HomeMy WebLinkAbout0071 TOWER HILL ROADFT[
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ALT ERN ATfVE
WEATHERIZATION
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Date
Town of Barnstable
Building Division
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200 Main St. � •..,;.,� �:;�: •�.•:
Hyannis,MA 02601 r:: =• .:4: °:
The insulation work at :_. _ y7•'; ' :'•.�,';, ::E' r;
completed
has been .p :;1•ar`�•.".:.:�R >:�,;.:5'': °'�.;'-: = ��'�°���
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President
CSL 105454
58 DICIGNSON STREET I FALL RIVER,MA 02721 1 (508) $67-4240 I
ALTf NA TNEWFA7HER12ATION@GMAIL.COM
To Barnstable Town of Brtabl
.__ _ _.. _ .. _ , Building
t IPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
M"� jMMSrABM • Posted Until Final Inspection Has Been Made.
s6 Permit
3p. ��" I
° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-533 Applicant Name: Jeremiah Hegarty Approvals
Date Issued: 03/14/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/14/2019 Foundation:
Location: 71 TOWER HILL ROAD,OSTERVILLE Map/Lot: 117-155 Zoning District: RC Sheathing:
Owner on Record: HEGARTY,JEREMIAH THOMAS Contractor Name: Framing: 1
Address: 71 TOWER HILL ROAD Contractor License: ` 2
i
OSTERVILLE, MA 02655 Est. Project Cost: $5,500.00
Chimney:
Description: Roofing the remainder of the house that wasn't done in the last Permit Fee: $35.00
� Insulation:
four months Fee Paid: $35.00
Project Review Req: f Date: 3/14/2019 Final:
Plumbing/Gas
Rough Plumbing:
ffilidl
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. j Final Gas:
I r'
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Service:
2.Sheathing Inspection '
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
_ Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
Low Voltage Rough:
7.Final Inspection before Occupancy
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT <1 s Final:
0
Town of Barnstable Building
t sAmsrA Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
1639. Permit
P
Posted Until Final Inspection Has Been Made..� 1 11 lli 1.
' o►uct' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-206 Applicant Name: Jeremiah Hegarty Approvals
Date Issued: 01/29/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/29/2019 Foundation:
Location: 71 TOWER HILL ROAD,OSTERVILLE Map/Lot: 117-155 M Zoning District: RC Sheathing:
Owner on Record: HEGARTY,JEREMIAH THOMAS I Contractor Name r'�� Framing: 1
Address: 71 TOWER HILL ROAD Contractor License: 2
Est. Project Cost: $ 15,000.00
OSTERVILLE, MA 02655 '�!1 Chimney:
Description: Re shingle entire house \ Permit Fee: $76.50
t Fee Paid:; $76.50 Insulation:
Project Review Req: Final:
Date:� 1/29/2019
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after-issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. f
�---— Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing '^
2.Sheathing Inspection -� Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed '
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
O!✓�—Sru�
GMAT-_ SST
ALTERNATIVE
WEATHERIZATION
12 ttdf
0
Date y
Town of Barnstable
260 Main St. Q'
Hyannis, MA 02601
Re: Permit# YU
The insulation work at /
has been completed in accordance with°:7.80CMft:
Agency work performed for
Timothy Cabral;"
President
CSL-105454
58 DICKINSON STREET I FALL RIVER,MA 02721 I (508) 567-4240 I ALTERNATIVEWEATHERIZATION@GMAIL.COM
' ,6-off a���
t Application number ....... ........ ................ ......
Fee ..................2. ...............................................
es,�ss '�►s Building Inspectors Initials...... ... ......................
�sb®'^ "ETF 00;40 Date Issued............g�....?. ... ...........................
SEP 1 2 201
Map/Parcel...../.j.7......./,S..s..........................
TOWN1 J,-1
� R F BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 4- -71 T� p, Qs T&K y%L&f�
NUMBER STREET VILLAGE
Owner's Name: = Phone Number ,! Q 3(o p— /05
Email Address: Cell Phone Number
Project cost$ 31 (Q SPA,p Check one Residential ►� Commercial
OWNER'S AUTHORIZATION
As owner of the above pr I her by authorizeb,
to make application f7 a b ' in ernut% acc ce with 780 CMR
Owner Signature: Date:
TYPE OF WORK
E-1 Siding 0 Windows (no header change)# F-1 Insulation/Weatherization
0 Doors (no header change)# Commercial Doors require an inspector's review
t VI Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to-V AA m D 4 tit L AWb f%L L
CONTRACTOR'S INFORMATION
Contractor's name C)vnt,„,o
Home Improvement Contractors Registration(if applicable) # J 9 7 b (p (attach copy)
Construction Supervisor's License# (o (attach copy)
Email of Contractor t>k r W t;=-B3 Co-t-,. Phone number �50 S—-Z(, 33 2F
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER ............................................................
