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0023 BRAMBLEBUSH DRIVE
��zb�6�sGr J V V 1 O f i f a �� lc i/( ZO 7�o C° T , • � 6�0 0� A�nsc.�rey�9 �ool�s 'a O 1 Wo v ® loX l<(o3 11 rub SMP,u.--Toycrrpr CptrZ • © �d�12�E Qu�r�zy or ��P�y �� ��q-Ns1�3o�rc.� cN 5 r� 7 i t i I� t c i } 1 i i i i •'S NOT FOR PUBLIC VIEW NARRATIVE FOR PTL. BRIAN P JENKINS Ref: 16-1581-OF Entered: 08/03/2016 @ 0448 Entry ID: 291 Modified: 08/03/2016 @ 0542 Modified ID: 291 ,/03/2016 I was on uniformed patrol in marked cruiser E-222 on the midnight shift. At approximately 0102 Brown and I were dispatched to 36 Bramblebush Drive in Cotuit for a report of a larceny. Vhen I arrived on scene I spoke with the reporting party (later identified as Richard Fraga)who led me around the ouse to a door at the rear of the residence. Mr. Fraga explained that he was renting this rear bedroom from the wner of the home (later identified as Bradley Kelley). When I first entered Mr. Fraga's bedroom I quickly observed cat it was in complete disarray. When I asked Mr. Fraga what had been taken he replied "Everything, they tore my )om apart". When I asked Mr. Fraga about specific items he listed 7 pairs of Air Jordans sneakers, 5 Polo shirts, 1 i-shock watch, 4 Playstation games,'and approximately 1/2 ounce of prescription marijuana. Mr. Fraga stated that iany of things had been taken, but none that are of much value besides the ones he has already explained. ,Lfter Mr. Fraga had informed me about all that had been stolen I asked questions regarding the timeline of when the ►&E had occurred. Mr. Fraga told me that he had left the house at approximately 0630 on the morning of 8/02/2016, and had returned at approximately 0030 on 08/03/2016 with his girlfriend (later identified as Crystal .oulson). Mr. Fraga also stated that the owner of the house (Mr. Kelley) had been at the house the entire day, but ad been sleeping and hadn't heard or seen anything all day. At this time Mr. Fraga also showed me a bent lock on ie door that he reportedly locked before leaving the house. Ptl. Brown arrived around this time. Lfter examining the door I was also able to see that door was actually two doors that locked together in the middle nd had hinges for each door on the outside (making it so that the doors opened from the middle and swung out). At its time I requested BCI for photos and fingerprints of the scene. text I spoke to Mr. Kelley who informed me that he had been home all day, but that he had been sleeping for the ntire day, and had only heard the dog barking once around 1630. I explained to Mr. Kelley that there had been a left of Mr. Fraga's property, and I requested that he let me look through his house to rule him out as a suspect. Vhen I asked Mr. Kelley for permission to look through his house he denied me access. When I asked him why he tated "I swing the other way if you know what I mean. Earlier in the day I was getting a little freaky, and I have ome items out that are a little bit embarrassing, so I would rather that you didn't look". As I was speaking to Mr. .elley I noticed another individual that I had not yet spoken with. This individual was later identified as Jason Ujord who informed me that he also ranted a room at the residence. Around this time Sgt. Desruisseaux arrived n scene. Vhen I spoke with Mr. Vikjord he informed me that he was awake from about 0930 to 1600 when he left for work t Dominos Pizza, and that he returned at 1845 when he was done working (this time span reflects that Mr. Vikford )orked a shift that was no loner that 2.5 hours long). When I asked Mr. Vikjord if he had seen or heard anything chile he was at the residence he informed that he had been on a ladder in the front yard for most of the morning, nd had not seen or heard anything. At this time Officer Jacques from BCI arrived on scene. Lfter speaking with Mr. Vikjord I asked Mr. Kelley if anyone else lived at the residence and he informed me that sere was one other male party (later identified as Edward Nitz) who rented a room in the basement. When I noticed iat Mr. Nitz's vehicle was in the driveway outside the basement entrance to the house I attempted to make contact pith him. After minutes of loud knocking and Mr. Kelley yelling down the stairwell I was unable to make contact tith Mr. Nitz.- NARRATIVE FOR PTL. BRIAN P JENKINS Ref: 16-1581-OF Entered: 08/03/2016 @ 0448 Entry ID: 291 Modified: 08/03/2016 @ 0542 Modified ID: 291 continued speaking with Mr. Fraga about the issue I was also made aware that he had received a phone call ,day at around 1330 from Mr. Kelley's cousin, and his friend Darrin Kelley who was asking him where he was and ghat he was doing.When I asked Mr. Fraga if it was out of the ordinary for Darrin to call him like that, and he ;plied "No, he calls me every couple weeks or so, and is a good guy". .fter Officer Jacques was finished with the scene I provided him with the case number and he left. I also provided 4r. Fraga with the case number and copy of my business card if he had any questions. Mr. Fraga took both cards nd thanked me for my help. will contact Domino's Pizza to confirm whether or not Mr. Vikjord was working when he claimed, and I will ontinue to investigate any other leads for the case. I will also be forwarding this case to Detective Gallant regarding ie number of people renting rooms at the property. r 4 � � k � �i V�� �oc,� r�G A � � i �o ��G�r�U7' �Oil� /(/�G�� ...._ .. f �J�l/6 � (/� �y �f. `f'�-nu-fie,, GDJ �2�ti1�;. - I ovAip0(L 1 MJR AQ6�s Q NaTMq��,: Cow . G u s\lu d J o t i f - Message Page 1 of 1 Anderson, Robin To: Gallant, Therese :Subject: 23 Bramble Bush Hi! Welcome back. Hope you enjoyed your time off. Just thought you may be interested in knowing that Bradley called this morning to say he is putting his house on the market. He is trying to resolve the number of official bedrooms in the house (2 vs. 3) before he advertises it. This was based on advice from his RE agent. I transferred him to Health to sort out the bedroom matter and told him to obtain a permit for the 3rd bedroom in the lower level once he confirms that he has a system approved to accommodate the 3 bedrooms. dtgb[n -Robin C.Anderson Zoning Enforcement Officer. Poo Main Street Hyannis, MA 026oi 508-862-4027 .:5/8/2017 I Parcel Detail Page 1 of 4 BAFlt'51 LE. • ' MASS / o`46.19 Logged In As: Parcel Detail Wednesday,August 3 2016 Parcel Lookup Parcellnfo _ Parcel ID 1040-086 ....__.. ( Developer Lot LOT 18 Location 1,23 BRAMBLEBUSH DRI'I Pri Frontage 1141 Sec Road �) Sec Frontage Village 'COtult I Fire District COTUIT � � Town sewer exists at this address NO I Road Index0167 Asbuilt Septic Scan: ., .. 040086_1 Interactive Map0400862 Owner Info owner LINHARES,AARON&SI Co- Owner Streets 123 BRAMBLEBUSH DRI'I Street2 city ICOTUIT I state I MA I zip 102635 I Country Land Info ................................ .... ..............................................._............................_..__........................................................_._..............._........_.._._.........._....................................................................................._....._.._.. .........._ ......_......................................__.._ .................. Acres 0.47 —I use Single Fa m MDL-01 I Zoning RF _� I Nghbd 0105 _. ....cl Topography ILevel I Road jPavedI Utilities IPublic Water,Gas,Septic Location I.......� Construction Info Building 1 of 1 Year I'983 i Strucc Gable/Hip �`" wM Wood Shingle Living 1104 Roof AC None Area cover I Asph/F GIs/Cm p I Type D Style lRanch J wen J[Dryw all Rooms 3 Bedrooms J Model Residential I Flo t Carpet I Rooms th 2 Full-1 Half Grade Total Average I TypeHeat Hot Water Rooms 17 Stories 11 Story _ Fee Gas Fou - aiion Poured Conc. Gross 2726 '�` Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 2/12/2008 Remodel 200800739 $5,000 9/29/2008 REMOVE ILLEGAL 12:00:00 AM APT 7/19/2005 Remodel 85518 $1,000 3/30/2006 12:00:00 AM http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2677 8/3/2016 Parcel Detail Page 2 of 4 Dwelling IB24682 1$0 14/15/190 AM CO 1 STI12/1/1982 ( Visit History Date Who Purpose 9/25/2013 12:00:00 AM Robin Benjamin Cycl Insp Comp 7/9/2012 12:00:00 AM Geraldine Clark In Office Review 5/20/2009 12:00:00 AM Tony Podlesney Bldg Permit Completed 9/29/2008 12:00:00 AM Mike Keating New Construction 3/30/2006 12:00:00 AM Paul Talbot Bldg Permit Completed 7/11/2005 12:00:00 AM Paul Talbot Meas/Est 3/15/2005 12:00:00 AM Gary Brennan Cycl Insp Comp 3/2/2005 12:00:00 AM Gary Brennan Drive by inspection only 7/17/1999 12:00:00 AM Frederick Stepanis Meas/Listed-Interior Access 5/15/1985 12:00:00 AM FR - Sales History Line Sale Date Owner Book/Page Sale Price 1 3/11/2010 LINHARES, AARON & SIMONE 24414/198 $234,500 2 11/18/2009 FEDERAL NATIONAL MORTGAGE 24175/190 $303,910 ASSOCIATION 3 7/22/2005 NUNES, MARCILIO C JR 20077/215 $345,000 4 10/18/2004 SOLER, ANIE K 19143/324 $315,000 5 6/15/1984 SHEEHAN, JOANNE M 4140/249 $67,500 6 2/28/1978 THEO CONSTRUCTION CO INC 2667/115 $0 - Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2016 $92,800 $48,000 $2,800 $111,700 $255,300 2 2015 $87,300 $47,400 $3,400 $109,300 $247,400 3 2014 $87,300 $47,400 $3,500 $109,300 $247,500 4 2013 $87,300 $47,400 $3,500 $109,300 $247,500 5 2012 $87,300 $44,600 $2,700 $109,300 $243,900 6 2011 $120,100 $14,100 $0 $109,300 $243,500 7 2010 $119,900 $14,100 $0 $109,300 $243,300 8 2009 $116,900 $13,400 $0 $146,300 $276,600 9 2008 $139,300 $13,400 $0 $152,500 $305,200 11 2007 $138,500 $13,400 $0 $152,500 $304,400 I 12 2006 $123,100 $2,700 $0 $157,900 $283,700 13 2005 $116,800 $2,700 $0 $143,500 $263,000 14 2004 $94,800 $2,700 $0 $143,600 $241,000 15 2003 $85,800 $2,700 $0 $48,000 $136,500 16. 