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0712 OAK STREET (CENT./W.BARN)
1. r s`r 1 c } N _ 0. 152 1/3 ORA ESSELTE 10% a t c�-�a,,z 31�,y �'ee�1e b c�s-e�` By � . S I �_ �\\ �� �• Ga - f����� y � �� 4`��,�� � !� ��+� __ Y.. .. �._.._. ... � --. •--�-�. ..ram-'> r,---. ,,.. _ - � _ r, + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION�4� pS OWN,OF QARNSTABLE Map / Parcel ©� Q Application # Health Division 16 AT- I I 1;t1 `9: ��0 Date Issued L 1 t: 3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board DIIIOI° Historic - OKH Preservation/ Hyannis Project Street Address (Z c) > , Village Owner Address Telepho Permit Request On 4 5 75 Z a- F Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath.:): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �G�,������� 6 I Address License # l )� rJ f -4�1t- c:kz�, 4 Home Improvement Contractor# /8o6�L� ,4)J I 0 . W ! �'/ Worker's Compensation # (/��(/GO ALL CONSTRUCTIONnDRESULTING FROM THIS PROJEC WILL BE TAK N TO SIGNATURE DATE `� �� FOR OFFICIAL USE ONLY "'APPLICATION# t 'DATE ISSUED 14F� E MAP/PARCEL NO. k ADDRESS VILLAGE OWNER >a I DATE OF INSPECTION: :, FOUNDATION t FRAME INSULATION ` t y FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: :' ROUGH FINAL FINAL BUILDING - DATE.,-CLOSED OUT' ASSOCIATION PLAN NO. f C`h� � II i1 � 6 � � �- � 7a7 7 AMNESTY APARTMENT PROCEDURE CHECK IN USING COVER SKEET FOR CONSTRUCTIONE BE SURE WE HAVE RECORDED COM REGULATORY AGREEMENT BE SURE WE HAVE FLOOR PLANS OF DESCRIBED ON COVER SHEET. - ` PROJECT,ACTIVITY CODE SHOULD B 551 AMNESTY, NO CONSTRUCTION, .550 AMNESTY, CONSTRUCTION, RESI 331 AMNESTY, NO CONSTRUCTION, ON PROPERTY) 332 AMNESTY, CONSTRUCTION, MU PROPERTY) _ . IF NO CONSTRUCTION, PREPARE BUI 'PERRY FOR APPROVAL AND SIGNAT i APPLICANT, SCHEDULE FINAL INSPE FINAL INSPECTION APPROVAL AND o a asto Ae. egilatory: ewes 'mooul`ilig biio`�. Tnm��eriy,.l3i�ili}iiigCovainissto�ier• 06-- l41aigi2e :$j`amiisl :Q2'6�1 ��v�v tdfvn,.tiarns6a�tc:uiaos: . Of cc; 5097862;4038, Fax:;50623.0 ��Usx.�.�.�A� de�r• • V V f �� �F .I�:;h��, ,,�:�aS::Q6�xlJ�-��",.�Si4rjCGt' ,�0 hebyau9zize. QUSc;. 5 G�tlb goo ac�,v�Q7pbea7#, in all'=matters tittve 3a wc� •authosized �*zris b di ,petna"ct aplicatiitn:for. SAO - ii P661- e3IG s 3nd:a arms.a t reS 36O. wb '�ie �3 re;:�€o ;to be f gr u Ced £ore fe s. s ed aWg f•i al iosectoas:azprfained an : ceptbd�. u `.i.., 5.7 i e 77. a i The Commonwealth o Massachus 1 efts Department of IndustrialAccidents I Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. AgWicant Information TO BE FILED WITH THE PERMITTING AUTHORITY. . , Please Print Legibly Name (Business/Organization/Individual): , 7 '^ � - ) Address: ' r _ City/State ip:+ {—ram, .).,(1'ti ����.CSl '�, Phone#: c ' c , r Are you an employer?Check the appropriate box: _ Type of project(required): 1. I am a employer with_: employees(full and/or part-time).*2.❑I am a sole proprietor or partnership and have no employees working for me in ❑New construction any capacity.(No workers'comp.insurance required.] 8. Remodeling 3.[DI am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 11.Q Electrical repairs or additions 5.❑I am a general contractor and I have hued the sub-contractors listed on the attached sheet. 12. Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.: 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14Otherf' 152,§1(4),and we have no employees.(No workers'comp.insurance required.] +Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy anal job site information. i Insurance Company Name:_. ('eJV11 '�S A(q�' �—. Policy#or Self-ins.Lic.#: ( t �r fr -��, �%y, �0fl(��� Expiration Date: f\ (' j _ Job Site Address: -4(z C)� City/State/Zip: 0, ,/rn P-e Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. py of this statement may be ded to the Office of Investigations of the DIA for insurance coverage verificatio I do hereby certi under t e pains and penalties f perju that the information provided above is true and correct Si nature: Date: G ' Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town:, Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person- _. _ _ Phone#: .,,., w 1. P� aIU „ll Office of Consumer Affairs&Business Regulation ;HOME IMPROVEMENT CONTRACTOR Registration: 180816 Type: Expiration: 1/13/2017 LLC BU LDING PERFORMANCE CONTRACTING- NAUSET INSULATION,LLC. JOSH EMOND 8 KINNIKINNICK RD TRUTO,MA 02666 — Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 1 I I Not valid withou signature Massachusetts -Department of Public Safety Board of Building regulations and Standards - License: C,"78815 JOSH EMOND = ', ; PO BOX 633 �, P Truro MA 02666= Expiration Commissioner 03/25/2017 i ` i 08/10/2016r 00:52 9787778415 I � PAGE 01 �+coad CERTIFICATE OF LIABILITY INSURANCE =DArfTHIS CERTIFICATE Ig ISSUED AS A MATTER OF MIFORMATION ONLY AND CONFERS NO RIONTS UPON THE CERTIFICATE NOLDEIt TH' 6 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELY AMEND, EXTEND OR ALTER THE GOVERAGE AFFORDED BY THE (►o Is BELOW. jUg THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUT1jd WE REPRESENTATIVE OR PRODUCER, AND THE CERTWfGATE HOLDER. IMPORTANT: If t!1•o«yncia holdtT 4 ADDITIONAL INSURED,tM ppBq��)must tndphW. N SUBROGATION Ig WAIVED,tubJOtt b t!N tbrm•and condfiont of tM polICY,C*rU n Pelidtt m ul uAglc•b horo•r M 11•M of web•ndor■tRltnt(t, ~to tAOOMm•Frl A•`Mrrlent on tN•t•AIAt�tr does not confer ApRd+tp tAt PRODUCER , I COUNTY INSURANCb AGENCY INC IINSURIER 123 Sylvan St (979 77�-2463 (978)777-8�15 Danvers, uA 01923 ,Nsu.,_.,ANINSURED :Co"'meree InsSuildinq performance Contracting .MOOa VnderMritera Nauset Insulation LLC ! . P•0. BOX 633 INSURER C.Atlantic Charter Two, Ma 02666 INSURERD:M one• INSURER E' COVERAGES INSURER P IEEL]] CERTIFICATE NUMBER* REVISION aTCOMMERCIAL ERTIFY THAT THE POLICIES OF INSURAN E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE EFORR NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF -Mg pOLICY PERIOD MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED THE POLICIESR DESCRIHER BED HEREINIS NT I SUB ECT CO ALLNTHE HTERIMS, AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TWIM 1 .TYPE OF 1N6URANCE POLICY NUMBERIABILITY IIMRS RCIAL OENERAL LIABILITY EACH OCCURRENCE i 1 000 000 CLAWS-MADE a OCCUR PR 18E8 We mw c i i SD QQQ $ MED EXP one pww)t t 1,000 MV0020002000139 3/1/16 5/1/17 PERLONALtAOVINJURT t 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER OCNERAL AGGREGATE i 2 000,000 POLICY. PRO• LOC PRODUCTS•COMP/op ADC. t 1,0 000 AUTOMOBILE LIABILITY t MANVAUTO ME 1 000,000 ALL OWNED SCHEDULED BGDDGK BODILY INJURY Ir.r DWW)' t A AUTOS X N HIRED AUTOS N.O 2/2/16 2/2/17 BODILY INJURY(P•(KCid4NM) i AUTOS EO AUTOS (per•Dram I I i r4DEO 2,000,000 UMBRELLA LIARHCOLAc,,u, R EAC" OCCURRENCE t 2Q00 000 EXCE66 VAB DE CUBiv5882425 5/1/16 5/1/17 AOOREOATE i RETENTION j i ER6 COMPENSATION AND EMPLOYERS'LIABILITY V/N FA alrY PO0W1ETDR�►AATNtR,f7ItCVTIVi C OFFICENMENINO EXI.IJOED7 D NIA E.l,EACH ACC109NT I 1 • 500,000 IwowmamL%ON) V91PIC669673 11/23/15 11/23/16 E.L DISEASE•FA EMPlO'Yt sedeschm Ufflari SQQ QQQ DESCRIPTION OF OPERATIONS Eder E.L.DISEASE•FOLICY LWIT t 500,000 I I � I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aa•G/ACORD 101,AdtlWOnal Romofo irhWuM•8 mm•Fp"A n rpu nd) i I I . CERTIFICATE HQLDER CANCELLATION TOMn'Of Barnstable SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE'CANCELLEO BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL 18E DELIVERED IN Hyannis, Ma 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE ATNE i I I ' i i m 19852010 ACORO RVORATION. 0 rlphte rNAlwd. ACORD25(2010105) The ACORD Mn1e and lopo N0 reVatered mulls of ACORD I 1. Building Performance Contracting,LLC Nauset Insulation P.O.Box 1044 N. Eastham,MA 02651 Phone(774)316.4464 Fax(774)316.4462 np, Date ' 6 (� ID RE: Insulation Permits 7►G v i Dear Mr Perry, This affidavit is to certify that all work completed for the insulation work at ��oZ has been inspected by a certified Building Performance Institute(BPI)Inspector.All work performed meets or exceeds Federal and State requirements. Respectfully, mond 00 �yy 1 G7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p pp Ma ` Parcel 19�1 �CJ A 'lication # d Health Division ' Date Issued 1 : L Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address o� Village f�UP_J�_ &'&• 0Z�D� o Owner G� Obi Address 7l � � �� Telephone Permit Request 47,5A,�e�l d k- , , Q�-- Y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ ` Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing —new_ Number of Bedrooms: existing _new Co � o == Total Room Count (not including baths): existing new First Floor Ro m Counter '-3 Heat Type and Fuel: 0 Gas ❑ Oil 0 Electric ❑ Other C3 )PI Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stoves Yes,' ❑ No w Detached garage: ❑ existing ❑ new size_Pool: ❑ existing 0 new size _ Barn: ❑ ex�sting ❑dew '9ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION_ t (BUILDER OR HOMEOWNER) Name -�o� � °''I Telephone Number °j 7 d q3 Co Address ? O&V 03 License # Home Improvement Contractor# a7a:i: Worker's Compensation # W CV60 G,37 51� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ott SIGNATURE DATE /d 1,�af13 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED _ MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF INSPECTION: Y. �.