HomeMy WebLinkAbout0083 BUTTON WOOD LANE uu
UPC 12543
Now 53LOR
HASTINGS,MN
PROJECT
NAME• u U
ADDRESS: NOo d c- /U
WY
PERNIIT#
DATE:
WP: V- V
LARGE ROLLED PLANS ARE IN:
� S
BOX
SLOT
DATE:
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CIS VS � 0.32490
aNALS1ER2G.8 WAI-OW 7,5.7 � .1 wEf 7AZ HAl LAtiA . . .--. .
TOWN OF$ARNSTABLE Permit No. ,32616
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
6-S0•
9''t6u+ HYANNIS.MASS.02601 Bond ........ �.!!�A�
CERTIFICATE OF USE AND OCCUPANCY
Issued to Daniel Gallagher
Address Lot #13, 83. Buttonwood Lane
West Barnstable, Mass_
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE"BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
I
Max ll�
19 ..8 9.......... I....4r .....................
Building Inspector
At
` o�TOWN`OF BARNSTABLE, MASSACHUSETTS
-VA 2g17-044
DATE '�E:IOrllc2rj7. �•, C ' l9 8� *'4` PERMIT NO. + O `�3261�6 � ,
V�+ LICA Y I1UiClE' yinC: ADDRESS l95 NIain 'Street, -'W.
Harwich 2` .�
;.}: t i (NO.), •A + ,.(STREET)1 ,^�,' n ;x �„ _ (CONTRg S,,IIC,�Iy+ &gn
PERMIT'.TO Build Owelli11Q ( -� ) STORY Sli�Qlc L'�Imily DWL?111nC • NUMBER 'OF 9t�L"���
-(TYPE OF IMPROVEMENT) NO. DWELLING UNITS
��11.. (PROPOSED USE)
+x•+�
AT (LOCATION) Lot Trl,i , 83 Buttonwood LanC:'., W. $arnstable "ZONING"'` v LrJ.
i•, (No.) DISTRICT
(STREET)
BETWEEN AND P z,rA 3v�
(CROSS STREET) R
�. (CROSS STREET) , y ;t.#•
, k
SUBDIVII�JON LOT "> f fiti 'frT
LOT BLOCK SIZE '? ::e%-:ti'•;%"$j;3•�.'_•}?s;+
- , �
BUILDLNG'IS TO BE FT, WIDE By LLrF
, LONG 8V FT, IN HEI
FT GHT.AND SHACONORM}IP(CON$TRU�CTJO�
TO TYPE USE GROUP f Ffi
BASEMENT WALLS OR FOUNDATION_ t Pc. ••.J`S;' �''�
REMARKS: Sewage 088-743 (TrP T
hARE
A OR
7 p r7 fi Honda9Yiv�
"VOLUME. 1780 �1P it♦ �. - a,' ' �' s` �t/ ti �.an/
OOO . PERM T `+`'ALtYxy� y
x71 ESTIMATED COST $• 7O
IC FEE H5 hO�Y�w
' - UBIC/gO UARE FEET) �,.• .,,
t
Dariidl Gu
OWNER llagher
ADDRESS`
Ml ton Terrace,Randolp 1, IVLI� BUILDING,DEPT� •. �` r
B Y °
s
t r y ,r u*t
S✓ rn7Yf�i I $ :1Zt
OF ANY APPLICABLE SUBDIVISIONN ES RICT� 1 ERMIT DOES NOT RELEASE•THE APPLICANT FROM THE
:CONDIT ONf.MINIMUM OF THREE CALL ,•�,; r.
INSPECTIONS REpU1RED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE'SEPARATE t
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN
PERMITS I.-FOUNDATIONS.OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICALLECTR ENSTALLN INS REQUIRED TALLATIONS.
2•';,PI RING STRUCTURAL ELECTRICAL,. PLUMBING ANO P''
`•MEMBERS('READY TO LATH), QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL •; *i # c •�u
3 'FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, c-'r' �� _%.,*,•bK";OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FR ,� ,V ,
BUILDING INSPECTION APPROVALS FROM STREET" .".
PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS'
. 1 :gV �
s
a� HEATING INSPECTION APPROVALS .r
ENGINEERING MARTMENT.