2002 $85,800 $2,700 $0 $48,000 $136,500 17 2001 $85,800 $2,700 $0 $48,000 $136,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2677 8/3/2016 I Parcel Detail Page 3 of 4 18 2000 $68,700 $2,700 $0 $29,500 $100,900 19 1999 $66,300 $2,600 $0 $29,500 $98,400 20 1998 $66,300 $2,600 $0 $29,500 $98,400 21 1997 $72,800 $0 $0 $22,100 $94,900 22 1996 $72,800 $0 $0 $22,100 $94,900 23 1995 $72,800 $0 $0 $22,100 $94,900 24 1994 $70,600 $0 $0 $26,600 $97,200 25 1993 $70,600 $0 $0 $26,600 $97,200 26 1992 $80,200 $0 $0 $29,500 $109,700 27 1991 $79,400 $0 $0 $48,000 $127,400 28 1990 $79,400 $0 $0 $48,000 $127,400 29 1989 $79,400 $0 $0 $48,000 $127,400 30 1988 $60,000 $0 $0 $20,400 $80,400 31 1987 $60,000 $0 $0 $20,400 $80,400 32 1986 $60,000 $0 $0 $20,400 $80,400 Photos 0• 00: http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2677 8/3/2016 Parcel Detail Page 4 of 4 I http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2677 8/3/2016 71, o V-1-1 L�- 1 e,- e �f s 3 1 1 Trrr TOWN OF BARNSTABLB - 24682 Permit No. ------------ -- a��� ; Building Inspector Cash' _--- ---__ � �YL yew. borer► _� OCCUPANCY PERMIT Bona i Issued to Theo Construction Address lot #18 28 Bralnblebushh Drive v Cotuit Wiring Inspector✓ f.� Inspection date Plumbing Inspector r/ �a Fsaw Inspection date C / Gas Inspectort, ,,c ` /I Inspection date Engineering Department { Inspection date Board of Health ww / Inspection date T THIS PERMIT WILL/NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL j SIGNED BY THE BUILDING INSPECTOR UPON SATISI'ACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION A-0-.M OF THE MASSACHUSETTS STATE BUILDING CODE. ..................................... e Buildi Inspector AL t AA*T / /Zlv B .40 h 0 N i CLAN • -SHOM o • FOU ' PD LOCATION NL 0 T u 1 MA$SACHUSE T T S . ] O L ow � � u OWNED eY. ', T` LAG 3NX I • CO Q C m t � 4 DATE: DEC /9612_ Y w REGISTERED LAND SURVEYOR .NORA(AM 6ROS$A'MIY-- -*- a <- �o`H OF Al, LL N ` I HEoor GMPF, Y THAr THIS 'FOU DATtON lS L{WED �`� s4 ►-�. C1N T'HE LUT AS. °SHpWIV AND CON FQRMS aT0 -.THE` TOWN �� N0iit.4xi \4•` w - c GFi�55a:'8At'f 1�! V1 �Q 3 O W.IWA LE 7, tOAIIVG. REOULAfiIONS RE'GRPOIN1 y' $ETAC�S. . OIN SIRE Y�tl E .'AN LOT 1NESF �f•o i27t���G-r �w s �SUR%J 1'fORtiIAN GROSa�MAIV R L.:S DAr ' Assessor's map and lot number ...... Q..-B�a...�:K........... of "E To a Sewage Permit number ......... ................. .y............... BASB9TADLE, i House number ........ 3 . ................................................. INSTAL.LED IN COMPLIANCE 900 1639 00 WITH TITLE 5 o Mar � n "TOWN O F B A �A�B1 E ?,' +f BUILDING INSPECTOR 'APPLICATION.FOR PERMIT TO . ................................. ......................................... TYPE OF CONSTRUCTION .�/`� . . . .. . .............l.:t/.,.. . . ....................................... ....................19X TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..(�111 .... ...... ........................ ................. �U..................................... ProposedUse � ............................................................................................................................. Zoning District Fire District .... aJ..f..�L................................................. Name of Owner .... .f! J...... ....Address C7 Nameof Builder' ........57 .—t! ...........................................Address .............................................................. ..................... Nameof Architect ........?Y.I.A...............................................Address .................................................................................... Number of Rooms �....................................................Foundation ......0 Exterior .. .►_. ..................................Roofing .........M .cff!!�`t`.......21/JN' .k._e.................... Floors ... a.....................................................Interior .....S /............................................. r Heating �.. ..w..` .....��. ...............................:........Pfumbiri'g Z_ Fireplace ....C]..!J.. ..............................................................Approximate Cost ....... .d�..��.(....................... .............. Definitive Plan Approved by Planning Board -Is'Of ----- --------19_ Area 140. O. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 t1 n�6 \-V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. j Name .............. THEO CONSTRUCTION No 246182.............. Permit for ....................................One S t Single Family Dwelling ............................................................................... Location ..Lot #18, 23 Bramblebush Drive .............................................................. Cotuit ............................................................................... Theo Construction Owner ......:........................................................... Type of,.C-on§trUction ,Frame............................ .. .......... ................................................................................ Plot ............................ Lot ................................ December 29, 82 Permit Granted ........................................19 Date of Inspection ............................ 19 Date Complete ......19 ad x / -�� -`� _� -` -` 1 p� � � � _ � � � \ � � � � w � + � � � � � Town of Barnstable Building division 200 Main Street Hyannis, MA 02601 , N 31 Hi TOWN OF BARNSTABLE d - BUILDING PERMIT PARCEL ID 040 086 GEOBASE ID 2513 ADDRESS 23 BRAMBLEBRUSH DRIVE PHONE COTUIT ZIP - LOT 18 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 85518 DESCRIPTION REMOVE CABINETS/STOVE/KITCHEN PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 �tNE CONSTRUCTION COSTS $1,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE R. I +► BARNS1'ABLE, • MASK. s639. RFD MP'�A BUIL IN DIVISI�N BY ,�, DATE ISSUED 07/19/2005 EXPIRATION DATE TOWN OF BARNSTABLE ;. . :: I. BUILDING PERMIT PARCEL, ID 040 086 GEOBASE ID 2513 ADDRESS 23-BRAMBLEBRUSH DRIVE PHONE f COTUIT ZIP - LOT. 18 BLOCK LOT SIZE D.BA - DEVELOPMENT DISTRICT CT PERMIT 85518 DESCRIPTION REMOVE CABINETS%STOVE/KITCHEN PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY. CONTRACTORS: PROPERTY OWNER Department Of ARCHITECTS: - Regulatory 'Services TOTAL FEES: $75.0.0 , BOND $.00 CONSTRUCTION COSTS $1,000.00 � 434 RESID ADD ALT /CONV 1 PRIVATE c • /. / * ■ARNSTPABLE, - � MASS t6g9. � ` BUIL I T D ISION BY ; r DATE ICSUED 07/19/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY-STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i,-CC APPROVED OWN OF B ARNSTABLE 2 R GAS O-WIRJN-G 5EPIMWN G _B-_ l�#B G._ \ I, 3 �` '�' ''V^ ` NG DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT w � i } t A ,"1j +jam �L i,s•,'e/��t'�JtT}1���f/} '���A i,+�• � 1 /nr'��-.. ' t.l C �y 1'•'t 's '� 1 .tt L. " 'T ��` �fiir '•1+� r�.�Qr i 1' `• • a •'.� f -�.. ^�1�..` '■1•.^.~- .•'t. ` \•l t !._ •\ _ !�r...�a ,..- rYt�, �+N� � •At�7�•'N. OW tr 1. ; 4p t ,!7F� ~Ir .`�f ►L +y. _ �•s� ti. .�v� j4.!0. i� • ,{' •�--'"'_ -'Lz� ♦''m:: • o . M• I�f� �Ji��. fills ' // I It fill IL y � ^ham },,,X. � ., ¢ ,c ��"b,� .• `-- ty: �Y,•• _' ! ���•�v r.y r r y, M.'ey'�y� ,.}.zi%ad4.e�, •`j•ue x .t P! ��i ' tir ,7 f •t 23 Bramblebush Dr. , Cotuit 9/15/06 I � i i t r .i� 23 Bramblebush Dr. , Cotuit 9/15/06 Town of Barnstable o� Regulatory Services c Thomas F.Geiler,Director s saiixsr�ar.,e, Building Division XAS& $ Tom Perry,Building Commissioner i679 �0 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-8624038 Fax: 8-790-6230 Approved: Fee: _ Cy"-57dy Permit#: HOME OCCUPATION AEGISTPUMON ate: ime• ayU" Phone#• Soe 360 0y9�2 idress: S3 �&Iw Village: COT(%/ T are of Business: ..1 Q. ,ape of Business:-- �!�' � Map/Lot: n'`n O R iTEN'T: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation ithin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the tivity$hall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual teration to the premises which would suggest anything other than a residential use;no increase in traffic above normal sidential volumes; and no increase in air or groundwater pollution. fter registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the [lowing conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up Truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit he undersigned,have read and agree with the above restrictions for my home occupation I am registering. plicant• WJ' Date neoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL.,.367 Main Street, Hyannis,'MA02601 (Town.Hall) DATE: -.