��rFOUNDATION . ��;•. .�;:a - . FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING F ;? DATE CLOSED OUT '€ ASSOCIATION PLAN NO. F , The Connnonweulth of V=ackusetts Depmlment oflndusir:dAccidents Offlce lflnvesdgadons 600 WW*JWgton Shvd Bostb%MA 02111 ' wmP nrass.gov/diia Workers'Compensation Insflrance Affidavit Bailders/ContractorsMectricians/Plumbers ticant Information Please Print Legibly Name(e Address` U 1/+'18h a2YO6 Inn' e A 9 7g . qgg--911 Are tfun n employer?Check the appropriate box: Type of project(rapired): 1. a employerwitt 6e 4. ❑i aura general coatradm and I employees(Rill andfor .s have hhvd the sub-canhactars 6. New lion 2❑ �. ❑RemodeTtrhg I am a sole pmprMtor or partner- listed on tie aged sheet= ship andim"no employees - Theso sub-contractors have L ❑Demolition w for is wodmts' insurance. _working �n = S. ❑We are a corporation.and its �� Big���o xrorltets'comp.insurance tO. olficxrs have exeaoised their Q ffiectried repairs tut additions 3.❑Ihomeawner doing all work right of exemption per MGL I L[J.Plumbing repairs or additions myself:[No worio+rs'comp. a L5%§1(41'tmd we have no 12.0 rcpaias insurance roqu W-1 t we°`yees.Em6wmwbe13. 1� cm*famance .7 +Agy appltamif5et�oda baa11 mast also M oar f, I bdow sb=fngldefr omopcotlun PdtaY In a t Hontetrtvrhets�dhosatmu�rids atftdavh��tray ate datag a1t<ta�aad thenhhe aarstdo e�maeoou mast submR a rrevr atfidavS such tQoutrue dmtehakft box mustaudwdaaadt ftdAwsboammgtheno=efrha sdbvw&n9=aadtb kwadmi'comqL policy hfinualkm ram an a nployer Uiar lsprnhddkrg nwrkersr compawartan ktsurmtctzforury arrploy= Below h fitepoRcy and job rile . krfornrarlotr. .`, . hhsnrence Ctmupaayl Polley#or Self-ius'.Lis� � man Dabs Job Site Address: Attach a copy of the workers'compensation pulley der lmdan page(showing the policy number and ezpiradon date). Failure to secure coverage as required under Seotioa2SA ofMGL e.152 can lead to ire imposition of oriminal penaltics-of it fine up to$l,%Q.00 andlor one-year lmprlsom=4 as well as civil penalttes.in the form of a STD WORK ORDER and a Sae of up to SM.00 a day against the violator. Be advised that a copy of this statement may be forwarded to dw Office of Investigations of the DIAtor insurarco coverage veritcatioa Ida hereby aer19 render lhepaltrs and of rbat die iirformatlon provided above Jr due turd earrtx4 S A)— —/J. ohhe .t� l OjJldal me an&. Do not write In A&areal to be eon pined by city or roman oflkfa[ City or Town: PernMeowe 0 I6 Issuing Anihority(circle one): - L Board of Health 2.BuildingDepartment 3.Glbffown Clerk 4.Electrical Inspector S.Plumbing Inspector .Other Contact Person: Phoned: D"(MMIDDIYYYY) .. .. 10/30/2013 C OF LIABILITY INSURANCE COIZb� CERTIFICATE ALTER THE rovERAGE FORD THIS ED BY THE POLICIES R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.POLICIES TH)g CERTIFICATE IS ISSUED AS A MATTE ND OR BETWEEN THE ISSUING INSURER(S), AUTHORIZED CFJITIFlCATE GOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND subJ�� BELOW- THIS CERTIFIC CERTIFICATE OF ,rAND TH£C CERTIFIC TE HOLDER E DOES NOT UTE A CONTRA nd M SUBROGATION IS WA1V�. REPRESHNTATrVE OR PR trte pollcyp„)must not confer rtghtts to the eertSln Polishes may require an sndorssmenL A statement on tl1b esroflcate does INpORTANT: 11 tPe cer innate holder Is an ADDITIONAL INSURED, the temis and conditions of the policy, eeroeab holder In Ilea of Such endorseman S). NAME: o:(978)777-8415 PROOUCER P N �g7S)774^2463 AIC N COUNTY INS CZ AGENCY INC St A sass: sac+ 123 Sylvan INeUIIEWeI AFIDRDINo co�ERAOE Danvers, MA 01923 COmmerce Ina, CO. INSURER A�performance COntractin LLC INSURERB:)+8r3AX Ins. CO. INSUREO Hulldsng �� AtlantiQ Charter INSURER c P.o. Sox 633 INSURER D:RB Jones Truro, Ma 02666 INSURER E MCI I; R F REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: ICY FEEEN TOTHE INSURED ISS HIS IS TO CNOTWITHSTANDINGIYTTTTHEANY POLICIES O F INSURANCE TERM OR ON LlbrFD BELOW V A NY C N TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS L7R TYPE OF INSURANCE INeq POLICY NUMBER O EACH OCCURRENCE S 1,000,000 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY PRENN ES lee comerencs S 50,000 CLAIMS.MADE �OCCUR MEO EXP Any one person) 9 1 000 g 3DE9441 11/19/12 11/19/13 PERSONAL BADVINJURY S 1,000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO s 1,OOO,OOO POLICY PRO- 7LOC COMBINED SIN" 'I, 8 AUTOMOBILE LIABILITY ES accidem S 1 00O 000 ANYAUTO ALL 3983 BODILY INJURY(Per person) E A AUTOS A OWNED I QCDDULED BODILY INJURY(Per eccidan() E UTOS HIRED AUTOSAUTOg ED 2/2/13 2/2/14 PROPERTY DAIVIA117- Per acclderlt s i x UMBRELLA LIAB OCCUR EACH OCCURRENCE f 2,000,000 D EXCESS LIAB CLAIMS-MADE CUBW3 90 4112 5/1/13 5/1/14 AGGREGATE : 2,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION W ATU AND EMPLOYERS'LIABILITY T R ANY PROPRIETORIPARTNER/EXECunVE VIM 11/23/lx 11/23/13 EL EACH ACCIDENT 11 500,000 C OFFICEIWMEMBER EXCLUDED? ® NIA (Mandatory In Ion WCV00939900 EL.O*EASE-EA EMPLO s 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101.Additional Remante Schedule,0 more ryam is rewired) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable, Ma THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14 AUTHORIZED ESENTATIVE 0 1 988-201 0 ACORD CORPORATION. rights reserved, ACORD25(2010105) The ACORD name and logo are registered marks of ACORD I p��L � 1! ! ass save PARTICIPATING � CONTRACTOR PERMIT AUTHORIZATION FORM. I,. Joanna Hooper . ,owner.of the property located at: (owner's;Nante,printed) 712 Oak St: W Barnstable (Property streetAddress) (City) hereby authorize the Mass Save Home.Energy Services Program assigned Participating Contractor listed Below to act on my behalf and obtain-a building permit to perform insulation and/or weatherization work-on..my property. X owrie% signature 02/18/13 Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referent.ed project: Participating Contracto; Date Rev.12132011 Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supehisor License:-05O78815 JADSH EMBOM • .:_ POBOX633_'- a't s-Truro MA 02669- - Expiration Conunisslo.ner S- f�/re�pamu ao�u y��' aaeaal�uee!!h : Ucease or regbustion valid for iadividat use Daly Ogee of Coawmer Airs&Bmiaess gegahtion - before the expiration date_ ff found retain to+ 111PROV®IIENT CONTRACTOR - pace of Cow mer Affairs and Busing Rgpdado rallow ` lilim Tom. LLC 10 Path Plaza-Suite 5170 _ Boston,MA 02116 BUILDING PERFOR CT{NG,ur-— � ZE! t .JOSH EDMOM �:1 8 KINNWNNICK RD -==: ' TRURO.MA 026M wry of�d WittiotitAgmdnm Town of Barnstable *Permit# SS PERM 9 Expires 6 months from issue date ®� egulatory Services Fee. BARNSTABLE, Thomas F. Geiler,Director i 391 O V 7 2014 TfD MP't A �. Building Division • erry,CBO, Building Commissioner TOWN O A E 0200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us" Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbe>l1 Property.Address 7/ Z 04k S% �� b�?/2/I S Ti9/��.._fl�i� ❑Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address a S)I q h-6 Contractor's Name lyW/ �Z- [��Si Iz�c7.�r� �,�� y/A Telephone Number /— 7n7� S�Z — /Z / Home Improvement Contractor License#(if applicable) / 7 Z Z�� _ 7' A/ Construction Supervisor's License#(if applicable) Ll ❑Workman's Compensation Insurance Check one: ❑ I am ole proprietor ❑ the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# // 'Al zo 7zz Copy of Insurance Compliance Certificate must accompany each permit.. Permit Request(check box) ❑�e0 00f(hurricane nailed)(stripping old shingles) All construction debris will be taken to Ab of(hurricane nailed)(not stripping. Going over e)istipg layers.o oof) n�' Fa ❑ Re-sidef T " #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum 35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *When 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 reguiuiredj' SIGNA s�Y , From Tonry Northwest Mon 05 Nov 2012 04:09:15 PM EST Page 3 of 3 AC"R."� DATE(MMIDD/YYYY) �,- CERTIFICATE OF LIABILITY INSURANCE 11/5/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sb AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER NAINNTF Colleen Mathewa Tonry Northwest Insurance Agency, Inc. PHONE (781)861-1800 FAX a.