01
� s ♦ r5 Lid�.,
l�,4ty .. ,
OTHER n S G E
CT. Ta /
S BOARD OF HEALT10 c�H`
t"
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL A N D V a �
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATETIHE y 4-
CONSTRUCTION. INSPECTIONS INDICATED ON THIS',CARD PERMIT.IS ISSUED AS NOTED ABOVE ARRANGED FOR BY TELEPHONE;-OR,WRITTEI�
NOTIFICATION. (3j �
MYCOCK, KILROY, GREEN & McEAUGHLIN, P.C.
ATTORNEYS AT LAW
P.O. Box 960
BERNARD T. KILROY 171 MAIN STREET ' OF COUNSEL
ALAN A. GREEN HYANNIS. MASSACHUSETTS 02601 EDWIN S. MYCOCK
CHARLES S. MCLAUGHLIN, JR.
MICHAEL D. FORD AREA CODE 508
771.5070
MARK D. CARCHIDI
LAURIE A.WARREN FAX 508-790-1954
MARIBETH KING
December 16, 1988
Mr . Joseph Daluz
Building Inspector
Town Hall
Hyannis, MA. 02601
Re: lot 13 , Buttonwood Lane, W. Barnstable
Dear Mr . Daluz :
Please be advised that this office represents Mr . and
Mrs . Daniel Gallagher, the owners of the aforementioned lot .
Said lot contains 40, 870 sq. ft . of upland and has
approximately 260 feet of frontage on Buttonwood Lane. Said
lot was created pursuant to an approval required subdivision
plan in 1968 which plan was recorded in Plan Book 227, Page
57 . Mr . and Mrs . Gallagher purchased said lot in November of
1972 and have continued to own said lot in separate ownership
from any adjoining land since that time.
The property is located in an RF zoning district
which presently requires 150 feet of. f_rontage and 43 , 560 sq.
ft . of area . Although the area does' not meet the present
minimum requirements, the lot complied with all the zoning
requirements at the time it was created and by virtue of being
held in separate ownership, is buildable under the provisions
of Section 4-4 . 5 of the Barnstable Zoning By-law (the
grandfather clause) .
The lot also has the benefit of a variance granted by
the Barnstable Board of Health dated October 27, 1988 .
V� �t�-t 1 y Y
Michael D. Fo
MDF/djw
CC: Mr . and Mrs . Gallagher
4851d
SEPTIO _ T- d
Assessors office (1st floor): "`� `�' �r� ', FTNET
7/ �;., �..�E
Assessor's map and lot number .... ... .. ... .d.�� IK•: ���:� TITLLr- 5
r,
Board of Health (3rd floor): ��r�fEl�TAL CODE e � o•
Sewage Permit number ....... ...7..Y.3 ..
........ TOVI/N REGULATIONS t BAUSTOBLE. .
o,,r k,: -, ULATION�
Engineering Department (3rd floor): 83 0o rb 9-
Housenumber ...................................(............................�........ ' aUP�a'
Definitive Plan Approved by Planning Board ______1`___8_____._______19 _ .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING -- INSPECTOR
APPLICATION FOR PERMIT TO ...... !.Qs''J...N41/S..0..................................................
TYPE OF CONSTRUCTION �� r..�.lA .IL.y...- G �-�° I
q
................. Z.............1J r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location4.� r1. .....1 v GIoO�....'� !✓. ..�....1��.�.../J,ekv iS LPL Q
. ................................................................
Proposed Use —�� �J�:e.... !9Ml 1.li &40 /p�/V L........................
Zoning District ............... ��1.......................................Fire District ....G ... ..... ............�Lf,�le:� /
IJIL'/��eL- / r� IL�d N /C1� �/J
Name of Owner .....................!.�A./�. :Q........................Address .T... .... t j../ell �r.!:.J..`
Name of Builder&.5 ...L.!.�W 5... .�..�30)'Address 1...I.XT.1 .....�3 � ....v1/,� l W/G ......
Name of Architect�N �bM�5...:-�vC...........Address............ .......... .......... ....................................................................................
Number of Rooms .. 7.........................................................Foundation
.....4�C?./� e��..................
