Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0621 MAIN ST./RTE 6A(W.BARN.)
�/ r r f i i � c F Ss OXfO NO. 1521/3 ORA MADE W u.SA i$F ESSELTE o ® • o ...r........r.«.r�...—•+ •-_•�r, —:�..�..�...— �.r+--�y,�.r .�.,�..r -yn .- - ._ M" .rt-.- ...�-q--,_,.... _,......,, _ ..e•Nr,�-.�._ - =. h �� ,R _ � s v/B Of2 5/i6/i�b 0 i �� .� 1 1 ;n n a '�� '�. ,� rt 'i p�' �' i. }1 ��;�: �..�� ',.�, k ,� � xt ` 1 i� 4 �� i (a7 9 64-6 �' ►.� Town of Barnstable Building' s � La Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept rasp `� Posted Until Final Inspection Has Been Made. Permit Where a Certificate of occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1797 Applicant Name: Craig Bishop Approvals Date Issued: 07/17/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/17/2021 Foundation: Location: 621 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTAB_LE Map/Lot: 132-013-001 Zoning District: RF Sheathing: Owner on Record: COTTER, BRIDGET M &WILLIAM D Contractor Name: Craig P Bishop Framing: 1 10 Contractor License: CS= 9777 Address: 621 MAIN STREET � 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $3,405.00 Chimney: Description: Attic Dammin-R-38 Fiberglass,Attic Flat-10"Open R-37 Cellulose, Permit F e: $85.00 M I Insulation: Attic Flat-8" Open R-30 Cellulose,Attic Hatch:Seal and Inuslate, M Fee Paid:, $85.00 Ventilation Chutes, Home Air Sealing, Basement Sills R-19 Fiberglass Final: Batt Date: 7/17/2020 Project Review Req: 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 afterissuance. 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 st pctures shall be in compliance with the local zo k ing 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. 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. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons racting 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 —� Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i Town of Barnstable Regulatory Services BAMSTAB MAM Thomas F.Geiler,Director 639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis;MA 02601 i Office: 508-862-4038 Fax: 508-790-6230 December 12, 2011 Mr. Walter Munday 621 Main Street West Barnstable,MA 02668 , Re: Non-conforming Mixed Use—residential/retail Property ID: Map 132 Parcel 013.001 Locus: 621 Main Street,WB Dear Mr. Munday: I have researched the use of this property as a result of your inquiry on December 9, 2011. Our file contains documentation concerning a retail use(antique sales)from an'accessory structure on the subject residential property. As you are aware,this location is currently zoned RF and as such is restricted to a single family use. However,I found evidence that indicates this property was developed in 1895 and 1900. Certainly,this lot development predates the adoption of single family zoning in this town. I also located a letter submitted by Attorney John Alger outlining years of a non-conforming use. A handwritten notation on the bottom of this same letter by the former zoning officer acknowledged the nonconforming claim to be"OK". During our telephone conversation,you informed me-that the retail business was operated by your late wife and since her death in 2006 it has remained virtually dormant. It is my , understanding that you currently seek to voluntarily sacrifice the nonconforming aspects of your property and make official record accordingly. I reviewed the benefit and value of the nonconformity with you. Subsequently,you stated that due to certain circumstances you have elected to completely discontinue and sacrifice the retail use as you have no interest in maintaining your wife's former business nor selling the property in the foreseeable future. Furthermore,you advised that you have been diligently working to reduce the remaining inventory by using nearby auction houses and there is no active retail use on this site at all. I must also disclose that the associated business certificate was not renewed after 2009 and our records do not contain any complaints or inquiries regarding this nonconforming use. This is noteworthy as the absence of such documentation is normally indicative of compliance. r If I have represented your intention fairly and accurately,please sign and date below knowing that this letter will confirm the absolute and voluntary sacrifice of the former nonconforming retail use for property located at 621 Main Street, West Barnstable. A signed copy shall.be maintained in our property files for public record and reference. I am enclosing a self-addressed envelop for your convenience. You may contact me directly at 508-862-4027 in the event that you have any questions. Sincerely, Robin C. Anderson Zoning Enforcement Officer This letter will confirm my intention to absolutely and voluntarily sacrifice the nonconforming retail use for my property located at 621 Main Street, West Barnstable. Walter S. Munday DATE I ROPERTY ADDRESS I I ZONING i DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS�PCS I NBHD EL IDENTIFICATION NUtdHER I KEY�,O 0000 ROUTE 6-A US RF 500 05WB 07/09/95 0131 UD 83AD R132 013-001 351773 LAND/OTHER FEATURES DESCRIPTION AOJUS'rM ENT FACTORS Y UNIT ADJ'D.UNIT Laatl By/pale 5:¢omenso" ,LOC.lYR.SPEC.CLnSS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE o_riplion S L AMA Ne T H 0 M A S H M AP- CD. FFAeIIVAc.. , #LAND 1 28e400 CARDS IN ACCOUNT - �10 1BLDG.SIT 1 x i =10 100 39999.9 39999.99 .70 23000 #LAND 3 1S.Od0 01 OF 02 l 30 3SITE i x 1i =10 100 i50 39999.9 59999.99 .30 18000 #BLDG(S)-CARD-1 1 103.400FobT I11 .! RESIDUAL 1 X 2 101, 95 8000.0 7600_00 .02 20D #OTHER FEATURE 1 4o3Q0 aRKz T 192000 1 116 1WETLAND 1 X .O =10C 475 1000.0 4750-00 .04 200 #BLOG(S)-CARD-2 3 65.400 INCOME q #PL 621 K 525 MAIN ST/RTE6A JSE BATHS 2.0 U x 6= 100 3800.00 8800.0U 1.00 8800 B #DL LOT 1 APPRAISED VALUE J ! 1/4 dSMT S x 3= 100 5.2 6.61 968 6400-8 #RR 0955 1337 219.500 FIREPLACE U x I B= 100 3900.0 3900-00 1.00 3900 8 #SR WISTERIA LA PARCEL SUMMARY U JEXT FI REPL U X B= 100 1700.00 1700.00 1.00 1 700 d AND 46a00 SISHED S x 195 C= 51 8.8 4.48 440 2000 F LDGS 146400 I SHED S x 195 C= 51 8.8 4.48 504 2300 F -.IMPS 4300 M � Ei I tiO 219500 CNST T DEED REFEREN yq., I DATE. Rrwn« P I R YEAR VALUE T"s slp P.i3-k pag¢ AND 46400 Si 6576/030, I12/88 280000 3LDGS 173100 3304/131: 1'07/83 168000 �fOTAL 219500 CO N O M I C S..... BUILDING PERMITIIL N D ADJUST F O R Nump¢r Data LAND LAND-A DJ INCOME SE SP-6LD5 FEATURES BLD-nDJSI !!!NITS Type Amount 46400 4300 8000 Class Con51. Total Base Rate tl.Rare e r B -0 n Norm. Obsv. Vnits Vmis A I A rr .I ge Depr. Coatl. CND L¢C 9b R G Repl Cpsl New Atll Rep, V¢lue Stor,os H¢igal Rppms Rme 8.tna I Fiv. I Partlnrell FK. 019- 000 100 100 67.30 67.30 95 75 19 80 100 80 129283 10.3400 1.5 7 4 2-0 7.0 00 Be Rat. Snua,¢Feet Reol C-, MKT.INDEX: 1-0 0 IMP.BY / SCALE: 1/0 0-4 8 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 67.30 968 65146 c LNST uP: FEP 65 43.75 180 7875 +---_23--__+ STYLE 04CAPE COD 0.0 F S F 90 60.57 345 20897 12 FSF ! `ES16N AcJMT 00 __ __ -----_0:0 815 42 28.27 968 27365 i 15 --- -- ---- - ------------------ -- - XiER.WALLS 0t UOD FRAME 0.0 *-10*---15--* ! EA7/AC TYPE- -94 IC -------- 0.6 !FEP*----23-!