d�ei2 iodiesiu�ss�cTi ZGantmc'a ffixr c3becYtV bmcmust x-Mathed additi-al sheet showing the nmeof the sus-coax mzad state vrheflm or not thnse ea eshave empluy2es.Ifthesub-=txdUcsh2Ve emplayee%9hey=Ustgmtide f ev waflmw mmp.Pday numbm I atrt are ettipI�sr t7iat`isprotRtiurg n�ri€exs'cataap+eitsts(zirtt titsruartcs�or�*etrrptal�e¢.� Betaav is flaepaliry arm jala sites . • €rc�arnsrrlinn //�� _ Insum a Company lName: (t., Vr,:—F �( P4ficg or Self-isss_Lic_; WpirafiiaaI3ate: . 10)91,tolrr MA Job Mte`A.ddre= 55 �QtJ W 1-t•V Citgl5tafel2:p IJf Attach a copy of the workers'cbmpensationpolicy declaration page(showing the policy er and expiration date). Failure to secum coverage as requirednuder Section 25A of MGL a 1572 can lead to the imposition of criminal penahi s;of a fine up to$1,5aa UU aadfor one-yearimpsisanmeuk as weft as civil peuslties n tiie fora of a STOP WORK ORDEIRand a fine of up to$250_00 a dap against the violator_ Be adsdsed that a copy of this statement may.be forwn&d to the Office of 1mvestigadons of the DIA for iflsutancz coverage vedfica im- 1rfn tierZby c 's af�et�ary tXsatf7ts utfar�atxprm�rt�ii aboa�s" bus and arrrec-t Siowt Date ✓ /'� �� O,Eid Use 0711y. Do tat esrete in fiats area,fa be caulpTeted by city ortoom o,q`raiat CRY or Taws.: Perm& immense;g I=ing Aufharrafy(drde one): 11 L Board of Health 3.BazMng Departaac rt 3.City-frown Clerk 4.Electrical luspeetor S.Phrmbing lnspmter 6.Other Coact Person: Phone 9: laformation and T-ustraeflons ' Id2 all I `fn �'�eusaiianfar•HieaempIcryees. MRcr�Imce#Es General Laws r reds �og� Pie . p m this ,an Mq kyr=is defined as.6.may p¢san in$ze seavioc of ancib=nailer aay colftact ofl� esgress or naplied,oral or wr$t=:, er An�Ivyer is defined as-an h3.Cf dIIa3,p , associafion,carporaiion or other IegaI edify,or anY tVM or more of the foregoing=gaged k a Joint=t uprise,and inclndmg fho legal reluesentatives of a deceased emplcyer,or the receiver or trastee>of an imdividnal:pmt:i p,associatiOn or other legal entity,employ mg e¢�loy�s. However owner of a.dweITmg house having not more tbM three apartments and who resides ,or tho oco¢pant.off=- dweIIing house of sno5ier who employs pmsms to do mainfZMauce,=gftUl- on or repay wok.on such dwelFmg house or on the gmund-I or bm-IjMg.agpurEe�f=t:)shaILnofbecanse of sorh,=ploymeutbe,deemedto be as=Plover." Ind chapter IfiZ,§25C(t7 also stafLs that" aysfa€e or Ioc al R=srug age�?cg shall wifiihoId$e iSsttance or renewal of a ficease or permitto opesafe a business or to cn�isiru`et b• ffffln s in ft<e eommcnwealth for any applicant who has not produced acceptable evidences of compIiancewitli tlxe iosurasI cc.covexz7c geregair Add-nionaIIY,Mil_ Pter LSZ,§25C(�staffs=Nmiffiwthe co�icmweahh.nor ray ofifs political.subdivisions shall eatfrrintn any Mnt:aet for thepe>drnmanceofpublicwoik-untlaecep table evideamofe=plianccWhhtha;Tmu`nce.- the cmxiia�arthozity." req•�m emenfs of this c�t p ra bane been resented . AppIicaais - Please fill out the wn33=s,compensation affidavit compIdely,by d=king!he boxes ffiat aPPIY to Your situation if necessary,supply sob�ontras#ar(s)nsme(s), addtess(es)and phmp-n=ber(s).along with their ceitiffczfE(s)of insnr'ance. Li dLiabiIity CvmPames(LLC)Or IC ta=hips.(LLP)wino employees otI er t3anthe members or partners,are not to cagy workers' campeusafioa insuran e If an r Tr or FZP does have .3PToyees,apolioy is rrga:¢ad. Be advisedthatthis affidaYltmaybe sohmitted to the Department of lndustaal Accidents for confmaafion ofinsarmce.coveraga. Also be sure to sign and clztethe affidavit The affidavit should be,retnmed to the crCy of town that the aPP&cation for the Permit or license is being requested,not the D epazim ent of ; Ascidenfs ShouIdyon have any questions rega the law or ifyou sxe req�ed to obtain a workers' compensafionpoliey,pinse call f-mDepartmeutatthenumberlLrft�dbelow- Self-m=edeampanies should enter tbeir self-msolance license number on.the appmpriaiElme. City or Town Officials Please be sore that the affidavit is complete Earl prh:tDd.Iegibly. TheDepmrtmeathas provided a space at.theboticxm ofthe affidavitfor youtD fill outiathe event the Office ofIuves ons has to contactyou g e applicant Please be,sure to fill in the PcE> tlliceose member.which will be used as a mfereace n1nubcr. In-addition,as aPplicant $at must submit mul4k peonitHcense applications in auy given year;need off'sohu3rt one affidavit indicating cat policy mformatiau.(if nmcseary)and under"lob`Site fi dd c&*the applicant should wit--"all locations in (city or town)"A copyofthe-offdavitthathasbeeaofficiallysf�pedormarkedbyAbec>tyortowsmaybeprovided the applicant as proof t3iat a valid affidavit is on file for fotol p®=ts or licenses A new of dda&—!mar be Mcd out each ear.V&ere home owner or ciiizea is obtaining a.licm.-jo or pe�.itnotrelatedto anybusincss or commer y EL cial veoi�(ie. a dog licease,orp=ah to bum 1mves etc.)said person is NOT rued to o Iefe this affidavit hke to thank you is ady'�mce,for your cooperation and should you.have any qestion us, The Office of Inves�Ligatinns would please do not hesita z to give us a call. The Depsitmenf:s addres-s,telephone and fax mm�b� _ - - Tba . mt of YdEsIddAwn ��sf�n=Its F�11� Tr,-L 4 61't- -49W eft 4-06 or 14 MAS&AFE Revised 4z4--07 W �tr NH F LIABILITY INSURANCE R022 FDATE /17/2017) CERTIFICATE O ACORO THIS CERTIFICATEIS 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 endorsements . PRODUCER - CONTACT NAME: PHE PAYCHEX INSURANCE AGENCY INC Sao°,"N,Eq: iaC,No): (888) 443-6112 210759 P: F: (888) 443-6112 E-MAIL BOX PO 33015 INSURER(S)AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURER B: INSURER C: CUSTOM WOODWORKING, LLC INSURER D: 188 TURKEY HILL RD INSURERE: RUTLAND MA 01543 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR ADDL S— POL/CYEFF POLICYEXP TYPE OF INSURANCE WV POLICY NUMBER MM/DD/YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ PREMISES(Ea occurrence)OCCUR DAMAGE TO RENTED $ MED EXP(Any one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PE ❑LOC PRODUCTS-COMP/OP AGG CT OTHER: $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (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 $ R DED RETENTION E WORKERSCOMPENSATION X PER H- $ ANDEMPLOYERS'L/ABILITY STATUTE E ER ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 0 0, 0 0 0 OFFICERIMEMBER EXCLUDED? x A (Mandatory In NH) El "/A 76 WEG PK6243 10/08/2016 10/08/2017 E.L.DISEASE-EA EMPLOYEE $100, 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 5 0 0, 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Those usual to the Insured' s Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE AUTHORIZED REPRESENTATIVE v 200 MAIN ST � a-� HYANNIS, MA 02601 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory Services Richard V.Scalii,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.maxs Office` 5084624038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder . as Owner of the subject property hereby authorize A;A1 D :;.;PfSc ev)LI Z to as on my behalf; in A matters relative to work authorized by this'building permit application for: 5 Lon w ' w 66 62(A7 (Address of Job) **Pool fences.and alarms are the responsibility of die applicant.Pools are,not to be filled or utilized before:fence is installed and;all final inspections are;performed and accepted. S ture of Owner Si atg're of Applicant Print Name Print , ame: J�T-t� Date. PROJECT NAME: . o►� ADDRESS: .* ": PERAIIT# PERAHT DATE: ( � ice M/P: LARGE ROLLED. PLANS AREII�v _s 'BOX ' 1 SLOBS Data entered in MAPS program on: � k ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 4 S_S' Application # C�o Health Division Date Issued -Conservation Division Application Fee s Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street A dress �D/��G oie:4; Village S 7/� Owner-lVz ..0 IV w -'4 ; l3e-Z-vole. Address .7U,0"no Telephone 7- .2/a - S' Y � Permit Request �d A rn 64- f,. "'i v e Square feet: 1 st floor: existing, AA#0proposed 2nd floor: existing proposed 0 Total new g!5) Zoning District Flood Plain QGroundwater Overlay Project Valuation W 1 Construction Type d0�'`�- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ® No On Old King's Highway: ❑Yes .No Basement Type: ❑ Full A-Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) A Basement Unfinished Area (sq.ft) a®60�1r Number of Baths: Full: existing 3 new 0 Half: existing new 40 Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count G Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ANo Fireplaces: Existing_New _� Existing wood/coal stove: ❑Yes ® No Detached garage: ❑ existing ❑ new size_Pool:❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other- Z(pning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes ❑ No ' If yes,-site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name rm.¢s d Telephone Number 676 3. e - 3 Address loe ldl lC 4&c4"_ ";Z License # /V' Home Improvement Contractor# �-- Email v .21 /C IWV/ /Cd•)Vorker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECTWILL BE TAKEN TO J�� SIGNATUR DATE l FOR OFFICIAL USE ONLY - APPLICATION# `-.DATE ISSUED MAP 7 PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL `r FINAL BUILDING i DATE CLOSED OUT �' ASSOCIATION PLAN NO. �' = i The Caaxwom eakh of Ma sacknwe&v 1h2whawtafludmsoidAedd — 0irke ofinrtesfigataans s. 6w w0shulgton S&eet Bost== a2111 n tttrcrs&gov/dia Workers' Compensation Insurance Af fidavit BuiMersIContrac-tarslEiect ieians/Plumbers. A . Recant Information Please Print Ugghly Name(BusirfP T177Afit}j]1 c�l)�- ��f�vT✓ Address. lb Ci£y/StatelZ p_ �a2 Phone 9-- .4-6 - .72 P- 3Z4G'-i'� Are you an employer?Check the appropriate:box: Type of project r: . I am a geneal contractor and I I. I am a employer witfi � 6_ ?�t�w a�arL employees(full andfor part-time).* have wed.the sub-contractors ❑ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have,no.employees 'Deese:mb-contractors have 8_ ❑Detnolititm working, for me in any capacity- employees and hn-eworkers'[No workers'comp-insurance comp-Duran 1 9 Building❑ addition required-] 5. ❑ We.are a corporation and its 10-.❑Electrical repairs.or additions officers have exucised their 3_❑ I am a homeowner doing all work I1_❑Plumbing repairs or additions myself.[No workers'comp- rift of exemption per MGL 12_.