Exte for �A. ... aQk-0 W.C.'..: `,�..... ../e.S.......Roofing .. �� L�.
Floors rj �C �.��~
........... .... .........�...........................................Interior .......
Heating ?.!1. ... . ....tx. ...........................................Plumbing .'� 5.! 1 ..... C�... Qd�r�q
Fireplocev�—1 .... 5� ... l .a(G. ..............................Approximate Cost-r-70
e......................................... . ...........
Area ......� �...j'....'............ I ,
Dv
Diagram of Lot and Building with Dimensions Fee ..........�7............................
6-ef 1
1 ,
�12
1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
i
Name .................................
Construction Supervisor's Licensed ' �l
GALLAGHER, DANIEL
No Permit for ...........
....Single. F.am.i.ly.. ...........
Location L.Cit...#13
Lot . .1....... ...A�4ttonwood Lane
..... .. ........................
W. Barnstable
...............................................................................
Owner ..Daniel....Ga.l.lAqher.....................
Type of Construttion .....Frame
............................ .......
.................................................................................
Plot ....... .................... Lot ..................................
Permit Granted ....... ......19 89
Date cif Inspection ....... .......... .................19
...19 Date r3 Ietecl ....... Q. �/..
C,
C,
�1HE Town of.Barnstable *Permit tt n, ��.� Building Department e6monthsjromis� e
�s ) `d };4 � Brian Florence,CBQ d
MASS.s.16 9. ��' Building Commissioner \��
%fD Mfg p, 200 Main Street,Hyannis,MA 02601 k�
fe p'c f, E www.town.bamstable.ma.us
Office: 5Q8V61N4h038 BAR1�1�TABLE Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Map/parcel Number
��� Not Valid without Red X-Press Imprint
�
Property Address d( �
Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
All
Contractor's N Telephone Number
Home Improvement Contractor License#(if applicable) Emai1:
Construction Supervisor's License#(if applicable)
Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compe ation Insurance
Insurance Company Name
Workman's Comp.Policy#(/V �iE7'-" G�Y�T®' /el
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) c14�1 �ZG,GG
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
&aK%&AK
❑Re-roof(hurricane nailed)(not stripping. Going over, existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
Where required: Issuance of this permit does not exempt compliance with other town.department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
SIGNATURE:
QAWPFILESTORMSEXPRESS2017
Yhe 6mmomveaM ojfMassachusetts
Department of 1ndrfs&id Ac:ciden&
QJTwe ofLmvx6gations
60,0 Washington Street
Boston,MA 02HI
ivrvruma:mgovfdia
Workers' Campensatian Insurance Affidavit Builders/ContractorsAElec kians/Plmnbers
AppHcant Infarmatian Please Print
Name(sg ti -
Acldress: J/
Are you an employer?Checkthe propriate bom Type of project(required):
I.X1 am a employer.vith 4. ❑I am a general contractor and I 6- ❑New construction
employees($all andfor * 'rave]aired the subs contmct=
2.0 I am a sale proprietar orpartner- listed on the attached sheet 7- 0 Remodehng
ship and have no.emplayees These sub-co ntractars have 8--❑Demolition
wodang for me in any capacity employees and have wodcers' 9. ❑Building addition
[No workers.comp insurance Comp_msuran
required-] 5. ❑ We are a corporation and its 10-El Electrical repairs or additions
3.❑ I am a homeoumer doing aU work officers have exercised their 1L❑Plumbing repairs or additions
a w aikers' - rigU 1�a O�,Roof
of exemption per MGL repairs
€ce[No
l c.152, §1(4),andwe have no
employees.[No wodoers' 13-❑Other
COmp-insuraao e ]
•Any WUc=dwtchedmbosp1mastalso�ontthesw7dmbeoowsbmsiugdieirvankerecompensaticapoTiryin mmzda0
�I�ameeavaen Who Submit this afStlarid ivd;nCatiag they axe d�nc a1F Wa$agd�hae atrtside��++���*++�mnst submit a new affida�t mdidabnfl such
tCcn=cto6ffial dheckthis box mmt aitech aaadditi®al sheet sbaang the ameof the sub-�aod sbmte whether ar not fhose eahtieshxve
—Phwees.If the sob-conwLctmhave employees,theymnstpaavide thek worker'cnmp.pa1ky aumbez
-Tam an empIayer that is prom ' vorkers Beloov is tha paUcy turd job site
irtf ormatiats
Insurance CompanyAEame: •�( Q
'Policy g or Self-ins.Iic-�Y.I'5" �9�1�0'- �! FxpirationDate: /Jr
Job Site Addres � �tC%��q ,� �i���r�/!J lk%/�• Cifiyl S# 12.sp:�
Attach a copy of the workers'coaupensationpacydec laration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A of MGL c.15-7 can lead to the imposition of criminal penalties of a
fine up to$1,500 OG andlor one gear imprison as we11 as civil penalties m 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 f wwarded to the Office of
Investigation of the DIA for iasraance coverage verificaticm.
