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0017 ALICIA ROAD
0 �� :� J �� D i °X�i. ..rz �o � . Town of Barr>lstable oFrHE row Regulatolry.Services* . Thomas F. Geiler, Director o� F_ Building Division CD + BARNSTABLE, • C'', v� MASS.I 9,' `�$ Tom ferry, Building Commissioner :' t Ar�DMN Rn 200 Main Street, Hyannis; MA 02601 rv�ww.tocin,barnstable.ma.us " '° r Office: 508-862-4038 : F 508 790-6230 Approved: Permit#: Z© 11 CCG2 j - HOME OCCUPATION REGISTRATION- Dale:' , t � Name: Phone l:. �7� � l�J�^/9 Address: � aC� t1�1� �'1/� Vill rile: p�Nanie of Business: �c`X _� -� YU_ --_ _-�1 a ��� --4n� oodI%"j- '[,y[.re of Bu.sirtess: / J/LLL� Map/Lot: 7a "e���I INTENT: It is file intent of this.section to allbw the residents of tfie`lint-n of•Berltstable to oper,ite a hcime Occupation c«t(till single Fariiily dwellings, subject to the provisioiis of Section 4,-1.4 pf the Zoning ord'umice, provided that t[re activity. sliall not he discernible front outside the chrelling: there shall be no increase iu noise or odor; no visual iIRCratiou to the, premises vvltich vt-ouldsuggest UlYtllirig other Phan a residential use; no increase iu(raflic alcove normal residential volurttes; avid no increase in air or bn-ouridwater Iiollution. After registration tc�fh the Building Inspector,;i customary Home occupation stealI be perruitted as of right su(iject to tite followlag c•onditiolls: `l'lle activity is carried oil by file permanent resident of a single [airiily residential dti elliug unit, (cicated Witltiri that dvvelliug•Will.. ,Such use occupies.no more than'400 square.fect'ofspace. • There are no external alterations-to the dwelling which are not customary it.r resic(eit1ial4)Llildiugs, "'intl there is no.Outs i(16 evicleuce of such use. No traffic will be generated ut excess of normal'residenfial volumes. 'I'lie.use (foes not involve the production of ofleusive noise, vibratl011;snt0l:e,'dust or'oflter p rrticufxt iri;ttter, odors, electrical disturbance, (teat,glare,_hutrtidity or other objectionable effects. There is uo stor afre or use of tbxic,or hazardous utateristls, Orflammable or explosive materials, in excess of' ,riomiad household quantities. • Any need for parkniggenerated flysuclt use SlUdl be met on file same lotc•ontctiuitig[lie Custrnlialy Home Occupat'iou;,utd not t6thin the required front yard. `!'here is no:exterior storage or display of niater-ials or equipment. There sire no cotYuitercial velticles:related to flte'Cusfoiiiaiy Hciit.ie Occupatibri,other than one van or one pick-up tnictk_not to e.cceed one ton capacity, an(l one tntiier not to excecd 20 feet iu lentnh and not to exceed 4 tires,`p u•kecl oil the same lot c•ontaltiing ilre Customary Home nec•utntion. • No sign sball be displayed indicating the Customary,Home Occupation: : [[-tile Customary Home Occupation is listed or advertised as a business the street address shall not be. included. e No person I.shall be employed in the Custoirtaty Home Occupailol,rtrho is'not a pennartent re.sidelat of the dscelling utiit. 1, the undersigned, hav ad and e ttitlr re above iest'rictions for my borne ocnipation r ant reg'sterirtt;.", f\ppliian(:. f2 pate: 0 G?7 ��r/ r 4 � Town of Barnstable oFt(+e to Regulatory Services Thomas F. Geiler,Director 0 Building Division * BARNSTABLE, - v MASS. Tom Perry, Building Commissioner no t634. � Drfo,��a 200 Main-Street, Hyannis, MA 02601 www.to svn,barnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Permit#: HOME OCCUPATION REGISTRATION Dale: xL Z�ZO Naive: I UP/ P��q;*7 Phone #: Address: Name of liusiness:— 0(/1_ -YG1- -- 71 e1 F�vt ©id oddl',j -------------------------------- Type of l3USIlIeSS:1q0nCJ f JY1C� 1 C7/1 C/ Map/Lot: :a, INTENT: It is the intent of this section to"allow[lie residents of the`l'oha'o of Iiarnstable to operate a horlle occupation; ilithiu single family(kVellings,.subject to the provisions of Section 4-1./l,.of the`lolhing ordinance, provided that the acti%aty sliall not be discernible fi•onh outside the t t'velling: there shall be no increase ill noise or odor;no visual ahl—atiorito tile . premises hh lriclr Wollld Suggest uhytlhing Other shalt a resicleutial use; hio increase iu Ira[lic above normal residential voluifhes; ,u d no increase in air or groundwater pollution. After registration wltll (lie BUIl(.ling Insr)ector, a custonriry llomE;"occupation shall be lie I'll litted,asgf right subject to tine following conditions: The activity is carried on by file pernianerit resident of a single family residential(h%!elluhg Unit, located witlhiti [hat dwelling unit. • Such.use occupies no more.than 400 square feet of space. - • There are no external alterations to the dcvelling Idlich are not custoiihaly in residerilial buildings,rind there is no outside evidence of such use. + No traffic will be generated iii excess of normal residential volunies. • The use(toes not.invokie the production of ofl•ensive Boise, vibration,SIIIOke, (lust or other particular Imatter, odors, electrical disturbance, heat,glare, hunhi(lity,or other objectionable eflec:ts. There is no storage or use of toxic or ha'LardOUS niateriats,'or flammable or exploslve materials, III excess of normal Household quantities. • Any need for parking generated by such use shall.be met on tlhe sanie lot corttaiuirig the Ccistoniary Home Occupation,a,11l not cclthin(lie required front yard. IS "There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to [lie Customary I IZmhe C)ccupatiolh, other thali one van or one pickup truck not to exceed one ton capaci(y, and one trailer not to exceed 20 feet III len[,nlh and not to exceed d tires,parked on the satme lot containing the Cusstomaiy Home Occu[Mb011. • No,sigih shall be displayed indicating the.Customary Hcmhe Occupation. • If tile.Custoni.uy Home Occupation is listed oradvertised as a business, the street address shall uo( be included, • No person shall be employed in the Customary Home Occupaficm 11-11wis not a penna.ucnfresident of•tlie dshellilig unit. I, the undersigved; hav ad avid 6e mcil le above restrictions for my home occupation I anti re.glste,ring I/ A[)�hlicanf: Date: �(/ YOU WISH TO OPEN A,BUSINESS? " For Your Information: Business Certificates, cost $30:00 for 4 years. A Business Certificate.ONLY REGISTERS T,HE BUSINESS NAME in town (which you mpst. do by M.G.L.