--+ FiNISFi66------------------- NTtR: 18 18 16 R7SR:C:4YOUT f2 VSR./NORMAC----O.d ! ! ! NTc9-A-ITY (J AiIE AS EX[FR_ U.Or - - - L'JO? iTRUCT JU ------------- ------0_.0 *-*-10* *-* E L�JOR COVER - -00 ------------------ ------------------Q.Q E Tplal Aram Ape_ 180 eaSe. 1 31 3 ! BASE! 100-F--T Y PS---- -t7Q- - .6 - 1 -IcCTR1Z-A- - JU --- - ------ -- 0.0 BUILDING DIMENSIONS 1 ABAS W26 N28 E04 FEP N18 E10 F S F ! ! OUVDATION- JG -- N12 E23 515 W23 NO3/ __FEP S18 28 28 -------------- - --- -----____ - - 1 W10 .. BAS E10 N16 E15 S16 W03 ! ! -----NE.II�?fl36kH00D '3$A2 NEST 9ARNSIABLE L S28 .. / ! ! ( LAND TOTAL MARKET PARCEL 46400 219500 *-----26----x AREA 13900 VARIANCE +0 +1479 STANDARD 25 ?OPERTY ADDRESS I I ZONING DISTRICT CODE SP-OISTS.I DATE PRINTED CSTATE LASS I PCS I NBHD I PARCEL IDr NT FI.(LyQ�{�y�;�A J ltEy k0: 0000 ROUTE 6-A 05 RF 500 051,dd 07/09/95 0131 0°J 8:3A8 R132 011.001 ( 3.51773 LANDIOTNER FEATURES DESCRIPTIgN ADJUSTMENT FACTORS .v UNIT ADJ•D.UNIT Land ByrDalc• S� D�mens•Dn I P ACRESJUNITS VALUE 0... :ion IS L A hi A 1'i♦ T H O M A S N IM A P- CD FF.DeomrAae, BLOC./YR.SPEC.CLASS ADJ. COND. PRICE PRICE CAP.DS IN ACCOUNT — BATHS 0.0 U x i C= 100 1 .0 c i.00! 1.oJ i J U2 U� 02 NO PSMT S x C= 100 5.8C5.8OI 15.53 9000 COST -2rr_5rz__ FIREPLACE U x C= 100 3100.0 3100.1) 1.00 1 31100 a �ARXET 192000 � iINCOI'9: p ' PSE I I APPRAISED VALUE A 219e.500 ' � ARCEL ' SUMMARY U LA,,'" 464010 T I I LDGS 168300 T I I G-IMPS 4300 TOTAL 219.500 F I a; CNIFT y N y DEED REFERENCE TYw DATE {I_ N.�orc—M P<.TOR YEAR VALUE T Dw� Page' Insl. MO. Y,IDi Sole Pr g A.J D 4 6 4 0 C S I �fOTAL 21950CI III UUILDING PERMIT L r1 f) L A.N D—A DJ I T N"C OIN C �'a SP-c,{ NumDei 1 Oalu TyIi I �moum IC LUS FtATL'RESI 3LD-ADJ -� U �iT-� i 5900-. COI1$r TPInI DB 1 NOIT OD:iV Class Unls Unls Base RaIC Aral Ra:C Ord. .��1 AgC ' Deer COnc I CND LOC I>E n.G RaPI CO51 NCw AOI NC•PI ValuC Sloe Fl D�gnt RtNmx .Ib Rms.Dolns I Fis. I PaitW sll F.C. 0 1 C 000 100 100 56.40 56.40 ;;pr110yyL'I'I175 19 80 101) 80 81689 65400 1 .0' 3 1.0 Descimli n n:ue Sn�ar F • Rem Co MKT.INDEX: 1.00 IMP 6vrDATE: / SCAI.c: 1/0 0_6 2 ELEMENTS CODE CONSTRUCTION DE?AIL o e eu AS 100 5ti_40 1553 57.58a v'i?0S c -J1l.TG C AM t LI ;, ;, *----------37----------* T Y L E 10 )LD STYLE 0.0 ! ! )ES-l_N_AVJ'MT 00 -------------------'C:O. ! ! =AT_-i?:WA11S- 0T7 U'O- -FRA-ME - D..- ---- U ! ! 1EAT_tAC- TYPE" '•J1-9D ON'E--------------�:Q ! ! I NTE?T:FIN-.I'SH Ju� ---------------D-_-0 ! ! N T E-R:C A Y-0 0 T -1-2V'E-R' Y NU-R M A L-----D-.-O 38 ! 1 T-_-P.':0 fJ A._T Y Jc AT4-E AS--E X TER __U_._0 ! ! t:)J-•Z STR?JCT JL ---------------- �0 w ' OASE 45 E CJ,)-R 'C)l `a -r}L -- - I D TOIDIArI:as Av. . nDse . 1553 ! ! 00f--TYPf - -,7U------------------- BUILDING E DIMENSIOr:S , '"L-e`-T'RI��-L'--- -JU ------------------- J--01 T BAS We"I Nu 'v1 .37S4- - ' 0uN-D'Ar7vV- - JU -----------------99�9 A ! ! ---------—--- -- ---------------------- 1 *----16---* ! --------------- -- ---------------------- L 7 , LAUD TOTAL MARKET PARCEL *-----21-----x AREA VAPIAMCE +0 +0 SIANDA.JD 1 t, V t � 2 F"f�Q� � ��' �213'•tlfi�` r t � j NO s IAJ PLAq i W J d l� . �.v•�JvE►4 _ Ix3 P rlT F t7 W rt t TE; . �R�LoCfFTF'D � X Co PA1 NT�'D l,,Vlalt� tev to bo ►q 'L LI �__.._.._....._... .. . ... ...._.....__....._ ... �..._._. _ —U Pra 3-(o NE'vo C F"PA4 S I NGL E �uoF' N Lw b 641 jy(o PAiNT, WNT ' Jx(� PA NrFa SN u r,4. . Wt frF !�M �fEw CC,.p�� 00 New �pvNDTIUN. IX�S i UP b NEw ppD�T�oN WEST ELEVATION SHEr7 3-4 • Aoo�poN i _ o a 6,21 MAIN ST, `rYES T BA�ZNST.,3tL, MA _ELEvATivNS SNEET I•of- TMI ADDIT�oN FHff f H ' L J 4H tt Ll 1 23 '- 0" •: i I. '_oil .. -- -- - '-. -.. . � _. _ PRO pas Op ;. E. me 07 - x i st : i • lve Z,A4Ge �lr �. HA r-- . . . . . I. ' .. •' _ i . .; .. �. .. l_._ ••—.{-.•_. _ I is ... .. .. . J.• I : i i i .4 . s -� VNlT 13ATH < I TC- H E N 1- L. L- Z -4TI V wA Y _ Application to 1995 067 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Cbnstruction: ❑ New Building )Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑•Other A.Exterior Painting: ❑ .* Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existin�sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 31 x ly /1'0DiT1 Gn (Please read other side for explanation and requirements). IZA5— TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 621 Main Street, W. Barns tableASSESSORS MAP NO. OWNER Thnmac S1 aman, And Kanneth Stone ASSESSORS LOT NO. 421-? , 00/ HOME ADDRESS 691 Main Street ., West Barnstable, MA TEL NO. _ 362-512a FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). LAURA 1 ync_h 49 MAPT.F. Rt- RONNTF Hi nr•lc1 ay 620 Main RE - Barbara Rosenthal . 591 Main St. Robert Black 597 Main St. Marilyn Strauss 651 Ma.in St. (a11 W RarnataRTF n96R8) AGENT OR CONTRACTOR Ken Stone TEL NO. 362-5120 ADDRESS 621 Main St. , W— Barnstable 6 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of-work to be done(see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and-proposed locations of new signs. (Attach additional sheet, if necessary). Foundation-3-4' deep concrete columns for support of ,new additions filled in with .stone. ALL materials will match existing materials such as clesr cedar shingles. Exist:. and proposed roof wily be cedar shingle. with a pitch of 3:7. Exist door to be relocated to new wall with no new windows. Would trim will be 1x6 and door will be 1x4. '►r►,{{4 `� L IL,I Signed Owner-Contractor-Agent Spacem below line for Comittee use. - �'cFtec'ei:vedby�H-D:C.= •-- Date -ar- The C rtificate is hereby Date Time 3 ig9� � l 'V "f,l G� �' e By - Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period «il- A-- 7 Town of Barnstable. ' Old King's Highway Historic District CommL— I SPEC SHEET FOUNDATION Stone SIDING TYPE Wood Shingle COLOR Clear CHIMNEY TYPE None COLOR ROOF MATERIAL Wood Shingle COLOR Clear PITCH 3 :7 WINDOW None SIZE TRIM COLOR White DOORS Reuse Existing Door-271lx7611COLOR Rose SHUTT RS None . GUTTERS Extend Exist Aluminum Gutter DECK None GARAGE DOORS None COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal. of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", `,i'4- �� but should show all structures on the lot to j 1'r 'J scale. . VVlv N: I NA 3 3 roc Wo . r 0. . . :. ..... .: 7� .q D. N i �S ... ...:::.::. Co'C �C 1' .r4 .q 5� •U t� an q o , � , .�• p �c�Co Al r r _ The Commonwealth of A fassach usetts Deparnnent of Industrial Accidents office oflnyestiyatlons 600 Washin-tun Street Boston, Muss. 02111 Workers' Compensation Insurance Affidavit • .... �^.�.�^.�' `••+s.Y..Mw'u1s .-�.rP•i0�la:•W T�2^''W!.}"' �,�Dhcant tnformatton: Y = Please PRIIYTlebibly name: location: city rhone f! I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity L:':�<:�:" �. �.."�.�?