.I do hereby under s ofgetgrrsyflsattJreir2fbrrr:n#iartprmrrrWabot is acid correct
Si Date: �.
Phone a ����%'tC
Oo&aZ use army. Do scat tvrke in dds area,to be completed by city artocrn 02ricial
City or Town: Pernrif aicense i#
Issuing Authority(circle one):
L Board of Himilth I Building Department 3.C ity1rown Clerk d`Electrical Inspector S.Phrrabing>aspector
6.Other
Contact Person: Phene#:
laformation. and Instructions ;
Mass-aclm dEs Cue_ al Laws chsptm 152 rmpirm Z employers W provide workrs''Pensation fa-their=plo yees.
Pm this state,an elrrplvyee is defined as.¢;cverp person.in ffie service of another under a¢y combraat ofhaey
e8pre,ss or jpliecL oral or wry."
An Maya is defined as"an individual,partnership,association,corporation or other legal entity,or any two or mare
of the foregoing k aJoint ,andmchdmg the legal reFnes ves of a deceased employer,ar the
receives'or trustee of m individual,patj=&hip,association or other Iegal eniiiy,=Playing employees- However the
owner of a dweIImg house having not more than truce apazfineuts and who resides therein,ar the occupant ofthe -
dwmning house of another who employs persons to do mafitmance,construction or repair work on such dweIlmg house
or on the grounds or building appurte:nantthereto shall not because of such employment be deemed to be an employer."
MOL cbaptsr 152,§25g6)also sfafes that"every state or local J l=msing agency shall withhold the issuance or
renewal of a ficense or permit to operate a buzsmess or to construct buildings in the commonwealth for airy
apPIicantwho has not produced acceptable evidence of c6nipliancewith the insurance covrrageregnired
Add�iona ly,M(H_chapter 152, §25C(7)slates-Neither the co nor a'ay of ifs political subdivisions shall
cuter mtr) any contract for the performance ofppubho woikuutiI acceptable evidence of compliancewith the;nc„r-a•nce._
reTair meatS of this chapterbave Been presentrdta the conf*ECting anflioay."
Applicants '
Please EL o:�± the workers'compensation affidavit complet b: by checking the boxes that apply to your situation and,if
necess ryY empty� co (s)name(s), address(es)and phone mmmber(s)along with their cerfficat*)of
�-Ence I,�d Liability Companies(LLC)or Limited Liability pattaPships(I I P)withno employees other.than the
members or parfneas,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees, apolicy is rmjmft d. Be advisedthatthis affidavitmaybe submitted tII the;Department of Industrial
Accidents for conf oration of insurance coverage. Also be sure to sign and date;ffifTx e adavit The affidavit should
beTx�tnmed to the city or town that the application for the peunit or license is being regaesbA not the Department of .
Industrial Arc d�±�- Mculdyou have arty questions regm7Fmg the lave or ifyou are rcgmard to obtain a workers'
compensation policy,please call the Department at the number listE below. Self-inslu companies should entry their
self-n,sura ce license number on the appropriate line.