-'it 'does not give .you permission to:operate.) You must first obtain the necessary signatures on:this form at 270 Main St.,, Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 .Main Street, Hyannis, MA 02601 .(Town•Hal!) and get the Business Certificate that is required by law. RE=141ntlho,f�S a k=s' � FRI in please: ' Date: APPL T'S NAME- - �_ 1C/AN � / YOUR HOME ADDRESS: Ic` / BUSINESS TELEPHONE # HOME TELELPHONE #:, �r .NAME OF CORPORATION: S FID # NAME OF NEW BUSINESS goe'�"r,-7 and ,c�ii-nc IS THIS A HOME OCCUPATION? J TYPE OF BUSINESS rHor+c C //71 Frpvev� YES NO ADDRESS OF BUSINESS 17 /F 1 i C i a. k'a a /f .170 r S N1t1. G?l�G'r MAP/PARCEL NUMBS (Assessing)' When starting a new business there are several things you must do to be in compliance with 'the rules and regulations of the Town of Barnstable. This form.is to assist,you.in obtaining the information you may need. You MUST GO TO 200 Main St.& ner of Main Street) to make sure you have the appropriate permits and licenses required to legally operate yo_our iness in t wnuth Rd. 1. BUILDING C® ISSI NER'S QF -tee MUST COMPI:_YWITH HOME OCCUPATION` / This indiviciva en i , o: ed of any permit requirements that pertain to thistype of businessRULES AND R Ot i EaTIOi�S. I�ArLUFi TO COMPLY MAY R1 SLILT IN r1NE8. Autkao ize . S'` ure** COMMEN S 6' I. 2. 'BOARD OF HEALTH ` for e f the ermit uireha This individual ha been in p its that pertain'to this type;of business. Authorized Sig ture** COMMENTS: APE Y WI>-�{ 3. CONSUMER AFFAIRS (LICENSING AUTHORITY S REGULATIONS This individual h � ;een.i rmed of t �Iicensi`ng requirements that pertain to this�Iypeofbus�iiness. Authorized Signature* COMMENTS: �,, �_ '�- •^ C� ` !�- a C e_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2- Parcel � ion#Map Health-Division Date Issued Conservation Division ;Application.Fee . Planning,Dept' Permit Fee .� Date Definitive Plan Approved by Planning Board V Historic - OKH Preservation/Hyannis V Project Street Address_ �Villag Owner - 40 s G :Fc_mti m N C�LZ- Address Telephone. � ({ PermitrRequesti Opp►Q ANo u I U1 Tv.��• w�V11% n ._71�G: c o o (L�'�1.�c� � �D�,�s�tr14 U.2�N lo`:-►s ^ 12:>Epl P�•cr�': Q,1 eui . 5��iEN Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay P_rojectValuation 4 Doo Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C' Two Family ❑ Multi-Family (# units) Age of Existing Structure /4 7 3 Historic House: ❑Yes ZNo On Old King's Highway: ❑Yes a"No Basement Type: dFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) l i'oo Number of Baths: Full: existing Z new Half: existing new Number of Bedrooms: 4 existing —new Total Room Count (not including baths): existing _ r`' new First Floor Room Count Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑ Other �, q C= Central Air: ❑Yes UNo Fireplaces: Existing New Existing wood/c I stov 0'Ye� ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ Ming Onew-size_ W Attached garage: ❑ existing ❑.new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '. X- Commercial ❑Yes 211"No If yes, site plan review# Current Use Proposed Use _ Lev IN APPLICANT INFORMATION (BUILDER OWHOMEOWNER) tName. _y Telephone Number Address' - : License# yR�✓�tj "A O.Z6 O I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R-ENTr�L Jy1_As h N TA,kgF - SIGNATURE_. _ .- ° DATE 13- O9 FOR OFFICIAL USE ONLY , .� APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION p p� k FRAME INSULATION C� �- '4a- 1°-® FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } FINAL BUILDING ` DATE CLOSED OUT F g ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations_ + d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information I Please Print LeEibly B ess/Organizatiott/Individual): 4.V L\V\- Address i� LZ C-�a. . City/Sta e/Zip Y.t�ytw��1 /YA ©)-('0 ( Phone.#: ? 4 Lf$7 1 17 Are you an employer? Check the.appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-tim.e).* have hired the sub-contractors ' .2. I am a sole proprietor or partner- listed on the attached sheet. T. Q Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P ty 9. ❑Building addition o workers'-comp.insurance comp. incur ante 10. Electrical repairs or additions jequired.] 5. We are a corporation and its ❑ P I am a homeowner doing all work officers have exercised their 1 LO Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] - *Any applicant.that checks box#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 anew 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. #: 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 maybe forwarded to the Office of _Investigations of the DIA for insurance coverage verification. I do hereby certify under the c sand nalties of perjury that the information provided above is true and correct Date: 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): f.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector &Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 452 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the mploys persons to do maintenance,construction or repair work on such dwelling house dwelling house of another who e 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 compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants - Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy-is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date,the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is.being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials" Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant.should write"all locations in__(city or town)."AA copy of the affidavit that has been officially stamped or marked by city or town may be provided to the . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is.NOT.required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industdal Accidents Office of Investigations 600.Washington Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE . Fax# 617-727.7749 Revised 11-22-06 www.mass.gov/dia IKE Town of Barnstable Regulatory Services BARNSr.,BM : Thomas F.Geiler,Director Mess 03� .