+s°`�; `''-'1±!� - ,��.��i�r .:,.,..t��-:'° ''��•����i�"••""�'�r'.�,s,�:�p��"°mac-,�,."'^'�,,�c.`�`r��$.�Qr I am an employer providing workers' compensation for my employees working on this job. ompany name: ,address: city__ phone#• insurance co, policy# I`_,:_�,�y,..�_.,.° .•'',�' ..��,,.,..;^.s.'iap! "1G°l�'"'i.K?.. _SN.':�i''et:�5� '�"`+;,"�'¢•e—. I am a sole proprietor, general contractor or homeowner ircle one) and have hired the contractors listed below who have the following workers' compensation polices: company name /� -f.,..s�` �0 : .. address: �9 N uih.. nl.h of phone#: 9I Lurancc co. !/U v c �'!At— v��of /. policy# t% �ff Z ^ company name: address city: phone#: insurance co. policy# :Attach addJhonal'sticet'.if recess--- Failure to secure coverage as required under Section 25A of 117GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP R'ORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here,,bl,ccerrij/«nrler Nre puiirs and penul/i�es o—jperjun'/hay ode information provided above ' I uird correct. Signature l b-+-v°� ----Date Print name e it -5 d .1 Phone#/ official use only do not write in this area to be completed by city or town official city or town: permidlicense# nBuilding Department oLiccnsing Board O check if immediate response is required Selectmen's Office []Health Department contact person: phone#; rlOther (revised 319j P1A) information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an empl(tvee is defined as every person in the service of another under;any contract of hire, express or implied, oral or written. An enrploper 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 dwellim, house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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, 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. t' - '2_r..., A °1.f:N3: •: roc Y �'••�r Ytc*c '' i'� �n'd h- S t ; n ';j.,, r rrs•`w+ r+.,.a...•vc� ! { ..h.:t r,'s•i tia -1:i"•�....4 ,r?...M •>:dil2:'!.`�. .r .7K. z' Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be 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. T:":." .. K 'v Y. ..... t }.'G'f v t a y1�<.[,,v J y _ '4 Y {A. '.•_ 4 �' �:. ... . ..t. .....S _- �:... f.' A .✓,r:^��4,, ? Y\'(':G[ 1 •••' .3' +t�p S.T;fY{.MY City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of investieations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .n'R'^•C- -, � `�CC<t.-Y.N-•.. •,,,.K-,r.•aC T Ste': ,. t't'�N,T�".,1q,' P.�'.� .. r. 4 .�'�A . ..e...j.__ �..PM r•. .!•:,�>>av 't.-lT„.�.�6�'r. ^ w.,••,.'c' z ,3Y.e�:.:'.b.`F a� 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 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please 'print. DATE .. Se — JOB. LOCATION ( - 14141ty STR 6 h''S pLjz Number Street address Section of-;town "HOMEOWNER" Name Home phone., Work phone,- :,'-PRESENT MAILING ADDRESS city/tow n State ,.:. - Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor: DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 considered 'a homeowner. Such "homeowner". s.hall submit to the BuildingnOfficial on a form acceptable to the Building Official, that he/she shall be responsible for all such work oerformed under the building permit. (Section 109. 1.1) The undersigned "homeowner" assumes responsibility for compliance -with the Stat Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE 11, APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as superv-; sor. " Many Home Owners was use this exemption are unaware that they are assuming the responsibilities "of .a...supervisor (see Appendix. Q Rules and Regulations for licensing Construction Supervisors,..Section';2.`15)` ," •-This lack of awarenes often results, in "serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor.. "' The. Home"Oraner-'-'actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of. his/her.- responsibilities,.* man communities require, as part of the permit application, that the Home 'Orarier certify that he/she understands the responsibilities of a supervisor. `Ori 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. Town of Barnstable Building Department ComplainVInquiry Report , Date:— (f�—/ J5" Rec'd by: Assessor's No.: Complaint Name: Location el, Q�Ci-U fj Address: Originator Naine• Street: Vim: State• Zip: Telephone: D/C Complaint Description: /Iti Inquiry Description: - For Office Use Only Inspector's rr - Action/Comments Date: �"�� " /C✓� Inspector. X� . Follow-up Action !ice P-UNIVA, Additional Info. Attached Copy Distribution: VMbe-Depa=ent Me ellory-Inspector , r ' 413 - 0lk� -; REGISTRATION AND CERTIFICATION FORM �. FOR FORECLOSING/FORECLOSED PROPERTY -t Thank you for registering in accordance with Town of Barnstable Code chapter'1224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure :at c (section 224-3) or already foreclosed for which possession has been taken(section 224--,o 4). Please file the original with the Building Commissioner and a copy with t1fe Chief o� rn the Fire District in which the property is located. `" If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —PropeM Information Property Address: 621 Main Street WEST BARNSTABLE,MA 02668 BARNSTABLE Assessors Map#: 132/LOT 013/001 Parcel#: Land area and description Building(s)description and contents_cape cod,Existing, 1.75 stories,One Unit i Occupied: No Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Yes Date: 9/14/2015 Anticipated Length of Vacancy: N/A currently being prepared to be listed for sale Last occupant(s))(if borrowers so state and include name(s)) Walter,Munday Phone: email: other: Has possession been taken Yes If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Property has been secured.Waiting for Personal Property Eviction to Expire to complete all initial services/maintenance.We will be comp a ing bi-weekly iawn service along with on y rope nspec ions completed by the listing agent.V7e---inTe—nU to sell this property as soon as possible. Section 2—Foreclosing P Information Foreclosing Party(full name/title) Nationstar Mortgage LLc Foreclosure Case Court: Docket# Received a notice from the office of Attorney.Legal Ref.#2013-0189 Date filed: Current Status: Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name,title,): Company(if different from foreclosing party): Address: 350 Highland Drive Lewisville,TX 75067 Phone: 1-888-708-4043 email: other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property.and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name, title, other: SingleSource Property Solutions-Property Management Company Company(if different from foreclosing party): Address: 333 Technology Drive Suite 102,Canonsburq,PA 15317 Phone(s):1-866-620-7577 email(s): Vpr@singlesourceproperty.com other: Name, title, other: David Holt-Today Real Estate-Listing Agent Company(if different from foreclosing party): Address: 1533 ROUTE 28 CENTERVILLE,MA 02632 Phone: 508-333-6077 email: david_holt@todayrealestate.com other: Attorney representing foreclosing party Marinosci Law Group.P.C. Firm name(if different from attorney's name): Address: 275 West Natick Road Suite 500 Warwick,RI 02886 Phore(s):401-234-9200 email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 ofw chapter 224 of the Code of the Ton of Barnstable. Kara Huffmyer,Property Preservation Associate Date: 5/11/2016 Name: Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable !)4Y EJ �0 T/1`�•�� f+��yp EY TOWN OF BARNSTABLE i } Source find ,hI `} Single � jn9eiposff PROPERTY SOLUTIONS .g :., 05/11/2016 333 Technology Drive fiI . ' $00.A 7'0 Suite 102 �t Canonsburg,PA 15317 �--- -"� ZIP 15317 0411-11246364 i I S(qq 0 a,,l) s t4A 02&ol--SRC) =�. c:�:�i:�:�=_"`✓;� ,i,liil{'���f,ijli,,lirlf�iil�ii,iilliiii�ilil���'11t)i,�i,,;�1,�� • ,. I � ItIlI; 11{il! I ! 