City or Town.Officials
. t _
Please be sore that the,affidavit is complet$and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fi l out in the eves the Office oflnves igatios has in coact Yon regarding 13ie applicant
Please be sure to fill in the peunit/Iicrose Tarn er which will be used as a refexezice number. In addition,an applicant
that must submit muliPIe peunitilicense applitations in any given year,need only submit one affidavit fit i�caa-ent
policy information(if neccssaiy)and under'Job She Address"the applicant should write'all locations in (may or
town)-"A copy of the-affidavit that has been officially stamped or mimed by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fT3se permits or licenses A new affidavit unust be fiIled oft each
year.Where a home owner or citizen is obtaining a license or peumR not relaie;d to any bn Mass or emmmea eial veafln�
(i-t,. a dog license or pens$to bum Ieaves etc-)said person is NOT regaaed to complete this affidavit
The Office of Investigations would lflm to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a ca1L
The Deparfinenfs address,t6lephone and fax number: -
'The Ca -y�Jlr of MassachuseM -
Deparbnenfi cif Iiftstcid Accidents
fact~of Xinve&VkatiO.=
washingon Sty
Tf,-L 61617.7 -49W Cxt 4-06 or I-977-MAS&AFE
Fax 617'27'749
Revised 4-24-07 .ma.S-gQtzIdia-
• -�oFI+E ram, Town of.Barnstable
ti
Building Department
MAM $; Brian Florence,CBO
n5g6 a`0 Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.as
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This.Section
If Using A Builder
I ,as Owner of the subject property
.
1 -7
hereby authoriz to act on my behA
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
ignatute of 0-wner6T Signature of Applicant
Print Name Print Name
D to
Q TORMS:O W NERPERMLS S IONPOOLS
Rev:10/17
1V�u ljt J.Jatual.aluic
�pFTHE Tpk� Building Departinent i
o� Brian Florence CBO '
STAB Building Commissioner
RAMM
MA99
v i63� ,0$ 200 Main Street, Hyannis,MA 02601
V OTED Mt•'�" www.town.barnstable-ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEQWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-ocmied.dwelhMs 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.
DEFINMON 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,byfA rules and regulations.'
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection.procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required
shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);
provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act
as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of
a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15)
This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed
persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,
as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a
Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend
and adopt such a form/certification for use in your community.
i
a
----- 11e �iNnrreoiuuetc�l� ��ad�ac�iiliJell� ;
office of Consumer Affairs&Business Regulation 9
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Individual before the expiration date. if found return to:
ReaistPatio'n Expiration Office of Consumer Affairs and Business Regulation
1-1064-- 9 11/02/2020 1000 Washington Street-Suite 710
Boston,MA 02118
THOMAS A.HICHEY
THOMAS A.HILCHEY
82 OLD CHATHA 6-0 Not valid Without Sig ure
HARWICH,MA 02645 Undersecretary
I
i
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Constu!i6bbjPM pervisor
CS-034718 :�. E=pires:09/1912019
THOMAS A HILCHEY
82 OLD CHATi M ROAD° ` F
HARVWCH MA 01�45
Commissioner
r -
1 1 1/29/2018 09:22 Su I I i van I nsurance _ (FAX)978 851 4848 P,001/001
ACORd' CERTIFICATE OF LIABILITY INSURANCE DATE
1/29MIDO201A8
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 pollcy(fes) must be endorsed. H SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain polleles may require an endorsement. A Statement on this certificate does not confer rights to the
CortlODete holder In lieu of such endorsomengs).
PADouCER Pnone:We)OS1-9000 Fax 197e)e61-4e4a =E CT Sullivan Insurance Agency
SULLIVAN INSURANCE AGENCY PHO 978 851.9800 FAX N,. (978)861-4848
I: VC
885 MAIN STREET C-MAM
TEWKSBURY MA 01876 A ' '
INSURER(S)AFFORDING COVERAGE NAICa
INSURERA : ACE Group
INSURED INSURERS XS Brokers Insurance Agency,Inc
THOMAS A HILCHEY
DBATHOMAS A HILCHEY CONSTRUCTION INSURERC
82 OLD CHATHAM ROAD IN9uRERa
HARWICH MA 02645 INSURER&
INSURER F
COVERAGES CERTIFICATE NUMBER, 30596 REVISION NUMBER;
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDMON 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 ALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
[Nan I TYPE OF INSURANCE ADot SUER POLICY NUMBER POLICY EFF POLICY RXP LIMITS
LTAg GENERAL UABIUrY 3AA302088 09126/18 09126110 EACH OCCURRENCE 6 11000,000
QXUAOE TOR 50,000
X COMMERCIAL GENERAL LIABILITY PRENISES Er=wonoo S
CLAIMS-MADE �OCCUR MED,EXP(Any one parson) 1.000
PERSONAL&AOV INJURY S 11000,000
GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000
P0.0.