*For Tents Only*
Date Tent(s) will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval,
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures, specific inspections and documentation required by 780
CMR and the Town of Barnstable.
Signature Date
APPLICANT'S SIGNATURE
Signature Date r G 2 l
All permit applications are subject to a building official's approval prior to issuance.
i
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 Please Print Legibly
Name(Business/Organization/Individual): C_j-L 1i4�
Address: 7— cter 'T 1;
City/State/Zip:k— Phone#: �-
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. NI am a general contractor and I
employees(full and/or part-time).* ave hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
workingfor mein an capacity. employees and have workers'
Y P h'• t 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:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: < l' 7owke lit- D 9 City/State/Zip: 0ST-F_2ll/&6i.f/146
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi nder the pains and penalties of er*j that the information provided above is true and correct ury
Si ature: Date: 1 2_
Phone#: S010, j IOC 2
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 deemed to be an employer."
i
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-contractors)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 permit/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"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 bum 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 4-24-07
www.mass.gov/dia
WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
Information Page
i WC 00 00.01--
Atlantic Charter Insurance Company VDAC
NCCI Co. No. 29211 Policy Number WCV01243703
1. INSURED: Prior Policy Number WCV01243702
Robert Tyndall Producer:
Tyndall Roofing Miller McCartin, Inc. DBA Dowling & O'Neil
PO Box 1093 PO Box 1990
Forestdale, MA 02644 Hyannis, MA 02601-1990
Federal ID Number 999100972
Business Type: Sole Proprietor Risk Id Number:
SIC 9999 - NONCLASSIFIABLE ESTABLISHMENTS
Other Named Insured: See WCE106 Other Work Places See WCE107
2. POLICY PERIOD: The Policy Period Is From: 07/15/2018 To 07/15/2019 12:01 A.M. Standard Time
at The Insured Mailing Address
3. COVERAGES:
A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states
listed here:MA
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our
liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident
Bodily Injury by Disease $ 500,000 policy limit
Bodily Injury by Disease $ 500,000 each employee
C. Other States Insured: Part Three of the policy applies to the states, if any, listed here:
COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B
D. This policy includes these endorsements and schedules:
See WCE105
4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates &
Rating Plans. All information required below is subject to verification and change by audit.
Code Premium Basis Total Rate Per Estimated
Classifications No Estimated Annual $100 of Annual
Remuneration Remuneration Premium .
See WC 00 00 01
Minimum Premium: Deposit Premium:
$550 $7,194
Total Estimated Premium $9,085
Interim Adjustment: Annually Surcharge(s) 395
Servicing Office: Total Premium and Surcharge(s) $9,480
25 New Chardon Street
Boston, MA 02114-4721
Issue Date 06/29/2018 Countersigned By: ' Date
Copyright 1987 National Council on Compensation Insurance Form: 100mvnt4
rs&Business Regulation
ENT CONTRACTOR
Idividual Registration valid for individual use only
Expiration before the expiration date. If found return to:
OS/22/2020 Office of Consumer Affairs and Business Regulation
=lu= One Ashburton Place-Suite 1301
Boston., A 02108
Z., '
i
Undersecretary Not valid without signature
Commonwealth of Massachusetts
®� Division of Professional Licensure
L Board of Building Regulations and Standards
Construetion lSidpe.rvisor
CS-046189 E� ires: 10/29/2018
B•:: I'
DAVID H WEB13 . -
179 TEATICKE HIGHWA.
EAST FALMOUTFI MA. 02536' a�
r'yr)ISS-1-10
' Commissioner
' Construction Supervisor Cj,
Unrestricted-Buildings of any use group which contain
less than 35,000 cubic feet(991 cubic meters)of enclosed
space.
i
i
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpi
;. J ;. e
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '
Map PP Parcel A lication #
Health Division Date Issued
Conservation Division BUILDING DEP�pplication Fee
. G
Planning Dept.. Permit Fee S
Date Definitive Plan Approved by Planning Board JAN 10 2018
Historic - OKH _ Preservation / Hyannis TOWN OF BARNSTABL[.