1 ��IIllill� I� I ! ! � -� . ;, i �' ;� f¢' --__ ����� �� ��" � LL --- � _ �� �- ' �� .. w l THE Town of Barnstable *Permit o� ptr V�C/ E ires 6 months from issue date Regulatory Servicesi ee + sAatNSTABM • MASS. Richard V.Scali,Director i639, 3 02016 2� n 9 �0$ , ✓ (J A'F039 Building Division 0� TOvVI OF BARNSTABLE Paul Roma,Building Commissioner Q 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ _h _O(��oI Valid without Red X-Press Imprint Map/parcel Number �3� , V �,roperty_Addr s ❑Residential Value of.Work$ 49 000, 4D Minimum fee of$35.00 for work under$6000.00 Owner_'s_Name_&_Address44&142uI Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance CheckYone:S VI a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. P,ermtt-'Re st(check box Re-roof(hurricane'nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Own must siFent Owner Letter of Permission. A copy e e pContractors License&Construction Supervisors License is re ed. .SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 27m Oomrnormealth of f Maysachusettr Departineut of rudustrial Acciderr& Offire of investigations. 600 Washington Street Bastm,MA O2111 tvFov-nim s_govfdia Workers' Campensafian Insurance Affidavit$uilderslCantract6rs/Electricians/Phunbers �i Infarmaifrn Please Pant fe� v •���Sus�e.�s�ga�a��? _ �AddLtss 0`7 Cit'gfS4ate1 L �6 r,�re.yaII an-6*153er?'CE�eckthe-approgriate ba=:`f Type of project(required): I.❑ I a�a employer with 4 ❑I am a general cunt motor and I 6. �Zodeung.. construction • employees(fish a�for part—time)-* lisi�d ont have]rire3tfze sub-contractors 2.El I am a sole proprietor orpartner- the attached sheet~ ?. sleep and have no employees. These sub-contractors have g_ ❑Demolition wo�ng forme in any capacity- employees andhave sgorkers' 9..❑B.uil�g addition comp-rn 4 ' Camp.insurance We r 5_ ❑ We are a corporation and its 10'❑Electrical repairs or additions Iama home doing all v�ork officers have exercised their 1L❑Plumbing repairs or additions ' myself[No workers'oomp_ rim of exemption per MGL 12-❑Roofrepairs surance required_]l c.152,§1(4h and we have no employees-[No workers' 13_❑Other comp-insurance required_] 'Any appffcard&atcheds box F1mast also irllout the section below showing dmkwoaels'CQmpeasafianpafidgiffDMM= #Homeowners who submit This RfRdavu inffirztmg they Rm doing anwodt and tier hire autsidecoutcsctorsmost submit a new affxds8t:mdicstina snr'h rdantrzamEut cbedkthis boa mast xtteched=ZAAWnl sheet showingthenmeof the sub-cantrudDrs-and state whether ornotthose enfidesbare emplayees.If the sub-contma shwe onployeas,theirm istpms-idetheir work'comp.pGrky number. I arrt art euipin r t7rrrt is prauidurg�varkers'eonrperesafion utsrirance f ar m}s enrpFu}�ees $etoav is Yi lepoticy and job site inforttradDiL Insurance Company Name: Policy,.,F_or Self ins_7io_ ExpiratioaDate: Job Sit�A&re= City/State/2�p: Attach a-copy of the workers'coxapensationpolicy declaration page(showing the policy member and expiration date). Failure to secam coverage as requiredunder Section 25A of MC EL t<1572 can lead to the imposition.of criminal penalties of a fine up Lb$UOD OD andlor one-yearimprisonment,as well asrivil penalties,in ifie form of a STOP WORK ORDERand a Kne of up to$r250.00 a day against the violator. Be adrisedthat a copy of this statement nnaybe forwarded to the Office of Investigations of the DIA for MSU13nce co ge won_ I da IferBhy=6jy harder ,f Irei�ury thatthe irrforma6wj-pmirled a P9 and carrect Sirstattsre� lIJEake7 �Pl�ane b d X o Y6� Qfficial use cony Do tat trrite in fides area,to be carnpleted by tafp artanrt oJOTciet City or Town: PernatlI,inense# ISS13[]9.g Anflority(Circle one): L Board of Realth I BwlXmg Department 3.CRyfrowa Clerk 4.Electrical Iusgertor S.Phanbing Inspector 6.Other Contact Person: Phone 9: -- ---- --- -- - - 6 - nf'orm atzon and Instructions ; Mz&Saciiasetts General Laws cbapira 152 rEquiiPs all employ=fn provide wojkeas'compensation for their employees. pms�this state,an mq,&yw is defined as,¢,evu:ry person in the service of another cinder any contract of hire, express or implied,oral or vviftt mf An errPIoyer is defined as"an mdjn 1 paxinersbzp,asso an;corporation or other legal entity,or any two or more of the foregoing=gaged is alomt mt rpase,and including the legal representatives of a deceased empIoyes,or the receiver or trust=of an iadividnA partnership,association or otherlegal entity,employing employees. However the owner of a.dweIlfng house having not more than three apartments and who resides therein,or the occupant of the - dWzUjrjg house of another who employs persons tD do main tenance,construc Lion or repair wow on such dwelling house or on the grounds or building apprn-irnanfthereto shallnotbecause of such employmentbe dcemedto be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shaII withhoId$ze issuance or renewal of a license or permit to operate a buiskess or to construct bm2dings k the commonwealth for any ` applicant:who has not produced acceptable evidence of compTuanm with the in�ce.coverage required." Additionally.MGI.chapter 152,§25C(7)states¢Neither the connnaawean nor aay of its political subdivisions shall mter nib any coafiact for the pmfvnoance ofpnblic vvaikmatil acceptable evidence of compHagcewith the;isuran e.. r eTure ents of this chapter have been prese-ntDd to the coutracting aafhoz APplicasds PIease full oitr tine wodrers'compensation affidavit completely,by then the boxes that apply to your situation and,if necessary,supply sob-contractors)name(s), addresses)andphonemmmber(s) alongwiEtheir certifacate(s) of insurance. E itrd-LiabilityCompanies(LLC)or Limited Liability Partaen ips(LU)withno employees other than the members or paitnms,are not ragtm-ed to can y woike& compensation insurance. If an LLC or LLP does have employees,a.policy is requited. Be advised that this affidayit may be mbn fitted to the Deparfrnent of Industrial Accidents for confnmation of fnsatance coverage.