❑Roof repairs i„sr anrerequirred-]l c.152,§1(41 andwe have no employees-[No workers' 13-❑Other comp-insurance required-1 !Any avglicmt thst checks box#1 mast also fill out the section below shot g$xtdr woekeg —sati r peaTinfiNmadm i Sumemmers who submit this_of &n-k iu&kating they axe doing Z wa k snd then hie autsiide contra tees annst ma m t a new amda:eit in&catiug sacIx. Cent ractms;thst check this box rat atnwhed.gn additional sheet showing the a of the saki-camftac�and state whether ornot those entities hwm etxgxloyees. Ifthe sab-canw=,os hwe employees,they MST Amide their workers'damp.policy n mxber- I am an e►npLayer that isprvi iding workers corrrjtenvatdon inmirance for my employ*ees Bdntp is die paHcy and jab site inforFfLaldom Insurance-amp any 1NTame: Pdlicy#or Self-ins-Lit~ _ Pxpiratioa Date_ Job Site Address: City/State/zip: Aftach a copy of the workers'compensation.p.olicy declaration page(showing the policy number and gy ration date). Failure to secure coverage as requiredunder Section 25A.of MGL c_152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 andfor one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Kne of up to$250.00 a day against the-�iolator_ Be ad'and that a copy of this statement may be forvirarded to the Office of T.nvestigations ofthe DIA : urance coverage verification I do herg4,cextify� rder its altdpert flies ofpertrrr}'tfiatthe iriforsrrration pt-mTded aboira ig true alid correct Signature. Date: Phone#7 OB7 dal use omt v. Da not write in this area,ter be completed by city or town oficdal City or Town: PerutitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylEown Clerk 4 Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: A1�L® CERTIFICATE OF LIABILITY INSURANCE 7/31i 014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the pollcy(les)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 ilvia NAME: KathyY The Fair Insurance Agency Inc. PHONE (SOS)775-3131 FAX .(508)790-1677 Qn-619 Main Street EMAIL .kathy@thefairagency.com Suite 7 INSURERS AFFORDING COVERAGE - NAIC 3 Centerville MA 02632 INSURER A-AIM 26158 INSURED INSURER B Thomas P Damelio Building & Remodeleing, DBA: INSURER 0: 45 Melbourne Road INSURER D: INSURER E: ,Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBERCL1473100806 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 WTH 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 POLICY NUMBER D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - COMMERCIAL GENERAL UA8N 1U PREMISEAMAGE TO RENTED S Ea occurrence $ CLAIMS-MADE F—IOCCUR MED EXP(Any one Person) $ ` PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1-1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED S ACHEDULED AUTO S UT OS BODILY INJURY(Per accident) $ _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? WC40070291792014A /25/2014 /25/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space Is required) CERTIFICATE HOLDER CANCELLATION thomasdamelio@comcast.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE R Jackie Stewart/FAIMCI �2 "�u. -�'-�/�z� ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 nntnnsl nt 'n—Arnan nemn...A I— ..—i—m annan From: Melanie Begley melanie@thefairagency.com Subject: Thomas P Damelio Building&Remodeleing,AWC40070291792014A Date: July 31,2014 at 9:20 AM To: Thomas Damelio thomasdamelio@comcast.net Attached is the WC certificate you requested. Thank you, Melanie Begley The Fair Insurance Agency 619 Main Street, Suite 7 Centerville MA 02632 508-775-3131 fax 508-790-1677 Coverage cannot be bound, added or changed by electronic mail. The documents and information contained in and attached to this electronic transmission may include information that is confidential and/or privileged and is for use of the specific individual(s) to whom it is addressed. If you are not the intended recipient of the e-mail, you are hereby notified that any unauthorized use, dissemination, or copying of the e-mail or the information contained in or attached to it is strictly prohibited. If you have received this e- mail in error, please immediately notify the person named above by e-mail reply and delete this file. f 5/28/2014 12:07:06 PM PST (GMT-6) FROM: 100005-TO: 15087761218 Page: 2 of 2 AC O® DATE plMmDnyrY) CERTIFICATE OF LIABILITY INSURANCE 5ne/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: B the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,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 endorsemen s. PRODUCER DOWLING&O'NEIL INSURANCE AGENCY gWCT 973 IYANNOUGH ROAD 2ND FLOOR PHONE H PO BOX 1990 Lana,Emil HYANNIS,MA02601-1990 INSURER 9 AFFORDING COVERAGE NAIC NSURERA: LM Insurance Corporation 33600 INSURED NSURERB: DETAIL SIDING CONSTRUCTION INC 55 WOLLEY ROAD NSURER C: HYANNIS MA 02601 NSURERD: NSURERE: U COVERAGES CERTIFICATE NUMBER: 20317238 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POUICYNUMBER MMMMR UU EFF POLICY EIIP LINfTS COMMERCIAL GENERAL LIABLRY EACH OCCURRENCE $ CLA-ADE ❑OCCUR DAMAGE TO RENTED S_ $ MED EXP An one pencm $ PERSONAL a ADV INJURY $ GEINI AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE f POLICY❑PRO - JECT LOC PRODUCTS-COMP/OP AGO $ OTHM f AU`rC=811E LIABILITY COM exid GLE LIMIT f trzsm ANY AUTO BODILY INJURY IPw persml $ ALL OWNED OULED BODILY INJURY(Pw seciders) $ HIRED AUTOSPiUrOTWAUTOS 0 par &WNED PROPERTY AMA $ .. f UMBRELLA LIM OCCUR EACH OCCURRENCE f EXCEe8 UAB CLAtMS#rAOE AGGREGATE $ 13E0 I I RETENTION$ $ A woRKERs COMPENSATION WC5-31S-383887-013 12/22/2013 12/22/2014UTE R AND EMPLOYERS'UABRM ANY PROPRLTORIPARTNEWEXECUrNE y/N E.L.EACH ACCIDENT L 500000 OFFICERINEMBER EXCLUOED7 ❑N NIA (Mtv,dstory in NH) EL.DISEASE-EA EMPLOY EmPLcYE4$ 500000 II pas,desdrae under DESCRIPTION OF OPERATIONSbebw E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION Of OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addilanet Km rk.Schedule,wy be ft thed If more apaceN requlrad) 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 THOMAS DAMELIO TTHE LEXPwaTIIOON DATTE TTHDEREo, NNOmCE WILL BEECDLuvEREDORE IN 16 WHITE BIRCH WAY ACCORDANCE WITH THE POLICY PROVISIONS. WEST BARNSTABLE MA 02668 AUTHORIZED REPRESENTATIVE LM Insurance corporatlon (yJrCj fyC 019It8-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CCnr NO.: 20317238 CLEEN[CODE: 1577180 LuCy Garfield 5/28/2014 3:02:53 PM (EM) Page 1 of 1 f - A CERTIFICATE OF LIABILITY INSURANCE Pa e 1 of 1 09/2/2013 g 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 RESENTATIVE 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: Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. A/C NO EXT: 877-945-7378 A/C No: 888-467-2378 P.O. Box 305191 E-MAIL Nashville, TN 37230-5191 ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535-005 INSURED MAP Installed Building Products INSURERB: Cincinnati Insurance Company 10677-001 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:20471409 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 DD' SUB POLICY NUMBER POLICY EFF POLICY EXP L-T NS WVD M DD YY) tMWDDNYYYI LIMITS A GENERAL LIABILITY GL0913952707 10/1/2013 10/1/2014 EACHOCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _PREMISES E.occurence $ 11000,000 CLAIMS-MADE OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY nPROT X LOC $ B (Ea TOMOBILELIABILITY CAA5878127(AOS) 10/1/2013 10/1/2014 COMaccident)BINED SINGLELIMIT $ 1,000,000 B X ANY AUTO CAA5878131(NY) 10/1/2013 10/1/2014 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED id P BODILY INJURY(Per accent AUTOS AUTOS ( ) $ X HIREDAUTOS X NON-OWNED PROPERTYDAMAGE AUTOS Per accident $ $ C X UMBRELLA LIAB I X I OCCUR AUC931420602 10/1/2013 10/1/2014 EACHOCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ Retention $0 $ A WORKERS COMPENSATION WC913952607(AOS) 10/1/2013 10/1/2014 X W TATu- rH- ANDEMPLOYERS'LIABILITY ❑ N/A - TORVLIMIT ER A ANY PROPRIETOR/PARTNER/EXECUTIVEY/N WC913 9 52 8 07 (WI) 10/1/2013 10/1/2014 E.L.EACH ACCIDENT $ 1,000,0 OFFICEWMEMBER EXCLUDED? -- 00- 4 - MandatoryinNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ,yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Excess Automobile XS1154851 10/1/2013 10/l/2014 $4,000,000. Excess of $1,000,000 underlying automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) Certificate holder is additional insured as respects liability arising out of work performed by the named insured if required by contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 0 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tom Damelio' 45 Melbourne Road Hyannis, MA 02601 Coll:4221901 Tpl:1707342 Cert:204 409 01988-2010 4tORD CORPORATION.All rightsreserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r f f i f EA .STA33M MASS. �,e Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,- A 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize r/»+�9 ��m��d to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 11Z -5�� gi , ature of Owns r Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit fonnslsmokecarbondetectors.doc. Revised 050412 Town of Barnstable Regulatory Services pFt rby Richard V.Scali, Director Building Division `* aAxivsrAsr.E, ' Tom Perry,Building Commissioner 16.19. ,d� 200 Main Street, Hyannis,MA 02601 prF° �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such 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. r Restricted -One-and two-family dwellings or any accessory building thereto,.irrespective of size. Failure to possess a current edition of the Massachusetts State Building.Code is cause for revocation of this license.. For DPS Licensing information visit: www.Mass.Gov/DPS 1 Massachusetts -Department of Public Safety Board.of.Building Regulations and Standards Construction Supervisor 1 &2 Family License: CSFA-047420 THOMAS P DAMYd0 16 WHITE BIRCH WA = W BARNSTABLE M0266 Expiration Commissioner 04/07/2015 - -- _ �e e-rY��Z � ea`�h d a oac%1Je� istration valid for in dividul use only License or reg Regulationess before the expiration date. If found return toulation Office of Consumer Affairs&BusinCTOR VEMENT CONTRA office of Consumer Affairs and Business Reg OME IMPROA. Type 10 Park Plaza-Suite 5170 egistration 1:18952 DBA Boston,MA 02116 Expiration 518f2015� OMAS P DAMELIO BLDG&REMODELING f �f THOMAS DAMELIO 1' o jNot valid without signature 16 WHITE BIRCH W.BARNSTABLE,MA02668 Undersecretary r Parcel Lookup Page 1 of 1 Tcur: a i F2AGt;tiSFAVI F IMASS, Logged In As: Parcel Lookup Tuesday,August 5 2014 Road Lookup Condo Lookuo Multiple Address Lookup Reports Search Options Search By Street Street# P7777 Street Name --- Village All Villages ' aSearch <Prev Next> Page 1 of 1 Rows/Page: 10 OT Parcel Location Owner Village Index Map 287-055 55 LONGWOOD AVENUE BERUBE, MICHAEL R&JULIE A HY 0920 287055 014-013 55 LONG POND ROAD LILLY, JASON R&TINA M MM 0917 014013 http:Hissgl2/intranet/propdata/lookup.aspx 8/5/2014 Bk 28295 Po 79 `33881 07-30-2014 & 03 = 14F� • dA Town of Barnstable • „►��= Zoning Board of Appeals Decision and Notice Special Permit 2014-034— Berube Modification of Special Permit No. 1996-68/ § 240-92— Nonconforming Buildings Second floor expansion of nonconforming dwelling Summary: Granted with Conditions Petitioner: Michael and Julie Berube _ 25 Saddleback Rd, Tequesta, FL Property Address: 55 Longwood Ave, Hyannis _ a Assessor's Map/Parcel: 287/055 Zoning: Residence F-1 District Hearing Date: June 25, 2014 Recording Information: Deed: Book 27468, Page 14 Special Permit 1996-68: Book 10501, Page 220 Background With request No. 2014-034, Michael and Julie Berube sought to modify of Special Permit 1996-068 to allow for further expansion of the existing dwelling through construction of a second-story dormered addition. The Board granted Special Permit No. 1993-25 to authorize construction of a wood deck 7 feet from the Washington Avenue property line. In 1996, the Board issued Special Permit No. 1996-68 allowing the construction of an addition on the north side of the dwelling, 13 feet from the Washington Avenue property line. The addition was partially constructed over the existing deck. Condition No. 3 of Variance No. 1996-68 prohibits further expansion of the dwelling. The subject property is a 7,400 square foot lot improved with a 2,604 sq.ft (living area), 3-bedroom, single-family dwelling, originally constructed in 1936 and a small studio/outbuilding. The dwelling is nonconforming to the required 30 foot front and 15 foot side yard setbacks in the RF-1 District; it is located 7 feet from the Washington Avenue property line; 24 feet from the Longwood Ave property line; and 14 feet from the southern property line. Procedural & Hearing Summary Special Permit No. 2014-034 to modify Special Permit No. 1996-68 was filed at the Town Clerk's office and office of the Zoning Board of Appeals on June 2, 2014. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A. The hearing was opened on June 25, 2014 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were Craig G. Larson, Brian Florence, George T. Zevitas, David A. Hirsch and Herbert Bodensiek. Thomas Damelio represented the Applicants before the Board. He presented the proposed plans for construction, stating the addition would not increase the footprint of the dwelling. He confirmed the plans had been approved by the Health Division. The Board Chair requested public comment and no one spoke. Findings of Fact At the hearing on June 25, 2014, the Board unanimously made the following findings of fact for Appeal No. 2014-034, a request for a special permit filed by Michael and Julie Berube to modify Special Permit No. 1996-68 to expand a preexisting nonconforming single-family dwelling at 55 Longwood Avenue, Hyannis: 1. Michael and Julie Berube petitioned to modify Special Permit No. 1996-068, which includes a condition that states"there shall be no further expansion of this dwelling on this undersized lot." The petitioners sought to expand an existing dwelling by increasing the second-floor living area through the addition of a dormer. O ToNm of Barnstable Zoning Board of Appeals—Decision and Notice •Special Permit No.2014-034-Berube 2. The property is located at 55 Longwood Avenue, Hyannis (Hyannisport), MA as shown on Assessor's Map 287 as Parcel 055. It is zoned Residence F-1. 3. Special Permit No. 1996-68 allowed for the alteration and expansion of a preexisting nonconforming single-family residence in accordance with Section 240-92(B). The proposed expansion will not increase the gross floor area of the dwelling within a 20' front yard setback or 10' side yard setback. 4. Site Plan Review is not required for single-family residential dwellings. 5. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. The vote to accept the findings was: AYE: Craig G. Larson, Brian Florence, George T. Zevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2014- 034 subject to the following conditions: 1. Special Permit No. 2014-034 is granted and shall modify Condition No. 3 of Special Permit No. 1996-68 to permit a second-story dormered addition to the dwelling at 55 Longwood Avenue, Hyannis as shown on the plans entitled "Proposed Dormer—55 Longwood Ave, Hyannisport, MA" dated 10-30-2013, drawn by JB Designs. 2. There shall be no future expansion of the footprint of the dwelling without prior approval from the Board. 3. The conditions of Special Permit 1996-68 shall remain in full force and effect. 4. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance building permit. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Craig G. Larson, Brian Florence, George T. Zevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Ordered Special Permit No. 2014-034 to modify Special Permit No. 1996-68 to allow for expansion of the dwelling with a second floor dormer at 55 Longwood Avenue, Hyannis has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision, a copy of whi e i e in ice of the Barnstable Town Clerk. /X Craig Glarson, Chair Date Signed I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk,.,.---- THE T Signed and sealed this o fib day of�U``� oZb at rltfdr Nhins and penalties of perjury. MASS, 2 Town ®f Barnstable sT Assessing Division hUm 639.Ok 367 Main Street,Hyannis MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4022 Jeffery A.Rudziak,MAA FAX: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION June 5, 2014 RE: Adjacent Abutters List For Parcel(s) : 287-055 55 Longwood Ave Hyannis, MA 02601 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. Jam,.✓., Board of Assessors Town of Barnstable i Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): '287055' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Total Count: 38 Im �491 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 287039002 ISHAM, FREDERIC FREDERIC LANCE 5850 GASPARILLA BOCA GRANDE, 23236/84 LANCE TR ISHAM 08 LIV TRUST RD-BOX 518 FL 33921 287040 CLARK,MADELINE J LAFAYETTE REALTY PO BOX 178 HYANNIS PORT, 8396/088 TRUSTEE TRUST MA 02647 287041 KENNEDY, REGINA PO BOX 202 HYANNIS PORT, 19312/288 M MA 02647 287042 HUTCHENS, E 133 HAMPSHIRE RD WELLESLEY, MA 11313/054 JAMES&LORENE F 02481 287043 WOODWELL, LINDA 20 SADDLE RIDGE HO HO KUS, NJ 12803/134 P RD 07423 287044 GRAVES, MEREDITH REVOC TRUST OF 202 ROCKLAND MONTCHANIN, 26232/83 M TR MEREDITH M GRAVES ROAD DE 19710 287045 DOUD,MICHAEL J& 133 INDIAN CAVE RIDGEFIELD,CT 26976/339 FLORENCE B ROAD 06877 287046 SPENCE, WILMA 14 AMBER RD HINGHAM, MA 1496/592 02043 287047 BERKERY,ANDREW 34 STURGIS ROAD BRONXVILLE, NY 27763/296 M&JOAN W 10708 201 EL VEDADO PALM BEACH FL 287049 FREITAS, MARK E ROAD 33480 20233/240 WEED, BARBARA 287050 LEWIS&PLACE, 43 LAKE DR M,MA 02492 17507/182 JULIE LEWIS 2492 LITTLE SILVER, 287051 STEWART, NANCY P PARSHALL, C WARD 4 BREEZY POINT P0832EF NJ07739 287052 PETERS, RONALD E 24 ROYALSTON RD WELLESLEY, MA 9114/093 &LORI S 02481 287053 LUDTKE, BETTY C PO BOX 484 HYANNIS PORT,MA 02647 25751/43 287054 CELENTANO,AMY D CELENTANO FAMILY 7818 CREFELD PHILADELPHIA, 23553/215 TR TRUST STREET PA 19118 BERUBE, MICHAEL 25 SADDLEBACK TEQUESTA, FL 287055 R&JULIE A ROAD 33469 27468/14 287056 DELORY, DANA WILLS FAMILY 2007 PO BOX 235 HYANNIS PORT, 27010/33 WILLS ET AL TRS IRREV TRUST MA 02647 SHANAHAN,JOAN D 20 STANWIX C/O JOSEPH M SMITHFIELD TRUST PITTSBURGH PA 287057 &BARRY N & DENSKI CFA CFP COMPANY STREET,SUITE 15222-4801 27531/287 DENISE D TR 650 SCHAEFER, ATLANTA,GA 287058 GARRARD K&RUTH ONE CHEROKEE RD 30305 19891/040 L 287059 UNION CHURCH WACHUSETT AVE HYANNIS PORT, MA 02647 287061 GRIGGS, NINA M ET %ANDERSON,TODD 115 MORRIS ST APT JERSEY CITY, NJ C144049 AL TRS S 1427 07302 287076 CLARK, RICHARD M P O BOX 231 HYANNIS PORT, 25767/6 MA 02647 287077 18 LONGWOOD LLC 17 EAST 89TH ST., NEW YORK, NY 25146/75 APT 7C 10128 http://66.203.95.236/arclms/appgeoapp/AbutterReport.aspx.type—ZBA 6/2/2014 28707$ HUGHES FAMILY LP F/O HUGHES,JAMES 447 BROOKSIDE RD NEW CANAAN, 9510/094 840 44 LONGWOOD HYANNIS PORT, 287079 AVENUE, LLC PO BOX 235 MA 02647 27008/337 287080 MAYFIELD, P O BOX 674 HYANNIS PORT, 10581/255 ELEANOR F MA 02647 FITZGERALD, 287081 BENEDICT F JR& 25 WARE STREET DGE, MA 02138 14061/021 JEAN 2138 http://66.203.95.23 6/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 6/2/2014 SANTA-CRUZ SUSAN C SANTA- 5219 PEMBROKE PITTSBURGH PA 287082 SUSAN C TR CRUZ REVOC TRUST PLACE 15232 24367/230 287086 LYONS,CAROL A P 0 BOX 208 HYANNIS PORT,MA MA 02647 287087 SCHIATTAREGGIA, 10509 BRIDLE LANE POTOMAC, MD 27805/212 JOSEPH P, ET AL 20854 SCHNEEBERGER, 287088 JOHN A&HEATHER 48 WHITTIER RD WELLESLEY, MA 11278/018 D 02481 CURLET, NIGEL W E HOUSTON,TX 287090 &MARGARET 6043 PARK CIRCLE 77052 27890/37 RATH ER- 287091 SHRIVER,MARK K& 10014 CARTER BETHESDA, MD 26537/141 JEANNE R ROAD 20817 HEAD MARCELLA D 46 WASHINGTON HYANNIS MA 287092 &CHRISTOPHER R AVE 02601 21147/289 WEBER,C 0& MARIE E O'NEIL OSTERVILLE, MA 287133 JAXTIMER, M T& REVOCABLE TRUST 350 MAIN STREET 02655 26986/109 HOLDEN, M 2012 FOWLER, HARRY 23 LONGWOOD 1991 10 LONGWOOD DR, WESTWOOD MA 287136 HART TR REALTY TRUST UNIT 268 02090 7517/63 287137 PLUNKETT,G KENT LINDA J PLUNKETT 19 HAWTHORNE WELLESLEY, MA 22494/19 TRS REALTY TRUST ROAD 02481 287139 LEWIS, FARLEY S& PO BOX 417 HYANNIS PORT, 9564/144 ELIZABETH M MA 02647 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 6/2/2014. http://66.203.95.23 6/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 6/2/2014 Town of Barnstable Geographic Information System June 2,2014 287169 287035002 287035001 287034 287033D02 491-0 287 2#8 7757 287#035970 01 R 28 700 ' 1=71 0 # 1#6 #14 124#670 287099 #41 287089 435 2871114 #100 3 #see 287038 OgPBC'rAV 28709 287037 #45 _ 287014002 :287038001 #36 9592 87036 #t6j %287097 267014001 �STEN AV E ::.'::.:'•.::::: ... -?:287090(:•.`::; :.: `:,-:`:::. 297093 #25 #830 WINCH 28T039002.';>J •;r•_':; 287116 .287047•'.:::: ••�i,:.:�*•r,�,i,_'r�`• =.:;�:; �%;t =��i��; - .{ 287013 048 f_ y.::; 4f4� ✓i'"r`= % woo :4 487092 287095 _ ,.�:��; �' /� Yx.:::;.;.. :•r,."''' 287094 #76• O #64 �• 287046 1Ta: ,li=� 287 .:1. '!•,:' 'f ;y ;:tttis 8 m 287011 �� '>. :287U91-:,.: - V 28 O �9ti, N N G T 287D1 %�•: �... 28 :ZOs<. � - A 0626 287aS8 287086 a,r� , v /,i / i >: f ,as r• 287D87 ��r / 287160 RQ /./rr f / y .f r:r r i if28708$ - �7/r 142 A 287044 ii r �k33 r s✓i 287083 #24 vER�E 2� b5s i #56 287 ---woo O 2✓ A5666 > #80 287084 287151 -649 287D54 / 9it44 � _,'" r F ' ,2$7052'✓ 1$9/r >, ,..7r+) x #45;'. , rr , ljSFiAVE #6fi8 #4 �!/ 287132 ' / 287075 040 287155 C > / r ' : r s i /,i Y✓ It 'ri _ + 287076 #25 71 C 287074 287010 < #!8 r `'' ; y , ; 287077 #43 #41 287008 tR .28713B / #18 #676 287061 `' 287139 21 287072 Q 28�7�007 287071 It 160 287073 287070 #152 287003 287004 #688 287064` #144 #17 .#692 L #120 287135 700100 287062 287138 V1NG AVC #.1175 #36 / Fe 287DOG #ss7 #110 287147 287005 #80 287067 287068 ®IBM 287069 #66X V70 #143 #151 #105 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:287 Parcel:055 Zoning Board of Appeals(ZBA) bounds determination Selected Parcel boundary n or regulatory interpretation. Enlargements beyond a scale of '.ma Abutter List Type-Parties of interest are those direct) o osite subject lot on 1" 100 y not meet established map accuracy standards. The parcel lines on this map yp y pp � are only graphic representations of Assessor's tax parcels. They are not We property any public or private street or way and abutters to abutters. Notification of all Abutters ': lr boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. Buffer %•Fr' Jae°6>_2014 I : ...t.a LEGAL-NOTICE TOM OF BARNSTABLE R.",. "£ - ZONING BOARD OF APPEALS; TOWN OEFA SRAINRGNSBL NOTICE OF PUBLIC HRNGS;UNDERTHE ZONING G OAPZONINGB ORDINANCE' NOTICE OF PUBLCH UNDER THE ZONING " JUNE 25 2014 ORDINANCE ' To all persons interested m or affected byahe"actions oi'-the ; JONE 25,40 14 Zoning Board of Appeals, you are hereby not fied pursuant: To all ersons interested in-or,-!