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Town of Barnstable Per nit
1 ?01C Erpirrs 6 months from is dare
Il, Regulatory Services Fee
BARNsr
UA a aR%7-ig8LE Thomas F. Geiler,Director163
pTfp �p n
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 1 J ,fr— D�
Property Address o7Ys—;p ��r�/�
esidential Value of Work /J40D.0 6 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address >Z C)I
or
IowaCo
Contractor's Name Telephone Number
Home Improvement Contractor License# (if applicable)
Construction Supervisor's License# (if applicable)
❑Workman's Compensation Insurance
Check ne:
VI
m a sole proprietor
m the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers'of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum .44)# of windows
'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:
SIGNATURE: �-�--
I
t;
j
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 TVashington Street
Boston, NIA 02111
W}vw.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lel?iblv
Name (Business/Organi2afion/lndividual):
Address: 43�,5 /Gr/�e-.0— /C
City/State/Zip: eJ rv! G Phone #: G�a7 7/-11l
Are you an employer? Check the appropriate box: Type of project (required):
1.❑ I am a employer with 4. I am a general contractor and I 6 New construction
employees(full and/or part-time).* have hued the sub-contractors
2.❑ I am a sole proprietor or partner-
listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• 0 Demolition
working for me in any capacity. employees and have workers' 9 Building addition
[No workers' comp. insurance comp.insurance.t
wired.]
5. � We are a corporation and its 10.❑ Electrical repairs or additions
3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
right of exemption per MGL 12. -__Roof.repairs...........
..._. .....-..._. ...,-..._................ .. . .. . .
insurance required.]t c. 152, §1(4), and we-have no
q ] employees. [No workers' l3.❑ Other
COMP. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such:
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors'have employees,they must provide their workers'comp.policy number.
J am an employer that isproviding workers'compensation insurance for my employees. 'Below is thepo/icy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date-
Job Site Address: City/State/Gip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine Lip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do her •by certify under the pains and penalties of erJury that the information provided above is true and correct.
Signature:
Phone#:
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
1 .
information and histructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an eniployee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written." ,
An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver-or trustee of an individual,partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair:work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of co►riphance with the insurance coverage required."
Additionally,IvIGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractors)name(s),address(es)and phone numbers) along with their certificates) of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance If an LI.0 or i]✓P does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be retumed to the city or town that the application for the permit or license is being requested,not the Department of
industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permitllicense number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write "all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may'be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE
Fax 4 617-727-7749
Revised 4-24-07 %iminv mncc orni/rlia
oFIHEr Town of Barnstable
regulatory Services
HAHNSTABLE, Thomas F. Geiler,Director
v MAS&
019..,a Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using ABuilder
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)
Signature of Owner Date'
Print Name
Y.
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the.reverse side.
`a
1
Town of Barnstable
o
0 Regulatory Services
Thomas F. Geiler,Director
BAarrsraBLZ,
s639• Building Division
���
PlF0 Miry A Tom Perry,Building Commissioner
` 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPT]ON
Please Print
DATE:— Z—
JOB LOCATION: Y f �+'r 1� Z./
number street village
4. ✓q� 7 SGh 6'o�r 77/- //90 .s�lsF-
"HOMEOWNER":�Qr!C J�
name home phone#1 work phone]I
CURRENT MAILING ADDRESS: �B /✓ O i yv�—
cit town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
equireme ts. p
Signature of Homeown
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 resuhs in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:\wPFILES\FORjM S\homeexempt.DOC
i
oFt r P �r`�'ow' n of Barnstable *Permit#
�v o 4.2008 Regulatory S2rV1CeS rC niord om issue date
W2NSTABLE, 8gRp1�T Thomas F. Geiler, Director
1639• AllBuilding Division /L
prfb MA't
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyan-nis, MA 02601
www.town.bamstable.i-na.us
j Office: 508-862-4038 Fax: 5087790-6230
EXPRESS PERMIT APPLICATION - .RESIDENTIAL ONLY
r/ Not Valid without Red,\-Press Imprittt
Map/parcel Number
Property Address 2Z
❑ Residential Value of WorklJ Cl. CEO lYeelin//imam fee of$25.00 for work under$6000.00
Owner's Name& Address. C W Sy 1-7
Contractor's Name Telephone Number
Home Improvement Contractor License# (if applicable)_
❑Workman's Compensation Insurance
Ch7am
❑ sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check.box)
Re roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (max1mum..44)
*.Where required: fssliance of this permit does not nexempt compliance.with other town department regulations,i.e. Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE: r�ivs- 6_61
V
QAV%PF[LES\FOU1S\huiiding permit forms\EXPRESS.doc
Revise020108
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of InvestigatiDns
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / Please Print LedW
Name (Business/Orgaiuzation/Individuan: C° � L. �a a 11-7
Address �O � k 3y� •
City/State P: a' .10.7l o/ Phone*:
Ara you an employer? Check the appropriate box r7.