- Also he sure to sign and date the afiida•Qit=--The affidavit should be returned to the city or town IhA the application for the permit or license is being requested,not the Department of Tnd,,.et ag Accidmts. Should you have any questions regarding the law or ifyou are rmlmred to obtam a woricem' =npmsation policy,pluse call theDeparbnentat the number]istedbelow. Self-msu1-,d companies shouIdentsrtiieir self-insurance license number an the appropriate line. City or Town Of t _ Please be sure that the affidavit is complete and prirhrd.legibly. The Department bas provided a space at the bottom of the affidavit for you to fill out i a the event the Office ofluvesti gations has to contact you regarding the applicant_ Please be sure to fill in the penny t crose number which wM be used as a reference number. In-addition, an applicant that must submit multiple perrit/Iice nse:applizmflons in any given year,need only submit one affidavit indicating enn-ent p olicy information(if necessary)and nodes`Job Site Address"the applicant should write"all locations in (may or town)."A copy of the-affidavit that has been officiaIly stamped or maimed by the city or town may be provided to the ' applicant as-proof that a valid affidavit is on file for futm permits or licenses_ A new affidavitmust be,hIled oi±each year.Wh=a home owner or citizen is obtaining a license or permit not related 1D any business or commm-vial ventzo (fie. a dog license or peamit to bum leaves eb,-)said person is NOT regrdred to complete this affidavit The Office of Investigations would hke tD thank you m a.dvaace for your cooperation and should you have any questions, please do not hesitate to give us a call. The Dep_arfinenfs address,telephone and fax nnber: ConmjKnit3r ofMassachLnsi-_� D mt of 1iad Accident ice of IxVe9tikktf0= Bastm6 MA 02111 Tf,-L#617 727--9'QW cmt 4fl65 or 1477 MA S A Fax 9 617`27-7M Revised¢2"7 p q m a S,gDVAFa Town of Barnstable Regulatory Services ` TAAS& Richard V. Scali,Director. 1639. & Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us —office: 508-862-4038— - -- - Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder - I , as Owner of the subject property hereby authorize to act on my behalf, 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. Signature-of Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services oFIKE�iyr Richard V.Scali,Director Building Division STABLYPaul Roma,Building Commissioner Mass. 163y. 200 Main Street, Hyannis,MA 02601 ArED �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print fJ0 L CATION�J �� //G!l°Lti 5 nu ber y� street village •`HOIv1EOWNER": s. 4ro y�y ` name home phone# work phone# �URRENT Iv1AILING ADDRESS: Z > city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. ' DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall.not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building OfficW,'that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"h e " he/she understands the Town of Barnstable Building Department minimum inspection procedures a Fe/shewill 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 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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 JUN 24 '97 15:25 AT&T FAX 5300 PAGE 2 1 I.AW 0FF IC.CIC. 0r JOHN R. ALGER, P.C. ATTONNCY Al LAW 006 MAIN S'i'RCE:T P.C�, BOX 4qp Cp5TE!-3VII_!_e, M.A 0WC,b!S-0,4a£a Titl LPHONC.tt700»4ZEJ'OSE4 FAx (SOW 4k0.3i<< June 24, 1997 BY Fax Ms, Gloria Urenas Building Department. Tolvs: of Rarnstsble 367 Main Street Hyannis, MA 02601 Deal,Gloria: L epresent-the potential purchaser of the property of�T coniaa.H-Slatnan,at-G2L Mat'n'Str - West I38rn0*)lc hown on Assessors Map 132 Parcel 13-1, This is,l`belleve., iq an RI;diStriCl,Forts many,years,perhaps preceding zoning, the Black family had a weaving shop on this location. They sold, I believe,in the 80's and it has passed through several hands. Most recently it has been used ac an antique store, 1 find no Board of Appeals action granting special permits to allow this. RIF districts have)Ionic occaspat ion as a permitted use, Would you please4et_ine.know how I can verify that the sale of antiques on this premises is allowed. Would it.be possible that this is a non-conforming retail use and that no permit is require-d? 1 have a definite litnit to determine whether my client should go forward and l would appreciate your gctling In touch Willi tne, Ve truly yours, )RA/bl 171.P lq'7 JUN 24 `97 15:24 AT&T FAX 5300 PRjE 1 t LAW ORPICItS OF 'JOHN R. ALGER, PG. ATTOFtNtY AT LAW 890 MAIN GT"Etr R O. BOX 449 OCTERVILLC, MA 02858.0449 T%:Lrf'W0Nr. (500) 428.8594 RAK (500) 420.310; TLLECOPIER TRANSMITTAL LETTER DATE:-11 tu»e 24, 1997 PLEASE DELIVER THE ACCOMPANYING TELECOPILD MATERIAL TO: NAME: Gloria Urenas SENDER: JOHN R. ALGER NUMBER OF PAGES TO FOLLOW: F y IMPORTANT: THIS TRANSACTION IS PRIVILEGED AND CONFIDENTIAL ANT.? INTENDED ONLY FOR THE RECIPIENT INDICATED ABOVE. IF YOU ARE NOT THE INTENDED RECIPIENT, BE AWARE THAT DISCLOSURE, COPYING OR USE OF THE CONTENTS OF THIS TRANSMISSION, IS PROHIBITED. FAX NUMBER OF RECIPIENT: 790-6230 j , s TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 132 013 001 GEOBASE ID 35177 ADDRESS 621 HAIN STREET/RTE 6A ( PHONE W BARNSTABLE ZIP LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 25689 DESCRIPTION WEST BARNSTABLE ANTIQUES (4 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety I' ARCHITECTS: " and Environmental Services TOTAL FEES: $10.00 BOND $.00 Ox tt1E ( CONSTRUCTION COSTS $.00 I 753E MISC. :NOT CODED ELSEWHERE * BARNSTABLE, • MASS. OWNER MUNDAY, WALTER & CYNTHIA i639' A�O� ADDRESS 621 MAIN ST BU L ID G DIVISION /� W BARNSTABLE MA B• f� �.I_'in/.41 DATE ISSUED 09/16/1997 EXPIRATION DATE Ail •per � i ; tr J. ,''�,• � � The.'Town of Barnstable : t of Heap, Safety,and Environmental.Services I Departmen r..a 1Pw7dag:D1'vision 367 Main Stream Hyannis MA 02601 Jfficr: 308-790�227 I�s�? ;ll Crosm ax: iil 508-790-WO clit'.g Commissioner Applicadoa,f6r,810 Perirut IDS• � i , �i� .^I'r ;• , Applicant: 1&r4e C` Assessors i4®. .. C 605 T 1��4ni L�774( l�lU i 0U� Telephone No. A10- rox 4�. Doing Business As:_ly� 6a . . sign TACacioII Street/Boad:_.:.�Cc2_/ Old Kin highs C f 'o Zoning Discus:° ,ra gs �a e�, . Property Owner Name: i./.sti 7-c.o au�r/ L •%�lu/y c�is i Telephone:--_.� Address «l c->7P �� �8e: ►;,/ o� Sign Ccnurlctor Name: A/� TelephotrA' .,�a_. Address: _' `' Village: 1 Tho.n.¢cs ff-5SeA,T : Description . Please draw di.Lgan of lot showing location of:biis7dia and e.�dsong signs nth dttra:rJi.c' js, location and size'of the new sibm. This should be:- on'the:reverse side of tMi , k yLcu on. Is the sign to be electzilxed? (Nou:lfjrs;a rdiriVpcn=m requi� I hereby certify that I am the owner or that I haverthe.:wdtoriey,of the oam r. :ii m Ac. this application, drat the infurmaaon is correct and tbat,the usc.and construcdon j h7di cox7darrar, to the provisions of Section 4.3 of the Town of Barnstable,Z ring,Ordinance.•:...:.:_: Signature of Owner/Authorized Agent: D Sue 1 :�Permu 1F .. ��a����n .r ....�.r� 1 � •1f Sip Permit Suss approved: �, Dr.apprvve�d N- Si l� -Dam' q -/� — 2 BnQnaaue of Building O i 2 - ��1.,.,.,.y.,.,_:.. ..,9.T� U �.