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0040 ANTHONY DRIVE
'YU �n�'horlc� �rrU�, �.J -- --_ - -- _ _ _ f � .s�- � �� ,or Dam: 09/1€ /2'Q1 8 - Tue-sday '.. 11 Nuzbex Time Gall Reason Action Rri.pri. Y Du ral ,8-42971 2047 Phone - DWEESFIC, THREATS SERVICED 2 Call Take_: O78 - Disp. zLL3'SSA. R MELFIFC3 Call Closed BY 279 - PTL. SPEIKER L ,yAC ;SON 09/18120le 2117 Call M'O'di`ied By: 279 - RI3•. ZPfffCER L JAC.SDN Lacat nn.Add.ress: [HYA 3991) KAGNETT, DENISE. - 40 AIdT'H.ONY DR Pa,t Y Entere-d �R---: ,�1E,20:1v 2f15G S7L - _'1� ::. .USSR R DEIROS 09 ' Calling Part-- MAGRETT, OA-Mi Af17,4011z t, t1T 40 AH0IC NN DR - TiAIS, uA 02601-0000 74-502-2G10 SS17: 000� D03: dNOMMONMO RaCe B Sex. M P&rty Erl ere By, 09t11EJ20 8= 2110 279 - PTL. SPENCER LJAuKSw involved Part-,: RC-:Pr, LITIZEY M M 45 DnWES RD - 5RD7kION, MA, C2301-4,-63 SS1i: i DCE: Raee: 1v Sex: r -Unit-. 221 PTL. SPENCER L JA.CK'3014 DI ap=20:50 28 Arvd-20,5?•"81 Cl rd--21:16:58 PTL. K LE 5 F.REU11.11 Arrive' By' 279 - p�L. SPENCER L jACYSOr Cleared. By: 279 RTL, SPEITCER L jACrS0N Na__ative- 09f1.8t201B 2-050 Disp.. ALLYSSA R 14EDEIRDS RP STATES THAT HE GOT IN A VERBAL ARGLT NT JvT:TH: `F"IS f)T E3ER AND _ I L Y ', ERS HAT s INCE. C?.A.i.T.�O r RAKE. 7.EiRE�I:*1,I1 CALLS. R? 15 ON LOCATIOt1.,. FAMILY ME?MERS ARE NOT 'DN LOMI ION. Na_racive: 09l1.8/2018 2117 PTL. SPEIXER L ,IACFSON Rp has tAen living in mother's shed states mother has been harassinu thtem. idvis.ed Date: Sept. 24, 2018 Org date 5/29/18, 9/19/18&9 24/18 To: Building File RE: Living in shed Address: 40 Anthony Dr, Hy Originator: BPD Complaint: Couple living in shed Enforcement Process Steps ® 1. Initiate local investigation: RA ® 2. Document/enter into system Yes ® 3. Contact 13 4. Property Owner 5. Seek access to subject property 6. Seek administrative warrant (if necessary) NA EM LJ 7. Notify state authorities of findings NA ® 8. Document conclusion CLOSED ® 9. Referred Build ing/Health/HFD i Property—272-002-008 Site is developed (1991)with a number of 1 1/2 story single family dwelling containing 3 bedrooms and 2 baths on 0.4 acres. History A report of a dog bite led to the discovery of a man,woman and infant sleeping in the shed with a dog they had just obtained earlier that day. All parties were sleeping on the floor when the man apparently startled the dog and dog responded by aggressively. At least one occupant is related to the residents in the main house but the couple is not allowed to reside in the main dwelling due to a history of substance abuse. On this occasion, DCF assumed custody of the child. Inspectional Services staff did not pursue this matter once it was determined that other agencies were involved and the occupants were not found to be on site. 05/29/2018 Advised by BPD that the couple has resumed residency in the shed. Notified Health, HFD& Building staff to check site for occupancy and take action accordingly. 09/19/2018 Reported to site with Bob,Tim O'Connell,Officer Gallant& Det Teddy Cronin. No one home. Observed conditions from front yard. Left cards inside door. f Later spoke to Denise Magnet, Keith Magnet& Linzey Magnet by phone in separate calls. Advised to shed occupants to leave, owner to trespass them in from of PD when they get order letters. All parties were agreeable. Daughter-in-flaw Linzey(occupant of shed)will stop by on Thursday 9/19 to obtain copies of all letters. Letters mailed by certified mail to all occupants on 9/19/18& Health on 9/20/18 09/24/2018 Owner left voice message that occupants of shed have vacated the property. ypp THE 1p� Town of Barnstable BARNSTA1HAS&`��' Regulatory Services i6J9• ��' Arf°MA'��` Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 19, 2018 Keith& Denise Magnett 40 Anthony Drive Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. The properly owned by you located at 40 Anthony Drive, MA was visited on September 19, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: 04-3 (A) Outdoor Storage Multiple items are being stored outdoors on this property which are not screened from public view and are not within an enclosed structure as required by above ordinance. These items include but are not limited to: Bags of garbage, refrigerator, mattresses, broken bikes, brush piles, scrap lumber, plastic containers, broken toys, tools and other trash and debris. 