(TBi)BBS-ISO 238 Bedford Street EMAILADDRESS.cJaatheTre@tontrynr.com INSURER(S)AFFORDING COVERAGE NAIL 0 Lexington MA 02420 INSURERA:Bssex Insurance Company 39020 INSURED INSuRERB:Co=nerce Insurance 34754 Land Line, Inc. INSURER C 73 Cross Street INSURERD: INSURER E: Dunstable MA 01837 INSURERF: COVERAGES CERTIFICATE NUMBER:CL121903821 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTTL TYPE OF INSURANCE POLICY NUMBER nnNn LIINITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY $ 50,000 A CLAIMS-MADE FXI OCCUR 3DJ6836 /5/2012 /5/2013 MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 X POLICY F F'RO- LOC $ AUTOMOBILE LIABILITY COMaaIINUMSINGLE LIMB ANY AUTO BODILY INJURY(Per Person) S 100,000 B ALL OWNED SCHEDULED LJ2012 /1/2012 /1/2013 AUTOS X AUTOS BODILY INJURY(Paracsiderd) $ 300,000 NO"WNED PROPERTY DAMAGE HIRED AUTOS AUTOS eracciderd $ 100,000 PIP-Beslc S 8,00 UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTN- AND EMPLOYERS'UABILTY YIN , ANY PROPRIETORIPARTNER/O ECUTNE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCL.UDF_D'1 N/A (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ Hyea desvfbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY UMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,AdMonal Ramarks Schadule,It man space Is required) tJ C= 0C ;Z -4 ( ET-3 01 CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE (DELIVEREN IN Town of Hyannis ACCORDANCE WITH THE POLICY PROVISIONS. Building Division AUTHORIZED REPRESENTATIVE 200 Main Street Hyannis, MA 02601 ------------ ---------- L To = '��(' ..-•- :`•.�..'--r /CMATTH r�_' Tonry Jr. .. ACORD 25(2010105) C 1988.2010 ACORD CORPORATION. All rights reserved. INS025(mioospi The ACORD name and logo are registered marks of ACORD f�07/lrc:Sr'ttc�t�sr,/ls ce n�rrruan�uea��� essRegulation {Iice of Consumer Affairs&Bus` O tee IMPROVEMENTCONTRACTOR Type: ME egistration: V2286 private Corporack- piration: W 2o14 - MERRIMACK CONSTRUC710N GROUP,INC. CHRISTOPHER SHANAHAN v A CHURCH ST Undersecretary LOWELL,MA 01852 L 7s ej� Lo I { 1 } I e commonweatut olmassacituserts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govldi Workers' Compensation•lusuraiace Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ' . Name(Business/Organ zadon/Individual): ����2//17�r'�� Cow s i,,? e Address: City/State/Zip: ?b, Phone.#: � S/z — 9Z// Are you an employer? Check.the appropriax: .Type of project(required):. 1.❑ I am a employer with4. am a general contractor and I loyees (full and/or part-time). * • - - have hired the sub-contractors 6. ❑New construction . 2: listed.on the-attached sheet. 7. ❑Remodeling a sole proprietor or partner- ship and have no employees These sub-contractors have •8. ❑Demolition workbag for me.in any capacity. employees and have workers' #• 9. ❑Building addition . . [No workers' comp, insurance comp. insurance% . t' 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions re _. q ] 3.❑ I am a homeowner Aoing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[_1 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. $Contractors that check this box.must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic:#: /V /�. Z O.�J�Z Z Expiration Date: Job Site Address: ;;,/Z 0 41& 5 / City/State/Zip: &rV V 5/f,, /eG /nf4 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required trader Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ ' I do hereby certify /under 'the/pains and penalties of perjury that the information provided above is true and correct Signature•• Date: Phone#• J 71J- -5 Z— 9Z/. Official use only. Do not write in this area, tb be completed by.city.or town officiaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires.all employers to�provide workers' compensation.for their employees. Pursuant to.this statute;an employee is defined as"...every person in.the.service of anoHner under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,'corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or-the.... ...... ............ .. . .. receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant.who has not produced-acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable evidence of comph? ce 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,it necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit.may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line'. City or Town Officials. Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in ' (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burnleaves-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 t6 give us a call. The Department's address,telephone-and fax number: s Jbe Commonwealth of Massachusetts Departmgmt of kdustr at Acddl�mts Office of fnvestiptions 6QO Washingtou Stt-ea Boston,IOTA 02111 Tel.#617-7-27-49-00 ext 406 or 1-977- IAS.SAFE Revised 11-22-06 Fax#617=727-7749 www.m=gov/dia T O 3 y' O m r VI m - m n m A O) V N 1 License or registration valid for individul use only before the expiration date. If found return to: o Office of Consumer Affairs and Business Regulation w ri 10 Park Plaza-Suite 5170 Boston,MA 02116 3 N co Not valid without signature ? o w N O m N W O W` V N N A O ie Orv��rnca���u&Bus! RQ ulation��b Office of Consamcr Aff T CONTRACTOR OME IMpROVEMEN Type: egistration: 172286 private Corporaiic• piration: 61712014 MERRIrpACK CONSTRUCTION GROUP,INC. ,Y CHRISTOPHER SHANAHAN' gin 54 CHURCH ST Undersecretary LOWELL,MA 01852 4 Department of Public Safety _~ Massachusetts ' Re julation5 and'Standard5 of Building ` .Board er.•isor Specialty Construction Sup 100170 License- ♦` �/ -TODD J LNINGS _ 73 CROSS ST 0127 - Dunstable MA ` Expiration ;,. 0610912014 rornmi�J ssioner _ Office of Consumer Affairs and /uusiriess Regulation . 10,Park Plaza- Suite 5170 Boston, Massach/7 'us tts 02116 Home Improvement Contract or Registration Registration: 149813 Type: DBA z Expiration: 2/9/2014 Tr# 220986 LANDLINE CONSTRUCTION TODD LIVINGSTONE 73 CROSS STREET DUNSTABLE, MA 01827 ~ vl Y Update Address and return card.Mark reason for change. Address Renewal Employment 0 Lost Card DPS-CAI 0 50M-04/04-G101216 � p p Office of Con umer" ffa rrudinessY2e nu oo License or registration.vilid"for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ;_1,49813 Type: Office of Consumer Affairs and Business Regulation Expiration: :2%9i22 DBA 10 Park Plaza-Suite 5170 3= Boston,MA 02116 LA VINE INE CONSTRUCIOeN ?f TODD LIVINGSTgNE } ==�Kt rj11, 73 CROSS STREET DUNS TABLE,MA 01'827` y of alid without sig e Undersecretary tur 4 S' . :::EMPLOYERS: .1AB. L1.. f:::INSRAt�iCE r: :�COIP:ENSATIN.Air( ^ ORK __.. D ...�. . ..:tea... .:I:a::':•..._... �.�..t- :'�t':. .q ... :.:.:.::� .- ^..... ..... ._. ....._.::.�.. .._.. - .�.. at 9 Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number. WCV01009100 '[. INSURED: Prior Policy Number. . New Land Line Inc Producer: Tonry Northwest Insurance 73 Cross Street Agency, Inc. Dunstable, MA 01827 Federal ID Number:451497865 238 Bedford Street Risk ID Number. Lexington, MA 02420 Business Type: Corporation SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. POLICY PERIOD: The Policy Period Is From: 4/5/2012 To 4/5/2013 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A- Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states list here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A.The limits of our lliability under Part Two are: Bodily Injury by.Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here. I COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $550 $555 Interim Adjustment: Annually Estimated Premium (Minimum Premium) $555 Servicing Office: Surcharge(s) 25 New Chardon Street Boston, MA 02114-4721 Total Premium and Surcharge(s) $555 Date Issue Date 0411312012 Countersigned By: Form: f00mv Copyright 1957 National Council on Compensation Insurance • )MINE , I ON"Ts�eH`�JIT1Q� Licensed and Insured Chris Shanahan 54 Church Street Lowell, MA 01852 978-512-9211 Name:Josh and Joanna Hooper Address: 712 Oak St W. Barnstable, MA Phone: 617-895-9927 Email:jhooper@gmail.com Date: 10/22/2012 Roofing Proposal Per attached roof plan • Clear the area of any breakable items that would obstruct the job site • Install tarps from the roof fascia to the ground to prevent any damage to the property • Obtain and pay for permits for all work done • Completely remove any existing layers of asphalt shingles and dispose of in container provided by Merrimack Construction Group, Inc. Two (2) layers included in price. • Completely de-nail roof and re-nail roofing boards as needed, completing a full inspection of the Substrate. (Up to six (6) 4'x8' sheets of plywood included in price - $40.00 per sheet thereafter.) • Apply GAF/Elk deck armor. • Apply Grace Ice& Water Shield 6' up from bottom perimeter of roof and over entire surface of porch roof in rear. j • Install new 8"drip edge around perimeter of house. • Install new Cobra ridge vent and cap with Timertex Cap. • Repair chimney, including step flashing and masonry work(brick repair and stone top). • Apply new GAF/Elk Timberline 30 year architectural shingle roof system. • Merrimack Construction Group, Inc. is not responsible for debris that may have fallen from roof into any attic space; it is the homeowner's responsibility to cover any personal belongings from being damaged. • Merrimack Construction Group, Inc is not responsible for the prevention of ice dams. We will, however guarantee that we can reduce those risks by using the very best under-laminate and install that under-laminate the correct way. There are other precautionary measures that should be taken for the prevention of ice dams. Proper insulation, proper ventilation,clean gutters and downspouts. • Any variations from project will be drawn up on a separate contract and signed by both parties, (Change Order) • Completely clear debris and dispose of in waste container provided by Merrimack Construction Group, Inc. Total Cost: $16,500.00 Option #2: • Take off existing gutters, fascia boards, and gable trim. • Replace with new composite fascia boards and gable trim. • Install new seamless aluminum gutters with hidden clips. • Replace any damaged soffit with new soffit(up to 30' of composite soffit included in price, $15 per foot thereafter). 