•..r . Ir•. ; vt e . RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET I'lain St. W. Barnstable SUMMARY WB LAND BLDGS. ZlGg paw OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � BLDGS. Rlsl�k: Rohart Form M-�7�92 \ TOTAL R LAND Black Robert R. Jr. & Sperry, Louise $. 6 8 72 1664 151( /Life E r Flo rn BLDGS. 7/ TOTAL O O�v LAND u 2 0�20 BLDGS. L 0 C J TOTAL LAND BLDGS. TOTAL LAN D BLDGS. m TOTAL LAND BLDGS. 0) TOTAL " t 'LAND INTERIOR INSPECTED: '�G�✓ Cat/ '� ....1 BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT �z ��Gt 5�53) Q /Z vo 0 c _ CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT kD REAR ZOdo �;) CG7 0) GS.WASTE FRONT AL REAR LAND I BLDGS. TOTAL /-S O LAND 3 o o o BLDGS. LOT COMPUTATIONS LAND FACTORS �; TOTAL FRONT DEPTH STREET PRICE DEPTH gb FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ZBU S ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. rn BLDGS. • ATOTAL PURCH. DATE Conc.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE Brick Walls Attic Fl.&Stairs Toilet Room Roof �- da'� RENT Stone Walls Fin.Attic F I Two R.t. Bath Goo p13 Floors � . . Piers INTERIOR FINISH Lavatory Extra Bsmt. F 1• 2 3 Sink �, s/ rh �/ Plaster ✓ Water Clo. Extra Attic26 �ff/pi EXTERIOR WALLS Knotty Pine Water Only Do PAsere �� �� /r. Double Siding Plywood No Plumbing Bsmt. Fin. 8 Single Siding Plasterboard Int.Fin. Shingles �/ TILING :onc. Blk. G F P Bath FI. Heat —I— C�qt� SAS Face Brk.On. Int. Layout Bath Fl.&Wains. Veneer Int.Cond. Bath Fl.&Walls Auto ac Unit { C�� Ht Ly � Z Com. Brk.On Fireplace HEATING ToiletRm. Fl. �-.plumbing 4 Z y d _ .___ "'_ -•_ '•_- •� Solid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. 7 a --- Tiling _ Steam Toilet Rm. Fl.&Walls Blanket Ins. Hot Water �' St. ShowerIliorb Roof Ins. 4 Air Cond. Tub Area Total Floor Furn. ROOFING e- Z7 COMPUTATIONS q Asph. Shingle Pipeless Furn. Va <.• S.F. Wood Shingle No Heat G�3 7J S. F. �J Asbs. Shingle Oil Burner 6. S. Slate F. 6 � L-a l Coal Stoker rile Gas S. F ��sf/!'otT /3j000 2ep�, G'oSTa�ySe �pos >�-'�poo oayS�o/� I OUTBUILDINGS F. i ROOF TYPE Electric S. ' Gable Flat S.F. 1 2 3 4 5 1 6 7 8 9 10 1 2 1 3 4 5 6 7 8 9110 MEASU D Hip Mansard FIREPLACES S. F. Pier Found. Floor GO Cv C�-s — �. Gambrel Fireplace Stack Wall Found. 0. H.Door LI FLOORS Fireplace Sgle.Sdg. Roll Roofing v J onc. LIGHTING Dble.Sdg. Shingle Roof I Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. lst�j f4S TOTAL Z Brick Int. Finish p p PRICED Single 2nd 3 3rd FACTOR 5 3 REPLACEMENT -ig3 7-7 /i51 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep• PHYS. VALUE Funct.Dep• ACTUAL VAL. ' D W LG: qr. ), 3 / , S �' , 1 S �� s yL/O S�= •�A/.e �O^® O 2 v 3 4 f 5 , 6 7 8 10 '"TOTAL,' RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Main St. W.Barnstable WB_ �LAJND132 13 OWNER .- T LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: m BLDGS. B ^ TOTAL LAND Black Robert R. Jr. & Sperry, Louise B. 6 8 72 1664 151 w Li le-Est. BLDGS. ^ TOTAL LAND BLDGS. TOTAL LAN D BLDGS: ^ TOTAL LAND BLDGS. TOTAL LAND at BLDGS. ✓ ^ TOTAL �. '.LAND INTERIOR INSPECTED: ' ^ BLDGS. \, ^ TOTAL DATE: y�d ,oL LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE ^ TOTAL HOUSE LOT LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND 01 BLDGS. TOTAL LAND i C BLDGS. LOT COMPUTATIONS LAND FACTORS ^ TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL Ie111 v l7allll. 1\vim. .��.11 - ...�,.CI Dalll us lil t. PURCH. DATE' ;onc. Slab Bsmt.Garage St. Shower Ext. Walls r PURCH. PRICE. Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath Pierx INTERIOR FINIS Lavatory Extra Floors Bsmt. F Al, 1' 2 3 Sink '/ 1/z 1/� Plaster Water Clo. Extra Attic 39 EXTERIOR WALLS Knotty Pine Water Only Ooubte Siding Plywood No Plumbing Bsmt. Fin. I Single Siding Plasterboard Int. Fin. Shingles TILING :onc. Blk. G F P Bath Fl. Heat Face Brk.On Int. Layout V Bath Fl.&Wains. Auto Ht.Unit J /SS3 yj Veneer Int.Cond. Bath Fl. &Walls Fireplace :om. Brk.On HEATING Toilet Rm. Fl. Plumbing ` iolid Com. Brk. Hot Air W ✓ Toilet Rm.Ft. &Wains. ' ---- — Tiling Steam Toilet Rm.Fl. &Walls Blanket Ins. Hot Water St. Shower 200(Ins. e,s Air Cond. Tub Area Total Floor Furn. a/ ROOFING ��,�Q/ COMPUTATIONS 1sph. Shingle Pipeless Furn. ��S S. F. 70 Wood Shingle No Heat S. F. Shingle Oil Burner (� f ✓ S F Slate Slate Coal Stoker S.F. yp���o,• / �lC// rile Gas S.F. OUTBUILDINGS I ROOF TYPE Electric Gable I/ Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEAS •iip Mansard FIREPLACES S. F. Pier Found. Floor 1 Gambrel Fireplace Stack WA Wall Found. 0. H. Door LIST FLOORS Fireplace Sgle.Sdg. Roll Roofing Conc. — LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing 4/0 Hardwood ROOMS Cement Bilk. Electric Asph.Tile Bsmt. 1st TOTAL Z Brick Int. Finish PRICED i Single 2nd 3rd FACTOR tom% REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG.. 1 2 3 i 4 5 6 7 8 1 9 a 10 i� TOTAL iI �ti11 `' I 7km VN -ls Office 1st floor Ma Z Q �©0 1 Permit# Q Conscrvation Office Oth floor) Date Issued /� /n s Board of Health Ord floor S 4o En in cring Dept. Ord floor House# Planning Dept. 1st floor/School Admin.Bldg.): OV I S alb" t N .. Definitive Plan Approved by Planning Board 19 'bay `7 v��y 0 t �0IY1�f� , �ia, ., .✓.A licafi r ssed 8:30-9:30 a.m.& 1:00-2:00 .m. - - EE���' � ,;371LIAe SCE LEI' i G L_�Lam- TOWN OF BARNSTABL CODE AND Building Permit Application TOWN REGULATIONS(Projelc treet Address Z r` V1/1/4 t Gp Lo Village Ll!es X-�-q 6 4 Fire District Owner 7 rn ,S'/a. A4m e41 _ r Address C;2-1 i1'lf7-,/y ,s'� Gz/ ,(��•�.,i¢.G� Te1cphonc 34a- S10, U Permit Request: 04c(/w 3" G lS ac/ 7t 0 h e e)(,Jt-- Zoning District Flood Plain Water Protection Lot Size 0 S 610 G Ac— Grandfathered Zoning Board of Appeals Authorization Recorded r a �[, Current Use f +tom l�� &r-rm+•,f S, ,v/ Proposed Use Le, -5-e- 4,,744 ke , 6 Cl-F � Construction Tyne W d o EaistinE Information -Dwelling Type: Single Family V/' Two family Multi-family Age of structure /l 90 = 1 94-0 2 Basement type � •r � 6� Historic House ✓ Finished lyd Old King's Highway ye r Unfinished P'n,,ILI l Number of Baths Z No.of Bedrooms 4 Total Room Count(not including baths) / 0 First Floor 7 Heat Type and Fuel 5:ft 6Lwk, 4fl Ji Central Air AA Fireplaces O yi/Pi Garage: Detached A/0 Other Detached Structures: Pool /V0 Attached /Vj Barn Ava None ✓ Sheds Other Builder Information Name 11 �� ceow!� r �r/ Telephone number 3�47--- / Address 2, 1 �Yo.