04-4 Stagnant Water Observed buckets, pails, and other items filled with stagnant water. You are directed to correct the violations listed above within (15) days of your receipt of this letter by removing said items from property or storing them in an enclosed structure; by removing all stagnant water. You may request a hearing before the Board of Health if written petition requesting same is received within 10 (10) days after the date the order is served Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the ins eection. PER ORDER OF TH BOARD OF HEALTH Th s cKean, R.S.S. Director of Public Health Town of Barnstable Y 1 I' m I �- rl- Certified Mail Fee L USE "0 Extra Services R-Fees(check box,add tee as appropriate) O ❑Return Receipt(hardcopy) $ Q ❑Return Receipt(electronic) $ O ❑Certified Mall Restricted Delivery $ He }I 0 ❑Adult Signature Required $ .T+4 '', a„ ❑Adult Signature Restricted Delivery$ C.1 N O Postagej t O $ i -1 0 Total Postage and Fees a) � $ I— Sent To r-q i/fl /9 tan fo.,orPdB,orPdB ffc. T 7 n- /i o r.---V in----------------------------------------------------- Ciry,St te,ZIP+4® �t N#I W :rr r rr rrr•r _ R. Certified Mail service provides the following benefiJpre ■A receipt(this portion of the Certified Mail label). for an electronic return recgtpt,s11 ■A unique identifier for your mailpiece. associate for assistance.Te/receilicate ■Electronic verification of delivery er attempted return receipt for no additional fet this delivery. USPSO-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminder's. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,Rrst-Class Package Service®, available at retail). -1 or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the address%e's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your , endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. A electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 F ■ Complete ii8ms 1,2,and 3. 71 'g ■ Print your name and address on the reverse Agent so that we can return the card to you. Addressee t Attach this card to the back of the mailpieCe, 'B• Received by drn e) C. Date of Delivery or on the front if space permits. m y�Jt 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter elivery as dress below: No �. s e-,4j;41", �i� Ley �P � -� �j '~ a 3. Priori Mail ressO III�IIIIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII) 11❑dult3gnturreRestriciedDel�eeryv ❑RegisteredMM PRetricted ertified Mail® Delivery 9590 9402 3630 7305 4651 70 ❑Certified Mail Restricted Delivery Return Receipt for ❑Collect on.Delivery TA.r,r2clis. 2.-Article Number_[Cransfer_from_service.label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ' 7 017 1000 0000 6753 9501 l sured,Mail ❑Signature Confirmation '.�isured Mail Restricted Delivery Restricted Delivery ,ver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt First-Class Mail Postage&Fgeid j USPS Permit No.G-10 I 9590 9402 3630 7305 4651 70 I United States •Sender:Please printyour name,address,and ZIP+4®in this box• Postal.Service TOWN Of BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, ILIA 02601 I i i i i i a Certified Mail#7015 1730 0001 4987 7497 yet rati Town of Barnstable o� �°"RNBrABLF- Public Health Division i639 �� Thomas McKean, Director E 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 19, 2018 Denise &Keith Magnett 40 Anthony Drive Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 40 Anthony Drive, Hyannis, MA was inspected on September 19, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.430: Temporary Housing: Observed a shed at said property being used as temporary housing. You and/or any of the occupants of this shed are ordered to refrain from using this shed as temporary housing within twenty-four (24) hours of your receipt of this notice. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH (�= McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Darien&Linzey Magnett, Occupants of shed QAOrder IetterMousing-Motel Violations\40 anthony hyannis,ma 9-19-18.doc m I a • y u7 Certified Mail Fee j3ra Services&Fees(check box,add tee aA-p-pnal gReturn Receipt(hardcopy) - $a //�LRetum Receipt(electronic) $ Opes rkO 0 ❑Certified Mail Restricted Delivery $ 0 ❑Adult Signature Required $❑Adult Signature Restricted Delivery$ s V O Postage N VAw o $ rg Total Postage and Fees r" Sent T / /►�� _ E'Tl �_i f _ _!_"_T5F /`! ------------- 0 Street and Apt. o.,o O Box NQ City,State, %P+4® ----- ------------------------------------------- :rr t rr W Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance-To receiveft duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the in A record of delivery(Including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery servlcivhich ■Certified Mail service is notai%3ilable for requires the signee to be at least 21 years of age International mail, and provides delivery to the addressee specified ■Insurance coverage is notavailable,for purchase by name,or to the addressee's authorized agent, with Certified Mail service.However,ttie purchase (not available at retail). of Certified Mail service does not tchange the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a' certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this,Certified Mail receipt,please present your endorsement on the mailpiece,you may request CErtified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPOifTAMr..Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 .. ::' • 7reverse ■ Complete items 1, �eand 3. A. Signature ■ Print your name and address on y(1 ❑Agent so that we can return the card.toC 19 Addressee � ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery or on the front if space permits. 1..Ailcle Addressed to: D. Is deli ( ess ditar reo m item 1? ❑Yes If YELL er deli ry a doss below: No yo f:17-koneY :Z)F,veLLJ y h r►a ��. f7'10 D�PoC3 C-) 026()\J III IIIIII I II III I III I III I II I I I I�III I II I II III 11 Service Type 0 Priority MailMailTM sa ❑Adult Signature ❑Registered Mailrm ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 3630 7305 4651 87 ❑Certified Mail Restricted Delivery d Return Receipt for ❑Collect on Delivery •Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm I-171-1--d Mail ❑Signature Confirmation 7017 1000 0000 6757 3 0 31' d it Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKNG# First-class RA2�I. Postage&Fees Paid USPS Permit No.G-10 I 9590 9402 3630 7305 4651 87 I United States °Sender:Please print your name,address,and ZIP+4®in this box° I Postal Service I TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST HYANNIS, MA 02601 I t � F I Certified Mail#7015 1730 0001 4987 7503 p*THE T Town of Barnstable R&RNSTAB9 LF� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 19, 2018 Darien&Linzey Magnett 40 Anthony Drive Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property occupied by you located at 40 Anthony Drive, Hyannis, MA was inspected on September 19, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.430: Temporary Housing: Observed a shed at said property being used as temporary housing. You and/or any of the occupants of this shed are ordered to refrain from using this shed as temporary housing within twenty-four (24) hours of your receipt of this notice. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH cKean, R. ., HO Director of Public Health Town of Barnstable Cc: Denise&Keith Magnett, Owner's QAOrder letters\Housing-Motel Violations\40 anthony hyannis,ma 9-19-18.doclLdoc Town of Barnstable Building Department Services; Brian Florence, CBO Building Commissioner BARNS TABLE 200 Main Street, Hyannis, MA 02601 eaXnie F•+ unti2•cm9rt•rYtitiws sn,uxi K.ias•w^rtxvuu..wtsriuzr,isi 1639-2019 www.town.barnstable.ma.us . 