pe of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I ❑New coustntction
. employees (full and/or part-time).* have,hued the shb-contractors
2❑ I am a'solc proprietor or partaer-
listed on the attached sheet ❑Remodeling
ship and have no employees These stab-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
f
[No workers' comp.-rasnrancc comp''n`uran 10. Electrical repairs or additions
�] 5. ❑ We arc a corporation and its ❑ p
3. T am a homeowner doing all work officers have exercised their 11.[�Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12 ✓�R of repairs
c. I52, §1(4),and we have no
inctirance regniied]t employees. [No workers' 13.❑ Other
comp,insurance required.]
"Any applicant that checks box#1 roust also fill out the section below showing their workers'compcns-4an policy information.
t Hmncownas who submit this affi davit.indicating they are doing Kll workand than hire outside contractors must submit Knew affidavit indicating such
tContractms that ehmk this box naut attached an additional sheet showing the name of the sub-contractors and shale whcthcr err not those entities have
anployces. If the sub-coniraet mm have employees,they must provide their worker'camp.policy number.
I am an employer that is providing workers'compensation insurance for my emproyees. Below is the policy and job site
information.
Insurance Company Name_
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/Statdzip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statcmcrit may be forwarded to the Office of
Investi tions of the b en
IA for inrar ce co vers a verification
I do her certify under the pains•and pen of perjury that the information provided above is true and correct
Si c: Date: - —
Phone#
O ftcfal use only. Do not write in this area, Ib be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector
6. Other.
r- F If.row . . Phone#:
Of1HE,, 'Town of Barnstable
Regulatory Services
RA"STAB '$ Thomas F. Geiler,Director
�A 163;g. �m
lEo Building Division
Tom Perry, Building commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
r /(/ C (�0�� S 0�7 , 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)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the Home.owriers License
Exemption Form on the reverse side.
Town of Barnstable
op SHE Tp �
Regulatory Services
• Thomas F. Geiler, Director
swttrtSTAUX, :•
y MASS
Building Division
j 'Teo n,r t a
Tom Perry,Building Comrnissioner .
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: a YC
number street �^ village
"HOMEOWNER": xlf !?C Z_ SCAI clr D Y " 7 71:;&:F �
name home phone# work phone#
CURRENT MAILING ADDRESS:
c' /town state rip 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
Persons) who owns a parcel of land on'which he/she'resides or intends to reside, on which there is,or is intended to-
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Si gn atrirc_of-Homco�vy�cr
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,
Thc'Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section log.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(sec Appendix Q.
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
f
MICHAEL D. FORD, ESQUIRE
ATTORNEY AT LAW
72 MAIN STREET, P. O. BOX 665
WEST HARWICH, MA. 02:67I 8 A R 31 ABLE
TEL. (508)430-1900 FAX(508)430-8662
EMAIL:mdfesq@cape66a7 `&et Q 10 AN 7: 10
Via fax and first class mail. I S 10 N
September 3,.2002
Thomas Perry, Building Commissioner
Building Department
361 Main Street
Hyannis, MA 02601
Re: Nancy Johnson
245 Parker Road, West Barnstable
Map 176,Parcel 018
Dear Mr. Perry:
I have been retained on behalf of Nancy Johnson with respect to the above referenced matter.
I will be filing a Request for a Certificate of Exemption and/or Certificate of Appropriateness with
the Barnstable Old King's Highway Historic District Committee. I will keep you advised as to the
status of that filing and provide you with a copy of the application.