- d by the,actions of the. to:$ection '11 of-Chapter�40A of fhe General=Laws pf`the:. X -etc Zoningoard of Appeals, you are.,hereby notified pursuant Coinmonwealtti_ot Massachusetts and all amendments thereto,` to Section 11 of ChaptJ. er 40A of the General'Laws of the that a public hearing on the folloNnng ap eats Noll be_held on Commonwealth.of Massachusetts and all amend"merits thereto,. Wednesday June 25 2014:at the bme;indipted ' 3+ that:a public hearing on the follgWh§appeals will be held on 7:00 PM Comprehensive Permk 2005.100 BayVPolr)t, Wednesday June 25 2014 at the time Indicated, PLM Busy,LLC 7:00 PM Comprehensive Permk 2005-100 Bay Point,LLC& Bay Point,LLC and PLM Buzry LLC':have submitted a request" PLM Buzzg LLC to extend a date as stipulated m a:'Second-Memorandum of: Bay Point LLC and PLM Buzzy LLC have submitted a request Understanding:executed':in connection with`he Endorsed' to-extend a date as stipulated in a:Second Memorandum.of Disposibori and-.Sellement Agreement between Bay Point LLC: Underst� ding executed in connection with'the'`Endorsed: and,the Town of Bamstable and Cotuit.Fire District The Second Dispoositon and Settlement:Agreement between-Bay Point;.LLC (Memorandum of Understanding"stipulates a,date of June 30;", and-the Town of Barnstable and Coluit Fire District The Second 2014 by which the applicant agreed to undertake,and complete Memorandum of Understanding stipulates iodate of June 30, alfainsbvction on the existing residence showmas'F�usUng O,U 2014 by which the applicant agreed.to underl:56',rid'complete on a Bay plan partially entitled Point Townhouses Layoyt;and_ all construction on the existing residence shown as`F�usting D.U:'.: Landscape Sae,Plan dated and revised 05-08-09 The Applicarifs on A plan partially entitled'Bay Pomf:Townhouses Layout and. are:.requesting the June 30 2014 date be extended to Odober,� Landscape Site Plan dated and revised,05-08 09'TheApplicarits 31,.2014 The,request states the extension is being requested in are requesting the June 30,"2014 date be extended to October accordance with 760 CMR.56 OS(11) ChangesAiter Issuance of 31,2014.-The requeststates the extension is being requested in a Permit On.Ma 28 2014:;the Zonin;:Board Unernmout voted: y s. N accordance with 760 CMR 56 05(11)'-'Changes After Issuance.of to.forward this request to a`public hearing 'a Permit_On May 28,r2014 the.Zoning Board;unanimously.voted The property`is sublectlo Comprehenswe Pertnk.No 2005 1o.0" to forward,this request to a public hearing , Cotud Center::Residences(Book 27606 Page 3);an Endorsed The property-is subject to Comprehensive Perna No 2005100 Disposition and Settlement Agreement(Book 27606 Page 32) -Cotuit Center Residences(Book 27606 Page 3)ar Endorsed" and Memorandums of Understanding(Book 27606 Page'S8 Disposition-and Settlement Agreement`(Book 27606 Page-32) Book 27606 Page 61)The property is;loceted it 671 Mam Sheet :I and two Memorandums of Understanding(Bock'27506 Page 58, Cotuit,MA as shown on Assessor's Map 036 as parcel 015 It is in Book 27606 Page 61)The property is located at 671 Mam Street the.Residence F Zoning Distnd Cotuit,MA as shown on Assessors Map 036 as parcel 015 It is in . 7r00 PM Appeal No 2014-031`'U S Immigration and the:Rnce F,Zonmg 0istnct Customs Enforcement 700 PM Appeal No— on U S Immigration and' U,S Immigration and Customs Enforcement as lessee,has': Customs.Enforcement petitioned fora Special Permit under.§24010t1 and a madfication U.S. Immigration and CustomZ. s Enforcement a§=lessee, has of$penal Permits Nos 1997-008 and.Variance No 1997 009 I. petitioned for Speaal Permit under§240-108 and a_modifica8on issued by an August 18 1999 Memorandum of Understanding. of Special Pemiits Nos 1,997-008`arid Vananaa No 1997,009, . The petitioner is proposing to install one antenna and appurtenant issued by an August 18,r1999 Memorandum bWnderstanding::. -equipment ment at the 170 feet mountin`hei tit on_.the existln P g g The petitioner is proposing to install one..antenna and 40henant telecommunications tower..The property is located at 749,Oak equipment_at the. 170 feet__mounting.height on the existing Street,West Barnstable,MA as showri'on Assessor`s Map 215'as : telecommunications lower.The property is lopted at 749 Oak•: parcel 015-002.It is zoned Residence F: _' Street,West Barnstable MA as shown on Assessors Map 215 as 7c01 PM Appeal No 2004-033 Cape Cod Chamber,of parcel 015002 I,t is zoned Residence F Commerce 7:01'PM Appeal No 2004-033 Cape Cod Chamber_.of: The Cape_ Cod Chamber of Commerce has appiled for Commerce modification of::Use Variance No 2003-045 (a modfiaa6on of ; The Cape Cod Chamber'of Commerce has�'appied`-for Use>,Vanan. -'FNo 1957 9) which.granted relief from.§240_. modification of Use Variance,No.2003-045 (a modfication'of 13(A)Principal Permitted Uses m the RF 1 Zanmg Dis)ncLThe:., Use Vanance.No.-1957 3) which granted relief,irom §240 applicant seeksJo:allow,for a 370 square foot expansion of thet. . 13(A).Pnnapal,Pennitted,Uses inthe:RF-1 Zoning I istncL.The '. existing structure additional parking and improvements to applicant seeks fo allow fora 370 square foot expansion41 of the intemal sdecirpglar driveway The applicant also seeks to modity existing structure;additionik'al:parlong and improvements to the she pno(4dances toallowtf6r addiUohil`construchonond tenants. internal site cirwlar dmeway-The applicant also seeks to modify.' inthe.future withouk having to return to the Zoning Board for furtiier the priorvariances to allow for`additional don sirucbon and tenants permit modficadons provided that:.,1)the use is Chamber related in the future without having to return to the Zoning Board forfurther or.ap�office.use an&d );the future construction complies with all permit modifications provided that 1)the use is Chamber related _ applicable dimensional.regmrements`of the Zoning Ordinance . or an owe use;and 2)tile.future construction complies with all " The proper.is loceted.;at 5 Pattl Page Way,Cemternlle MA as applicable dimensional regwrements af"the Zoning Ordinance: shown on Assessor s Map 235 as Parcels bp-b00 and 003-W00[ r The property is located at 5'Path Page Way Centerville MA as:- )t i§;ioned R siddnl F"1 ,1.. d r n �r s arst- 'shown on Assessor's Map 235.as ParceI&003-B00 and 003 W00 Ji�.02 PM Rlodeal Nab 20M�03�Betutife z ti?e�r It is zoned Residence F 1 - 7.02 PM A .Michael and Julie Berube have petitioned fora,modfiiztron*ppeal No 2014-034 Berube� I Michael and Julie Berube Have petitioned for a modfication of Speaal Permit 1996 068 and akemativety .Speaa bfmd :I• of Specie Permit 1996-068 and'a emati4ely a.Speaal Permit"' pursuant to:§240 92 Nonconfomimg buildings or sburtured' f pursuant to §240-92 Nonconforming.bwldmgs:orsbudures ' used as smglo-famity residences The;peUhoners seek to expand; used as single-family residences The petitione_11rs seek;to expand an"existing dwelling by;inaeasingalre second floor Imng area an existing dwelling by increasing the second flo0%Ihnng area through.lhe addition of.a corner Speaal Per ftA996-068�which through the addition of a domi@r.$ anal Perna 19ge U68 which I permitted expansion of•the dwelling,not in conformance;wi81 9 permitted expansion of the dwelling not%in.conformance.with setback requirements includes a eondi6on that,states there setback requirements includes a'condition tiiat;states Yhefe,:''i shall be no further expansion of this dwelling on:this undersized shall be no furtherexpansion'of this dwelling.on.thisunders¢ed iti lot`The property is.located at 55 L Avenue Hyannis tot.'.The property is located at 551cingwood Avenue Hyannis :� (Hyannisport) MA as shown on.Asseosnsog rNs Map 28,as Parcel (Hyannisport),MA as shown on Assessors Map 287 as Parcel ; 055 It is zoned Residence F 1 r 055.It is zoned Residence F 1.- These public hearings will be held at the Barnstable Town Hall These publicBearings vnli be'.held at;'the:Barnstable Town Hall 367 Mam Street Hyannis MA, Heanng Room"located on:the. 30 Wain'Street Hyannis, MA,Hearing Room located on the I 2nd Floor Wednesday June 25 2014 Pans and applications 2nd Floor Wednesday June 25 2014 Plans and a licattons may be reviewed:at the Zoning Board of Appeals Office Growth may be reviewed at,the Zoning'Board of Appeals Ofice_;�Growtlie .Management Departrnent Town.Offices 200 Mam Street t z�z `Management Department, Town 60ices,, 200 Main Street - Hyannis MA ` Hyannis,MA �1 Craig G Larson Chair " Craig G L'a rsnn Chair z_ - Zoning Board of Appeals Zoning Board ofAppeals The Barnstable Patriot T s T > The Barnstable Patriot " fryf p1��rAn"7'`Af f11 p� I'f1�� nT11 I1 Ju.'ne 13 2014 June 6 and June f3:7Md OAI41Y,FAEfL[ P1[17I,1 riY 1 IF ry A- SEA&B Engineering P.O.Box 688 114 OF Eastham,MA 02642-0688 RICHARD (508)240-3987 P. MMERSON y November 11,2013 No.19'1'/$ Mr. Joseph Botelho P.O. Box 285 West Barnstable,MA 02668 Reference: Dameho Residence,55 Longwood Ave.,Hyannisport,MA Dear Joe, The new dormer opening for this house including supporting columns and second floor cross beams have been evaluated according to your drawings and the requirements of the 8 h edition of the building code with exposure B wind loading including wind shear. General • The new dormer floor area is to be made u of flitch floor joists triple 2x6s with two P joists, P in.thick steel plates between. The flitch beam is to be connected together as shown in sheet 16. • The roof support columns to the first floor cross beams are to be 3 %2 x 3 '/2 Parallam PSLs. • The two cross beams supporting the second floor joists are to be flitch beams, triple 1 3/4 x 9 '/z with two %2 in.thick steel plates between. The flitch beam is to be connected together as shown in sheet 16. The roof support columns are to be connected to the cross beams with Simpson PC 84 connectors with shims as required. • One of the two cross beam ends is over a window set and is to be supported by a flitch beam window header,two 1 3/4 x 9 '/2 LVLs with a'/z in.thick steel plate in between. The other ends of the cross beams are to be supported by 3 %2 x 5 1/4 Parallam PSL columns. The columns are to be connected to the cross beams with Simpson EPC84 connectors. This header is to be supported at each end by 3 '/2 x 3 %2 Parallam PSL columns. The columns are to be connected to the header with Simpson BC46 connector with shims as required. • All other parameters are to be as shown on the drawings. I Analysis A partial structural model under vertical loading was used to determine header and floor loads for the new dormer, and roof loads acting through columns to the second floor cross beams. Analysis is with 110 mph wind velocity and associated pressure values for wind loading. The wind load selection is based on based on roof pitch,wall and roof surface area, and area section location. The angle of the dormer roof is 7.17 degrees. The maximum horizontal wind load for this