575 Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and Abate: Denise, Keith A.,Linzey&Darien Magnett and all persons having notice of this order: As property owner or tenant of the property located at 40 Anthony Drive,Hyannis,MA 02601, Assessors Map 272 Parcel 002-008,you are hereby notified that you are in violation of Part 1 of the Town of Barnstable General Ordinances, Chapter 240-'Zoning, and are ORDERED this date 9/19/2018,to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: . Summary of Violation: ' On 9/19/2018,I observed a violation of the Barnstable Zoning Ordinance Chapter 240 Section 16 subsection&(1). Specifically, use of a shed as a second dwelling in a single family zone. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Cease the use of the shed for living purposes and remove the inhabitants of the shed or sheds. And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of` Barnstable, specifying the ground thereof within thirty(30) days of the receipt of this order (in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires will be taken. By Order, Robert McKechnie Local Inspector Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 �"""�""�'�"`2•m Kecs'�cxs ku amxwu•nisrsuv�-,bu _ 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Denise and Keith A. Magnett and all persons having notice of this order: As property owner or tenant of the property located at 40 Anthony Drive, Hyannis, 02601„ Assessors Map 272 Parcel 002-008 and known as a residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 3 Section R303,and are ORDERED this date 9/19/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 9/19/2018 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 3 Sections 303. Specifically,people living in an unpermitted accessory structure, a shed, that does not meet the Massachusetts State Building Code 780 CMR requirements for habitation. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Commence to remove all occupants of the accessory structures and return the sheds to their intended use for storage. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45) days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Robert McKechnie F Local Inspector ,. 508-862-4033 k. Town of Barnstable, MA Page 1 of 2 Town of Barnstable,MA Wednesday,September 79,2018 Chapter 240. Zoning Article III. District Regulations § 240-16. RAH Residential District. [Added 11-5-1988 by Art. 9] A. Principal permitted uses.The following uses are permitted in the RAH District: (1) Single-family residential dwelling (detached). (2) Affordable single-family residential dwellings subject to the special bulk regulation contained herein. For the purpose of this section the term "affordable"shall mean dwellings sold or leased by a nonprofit corporation and/or governmental agency whose principal purpose is to provide housing to eligible tenants and/or buyers. B. Conditional uses. The following uses are permitted as conditional uses in the RAH District, provided a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of §240-125C herein and subject to the specific standards for such conditional uses as required in this section: (�) (Reserved)['] [i] .Editor's Note:Former Subsection C(4),regarding family apartments, was repealedi7-78-2004 by Order No.2005-026. See now§24o-47•1. (2) Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. C. Special permit uses. The following uses are permitted as special permit uses in the RAH District, provided a special permit is first obtained from the Planning Board:. (1) Open space residential developments subject to the provisions of§ 240-17 herein. D. Bulk regulations. https://www.ecode360.com/printBA2043?guid=31772748 9/19/2018 T6Wn of Barnstable, MA Page 2 of 2 Minimum Yard Setbacks (feet) Minimum Minimum Minimum Maximum Lot Area Lot Lot Building Zoning (square Frontage Width Height Districts feet) (feet) (feet) Front Side Rear (feet) RAH 43,56o 125 — 30 15 15 30' RAH 10,00023 20 75 30 15 15 30' ' Or 2 1/2 stories,whichever is lesser. 