- 16 I&.emrma Fill in please: �6&� APPLICANT'S YOUR NAME:r� BUSINESS YOUR HOME ADDRESS: 33e,441 dZe c3yS�� p.Q Saf'..360 0!V COT -VI 45EW TELEPHONE # Home Telephone Number Sob yao o'9 3 g NAME OF NEW BUSINESS *,A• , a R. � TYPE OF.BUSINESS G IS THIS A HOME —OCCUPATION?_. X YES N.O.- Have you been given approval from the building division? YES NO �D 0 �� ADDRESS OF BUSINESS J3 M.PA -(3L6� BvSd/ o P co 1- MAP/PARCEL NUMBER— When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St:=(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFF E This individual has bgeq inform of any permit requirements that pertain to this type of business. Autho ized ignature** COMMENTS: © Co1214Les: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Parcel Details Page 1 of 3 Back Home I Government Departments Data below is based on Fiscal Year 2005 Assessor's database.. Details for Map 040 Parcel 086 Property Location Acreage 23 BRAMBLEBRUSH DRIVE 0.47 Owner of Record SHEEHAN, JOANNE M 3 PAUL REVERE RD ACTON, MA 01720 Appraised Value Assessed Value Buildings $ 116,800 $ 116,800 Extra Building Features $2,700 $2,700 Outbuildings $0 $ 0 Land $ 143,500 $ 143,500 Total $ 263,000 $ 263,000 Construction Detail Style Ranch Model Residential Grade Average Stories 1 Story Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Drywall Interior Floor Carpet Heat Fuel Gas Heat Type Hot Water AC Type Bedrooms 2 Bedrooms Bathrooms 1 1/2 Bathrms Total Rooms 6 Rooms Building Valuation Living Area 1104 Replacement Cost $ 131,181 Year Built 1983 Depreciation 11 Building Value $ 116,800 http://www.town.bamstable.ma.us/Webmap/assessorsK/dataviewK.asp?mappar=040086 7/14/2005 Parcel Details Page 2 of 3 Outbuildings & Extra Features Description Units Appraised Value Assessed Value Fireplace 1 $2,700 $ 2,700 Ownership History Owner Book/ Page Sale Date Sale Price SHEEHAN, JOANNE M 4140/249 6/15/1984 $67,500 THEO CONSTRUCTION CO INC 2667/ 115 $ 0 2005 REAL ESTATE Tax Information: 1'ax Rates: (per$1,000 of valuation) Land Bank Tax $ 47.73 Town Fire District Rates $6.05 Barnstable - Residential $2.12 Barnstable - Commercial $2.80 Cotuit FD Tax (Residential) $ 336.64 C.O.M.M. - All Classes $1.01 Cotuit FD - All Classes $1.28 Town Tax (Residential) $ 1,591.15 Hyannis - Residential $1.52 Hyannis - Commercial $2.39 t W Barnstable - Residential $1.44 W Barnstable - Commercial $2.10 Total: $ 1,975.52 Due to rounding differences these values may vary Building Sketch t { I� }0M,Tsitt : }r t`i xt+," V p Sketch Legend BAS First Floor,Living Area SFB Semi Finished Living Area BMT Basement Area(Unfinished) TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Webmap/assessorsK/dataviewK.asp?mappar=040086 7/14/2005 Parcel Details Page 3 of 3 CAN Canopy UAT Attic Area(Unfinished) FAT Attic Area(Finished) U HS Half Story(Unfinished) FCP Carport UST Utility Area(Unfinished) FEP Enclosed Porch UTQ Three Quarters Story(Unfinished) FHS Half Story(Finished) UUA Unfinished Utility Attic FOP Open or Screened in Porch UUS Full Upper 2nd Story(Unfinished) FST Utility Area(Finished Interior) WDK Wood Deck FTS Third Story Living Area(Finished) FUS Second Story Living Area(Finished) GAR Garage GRN Greenhouse PTO Patio By using this site,you are agreeing to the following terms and conditions. DATA SOURCES: Assessing information is based on FY2005 data. NOTE:The parcel lines on the map are only graphic representations of property boundaries. They are not true locations,and do not represent actual relationships to physical objects on the map. For more detailed information on map data sources and accuracy,click on the hyperlinks in the map legend. Developed by Town of Barnstable Information Systems Department-GIS Unit. Send comments or suggestions to isdCDtown.barnstable.ma.us http://www.town bamstable.ma.us/Webmap/assessorsK/dataviewK.asp?mappar=040086 7/14/2005 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map040 Parcel Application# Health Division Date Issued Conservation Division 'Application Feed Tax Collector Permit Fee a�. Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address t71 W VE 6M4 01 Village �, Owner ���1 rr,,V ' V�� J J� Address Telephone Permit Request -"NOW \\A_1 0Ak_ W(Ale[A �N Square feet: 1 st floor:existing proposed 2nd floor:existing proposed T tal new Zoning District �Flood Plain Groundwater Overlay �E Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Xo On Old King's Highway: ❑Yes /<No Basement Type: ❑ Full ❑Crawl Vlwalkout ❑Other Basement Finished Area(sq.ft.) 1KY-1) Basement Unfinished Area(sq.ft) 3 Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 5 new Total Room Count(not including baths):existing �15 new �� First Floor Room Count N Heat Type and Fuel: as ❑Oil Ell Electric ❑Other ' Central Air: ❑Yes �No Fireplaces: Existing New Existing wood/coalstbve: ❑'f�s `)No 65 Co Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ex st ng ❑new sizes Attached garage existing ❑new size Shed:❑existing ❑new size Other: ca � Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# , Current Use 0 Proposed Use 1`y�l- WM UILDER INFORMATION Name `�� �l Telephone Number Address �� �\� License# C.S Ll 5:3 ✓3 Home Improvement Contractor#1, q 0 �7 Worker's Compensation# e/( ►VCYOq OF 9' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0A 0 omb�� , SIGNATURE (V" DATE iR 10K 0 FOR OFFICIAL USE ONLY :APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION + + FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 9 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 7 08 o? rN lUl R'Giblo T12 w . K�e�• � 5 �p�-K�ngS rP.sev�� `Y DATE CLOSED OUT ASSOCIATION PLAN NO. Jr i M The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r\Please Print Legibly Name(Business/Organization/Individual): Address: ' � U KIG S_nqKzz, I City/State/Zip: �RN f ( N 1V u"CO�Mne Are you an employer?Check the appropriate bog: Type of project(required): 1.R I am a employer with 3 4. ❑ I am a general contractor and I � � 6. ❑New construction mployees(full and/or part-tim.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and have workers' Y P h'• # 9. ❑ Building addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required:] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C;�J 1,(� 5U116NGL) ' Policy#or Self-ins. Lic. M G T�V c 40 Expiration Date: C9 1 Z V Job Site Address: c KWR AS1 Q�k� V l�) City/State/Zip: CCU IT' S Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains ((pe/al "esQo^f/p�erjury that the information provided above is true and correct correct Si ature: � v'lJ'CJ' ` ' Date: V _ Phone#: 5Z b .. 6 Offuial use only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract form 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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The,Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. ' The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston, MA 02111 TO. #617-72.7-490.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia i AS OF JANUARY 1 , 200.8 . . YOU MUST UTILIZE THE FOLLOWING CRITERIA '- OR SUBMIT A RE S. 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS" , MAXIMUM MIIVIMUM " Ceiling or Fenestration Exposed Wall Floor Basement Slab Perimeter U-factor Floors R-Value R-Value aU R-Valu R-Value and AFUE HSPF SEER R-Value Depth National Appliance Energy 0.35 R-38 R-19 R-19 _ R-10 R-10,4 ft Conservation Act(NAECA) of 1987 as amended,minimums or greater as applicable For SL• 1 foot=304.8 mm. a. R-values are for insulation materials only,not for overall component. r oFTHE ra,, Town of Barnstable 0 Regulatory Services ,V MAM. Thomas F.Geiler,Director 1F1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I / V` t �- h -�� 1 Owner of the subject property, �; � �—I lV �N V, J P P rty hereby authorize �, � P r(��5 ��V� to act on my behalf, in all matters relative to work authorized by this building permit application for: %�M-CAIA<3�A MO (Address of Job) Signature of Owner V Date NU- ivf3 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION THE Town of Barnstable �pF Tp�� Regulatory Services r+ BARNSTABI.E, Thomas F.Geiler�Director� 9 MASS. s639. Building Division l�Dr A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-7907-6230 HOMEOWNER LICENSE EXEMPTION lob o Please Print DATE: N JOB LOCATION: �►`K I"`�� �1�� IJ�`V �j ��T numSer+ (� street village "HOMEOWNER":1��A"1rC��r' (� ��.�kJ � � l�J ©` name l n/ home phoneee##1 ' \f work phone# CURRENT MAFLING ADDRES\S..\ �5 �, `t� ` ' `\� �/` "J�`S� 1 Ll �+ �. cn�A' l 0�65 0.0-1� city/town /NINVNIFR ate zip code The current exemption for"homt ovt ers"was extended t o� er-occu led dwellings of six units or less and to allow homeowners to engage an indt idual for hire whot ossess a license,provided that the owner acts as su erp visor. 