Thank you for your.assistance with this matter.
Very truuLy-yours,
Michael D. Ford
MDF/mbf
cc:\//Gloria Urenas.
Nancy Johnson
I j.�i��l.tu . .�°'J.�, t�i 7•i'� u_s�'� „!.l%:t��1 hip.�,`i,' .7�i't'.� .. 1..).•!t ie° re. s ..,.. . . ._ '
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J•A•JENKINS & SON
mho
CRANBERRY CO.
July 24,2003
Thomas Perry
Town of Barnstable
367 Main Street
Hyannis,MA.02601
Dear Mr.Perry,
On July 7,2003 in Boston Land Court, by mutual agreement,the Baxter and Nye plan as it relates
to the northeasterly end of my property and nearest the Johnson home is the boundary line. The
building is still there just over my property line with no building permit,no Old King's Highway
permit,and built within 100 feet of wetland. Attorney Ford indicated he would be taking this
matter before the Old King's Highway in the near future,but that was at least six months ago. I
feel I have waited patiently long enough.
Please respond within thirty days your decision. Your failure to respond or act leaves me no
choice but to file suit against the town. I have enclosed the plan.
Yours T ly,
�J;7es A.Jenkins
227 Pine Street • West Barnstable MA 02668-1407 • (508) 362-6018
J•A•JENKINS & SON
Alt
d ti
J 21 JUL � �.. •`± �
tea® r
CRANBERRY CO. .. _. - - - - • - �• 3 .• ..� .
227 Pine Street �.. .
West Barnstable, MA 02668-1407
Uzo
� :_•e i-�-_ tl) �,,fX11,1lt, 11flllI, ffild"fi„I�1►hi��l�I�►,!!►,1
!� I�[ I ! If! 1 I i I� t ! tf { 3 � f 6fll iff 'I ! !
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O� Town of Barnstable
pFfNE T _W
Regulatory Services
? snxxsly►Bi E Thomas F.Geiler,Director
_'1 a,0� Building Division
QED MA'S
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
September 26,2002
James A.Jenkins
227 Pine St.
West Barnstable,MA 02668-1407
Dear Mr.Jenkins:
Enclosed is the letter from the attorney Nancy Johnson has hired to appeal the decision of Old King's Highway
Historic District Committee. We will now wait to see the outcome of the appeal before taking any further action.
If we can be of any more assistance please call 508 862-4032.
Sincerely,
Tom Perry
i
Building Commissioner
TP/AW
k
4
1�
r
MICHAEL D. FORD, ESQUIRE
ATTORNEY AT LAW
72 MAIN STREET, P. O. BOX 665
WEST HARWICH, MA. 02671
TEL. (508)430-1900 FAX(508) 430-8662
EMAIL: mdfesq@capecod.net
Via fax and first class mail.
September 3, 2002
Thomas Perry, Building Commissioner
Building Department
367 Main Street
Hyannis, MA 02601 v
Re: Nancy Johnson
245'Parker Road, West Barnstable
Map 176, Parcel 018
Dear Mr. Perry:
I have been retained on behalf ofNancy Johnson with respect to the above referenced matter.
I will be filing a Request for a Certificate of Exemption and/or Certificate of Appropriateness with
the Barnstable Old King's Highway Historic District Committee. I will keep you advised as to the
status of that filing and provide you with a copy of the application.
Thank you for your assistance with this matter.
Very tru ours,
Michael D. Ford
MDF/mbf
cc: Gloria Urenas
Nancy Johnson
J•A•JENKINS & SON
fto
CRANBERRY CO.
227 Pine Street • West Barnstable MA 02668-1407 • (508) 362-6018
town of Barnstable
Regulatory Services
�oFt►+r roiyti Thomas F.Geiler,Director
Building Division
RARNSTABLE. ' Tom Perry,Building Commissioner
RAW. C
�A i639. �0 16 200 Main Street, Hyannis,MA 02601
lE0 MA'S
Office: 508-862-4038 Fax: 508-790-6230
Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and
Abate:
Ms.Nancy Johnson and all persons having notice of this order. As owner/occupant of the
premises/structure located at 245 Parker Road,West Barnstable,Assessor's Map 176 Parcel 018,
you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are
ORDERED this date,August 5,2002 to:
1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above
mentioned premises.