Project Street
6S_f_�v1'1_(e_
Address 7 f W&- Ai ft C[
Village
Owner J N_A-m r Address -J UWy- /?a-/.
Telephone 0 ^ 0 U 5
Permit Request c'? " �
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
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 ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑.Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name /f►0MZ � Telephone Number��a 5 oyw yU
Address o? ZA r "-v License #
Home Improvement Contractor#
Emailo-W-rnrfivea)2a.4Wza oA@ 002A Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _& ✓e rS
SIGNATURE DATE U /
pp-
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
ICI
h . FRAME
INSULATION
Y '
FIREPLACE
! ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
. GAS- ROUGH FINAL .
FINAL BUILDING r
DATE CLOSED OUT -
ASSOCIATION PLAN NO.
i
DocuSign Envelope ID583D1dDGB-OAE6-4249-8126-F143AD5C379F
o� THE >ak Town of Barnstable
Q� y o
Co Regulatory Services
RAPUNSTABLE, Richard V. Scali,Director
MASS. m
Building Division
ArF0 MA
Paul Roma
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-7.90-6230
Property Owner Must
Complete and Sign This Section
I, Jerry.Hegarty , as Owner of the subject property '
hereby authorize n to act on my behalf,
in all matters relative to work authorized by this building permit application for:
71 Tower Hill Road Osterville, MA 02655
(Address of Job)
DocuSigned by:
12/21/2017 ( 10:55 PM EST
IJF87E46280330 aA
Signature o�Owner Date
Jerry Hegarty
Print Name
I
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form.
C:\Users\decollik\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doe
01/25/17
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
NA%rkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERNlITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.
Address:2 LARK STREET
City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240
1
Are you an employer?Check the appropriate box: Type of project(required):
1.[D I am a employer with 16 employes(full and/or part-time).* 7. New construction
2.[:]1 am a sole proprietor or partnership and have no employees working for me in 8. Remodelin
any capacity.[No workers'comp.ins"ce required.]
9. ❑Demolition
IM I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 Q Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs
These sub-contractors have employees and have workers'comp.insurance.-
14.❑✓ Other INSULATION
6.❑We are a corporation and its officer's have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
-Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:STAR INSURANCE COMPANY
Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18
Job Site Address: / �� AW a. City/State/Zipa—_* 1zd1e
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
i
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify unde [h , ins an es p rjury that the information provided above is true and correct
Signature: Date:
p
Phone 9:508-567-42
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#:
�,,....� ALTEWEA-01 SNERONHA
ACOR>0' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY)
05/26/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endomemen s.
PRODUCER NjAT,AcT Christine Costa
Mason&Mason Insurance Agency,Inc. aCo, ,E><t):(781)523-0067 F No):
458 South Ave. E ana Whitman,,MA 02382 ccosta@masoninsure.com
INSURE S AFFORDING COVERAGE NAIC 0
INSURER A:Evanston Insurance Co. 135378
INSURED INSURERS:Safe Insurance Company 139454
Alternative Weatherization,Inc. INSURER c:Star Insurance Company 118023
2 Lark Street INSURER D: I
Fall River,MA 02721 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO PERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRLTR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 1,000,000
� i DAMAGE TO RENTED 100,000
I I CLAIMS-MADE I OCCUR 3C42088 06/07/2017 06107/2018 1 s
MED EXP(Any onePerson) $ 6,000
i PERSONAL&ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
I POLICY jp&- FI LOC PRODUCTS-COMPIOPAGG I S 2,000,000
OTHER: I Is
B ILTOMOBILE LIABILITY i COMBINED SINGLE LIMIT I$
1,000,000
;ANY AUTO i 6237702 10410812017 04108/2018 130DILY INJURY Per ersan S
r~OBE ONLY I X7OpUlEDpp BO�DILY INJURY(Per accident) $
AIJRIPOS ONLY X AUOTr?S ONLY Peoa,,, AMAGE S
I ( I s
A ; UMBRELLA UAS X OCCUR EACH OCCURRENCE I S 1,000,000
i S 1,000,000
X OBW6619616 061071207 0610712018 AGGREGATE
DED EXCESS LIAB
RETENTIONS I s
C WORKERS COMPENSATION ( X I PTR OTH
iANY
ANo EMPLOYERS'LIABILITY YIN C 08492$7 OO 04/04/2017 04IW2018 500,000
PROPRIETOR/PARTNERlEiLECUTIVE E.L.EACH ACCIDENT S
rFlCER1AdEMNT)EXCLUDED? a N 1 A 600,000
��Mandatory In N ) E.L,DISEASE-EA EMPLOYEE S
If yes,dewAbe under 500,000
DESCRIPTION OF OPERATIONS belay E.L.DISEASE-POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Ad"onal Remarks Schedule,maY_be attached It more space to requiredl
Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General
Liability policy per terns and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02
16).Forms Available Upon Request
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
National Grid ACCORDANCE WITH THE POLICY PROVISIONS.