roof angle is 29.1 psf. This resolves to a vertical wind load of 3.61 psf. The side plane roof angle of the long slope is 30.34 degrees. The maximum horizontal wind load for this roof angle is 21.8 psf. This resolves to a vertical wind load of 9.51 psf. Snow load is 25 psf. Floor loading is 40 psf live. All material weight is evaluated and combined in by the computer. Analytical result sheets follow: • Sheets 1 to 5 show the partial structural model,vertical loading illustration max. node deflections,max. member stress, and axial force through the columns from the roof to the cross beams. • Sheets 6 to 13 are the analytical sizing sheets for the beams and joists. • Sheet 14 shows the hole location and connection requirements for the flitch beams. Please let me know if you have questions. Regards, jk--�;Z Io Cr Richard P. Anderson P. M� MODE y No. t 9M ® Job"No Sheet'No Rev 1 Software licensed to SEAM Engineering Part Job Title Ref By Dick A. Date01-Nov-13 Chd Client File..Damelio,3D test.std Daterrime 11-Nov2013.15:59_ 3;3' 4 4 z �333 4 3_ 55 _ 3�3 555 -' � _ 33: 55 r� 55 3 5 5 Print Time/Date:11/11/2013 16:00 STAAD.Pro for Windows Release 2002 Print Run 1 of 1 ® JotMo 'Sheet°No *2 Rev Software licensed to SEA&B Engineering Part Job Title Ref By Dick A. Date01-Nov-13 Chd Client File Darnelio,.3D.test.std. Datemme 11-Nov2013.15:59. ' 4 4 4 3 3.35' 4;4 5 5 55 3; 555 .33 5 3 5 55 . I Print Time/Date:11/11/2013 16:00 STAAD.Pro for Windows Release 2002 Print Run 1 of 1 ® Job No Sheet No Rev Software licensed to SEAM Engineering Part Job Title Ref tp "+P By Dick A. Date,01-Nov-13 Chd Client File Damelio,3D#1.std Date/Time 10-Nov-2013 13:59 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 334 3 -0.227 -0.392 -0.115 0.467 0.00302 -0.00210 0.00338 64 3 0.052 -0.436 -0.003 0.439 0.00027 0.00001 -0.00405 242 3 0.052 -0.436 -0.003 0.439 -0.00036 -0.00006 -0.00405 334 2 -0.213 -0.367 -0.103 0.437 0.00290 -0.00194 0.00331 241 3 0.051 -0.423 -0.003 0.426 0.00188 0.00020 -0.00399 63 3 0.050 -0.422 -0.004 0.425 -0.00197 -0.00023 -0.00407 65 3 0.050 -0.414 -0.003 0.417 0.00246 0.00027 0.00397 243 3 0.049 -0.412 -0.004 0.415 -0.00256 -0.00029 0.00406 240 3 0.046 -0.377 -0.003 0.379 0.00390 0.00043 -0.00388 62 3 0.045 -0.374 -0.004 0.376 -0.00401 -0.00044 -0.00402 64 2 0.043 -0.360 -0.003 0.363 0.00022 0.00001 -0.00394 242 2 0.043 -0.360 -0.003 0.363 -0.00029 -0.00005 -0.00395 66 3 0.044 -0.358 -0.003 0.361 0.00439 0.00049 -0.00384 244 3 0.043 -0.355 -0.004 0.358 -0.00450 -0.00049 -0.00399 241 2 0.042 -0.350 -0.003 0.352 0.00156 0.00017 -0.00389 63 2 0.042 -0.349 -0.003 0.352 -0.00163 -0.00019 -0.00396 f 65 2 0.041 -0.342 -0.003 0.345 0.00204 0.00022 -0.00387 243 2 0.041 -0.341 -0.003 0.343 -0.00212 -0.00024 -0.00394 240 2 0.038 -0.311 -0.003 0.314 0.00323 0.00036 -0.00377 335 3 -0.140 -0.269 -0.073 0.312 0.00183 -0.00080 0.00291 62 2 0.037 -0.309 -0.003 0.311 -0.00331 -0.00036 -0.00390 248 3 0.037 -0.297 -0.003 0.299 0.00553 0.00061 -0.00366 66 2 0.036 -0.296 -0.003 0.298 0.00363 0.00040 -0.00373 61 3 0.037 -0.296 -0.004 0.298 -0.00558 -0.00059 -0.00389 244 2 0.035 -0.294 -0.003 0.296 -0.00372 -0.00040 -0.00386 335 2 -0.131 -0.251 -0.067 0.291 0.00173 -0.00077 0.00285 67 3 0.035 -0.276 -0.003 0.278 0.00579 0.00064 -0.00361 245 3 0.034 -0.271 -0.004 0.273 -0.00590 -0.00062 -0.00382 44 3 -0.109 -0.218 -0.057 0.251 0.00081 -0.00117 0.00168 248 2 0.030 -0.245 -0.003 0.247 0.00457 0.00050 -0.00355 61 2 0.030 -0.245 -0.003 0.247 -0.00462 -0.00049 -0.00375 45 3 -0.098 -0.210 -0.067 0.241 0.00168 -0.00196 0.00086 132 3 -0.107 -0.210 -0.047 0.240 -0.00168 -0.00038 0.00031 336 3 -0.103 -0.205 -0.055 0.236 0.00179 -0.00040 0.00183 134 3 -0.090 -0.204 -0.071 0.234 0.00117 -0.00133 0.00017 67 2 0.029 -0.228 -0.003 0.230 rO.00479 0.00052 1 -0.00350 Print Time/Date:10/11/2013 14:02 STAAD.Pro for Windows Release 2002 Print Run 1 of 20 ® Job No Sheet No Rev Software licensed to SEABB Engineering Part Job Title Ref By Dick A. Date01-Nov-13 Chd Client File Damelio,3D#1.std Date/Time 10-Nov-2013 13:59 Beam UC Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (ksi) (ksi) (ksi) (ksi) (ksi) (ksi) 629 3 0.000 0.056 1.248 0.600 1.904 -0.012 0.026 627 3 0.000 0.056 -1.246 0.567 1.869 -0.011 -0.026 629 3 0.083 0.056 1.116 0.538 1.710 -0.012 0.026 627 3 0.083 0.056 -1.114 0.509 1.679 -0.011 -0.026 629 2 0.000 0.047 1.032 0.571 1.650 -0.012 0.021 627 2 0.000 0.047 -1.030 0.541 1.618 -0.011 -0.021 629 3 0.167 0.056 0.984 0.476 1.516 -0.012 0.026 627 3 0.167 0.056 -0.981 0.451 1.488 -0.011 -0.026 629 2 0.083 0.047 0.923 0.512 1.482 -0.012 0.021 627 2 0.083 0.047 -0.921 0.485 1.453 -0.011 -0.021 190 3 0.000 0.166 -0.060 -1.183 1.409 0.054 -0.000 614 3 1.000 0.020 -0.018 -1.302 1.341 -0.040 0.000 190 2 0.000 0.151 -0.055 -1.127 1.333 0.051 -0.000 318 3 1.000 0.184 0.148 -0.991 1.323 -0.042 -0.005 629 j 3 0.250 0.057 0.852 0.413 1.321 -0.012 0.026 570 3 1.000 0.001 -0.000 -1.315 1.316 -0.070 0.000 629 2 0.167 0.047 0.814 0.453 1.313 -0.012 0.021 f 627 3 0.250 0.056 -0.849 0.392 1.298 -0.011 -0.026 j 208 3 0.000 0.214 0.009 -1.067 1.290 0.051 0.000 i 627 2 0.167 0.047 -0.812 0.430 1.288 -0.011 -0.021 570 3 0.917 0.001 -0.000 -1.264 1.266 -0.070 0.000 614 2 1.000 0.019 -0.016 -1.189 1.224 -0.036 0.000 208 2 0.000 0.193 0.008 -1.022 1.223 0.049 0.000 570 3 0.833 0.001 -0.000 -1.214 1.215 -0.070 0.000 162 3 0.000 0.292 0.055 -0.865 1.212 0.042 0.000 318 3 0.917 0.184 0.124 -0.901 1.209 -0.042 -0.005 318 2 1.000 0.168 0.136 -0.903 1.207 -0.037 -0.004 584 3 1.000 0.001 -0.000 -1.190 1.190 -0.065 0.000 570 2 1.000 0.001 -0.000 -1.188 1.189 -0.063 0.000 171 3 0.000 0.189 -0.045 -0.952 1.185 0.048 -0.000 570 3 0.750 0.001 -0.000 -1.164 1.165 -0.070 0.000 629 2 0.250 0.047 0.704 0..393 1.145 -0.012 0.021 570 2 0.917 0.001 -0.000 -1.143 1.144 -0.063 0.000 584 3 0.917 0.001 -0.000 -1.143 1.144 -0.065 0.000 171 2 0.000 0.170 -0.040 -0.919 1.129 0.046 -0.000 629 3 0.333 0.057 1 0.719 0.351 1.127 -0.012 0.026 Print Time/Date:10/11/2013 14:02 STAAD.Pro for Windows Release 2002 Print Run 1 of 412 r ® Job No Sheet No Rev Software licensed to SEAM Engineering Part Job Title Ref s By Dick A. Dateol-Nov-13 Chd Client Xf low File Darrlelio,3D test.std Date/rime 10-Nov-2013 14:41 Beam Uc Node Axial Force Shear-Y Shear-Z Torsion Moment-Y Moment-Z (kip) (kip) (kip) (kip-ft) (kip-ft) (kip ft) 586 4 23 2.054 -0.197 -0.134 -0.011 0.311 -0.419 586 3 23 1.824 -0.075 -0.023 -0.011 0.031 -0.172 197 4 85 1.662 -0.030 -0.110 0.023 0.234 -0.125 197 3 85 1.639 -0.018 -0.049 0.005 0.119 -0.057 586 2 23 0.253 -0.110 -0.102 0.001 0.260 -0.223 197 2 85 0.060 -0.009 -0.054 0.016 0.101 -0.058 197 1 135 0.014 0.002 0.007 -0.002 0.018 -0.002 586 1 313 0.001 0.012 0.008 0.001 0.020 -0.032 586 1 23 -0.023 -0.012 -0.008 -0.001 0.020 -0.025 197 1 85 -0.037 -0.002 -0.007 0.002 0.014 -0.010 197 2 135 -0.060 0.009 0.054 -0.016 0.156 0.015 586 2 313 -0.253 0.110 0.102 -0.001 0.226 -0.301 197 3 135 -1.639 0.018 0.049 -0.005 0.117 -0.030 197 4 135 -1.684 0.030 0.110 -0.023 0.291 -0.017 586 3 313 -1.824 0.075 0.023 0.011 0.076 -0.183 586 4 313 -2.076 0.197 0.134 0.011 0.323 -0.515 Print Time/Date:10/111201314:43 STAAD.Pro for Windows Release 2002 Print Run 1 of 1 f Damelio dormer floor flitch Joists triple 2x6s w two 1-2 in stl pits G Beam Length: 178.25 in Location: 0.0 in 0.0 in 0.2645257 Deflection 0.0 0.2817182 deg -0.2624894 Slope 0.2817182 38111.06 lb-in 0.0 Moment 0.0 892.7349 lb -743.7006 Shear 892.7349 1374.497 lb/in' 1374.497 Bending Stress Tensile:0.0 Compressive:0.0 29.5119 Ib/in2 0.0 Average Shear Stress 29.5119 ** Damelio, dormer floor flitch joists triple 2x6s w two 1-2 in stl plts ** BEAM LENGTH = 178.25 in MATERIAL PROPERTIES Modulus of elasticity = 6254545.0 lb/in2 CROSS-SECTION PROPERTIES Moment of inertia = 76.25 in^4 Top height = 2.75 in Bottom height = 2.75 in Area = 30.25 in EXTERNAL CONCENTRATED FORCES 343.0 lb at 50.4 in UNIFORMLY DISTRIBUTED FORCES 1.48 lb/in at 0.0 over 178.25 in 5.7763 Win at 0.0 over 178.25 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-892.7349 lb Simple at 178.25 in Reaction Force =-743.7006 lb MAXIMUM DEFLECTION *** 0.2645257 in at 86.80036 in No Limit specified MAXIMUM BENDING MOMENT *** 38111.06 lb-in at 75.75967 in MAXIMUM SHEAR FORCE *** 892.7349 lb at 0.0 in MAXIMUM STRESS *** Tensile = 1374.497 Wine No Limit specified Compressive = 1374.497 Win 2 No Limit specified Shear (Avg) = 29.5119 lb/in2 No Limit specified Damelio, first floor joists over cross beam, 2x6s At Beam Length: 309.042 in Location: 0.0 in -0.0116326 in 0.225381 Deflection 0.0 0.4334309 deg 0.3052897 Slope 0.4334309 5578.986 lb-In -7148.323 Moment 0.0 343.248 lb -389.7375 Shear 258.0367 945.5453 Ib/in2 945.5453 Bending Stress Tensile:0.0 Compressive:0.0 47.24091 Wine I hh'NA' L 0.0 Average Shear Stress 31.27718 f ** Damelio, first floor joists over cross beam, 2x6s ** BEAM LENGTH = 309.042 in MATERIAL PROPERTIES Modulus of elasticity = 1200000.0 lb/in2 CROSS-SECTION PROPERTIES Moment of inertia = 20.79 in^4 Top height = 2.75 in Bottom height = 2.75 in Area = 8.25 in UNIFORMLY DISTRIBUTED FORCES 5.7763 Win at 0.0 over 309.042 in 0.191 Win at 0.0 over 309.042 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-258.0367 lb Simple at 108.554 in Reaction Force =-718.3702 lb Simple at 214.021 in Reaction Force =-643.9686 lb Simple at 309.042 in Reaction Force =-223.7708 lb MAXIMUM DEFLECTION *** 0.225381 in at 48.26463 in No Limit specified MAXIMUM BENDING MOMENT *** -7148.323 lb-in at 108.554 in MAXIMUM SHEAR FORCE *** -389.7375 lb at 108.554 in MAXIMUM STRESS *** Tensile = 945.5453 Win 2 No Limit specified Compressive = 945.5453 Wine No Limit specified Shear (Avg) = 47.24091 lb/in2 No Limit specified Damello, flitch cross beams, triple 1 3-4 x 9 1-2 LVLs w two 1-2 in stl pits Beam Length: 206.88 in Location: 0.0 in -0.01772286 in 0.5688293 Deflection -0.01772286 0.5077236 deg -0.5045097 Slope 0.5077221 355046.5 lb-in -97.78 Moment 0.0 6027.708 Ib -5945.095 Shear 0.0 3777.09 Iblin2 3777.09 Bending Stress Tensile:0.0 Compressive:0.0 101.5193 Win' ILI 0.0 Average Shear Stress 0.0 ' ** Damello, flitch cross beams, triple 1 3-4 x 9 1-2 LVLs w two 1-2 in stl plts ** BEAM LENGTH = 206.88 in MATERIAL PROPERTIES Modulus of elasticity = 5648000.0 Win 2 CROSS-SECTION PROPERTIES Moment of inertia = 446.5 in^4 Top height = 4.75 in Bottom height = 4.75 in Area = 59.375 in EXTERNAL CONCENTRATED FORCES 2054.0 lb at 99.36 in UNIFORMLY DISTRIBUTED FORCES 44.9 lb/in at 0.0 over 206.88 in 3.99 lb/in at 0.0 over 206.88 in SUPPORT REACTIONS *** Simple at 2.0 in Reaction Force 6125.488 lb Simple at 204.88 in Reaction Force =-6042.875 lb MAXIMUM DEFLECTION *** 0.5688293 in at 103.061 in No Limit specified MAXIMUM BENDING MOMENT *** 355046.5 lb-in at 99.36 in MAXIMUM SHEAR FORCE *** 6027.708 lb at 2.0 in MAXIMUM STRESS *** Tensile = 3777.09 lb/in2 No Limit specified Compressive = 3777.09 lb/in2 No Limit specified Shear (Avg) = 101.5193 lb/in2 No Limit specified L i r %A Damelio,flitch beam header supporting cross beam,double 1 3-4 x 91-2 LVL w 1-2 in stl pit IPIU 11111111 Ill.