SUMMARY OF VIOLATION:
780 CMR Section 110-111. Shed built without Historic approval and without building permit—on
application denied on 6/17/02,by Old Kings Highway.
2. COMMENCE within seven(7)days,action to abate this violation.
SUMMARY OF.ACTION TO ABATE:
Remove shed within 14 days.
And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by
filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof)
within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the
Massachusetts General Laws).
If, at the expiration of the time allowed,action to abate this violation has not commenced,further action as
the law requires will be taken.
By order, .,
Building Commissioner
Q/FORMS/viozonel
""Q J•A•JENKINS &, SON moo° 00 �. o.�_ _y
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CRANBERRY CO. __ J 20 S E P
227 Pine Street
West Barnstable, MA 02668-1407'
I
_ 9!9
0200
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f f I HI ! it HI
t it [it i it tit i tiitlt fit![ it it H i! 1 [ ii !
i
Town of Barnstable
`E Regulatory Services
�pelKE Teti Thomas F.Geiler,Director
Building Division
t aAmsrkim ' Tom Perry,Building Commissioner
v� 16349. ,0� 200 Main Street, Hyannis,MA 02601
�rED MA'i A
Office: 508-862-4038 Fax: 508-790-6230
Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and
Abate:
Ms.Nancy Johnson and all persons having notice of this order. As owner/occupant of the
premises/structure located at 245 Parker Road,West Barnstable,Assessor's Map 176 Parcel 018,
you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are
ORDERED this date,August 5,2002 to:
1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above
mentioned premises.
SUM11AARY OF VIOLATION:
780 CMR Section 110-111. Shed built without Historic approval and without building permit—on
application denied on 6/17/02,by Old Kings Highway.
2. COMMENCE within seven(7)days,action to abate this violation.
SUMMARY OF ACTION TO ABATE:
Remove shed within 14 days.
And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by
filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof)
within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the
Massachusetts General Laws).
If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as
the law requires will be taken.
By order,
Building Commissioner
Q/FORMS/viozonel
2 z
nstable
rvices
irector
'Sion
Commissioner
,MA 02601
Fax: 508-790-6230
AL INSPECTION
ERMIT NUMBER
(Permit required in order to process inspection)
e of Inspection
n inspection under Massachusetts General
(Pro$erty Location)
V `
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PENTAMATION - PERMITS MANAGER
y Application to U U 2 ' f ,
elb Rinq'o Agigbbiaip Regional -J�IotDrit �Biztritt Committee ~-
TOWN OF BARNSTABLE
In the Town of Barnstable
2002 MAY 15
AM 8 34
CERTIFICATE OF APPROPRIATENESS
)plication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriates der S ion
of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as describ d ow and on plans,
-awings, or photographs accompanying this application for:
HECK CATEGORIES THAT APPLY:
Exterior building construction: ❑ New ❑ Addition ❑ Alteration ,--,�
Indicate type of building: ❑ House ❑ Garage ❑ Commercial u2 Other —Vrd
Exterior Painting: ❑
Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
Structure: ❑ Fence ❑ Wall El Flagpole ❑ Other
YPE OR PRINT LEGIBLY: \^, DATE
,DDRESS OF PROPOSED WORK e; YS_ 4r rr ASSESSORS MAP NO./7G P-
)WNER &Vzir ASSESSOR'S LOT NO.
10ME ADDRESS r?vs— /�Qr���' � TELEPHONE NO.
:ULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
)ublic street or way. (Attach additional.sheet if necessary.)
AGENT OR CONTRACTOR TELEPHONE NO.
ADDRESS
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs.
2e- hoi �a� max/ S�ihCy. C'�i�c��.� r r j Y, iq c�
Signed A
_.