�� � �� L�t��1 o License# f�a t I h Fr /1/k 0 Z-0 & Home improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pro'ect��C,/ost -� v Fee (&�, 00 SIGNATURE- DATE����, �9L BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T #10450 FOR OFFICE USE ONLY 132.013.001 ADDRESS 621 Main Street. (6-A) VILLAGE West Barnstable, MA 02668 OWNER Thomas H. Slaman DATE OF INSPECTION: FOUNDATION FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: D DATE CLOSED OUT: r " ASSOCIATE PLAN NO. 5/7/2018 Print Page Print this page I M • Owner Information-Map/Block/Lot: 132/013/001 -Use Code: 1010 Owner Map/Block/Lot GIS MAPS COTTER,BRIDGET M & 132/013/001 Owner Name as of WILLIAM D Property Address 1/1/17 598 ROUTE 6A 621 MAIN ST./RTE 6A(W.BARN.) SANDWICH,MA. 02563 Co-Owner Name Village: West Bamstable Town Sewer At Address: No GIS Zoning Value: RF • Assessed Values 2018 -Map/Bloc"ot: 132/013/001 -Use Code: 1010 2018 Appraised Value 2018 Assessed Value Past Comparisons Building Value: $ 125,800 $ 125,800 Year Assessed Value $ 10,900 $ 10,900 2017 - $ 422,300 Extra Features: 2016 - $ 422,800 2015 - $ 444,500 $ 53,500 $ 53,500 2014 - $ 445,300 Outbuildings: 2013 - $ 446,300 $ 226,500 $ 226,500 2012 - $ 522,400 Land Value: 2011 - $ 578,600 2010 - $ 584,900 $ 416,700 2009 - $ 502,700 2018 Totals $416,700 2008 - $ 456,600 2007 - $ 466,800 • Tax Information 2018-Map/Block/Lot: 132/013/001 - Use Code: 1010 Taxes W.Barnstable FD Tax (Commercial) $ 0 W.Barnstable FD Tax (Residential) $ 1,158.43 Community Preservation Act Tax $ 120.13 Town Tax (Commercial) $ 0 Fiscal Year 2018 TAX RATES HERE Town Tax (Residential) $ 4,004.49 $ 5,283.05 http://www.townofbamstable.us/Assessing/pdntl8.asp?ap=0&searchparcel=132013001 1/3 :+ t IL Check out the easiest way to grow tomatoes so you never have to buy them again BY AMANDA SHIFFLER 6+ planting tips for pansies that you should follow BY JOHN LEVAN ADVERTISEMENT RECOMMENDED http://gardeningtips.diyeverywhere.com/2017/04/01/the-right-aw.../?src=fbfan_59350&t=fbad&up=20170429&k=Igvslv4gaen00098 5/6/18, 4:13 PM Page 8 of 12 5/7/2018 Print Page • Sales History-Map/Block/Lot: 132 /013/001 -Use Code: 1010 Histooy � Owner: Sale Date Book/Page: Sale Price: COTTER, BRIDGET M & WILLIAM D 2016-08-30 29899/215 $275000 NATIONSTAR MORTGAGE LLC DB/A 2016-02-29 29479/13 $350000 MUNDAY,WALTER S 2006-10-30 21476/277 $0 MUNDAY, WALTER S &CYNTHIA A 1997-09-11 10945/230 $335000 SLAMAN, THOMAS H 1988-12-30 6576/30 $280000 COLE, ELIZABETH F 1983-07-20 3804/131 $168000 • Photos 132/013/001 -Use Code: 1010 J' c' • Sketches-Map/Block/Lot: 132/013/001 -Use Code: 1010 � �� 5 ( 1� fA 15 <- �\ �A BAS 1 2 C As Built Cards:Click card#to view: Card #1 Card #2 C' • Constructions Details-Map/Block/Lot: 132 /013/001 - Use Code: 1010 Building Details Land Building value $ 125,800 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $209,745 Bathrooms 2 Full-0 Half Lot Size(Acres) 1.06 Model Residential Total Rooms 6 Appraised Value $ 226,500 hftp://www.townofbamstable.us/Assessing/pdntl8.asp?ap=0&searchparcel=132013001 2/3 Y Here's why every gardener should keep a healthy supply of Epsom salt BY TIFFANY ORR I 5/7/2018 Print Page Style Conventional Heat Fuel Oil Assessed Value $ 226,500 Grade. , Average Heat Type Hot Water Year Built 1895 AC Type None Effective depreciation 40 Interior Floors Pine/Soft Wood Stories 1 3/4 Stories Interior Walls Plastered Living Area sq/ft 2,142 Exterior Walls Wood Shingle Gross Area sq/ft 2,746 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features-Map/Block/Lot: 132/013/001 -Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 240 $ 6,400 $ 6,400 Unfinished BRN2 Barn w bmt 608 $ 11,500 $ 11,500 FPO Ext FP Opening 1 $ 1,100 $ 1,100 SHED Shed 140 $ 800 $ 800 SHP1 Workshop-Average 1553 $41,200 $ 41,200 FPL2 Fireplace 1.5 stories 1 $ 3,400 $ 3,400 • Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio I hffp://www.townofbamstable.us/Assessing/pdntl 8.asp?ap=0&searchparce1=132013001 3/3 He Pours Dish Soap Into The Toilet. 'The Reason? 1 Had No Idea ti This Was Possible I ' Man digs a hole and places a banana inside. Did you know about this trick? BY ROXANNE GOLDBERG ADVERTISEMENT r http://gardeningtips.diyeverywhere.com/2017/04/01/the-right-aw.../?src=fbfan_59350&t=fbad&up=20170429&k=lgvs1v4gaen00098 5/6/18, 4:13 PM Page 10 of 12 5/7/2018 Assessing As-Built Cards TOWN OF BARNSTABLE �• LOCATION 6 / Alw.4- SY(P-4 6 4) SEWAGE 0 VIIIAGE aQI� � ASSESSOR'S MAP&LOT 1 -U3.W INSTALLER'S NAME r&PHONE NO. SEPTIC TANK CAPACITY /_SOy LEACHING FACILITY:(type) 3 r2k (Size) NO.OF BEDROOMS_Y___4_ S"P 9R OWNER S t^^� $1 q Maw PERMrrDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of!.caching Facility Feu Private Water Supply Well and Leaching Facility (if any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 30D fat of leaching facility) Fat Furnished by i I N Sa��i S9 R � i hftp://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar-1 32013001&seq=2 1/2 1 Guy packs ice cube tray with baking soda and VapoRub — now watch where he puts it BY NICK GEORGANDIS http://gardeningtips.diyeverywhere.com/2017/04/01/the-right-aw.../?src=fbfan_59350&t=fbad&up=20170429&k=Igvslv4gaen00098 5/6/18,4:13 PM Page 9 of 12 Assessor's Office(1st floor) Map ` �j Lot - &8, oi)1 it# 165�9 " , Date Issued Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) ^ Fee ,' SU.&V 24 r. -Wi � Engineering Dept.(3rd floor) House#1 S Ai/07 ept t hool n.Bld .; '• �B�AHN-ATE: L•'�i.G�0 D ini Plan p ro a la oard 19 ��� L e�so: �WaPLBAe 3CE ME TA TOWN OF-.BARNSTABLEEIIVI�ONMENTAL CC) a�D Building Permit Application ' OWN REGULAMM�,Mj Pr ' dress Village (,cJ. S' Owner 77__� o 6-2A s Address / c;� S Telephone Permit Request �2-�ZAG e ('o 0�2 �'�!/�,��e �rz a�T 4L L 0)f' Total 1 Story Area(include 1 story garages&decks) ;'� square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 4y'rr G 6 Zoning District F1ood.Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use /) TJ g o-e S-/wo Proposed Use +Construction Type_!�j J)eo - Commercial dl° Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure ,," a 12-.9 Basement Type: Finished Historic House Unfinished Gnnz-JI Old King's Highway y�2y S Number of Baths _Q& No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel 01 L Central Air G2 A Fireplaces /Vz� Garage: Detached. Other Detached Structures: Pool Attached Barn None 1/ Sheds Other Builder Information Name ]hd»�� f�a,„q� �/j t,,�,e 2 Telephone Number Address / /2')T.e, 4�7� License# C✓� h��,y�'Z Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE —DATE ���1 9� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ s PERMIT NO. 10589 DATEJSSUED Sept 269 1995 ,Y a MAP/TARCEL NO., 132.013-.001 c4 ADDRESS 621 Main Street (6-A VILLAGE West Barnstable, MA 02668 . I OWNER Thomas. Slaman DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL _ FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. The Town of Barnstable KAMg Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 . Office: 508 790-6227' � Ralph Cmssen Faxc 508:775-3344 Building Commissioner For office use only Permit no. - Date AFFMAVrr HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.mncn- , demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to stnremres which ate ad*eut to such residence or building be done by registered contractors.with certain C=Ptions, along with other _uirements- Type of Work: /� ��1� / Est Cost Address of Work: ���e G� ��22•�S71,�� Owner.Name- Date of Permit Application: I hereby certify that: Registration is not required for the following remn(s): • - Work excluded by law Job under S1,000 -- Building not owner-ooc�rpied =Qwner pulling own perm't Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH VNAEG15TxA=CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner_ Date Contractor name Registration No. OR Date Owner's name • TOWN OF BARNSTABLE BIIILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 7 -Number Street address Section of town "HOMEOWNER" T�o�-�� � .