= '11-Ir j jj.[I.I.1,jj[t] LL Beam Length: 116." in Location: 0.0 in 0.0 in 0.1879661 Deflection 0.0 0.2805792 deg i 0.2805792 Slope 0.28M2 -- 212917.7 I I lb-in o.o Moment 0.0 I 4240.206 MEW, 1 ' Ib -4240.206 Shear 424O.A6 3538.82 Ibrrr2 3538.82 Bending Stress 7enai6:0.0 conmssim 0.0 r 111.5844 T� u Ib/in2 0.0 Average Shear Stress 111.5844 �J ** Damelio, flitch beam header supporting cross beam, double 1 3-4 x 9 1-2 LVL w 1-2 in stl plt ** BEAM LENGTH = 116.64 in MATERIAL PROPERTIES Modulus of elasticity = 4675000.0 lb/in' CROSS-SECTION PROPERTIES Moment of inertia = 285.79 in^4 Top height = 4.75 in Bottom height = 4.75 in Area = 38.0 in' EXTERNAL CONCENTRATED FORCES 6123.0 lb at 58.32 in UNIFORMLY DISTRIBUTED FORCES 18.0 Win at 0.0 over 116.64 in 2.211 Win at 0.0 over 116.64 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-4240.206 lb Simple at 116.64 in Reaction Force =-4240.206 lb MAXIMUM DEFLECTION *** 0.1879661 in at 58.32 in No Limit specified MAXIMUM BENDING MOMENT *** 212917.7 lb-in at 58.32 in MAXIMUM SHEAR FORCE *** 4240.206 lb at 0.0 in -4240.206 lb at 116.64 in MAXIMUM STRESS *** Tensile = 3538.82 lb/in' No Limit specified Compressive = 3538.82 lb/in' No Limit specified Shear (Avg) = 111.5844 Win' No Limit specified i nATDN E SnNG - RAKES T Roo - ®' RAKEH AND . EXISTING EXISTING -�bEt-�.— EM EXISTING . LEFT ELEVATION FRONT ELEVATION S OKE D- TORS REVIEWED b / $7_i , BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE + BOTH SIGNATURESAREREOUIREO FOR PERMITING o PHN.T ROOK EXISTING y EXISTING . rp,i H 1HI RIGHT ELEVATION REAR ELEVATION Bli11DER JOB ADDRE99 DESIGN ��®//�� f f� DATE REVISION DRAWN BY PAGF —LE THOMAS P DAMELIO 55 LONGWOOD AVE, PROPOSED DORMER ��w� " "�0 ®� 10-30-13 JB �� I,,..a. ✓B. D�s�gns BUILDING 1 REMODELING HTANNISPORT,MA. I m n,.�.�MW a� •e... �� .�.µw... '3ow4 ssss •- ' N 7i 0 - u ---------------------------- --------- LU o ,9 ------------- AL (Q 5 I ; ; =-- -------------- I - I g t� _ Ri zi ------ --------------------------- -- --------- --- ---- ---------- hill - ----------------- �. z � g z ------- -- - i w 8 11 Ioo ............. 0 z --------------- Z E I. 09 __-;:... .a..................;.. 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P.I. raa,.»,o,,...,+dPamT«o,a.a a... •. •:' 'NON ��xv.__-_._-_--_-_____'--_____________ �,y._..-___-.___----_-,vaaoa�ar�°da noa a%a aia aau aaa veo sL�rnan w 3AUYNau,r Nv w vaoxarr T)-olar,wu iaY�adom.an ao o�mn vaToa oN,•mv,P%» P%< ra9i.waai,a%a•«a%a•ara ..• %.wzsm�aura ., A . a%a,aad PeR P« ram„N.m a<aiao:,m a%q •.;:.;�., \ \\�'• aaimm«,aama m uYaa oa daae ae'� ••.+..- \\\ - ,INOLLVONM-Ol 39VN2iONONV LZ aw-roR Pwy P%-a rmm.9oa uw de,m Tw o<ga•Pme •'.• r'-d'o,9.Ngaao�vn': )�1°10" P"' °T9 ,: •. •. dv vrN aFm'du ,•., �� ---------____-._____________________________ �- _aq lora Pura P.a rmarNaou aaa oa gaxaan ,:;:; _-___-._-__-______-____ _-. _ _ _ __._____-_-___- ___ ____ _.-___-____-_ _ __Aw O�q'"d ' ama a9a Pay Pr r®am'nu auulo m ury da'm m aac �..^..,`. .� I•)wi'aa o¢,'ao auFaaraa(ga arlu� LLY'ONf16J erlodaaa aooa •.•: '•:' IZ eaa®vaan'7o, v)I M taavT„BFrY avaal u aioraf :••••C'•-:' wx Pw< fmvmmru anququa :•':'.. \ _______��-__________________________ �o Y 9NO1173NN0'J 9NI41V21i f'I _-----_----------------------------rs aw-_-__-__-__--_.pna3d0 a9arroa a0 a)mNTvraaai __-___________________--.__-_----- —------------ �y�ya�aar aNlmllla aaaurs oaox».'nv a 9•IGLIIdc�Pv \ ��'.09>y�r__:____________--------------------2 9w______________--_.____-._____..T'ILLaNaI aNlarl9 , aw._____--___-____--_______.._. me ne)'a Pere Pva tmerNse s T__-_-__-______.___________________2 aw------------------------- ' N011dla_1WOINIGT \\ � "-71-vdMOav[>B3mavT ' ftxbl9 r a3xHa6Nm aJ TTTro 3doiv a x.°a�lollav daWl Y)®vbav ao a3mIM . - .. � AL'719VOI'iddV L9 %._.____________________________-_-_-____--_-.__._-.-.._______---___.__-_- . al'_-_______.._____._-___-_______________________________________-_____--Rana TavL a33dv aun aaaa amen � HafnvOc�� -- w Ova ® ,!I'IZ•IOfs NwI OOU 37Nv n iw=aoti tsnr=7Ho oils M7V'B8Y41 3NOZ�Ilm Ndw an ee�s a+lm Ir�ln w NouawLGNm aogn oa 3GIIM'am I j j C f7] , o � Z • I % �- 01/26/1994 01:36 -5084308662 STINSON & FORD FAGE 01 13� - 10 01 -2 211 E�r 580 Town of Barnstable Zoning Board of Appeals 90 Y Decision and Notice Appeal No.19964B-Hall - Special Permit- Alteration of a,Nonconforming Single Family Dwelling summary __Granted with Conditions ` �> Applicant: H.84ckett and Nancy Hall Property Addmes: 55 Longwood Ave.,Hyannisport,.MA A"essofs MaplParcel 287156 Area 0,17 Acres Zoning: RF-1 Residential F-1 Zoning District Groundwater Overlay: AP Aquifer Protection District AppealP No.96-68: Special Permit Section 4-4,3(2),Alteration of and addition to nonconforming single family dwelling which does not conform to current setback requirements. Background: The locus of this appeal is 55 Longwood Avenue In Hyannisport. The property Is located in the RF-1 Residential F-1 zoning district,with a front yard setback,requirement of 30'. The lot is.10 acres and is the site of a single family house of 2,844 sq. ft. and is non conforming in front yard setback. In 1993,the applicant obtained approval of Special Permit#1993-25 for a previously constructed wood deck which was 7'from the front lot line and extended into the front setback. The Applicant is seeking permission to construct an addition measuring 9'X 17.5'which will be used as bathroom, laundry and kitchen facilities. It will cover a portion of the existing deck and will be 13';,.,!rom the front lot line. The Special Permit is requested in accordance with Section 4-4.3(2)for an extension of a Nonconforming Building or Structure Used as a Single or Two Family Residence, This non conforming provision provides that alterations or expansions within a 20 foot front yard setback may be authorized only by Special Permit from the Zoning Board of Appeals, Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 30, 1996; A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance faith MGL Chapter 40A. The hearing was opened July 10, 1996, at which time the Board found to grant the appeal with conditions. Board members hearing this appeal were Emmett Glynn, Richard Boy, Ron Jansson, Gene Burman, and Chairman Gall Nightingale. Hearing Summary: Attorney Michael Ford represented the Applicants, Mr. Hall also.was present, Attorney Ford submitted a memorandum in support of the appeal and stated the applicants have owned the house for approximately 10 years. They are seeking permission to renovate three rooms of the existing single family home and add an addition of approximately 9 x 17112 foot,to the structure, The gross area to be added is approximately 320 sq.ft,, 160 sq,ft. of which is over the existing deck. The structure is non-conforming in terms of front yard setback and the applicants are seeking a Special Permit with respect to Section 4-4.3 which allows for alterations to a non conforming structure which does not conform to current setback requirement, The proposed alteration would be setback 13 feet from the road. Given the fact that the deck is already there and already infringes into the setback requirements, this alteration is not more detrimental to the neighborhood and would allow for the renovation and improvement of the home. Mr. Ford reported that the four Immediate abutters have been contacted and are in support of the petition to add and renovate the home. The Board remarked that the permit issued in 1993 specifically states that the deck is not to be enclosed and asked why the petitioner is now seeking to enclose part of it. Mr. Ford stated that the applicant is not i f rya E3� • Town of Barnstable �� 1`l, + •'+fit' Zoning Board of Appeals >" Decision and Notice Appeal No. 1996-68 -Hall Special Permit- Alteration of a Nonconforming Single Family Dwelling Summary Granted with Conditions Applicant: H. Brackett and Nancy Halt Property Address: 55 Longwood Ave., Hyannisport, MA Assessor's Map/Parcel 287155 Area 0,17 Acres Zoning: RF-1 Residential F-1 Zoning District Groundwater Overlay: AP Aquifer Protection District Appeal No.96-68: Special Permit Section 4-4.3(2),Alteration of and addition to nonconforming single family dwelling which does not conform to current setback requirements. Background: The locus of this appeal is 55 Longwood Avenue in Hyannisport. The property is located in the RF-1 Residential F-1 zoning district, with a front yard setback requirement of 30'. The lot is.18 acres and is the site of a single family house of 2,844 sq. ft. and is non conforming in front yard setback. In 1993, the applicant obtained approval of Special Permit#1993.25 for a previously constructed wood deck which was 7'from the front lot line and extended into the front setback. The Applicant is seeking permission to construct an addition measuring 9'X 17.5'which will be used as bathroom, laundry and kitchen facilities. It k~ will cover a portion of the existing deck and will be 13'from the front lot line. The Special Permit is requested in accordance with Section 4-4,3(2) for an extension of a Nonconforming Building or Structure Used as a Single or Two Family Residence. This non conforming provision provides that alterations or expansions within a 20 foot front yard setback may be authorized only by Special Permit from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 30, 1996; A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 10, 1996, at which time the Board found to grant the appeal with conditions. Board members hearing this appeal were Emmett Glynn, Richard Boy, Ron Jansson, Gene Burman, and Chairman Gail Nightingale, Hearing Summary: Attorney Michael Ford represented the Applicants, Mr. Hall also was present. Attorney Ford submitted a memorandum in support of the appeal and stated the applicants have owned the house for approximately 10 years. They are seeking permission to renovate three rooms of the existing single family home and add an addition of approximately 9 x 17%foot to the structure. The gross area to be added is approximately.320 sq. ft., 160 sq.ft, of which is over the existing deck. The structure is non-conforming in terms of front yard setback and the applicants are seeking a Special Permit with respect to Section 4-4.3 which allows for alterations to a non conforming structure which does not conform to current setback requirement. The proposed alteration would be setback 13 feet from the road. Given the fact that the deck is already there and already infringes into the setback requirements, this alteration Is not more detrimental to the neighborhood and would allow for the renovation and improvement of the home. Mr. Ford reported that the four immediate abutters have been contacted and are in support of the petition to add and renovate the home. The Board remarked that the permit issued in 1993 specifically states that the deck is not to be enclosed and asked why the petitioner is now seeking to enclose part of it. Mr. Ford stated that the applicant is not 1 Zoning'Board of Appeals-Decision and Notice Appeal No. 1996.68-Hatt-Special Permit•Alteration Nonconforming Single Family enclosing the deck but rather expanding the house. He also stated that since•1993, the ordinance has changed allowing this to be granted as a Special Permit whereas previously this would have needed a Variance. Mr. Ford indicated that this one story addition would be a considerable improvement to the property and that no new bedrooms are being created. 