1 'TIr � Tot al Cost: $7 toy- 414200.00 �� • All work for options 41 & #2 are covered by a 10 Year workmanship warranIt t 7C� Payment Pricing: '/2 due at signing of contract '� � '/2 due upon completion of job Any changes or add-ons in contract will be drawn up and signed by both parties Acceptance of Contract The above process, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work specified. Payment will'be outlined above. ' Sb$to f V� W Authorized Agent Ho owner or Authorized i Date Date ` Thank you for choosing Merrimack Construction Group, Inc. 9 -vi _ B 1� D Oo o t Y L A N' �D' v` L 41 0,,/N�`S! "TR T 0,Nt,` T.J. Livingstone (978) 835-5112 Land Line Construction Co. will supply customer With General Liability& Workers Compensation Insurance Certificate Name: MCG Inc. Date: 10-22-2012 Address: 712 Oak St. W Barnstable Ma. Phone: 978-512-9211 Roofing Procedures. ➢ Clear the area of any breakable items that would obstruct the job site ➢ Install tarps from the roof fascia to the ground to prevent any damage to the House Completely remove any existing layers of asphalt shingles and dispose of in container provided by Land Line Construction Construction. ($Price will vary based on number of layers on roof, which must be stripped off) (Incl.) There is 2 layers on this roof. ➢ Completely de-nail roof and re-nail roofingboards:as needed ➢ Replace any rotted wood at$2.50per board foot/or$50.00 for every 4x8 sheet of plywood ➢ Apply Sig Feet of Ice & Water Shield around.entire perimeter of House, ➢ Apply Grace Tri-Flex or Deck Armor composite under-laminate ➢ Install new pipe flanges as needed everywhere Apply new shingles in the style and color of your choice"(Ex. Architect, Three tab) 30yr Archt. ➢ Re- flash 1 chimney's including Ice &Water Shield on all sides of chimney, next install aluminum step flashing along sides of chimney, last apply new lead in front and back pan grinding four sides of chimney to insert lead, weaving it in with new shingles. ' (New Lead,Flashing if needed,bring to customers attention) $ Additional/Charize 0300-600 per chimney (I chimneys) Incl.•in $$Price ➢ All new flange pipes and vents will be replaced ➢ Install a Cobra Ridge Vent System, on the ridge.of the house to allow for the proper ventilation ➢ Install New Ridge Cap over the Cobra Ridge vent. ➢ Install Bathroom Ventilation$350 ➢ Any variations from project will be drawn up on a separate contract and signed by both parties, (Change Order) ➢ Completely clear,debris and dispose of in-.7,vaste container provided by Land Line Construction _ "Payment Pricing: $16,500 Strip & Re-Roof 1/3 due at signing of contract 1/3 upon start of job 1/3 due upon completion of job Any changes or add-ons in contract will be drawn up and signed by both parties Acceptance of Contract The above process pecifications and conditions are satisfactory and hereby accepted. You are authorized to do the work specified. Payment will be me lb . Homeowner o uth�idignature , (A:u o 'z Agen ae /(� sa - 0 1" toPZ2 -Zvrz� Date Date THANK YOU FOR CHOOSING LANDLINE COSTRUCnON vJJw�.vJ i.r►wr b»r�...... 600 Washington Street' Boston,MA 02111 www.massgov/dia Workers' Compensation'Insuraiace' Affidavit- Applicant Builders/Contractors/Elect'ricians/Plumbers Information Please Print Legibly Name(Business/organizafion/Individnai): . Jah : Address �if 5 � - � /lr �;e 6l'C�i /V.e City/Stafe/Zil} Phone.#: Are you an employer?Check.the appropriate box: ' :Type of project(required);. 1.�am a employer with' 4. E] I am a general contracttor and 3 �f * have hued the sub contractors 6. ❑New construction .-employees(fall and/oipart timie). 2.❑ I am a•sole proprietor or partner- listed-on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have •8. ❑Demolition wo forme in tin employees and have.woilmrs' y capad ' $. 9. ❑Bwlding addition [No wo>keis' comp.insurance comp.inSIIlance. i- 5. We are a cozporation and its 10•❑Electrical repairs or additions required.] n officers have exercised their 11.❑Plumbing repairs or additions '3.0• I am a homeowner-doing a71 work• _ . of exemption par MGL' myself. [No workers comp. P 12.❑Ijoof airs insurance regmred-]t c. 152,§1(4),and we have no 13. Other 017 employees.[No workers' Comp•insurance required.] `Any applicant that checks box#1 mast also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit m9icating they are doing all work and then hie outside contractors must submit a new affidavit indicating such. tr—oatractors 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 subcontractors have employees,they must provide their worms'comp.policy number. ' I am an employer that is providing workers'compensation insurance far-my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-.ins.Lic # - Expiration Date: Job Site Address: /I 92 (4e�J�C_ I/Stawzip: MCA Attach a copy of the workers'compensation policy declaration page-(showing the policy number and expiration date). Failure•to secure coverage as Tequired under Section 25A of MGL-c. 152 can lead to the imposition of criminal penalties of a fine up to$1-500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this-statemetit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd&under the airs and penalties of perjury that the information provided above is true and correct . simah= Date: Phone#: Official use.only. Do.not write in this area,ON completed by rity.or town.offkid . City or,Town: Permit/Uceuse# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone A Page 1 of 1 Mckechnie, Robert From: joshua bridger Uoshua_bridger@hotmail.com] Sent: Tuesday, November 06, 2012 10:22 AM To: Mckechnie, Robert; Joanna Hooper Subject: intended basement use To: Robert McKechnie This is an email to formally state our intentions of use for the finished basement area of 712 Oak St. i As of now, this area of the basement is empty, except for a few items we are storing (some tools, sheets, boxes, a bannister...etc.) Our focus for the next while will be on doing maintenance work on the rest of the house. Down the road, we envision using the basement as a typical finished basement area. We will most likely have a refrigerator or freezer there, used to store food, and a sink to be used in conjunction with a clothes washer. We might use the basement area for crafting projects, for storage, for maybe a mini theater room to watch movies, maybe have a pool table there some day. We will never use the space as an apartment, and we will never install a stove or formal kitchen, and we will never rent the space as a separate illegal apartment. Any structural or utility work that we do in the future will be done by the book - following all permit protocols outlined by the town. We understand that these protocols were not always followed with the past owners, and we write to assure you that we will do everything by the book -transparently. We will be happy to sign a formal statement as testament to the above intention the next time we are in Barnstable during your office hours (we have been mostly spending weekends recently). Respectfully, Josh Bridger&Joanna Hooper NOISIAIG IU -12visavo 10 P9�01 11/6/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map c>? Parcel 601 66 0L Application # 10 Health Division Date Issued Z- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board A� Historic - OKH _ Preservation / Hyannis Project Street Address e40T— Village 1 i wner C�UC�� Address ,C�Telephone ° V (0 ' �� __Q_ �!� [5 �� COO& Permit Request a f_ (2cb-ZeE0don C van �- fl oinq S- 'M )a f6u, up, Square fey t: 1 st floor: existing proposed 2nd loor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing nevw Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room;Count01 c Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other , Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:.9 Yes O No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ w size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name : C. �pssic=&36L' ,Tele hone Number_' Address o�_� 1 License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ..SIGNATURE � :-��-DATE ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION s' FIREPLACE '> ELECTRICAL: ROUGH FINAL 5 PLUMBING: ROUGH FINAL '7 GAS: ROUGH FINAL FINAL BUILDING o r . DATE CLOSED OUT s ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl 'Name(Business/Or nization/Individual): .