POLICY LAC $
AUTOMOBILE LIABILITY COMUIN[p9NGLE LIMIT
lEe KCLhnf) �
ANYAUTO BODILY i"RY(Per person) S
ALL OWNED SCHEDULED BODILY INJURY(Per accident) S
AUTOS AUTOS
HIRED AUTOS NON-OWNED P(parl scoao DAMAG.e S
AUTOS
$
UMBRELLA LIAe HOCCUR EACH OCCURRENCE b
'L110008 UAe CLAIMS-MADE AGGREGATE S
OED IRE71ENTION S 3
WORKER@ COMPINSATION 6582US-2EO9540-0.18 03/15/18 03/15/19 wcs
A TATU
YORY AND EMPLOYERS' LIABILITY A ER $
ANY PROPA10ORIPAPTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S 1D0,0D0
OPPICERIMEMe1R ExCLUDID7 Y❑ NIA E.L DISEASE-EA EMPLOYEE S 100,000
IMmdr,egr in NH)
Ilysc,dosnibovNor E.L,DISEASE-POLICY LIMIT I S 500,000
DESCRIPTION OF OPERATIONS edow
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addillonal Ramarke Schedule,it mom spate Is roqulred)
Thomas Hilchey Is excluded from the Workers Compensation policy
CERTIFICATE HOLDER CANCELLATION
Town of Dennis SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
686 Route 134 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
South Dennis,MA 02660 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Attention:
Amy R.Jose
ACORD 25(2010/05) 88- ORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD"
L
Town of Barnstable
Regulatory Semees TOWN OF BARNSTABLt.
o Richard V. Scali,Director'
Building Division ''��S '4id ?� PM
ABM = 2- 4
MASS. g Tom Perry,Building Commissioner
i6gq. �0
QED►9- 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us QrI( �m"°
Office: 508-862-403 8 Fax: 508-790-6230
Approved: /
Fee:
PeriAit#:
HOME OCCUPATION REGISTRATION
Date:
Name: LD)2) 61 bbn d b& 1116X a'7 Y-or q
Address: 03 1�yY�/1 Goo O J tzrY7-e Village:
Name of Business: ' l� l C l E L� �d yAo-�46 G
Type of Business: t'11�1LC1'I���7 E2V1 S Mapa of � � 0 T
IIN'I'ENT: 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
J premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
Zand no increase in air or groundwater pollution.
0 After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
e 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.
a There are no external alterations to the dwelling which are not customary in residential buildings,and there is
l \ no outside evidence of such use.
,W Y No traffic will be generated in excess of normal residential volumes.
a 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.
�q 0 Any need for parking generated by such use shall be met on the same lot containing the Customary Home
>V Occupation,and not within the required front yard.
9 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
n 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.
m 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, ave read and agree with the above restrictions for my home occupation I am registering.
Applicant: Date: 23
Homeoc.doc Rev.103113
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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: 1123115 Fill in please:
APPLICANT'S YOUR NAME/S: Loom Ca l ew a
BUSINESS YOUR HOME ADDRESS: 83 But-Conlwoocl Lg.np_
aaZ)2'7q-oSy I west 3A/ZNSTABt.E, MA o2.&(S
TELEPHONE # Home Telephone Number C508) 27'4 -o S4
NAME OF CORPORATION:
NAME OF NEW BUSINESS Loat&AuA' d I&N Ypff LP Acl Vag e_ TYPE OF BUSINESS EthWA 1GAu. Pao 0Vc.Ts V1
IS THIS A HOME OCCUPATION? !/ YES NO
ADDRESS OF BUSINESS 3 0yfr0PJ A A A15rABLE MA MAP/PARCEL NUMBER Z 1-70444 (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. - (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 OFFICE
This individual hakbge info r d f riyperm't r quirem nts that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
,6t� b7v� Zz /,�!i „ -�j; RULES AND REGULATIONS. FAILURE TO
Authorize Si nature** c_ -� COMPLY MAY RESULT IN FINES.