40 Sylvan Road
Waltham,MA 02451
AUTHORIZED REPRESENTATIVE
ACORD 25,2016/03) \ O 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvementractor Registration
Type: Corporation
Registration: 175683
ALTERNATIVE WEATHERIZaTiON,INC. „+r ?a l i T :wi Expiration: 05/28/2019
2 LARK S7
FALL RIVER,MA 02721
Update Address and return card. Mark reason for Change.
SCA 1 0 20v-05�11
__Q Add____ps_n Rprgwal 171 Fn.nlrk=*rd n Lont. .are
-.-�;-.—==- Office of Consumer Affairs&Bualness Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
Vim i� Corporation before the expiration date. If found return to:
gairation Office of Consumer Affairs and Business Regulation
;t75 05/28/2019 10 Park Plaza-Suite S170
ALTERNATIVE WEAT EERIZATI9N,INC. 5n,;MA 02116
TIMOTHY CABRAL
2 LARK ST _ ,• C
FALL RIVER,NIA 0272i Undersecretary rkd,4*
r-�
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 1 Parcel Application #j 9, (0
Health Division Date Issued p
Conservation Division BUILDING DE PT'- Application
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board JUL 28 2017
Historic - OKH Preservation/ HyannisOWN OF BARNS ABLE �
6M aj 1Z
Project Street Address -7/ l aW4— bi ll R�
Village C#617V1 (L
OwnerJ� �7 Address I/ f 07AY�b'�// 1"61
Telephone J�(J 3(0� — /D �fP.rv�,«• �'b/�
Permit Request f it s, irc� e S
Cr S-id &77C~47-IJ-)a& &n,dbel-��y�' �elm-
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation LN53,U'b Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type:-Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other
Basement Finished Area(sq.-ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size — Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name 11 rL'ahraiL Telephone Number —�Z,
Address o� `-�� "� � tt A-yt e- License# /&J Ksy
MA Home Improvement Contractor# 7�
EmailQ( Za i Worker's Compensation # 6 0Wo?S7 D�
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pr�.T
6 Ls s'dt3
SIGNATU DATE
FOR OFFICIAL USE ONLY
APPLICATION #
j DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
kk FIREPLACE
f ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
' GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
C ti
DocuSign Envelope ID:B9955119-BBOA-4063-A69C-46B407901E7C
Town of Barnstable
Regulatory Services
Richard V. Scali,Director
16.19.
Building Division
Tom Perry, Building Commissioner
200 Maui Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-79M230
Property Owner Must
Complete and Sign This Section
If Using A Builder
Jerry Hegarty
I, , as Owner of the subject property
Alternative Weatherization
hereby authorize to act on my behalf
in all matters relative to work authorized by this building permit application for:
71 Tower bill Rd, osterville, MA 02655
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
L
gned by:
Signature of Owner Signature of Applicant
Jerry Hegarty
Print Name Print Name
i 7/25/2017 1 11:03 AM EDT
Date
Q:EaW:CWNERPERGSSICNP0MS
+4 _
The Commonwealth of Massachusetts
Department of Industrial Accidents
0
I Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Apulicant Information Please Print Legibly
Name(Business/Organiaation/Individual):ALTERNATIVE WEATHERIZATION, INC.