� .Address: .() Citjstate/Zip:.- �Pb one-#: ~� . — Are you an employer?Check he appropriate box: Type of project(required); 1.El am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no em to ees These sub-contractors have P Y 8. ❑Demolition working for me in any capacity. employees and have workers' insurance. 9. El Building addition [No workers' comp.i comp.P• V equired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs . insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 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. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up.to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the ns and penalties of erjury that the information provided abov is t ue and correct Si =afore:-Y CPhone-#�- Official only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector, 5.Plumbing Inspector 6.Other Cont#ct Person: Phone#: I Town of Barnstable Regulatory Services STABLEThomas F.Geiler,Director v v MAss. g 019. Building Division rED MP'I a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 62601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: bla f_ l &W�W_ /� l,U : L�JOB-LOCATION: �����A number street !!��ee''�� village } �/ HOivtEOWNER"; ��9o ���� �����J Y(� name home phone# work phone# CURRENT MAILING ADDRESS: _0 1 A (XAK I nN� M f g cityhown 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 rocedures and requirements and that he/she will comply with said procedures and re ire ents. ( royal of Building Official Note: Three-family-dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forni/certification for use in your community. Q:forms:homeexempt y�IMHE Town of Barnstable Regulatory Services � MAMBAMSTABLF4 - Thomas F. Geiler,Director 16.39. �0 'OtFo ,r 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 A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (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 Q:FORM&OWNERPERMISSIONPOOLS 6/2012 Building Sketch Borrower Jane L.Rossi nol Propeay Address 712 Oak Street City West Barnstable County Barnstable State MA Zip Code 02668 Client Cape Cod Cooperative Bank Sketch is nol drawn to stale I nteder Roane for infomatlenal purposes only 14.0' o s c rp V N Enclosed Porch(unfnished)Main Laval 30 Master Bad— Covered Patio Lower Level 44.0' 0 _ N U Pantry Fartly P�arn FWI Bath '�LI, • Hall Be- , 81Rd Zoo c+'s L�—LL Barn! Flnl Floor Bad- 13 r b 1'u E13 10)L U Wng Room Dining Prey 14.0' 14.0' Open to Pews o 30.0' - - sa.a OF�t Cc ° \ t� Bedroom n O \a —\ Full Batt, Mlc Storage- 111�' Bedroom lay is '/ham CNrmey z r gC 13,b second Floor b Loll Area lDY-'►g:(o fe.r fa.a Open to balm 1 ' 14rD ��� o (+waded Qc,Tlb o air s Rol K!iiaEl:)7t' diilJt:i -. �Rl�`f'4; rinl:'nl'SAI;^i.i�rtrlt ;V ii i8 ti Oii%,ir.-- '.'f�,(1(i'��1.!�iYi01)C 2 i Building Sketch Borrower Jane L.Rossi nol Property Address 712 Oak Street City West Barnstable County Barnstable State MA Zip Code 02668 Client Cape Cod Cooperative Bank Sketch is not News to male Nterlor ROOM for Infomalional purposes only 14.0' o — fC U N Enclosed Porch(wflnlshed)Main Level Master Bedroom Covered Patio Lower Leval 44.0' 0 v N Pantry Family Room I(itch. Full Both I IOW Bem Clot V F . gfRd Zoo M Ba"to First Floor Bedroom 13h bx tl,U _ (shlox 8 a Llvirto Room Wing Nee 14.0' 14.0' Open to Ab— II•VI�I�Ir�D m1,6 I�•(n X 1�I•h CwemdPerd 0 30.0' 44.0'' OFC%Cc a Bedroom Full Both N6o Storage - eedma qp x I i Ian ClNrney Sy13,6 sevens Floor 110 b _Loft Area Gx,jgrLq 1BAY 14.9 Open to below t l�rO Q� n C'6ve2Qd PQ�'v 12�3� �3 for 0 .. t�SS 13•(oX I I•� _ ��626'tie9'f7� v I�I,UI R.-an.Ki l3iljSkf -' °•rJtsfIGiki. ;;1o1:°:;i5ii uY a lit iRQ!:Z.((1i..-- $(IQ•AL��Yt001. *lJ' �i �t I. �5 1 1 ;Y ,J :y � . � . � .. � \ � � � \. � � � . \���^© y yy�> � ., � , \ .�� � © ??�^ � r �� � . , - .s . : . . _ . . . . . «�- . �. `gym»» �y��y ���:� � \� « -����ƒa. � � � `� � < . �« � ^ �����±.��\\���� � � � � \ «\\` � � � � � w. � \ \��«� . . m 2 «:�: �< ». . . . e. »` : 2 � m© � - . � �� � . . . �}���\. . . . . > � » © . w. _» �.��6# . . y. ��: , _ - - < «_. ��t w _� /\ - - � �;�:��y ^\\ � � ^ � � � w >�: y�. «2� <�» � � .���\ ��\�/����� 5 / . . . , s�. : . a- �}��\�§�2 s � � � � � I Message Page 1 of 1 Anderson, Robin From: Dabkowski, Cindy Sent: Friday, November 04, 2011 9:45 AM To: Anderson, Robin Subject: RE: 712 Oak St, WB Hello Robin Jane Rossignol declined to enter the Accessory Apartment Program 11/3/11. C�J Cindy -----Original Message----- � From: Anderson, Robin Sent: Monday, June 06, 2011 9:47 AM To: Dabkowski, Cindy Cc: Perry, Tom 1 Subject: 712 Oak St, WB Cindy, The owner of this property is interested the Amnesty program. Please send her the information packet and call her to see the unit. She said her cell number is the best option to reach her and she would like a Weds. appointment as that is her day off. The unit is currently occupied by a woman and her three year child. I am not familiar with this unit so I have no idea what shape it is in. She claims the unit was created at the same time the house was built in 1987. 1 have no record or permits pertaining to this unit. A recent complaint brought this to my attention. Her information is as follows: Jane Rossignol , owner Cell: 508-776-5372 Work 508-478-4519 Please contact her directly to see the unit with Tom Perry and keep me posted in case this becomes an enforcement issue. Thank you. 296in Robin C Anderson Zoning Enforcement Officer 7'own of BarnstabCe 200 -'Alain Street Hyannis, MA 026oi 5o8-862-4027 �l� 1 11/4/2011 _ _ �, � � � � � i � � �� � � � �� � � � ,S � � � � T � � � .ram � �.. � `� � � � � o � � s-- \ � ZU6 �/0 algejsuaeq -M 6199ilS Leo ZL,L 1 712 Oak Street, W. Barnstable 10/19/12 for = w a Y 7 712 Oak Street, W. Barnstable 10/19/12 Z L/6 �/0 elq suaeg .M ` aoilS � eo Z L L r Z �/6 M apelsuaa8 .M `199aIS � eo Z �L - � r �` T � �?` � w � _ �,, � � ,t� o � r ram,tr �y Y�.��ay�e�y���fiJ �,��' a�.� T �I <i �� 6. . 712 Oak Street, W. Barnstable 10/19/12 ,,. . 712 Oak Street, W. Barnstable 10/19/12 s . y � Y .a- .L . 712 Oak Street, W. Barnstable 10/19/12 3 � - �i M 1 .p}C . 712 Oak Street, W. Barnstable 10/19/12 17 �t _ •4 ,. f•."'mew-- - - � ; I 1 i Oak Street, Barnstable 10/19/12 f �,nruretnv ti f I� elqelsuie F,^ • i 'Alva AF: '. 712 Oak Street, W. Barnstable 10/19/12 14 r a`�' i i �i I YMi f � Y n 4 ..y _. � � I' ...�.�aa.. _. .,4' w `'� � .�''9 1 _ __ ' �. y � Parcel Detail Page 1 of 3 e5le 06z�,� i HAAINSTAAL)L ! MASS. 1lriV, �C. Logged In As: Parcel Detail Wednesday,August 15 2012 Parcel Lookup Parcel Info Parcel ID 215-001-002 I DeveloperiLOT B Lot- Location'712 OAK STREET(CENT./W.BARN) _ I Pri Frontage j Sec,_. Sec Road° Frontage I village,WEST BARNSTABLE I Fire Distrlct;W BARNSTABLE Town sewer exists at this address:No I Road Index 1121 t Asbuilt Septic Scan: Interactive 4 215001002 1 Map Owner Info _ Owner,ROSSIGNOL,JANE I Co Owner Streetl"712 OAK ST I Street2 City WEST BARNSTABLE I State jMA zip'"02668 Country Land Info Acres 21.00 use ISingle Fam MDL-01 I zoning RF Nghbd i0105 Topography:Level I Road;Paved Utilities;,GaS,SeptiC . .- _..._._.__-I Location _ __s_�. .__.__.._. .._-_.. _._ .._.- ._-•__-.... I Construction Info Building 1 of 1 year r�987 "" Roof iGable/Hip I Ext�1Nood Shingle�� Built" Struct Wall Living 1994 _ I Roof;Asph/F GIs/Cmp I AC!None ._I FEZ Area Cover Type MT I. f 15 OP 1 Int ;, 36 Style Cape Cod I Wall;Dry'w-all I Bed Rooms i 6 Bedrooms I as Model'Resldential I Int:Carpet I Bath;4 Full Floor Rooms 24 WS 2 Grade Average I Heat Hot Water I Total 114 Rooms I ewT Type Rooms 1414 Heat' Found-�� - '_E-n - 1JDK:, Stories'1 Story F A Fuel�GaS ation Poured Conc. � 14 Gross"6088 Area Permit History http://issgl2/intranet/propdata/PareelDetail.aspx?ID=l 5330 8/15/2012 Parcel Detail Page 2 of 3 (Issue Date (Purpose IB308 Permit# 1$150,000 Amount Ilnsp Date 1WB Comments 6/1/1987 13 1/15/1989 12:00:00 AM 11/2 S Visit History Date Who Purpose 11/10/2009 12:00:00 AM Paul Talbot Cyclical Inspection 8/15/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 3/15/1988 12:00:00 AM ML - Sales History ELine Sale Date Owner Book/Page Sale Price 1 4/11/2006 ROSSIGNOL,JANE 20903/200 $1 2 12/15/1983 ROSSIGNOL, ROBERT R&JANE 3948/155 $79,900 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $162,800 $79,400 $2,200 $124,000 $368,400 2 2011 $222,300 $13,800 $0 $124,000 $360,100 3 2010 $221,800 $13,800 $0 $124,000 $359,600 4 2009 $250,400 $12,900 $0 $132,000 $395,300 5 2008 $260,200 $12,900 $0 $132,400 $405,500 7 2007 $258,900 • $12,900 $0 $132,400 $404,200 8 2006 $286,600 $12,900 $0 $136,000 $435,500 9 2005 $260,800 $12,900 $0 $144,500 $418,200 10 2004 $231,900 $12,900 $0 $144,500 $389,300 11 2003 $201,700 $12,900 $0 $60,000 $274,600 12 2002 $201,700 $12,900 $0 $60,000 $274,600 13 2001 $201,700 $12,900 $0 $60,000 $274,600 14 2000 $159,900 $2,700 $0 $45,000 $207,600 15 1999 $159,900 $2,700 $0 $45,000 $207,600 16 1998 $159,900 $2,700 $0 $45,000 $207,600 17 1997 $160,900 $0 $0 $35,000 $195,900 18 1996 $160,900 $0 $0 $35,000 $195,900 19 1995 $160,900 $0 $0 $35,000 $195,900 20 1994 $142,700 $0 $0 $49,500 $192,200 21 1993 $142,700 $0 $0 $49,500 $192,200 22 1992 $162,700 $0 $0 $55,000 $217,700 23 1991 $159,400 $0 $0 $80,000 $239,400 24 1990 $159,400 $0 $0 $80,000 $239,400 11 25 1 1989 1 $84,600 $0 $0 $80,0001 $164,600 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15330 8/15/2012 Parcel Detail Page 3 of �� IF z, mow. '�, •,. E http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15330 8/15/2012 Parcel Detail Page 1 of 3 TH@AMSS �l ._ •ypp lb 9. ��b� Ir Tom. I"� � ,��...