1 11 ' EFINITION OVVNERPersons)who owns a parcel ofland on whic he/she resiends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or d ached strccessory to such use and/or fame structures. A person who constructs more than one home in a o-year all not be considered a homeowner, Such "homeowner"shall submit to the Building Official a fotable to the Building Official, that he/she shall be res onsible for all such work erformed under the but in (Section 109.1.1) The undersigned"homeowner"assumes responsibility fo ompliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she u derstands he Town of Barnstable Building Department minimum inspection pr6cedures and requirements d that he/she ill comply with said procedures and quirements. Signature of Homeowner. Approval of Building Official Note: Three-family dwellings co aining 35,000 cubic feet or larger will be equired to comply with the State Building Code Section 127.0 Cons ction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeown r 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 cise,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the,homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ` { ' v �lze�oorriina�zcue�o�✓�avQaclu�vet�a Board of'13u�idmg ReguI Boris and Standards �.. .yY3 e P u rvisor;Acense �s � Cor►structton S.; .. 9533310. a Bi`tMdate 4/17/1967 { ;4/17/2010 Tr# 95333 _' Rest on 00 sc' • KAYE MCFADDEN .� .� PROVINGETOVIIN MA 02657 Commissioner #. ... _ .. .. .. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR _ Registrafio'�:..154231 Expiration`:2120l2009 Tr# 254285 Type::_'P"te Corporation CAPE TIP CONSTRUCTION INC ,; KAYE MCFADDEN`c: 134 COMMERCIAL STREET_-" C;;:> , PROVINCETOWN,MA 02657 Administrator 02/08/2008 09:08 508-487-0649 FIRESIDE INS AGCY PAGE 01 DATE(MMfWff Y) A=M. CERTIFICATE OF LIABILITY INSURANCE 2 e PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FIRESIDE INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR #10 Shank Painter Cmn. PO Box 160 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Provincetown, MA 02657-0760 50.8 487-9044 INSURERS AFFORDING COVERAGE NAIC>Y INSURED CAPE TIP CONSTRUCTION, INC INSURER A: PA ON8 MUTUAL I SURANCE KAYE MCFADDEN INSURER a GUARD INSURANCE C . PO BOX 182 INSURER C: PRMNCETow, MA 02657 INSURERD: .. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TD THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE!NS-Ul?ANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLVES.AGGREGATE LIMITS SHOiMd MAY HAVE BEEN REDUCED BY PAID CLANS. TYPF INSURANCE POLICY NUMBER FFE T LICYEXPIRA LIMIT$ :,>NEAAI LIABILITY EACH OCCURRENCE i 1 O00 0 O 1� 4 Xj CO.I4MERCIAL CENERAt iiuiiif-fT AiJU"ISES Ea +•�+t^ • 50 000 CLAIMSMA08 OCCUR MEOEXP(Anyonepq c) 5 5l L-f00' v%-3/nth/A'f n7/AO/08 PERSONAL&AOvINJURV 9 ], ,000,00p I Al I r'l�il�la/�a t o I m�y . �� • . /nw /uv "v^r i 'CO TE a w L (1- nnn--- i GE VL AGOIiEC�ATIE LIMIT AP{PLLII"PER: f PP.OQUCTS-COM➢IOP AO13 POLICY I I._{,`Or I I LOC. Cnfr.➢INEO SINGLE LIMY I I ~t ANYAUTO (teew ant—�, ALL OWNED AUTOS BODILYINJURY t j SCHEL`iJLEO At.'TOS I (Pa pae0n) J I I { r HIREOAVTOS I BOOILYINJURY 4 NON-OWNED AUTOS � (PAlxddv+i) PROPERTY DAMAGE g l(IARAEL(A9lLf1Y I ALT40`SLY•fiAACrl4FNT S ANYAUTO OTHERTHAN EAACC $ III---1111 I AUTOONLY: nrr I c --=------- - -- i F,YCERSIJ RRREL(A LIABILITY I I EACH OCCURRENCE i OCCUR CLAIMSMADE I� ASGREOAT9 e I I s HVCVVVIIo�e I C- Al , WORKERS COMPENSATION AND kEL. dAli ERCUOI/�VCOC 1 Lkgll l'V uvi e-of u: V 3/di„ri nCCEvEF.T a my Via.-m i I" 100 oou E iwFf' aMvlaea FxcLvoeln I II E.L.DISEASE-EA EMPLOYE 18 �._..i�aYsua;;rzS� I ( G.L.DISEASE-POLICY LIMIT S 500,000 �EUI P Vf I NSbebw _ .I OTHER i � I +DESCRi-Tiv,.OF:.c,.AT*-'--0I0=ATICINSIVEHICLES/EXCLL'SION2,A,^DED BY END nl ME T!SPECtALPROVISIONS 1 I GEFMFICATE HOLDER 4�a11�i l{AT�4N Tl7SRl�T AL` A>sRNCT>sAT.tP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLiU BEFORE THE EXPIRATION I ��••�• ��> ''••��� TFFRF^F,T1.'E 7N$ijF EF L'rli_F\71�ya.V:ji.'T(�F.'Sfl,,JV DAYS WRMTEN t,j niiAojniae. nvan NOTICE;TQ THE CERTIFICATE NOLOER,NAMEO TO THE LEFT,BUT FAILURE TO DO SO SHALL ' COT I71T, !-A 026635 rA=LICATION O. UsJlt`*Y O�AM" HD L:P4!d T'r'.L!INSURER.1T.`,ACENTS 4R REPRESENTATIVES � ACOnvia{ wiivoj T �� ��,rv.v:.v:s.v.v.+...�IBoo ya t r 2 Ul 0 � i2 tx GA Pao po sq) IA ---i I I e,ASG II �L Z�I Town of Barnstable Regulatory Services B"'MASS.�' ` Thomas F. Geiler,Director 1639. ,�� 039 A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 Incident Report June 2, 2008 Marcilio Nunes Jr. 23 Bramblebush Drive Cotuit MA 02635 i This property has a history of Complaints from neighbors about overcrowding and an illegal apartment that goes back 2 owners. A building permit # 85518 was issued July 19, 2005 to remove Kitchen in lower level and restore to a single family home. A final inspection was done on July 21 2005. This property was sold to the current owner Marcilio C. Nunes Jr. the next day July 22, 2005. September 2006 complaints from the neighbors started to come in. The property was a mess and there were people living in the basement. Upon inspection by Robert McKechnie, the building inspector for this area, a full apartment was found in the basement. This apartment included the kitchen that was removed in 2005, plus 2 new bedrooms. I ticketed Mr. Nunes after no response to the letters I sent asking him to remove the apartment or apply for Amnesty. The tickets were sent October 16 & 17, 2007. February 7, 2008 Nr Nunes paid the tickets. They were $100.00 each. By doing this he admitted his guilt. I ticketed him again on the same day he paid the previous 2 tickets, February 7, 2008. J On February 12, 2008 Mr. Nunes' builder came in and applied for a building permit to, once again, remove the kitchen in the lower level, open up the bedroom walls to 5 foot openings and restore to a single family home. The permit is open and there have been no inspection. Respectfully submitted Linda Edson Amnesty Apartment Investigator Building Department Town of Barnstable Building division 200 Main Street Hyannis, MA 02601 Mr. Marcilio Nunes 23 Bramblebrush Drive Cotuit MA 02635 Town of Barnstable Building division: -200 Main Street,;,, `Hyannis.., MA 02601 Mr. Marcilio Nunes 23 Bramblebrush Drive Cotuit" MA 02635 Citizen Web Request Pagel of 3 Town of Barnstable Citizen Request Cer 11/7/2006 10:14:01 AM Citizen Request Management p i639. `de Search Requests Request Information Request ID: 20400 Created: 9/8/2006 10:21:41 AM Status: Assigned To Staff Assigned To: Giangregorio, Robin Building Dept Anonymous: No Request Category: Zoning - Illegal business Estimated 10/31/2006 Change Estimated Sep October 2006 No Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Si 24 25 26 27 28 29 3t 1 2 3 4 5 6 i 8 9 10 11 12 13 1. 15 16 17 18 19 20 2 22 23 24 25 26 27 2: 29 30 31 1 2 3 Created By: Shea, Sally Priority: Medium Building Dept Requestor Information Requestor JOAN ASELTON-STAAB Requ UNKNOWN DETAILS: 37 BRAMBLEBUSH LO TION: 36 BRAMBLEBUSH DRIVE DRIVE Cotuit, Ma 02635 Cotuit Ma 02635 508-428-9268 Request Parcel Number Map; 040 Block: 090 Lot: E THE COMPLAINTAINT REPORTS THAT AT THE HOME THERE ARE MULTIPLE RESIDENTS WITH CARS AND TRUCKS IN THE YARD AND IN THE DRIVEWAYS AT NIGHT AND EARLY IN THE A.M. THEY ARE RUNNING A BUSINESS OUT OF THE HOME, NOISY LATE AT NIGHT AND ; EARLY IN THE MORNING. THE YARD WAS A DISRCACE W/EQUIPMENT http://issql/IntemalWRS/WRequest.aspx?ID=20400 11/7/2006 Citizen Web Request Page 2 of 3 ..1 AND LITTER IN THE YARD"THEY HAVE SINCE CLEANED IT UP AFTER BRINGING UP THE ISSUE BUT THE SITUATION "STILL EXCESS". Email: Track Request Progress Request Work History: Internal Note History: Entered on 9/8/2006 10:44:39 AM Entered on 9/8/2006 10:21:05 AM by Giangregorio, Robin by Shea, Sally Will dispatch BI Bob as a MUCH OF THE INFORMATION TAKEN FROM THE permit to finish basement was COMPLAINTATNS HAND WRITTEN ACCOUNT, NOT pulled but not completed. SURE OF WHAT "STILL EXCESS" MEANS System entry on 9/8/2006 10:21:05 AM: Assigned to Giangregorio, Robin System entry on 9/8/2006 10:21:31 AM: Related Request 20401 Entered on 9/8/2006 10:44:39 AM by Giangregorio, Robin Bob should be able to get a better understanding what exactly is going at this site when he goes for tr inspection. System entry on 9/14/2006 10:18:24 AM: Estimated completion changed from 9/12/2006 tc 9/18/2006 System entry on 9/28/2006 8:08:17 AM: Estimated completion changed from 9/18/2006 tc 10/31/2006 Add document or image link: * You can also type in a folder name to see everything in the folder Current Links: http://issql/lntemalWRS/W'Request.aspx?ID=20400 11/7/2006 Citizen Web Request Page 3 of 3 Time worked on request: 2� Response time: 2 * Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. Printer Friendly Version i http://issql/lntemalVvRS[WRequest.aspx?ID=20400 11/7/2006 f r Town of Barnstable °F'"E'0wti Regulatory Services Thomas F.Geiler,Director)3'•J 9' MASS* ' Building Division MASS. a r �r- �1D�Ep Myr Awe 039. Tom Perry Building Commissioner"-P 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVIN UIRY REPORT Date: Mple 6 Rec'd by: NG Complaint Name:l/41 K lr/o Ld A-f Map/Parcel Location Address:J,'- 15MM e- /3 vs-,r/ /� 'e• C O %a 7- Originator Name: ��AN S'7/4 A f3 Street:-J� i�3/Yi/3 L Village: C'C� yv i ' State: Zip: Oo?G 3 Telephone: J -G f - z1 2 P f'Gt �ce -/rive- eee -v /y :. T/mes Complaint Description: 1944zill "qws G 641/N 'Al., •�e - fYJ 614 t-1 lee j-/D e;,,1v rs w/ TA Ae.r, ,—RelZACS. /ry y/�h"0, ��,vocyAys p( S Tlq >°eT- R(/1y N1ry,-- f.3 v.r 1-,ye ss 1 lfT /l/.IG,yT ARLQy /1V ,q pi,). (lNT%l-- r 7h e RA ,� e•✓u,/ lam. . S+�i2A �ti-eZ . 