�� Building Division prFD �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MHO O ER LICENSE EXEMPTION' q Please Print DATE: JOB LOCATION: number T� street village "HOMEOWNER": �U�3 �r�ardeZ '?14 VF�7 11� � name home phone# work phone# CURRENT MAILING ADDRESS: I- {yAvtntS city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside;on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable.to the Building 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 pr cedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeo Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions -of:this.section(Section 109.1.1 -Licensing 6f 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 certifythat he/she understands the responsrbilities'of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. Q:forms:homeexempt era, Town of Barnstable Regulatory Services y ► ASEL Thomas F.Geiler,Director 1659. n 59. 6. 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 plete and Sign This Section If Using A Builder I, I v S G Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by t uilding permit application for: c, (Addre s of Job) Signature of Owner Date 1-0 L I'S f`/nA Print Name If Property Owner is'applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. QTORM S:O WNERPERM ISSION � rc r V' 5s m - RAC h� p �OOVI _fl a . z ISO tVJ(A-r t35 iwCHF .J v �J r� r Rooq -z �V" Dew C� I_ i `zs 1NCt4 . i I - , f _ j _ -- 4 � I 1 Y Yd � r ,l 1 o rn CO ------------ b � Barnstable The Town, of Barnstable " '" MASS&' ' ` Growth Management Department Ammefica City D 367 Main Street,Hyannis, is,MA 02601 . M Q D Office: 508-862-4678 Jo Anne Miller Buntich Fax: 508-862-4782 Interim_Director., LA P 2007 -(DPYApril 7 2009 Luis G. Fernandez, 17 Alicia Road Hyannis, MA 02601 Re: Accessory Affordable Apartment at 17 Alicia Rd Hyannis, MA Dear Mr. Fernandez, �( At your request I will discontinue the process of seeking a comprehensive permit for the accessory apartment at 17 Alicia Rd. Hyannis, MA. I have enclosed an Accessory Affordable Apartment Brochure for your records in the event you decide to.proceed in the future. Please note that should you decide.to move forward in this process in the future, the town will continue to assist you however it is imperative that you contact this office at such time that you decide to proceed. If you have any questions or need more information please contact me. a Respectfully, Cindy Dabkowski . Affordable Accessory Apartment Coordinator , Cc: Building Department s - s- Barnstable The Town of Barnstable kl&d BAMSTABLE, • All�nerica C' MAS& Growth Management Department � 16 9. A`� 367 Main Street,Hyannis,MA 02601. Office: 508-862-4678 Jo Anne Miller Buntich Fax: 508-862-4782 Interim Director 2007 April 7, 2009 COPY Luis G. Fernandez, 17 Alicia Road Hyannis, MA 02601 Re: Accessory Affordable Apartment at 17 Alicia Rd Hyannis,MA Dear Mr. Fernandez; At your request I will discontinue the process of seeking a comprehensive permit for the accessory apartment at 17 Alicia Rd. Hyannis, MA. I have enclosed an Accessory Affordable Apartment Brochure for your records in the event you decide to proceed in the future. Please note that should you decide to move. fnrward in this prncecc in the fiitiire, the town will continue to assist you however it is imperative that you contact this a office at such time that you decide to proceed. If you have any questions or need more information please contact me. Respectfully, Q Cindy Dabkowski c Affordable Accessory Apartment Coordinator Cc: Building Department U, o : s rn TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map- , �`3 P Application #arcel'` LOT 3 ��� 6 Health`Division .t Date Issued + j Conservation Division Application Fee Planning Dept. Permit Fee �- Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 1-7 lt0�. LZJ Village 14run Owner Address P Z�41 Telephone - 627' 50M Permit Request ZS�DP'�i, 70 i'�y/>o fi�4m r A Ala/11 — /�e~0 1 WCL S /& 4-S.eM9A7L A?g_,P i061z 5 e-k s-d o Oett e n 4 If I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiog 2115 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 Kings Highway:]Yes No Basement Type: ?�ull ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. Number of Baths: Full: existing. new Half: existing nLw `_r Number of Bedrooms: existing Ynew cry Total Room Count (not including bat . existing new First Floor Roo Count Heat Type and Fuel: AGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Flo 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 � �1.�-?Vl�l�`'� Telephone Number _501�`27 Z `4/02y .Address q� I`I�`w License#C S oq�ZS� 11 1ftyn-m-A 0 M 102`7190 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCT ON DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE h/ ® ' 4 I ' FOR OFFICIAL USE ONLY APPLICATION# • DATE ISSUED r s MAP/PARCEL N0. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PL.AN`NO. F L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M-A 02111 www.mass.gov/dia Workers' Compensation Tnsnrance.Affidavit: Builders/Cdntractors/:Electricians/Plu,mbers Ap plica-ut jnformation Please Print Le 'bl Name (Business/Organ ization/Individual): y • Address: '�' , City/State/Zip: -1 Imo " 6Z??b Phone-#: Are you an employer? Check the appropriate boy: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and 1 6. ❑New construction, employees (R l and/or part-time).* have hired the siib-contractors Kemodeling 7• 2P am a•sole proprietor or partner- listed on the attached sheet []These sub-contractors have g• Demolition ship and have no employees working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. �] We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing.repairs or additions myself. [No-workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance re ed t c. 152, §1(4), and we have no 4 ] employees. [No workers' 13.[] Other comp.insurance required.] s *Any applicant that chccla;box#1 must also fill out the smflon below showing their workers'compensation policy infomation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. if the subcontractors have employees,they must providr;their workers'comp.policy mmnbcr. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 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 tip to 3 ij500.00 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 WA for insurance coverage verification. f do hereby certi under the pains-and enolhes of perjury that the information provided above'rs true and correct. Sipma,fore: Date: /�� — # �� -Z;7 2 Phone —_ Official use,only. Do not write in this area, to be completed by city or town official City or Towvn: 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 Phone#: Contact Person: 'Information and InsA °uctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hira, 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 compliance with the insurance requirements of this chapter have been presented to the ccintracting auth9rity." Applicants Please till out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, i.f necessary, supply sub-contractors)name(s), address(cs) 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 nurgbcr listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp 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/licensc number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year,need only submit onp 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 fulled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vcnture (Le. a dog license or permit to burn leaves etc.) said persort is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address, telephone-and fax number: The,,C6mmonwpkl i of Massachus M Dep ent of Iadusxial Mcidc�nts Office, of luvesfigati.ams 600 Washimgton Street Boston, MA 02111 Tc1. # 617-727-490.0 eat 406 cr 1-M-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.goy(dia I ` j ✓lae'C�JO`�vrraa�uvea`clrw�.,/2� uG�a i 130AW OF'_BUILDING ULATI�IS REG ;1 ' License::CONSTRUCTION SUPERVISQR."-�s t Numb`er CS 093254 Birthdate 04/t4f1968 ;f Exp�r}es�04f10009 Tr no 93254' i Restricted 00 {s a DAVIDM SMITH; 92 HIGHLAND AVE.� ` p TRUNTON MQ Q2780 �r *;4 Commissioner t '� �; lie �oaruazd�ecuea,� o��/l�Ga�6ac1u�6ef�6�1 '��� ', Bn rt1 of Buildm Re�ulahons and Standards' a " �i License or c gktration valid f mdmdul use bnlx HOME IMPROVEMENT CONTRACTOR { before the expiration datek If found.return Board of Building Regulations and'Standarls Ragistntion 137974.. a One Ashburton Place lm 130I Expo on 1/30/2009 . Tr# ?2627 8 Boston,Ma:02108. Type Individual t-�- s DAVIQSMITH =' f � DAVID SMITH f - z " 92 HIGHLAND r TAUNTON,MA 02780 A�lministrab,r s Not VaLd yrtho"ut°signatu`re %. p1Her Town of Barnstable Regulatory Services BARNsa��` Thomas F. Geiler, Director Building Division Tom perry, Building Commissioner 200 Main Street, .Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 Property Owner Dust. Complete and Sign This Section ff Using A Builder 4?0'W �O'L, as Owner of the subject property y hereby authorize opk e on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) A ;4 Signature of Owner Date 1 Print Name . If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th"e reverse side: Town (of Barnstable �opcHe rp�� Regulatory Services t BARNSTABLE, Thomas F. Geiler,Director f, MASS. �A 039. Building Division rFp � Tom Perry,Building Commissioner 200 Main Street, Hyannis., MA 02601 IAIWIv.to'Aln.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ---------------- - — — HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: — number street village "HOMEOWNER": name home phone 9 work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner=occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does,not possess a license,provided that the-owner acts as supervisor. DEFI1NITTON 'OF HOMEOWNER Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on.a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building perrnit. (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 Departnent minimum inspection procedures and requirements and that he/she will comply with said procedures and, requirements. Signature of Homeowner Approval of Building Official , 'Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the r State Buildin.f_; Code Section 12TO Construction Cont_ol. 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 oflen 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 Agth 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 hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 1 . M I 7 VIA V ;t —� v e/1 cal - C ffr I f - � � I 0 o c^ Vl " � ,> s ,4 i P4 • .-. . fir"� tA � M1. VO 1 I . sy J tF e! ��yr. Health Master Detail Page 1 of 1 �f Health Master Logged In As: TOWN\health Health Master Detail Frida- Application Center Parcel Lookup Parcel Septic ' Perc Well Fuel Tank Parcel: 292-231 Location: 17 ALICIA ROAD, HYANNIS Owner: DIVING, REGINALDO Septic 1, 12/06/2004 L New Septic... Permit number: F2004647 Permit type: Select type �[�"I Issue date : 12/06/2004 Complete date : 12/06/2004 f Septic tank size: 1100ox Type/Size of SAS: j(3) 500G chambers Installer: Select Installer l�= I/A service type: rSelect service - Innovative/Alternative Technology type: ;Select IA type Variance date : Abandon complete date Mt. Abandc Repair deadline date : f Repair notification date Comments,, b desigri outside zoo Inspection 10/08/2008 Inspection 11/26/2004 New Inspection... Number Date Inspector Y 5202 10/08/2008 Harvey, William R. Comments:, - - w Delel Save Septic Changes Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=292231 11/7/2008 r. ",;,, nT. - � r.F'.t r.yy_ Y �- �... °v 1'+a'f 'tT�,ir•�'M�r�.��'t; ;.°.,:{ "�a���«}�J;.'�Y»1„ "i�.:»+f�**u"�� 'h pN j . f . 1vtM' r!. �i `- A'. �9a{;s `1i�T�rd•Wh��'Y,. '�'y. '-`.e .. `r.,'i'--:s�ia,�+y4",Pt�'aJ, �, �nr+-�a.ek•�i� r+n'� �'`- - `gyp ISE 10/y�On Town bf Barnstable ` Regulatory°Services BARNSTABLE. J 1639. Building Division prEO MPS s. .200.Main Street,Hyannis,-MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction'Notice Type of Inspection L L-4 04l HA R' Location, L-4 C 104 Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department: ThQ following items need correcting: Re tx a C S71) b Cyr pL-y P-1 r 6-- 5 -roUZ ? C) S W 6,L�� r at I L-Y Please call: 508-862-4038 for re-inspection. Inspected by Date 777 �` �� oFjHE r Town of Barnstable Regulatory Services an� `E' + Thomas F. Geiler,Director Argo;. O'N Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 5.08-790-6230 Mr. Gil Garnett 145 Boxwood Lane Bridgewater MA 02324 Re: 17 Alicia Hyannis Dear Gil, This house can only have 3 bedrooms total. We believe there`are 8 or 9 at'this time. You need to submit floor plans with the building permit-to show how you plan to restore this to a single family home with only one kitchen and.only 3 bedrooms total. Thank you for your consideration in this matter Please feel free to call with any questions.. Regards, Linda Fdson Amnesty Apartment Investigator Building Department kz� n t u LA/ 4 , JVW � v _wL4 - s i U� � ��� E � ����� � E pf THE TOW Town of Barnstable Regulatory Services .y * BARNSTABLE, * ' 9 MASS � Thomas F.Geiler,Director, �639• �0 4e ' �°°JE1 MA'S Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 411 Ma:rcli 23; 2005 Ms. Keila B. Costa 17 Alicia Road. Hyann.s, MA.