0 - tractor-Agent
kk
For Committee UseiO•nly �
Y VW1Y 1 �) 2002
This`C)rtificate is hereby Date
TOWN ::r !� t'..: .� � Approved/Denied
�' �" Committee Members' Signatures:
002
Town of Barnstable
Old King's Highway Historic District Committee
SPEC SHEET
FOUNDATION Al—)O- e
SIDING TYPE ,/ /- // COLOR ray
—�
CHIMNEY TYPE p l/0 COLOR
ROOF MATERIAL115'e�4zzCOLOR e:F,0,04vA7
RV
PITCH
WINDOWS /[/�MC� COLOR SIZE
TRIM COLOR
COLORS
DOORS
SHUTTERS (/odL� COLORS
GUTTERS �® COLORS
DECKS ✓ 4 MATERIALS
GARAGE DOORS � COLORS
SKYLIGHTS / ✓O�J�� SIZ__E-5'" COLORS
. 7i
p
SIGNS /t/®vt C ,,.,. COLORS
FENCE ,F4 V -04 C, COLOR
NOTES: Fill out completely, including measurements and materials/colors to be used. Pour copies of this
form are required for submi.ttal of an application, along with Four copies of the plot plan, landscape
plan and elevation plans, when applicable.
SPECSHT
Revised 11/98
1
Town of Barnstable
Regulatory. � Services
•
L►xNsrnste, L
$, Thomas F.Geller,Director
039. Building Division
Peter F DiMatteo, Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Notice of Building code Violation and Order to Cease, Desist and Abate:
Mr./Ms Nancy Johnson 245 Parker Road,West Barnstable and
name full address
all persons having notice of this order. As owner/occupant of the premises/structure located at
245 Parker Road,W.Barnstable ,Assessor's Map 176 Parcel 018 ,you are
hereby notified that you are in violation of the Massachusetts State building code 780 CMR
Article(s) ,Section(s) 110 ,and are ORDERED this date
9/24/2001 to:
1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above
mentioned premises.
SUMMARY OF VIOLATION:
780 CMR Article Section 110& 111
Permits
(type in text of this section)
2. COMMENCE immediately,action to abate this violation.
SUMMARY OF ACTION TO ABATE:
Shed built without historic approval and no building
-
permits
detail action to be taken
Remove or obtain i-,L
permit
And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by
filing an appeal with the State Building Code Appeals Board(as specified in Article 1,Section 122 of 780
CMR State Building Code)within forty-five(45)days after the service of this notice.
By order,
Local Inspector
enclosures(enclose copies of sections of code cited,permit application, etc.)
Certified Mail# 7001 1940 0003 9047 3420 R.R.R.
Q/FORMS/violatel&violate2
�oFTra,� Town of Barnstable *Permit#
yP G� Expires 6 monihsfrom issue date
Sz�B� : Regulatory Services Fee pp
MASS... �� Thomas F.Geiler,Director
e
Building Division
Tom Perry, Building Commissioner X�pRESS PERN�I
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 -
Fax: 508-790-6230 JUN Q;5 2002
EXPRESS PERNUT APPLICATION - RESIDENTLAT„E .YOF BARNSTABLE Not Valid without Red X-Press Imprint
✓Iap/parcel Number
i
'rdperty Address
Residential Value of Work
)wner's Name&Address �hC
d X_
;ontractor's Name Telephone Numbercj—GO 77/—//376
come Improvement Contractor License#(if applicable)
:onstruction Supervisor's License#(if applicable)
]Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
Ofam the Homeowner
❑ I have Worker's Compensation Insurance
isurance Company Name
rorkman's Comp.Policy#
i ;rmit Request(check box) '0'�/�7/C
2"Re-roof(stripping old shingles) All construction debris will be taken toZ15 !c tat .44a t 7�, o
�! ❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side G Sy u
i
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
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fpmture
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IMPORTANir M SSA�GE;
- ---/} A.M.
FOR OATEZ�T ME P.M.'
M .
OF '
PHONE' Y�OUR ALL
AREA CODE NUMBER EXTENSION ��,. "' �
�qBE GALL:
MESSAGE
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SE�CM�A�YOIJ
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SIGNED TOPS FORM 4006
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(508)862-4034
d 'aq FAX(508)790-6230 i
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THOMAS PERRY
BUILDING INSPECTOR
TOWN OF BARNSTABLE �p I
REGULATORY SERVICES
BUILDING DIVISION `Q 1"
ck
TOWN OFFICE BUILDING OFFICE HOURS:
N
367 MAIN STREET
HYANNIS,MA 02601 8:00-9:30-3:00-4:30 M