1/�yQ ,dive e4eAvP/j / : c�P j3t/ T 7h� S /TU4r, ' �✓ FOR OFFICE USE ONLY / Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint 'Parcel Detail Page 1 of 3 .40 s;.G,il3tiaFrIISE Logged In As: Friday, Februa Pa rce I Deta i Parcel Lookup Parcellnfo ......_......................................_............................._......................................................................................................................................................... ............:...................... ....._.................................................................................._......................... Parcel ID 1040-086 I Developer LOT 18 Lot' Location'23 BRAMBLEBRUSH DRIVE I Pri Frontage 141 Sec Road Sec Frontage I ......................:.._..........._.._............................................:....................................__........._._....._.._......................................_._.....___.._.._.. i.............._.........................................................._..........................._........._._............_................................ Village 1COTUIT I Fire DistrictCOTUIT , ........................................................._._.......I ..............................................................................................:..................................._..... Sewer Acct i Road Index i0167 Interactive Map . =� w Owner Info _..T..__.._.._.._..._.._.._...._.._...._._.._........................................................._.......................:_....._..._.._._... Owner INUNES, MARCILIO C JR I Co-Owner I f--- _____----....._:_._......._........_............._................._.................................._................................................................................... ...................................................................................................................,........................................................ Streetl 123 BRAMBLEBRUSH DR I Street2 . City,COTUIT I State�A zip 02635 Country Land Info .................._...._..._.............--....._......_.._._..............................................................................._.................................................................................................................................:..........................................................................._............................._............................................................... --.._.._ Acres K47 7I Use Single Fam MDL-01 I zoning RF Nghbd 0105 � Topography[Level I Road Paved Utilities IPublic Water,Gas,Septic Location Construction Info Building 1 of 1 , Year 1983 I Roof Gable/Hip I Ext Wood Shingle I Built Struct Wall Effect 11420 I' Roof Asph/F GIs/Cmp I AC None I Area Cover Type 1* ...... ................................................. Int Style Ranch I WauDrywall I Rooms I3 Bedrooms Int Bath Model Residential I Floor Rooms 2 Full + 1 H I Grade Average � I Type Hot Water Tota I Rooms F I http-HissgUin.tranet/propdata/ParcelDetail.aspx?ID=2677 2/23/2007 i .Parcel Detail Page 2 of 3 142 Stories�1 Story I Fuel IGas Found PouredConc. I ation 8A 4 BMA �i .................................................-................:._._.............._...................._>. Permit History Issue Date Purpose Permit# Amount Insp Date Coma 7/19/2005 Remodel 85518 $1,000 3/30/2006 12:00:00 AM 12/1/1982 B24682 $0 4/15/1985 12:00:00 AM CO 1 ; ............._Visit................................................. ..........-.....-.......-........................................_............................................. Date Who Purpose 3/30/2006 12:00:00 AM Paul Talbot. Mea./List Bldg Permit Only 7/11/2005 12:00:00 AM Paul Talbot Meas/Est 3/15/2005 12:00:00 AM Gary Brennan Data Mailer 3/2/2005 12:00:00 AM Gary Brennan Drive by inspection only 7/17/1999 12:00:00 AM Frederick Stepanis Meas/Listed 5/15/1985.12:00:00 AM FR Sales History __........._....... Line Sale Date Owner Book/Page Sale P 1 7/22/2005 NUNES, MARCILIO C JR 20077/215 2 10/18/2004 SOLER, ANIE K . 19143/324 3 6/15/1984 SHEEHAN, JOANNE M 4140/249 4 THEO CONSTRUCTION CO INC 2667/115 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2007 $138,500 $13,400 $0 $152,500 2 2006 $123,100 $2,700 $0 $157,900 3 2005 $116,800 $2,700 $0 $143,500 4 2004 $94,800 $2,700 $0 $143,500 5 2003 $85,800 $2,700 $0 $48,000 6 2002 $85,800 $2,700 $0 $48,000 ; 7 2001 $85,800 $2,700 $0 $48,000 8 2000 $68,700 $2,700 $0 $29,500 http Hissql/intranet/propdata/ParcelDetail.aspx?ID=2677 2/23/2007 r ,Parcel Detail Page 3 of 3 9 1999 $66,300 $2,600 $0 $29,500 10 1998 $66,300 $2,600 $0 $29,500 11 1997 $72,800 $0 $0 $22,100 12 1996 $72,800 $0 $0 $22,100 i 13 1995 $72,800 $0 $0 $22,100 14 1994 $70,600 $0 $0 $26,600 15 1993 $70,600 $0 $0 $26,600 16 1992 $80,200 $0 $0 $29,500 17 1991 $79,400 $0 $0 $48,000 18 1990 $79,400 $0 $0 $48,000 19 1989 $79,400 $0 $0 $48,000 20 1988 $60,000 $0 $0 $20,400 21 1987 $60,000 $0 $0 $20,400 11 22 1986 $60,000 $0 $0 $20,400 Photos http://issql/Intranet/propdata/ParcelDetail.aspx?ID=2677 2/23/2007 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer IFCustom Map Map Size zoom Out j�(� 1� �� In +� 'Abe be A 71 ® JPG Map: 040 040128 040129 Location: # 19 `040103, # 70 # 69 Owner: 040127 0 Y �0001 # 60 0401011 . 040102 \< # 0 040100 # 14 # 57 C / Location In # 24 Map & Parce Location 040089 040099 U &%K G4aG4 Acreage ,_ ri # 50 # 2FELI 040126 yty # 61 040096 Current Ow � 0 040097 #43Z Mailing Addi 040125 040088 04�0090 �� # 19 ¢ 58 #49� #;36� 040098 '040078'7 4' # 29 040087 040095 # 37 040091 # 29r #!224 p 040094 040077 # 1174 Appraised t 0 Extra Featur #°44 0400 10 0400� 040093 -# 20 '# 23Q+ # 102 Out Building �'� 040092 Land a # Buildings 76 i�%$ C q 8 .1i� 4� ��d 0A 6 # Total Apprai 0075 04081 t� #4130 29 # 24� 0400�; 040117 Assessed V # 58� ? '# 99 •040119 �0118� Extra Featur 0 #46 , 040120 # 87 0400.35 #'63 # 75Y� #,28 Out Building Land Set Scale 1" = 203 _�' I Aerial Photos �(� Buildings Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment! BarnstableMA v0.2.7 [Production] tittp://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=04008 5&map... 9/18/2006 r Bk 20077 Pa246 —050678 07-22-2005 a7 03= 32P DECLARATION OF HOMESTEAD I, Marcilio C Nunes Jr.of Cotuit, Massachusetts owning and occupying as my principal residence the real estate at 23 Bramblebush Drive,Cotuit,MA 02635 acquired by me by ❑ inheritance from ,Probate Court# Being the same premises conveyed to Marcilio C Nun s Jr. by deed recorded in :Barnstable Registry of Deeds herewith. 0% 'G o o K,2 0011 �o_c�.. hereby declare a homestead in said premises under the provisions of Chapter 188,Section 1,of the General Laws of Massachusetts. I expressly reserve the right to myself and my spouse and to the survivor of us, and to the Executor or Administrator of the survivor of us, to revoke and rescind this Homestead as to ourselves and our minor,unmarried children. Executed as a sealed instrument on this 22nd day of July,2005. kA M.11 rcilio C N ones Jr. Commonwealth of Massachusetts Barnstable,ss: On this 22nd day of July,2005 before me,the undersigned notary public,personally appeared Marcilio C Nunes Jr., proved to me through satisfactory evidence of identification which were ` ,r ,. <«Pr to be the person(s)whose name(s)is/are signed on the preceding or attached document,and acknowledged to me that they/he/she signed it voluntarilyADr its stated purpose. Notary Public: My Commission Expires: Michael,1,Gl11 Notary Public °b s Commomweahh of Massachusetts { s My Commission Expires Feb,2 2003 t BARNSTABLE REGISTRY OF DEEDS r k1HE Town of Barnstable do Regulatory Services BAMST". Thomas F.Geiler,Director �A 1639. rEp,,,,prA Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 February 23, 2007 Mr. Marcilio C. Nunes Jr. . 