Address:2 LARK STREET
City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 t
ti
Are you an employer?Check the appropriate box: Type of project(required):
1.❑✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9. El Demolition
3.❑I am a homeowner doing all work myself.(No workers'comp.insurance required.)t
10 ❑Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole I l.❑Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
14.❑✓ Other I NSULATION
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:STAR INSURANCE COMPANY
Policy#or Self-ins.Lic.#:0849257 00 ,[ "'� ,Q Expiration Date:4/4/18
Job Site Address: 7� �� 11 1C]f✓ City/State/Zip: �vl /le
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expira "on date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify unde th ins an es p rF ry that the information provided above is true and correct
Signature: Date: oZ 7
Phone#:508-567-42
Official use only. Do not write in this area,to be completed by city or town officiat
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
,,.•-� ALTEWEA-01 SNERONHA
CERTIFICATE OF LIABILITY INSURANCE O 05/ 612 2612TE /Y017
�.,..•-� 057
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiicy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endomemen s.
PRODUCER ACT Christine Costa
Mason&Mason Insurance Agency,Inc. AM/ EMI:(781)523-0067 jArc,No):
458 South Ave.
Whitman,MA 02382 %%Ss,ccosta@,masoninsure.com
INSURE S AFFORDING COVERAGE NAIC q
INSURER A:Evanston Insurance Co. 35378
INSURED - INSURER e:SafetyInsurance Company 139454
Alternative Weatherization,Inc. INSURER c:Star Insurance Company 18023
2 Lark Street INSURER 0:
Fail River,MA 02721 INSURER E:
!
COVERAGES CERTIFICATE NUMBER: INSURERF: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE IADDLII
NSO SUER POUCY NUMBER POLICY EFF POLICY EXP WVD LIMITS
A I�X (COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000
I CLAIMS-MADE ( OCCUR 3C42088 i 06/07/2017 06/07/2018 DAMAGE TO RENTED 100,000
MISESfEaacanrance) is
!�! MED E�XP An oneperson) S s'OOO
PERT sONAL R ADV INJURY S 1'O00,000
j.GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,600
Hsi POLICY E 5MOT F-1 LOG i PRODUCTS•COMPIOP AGG 15 2,000,000
i OTHER: is
B AUTOMOBILE UABIUTY I COMBINED SINGLE LIMIT I S 1,000,000
I ANY AUTO 6237702 04/0812017 04108120181 BODILY INJURY(Per erson S
{{��OWNED SCHEDULED
��I ''AUTOS ONLY M
AUTOS pp i BODILY INJURY Per accident S
I I A ins ONLY AUOTN OILY 1 Oa to t AMAGE S
IS
A UMBRELLA UAS X OCCUR I EACH OCCURRENCE Is 1,000,000
XEXCESS UAB I CLAIMS-MADE XOBW6619616 10610712017 06/07/2018 AGGREGATE +I s 1,000'000
DIED I I RETENTIONS I I S
C WORKERS COMPENSATION X P'cR OTH-
AND EMPLOYERS'LIABILM YIN WC 0849257 00 04/04/2017 04/04/2018 600,000
ANY PROPRIIETOERi'RTNER/EXECUTIVc E.L.EACH ACCIDENT ER s
FF IiMatW ItMi NH)EXCLUDED? N/A SOO,000
E.L.DISEASE-EA EMPLOYE S
If es,describe under 600,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
I 1 I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is requiredl
Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates shall be named as additional insureds on Commercial General
(Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02
16).Forms Available Upon Request.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
National Grid ACCORDANCE WITH THE POLICY PROVISIONS.
! i 40 Sylvan Road
I Waltham,MA 02451
AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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'1`*401MY CABRAL
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Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston, Meusetts 02116
Home Improvem tractor Registration
Type: Corporation
4^IM - Registration: i 75fa$3
ALTERNATIVE WEATHERIZATION,INC. Expiration 05/28/2019
2 LARK ST
FALL RIVER,MA 02721
4
.�
\ j.4
1,
Update Address and return card. Mark reason for change.
$CA, 0 20M-05iti
�._ _. 171 Adritess ❑Renewal I1 Emplr mmt ❑L east.rore
Office of Consumer Affairs&Sualness Regulation
Hf, HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Cowatim txefare the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
�q•7 tj89„ 05/28/2019 10 Park Plaza-Suite 6170 +
ALTERNATIVE
k'i_.•- n,MA 02116
4
N7�:,.. T 1j (ON,INC.
TIMOTHYCABRAI. =>= Q��
2 LARK ST
FALL RIVER,MA 0272'I Undersecretary Ot V O 83 8> Jt@
11
• • rowil <Iooney75 • e►
Subject: IMG00020-20110414-1217.jpg
Date: June 6, 2011 8:07:50 AM EDT
To: "John Crow" <1ooney75@comcast.net>
' - • • •• •
• • KB
M �• �Sd1'�S�`��
1 .' ...�,`'������+ s�a •T �•.'.