OMMENTS
-t- Tj
2. BOARD OF EALTH
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:
F/
�Il
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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
„- DATE: 1J ti 14 Fill in please:
LM ® �" APPLICANT'S YOUR NAME/S: Ill �l6di^L
BUSINESS YOUR HOME ADDRESS: b
TELEPHONE # Home Telephone Number�i'h�f �14 0-541
NAME1 OFF CORPORATION L Loci,6t 4',Q
NAME OF NEW,BUSINESS-66ca,-�:'�lkE F;F!I :'.T6uPr A - TYPE OF BUSINESS SUbT_. nVE
IS:THIS AHOME OCCOPATI01\17 ,YES 'NO .
ADDRESS OFBUSINESS'83' yc�'it)ilUC7i0i(7D,,11�N , WE�6TB,1��17�15L�VIAP%PARCEL'NUM
BER�LZ�U�.•� % (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. - (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 CO MISSI NER'S DICE
This indivi ual h e n d f p rmit requ'r� ements that pertain to this type of businessMUST COMPLY WITH HOME OCCUPATION
Au on Si e** RULES AND REGULATIONS: FAILURE TO
OMMENT —� COMPLY MAY RESULT IN FINES.
I
LV
2. BOARD OF HEALTH
This individual has een iyfr7ley��pf„the permit requirements that pertain to this type of business.
�- I"(�tV V 6V1
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS(LI SING AUT ORITY)
This individual h e f r d of liceWt r� rem.e}nts th t pertain to this type of business.
Authorized ignature** I`` ��(� �
COMMENTS:
i
i
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a.
• o •
Town of Barnstable
Regulatory Services
' Richard V. Scali,Interim Director .
s ,fir Building Division
1639• ' Tom Perry,Building Commissioner
Ep 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax 508-790-6230
Approved:
Fee:
Permit#: PL coff
HOME OCCUPATION REGISTRATION
Date: 3�
Name: LOIN 63 t$A N Phone#: �8 2�
Address: S� TT�WOI�� -1gr�.1£ V V-A{LNGr¢g L-c_
Name of Business: �h�
T 1 r Nsr�gLCt O 4
Type of Business: 0-4)gi I tb r*Qr , Am mmi �I — (�
p/L.ot:
W772S ': 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
a 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
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
I,the undersign have read and agree with the above restrictions for my home occupation I am registering.
Applicant: Date !i
Homeoc.doc Rev.103113 .�.
a
'1A
:0 .74
f'S
ci
ZjJ
VJ
Gr
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director r0�N
sAaxsr.�sr.�.
• Building Division OFRAR
1 `eg Tom Perry,Building Commissioner ZQ/�
16 200 Main Street, Hyannis,MA 02601 J111 26
www.town.barnstable.ma.us '% 1 JCS
Office: 508-862-4038 D8 0-6230
Approved: /
Fee: 3�- d-O
Permit#:
HOME OCCUPATION REGISTRATION
Date: 7 /ZU [
Name: 21�C/� �� l//'� Phone#: 77 U '9 qq
Address: g'-? sFt/1-7W?,W 00el Z417am Village: ale a i &7L/V$4✓l/dL-_
Name of Business:
6/ka Cc S:4-LC 534 e ES
Type of Business: Map/Lot: D� /
Eq TF2,rr: 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 carved on by the permanent resident of a single family residential dwelling unit,located iaathin
that dwelling unit.
• Such use occupies no more thane 400 square feet of space.
• There are no external alterations to tine dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
e No traffic will be generated in excess of normal residential volumes.
• The use does not Mivolve 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 ,an 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 contaMYing the Customary Home Occupation.
• No sign shall be displayed indicating die 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 rea and agree with the ab red 'coon r my home occupation I am registering.
Applicant: Date: __7 I UP
Honieoc.doc Rei%01/3/08
YOU WISH TO OPEN A BUSINESS? r
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which youfto
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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that i.
required by law.