23 Bramblebush Drive Cotuit, MA 02635 Re: Illegal Apartment: 23 Bramblebush Drive Cotuit, MA 02635 Map: 040 Parcel: 086 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, n a Edson Amnesty Zoning Enforcement Officer Building Department I gforms:zoning3 IBAR76759 TOWN OF AD RESS VO(/F7 DER BARNSTABLE =79IL-v /j DA? OF eIR M" OFF ME r MV OPERATOR LICENSE NUMBER MVIMB REGISTRATION NUMBER 10A ' t) / q / / ////// ` p J NANV.'1'ANIY,.p A t, /V 4 "/ / f""(• Y` W'Y •/�L ♦�• d MASS. V f/7{X✓1" M W TIME AND DATE F VIOLA A \ LOCATION IOLATION _ w NOTICE OF t /�✓ A.M. P.M.) N"� 2 ew SIG OF ENFORCI G•IE ON ENf-0 CIN 0 PT. V BADGE NO. W VIOLATION,-` r� ,, 2r- I /� �/(,t-(C W OF TOWN"" I PEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtainsi it�q e o off pder— ►— I THE NONCRIMINAL FINE FOR THIS OFFENSE IS W Date mailed�. OR YOU HAVE THE FOLLOWING ALTE ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a U, DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION 1 You may elect to a the above fine,either b appearing in y holidays Q 1 before:The Barnstable Clerk,200 Main Street,Hyis,MA 02601,00r by mailing a check,money order or ostal note to Barnstable Clerk,P.O.Box 2D430, � Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d i_;:, UNSTABLE you desire to contest this matter in a noncriminal prkx eeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST l BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. I 3 If you fail to a the above offense or to request a hearing within 21 days,or if you fail to ' t l Y pay q g y y appear for the hearing or to pay any floe determined at the ) hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Sionature _ Town of Barnstable Building,division 200 Main Street Hyannis, MA 02601 i Mr. Marcilio Nunes 23 Bramblebrush Drive Cotuit MA 02635 I� f. i a� I�� y � NAMED •R �v. �,,,...�,. ��. �1 Jr„y� f� .. BAR76345 TOWN OF, , ADD S,FOFFENGEfl (/ L 0 BARNSTABLE CI T ,ZI C DE ,[ DA OF BI OF-OPFE?{ `. ,f ►q►• MV OP ATOR LICENSE NUMBER MV/MB RE STRATIO NUMBER O,FE SE � L • eAe\:TABIX, / y— 1. Ij � O �. �hEO NIKt► t r ... ..a• '- Ljj J• LU '• TIME ANItOAli 0 � �„� i OGA I F V TION L Z { NOTICE OF (A.IN . 4 ON 2 1 ;t SIGNA UR. _ FOR INO•PERS N, ,r.� EN G BADGE NO. W VIOLATION ,.1u, ` " o OF TOWN IAiEREBY Iw- KNOWLEDGlE RECEIPT OF CITATION X a ORDINANCE able to obtain sign lure of finder. . J THE NONCRIMINAL FINE FOR THIS OFFENSE IS a �JC•/ w r, Date mailed �/ w FOR YOU HAVE THE FOLLOWING hTiRNATfiES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL i a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu ' -'REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, 1 W $, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to.Bamstable Clerk,RO.Box 2430, r .J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST f 1RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,yARNSYABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this ` citation for a hearing. 3 if you fail to the above offense or to request a hearing within 21 days,or if you fail to g pay any O Y. pay q g y y .appear for the hearing or to One determined at the hearing to be due,criminal complaint may be issued against you.. ❑ 1 HERE6Y ELECT the first option above,confess to the off ense.charged,and enclose payment in the amount of$ Signature ' NAME OF F ND- � H BAR 7 6 3 4 3, TOWN OF ADEIR FDFfENDER hAo.."A.. BARNSTABLE CITY ST T ZI CODE D±;E OFyBIRT�0�NDE ; 39 (� _. tNE► 1MV OPERATOR I" SE NUMBER MV/MB REGISTRATION NUMBERq'"' ry { HAH\:9'AHIA:. /e... G 1 G d ,IA5S. O TIMEANDOAfE OF TI CATION OF CATION LU NOTICE OF tA• ./ P. .)ON 2 iIGNATb RCI PER E CI G BADGE NO. LLJ VIOLATION' a�� _ Cam.. ,•--�___ of OF TOWN _ HE EB CKNOWLEDGE RECEIPT OF CITATION Xa ORDINANCE nable to obtaig ign ure of of end,f . THE NONCRIMINAL FINE FOR THIS OFFENSE IS a b / Date mailed I ''w w `OR �� YOU HAVE THE FOLLOWING ALTERNA VIES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 0- DISPOSITION WITH:NO RESULTING CR MINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appean'ng in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ty ( before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posta note to Barnstable Clerk,P. Box 2430, t _ Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL (2)If you desire to contest this matter in a noncriminal proceeding,You maY do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNS TABLE,MA 02630,A in:21 D Noncriminal Hearings and enclose a copy of this i citation fora hearing. 1. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature C�� Vigh Wind Areas: .110 mph Wind Zone Compliance (780 CMR 5301.2.1.1)' i o na ING MEMBER$ RIfERMEDIAT£ � i� f 3'mu PANEL UBLE MAIL EDGE SPAQNG DETAL �pIKE, Town of Barnstable Regulatory Services ��.mmerABLE, Thomas F. Geller, Director s679• �� �'���►�`� Consumer Affairs Division 20.0 Main Street, Hyannis MA 02601 Tel:508-862-4668 Fax:508-778-2412 Nunes Marcilio Jr. Notice Date: 01/10/2008 23 Branblebush Dr BAR No: 76345 Cotuit MA 02635 Fine: 100.00 Balance Due: 100.00 Please return this section with your payment FINAL NOTICE Be advised that full payment has not been received for the fine issued against you on 10/17/2007 for a violation of the Town of Barnstable Ordinance or Regulation as described below: Violation of: Chapter 240: ZONING -14-a RC-1 and RF Residential Districts Principal Single family residential dwelling (detached). Bar No: Violation Date: Enforcing Department: Location of Offense: 76345 02/27/2007 'Building 23 Branblebush Dr Cotuit Fine: Payments: Balance Due: 100.00 0.00 100.00 You are hereby notified that if you fail to pay the fine, in full, within 7 days from the date of this notice,that a CRIMINAL COMPLAINT WILL BE ISSUED anainst you I Fines may be paid by appearing in person between'8:30 AM and 4:00 PM, Monday through Friday, except legal holidays, before : The Barnstable Clerk 200 Main Street, Hyannis MA 02601 OR by mailing a check, money order, or postal note payable to: Barnstable Clerk U�- P O Box 2430 Hyannis, MA 02601 Q � 0 This will operate as a final disposition of the matter with no resulting criminal record. pFIKE, Town of Barnstable Regulatory Services BAM,SS.. Thomas F. Geiler, Director Consumer Affairs Division 200 Main Street, Hyannis MA 02601 Tel:508-862-4668 Fax:508-778-2412 Nunes Marcilio Jr Notice Date: 01/10/2008 23 Branblebush Dr BAR No: 76343 Cotuit .MA 02635 Fine: 100.00 Balance Due: 100.00 Please return this section with your payment FINAL NOTICE Be advised that full payment has not been received for the fine issued against you on 10/16/2007 for a violation'of the Town of Barnstable Ordinance or Regulation as described below: Violation of: Chapter 240: ZONING -14-a RC-1 and RF Residential Districts Principal Single family residential dwelling (detached). Bar No: Violation Date: Enforcing Department: Location of Offense: 76343 02/23/2007 Building 23 Bramblebush Rd Cotuit Fine: Payments: Balance Due: 100.00 0.00 100.00 You are hereby notified that'if you fail to Pay the fine, in full, within 7 days from the date of this notice,that a CRIMINAL COMPLAINT WILL BE ISSUED against you I Fines may be paid by appearing in person between 8:30 AM and 4:00 PM, Monday through Friday, except legal holidays, before : The Barnstable Clerk 200 Main Street, Hyannis MA 02601 , OR by mailing a check, money order, or postal "note payable to: Barnstable Clerk D P O Box 2430 I Hyannis, MA 02601 [ V - This will operate as a final disposition of the matter with no resulting criminal.record. 1 �� "''��Sh�: � � I ����°`�� Citizen Web Request Page 1 of 2 NP p -139 .`bb Citizen Request Management �u Request ID: 20400 Created: 9/8/2006 10:21:41 AN k : Status: Assigned To Staff Assigned To: Giangregorio, Robin Building Dept Anonymous: No Category: Zoning - Illegal business E.C. Date: 9/12/2006 emu:. h, Created By: Shea, Sally �r Building Dept Time Worked: 0 Response Time: 0 Requestor Details: JOAN ASELTON-STAAB -37 BRAMBLEBUSH DRIVE .Cotuit Ma 02635 508-428-9268 Email: Request Location: UNKNOWN 36 BRAMBLEBUSH DRIVE Cotuit, Ma 02635 Parcel Number: Map: 040 Block: 090 Lot: Request: THE COMPLAINTAINT REPORTS THAT AT THE HOME THERE ARE MULTIPLE RESIDENTS WITH CARS AND TRUCKS IN THE YARD AND IN THE DRIVEWAYS AT NIGHT AND EARLY IN THE A.M. THEY ARE RUNNING A BUSINESS OUT OF THE HOME, NOISY LATE AT NIGHT AND EARLY IN THE MORNING. THE YARD "WAS A DISRCACE W/EQUIPMENT AND LITTER IN THE YARD"THEY HAVE SINCE CLEANED IT UP AFTER BRINGING UP THE ISSUE BUT THE SITUATION "STILL EXCESS Request Work History: Entered on 9/8/2006 10:44:39 AM Will dispatch BI Bob as a permit to finish basement was pulled but not completed. Internal Note History: Entered on 9/8/2006 10:21:05 AM http://issql/lntertlalWRS/WRequestPrint.aspx?ID=20400 9/13/2006 " Town of Barnstable *Permit Expires 6 months rom issue date Regulatory Services Fee Thomas-F. Geiler,Director Building Division /. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 I row Fp •T•�,�e� www.town,bamstable.ma.us Ot C4fi;h08-8e 38 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY S�.9e` l of Valid without Red X-Press Imprint Map/parcel Number v v� Property Address 2 3 & Ijn-hX F R Ul t/ ;>!t . W N t u i 1 ILIA 4Q d 6 35 [ Residential Value of Work ��_ Minimum fee of$25.00.for'work under$6000.00 Owner's Name&Address_/ agc 1 G.l 0 AlO E S a/Z ,23 Lum&j &_Su .ort. coAy rtii r • /�/A �.Z 6 3S Contractor's Name Telephone Number Homelimprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#. . Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) ® Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNA Q:Fomis:expmtrg Revise061306 Department oflyidustrial Accidents ' Office.of Investigations' n a 600 W.ashingfon Street Boston,AM 02111'. www.mass.gov/dia Workers' Copipensation Insurance Affidavit: Builder's/Contractors/Electricians/]Plumbers Applicant Information Please Print Legibly Vame(Business/Or gimzation/individual).AAk&I(,.i�,) C. iiNC S :X(Z Address:43 • _Wm-1 kE IJSH 3/t ------------ City/State/Zip: nlzuj i ✓1/!n M35 ' Phone#:_ CSo$I' (ORS:3C110 ►re you an employer? Check the-appropriate box:: Type of project(required): ❑ 1 am a employer with 4. ❑ I am a general contractor and I evloyees(full'and/or part-time).