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law. �/
DATE: M Of 11°1'G Fill in please:
APPLICANT'S YOUR NAME/S: Rus, 3aKar�Zl1 ��
RIJ
BUSINESS YOUR HOMEADDRESS: 71 7ow Hi/
,rr+, $ 3Z9S-ce seery%/le /-(A 02 6SS
774' 3G
f..- 'uy'�yti Y•k di:1•itL•1.i 5};�.� 77 9J -ca/�
11 u • '}9'""` L'���y��'?;�� TELEPHONE # Home Telephone Number
�Jsvi3r�ajd 7 ru
5SN or EIN 66$ - 12 - 7$7
5 be ..
Q oo coN,
NAME OF CORPORATION: �?us�'s an S e Gctr- ens es. .r� Pry ert "a.nca n
NAME OF-NEW BUSINESS TY E OF BUSINESS "S Pe'
ProDe�fy !�(ana9,nS
IS THIS A HOME OCCUPATION? YES NO
ADDRESS OF BUSINESS 7/ lowers �— MAP/PARCEL
[Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. 7 (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
'I. BUILDING CO MISSIO ER'S OF IC MUST COMPLY WITH HOME OCCUPATION
This indivi ual h e�nf rm of ny rmit requi ements that pertain to this type of businessRULES AND REGULATIONS. FAILURE TO
COMPLY MAY RESULT IN FINES.
Au hori d ign e**
MMEN S. c 01
UPI
G(� 'ervet— t
2. BOARD OF H LTH -
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type-of business.
Authorized Signature**
COMMENTS:
i own opt Barnstable
r��oC HE rq� Regulatory Services
�y o Richard V.Scan;Director
Building Division
MASM
Tom Perry,Building Commissioner
'°ren rut°' 200 Main Street,Hyannis,MA 02601
www.town.b a rnsta b l e.m a.us
1
Office: 508-862-403 8 Fax: 508-790-6230
Approved: XI; o�1 6
Fee: 35
Permit#: .
HOME OCCUPATION REGISTRATION
Dare: 140-y 9 2-c)
Name: R ut5' H- bcc Kard zA r-e✓ Phone#: 774 369 3 Z 3 E ee/
i
7/ 'ower H;l( /
Address: ) /�d YiIlage: f�,$-t e!'yi Ile
Rus;'s z�Jsca G d p
� .Name of Business: __�P , �tr P_n S• ,r D�°S•���'1 n�( �irO �r�y
Type of Business:Ln Js c cc J t;&pro c3r� Pa,,'.. ;n Mapa ot: I 1 ? �r--7 J
INTENT. It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation.
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pickup 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
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant: AIr
�o�Zcz �il„ `�'� Date: PO
Homeoadoc Rev.103113
BIRST INSPECTIONS JUNE 16,2011
Inspectors: James Parziale (BOH), Jeff Lauzon(Bldg). LT. John Cosmo (Hy FD),
Robin Anderson(ZEO)
BPD: Chief Paul MacDonald, Officer Chris Kelsey
56 Tower Hill Road
• Reported to site approximately 6:15 PM
• Property file contains notation on jacket from former BC R Crossen recognizing
this to be a NC two family dwelling.
• Appears that property is being painted and or power washed.
• Property neat, no signs of overcrowding
• One unit may be vacant at this time but no resident responded.
• No violations found
71 Tower Hill Road
• Reported to site 6 PM.
• Joseph Sullivan, Jr. was outside in driveway.
• Discussed unregistered vehicles.
• Two unregistered vehicles have been removed.
• Mr. Sullivan is helping tenant.
• Two adults and two children reside her.
• The camper is likely to be towed to Mr. Sullivan's grandmothers' house off-Cape.
• The boat will be towed to Mr. Sullivan's grandmothers' house off-Cape.
• It is their intention to also transport the camper there as well but are waiting to get
a vehicle with a trailer hitch.
• This should occur within a couple of weeks.
• Discussed keeping a low profile and maintaining.a neat yard.
• No violation found
76 Tower Hill Road
• File indicates this is a NC property with two units.
• Reported to site at 5:45 PM.
• Property consists of two units.
• Property very well maintained outside.
• Found one vehicle on site MA plate 54K L68
• No screen on front door.