- 02601 ,h Re: Illegal Apartment—17 Alicia Road Hyannis, MA. 02601 g^ iVJap 292-Parcel 231 Dear Property Owner: OUr records indicate that your house at the above-referenced location is currently being used as a multi-family house,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor,conviction for which results in a crininal record. YOLL 11RISt contact this office within 14 days to either: Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal two-family use.` Please contact this office immediately to tell us what direction you wish to take. Sincere � ->, Ida Edson Zoning Officer Btilldi ig Department: gforms:zonin-3 r Health Complaints 21-Mar-05 Time: 3:15:00 AM Date: 3/18/2005 Complaint Number: 17975 Referred To: DONALD DESMARAIS Taken By: SHARON CROCKER Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: ' Number: 17 Street: ALICIA ROAD Village: HYANNIS Assessors Map_Parcel: Complainant's Name: ° Address: /�'l.(�I,'�414,1 Telephone Number: Complaint Description: CALLER COMPLAINED HOUSE SOLD OVER " PRIOR YEAR. WAS A SINGLE FAMILY - - - -�- DWELLINGS. NOW APPEARS TO BE OVERRIDDEN WITH PEOPLE LIVING IN IT AND DOING WORK ON HOUSE INSIDE. ("I OF 6 HOUSES IN AREA ALL BAD") - Actions Taken/Results: DD WENT AND SAW TWO SEPARATE q$$e , LIVING QUARTERS. ONE DOWNSTAIRS AND A SEALED OFF STAIRWAY UPSTAIRS. YI'l 2 BEDROOMS UPSTAIRS, 2 BEDROOMS DOWNSTAIRS. THE GIRL DOWNSTAIRS SAID KEILA IS THE LANDLORD AND HERE �- r PHONE#IS 508-237-5911. WILL INVESTIGATE FURTHUR: r Investigation Date: ; : 3/21/2005 Investigation Time: 11:00:00 AM Barnstable Assessing Search Results Pagel of 2 1 Home. Departments:Assessors Division:Property Assessment Search Results 17 ALICIA ROAD Owner: HELMS, MATTHEW G Property Sketch Legend Map/Parcel/Parcel Extension 292./231/ Mailing Address HELMS, MATTHEW G 17 ALICIA RD HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value ------------ Building Value: $ 159,700 $ 159,700 Extra Features: $2,600 $2,600 Outbuildings: $0 $0 Land Value: $ 129,900 $ 129,900 Interactive Property Map: Ma re wires Ply Totals:$292,200 $292,200 1 have visited the maps before Show Me The Mao April 2001 photos available Sales History: - Owner: Sale Date Book/Page: Sale Price: WIDMOYER,OMER&NINA N. 1/19/1976 2289/089 _ $0 HELMS, MATTHEW G& 6/14/2002 15261/183 $ 172,000 HELMS, MATTHEW G 11/21/2003 17953/017 $0 HELMS, ROBERT R&LYNETTE C 3/15/2002 14934/347 $ 172,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $53.03 Town Fire District Rates Other I $6.05 • Barnstable-Residential .° $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax (Residential) $444.14 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax (Residential) $ 1,767.81 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial U.10 http://Nvww.town.bdmstable.ma.us/tob02/Depts/Administrative8ervices/Finance/Assessing... 3/23/2005 f Barnstable Assessing Search Results =' _ Page 2 of 2 s Total: $2,264.98 Due to rounding differences these values may vary •Land and Building Information Land Building Lot Size(Acres) 0.26 Year Built 1973 Appraised Value $ 129,900 Living Area 2023 Assessed Value $ 129,900 Replacement Cost$187,911 Depreciation 15 Building Value 159,700 Construction Details Style Cape Cod Interior Floors Carpet ; Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 1/2 Stories' Heat Type Hot Water Exterior Walls Clapboard AC Type None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 8 Rooms - F Extra Building Features Cod- Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,600 $2,600 Property Sketch Legend e BAS Fist Floor, Living Area FST Utility Area(Finished Interior) . . UAT -Attic Area(Unfinished) BMT B,'=sement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP C=~port 'GRN Greenhouse - UUA Unfinished Utility Attic FEF Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing..: 3/23/2005 Sk 19325 Pa304 �44751 12-08-2004 & , 03 2 180 QUITCLAIM DEED I,MATTHEW G.HELMS,of P.O.Box 102,Barnstable,Massachusetts 02630 for consideration of THREE HUNDRED TWENTY-FIVE THOUSAND AND 00/100 ($325,000.00)DOLLARS paid,grant to KEILA B.DA COSTA, of 1067 Pitcher's Way,Hyannis,Massachusetts 02601 with QUITCLAIM COVENANTS, the land in Barnstable (Hyannis), Barnstable County, Massachusetts,more particularly described as follows: o Being shown as Lot 103 on a plan of land entitled"Hyannis Willows' Subdivision Plan of Land N in Barnstable(Hyannis)Mass.for Copley Turnpike Trust"dated July 1972 and filed in Barnstable O County Registry of Deeds in Plan Book 261,Page 37;excepting and excluding the fee in Alicia Road. There is conveyed as appurtenant to the premises a right of way over all the ways as shown on said rZ plan and a right of way over Megan Road,Connemara Circle,Athlone Way and Eldridge Ave., as shown on plan 27099-B dated July 1972 drawn. by Barnstable Survey Consultants, Inc., x Surveyor,as modified and approved by the Court,and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office,Barnstable Registry of Deeds,said rights of way 10 ca to be used in common with others now or hereafter legally entitled thereto for all purposes for P° which ways are commonly used in the Town of Barnstable. a The premises are subject to an easement to New England Telephone and Telegraph Company et •� al duly recorded in the Barnstable County Registry of Deeds in Book 1740,Page 323. a The premises are also subject to a reservation and restrictions in a deed of William E.Dacey,Jr., rq Trustee to Gerald R. Frost and Jeannette T.Frost recorded in said Registry in Book 2049,Page o, 234, but only insofar as now in force and effect and without intent to reimpose or extend the co duration of any such