� �...y �';°Tvk Logged In As: Parcel Detail Thursday,August 16 2012 Parcel Lookup Parcel Info Parcel ID 215-001-002 I Developer Lot LOT B Location 1712 OAK STREET(CENT./W.BARN) I Pri Frontage Sec Road I Sec Frontage Village WEST BARNSTABLE I Fire District IW BARNSTABLE Town sewer exists at this address.No I Road Index 21 Asbuilt Septic Scan: Interactive , 'n.` I' ' ll—�,« �. .. 215001002 1 Map � S =' Owner Info _ Owner I ROSSIGNOL,JANE I Co-Owner F--------- �I Streetl 1712 OAK ST I Street2 City IWEST BARNSTABLE I StateFm—Al zip 02668 I Country FJ Land Info Acres I 1.00 use Single Fam MDL-01 I zoning RF Nghbd F0105 Topography Level I Road Paved Utilities 1,Gas,septic I Location I � Construction Info Building 1 of 1 Year Roo i Ext Built �987 IStructIGable/Hp Wall Wood Shingle Living 1994 I Roof Asph/F GIs/Cmp I AC None Area Cover Type style Cape Cod I wali I"'��'all I Rooms 6 Bedrooms In Bath Model lResidential I Floor Carpet I Rooms 4 Full �I ' FAT Grade Total Average I Type Hot Water I Rooms 14 Rooms I er. Heat Found- i stories 1 Story F A I Fuel Gas I ation Poured Conc. I wn4 Gross 6088 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15330 8/16/2012 Parcel Detail Page 2 of 3 f Issue Date Purpose Permit# Amount Insp Date Comments 6/1/1987 IB30813 1$150,000 1/15/1989 12:00:00 AM 1WB 11/2 S Visit History Date Who Purpose 11/10/2009 12:00:00 AM Paul Talbot Cyclical Inspection 8/15/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 3/15/1988 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale Price 1 4/11/2006 ROSSIGNOL,JANE 20903/200 $1 2 12/15/1983 ROSSIGNOL, ROBERT R&JANE 3948/155 $79,900 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $162,800 $79,400 $2,200 $124,000 $368,400 2 2011 $222,300 $13,800 $0 $124,000 $360,100 3 2010 $221,800 $13,800 $0 $124,000 $359,600 4 2009 $250,400 $12,900 $0 $132,000 $395,300 5 2008 $260,200 $12,900 $0 $132,400 $405,500 7 2007 $258,900 $12,900 $0 $132,400 $404,200 8 2006 $286,600 $12,900 $0 $136,000 $435,500 9 2005 $260,800 $12,900 $0 $144,500 $418,200 10 2004 $231,900 $12,900 $0 $144,500 $389,300 11 2003 $201,700 $12,900 $0 $60,000 $274,600 12 2002 $201,700 $12,900 $0 $60,000 $274,600 13 2001 $201,700 $12,900 $0 $60,000 $274,600 14 2000 $159,900 $2,700 $0 $45,000 $207,600 15 1999 $159,900 $2,700 $0 $45,000 $207,600 16 1998 $159,900 $2,700 $0 $45,000 $207,600 17 1997 $160,900 $0 $0 $35,000 $195,900 18 1996 $160,900 $0 $0 $35,000 $195,900 19 1995 $160,900 $0 $0 $35,000 $195,900 20 1994 $142,700 $0 $0 $49,500 $192,200 21 1993 $142,700 $0 $0 $49,500 $192,200 22 1992 $162,700 $0 $0 $55,000 $217,700 23 1991 $159,400 $0 $0 $80,000 $239,400 24 1990 $159,400 $0 $0 $80,000 $239,400 11 25 1 1989 1 $84,600 $0 $0 $80,0001 $164,600 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15330 8/16/2012 I y,��ittli p S"3w,- ��'`�{ .a� �,,, �•.i r �a_ `-'�-+-..` �♦'Sin r„ r.yt�.f.�i' d,.�,..,r. °��n E.f c� 1'r } .w � r ��,QfdH 4�: .L�IY��• v= _'' n '4�n�`, 4 S Lu }� �h� �rw� r.-„c 1��,'.h t 1 � s 1�a a nK•:'�+a i..s._s ' �' \...1 • - I i��y �y�'�a`,}��•,' .^`�' he;�t� a 5�� 1 L'F..'�r�4[ i� i$,,.,,�. j' iihazaa+S ���•*� n'ySSa .�f�� ��.�� ,?-� �Y�{.� �u�orzoo� - ',, s � �A� �o�,•'��''i,�t` ?L���.fit si" '`'�,,rA,,�i; 1�A��y ._ �,..,. .4 i - •pd. 53308/16/2012 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Monday, June 06, 2011 9:47 AM To: Dabkowski, Cindy Cc: Perry, Tom Subject: 712 Oak St, WB Cindy, The owner of this property is interested the Amnesty program. Please send her the information packet and call her to see the unit. She said her cell number is the best option to reach her and she would like a Weds. appointment as that is her day off. The unit is currently occupied by a woman and her three year child. I am not familiar with this unit so I have no idea what shape it is in. She claims the unit was created at the same time the house was built in 1987. 1 have no record or permits pertaining to this unit. A recent complaint brought this to my attention. Her information is as follows: Jane Rossignol , owner Cell: 508-776-5372 Work 508-478-4519 Please contact her directly to see the unit with Tom Perry and keep me posted in case this becomes an enforcement issue. Thank you. Win Robin C Anderson Zoning Enforcement Officer 2'awn of Barnstable 200 Main Street Hyannis, MA 026oi 508-862-4027 i I 6/6/2011 i f r � � � f � � � �. � i i t . _ FORM /SPEC SHEET Foundation Type: C.C/ Siding Types color I Chimney Types Color: R l Roof Materials �' Color��� i pitchs. A yZ Windows: �,,{,�ep, /�n �D sizes wobU Trim Color: Doors: ca Color: C Shutters: 1 In Gutters: Decks 9019— Garage Doors: ,� yS� Colors Two copies of this form required. Pill out completely regarding materials, measurements, and colois•.' , I Application to o,�,�. •'' Old Kings Highway Regional Historic District C6m* mittee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made, id triplicate, for the issuance of a'Certificbte of:Appropriateness under Sectlon 6of_Chapter470, Acts and Resolves of Massachusetts, •1973. for proposed work as described below and on plans, drawings, dr photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: ;; , .-• �r L•• ` 1. Exterior.Building Constru io : New Building. ❑ Addition.. . ?;❑ Alteration ; Indicate type of building: ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign = 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other`' " (Please read other side for explanation and requirements). , TYPE OR PRINT LEGIBLY :'' ' ` DATE " ADDRESS OF PROPOSED WORK C—�'` t-= vC r ' 'ASSESSORS MAP NO.. OWNER ASSESSORS COT N0.' ' HOME ADDRESS TEL:•NW'4 : "-{•'t: ESSES OF ABUTTING OWNERS. Include name of adjacent property owners`acrois any public FULL NAMES AND�DDR street or way. At ch additional sheet if necessary).. ��3t' GZJ 2MAP [hT_V,0 AGENT OR CONTRACTOR �'',��'�' .TEL. N0. ADDRESS 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 existingsigns and proposed locations of new signs. (Attach additional sheet, if necessary). PC rA . e Signed owner ntractor-Awnt `' 4owi19�i�i ittee use. Received by H.D.C. Date The C rtificate is hereby n/�✓ '� Date `'Tirfrie Z �9�: + r By Approved Lam' IMPORTANT: If Certifl ate Is approved,approval Is subject to the 10 day.appeal period provided In the Act. Disapproved ❑ tor U TOWN OF BARNSTABLE 30813 � Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Y HYANNIS.MASS.02601 Bond ...........�A, CERTIFICATE OF USE AND OCCUPANCY Issued to Robert & Jane Rossignol Address Lot B, 712 Oak Street Barnstable, 1-lass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...... SLptembc r 22.,, 19.....88........ ���.. 4./s .. a..... fBwlding Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT _ 11saaarAIr _ TOWN OFFICE BUILDING rua '°b '679• `� HYANNIS, MASS. 02601 �o rnr►• ' 3 I. MEMO TO: Town Clerk FROM: Building Department DATE: • ��J��O An Occupancy Permit has been issued for the building authorized by Building Permit—#............��.....d� .3 . issuedto ................................_. . » ... _._......» »..»_»» v v I Please release the performance bond. . I i I TOWN OF BARNSTABLE, MASSACHUSETTSPE 21=215-1 DATE I!i,ii_ ��• 19 PERMIT ^K `Q I APPLICANT •_ ADDRESS IMf "1 BeiE ` ... .. 0.1 .�CSTRC'� ) ' 2 ICONT L6: 1 . NUMBER OF PERMIT ( ) STORY 1•'%' `1 I '.' 1i1•' 'I WELLJNG'UNITS '•(TYPE OF IMPROVEMENT) Nb.� (PROPOSED USE)' ' AT (LOCATION) •,- .. ..:....:�, . ZONING (N*0'.) ` ("5'1REEi1"� - T'`r`r��" DISTRICT_.__ BETWEEN AND - (CROSS STREET) (CROSS STREET)' ,. SUBDIVISION LOTLOT BLOCK SIZE BUILDING IS TO BE F,T. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM�AN CONSTRUCTION . TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION " ITYPE) REMARKS: •.).. .. . AREA OR .. � ,'. . .:,.`..:.:..:.:.... VOLUME .i i'=i:i ESTIMATED COST. ni_)�) nn FEEMIT..