`� S' C-�•S��-2� J%j',? Name Home phone Work phone PRESENT MAILING ADDRESS /� 2 ?'•:_ '- '- Ci, y .town State Zip code The current exemption for "homeowners" was extended to include owner-occupies dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Offici on a form acceptable to the Building Official, that he/she shall be responsiL for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the St Building. Code -and other applicable codes, by-laws, 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 proce es and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BIIILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. l HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which;114uilding Permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that..i: Home Owner engages a person(s) for hire to do such work, that such Home Owl shall act as supervisor. " Many Home Owners who use this exemption are. unaware that they are assuming the responsibilities of a supervisor (see Appendix Q. Rules and Regulation: foi .licensing Construction* Supervisors, Section 2. 15) . This lack of awarei often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner act as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. n communities require, as part of the permit application, that the Home ''Owner certify that he/she understands the responsibilities of a supervisor. On t 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 eft The Commonwealth of Atassachusetty •�si� ,` -:--°_��•��- Department of Industrial Accidents A. _ 0111ce8110=1192118os 600 fl'ashinrron Street • �.._':, ' Boston. Mass. 02111 FL•a a� Workers' Compensation Insurance Affidavit .- _.._.. �nnitcant-l-t:!6r.:--.ati n- Please PRINT le�lb y names locations 2 2Te c11 A�� s rR�z � phone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comliany name- - address• may• nhone#• insurance co Polio'# rl 1 am a sole proprietor, general contractor,or homeowner(circie one)and have hired the contractors listed below who have the following workers' compensation polices: company n•tme• address: city: phone#• insurance co policy# i�...._�' y.cn�a.-. �K.ve:_asrs^•'l:.T!lx;�.cs''*s�:•a�.•'rf"-raee :�a�7F�iPIIf'�'aye'.�t7'!*"YS7F!f�zt�^'Rt°T:L.�143�'-:_�•"'.-"ps . company name.- address: city nhone#• insur•tncc co policy# .Attach additioiial'shiR if•neeess Failure to secure coverage as required under Section SA of NIGL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP R•ORI:ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do herebr certifj•under the pains gird naUies of perjury that the information provided above is true and correct. Q Si_nature Print name Tj, 0—,9j Phone# 0 iicial.use only do not write in this area to be completed by city or town official 4° cis, or town permiMicense# nBuilding Department pLicensing Hoard check if immediate response is required c3Seleetmen's Office C311eallh Department contact person phone#• nOther Imised 3.495 PJA1 • I i r i Information and Instructions . Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an empint,ee is defined as every person in the service ofanother under any contract of hire, express or implied, oral or written. An enrplaa/er 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 rcceh�ir 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 ;-rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rene-tval of a license or permit to operate a business or to construct buildings in tic commomi-calth for any :applicant,%vho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. �' ... : ....' ":.:.-... .. r�•:: ..Y'y:i' .J-!,'t:• Sn!f;.i:i.i L1Aa y - ,r Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to tlae 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. .... ... .... . . , r . , 4. ' J�.. . s 777 ... _ City or Towns Please be sure that tlae 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investications would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to Live us a call. ..:,..r..e_.,-...........�,.,:.--•_-.n.e•.c.•.+..e.n-.S..-e•r.....rsw.r..�..u.+-•,a.-..-.,..nr-�.... v.-=4;��,w�..�rt► S... .. ..:. .. _ f lio.� J�TRY�II• The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents' emu, Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 (o31 m S'fvir Dr.Ellzatetk T.Cole $ 700 C ommonwea Itk Avenue Newton Centre.MassacLusetts 02159 May U,^9SA. Mr.Joseph D.DaLuz Building Commissioner Town Office Building Ifyannis,MA Dear Mr.DaLuz: It was a pleasure to meet with you last Wednesday in your office. As you know from our conversations,I bought an antique house and commercial shop at 621-5 Main Street in West Bamstable on July 20, 1983.This property has particular appeal for me since I am an ex-artist and an active preservationist.Over the months that have ensued I have been carefully restoring this fine property. Since purchase I have been trying to lease it to a crafts person who would be appropriate for the area.I have spent over $1,000 just in advertising in craft journals.I am,as you,interested in having a high quality successful shop there.The responses to my ads have been many,but all disappointing so far.Most of the respondants have been single and,in addition,with very small budgets.I am continuing to seek the appropriate person and have just enlisted the services of Rene Poyant Realtors. I am very anxious to keep active the existing permit for a retail shop and will comply with your directions to do so.During this recent storm the sign which had marked the place for 29 years blew over and is unsalvageable.Please let me know if this presents any problems and direct my activities regarding this matter. Rest assured,I am making every effort to maintain and improve this fine landmark within your beautiful community.Your expert help is deeply appreciated.Thank you. Si^erely, EFC/km Elizabeth F.Cole,M.D, cc:Mr.William Gardner Perrin,Esq. June 27,1984 Dr.Elizabeth Cole 700 Commonwealth Avenue Newton Centre,MA 02159 Dear Dr.Cole: I am sorry for the delay in responding to your letter of May 14,1984,Since a storm damaged your sign beyond repair you would be permitted to replace it with a reproduction of the original sign.If,however,you want to change the sign you would have to submit a rendering and file with the Historical Commission. I hope you find a suitable tenant who will maintain the charm and character of the village. Peace, JDD/gr Joseph D.DaLuz Building Commissioner