'The Board requested public comment and Delina O'Hare objected saying the property is already congested, Finding of Facts: Based upon the testimony given during the public hearing on this appeal, the Board unanimously found the following findings of fact: 1. The property is located in an RF-1 Residential F-1 Zoning District which has a 30 foot front yard setback requirement. The house having been initially constructed in 1936 and the deck constructed pursuant to a Special Permit issued by the Board in 1993 is a pre-existing non-conforming structure in terms of setbacks. 2. Since the proposed addition, located 13 feet from the front property line and within the front yard setback, as required by Section 4-4,3(2)of the Zoning Ordinance,the addition now requires a new Special Permit. 3. The proposed alteration/renovation project involves approximately 320 square feet, 160 square feet of which is currently covered by the deck on the site. 4. The construction project does not involve the addition of any bedrooms but rather the renovation of an existing bathroom, laundry and the kitchen facility. No new bedrooms will be added by this project. 5. The alteration/renovation project will not cause any detriment to the neighborhood in question, the neighborhood being one primarily consisting of small lots with non conforming structures located thereon. 6. The granting of the Special Permit will not be in derogation from the spirit and intent of the Zoning Ordinance nor would it be of substantial detrimental to the neighborhood affected. Decision: Based upon the positive findings a motion was duly made and seconded to grant the Special Permit being �.: sought in Appeal No. 1996-68 with the following conditions: ff= 1, The construction of the proposed addition will conform to the site plan submitted with the application for this Special Permit. 2. The proposed addition will not now, nor in the future, be utilized as a bedroom. 3. There shall be no further expansion of this dwelling on this undersized lot. The Vote was as follows: AYE: Gene Burman, Emmett Glynn, Richard Boy, Ron ,lansson, and Chairman Gail Nightingale NAY: None Order: Special Permit Number 1996-68 has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision in the office of the Town Clerk. , 2 , 1996 G I Nightingale, hairman Dat Sign d I L da Hutchenritler, Clerk o the Town of Barnstable,Barnstable County, Massachusetts,hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed In the office of the Town Clerk. Signed and sealed this day of�1?a ,ider the pat and penalties of perjury. Linda Hutchenri er,Town Clerk 2 7A qC kI.-I (TNn4 9 hJn_FJT I C 7000nr'y,01-A1: 7 Tn cc T+I 1:7 Tit 0 �Ca iion Town of Barnstable Zoning Board of Apta*ale. NMice of Public Hearing Under The Zoning Ordinance . for July 10. 19s e . - ; • To all persons interested in,or affected by the Board of Appeals under Sec.11 of Chapter 40A of the General Lem of the Commonwealth of Massachusetts,and all smandments thereto you are hereby notified that; 7:00 P.M. Hayes Appeal Number 19%.fi7 Robert S.Hayes has petitioned to the Zoning t3oard of Appeals for a Variance to Section 4-1.4(i)(t-)Home Occupation. The request Is the for permission to park a truck in the driveway and to park a truck and snow plow In the back yard In a fenced area where it Is not visible. The property is shown on Assessor's Map 127. Parcel'013 and is commonly addressed as 9S Woodalde Drive,Marstons Mille,MAlnan RF Residential FZoning D istrlcL 7:15 P.M. Hall Appeal Number I991 69 H.Brackett t1,Nancy Hall have appealed to the Zoning Board of Appeals fora Special Permit• Pursuant to Section 4-4.3 for alteration and addition to a nonconforming single family dwelling. The structure Is currently nonconforming in terms of setback. No further encroachment into the setback area Is proposed.The propertyls shown on Assessor's Map 287,Parcel 55 and Is commonly addressed as bb Longwood Avenue,HyariNlipert.MA in an RF t Residential F 1,Zoning District. 7:45 P.M. . Traugot Appeal Number 199&69 Kenneth D.IS Debra Trsugot have appealed to the Zoning Board of Appeals for a Variance to Section 3-1.1 (3)W to permit ranting of raoma to no more than twelve(12)lodgers;as premises are presently used and''"been used since 1982, The property Is shown an Assessors Map 279.Peroa1058.001 and is commonly addressed as 2839 Main Street, Barnstable,MA In an RR Residential F•2 Z ril►fg District. 8;00 P.M. MoMesey/Lynch Appeal Number 189fr7Q Robert J.Moniasey and Michael G.Lynch.Trustees for High Point Tnrat have appealed to the Zoning Board of Appeals For a Special Permit in accordance to Section a ap change of non-conforming use and Section 42.8 Relief of parking requirements. The Petitioner seeks to convert a portion of the existing storage area into three nx nta as shown on a an erd for design and display of decorative products for sale. There presently sta a Special Ij ._... Permit No. 1978-08. The property is shown on Assessors Map 11-7.Parcel 103 and•Is commonly addressed as 839 Main Street,OstenAlls.MA in an RC Residential C Zoning District and a Business A District.' -" 8,05 P.M. Morrissey/Lynch Appeal Number 199671 ; Robert J.Morrissey and Michael G.Lynch.T rustees for High Point Trust have petitioned to j theZoning Beard otAppeals fora Variance to Section 3.1.3(1)Principal Permitted Uses w4 Section 4.2.8 Relief of parking requirements. The Petitioner seeks permission to rscon� struct ewsting space into a design studio/shop with existing portion of the building located in the Residential C District. A previous Special Pemnit No.1978.0 restricted the area t0 storage,and tho petitioner seeks a new uss in connection with the already axisting business. The property is shown an Assessors Map 117,Parcel 103 and Is commonyaddressed as 839 Main Street,Osterville.MA in in RC Residential C Zoning District and a Business A District. l These public Hearings will be held in the Hearing Room;Second Floor,Now Town Hall,367 Main Street, Hyannis, Massachusetts an Wednesday. July 10. 199B.. All plans and rii i applications may be rwAawed at the Zoning Boa of Appeals Office,Town of Barnstobl% Planning Department,230 South Street,Hyannis,.MA. Gail Nightingale.Chairman Zoning Board of Appeals The Barnstable Patriot June 20 and June 27. 1998 . .. i . . ..., -. .. � ... `" •.ti<.� a �,� ".i • '` . RtT: T`YUg7.8•TAX CODE:400 KEY., 190019 TAX CODES400 ;, ;00 a KEY: 190000 TAX CO OE;400 tALLP M BRACKETT 8 NANCY E DIONISIP 4069RT F LUDTKE♦ JAMES B f� LONGWOOD AVE DIONISIP ANN MARIE JEAN E LUDTKE HTANNISPORT MA 02647.0000 P 0 80X 804 dJ% 494 SUDBURY MA 01776-0000 HYANNISPORT MA 02647-0000 PAR: R287 133. PAR: R287 043. PAR: R287 052. KEY: 190803 TAX CODE:400 KEY: 189904 TAX CDDEi400 KEY: 199995 f X CODE:400 OHARE. DELINAA WOODWELLP JOHN K JAi MARTHA PETERS, RONALD E i LORI g ONEILP MARIE WOODWELLP RICHARD H i LINDA 14 WACHUSETT AYE LAFAYETTE AVE 36 WYNCOTE RD HIANNISPORT MA 02647-0000 11YANNISPT NA 02647-0000 NO MO KUS NJ 07423.0000 1TPAR: R297 051. PAR: R287 050. PAR: A28t 0 i KEY: 189986 TAX COOE': 44. 400 KEYS 189977 •TAX COOES400 KEY: 189944 TAX CODES400 STEWARTP NANCY P BLAIR# BARBARA CLARKP ROBERT Y III 4 PARSHALLP C WARD XWEEDP B MELLON BANK ALLENP TONI K 4 BREEZY POINT CAROLYN HAllARD* ROOM 3845 5640 9ENTBRANCH ROAD LITTLE SILVER NJ 07739-0000 ONE MELLON BANK CENTER d81NESDA MD 20816-0000 PITTSe1UR6H PA 1S258-0OQ1 PAR: R287 056. PAR: R287 045. PAR: R237 049. KEY: 190037 TAX CODE:400 KEY: 189922 TAX CODE:400 KEY; 189968 TAX CODE:4Q0 WILLS# CAROLYN 0 ONEIL♦ WILLIAM W 4 NANCY B ANDERSON# DORIS T TR 16 LAFAYETTE AVE 100 STUART AVENUE PETER C ANDERSON HTANNISPORT MA 02647-0000 LEOMINSTER MA 01453-0000 229 E LAKE SHORE DR CHICAGO IL 60611-0000 PAR: R287 046. PAR: R287 047. PAR: R287 039. KEY. 189931 TAX CODE:400 KEY: 189940 TAX CODE:400 KEYS 18986D TAX CODE:400 SPENCE* WILMA GA96AN♦ JOSEPH F ORdP JOHN A 14 AMBER RO BETTY GA46AN ASMITH BARNEY INC HINGHAM MA 02043-0000 Box 394 388 4REENWICH ST - 36 FL HYANNISPORT MA 02647-0000 NEW WORK NY 10013-0000 PAR; 4287 040. PAR: R287 041. PARS R287 .042. .KEY. 189879 TAX CODE:400 KEY: 189898 TAX CODE:400 KEY: 189897 TAX CODE:400 CLARKP MADELINE J TRUSTEE KENNEDTP THOMAS P LAWSONP STEPHEN F 4 ANN J - =126 BELMONT ST REGIHA M KENNEDY PO dJX 191/49 LONGY000 AVE BROCKTON MA 02401-0000 4 WASHINGTON AVE HYANNISPORT NA 02647-0000 HYANNISPORT MA 02647-0000 PAR: R287 090. PAR. R287 092. PAR: R2d7 091. KEY; 190368 TAX CODE:400 KEY:- 190386 TAX C60E1400 KEY: 190377 TAX CODE:400 ONEILP MARIE E SASCOMP JOSEPH N CORNISH* JOHN M TRS BOX 501 BASCOM♦ ELIZABETH E 7J LONGWOOD AVE dEALTY TR HTANNISPORT MA 02647-0000 WASHINGTON AVE 4 FRICKP MARION R HYANNISPORT MA 02,647-0000 800 ANDREWS AVE 04 DELRAY BEACH FL 33483-0000 PAR: R287 088. PAR.' R2$7 087. PAR: R287 086. KEY: 190340 TAX CODE:400 KEY: 190331 TAX C00E:400 KEY: 190322 TAX CODE:400 CAMPOP JOHN W JR 6 BEZAHLERP MAX LTpNSP JOHN J CAMPO EZABETN 6 CELENTANOP ANY 9 22 WINDPATN EAST P 0 8o% 40 401 6825 WISSAHICKON AVE W SPRINGFIELD MA 01089-1707 HYANNISPORT MA 02647.0000 PHILADELPHIA PA 19119-0DDO PAR: R287 032. PAR: R287 081. PAR: R287 080. KEY: . 190268 TAX COOS:400 KEYS 190279 TAX CODE:40Q KEY: 190260 TAX CODE:400 BROOKS• ALFRED P FITZGERALOPBENSOICT F JR TR MATFIELDP ROBERT K JR 4 WACHQSETT AVE TARA WARE ST TRUST AAYFIELOP ELEANOA f HTANNISPORT NA 02647-0000 25 WARE STREET 101 HEDOEMELE DRIVE CAMBRIDGE MA 02138-0000 DEVON PA 19333-0000 PAR: A287 079. PAR; R287 078. PAR: R28T 077. CEY: 190251 TAX CODE:400 KEY: , 190242 TAX CODE:400 KEY: 190233 TAX CODE:400 )NEIL. MILORED 4 HUGHES FAMILY LMTO PTNSHIP NUGHES♦ MAUREEN M �ILLSP CARCLYN TRS 492 OENOKE RIDGE 492 0£NOKE 4104E 124 LONGWOOD AVE NEW CANAAN CT 06840-0000 NEW CANAAN CT 06840-0Q00 iTANNISPORT MA 02647-0000 PAR: R287 Q76. KET.- 19,1224 TAX CODE:400 PAR: RZBT 137. g KEY: 190830 TAX CODE2400 PAR: .A28) 136. 5TEWARTP DONALD M g KEY: 190821 TAX CODE2400 r� STEWARTP CHARLES BACON• ERIC K i SA&AN C 1$9 SPINNAKER DRIVE ICLASSBYP RICHARD FOWLER, HARRY HART TR VERO BEACH FL 32963-0000 31908 BENCHLEY COURT 23 LONGWOOD 1991 RLTY tR WESTLAKE VILLAS CA 01361-0000 70 FRESH POND PARKWAY CAMdRIDGE NA 02138-0000 PAR: R287 057. KET: 190046 TAX CODEabpp PAR' 4287 058. KEY., 190055 TAX COOS:400 PAR: 4287 139.. SHANAHAN, JOAN 0 KEY., 190858 TAX CODE:400 PO sox 47? WINSHIP* SUSAN R HYANNISPORT MA 02647-0000 C/O PAUL WiNSHip LEWIS, FARLEY S i 5 NORTH CANTON 40 LEWISP ELIZA89TH 4 W SINSOURY CT 06092-0000 PO lox 417 PAR: R287 059. NYANNISPORT NA 02647.0000 KEY: 190064 TAX COOE:400 PAR: R287 060. • KEY: 190073 gilt CO0E;400 UNION CHURCH WACHUSETT AVE 64I64$P NORTHAM L ,HYANNISPORT MA 02647-0000 380 STANWICN RD 1iREENWICN CT 06830-0000 ai; — D__ t z to z ro cy L z c� �/'-,IZOLy hl y�I LLS _ r - a r �T, L- - - - - ---i 22'f m Ut b -7CA ! � x N Tq x I rn �J\ n �r� SIBS oq _ _ ♦5___. _ —_ _� —_ .