• Ownef is Adam Hostetter.
• Admitted to lower unit by tenant.
• Found clean one bedroom apartment occupied by two adults.
• Missing one CO detector—later found, unit removed due to chirping
• Advised to replace batteries and reinstall.
• Smoke detector needed new battery.
• Female tenant advised that one male tenant resides upstairs.
1
Parcel Detail Page 1 of 3
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Logged In As: Parcel Detail wed day, May 4 2011 /i/.r
Parcel Lookups ^� U
Parcel Info awl
Parcel ID 117-155 Developer _
Lot <
Location 71 TOWER HILL ROAD I Pri Front e r—0 VX I A
Sec Road I Fr tSe
Village OSTERVILLE Fire istrict C-O-MM O
Sewer Acct oad Index 1729
.Asbuilt Septic Scan: Interactive jy
ave ,' t , l
117155_1 p
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- Owner Info
Owner JHEGARTY,JEREMIAH & ( Co-owner LUKAS, LAURI R
Streets 122 SEA VIEW AVE I Street2
City JOSTERVILLE I State MA zip 02655 Country
- Land Info
Acres 10.29 use Single Fam MDL-01 I zoning RC Nghbd 10109
Topography Level I Road Paved
Utilities I Septic,Gas,Public Water I Location�— r
" Construction Info _
Building 1 of 1 f'S l 5 6r `GP
Year I Roof Ext
able/Hip I
1941 Wood Shingle
Built Struct wall
Living 1248 I Roof Asph/F GIs/Cmp I AC None
Area Cover Type t
Style Cape Cod ____. I wall In Drywall Rooms 4 Bedrooms
0 4
Model I Residential I Floor I Rooms Bath 2 Full ( 72^ 8'
Grade jAverage I Heat Hot Air I Total 7 Rooms I MI
Type Rooms
R •, 4 8 2 `
Stories 11 1/2 Stori Found
es I Fuel Heat Oil I ation Typical
s _
Gross 3192 —I
Area
Permit History
Issue Date Purpose I Permit# Amount I Insp Date Comments u
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Parcel Detail Page 2 of 3
Visit History
Date Who Purpose
11/06/2006 00:00:00 Paul Talbot Cyclical Inspection
11/01/1999 00:00:00 Paul Talbot Meas/Listed-Interior Access
I
Sales History
Line Sale Date Owner Book/Page Sale Price
! 1 04/15/1986 HEGARTY,JEREMIAH & 5030/300 $172,000
2 GREGSON, DONALD A 1026/462 $0
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2011 $129,400 $3,300 $0 $237,800 $370,500
2 2010 $129,000 $3,300 $0 $243,000 $375,300
3 2009 $127,300 $2,400 $0 $245,000 $374,700
4 2008 $137,900 $2,400 $0 $277,200 $417,500
6 2007 $156,700 $2,400 $0 $277,200 $436,300
7 2006 $138,200 $2,400 $0 $251,700 $392,300
8 2005 $121,000 $2,300 $0 $230,800 $354,100
9 2004 $96,900 $2,300 $0 $182,000 $281,200
10 2003 $92,000 $2,300 $0 $116,500 $210,800
11 2002 $92,000 $2,300 $0 $116,500 $210,800
12 2001 $92,000 $2,400 $0 $116,500 $210,900
13 2000 $67,100 $2,200 $0 $48,700 $118,000
14 1999 $67,100 $2,200 $0 $48,700 $118,000
15 1998 $67,100 $2,200 $0 $48,700 $118,000
16 1997 $66,100 $0 $0 $42,200 $108,300
17 1996 $66,100 $0 $0 $42,200 $108,300
18 1995 $66,100 $0 $0 $42,200 $108,300
19 1994 $69,700 $0 $0 $38,000 $107,700
20 1993 $69,700 $0 $0 $38,000 $107,700
21 1992 $79,500 $0 $0 $42,200 $121,700
22 1991 $87,900 $0 $0 $84,400 $172,300
23 1990 $87,900 $0 $0 $84,400 $172,300
24 1989 $87,900 $0 $0 $84,400 $172,300
25 1988 $64,700 $0 $0 $44,100 $108,800
26 1987 $64,700 $0 $0 $44,100 $108,800
27 1 1986 1 $64,700 $0 $0 $44,1001 $108,800
Photos
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Parcel Detail Page 3 of 3
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