restriction. v . For title,see deed recorded with the Barnstable County Registry,of Deeds in Book 17953,Page 17.14 7� 0) WITNESS my hand and seal this day of December,2004. a 0 MATTHEW G. HELMS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel .FPermit# Health Division Date Issued _ J'Ll ' a 1P BARNS"ABLE Conservation Division Fee Tax Collector HE JU —3 PN '2: 53 'Application Fee � Treasurer Planning Dept. cjV� SU Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address CA CA T of Village uGn VIA Owner n e_e e4 co, Gt>s4c, Address Telephone f502 S 1 Permit Request V_ rri 6 V v Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation /X, Old Zoning District Flood Plain Groundwater Overlay 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 ol1 new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: P(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 9 No Fireplaces: Existing J- 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��T- 1> j BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE G I D 3 )8 S Y IVEO 3ZU ]Atp[��U SEO� ` FOR OFFICIAL USE ONLY •OV1 - �E?UZZE,STAd - PERMIT NO. DATE ISSUED - .0,4 J33051M\qAM MAP/PARCEL NO. _ . R3v.W0 ADDRESS VILLAGE OWNER :VlOi E`�3gZt4t,4O 3TAl v�otikCL'AU04 DATE OF INSPECTION: FOUNDATION 3UZVti FRAME INSULATION -- ___--------_ KOJOS► -JR'71R'I"U3.1� FIREPLACE ELECTRICAL: ROUGH FINAL IEJUUi LAi' PLUMBING: ROUGH FINAL —-- `-`-"�— � ,1 J�f>,I • • GAS: ROUGH FINAL ,----._----- '-- FINAL BUILDING TUO coeo.Ip"qTAG OYi At, VjOETAIpOZZP DATE CLOSED OUT ASSOCIATION PLAN NO. . I The Commonwealth of Massachusetts d) __ Department of Industrial Accidents - Office of Investigations -' 600 Washington Street, ;`h Floor Boston,Mass. 02111 Workers'Com ensation Insurance Affidavit:Buildin VPlumbing/Electrical Contractors _ (.�� ":sit ';a K=." _'1.'i�y�'Wa.''?'s`j:+�,.�y:�y_. - '€�`: '.�".. - :.� i t'" :pa:"S •fg>::. `:�, w.�-- x � a���. ..��� eus .�" �1"eei�l�j � � v ,���.d�•�z � ��4�,�t�"; r""�� ``iiiihca'n•►(h/I'�r1 at�on r� � .,~� ` # �'+ Via,t �• �' name: Ili 11 2 Qa ek-o address: city AXl06f)yl lt, state: zip: CQ� phone# ��j �j�,F}� wpak site location full address am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ri I am a sole proprietor and have no one working in any capacity. ❑Buildirit:;Addition :i�'.F:;.:.y i<+(Mf.'�{'�'~` tt:'',- ;.{d'�'.,�b'.�",^s:?'y;",! 3'_t_:*;w.: iL"+:. n.zzK'^'w°'i =CF`�c' •- .. .......�.- :...>_,-'f:'%a.. .. y, qs '. .�S?',..'�= ..!"": .:�r"��p..Y: ,z; •s:� +E-.,•v s:r;-��n:.:y�f.,f,::..c,-., <o. ..'r.:.C4;.. :2 .,_ �:.a.:r.a-. . 'r".�ot'�'�<, ;.?.k}^`.:5.:;_.".^''i;.;.�^��. n�i:-25'i':'�::;.,.•.'c,..'z:�:•a:':,•..-r7:`�...r.:yr'.+'L:'a�.`i.. ❑ I am an employer providing workers'compensation for my employees working on this job. company name address:' ,n city: phone#• insurance co. policy# " '::i_a.!:.r:n •':`at.is:'..::i:.CLt..�._;'ii::�:;. ElI am a sole proprietor,general contractor,or homeowner(circle one) andf have hired the contractors listed below who have the following workers' compensation polices: company name: address city phone#• : w insurance co. volicv# .e. 4;ts. •. ..�-�-r _-`.:;;Fy":E'.:��>'•, •;:A %'sJ'�;..�.-^ ':�:Y�., .;..�:e ';.i'S. .;s i�'Y':�.:`,-•...T.-.g.±....n.:'.3�..u�..: ��Y::.:'�.♦.,r.2.�,:e%: ....,ry'."4�._ .:.3.f':T. r'�. ,r.$S.r i: "'i'.. ,�:y�s.J'�J.� ..t8.q- .`.'}i.. �....r.. .. r f.,. ' ..•.a.e=...1."U 'fi::..e9.'13.5..::�5.•...n. a.. .. ,..5..:.. ... ..... .: „5f . 'company name ` address.- city: phone#: insurance co. policy# * r f � �X• K, X tq r.4y' :.C,. '�.r ..Ir. ".� u. -v. d s t�aC dd ho5nal':§ eeta Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a- copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby rt• under the pains and penalties of perjury that the information provided above is true and correct ignature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen's Office - ❑Health Department contact person: phone#; ❑Other (reviscd SepL 2003) , Information and Instructions Massachusetts General Laws chapter 152 section.25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under.any contract of hire,express or implied,oral or written. . An employer is defined as an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every,state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. +s,a' S "Fr: `"1,�..n �?j-WW �y !G+:�� ;7 N' /k' '„§ M'�i'..•}�i.t!. v ^rtr.: . .�, .. -' .,. .a.�`,!4?� •-.y,.�„'h$ 'e,�'�r+.. �+ G` �e"�'` t,a,.::.. �?Ft, z,''a,? :"r."'�' �'`� r wj;� °a:i�:'1� r�su,�'&�,r+e?n. ¢�?i: ���'t•r .:'a,: ����`1=? ...'r�r„=rt�:�2,= dli.��'''' a�� �+' .,�2.` '�: �F'tsig`si >�ae�: ;F���,��'i .d�?.Fx,�r,:r�.,..�•s..� ' �'.. �� rn . Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed.below. .� max. •r•s r^•-ar•-.sr....,.- .xtw.' e- �->rn.,:: t, �- �^ -atn 1 n.;_'tea:.. r.:r:� s,;:`C? ?:�, r .a;:. 'af"�t.,,t �:$ "Y,r3.� .ttr'.. n :r'S y. ;ig'"..! �#:i,':" 'a. 1'+':;,• iy;.;:• �•c,r<.. :� t. �">'ir'" .�• •,yt,;t} " i ,l:Mt:...;.,:� 0;�5n,.;ad:.c.�':<.'Ft .x}:�.d'.r., ?,.. ..:;r'+::.s.15. �>'..�iL" d•� ' Z'. ..,� •t+'r;�: ,oi-:t'��z .,ti:'Sa .;4�}.i �e .t:} .';,+i. _.::�ii�-,•.:.. ..s,�.,..�`.n,:.t....,at; .•.v,a?%: •'', ;r.:: :x �++ �:.•.i�' -� a'B tit-. 3u'�.�' �`7�f,�.-�a a„n � �r���,4r a•,. �,;,as ''""•`"�'.�•°-.ra ': ..��v;- .,,E,��..xx., f�,+@.cy};._,,.;,. ,r+%¢k�:;±s..��' City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits.may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. :. .. '.. ..... .......... •::•-_._...�.,-. .,.<r.k-.....,. ._,,.. .r �9ti'.� :rl - t^ `..+::z-•t;Z.:vtt ^.'ar {Y1 ,,,r+.,. >.YE.yt xn":lir.: ..r ..v„�.ft. R'!. e - .L: `_"Rt:, :.?cSj:.'.i.• .A ..k 1. ,.�i:4., L..S;,:;1:'v`.:.. ."N.ty'c^:"•f: .:.k .a,,+.1.^ dd!.t..., ,::�5.,,,,��...r'iRet'` pp��vv..�.h!!-g5 '`ni'�`�`�'�e'xM�r',tk5''. !.mmZ:rt"/' f' S�" -. wS� #..t,.: `.t't}.::i° ::'....'L x _66'..t.r.;f't.,��'Ci'.�:` ,��,'y.,�rt•. '� ...m_:r. 'ul�'d]�.lw�F.1>:i�T;tT'Y*:!:�`^�4.,.P;•G!G t?3 �' �tq:,,>..�.t�,. ,V�''.'b'.Yp a..Nd:::ht_ �'.4�:�qc�, .� .P !.1 .:f�4:.:t ..)_.:. ...iG':gg :i�;..i u�'1'::;,$'��J�� cf. .�.c...'�i r... 'R ::•:y�t;..,. p,,, '.t..._ _ b; . �,, :�>ar�z .,x.,,"-:r �^: .r;� f ' :�nt f .,A�:H%•. }�,�rb•�f'fp;+. •:<k'r'�:6'Y;:.�:,y,.� 3. 1[!y .1 rt•`,�.-•l'. ..` !3i:r ,a,+ }.A!!'.'. .ti yoh,;; .y;;,;.:'i,S�:.. `s{� •.H.S c��f�S lugdi:J�.