� G L of- pa ur `- Z-oN� Engineering Dept. (3rd floor) Map Parcels3_a414Termit# 9_ r 7,6 House# Dat Issued JI Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) '�9p , ��c9, Conservation Office (4th floor)(8:30- 9:30/1 00-2:00) 4ject Dept.(1st floor/School Admin. Bldg.) ST SE Plan Approved by Planning Board 19 IV I y , 1AtiCe s `'�� it TOWN O BARNSTABLE �`4' $E rs�y AMID Building Permit Application reet Address Village Owner ZT �i4siQ�.�! ��.�,� Address �� L�d1J ��,O �►t1�r�,Ejj�Y/D�t/l?/�CS� Telephone :2!71-_ " Permit Request r_ ///L�a�9 �' ) 7z��" A/i�d7 I rLO4) —7;;' Alz--GU �dDs " First Floor �� square feet Second Floor square feet Construction Type _f��/] lc 24 J 5 Estimated Project Cost $ -20 000 Zoning District Flood Plain Water Protection Lot Size v / 7 1�G Grandfathered ❑Yes ❑No Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure `/Q .yam Historic House ❑Yes ®No On Old King's Highway ❑Yes QJ No Basement Type: ❑Full a Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New C> Half: Existing G New No. of Bedrooms: Existing New n Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: I(9 Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes M No Fireplaces: Existing _t New Existing wood/coal stove ❑Yes [Jlo Garage: ®Detached(size) / J( Other Detached Structures: ❑Pool(size) . ❑Attached(size) ❑Barn(size) ❑None ,a Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Appeal# 97 ob e0 Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use OGe/c- ✓il/� Proposed Use a Builder Information Name �d�,� f ��d Telephone Number Address License# © 13 � AIW112,9_1�1U 401,1)_ L Home Improvement Contractor# a-�6�y Worker's Compensation# (4)(:=/O °�f ZF-9 �/47 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 BETAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION ✓�� FRAME INSULATION 0�-, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED ASSOCIATION PL"N NQ.: r The Conintottivealtb of Afassachusetty �+.i� • --_-.��;_�- Department of Industrial Accidents ,z r OlfiC881111FesUyaUons •�=� _'��• r_�' 600 Il'ashirthtun Street Boston, Afass. (12111 Workers' Compensation Insurance Affidavit ...._._� �.�.,...��.. ..�..�..�....._._...... �..,,.��, - ti-'s+.srtRwM.,...•S+.r!sanw^�r�n .+.xr++:.x�.....•.�....w...._..�.�...�....w__, p�nitcant information• _ Please PRINT l m •cit ��Q� �� phone# I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity ...i7..:-^.;yw.�"'"'..,.'�'""^�':..a.',-,a .ei..�rtU^M^,'^7�a +v SK.._..;.7.^^�*+6�?��*:' ....,:, ....::..: 'E'�""".....`,"':.•`"T'x'•",,'"""v`a�` lam an employer providing workers' compensation for my employees working on this job conilwa name• address: cit3,: phone#: insurance co ' � �� U�L��d .may# r, .. .......,. •-.tom..♦ �V+•.a.... A•'1-�.. ...••. .+!T •'.'[!WH AIM,. y„�+.�iY•1771 �..:. \'. � � ,. it �.�. •...., :.r:.. ... ,. .:.S.' -- 6.-....ww{.�ry.•r'•(_:.:.r..wuiu.+r .. .... .., ..:� .: .- «..... - ♦...r.•:.. I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comp•63,name: - iddress• city: phone#• insurance co policy# t+t.Fi'r `++ywrlT:'s^.-r• ;"'1"•t' f"?-OF^' ��c^^.:..r4T�^,�j'�'Ti!��!!TSi''.cJr':='Si."w��. .a n r.�+.•�4'�2 �C�.a•irs::uf company name: iddress• city: phone#• F insurance co Policy# .Attach additional sheet if riecess �;_ {. r,E �F�'r r . ,,. ►F.: Failure to secure coverage as required under Section ZSA of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the D1A for coverage verification. I do herebr certijr tinder the pains an=of rjun•that the information protided above is true anrd correctSi_nature — cam ' '%/ � Date �J � Print name_ eo'�O'&*S-�— �� Phone# s.. rYrctr ?• . oil CW use only do not write in this area to be completed by city or town official + city or town: permit/license# I111uilding Department Licensing hoard 13 check if immediate response is required OSelectmen's Office E3I1calth Department contact person phone#; MOthcr _ Y��fA`��..'�•'-+•N.�.+yfl>.•wn�. _ w�iM-+..'m. ems.;�fslT.!gw/'•R^+ 'z iY (revised R95 P1A) - t A Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplitrer is defined as an individual, partnership, association. corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or oil the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cha.pier 152 section 25 also states that every state or local licensing agene",shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the in coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company narries.'address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returnied to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law'or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. T. City or Towns Please be sure that the affidavit' is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for vou;to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by maii..or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to Rive us a.call. ,»?a.,.�.,w.-_ -..•,.y .....,,.ve:.,-.., +..-......ss-... ..."..•e...� q�..e..�..+n.-.o•.-r.-- .`,e..v,..w.,'.�ticr• -.ex........y,o...wsa--•.a..• The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents ` Office of Investigationsa 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ::::.::..............................:::::::i:::i::i:?;5: :.: i _i::is;i:::::i::rrii:: :r;::: ';:<.;::;::::;::;: DATEMM DD:: 2... . X. 11/05/96 .;:a,;.>.;.,:.,:.,:.,:.,:.,:.,>:.>»:::::::..::..;::;::;::;..;;::;::;:::.r,;o::::........:;::;::;;:;:;:;:;::�r,;•;:;:....::: ;::.:::;::;;;::;:::::::::::;:::;::::;::;:;;;•;:;:;;;;;;;:rip::::::::::::::::.:::::::::::::::::::::::::.:::::::::::..:.:................................................. ... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sandpiper Ins. Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 Enterprise Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Hyannis MA 02601- COMPANY (509) 790-0740 A EASTERN CASUALTY INS. INSURED COMPANY Robert Glover Building B Po Box 703 COMPANY C Marstons Mille MA 02648- COMPANY (508) 428 3211 D .:errx:5,.r:y.�//:�....:�...Y..�i:.�::�.«..�..r.............::::.::...::.:::.::::::......: ::::::::::;:::::::::::.::.::.::.;:.;:.::.;.:.;::.;:.>::::;:;:::::::.:::::::::;.::.;:.;:.:::.::::.;:.;::.;:>:.>:>;::.;:;:;:::::::::.::::::.�:::::::::::::.::.;: :::::........................................;;;;; . ::; iMO:1F.'�iai'fN�?.{'a»'7:::::::::::::::.:.::::::.....: :::; .: ::;: ':::::::::: :::::::.;:;:;:;:;:;:;;:;.;: ;:;:;;:::::`. {. :::::::::::::::::::::::......`:::2::::::::: :::::::':::::::::::::::::::::::::::::::::::::::::. :;.....:::: .........................; : ;;;;;;:::::::::::::::: :::::::::::::::::: ;::::::'::: :::::::::::::::::::::::::::::.::::::.::::::.::;::::::::::::::::::::::::::.:::::::::.:..::::.................................................:............................................................................. ....... 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERALUABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY / / / / PRODUCTS-COMP/OP AGG $ CLAIMS MADE1-1 OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........................................ ................................................................................ ........................................ ANY AUTO / / / / OTHER THAN AUTO ONLY: EACH ACCIDENT $ _ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE $ OTHER THAN UMBRELLA FORM $ ...........__._......_. A WORKERS COMPENSATION AND X STATUTORY LIMITS EMPLOYERS'LIABILITY WCP1001287A 04/19/96 04/19/97 EACH ACCIDENT $100000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $500000 PARTNERS/EXECUTIVE OFFICERS ARE: RX EXCL DISEASE-EACH EMPLOYEE $100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS CARPENTRY ::z:laA.C ?ION:::::::::::>::::;:>::<::::::::><>:::::>:::'»>:'»»»»::<:::::>::::::::>::::::>:<: »z <: >:.' ::> >:::: :>::»>:: :::.x;::...........::.........;:.;:.::..::.:::.... :*........:::.......:...... ::::::::::::....::::::>::::'::::»»>?::>:;::>::::>::::>::::>::>::::>:::::::'>:' :>::><::>:.............N... ............................................................................................................................ ...........................................................................:::::.::::::::::::::::::::::::::::•:::::...............................................................................................................................:.........:.......:,:::,::.::::::::.:.:.,,. . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Of Barnstable BUT FAILUR TO MA CH NOTIC�SHALO O OBLIGATION OR LIABILITY Main Street OF IN U N CTS OR REPRESENTATIVES. Hyannis MA 02601 AUTH I D P ENT VE ............................................................................................................................................:.......:...::..... .:.::::.:::::::::::::::::::::::::::.:::::::::::::::::::::::::.::::::::.:.::::::::.,:....::::.....:::.::..::.:.:.::.:::::::::::.::::: ..: ......:.:::::.::.............:..................:..:::.::.::.............:....................:::.::.:.::..............................:..:::::::.::.:.......:.::..:::::............ Tt cr CL N a N N e' 16 iA1i� � 3 j_.._... AT �_ � -n .� _ � •t ass _ - th - _- 'P'_. �M- y EndC �o/� p04ven,1,CNT Lc�r�a-moo •dyr. TO TIME DATE_2 g �liltf-i ILIF 1f�U' 'I'E�3�:.t)U ❑ uJa� ►JrJ.: ❑ rl/iePkonea M ] Returned [] Salled to,' " ;roar call see you OF ❑ Please ❑ 9wamsto fall see you PHONE / ❑Wdl call ❑You II 1 ugam &now MESSAGE OPERAT R.- 0 23-024-400 SETS 23-027-200 SETS Y �'t,. � jam' ;� �.=� ,•L��c 'f J � u, m oa ,;•I o .� 7 a cri�crosi t c r 7� � m �" m " `�' CO°F to Po . f -„m r J,� T 0 8 i I a 42" filgh Knee Wall with glass on top Shower entrance no door 41 m g DRAWERS 3G"RANGE DRAWERS n o A D _ �rn C pp Z D . O rn� �rn 7" pyN� - w G O 00 0 J) rn O rn D z N 7� O rn O N O C n 71 w z O m O z rn 0 O Z rn N O N s y� N rn A `yZy w N A � � = o rn rn __j L DRAWERS DRAWERS O< Orn �F BERUDE RE51DENCE Custom Woodworking LLC KITCHEN LAYOUT BATHROOM ZZ D 12 Old Westminster road Drn By: Bryan D Sassevllle � V1. 55 LONGWOOD AVE Date : I - 12-201 7 Scale : 3/4" = 12" Hubbardston, MA 01452 HYANN15PORT, MA 978-928-33GG Approved by T ( --- -N g 7 42" High Knee Wall with glass on top , Shower entrance no door i DRAWERS 3G"RANGE DRAWERS n O 7�O �rn C p Z rn� rn - 7� C7yJo� - ➢ N Oo rn D = >rn A �y N N 7 C rn a rn z N A D J r N p CO ram . z D O w 7 z m O z c n o rn N y_ N S rn � 8 o S g N rn A - DRAWERS DRAWERS n� O rn O� rn BERUBE RESIDENCE Custom Woodworking LLC KITCHEN LAYOUT BATHROOM CUSTOM"'Conwooffam 12 Old Westminster road Drn By: Bryan D 5asseville B� 55 LONGWOOD AVE Hubbardston, MA 01452 Date : I - 12-201 7 5cale : 3/4" = 12" HYANNI5PORT, MA 978-928-33GG Approved by