DATE: 13 � ill in please:
a ,F APPLICANT'S YOUR NAME/S: �
BUSINESS YOUR HOME ADDRESS: 83 ar✓moo./6000' cd a Laz1l-e Cie s.7'��l•99�- 7��7 6�-,¢NS'Tl�,�L� MA OZG6S
(� TELEPHONE # Home Telephone Number
N A
D NAME OF NEW BUSINESS . 'PRf c T-R v rn D e S16 NSTYPE OF BUSINESS 1✓/1 o Z r 3 A cE 04 e-ES - TA&Z_ Li'1VS
IS THIS A HOME OCCUPATION? ES NO
.� ADDRESS OF BUSINESS BS •a2ns"e,AA MAP/PARCEL NUMBER e2/? /6`/S� (Assessing)
D b
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 OFFICE
V This individual has been informe 9 any permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
Authorized Signa re** COMPLY MAY RESULT IN rINEW
COMMENTS: ,/
rl
2. BOARD OF HEALTH
ti This individual h formed p r it re ipem t pertain to this type of business.
Authorized Si re
COMMENTS:
3. CONSUMER AFFAIRS(LIXNSIN TY)�licThis individual ha infor a ens ing requirements that pertain to this type of business.
r )r,uo�ri4ed'Si�atu
COMMENTS:_ � � 47a�
a r V -Y J.-
. �.� ���i/ �1211�E
Assessor's office.(lst floor): _
Assessor's map and lot number ...c..........�...............��.:.K:.
Q
Board of Health (3rd floor): iO
Sewage Permit number ....... �.'.7..y: �
1i BAUSTODLE, i
Engineering Department (3rd floor): moo �b 9 ��++
House number .........................:,......
Definitive Plan Approved by Planning Board _n1;�____--______________19
APPLICATIONS PROCESSED 8:30'-9:30.A.M. and 1:00-2:00 P.M. only,
TOWN. �OF BARNSTABLE
BUILDING - INSPECTOR
x� APPLICATION FOR PERMIT TO AiU 5..��c�(/�'�.../y',�c'"�.../ !CJ✓5 .............................:.....................
TYPE OF CONSTRUCTION
... �/
r.. ...... .... ..................................................................................................
....... L/I...............9.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies
f for a permit according to the following information: JJ
Location4G..'.� y.,�3..... 1/,/,1a jC,10.0 '���/ �...,.:...�//!
.................................. ................................................................................
Proposed Use :-�l s✓��.�. .....(„i0M7 �.!!.. ....:.!�. !��'N�l/'! �.-
� / v
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Own erL/�A' e4,..�..; �'.f.1�!r�.0�1 .✓:..................Address .7... 1.�-��.!"....: ..........,..
'Name of Builder .... ...... ...........,Address .. .`�,,. 'lA..�fi�....�.i. .... 14 .G✓. G`!...
Name of Architectrrd-� L� P'►f�M,Q.S Address ....................................................................................
Number of Rooms .....7.........................................................Foundation .11+/}�. fA,.....
Exierior C lAf.B.64.k.0.�.W C. SAI..A n le.5 ......Roofiing 7A4.. .T........
Floors C /.n f C... ,V//✓}��-'.......................................Interior .........
Heating .5.. .�!:�'!7 w................................. ........Plumbing .....,.,..�� SSAn1!�...... %i'ct.�...y.,!.�.�.!����it......
/ew//G!St �Q , O�"D
Fireplace�............... . ..................... ..-...................................Approximate Cost .... ..,r........................................................
Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
I
U ,
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS V
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ,/�;!��IN,
, 1
Construction Supervisor's License �.�?..../.. ......
GALLAGHER, DANIEL o?17_0q61 /A=217- 4
No ... Permit for ........
Sin..le Family Dwelling
.. ............. ...................... ......................... ..
Location .......8.3...Bu.tt.o.nvj.ggYd...Lane
. .. .. .. .... .. .... .......
West '-Barnstable
............... ...............................................................
Owner D.an i.e.1.,..Gallagher
. . . .
.......................
.. ....... .. . . .... .. .... .. ....
Type of Construction ......Fr.ame...............................
....
...............................................................................
Plot ............................ Lot ................................
February 1 , 89
Permit Granted ........ ...........................
Date of Inspection ................. ..................19
Date Completed ........................................19