�j:1•;;9. ,�.' '. _ ' (CUBIC/SOUARE FEET) . OWNER ADDRESS l ' .:I' _ j. _ T,-: ; BUILDING DEPT. BY FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDI TIONS, OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUM I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALS ING Z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS !VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Xj L) /� .. 2 J/7/CS' z 3 ,HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT IJ OTHER BOARD O ;NTH f�,( WORK SHALL NOT PROCEED UNTIL 1HI: INSPLC PERMIT 'W;LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTIOn PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. t r ' ? f 03 0. LOT B LOT A o � (0 43 g �g O� 44.4 co 30 O O Lo Q). 0) N M �i - M _a OAK , STREET ISO.00 RES. ZONE: RC FOUNPATLON CERTLFICA-rXQP4 TOWN WEST BARNSTABLE PLAN REF. 342/15 DATE 6/2187 SCALEI"= 40 FFFTELEVATION I HEREBY CERTIFY THAT THE ABOVE FOUNDATION I5 LOCATED ON . yamt4EE 'C SMRVELJ THE GROUND AS SHOWN. AND `H OF ys ConsuLTan,TS r TS POSITION DOES M"s� o CONFORM TO THE ZONING z PAUL q y✓r� 'T0 RASPBERMj L.N. LAW SETBACK REQUIREMENT MER!!tiEW D O F I3A 2 N S-FA 6 •0 o. 32098 x M ARST O N 5 M )L L 5� M A L� �a Ri /ao PAUL A. M6RITHE.w R•PL.S. - - J Application to t N ' ' a f Old Kings Highway Regional Historic District Cothmittee L%' in the Town of Barnstable for a ' "i• . ',+ ;. i�S ..�-•it i i r..'. .I'•!. 1 '+ :{' .. %'-•ism• CERTIFICATE OF'APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of.a Certificate of,Appropriateness under.Section S of Chapter 470, , Acts and Resolves of Massachusetts, .1973, for proposed work as deicribed below and on plens,'drawirio."dr photographs'. accompanying this application for: . f -a I " CH EC K CATEGOR I ES THAT APPLY:."i';7k1rj 1. Exterior Building Conitru io New Building ❑ Addition::;Yi�,D Alteraiibn .�,,, • ti.;;,,;. ;., .; : •.„ •; .; , Indicate type of Wilding:ALHouse', ❑ Garage ❑ Commerciai. ❑.Other 2. Exterior Painting: ❑ u. :r r:;+ :,.a�, ; , �•'+:, rt , "t:'"r: . 3. Signs or Billboards: ❑ New sign , ❑ Existing sign :_ ❑ Ai0ainting existing sign'. -*117 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other' (Please read other side for explanation and requirements).,,_.. TYPE OR PRINT LEGIBLY �s �'' DATE ADDRESS OF PROPOSED WORK L!�`t r'�z�"'""' ASSESSORS MAP NO.Wt 3�� dN� ` . l: t.. Y.•,j4j:s 'S.^. f'Y''J 4 LOT OWNER ASSESSSOO RS L'07_N0.' ry r ,�'��• 'Lr '"�' f, + —GSM t+. •r '� HOME ADDRESS �`� t^ — TEL. N0•.i4f �'•f;�' FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners acrbii'any public street or way._„J,At ch additional sheet if necessary).,,,,.,:III/�' 1:� +� .' � I •N \\\ 2MAP f -r-=: 1 oaf: ps C� 2erto i AGENT OR CONTRACTOR I "`^'' '4F �`�.`�°� ff ADDRESS XICX1 Wit DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be donelseeNo.'8,'otharside),'including materials to be used, if specifications�o not accompany plans. 'In the case of signs;give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). � �, .� -mil n�,, - i�: ';` ��I•���� -� . `I •�. .: w:. Signed owner-di,iftmor-Agent 16- or Co ee use. H.Dot ; l o. Date The Certificate i ereby r f Date �T rF,� Dl'.eF By bA44) Approved IMPORTANT: If Certificate is approved,approval Is subject to the 10 day.appeal period provided In the Act. ;r Disapproved ❑ Assessor's offioe {1st floor):; _ Assessor's map and lot number• .:: lS. 1.............:.1.', i •.°���E tO� Board of Health`(3rd floor): SEPTIC SYSTEM MUST W Sewage Permit number .....%ff..7.'3 .:.............� ............ �1 T�►L�ED I17 D®MI'LIIS l ..BASI9TABLE. Engineering-Department (3rd floor): WITH TITLE 5 �o rasa House number .............................. ..� .:.�'-,5.............. 1: ,�F���GI ®R9IVdEI�T�q. ® °''�o gar aye APPLICATIONS PROCESSED 8:30'9:30 A.M. and 1:00.2:00 JP.M. only; TPI1. IFN REGULATE �'ez TOWN, OF • •BARNSTABLE BUILDING 'INSPECTOR APPLICATION LIC TION 'FOR PERMIT TO : TYPE OF CONSTRUCTION ,IIJQq�...C`c !ST.erC7s............................................... ........ y.. ..........................19.&.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...C.479 ..............6'!t�.........f ........... . ... ....... S.vd / 4/1//V /D W F �G........................................................................................ Proposed Use ............�.........�........... ...........................�-.�... j, .... Zoning District � .. .....4Y s0?.,:�!i':?..Zls: .......Fire District 1!U• �b� i Name of Owner �Og� T JA.VC oSS/6�VJL...........Address .73a2 D K ST..... iVSTfI BLI : i¢.... Name of Builder .'..1.. �/4�` �(f`ST ..� .....Address :ZiUX 'Z76 Name of Architect �A/ I�.....................................Address ....Z .:..!�'4 /VST L �}.....1 ?�.($..... �..... Number of Rooms ..'¢13Dr2....p... ..BFITH.............................Foundation ....?///P ....C.0&FbRE........................ Exterior /�� C� /3 . �eo�T ItJC ......!?.... '..C��i°........................�35t D¢S.......Roofing .... 361 ....3..�:�.....!g�S.r�iIAGT ..................... Floors ..... ./,p ......'.....C!9,E'.(?£T/•CiNal�u/r/....Interior . -.f�f-T..,.OGE'.i.. ff� f1'.ti/� nr(SH............... . ... ............. . ........................ ..... Heating ..EL G7!�lC..... !` r�P3ofhe� .............Plumbing ................... Fireplace ..............................Approximate Cost ....................6U.Q......................... Definitive Plan Approved by Planning Board _:____7.1_ 7_-------------19 6S7 Area ..... ................ Diagram of Lot and Building with Dimensions Fee /.....P!':Y.. SUBJECT TO APPROVAL OF BOARD OF HEALTH 'PLAKS A `1� � P j • ------------- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the town of Barnstable regarding the above construction. a Nam ...... .............. ........................................... aWN<R. • Construction Supervisor's License .................................... ROBERT & JANE No .... Permit for ...1.A ........ ............ Single...Family Dwellinc ............................................................ ......... Location Lot B.......7.1.2...Oak...Street B..................................arnstable................................. Owner .....Ro.b.er.t....&....Jane...Ro.s.s.i.q.no.l. .... .. .... .. . .... .. .. .... .. .. . . .... .. Type of'Construction .Frame........................... ...................................................................... Plot ............................ Lot ................................ Permit Granted .......June 4 . ...........19 87. ...................... Date of Inspection ....................................19 Date Com IP!p ted ..........19 Assess2r's offioe (1st floor)': ...Assessor's map and lot number, .z/7- 7 � /' SME tO` . ......................:.... Board of Health (3rd floor): e�Q Sete age Permit number :.....�5 —�� .............................. Z BAWSTABLB. i Engineering Department (3rd floor): 'moo V o House number ss ,ems 3 `e.........................................! ... �!............... 'ED APPLICATIONS PROCESSED 8:30'-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............... ........................................................................................................... �057 d8FAiy/ TYPE OF CONSTRUCTION aoD 1�.........CS..Qix7..r"1................................................... �. ...... 7........... 19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...(. -.q77,0..............a i ......` t..... lt/STfJB. . ...-. .......... 1 f..i Tl............................................... Proposed Use ..........S/i(/6 fH '//L i /�. /.CL(•//VG Zoning District ....... •,,,,,Fire District ... :..� ����....-.�........................................S . 5o „f�!.. ?,lS,.. • Name of Owner .��¢le3 ZT �oSS/6,VdL Address .7-3 /�� S� /�Sl/iBLc� Name of Builder .!.../..��!�!`...��1.S.... .....Address .�495 • Tr..�A.:../�d• L�U�C 'Z7lo Name of Architect ............�SAN/ .....................................Address ...0:..�� /f/S7fI8L�L ....: `�..... ?.�.18..... .5 . Number of Rooms . .RDA '..: .BRTH.............................Foundation ....�SG�r�..... 0/VC, 'lzT Exlerior /� C� ..° ' .Z35/6:,..3.Tg.$.....AS?iIAG/....................... !7.......i7ii.�.. �!!/�...rT::. !�...3 !�135.......Roofing Floors yi? I�IUDaD....../ ....0 r�fT .�ii!/ol cur/....Interior .. /SET�GCK , 14o9i- n.v/� f1^11SH ........................................ Heating ELe'l7!�`/�'.......!tt�flSJ� iC3Ft�`. ............................Plumbing .2 %flTly �aATtf rLRvvD��`................... 1 Fireplace ..-�.FL U E 1�i'1C(� 1 F.P. ...Approximate Cost .. :. .Q.......................................... Definitive Plan Approved by Planning Board ----- -------------19&7__ . Area ..... . Diagram of Lot and Building with Dimensions Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............7................................... Construction Supervisor's License e)"/'vj ........................ ROSSTGNOL, ROBERT & JANE A=215-1 v .No ..3•C B 13.. 'Permit for ...l."