* have hired the sub-contractors 6• ❑New construction ❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp,mcr,ranCt 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We'are.a corporation and its required.] -` officers have exercised their 10.❑ Electricalrepairs or.additions. I am a.homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions *myself:[No workers' comp.' C. 152,§1(4), and we have nq 12.M Roof repairs insurance required.)t employees. [No workers" comp.insurance required.] 13.❑ Other oy applicant that checks box#1 must alsp fill out the section below showing their workers'couTeosation policy information: iomeowners who snbmitthis affidavit indicating thcy are doing all,work and then hire outside contractors must submit anew affidavit indicating such. >ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. cm an employer that is providing workers'compensation insurance for my employees'Below is the policy and job site formation. ,uranee•Company Name: licy-#or Self-ins.Lic..#: Expiration Date: b Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). lure to.secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a ,e up to$1,500,Op and/or one-year imprisonment; as well as civil penalties in the form of a STOP'WORS ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. `o hereb i under the pains and penalties of perjury that the information provided above is true and correct. a e. Date: on #: Official use only. Do not write in this area,to be completed by city.or town offu;iaL City or Town: Permit/License# . Issuing Authority(circle one) I.Board of Health 2.Building Department 3.'City/Town Clerk 4.Electrical Inspector* 6. Other S.Plumbing Inspector Contact Person: Phone#• .. «. .t Information Mid. Instructs ms iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute;an employee is defined as"...every person in the service•of another under any contract o-f-hire., gress or implied,oral or written." aa?mdividgal,.P �:association,corpo ,n employer is defined as:. ration or other legal entity, or any two or more #the foregoing-engaged in a joint enterprise, and incluoing the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howcv..er.the- .wner of a dwelling house having not more than three apartments and who resides therein,or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik•on such dwelling house a on the grounds or building?appurtenant thereto shall not because of such employment b e deemed to be an employer." viGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or •enewal of a license or.permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." 4dditionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall Mter into any contract for the performance of public work until acceptable.'evidence.of compliance with the insurance -equirements of this chapter have been presented to the contracting authority. 4,pplicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(L.LP)with no employees other than the members orpartners; are notrequired to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for The permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below, Self-insured companies should enter their. self-insurance license number on the appropriate lime. City or Town Officials . Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant: Please be sure'to fill in the pennit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating Current .policy information(if necessary)and under"Job Site Address"'tlie applicant should write"all locations in (city or town)."A copy.of tiie-aff'idavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid a affidavit is-on-file for:future permits or-libenses..Anew affidavit must be filled out each year.where a home owner or citizeV is obtaining a license or peimitnot related to any business or commercial venture (ie, a dog license or p enntt to burn leaves etc.).said person is NOT required to complete this affidavit The Office.of Investigations would like to thank you in advance for your cooperation and should you have any questions, please•do not hesitate to give us a call. The Department's address,telephone and fax number: ' The Commonwealth of Massachusetts . Department of Indstdal.Accidents . . .. > Off ace of Investigations , fi00'Washington Sheet 4 • BoObn,MA 02111 617-727-4900 ext 4G6 or'1-877-MASSAM .Fax#617-727r7749 . wised 5-26-05 wwwmass.gov/44 Citizen Web Request Page 2 of 2 MUCH OF THE INFORMATION TAKEN FROM THE COMPLAINTATNS HAND WRITTEN ACCOUNT, NOT SURE OF WHAT"STILL EXCESS" MEANS System entry on 9/8/2006 10:21:05 AM: Assigned to Giangregorio, Robin System entry on 9/8/2006 10:21:31 AM: Related Request 20401 Entered on 9/8/2006 10:44:39 AM Bob should be able to get a better understanding of what exactly is going at this site when he goes for the inspection. http://issgl/IntemalWRS/WRequestPrint.aspx?ID=20400 9/13/2006 `pp THE►o The Town of Barnstable BARNSIZ-';- P y MASS. Department of Health Safety and Environmental Services 8. 039. �0 AIFD MP'�OA" Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 23 &ff-* W V96[.SU (27' Permit Number Aj F, Owner 2 Builder Z One notice to remain on job site,one notice on file in Building Department. The following items need correcting: (A')& No zS :::�o A Please call: 508-862-4038 for re-inspection. Inspected byq Date / L'I d r y`ppiMETp The Town. of Barnstable 9AR AS,';- E. MASS. Department of Health Safety and Environmental Services.t639' ♦0 .f' , TFD MA�'A Building Division ..._.. - 200 Main Street,Hyannis,MA 02601 Offices 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location .23 &4W YbV 90S61 07 Permit Number /V G AJ Owner 2 Builder Z One notice to remain on job site,one notice on file in Building Department. The following items need correcting: �J /ES7,6(Nd- sc No 5�7'c� ZS A V Please call: 508-862-4038 for.re-inspection. Inspected by Date B k 210077 Pa 215 050675 07-22-20 05 a 03 2 320 QUITCLAIM DEED We,Anie Soler,of Cotuit,Barnstable,MA in consideration of 345,000.00 grant Marcilio C Nunes Jr.,individually of 23 Bramblebush Drive,Cotuit,MA 02635 with QUITCLAIM COVENANTS . The land in Barnstable(Cotuit),Barnstable County,Massachusetts together with any buildings thereon,bounded and described as follows: ri ^r NORTHEASTERLY by Bramblebush Drive,as shown on hereinafter mentioned plan,one hundred for the-one and 47/100(141,47)feet. SOUTHEASTERLY by Lot 17 and a portion of Lot 16,as shown on said plan,a total distance of one hundred seventy-three and no/100(173.00)feet; rn WESTERLY by a portion of Lot 12,and a portion of Lot 11,as shown on said plan, a .Md total distance of one hundred twenty-five and 38/100(125.38)feet;and M NORTHWESTERLY by Lot 19,as shown on said plan,one hundred forty-five and 72/100 V (145.72)feet. Ilk Subject to a drainage easement as shown on said hereinafter mentioned plan. Containing an area of 20,600 square feet,more or less,and being shown as Lot 18,on a plan of land entitled, "Definite Plan `Pineview Village' Cotuit(Barnstable)Mass. Applicant: Dennis Star Construction Co. Scale 1"= 100' Sept.21, 1973 Apex Engineering Co,Inc. Sandwich,Mass." i Which plan is duly recorded in Barnstable County Registry of Deeds in Plan Book 282,Page 27. 3 Together with a right of way over the Ways shown on said plan in common with all others legally entitled thereto. c� �J Subject to easements and restrictions of record, if any, in so far as in force and applicable. For title reference see deed dated October 18,2004 recorded with Barnstable Registry of Deeds in Book 19143,Page 324. a ©© Rev.July 22,2005 Bk 20077 Pg 216 #50675 Executed as a sealed instrument this 22nd day of July,2005. Property Address:23 Bramblebush Drive,Cotuit MA nie Soler I Commonwealth of Massachusetts Barnstable, ss. July 22,2005 On this 22nd day of July, 2005 before me, the undersigned notary public,personally appeared Arlie . Soler ho pr99ved to me through satisfactory evidence of identification which were/was 4 ���� l�ce.0, to be the person(s)whose name(s)is/are signed on the preceding or attached document,and acknowledged to m at they/he/she signed it voluntarily for its stated purpose. Rotary Public My Commission Expires: Michael J.Gill Notary Public w Comrmomweallh of Massachusetts My Commisslan Expires Feb.2,2009 SSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 07-22-2005 8 03:32pm Ctl4: 1659 Doc': 50675 Fee: 51►179.90 Cons: $3457000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 07-22-2005 a 03:32pm Ct1T: 1659 Doc:: 50675 Fee. $786.60 Cons: $345?000.00 ©0 Rev.July 22,2005 BARNSTABLE REGISTRY OF DEEDS Town of Barnstable Geographic Information System November 7,2006 \040104 040128 040129 # 81 # 70 # 19 040103 # 69 040001 040127 #0 # 60 040102 040101 # 57 # 14 040110# 24 # 24 � #,7070 0 eurrERNUr CIRCLE 040099 0401-11 O,p 0089 # 26j # 52U 9� 5 O 04012�. O� _ # 61 FO � � ! 