}.�•.RS%w3 '�l.Sn��':-bIF'L'W L'LM ��a'✓X`.`Fb .:.�I.eh<Ji.7l1E%'�fRvxh.:'At•L:`�.t}:4r.�.��.v3'u4,�tw 'k.>•'S� '. f.NF .t.e.+'v;s-i u.:��-•!d'.t.,*J,,.. fMF4...q _vrir:;%Y..*nN'�k k�:,2�i•�•'...rntn The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 i *IHE, Town of Barnstable Regulatory Services Thomas F.Geiler,Director LTlRNS!'AHI.E, e : ,.�� 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": }fie l In 3n R elo 4 6-Ifi _<,n6 o23 fS q :1.1 name M home phone# work phone# CURRENT MAU-ING ADDRESS: C j n RCpk p cityhokvn 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 j be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building.Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules,and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r nts Si to of a caner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION `The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomu:homeexempt TOWN OF BARNSTABLE AMBASTIML 039.Ar BUILDING INSPECTOR ��P�U������0'��� PERMIT �� —''-------'---'' TYPE OF CONSTRUCTION .....440 ...`.....____._._____.____________ --..f,................ .............lg—��,c.-"�� TO THE INSPECTOR OF BUILDINGS: � The undersigned hereb 000iex for o permit according to the following information: Location --'/. __.^^�^`�__. .....Proposed Use ....... �5' ..... ...... ............................................................... � Zoning District .../P�.le.......................................................Fire District —. ______________... | Nome of Owner ������'����,z�r�^ ���\66,ex | --------� r—' — —'' '' -----^-------^^—''v^^"`--' - 141 w /1 * A ^~ /, ^^ ' ~ Nome of Builder —,---------------------A66reo -------.--------~-----.------ »/ ^' ^ � w /` /' / ' '^ Nome of Architect ----------------------A66res -------------------------_-- ^, -�~-_ Number of Rooms --'��-----------------..Foundo/ , -----' ,� Ex�hor .��� ---. ---------.RooGng .. _________ Floors ������� Interior ����ac��!, ' ------------------- ' —. ..^......—..------------ � V..A404-rP �Heating �/������*����—.�.����..������.����—. omb/ng --..�� ...................................................................... �y �� Fireplace -----.�---------------------.App,oximotp C007 ... ........................................... � �_Difinitive Plan Approved by Planning Board ------ l Diagram of Lot and Building with Dimensions am / � -^ | (n ZL ~ `^ � «��, | 6e,e6v agree to conform to all the Rules and 1JolaUonx of the Town of-8a7ns able regarding the above construction. ' _ ....... ............................ Dacey, William E. Jr. No ...15 5.. Permit for ......1..1 .2..st° ..... single family dwelling Location ....L.....Alicia. Road.......................... ...........................gY.annis............-....................... Owner ...........William E. Dacey, dr........ .......................... Type of Construction ........fra??�...................... ............................................................................... Plot ............................ Lot .......... 10 ............. February 11 73 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed .....��jt.(w/a-).......19 / ! 2 � PERMIT REFUSED U ................................................................ 19 / ! ................................................... ................................................. L� ................ ........................................................... Approved ................................................. 19 N ............................................................................... i ............................................................................... y'tF Town of Barnstable ' 1ti. OF THE tp� , A ti P Regulatory Services a +.` • BARNSTABLE, MASS. A Thomas F.Geiler,Director v 0m 1639. n Mai Building Division Thomas Perry,Building Comimssioner r` 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 505-S62-4024 Fax: 508-790-6230 March 23, 2005 r Ms. Keila B. Costa 17 Alicia Road. X Hyamlis, MA. 02601 Re: Illegal Apartment—17 Alicia Road Hyannis, MA. 02601 Map 292' Parcel 231 - Dear Property Owner: #;. Our records indicate that your house at the above-referenced location is currently being r used as a multi-family house,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record: 3 .; Q _ You must contact this office within 14 days to either: pP% t Apply for a building permit to restore the property to a one-family home i Apply to the Amnesty Program dry, Rr Prove that this is a legal two-family use. Please contact this office immediately to tell us what direction you.wish to take. ; =x S i cice-el , r Lin Edson a oning Officer Building Department Ir 'a gforms:zonin0 ` rAt .. �13amstable Assessing Search Results - Page 1 of 2 dft Home: Departments:Assessors Division: Property Assessment Search Results _...- 17 ALICIA ROAD Owner: HELMS, MATTHEW G Property Sketch Legend, { Map/Parcel/Parcel Extension 292 /231/ Mailing Address HELMS, MATTHEW G 17 ALICIA RD w f3 HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 159,700 $159,700 Extra Features: $2,600 $2,600 E Outbuildings: $0 $0 Land Value: $ 129,900 $ 129,900 Interactive Property Map: map requires Plug in: Totals:$292,200 . $292,200 I have visited the maps before Show Me The Map R, April 2001 photos available Sales Astory: Owner: ,T Sale Date Book/Page: Sale Price: WIDMOYER, OMER&NINA N -, { 1/19/1976 2289/089 $0 HELMS, MATTHEW G& R 6/14/2002 15261/183 $ 172,000 HELMS, MATTHEW G 11/21/2003 17953/017 $0 HELMS, ROBERT R&LYNETTE C. 3/15/2002 , 14934/347 $ 172,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $53.03 Town Fire District Rates Other f $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD,Tax (Residential) $444.14 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28, Town Tax (Residential) $ 1,767.81 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 ; http://\vww.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Fihance/Assessing:.. 