-StorY_............. Single Family. Dwelling......... Location :Lot...,#B, 71,2...Oak Stree.t.. µ . a. 084-Rar.n.sl.qble.... ...... ....... ......... Owner R.obert. .... .... & Jane. ...Rossignol. . . . ... ......... .. . .... ..... ....... .. . .. .... .... Type of Construction Frame ............................................................................... Plot ............................ Lot ...............................: Permit Granted .....June...4.1.................19 87 Date of. Inspection ....................................19 Date Completed .......................................19 //�14el Postal CER, TIRED MAILT. RECEIPT (Domestic Mail Only; m 0 For delivery information visit our website at www.usps.come ru 0 F F I C I A LAW c R E fU Postage $ M Certified Fee Oty r M Return Receipt Fee Poaark O (Endorsement Required) HP CO Restricted Delivery Fee p (Endorsement Required) N� 6 CO --0 Total Postage&Fees Is M ra 0-. Sent To --..-- - - -'« O Street,Apt.No.; 0 (� or PO Box No. 1.1 � - City,State,Z!P PS Form 380 2006 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt f ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required.;.. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 �TME 1p Town of Barnstable y Regulatory Services 4 BAxtvsrnste Thomas F. Geiler, Director '� `0� Building Division p'ED1i"P�� Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 31, 2011 Jane Rossignol 712 Oak Street West Barnstable, MA 02668 Re:. Complaint of Illegal Rental Unit Dear Ms Rossignol: Be advised that this office received a complaint alleging you have an un-permitted rental unit in the basement of your dwelling located at 712 Oak Street in West Barnstable. Our records indicate that this home was constructed in 1987 as single family home under building permit number 30813 in a residential zoning district(RF)which limits the use to that of a single family home. My research found no record of a valid rental registration for this property nor any form of relief allowing you to create or maintain an accessory unit. At this juncture I would request that you arrange for an inspection in order that the complaint may be closed in the event that this allegation is false. You retain the right to submit any and all documentation for consideration that may demonstrate that you did in fact obtain approvals for said unit including all building,plumbing, and electrical permits and the corresponding satisfactory inspections. Please contact me at 508-862-4027 by June 10, 2011 with your response. erely, t Robin C. Anderson Zoning Enforcement Officer JAComplaint Inv Reports\712 Oak St WB letter 05312011.doc _ W UNITED $TAl�SPtLfVE�'" �c:',fi ? �': r� �t au:. fff�e Fee'Paid • Sender: Please print your name, address, and ZIP+4 in this box • � .. � �pWN OF$ARNSTABLB , SUMMING DMSION WAr1IM MA OMI �'�.;-..• 111,,,,�l,l,l1„Il„�,;�al�i„!ll,,,°ll,,.,�,'I,1li,,,ll,,,,l.,Iri ''t 1 L:. i ■ Complete4tems 1,2,and 3.Also complete A. Si nature N$TAB Item 4 if Restricted Delivery is desired. t ■ Print your name and address on the reverse A see 1 so that we can return the card to you. 13 eived by(Pri ed N WP_'X i 1�t, li ry ■ Attach this card to the back of the mailpiece, III or on the front if space permits. Is delivery address different �WVZ ❑Ye 1. Article Addressed to: it. If YES,enter delivery addre ❑ o pia 6� ACI —A 3. Service Type ,>EM&tifled Mail ❑Express Mail ❑Registered Ailetum Receipt for Merchandise i ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2.,Article Number [ i7OO9 i168� 0000 '32 721 iO386� (Transfer from service label) ' ! +i t t!i t t :! 1, y t ! !! I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m �C(-J DATA co �� ° I M lof Barnstable C3MM; i itory Services ru r Geiler, Director ru Postage $ M o l , ling Division O Certified Fee t P°�` tilding Commissioner � Return Receipt Fee � HOB 0 (Endorsement Required) CO o ,. t, Hyannis, MA 02601 Restricted Delivery Fee 3 (Endorsement Required) /A- -0 Total Postage&Fees $ H Fax: 508-790-6230 rR D— Sent Toter ,.,��a �, '� ------•------- •.- -----�--------- '" p Street,Apt.Na.; 0 N or PO Box No. 1.1. i_ �1 .�`�. City State,ZIP+ 712 Oak Street West Barnstable, MA 02668 Re:. Complaint of Illegal Rental Unit ` Dear Ms Rossignol: Be advised that this office received a complaint alleging you have an un-permitted rental unit in the basement of your dwelling located at 712 Oak Street in West Barnstable. Our records indicate that this home was constructed in 1987 as single family home under building permit number 30813 in a residential zoning district(RF)which limits the use to that of a single family home. My research found no record of a valid rental registration for this property nor any form of relief allowing you to create or maintain an accessory unit. At this juncture I would request that you arrange for an inspection in order that the complaint may be closed in the event that this allegation is false. You retain the right to submit any and all documentation for consideration that may demonstrate that you did in fact obtain approvals for said unit including all building, plumbing, and electrical permits and the corresponding satisfactory inspections. Please contact me at 508-862-4027 by June 10, 2011 with your response. erely, Robin C. Anderson Zoning Enforcement Officer I JAComplaint Inv Reports\712 Oak St WB letter 05312011.doc Loop Up Print Page 1 of 3 . Owner Information - Map/Block/Lot: 215/001/002 -Use Code: 1010 Owner Owner Name ROSSIGNOL, JANE Co-Owner Name Property Address Owner Mailing Address 712 OAK STREET(CENT./W.BARN) 712 OAK ST Map/Block/LotW BARNSTABLE, MA. 02668 215 /001/002 . Assessed Values 2011 - Map/Block/Lot: 215/001/002 -Use Code: 1010 2011 Appraised Value 2011 Assessed Value Past Comparisons Building $ 222,300 $ 222,300 Year Total Assessed Value: Value Extra $ 13,800 $ 13,800 2010 - $ 359,600 Features: Outbuildings: $ 0 $ 0 2009 - $ 395,300 Land Value: $ 124,000 $ 124,000 2008 - $405,500 2007 - $ 404,200 2011 Totals $360,100 $360,100 2006 - $435,500 West Barnstable Residential Exemption Received=$76,366 Residential Exemption Received=$90,000 . Tax Information 2011 - Map/Block/Lot: 215/001/002-Use Code: 1010 Fire District Rates Town Residential Taxes Barn FD -All Classes $2.31 $8.05 W. Barnstable FD Tax $ 751.90 C.O.M.M-All Classes $1.33 Town Commercial (Residential) Cotuit FD -All Classes $1.68 Community Preservation Act $ 65.23 Hyannis -Residential $2.04 Tax $7 28 Hyannis -Commercial $3.24 Town Tax (Residential) 2,174.31 W Barnstable- $ Residential $2.65 2,991.44 W Barnstable- $2.34 Commercial . Sales History- Map/Block/Lot: 215/001/002 -Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: ROSSIGNOL, JANE Apr 112006 12:OOAM 20903/200 $ 1 ROSSIGNOL, ROBERT R&JANE Dec 15 1983 12:OOAM 3948/ 155 $ 79,900 http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=215001002 5/31/2011 Loop Up Print Page 2 of 3 . Sketches-Map/Block/Lot: 215/001/002-Use Code: 1010 F,EF• 1 "PIP, h 6 FAT, iwD7, As Built Cards: I . Constructions Details- Map/Block/Lot: 215/001/002 -Use Code: 1010 Building Details Land Building value $ 222,300 Bedrooms 6 Bedrooms USE CODE 1010 Total Improvements Value $241,635 Bathrooms 4 Full Lot Size(Acres) 1 Model Residential Total Rooms 14 Rooms Appraised Value $ 124 Style Cape Cod Heat Fuel Gas Assessed Value $ 12, Grade Average Heat Type Hot Water Year Built 1987 AC Type None Effective depreciation 8 Interior Floors Carpet Stories 1 Story F A Interior Walls Drywall Living Area sq/ft 2,189 Exterior Walls Wood Shingle Gross Area sq/ft 6,088 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp . Outbuildings & Extra Features- Map/Block/Lot: 215/001/002 -Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 story 1 $ 3,400 $ 3,400 BFA Bsmt Fin-Aver 750 $ 10,400 $ 10,400 . Sketch Legend http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=215001002 5/31/2011 Inspection Report—Building Department Date 5 (3 f 9 Address ch 471 J Referred By A11A Reported to Site with �l Pur ose of Inspection i gal Observations & Notes n . YV I(qLML ID- A he--Z t ' r Loop Up Print Page 3 of 3 Property Sketch Legend AOF Office, (Average) FTS Third Story Living Area SFB Base, Semi-Finished (Finished) BAS First Floor, Living Area FUS Second Story Living Area TQS Three Quarters Story (Finished) (Finished) BMT Basement Area GAR Garage UAT Attic Area (Unfinished) (Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story (Unfinished, CAN Canopy MZl Mezzanine, Unfinished UST Utility Area (Unfinishec FAT Attic Area (Finished) MZ2 Mezzanine, Semi-finished UTQ Three Quarters Story (Unfinished) FBM Finished Basement MZ3 Mezzanine, finished UUA Unfinished Utility Attic FCP Carport PAT Patio Outbuilding Listed UUS Full Upper 2nd Story (Unfinished) FEP Enclosed Porch PTO Patio WOK Wood Deck FHS Half Story (Finished) REF Reference Only VVIKO Wood Deck Outbuilding Listed FOP Open or Screened in SDA Store Display Area Porch http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=215001002 5/31/2011 - ��__ , . 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