040096 GiS+y 4 040097 # 43� # 19 4 I 040125 4988 O;A 040090 ( N 040112 # 58 # 36 �---J G # 4TA 040098 0 # 29 O 040078 040 95. # 18 s 040087 t O 37 040091 # 29� O 040113' 24 �\ d 040094 # 22 # 040077 040079 ! �� 25058 h4� #f20 \ 040093 r b 040086 # 102 # 55 00 # 23 040114 # 8 040092 076 00 G�' #�101 040115 #4120 Z� #Y17, 040085 040116 •040081 #9 #4130 040075 , # 24 040084 0401-1,7' 0 # 2b 040083 # 58 040118 #'99 74 040082 # 46 040119 #ig7 040036 10 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:040 Parcel:085 Selected Parcel a fV boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:SCANNELL,JOSEPH P&MARY K Total Assessed Value:$298000 1"=100'may not meet established map accuracy standards. The parcel lines on this map w e E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.48 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:9 BRAMBLEBUSH DRIVE/ such as building locations. Buffer Town of Barnstable Geographic Information System November 7,2006 dui'.`- ,-• 040111 1 + ?p 0400899 t Q # 50 040099 "'Sx # 52 040126 fi O # 26 040096, - m #61 � \ G� 040097 0 #43 040088 040090 ,3. s # 19 .1 „— S O401.12 # 49T\ �436 �*,t{'Si ra 040125V ?�4 # 34 # 58 040098 0 08780 29 1 '\ 106 040087� 040 95 # 37 040091 # 29 • 040113 #�24 # 22 # 11'4 040077 0#40079 �20 [7 25058 #44� 1 040086''` a,r # 0023 # 55� '`. 040114 23u-> # 8 /\ 040092 # 4076 G`�G�� Ab" 040115 So, Wiry #~1.7> 040085 Q�N��` 040116 # ` /� 9 i 000 <.040081 #4130 040075 # 24 a 1�40084 040117 # 29 9�� # 58 Q # 99 C3 040083 040118 # 87 040074 S:�:o a 040036 # 17 040082 040119 Zg # 10 # 75 J°t� 'a �tRO 040035 040120 # 28 40071 $43, # 63#40 040 040034 #-1r, 040121 y; # 51 # 44 V 040072 040122 040033 �e�� 040045 �` ' # 37 # 6. � *` ` #0., # 20401234 ` # 25 040032 040044 040124` nn # 74 Z�30190A7 ee #<9V 040031 040042 040043 # 35,. #, #96 " # 63-' # 49 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:040 Parcel:085 Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:SCANNELL,JOSEPH P&MARY K Total Assessed Value:$298000 1"=100'may not meet established map accuracy standards. The parcel lines on this map �{_ E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.48 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:9 BRAMBLEBUSH DRIVE such as building locations. Buffer // // /� 1 ����� { i �Y L� •''�����O� 6 �� � �� � �� i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t , 'Map 0 Parcel l/ 60 Permit# O Health Division g'��'�� t� 5 Date Issued Conservation Division /�a S, pusm G$omC SYST6141 Tax Collector I . wnwTO�OF WMFff (1(/ Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address a mum bl(Z &,sk by. Village cc)ju i 9-H ooff.(p 35 Owner 50 ley- Address Telephone 3 Permit Request YS of ' M O z 1Y1S%w) Square feet: 1 st floor: existing pro osed 2nd floor: existing proposed Total new Valuation �� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units) Age of Existing Structure I Qg I Historic House: ❑Yes XNo On Old King's Highway: ❑Yeses No Basement Type: ❑Full ❑,Crawl Xwalkout ❑Other W BasemegFinished Area( q.ft.) Basement Unfinished Area(sq.ft) Number of Batffs. Fu : existing new Half: existing new Number.-of Bed7ooms: existing_ new Total doom Count(not&l ding baths): existing new c2 First Floor Room Count fzf Heaftype%6d Fuel:Ac as ElOil El Electric ❑Other N Central Air: ❑Yes/ Ao Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes X,' No Detached garag isting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# —Current Use - - `-` Proposed Use BUILDER INFORMATION Name j'Yl i r K. ���Y Telephone Number C�1 q) 36 8 ` 03-7 Address a 3 YC!ffi,b1e, Ju.�h_ta. License# O I P fi U26 35 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �lYu p —)���(.eJV DATE �05 FOR OFFICIAL USE ONLY :r PERMIT NO. 4 L DATE ISSUED - MAP/PARdUNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ; INSULATION .. co FIREPLACE ELECTRICAL: '* ROUGH FINAL PLUMBING: TOUGH FINAL ' 0 GAS: ROUGH FINAL FINAL BUILDING K- �e�'I ZOV, Ste, lam: _ DATE CLOSED OUT ; ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston,MA 02111 �•' — www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I�in 1 Q 1 1• ���1�r Address: 023 T2ra�rn bbz hash by ., City/State/Zip: Co4u 4 'A W635 Phone #: 3 (v 8- 0 3 4 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet I ❑ Remodeling ship and have no employees . These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3. am a homeowner doing all work right of exemption per MGL 11- Plumbing repairs or additions c. 152,§1(4),and we have no 12. Roof repairs myself. [No workers comp. ❑ ep insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp-policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL.c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Dater 5 Phone#: Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be'deei itd-tofie�avenVloyer•" MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permiVlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia r °FtHFlp�, Town of Barnstable Regulatory Services Thomas F.Geiler,Director ernes. 39. & ' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 0ffice: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ,�)� Type of Work: I Y Estimated Cost U"`� Address of Work: 3 ,{�rt�,m by Owner's Name: SO Of - Date of Application: I/ I g 144 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied �wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR t��g ► h. Sol�r Date Owner's Name Q:fb ms:hameaffidav Town of Barnstable FSl4E T�O Regulatory Services LST = Thomas F.Geiler,Director � 16 Building Division pTEDr t. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Vice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print I DATE: (4I(Ig- I O 5 JOB LOCATION: 23 BrQ11 Y1/ 6w 1)T CaL4 . '`7 fq ` 6" 3 5 number street village "HOMEOWNER': i�p iQ" fC �6I C T:T h 3 6 R- 03 name `` home phone# work phone# CURRENT MAMNG ADDRESS: (Q KI VY1 C i YC" L.(ri �)u rn(-)Lk4, 0o? 6 0 ci /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. Si tun of Homwwn Approval of Building Offi cial 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 honatowner 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 foirn/certification for use in your community. Q:forms:homeexempt i IN mo utrn o � g w o � —' IN - ON cr ole /3 c•%, /��� Assessor's map and`lot number ......`.'. U.9......... TBE toy♦ Sewage Permit number .......... ....6 ..... d� o Z BAWST11DLE, i House number .:..........; r!�t...........ne MABa ............................................... q 039 . 9� YP a� TOWN OF - BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION %Tlla:�� e � ' /,,,,,.......C1/©C� ,,,!�':.-0 .............. ....... C .... .....................19 U TO THE INSPECTOR OF BUILDINGS: 9 The undersigned hereby applies for a permit according to the following information: Location ........ ..........:.......................................................... ..................... ................................................................................. Proposed Use ....................Fire District ... 0�7(J / Zoning District ............,(............../..�....................... r ....................................x............................... Name of Owner ."! w....Address .. .!.........rt ..?..?.....` ...... Name of Builder' .Address. ...... Name of Architect .................................Address .......................................... Number of Rooms \�) .....Foundation D �. ... .............................. Exierior ...:�<4_� . .q,. v.�(I...................................Roofing �� � �` ......: !� �,w� —•v.................. .. . .. .� o c�c Floors .... Lt;)fir,c.0 ................................................Interior ..... �............................................. Heating C !1 ........................................Plumbing Fireplace .... ..N.. ..............................................................Approximate Cost ....... .:..n :...................................... Definitive Plan Approved by Planning Board _ --------19_3�S . Area ......................... ... ........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t i i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name1.`.' .. :........ ................................f ............. THEO CONSTRU TION A=40-86 No .... Permit for .One...S.t.or.y................... .. .. .... .. Single Family Dwelling ............................................................................... Location Lot #18, - 23 Bramblebush Dr. ............................................................ Cotuit ............................................................................... Theo Construction Owner ............................................. .................... Type of Construction' ....F.r...ame.............. .......... .. ....... ................................................................................ Plot ............................ Lot ................................ Permit Granted .. December 29,......................................19 82 Date of Inspection ....................................19 Date Completed ......................................19 2 2—