3/23/2005 _Barnstable Assessing Search Results b Page 2 of 2 Total: $2,264.98 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.26 Year Built 1973 Appraised Value $ 129,900 Living Area 2023 Assessed Value $ 129,900 Replacement Cost$ 187,911 Depreciation 15'. Building Value 159,700 Construction Details t Style Cape Cod Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 1/2 Stories Heat Type Hot Water Exterior Walls Clapboard AC Type. None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,600 $2,600 Prop;wr`y Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FIEF Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck II FOP Open or Screened in Porch TQS Three Quarters Story(Finished) i { http:/hvww.town.bamstable.ma.us/tobO2/Depts/AdministrativeServices/Finance/Assessing.:: 3/23/2005 i Bak 19325 P0304 094781 • 12--OL-2U�4r o'1 L1�3 = 18a QUITCLAIM DEED I,MATTHEW G.HELMS,of P.O. Box 102,Barnstable, Massachusetts 02630 for consideration of THREE HUNDRED TWENTY-FIVE THOUSAND AND 001100 ($325,000.00)DOLLARS paid,grant to KEILA B. DA COSTA, of 1067 Pitcher's Way,Hyannis,Massachusetts 02601 with QUITCLAIM COVENANTS, the land in Barnstable (Hyannis), Barnstable County, Massachusetts,more particularly described as follows: Being shown as Lot 103 on a plan of land entitled"Hyannis Willows' Subdivision Plan of Land N in Barnstable(Hyannis)Mass.for Copley Turnpike Trust"dated July 1972 and filed in Barnstable 0 County Registry of Deeds in Plan Book 261,Page 37;excepting and excluding the fee in Alicia Road. , There is conveyed as appurtenant to the premises a right of way over all the ways as shown on said G plan and a right of way over Megan Road, Connemara Circle, Athlone Way and Eldridge Ave." co as shown on plan 27099-B dated July 1972 drawn by Barnstable Survey Consultants, Inc., x Surveyor, as modified and approved by the Court,and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office,Barnstable Registry of Deeds,said rights of way m to be used in common with others now or hereafter legally entitled thereto for all purposes for 4 which ways are commonly used in the Town of Barnstable. The premises are subject to an easement to New England Telephone and Telegraph Company et al duly recorded in the Barnstable County Registry of Deeds in Book 1740,Page 323. . d r` The premises are also subject to a reservation and restrictions in a deed of William E.Dacey,Jr., Trustee to Gerald R. Frost and Jeannette T. Frost recorded in said Registry in Book 2049,Page w 234, but only insofar as now in force and effect and without intent to reimpose or extend the duration of any such restriction. �, b 'b For title, see deed recorded with the Barnstable County Registry of Deeds in Book 17953,Page 17. •�� W WITNESS my hand and seal this day of December,2004. 0 w MATTHEW G. HELMS Health Complaints 21-Mar-05 Time: 3:15:00 AM Date: 3/18/2005 Complaint Number: 17975 , Referred To: DONALD DESMARAIS Taken By: SHARON CROCKER Complaint Type: CHAPTER II HOUSING . Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 17 Street: ALICIA ROAD Village: HYANNIS Assessors Map_Parcel: Complainant's Name:Address: fj1..�l, I L/ Telephone Number: C� Complaint Description: CALLER COMPLAINED HOUSE SOLD OVER PRIOR YEAR. WAS A SINGLE FAMILY DWELLINGS. NOW APPEARS TO BE OVERRIDDEN WITH PEOPLE LIVING IN IT AND DOING WORK ON HOUSE INSIDE. ("1 OF 6 HOUSES IN AREA ALL BAD") Actions Taken/Results: DD WENT AND SAW TWO SEPARATE 59LO 6 LIVING QUARTERS. ONE DOWNSTAIRS a AND A SEALED OFF STAIRWAY UPSTAIRS. 2 BEDROOMS UPSTAIRS, 2 BEDROOMS DOWNSTAIRS. THE GIRL DOWNSTAIRS SAID KEILA IS THE LANDLORD AND HERE PHONE#IS 508-237-5911. WILL r. INVESTIGATE FURTHUR. Investigation Date: 3/21/2005 Investigation Time: 11:00:00 AM P `��He►qy�� The Town of Barnstable '• �AI 11 IqTABLE.MASS ' Y • Department of Health Safety and Environmental Services . p r 0 t63q' �� �F039. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Cc v r,r,cv .4 dV t� cC�, r ��'}},�, r Location 11 (21 c'Aa []'J {�a�,, ; _ Permit Number rr , V .. Owner ac y n,, �, ,,,,, Builder r One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 'Ap 6t� ' &:5 Please call: 508-7`900-66222�7 for re-inspection. Inspected by Date )1� 10 . 1 e Espim b Inoeuu,r......------- RegllIatory Services Fee 42:MASS Bela Thong F.Geller,Dhvmr q ArEo�i i„ - � .�l � Building Division (D Peter F.Dilliatteo, Building Commissioner 367 N.1ain Street; Hyannis,MA 02601w . Office: 508-862-43 8 Fax: 508-790-6 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Nos Valid withosa&d X-Prm fxprint Lap.parcel.Number 7 roperty Address 17 esidential Value ofWark wacr's Name&address ��i�� )nrmctor's Name �a. �� Telephone Number�S`dk�72 Dme Improvement Contractor License (if applicable)_ instruction Supervisor's License_(if applicable) Jworlaaan'sCompeasationImuancc X-PRESS PER IT E. (sec ne: + BI am a sole propr-cmr MAR 18 2002 Q I am the Fiomeoaner Q I have Wod is Compensation Insurance TOWN OF BARNSTABL =ce Companv\Name )rktttaa's Comp.Policy= - milt Request(check box) :C,'- ( mpP shingles) e-roofs in_old Q Re-roof(not strippia-g— Going over c sting layers ofroof) J Q Re-side Q Replacement Windows. U-Value Q other(specif-) •Wham required: issuance of this permit does not exempt compiiattee wish arises town deparanait regulations.i.e.Historic.Conscm4tiori.e::. . tattue �" J mu:expmtrc:rcti•-��;06t)1 r- r Assessor's office(1st Floor): Assessor's map and lot number q %� ®� is��i:s ..J yob THE toy Conservation /,Z ® pL� Board of Health(3rd fl)or): f 4 Lr a /h` y` Z-AMR0 �����'Le Sewage Permit number. .f � E��' t »sr�ntc y rua Engineering Department(3rd floor): ® �REGUI-A ��� o 39 r�o� House number � � h Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only f TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION /G /G 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: e1A- Location 1 �/4 Proposed Use &41L-_ Zoning District_ /2 Fire District Name of Owner G - l�l//�,/Id yf�� A C of Builder Address >leJPlJic1 i ��� 67,(� Na�'ect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing eo Fireplace Approximate Cost GC? Area Diagram of Lot and Building with Dimensions Fee Q �y . zq 2�' �7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r a ing the ve constructi n. Narr Construction Supervisor's License G 5t16 /,6 WIDMOYER, O. L. I'D No 35454 Permit For REPLACE EXISTING;FDIECK. Single Family Dwelling Location 17 Alicia Road 4 -Hyannis r . Owner O.L. Widmoyer Type of Construction Frame • t Plot Lot Permit Granted October 19 , 19 92 Date of Inspection 19 1 / Date Completed 19 pal� R� r op o