2 Provided that each dwelling is connected to the municipal sewage collection system when the site is located in a Groundwater Protection Overlay District. 3 As an alternative to individual lots, more than one single-family dwelling may be constructed on a lot, provided that the area of any such lot shall contain not less than io,000 square feet of contiguous upland for each single-family dwelling constructed. When more that one single-family dwelling is constructed on a lot said dwelling shall be at least 30 feet apart. i j https://www.ecode360.com/printBA2043?guid=31772748 9/19/2018 Date: May 29, 2018 -S- - 041 To: Building File RE: Living in shed Address: 40 Anthony Dr, Hy Originator: BPD Complaint: Couple living in shed Enforcement Process Steps 1. Initiate local investigation: RA ® 2. Document/enter into system Yes ® 3. Contact ® 4. Property Owner 5. Seek access to subject property 6. Seek administrative warrant(if necessary) NA 7. Notify state authorities of findings NA ® 8. Document conclusion OPEN ® 9. Referred Building/Health/HFD Property—272-002-008 Site is developed (1991)with a number of 11/2 story single family dwelling containing 3 bedrooms and 2 baths on 0.4 acres. History A report of a dog bite led to the discovery of a man,woman and infant sleeping in the shed with a dog they had just obtained earlier that day. All parties were sleeping on the floor when the man apparently startled the dog and dog responded by aggressively. At least one occupant is related to the residents in the main house but the couple is not allowed to reside in the main dwelling due to a history of substance abuse. On this occasion, DCF assumed custody of the child. Inspectional Services staff did not pursue this matter onceit was determined that other agencies were involved and the occupants were not found to be on site. 05/29/2018 Advised by BPD that the couple has resumed residency in the shed. Notified Health, HFD&Building staff to check site for occupancy and take action accordingly. POR rw"44P t-V L9ZbUA ^, 'OP ISISSV . 4 ,' .y � IIIr�I I,•� z � Qfv D v� h I-N L L Q J. ��e S c, V � � �V1UD I I �' srj� _� . o ;�, - , � 1`. a � � �� � � � � - � � o ' � � it �.� �LL � ` � � �� � N 1 � i � � � �� aJ ��� �� , �. ° . i =�� . r ._�, y-)U-I� _ ov vin in Cc_ I � I lovbh I .Pic ' Town of Barnstable *Permit Expires 6mon t ague Regulatory Services Pee Richard V.Scali,Interim Director �Ep Building Division ` Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �O��oZ�� Not Valid without Red X-Press Imprint Map/parcel Number ,,fir Property'A Address 6 Avtv Residential Value of Work$ Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address LEwlse �BRtR�tJ Contractor's Name �, , r lSol� Telephone Number Qdl-JW-OW AZ Home Improvement Contractor License#(if applicable)_1 732Y-If- Email: r, Construction Supervisor's License#(if applicable) 7 _o Workman's Compensation Insurance Check one: - / El I am a sole proprietor �' R I am the Homeowner OW/V O� Q16 I have Worker's Compensation Insurance �qR Insurance Company Name &aOMAta- ��r��LC Workman's Comp.Policy# c-Qa goy 9 y , Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side //ll XReplacement Windows/doors/sliders.U Value t ,3 V (maximum.35)#of win ows #of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Wheie required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must.sfgn Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESTORNIMbuilding permit formslEXPRESS.doc Revised 061313 ' Tit •,r ... + ,_ .__ ...•,c _ _#�.S _ a,J1w 1 s.. l.n .. �r���A3�+9.3v�+:,,� . , '1'Ji'tTQ"�t3"ii;1v�c,f+�I:ii![�f t4.`:t�.l+•�dF:a k �fi )��• 'ITc w *i.�~_, !_` D r Y;t mVJA 71'a"Li+y - r �,.a .3`y,.. �`r' 1a.71� '{•'C,t.Y.fJ Y\. .r�Lis IL::'fr ! i"Nd'..`Y i'^'^ Zeal ' _ __ �.. .... ..........__.�. _...�. ___. •__ ..._ ...._ � .�� `—�«..mot ..._ sr --j. � i i7 - , ION . 4 t !ff1}+...ff.":-"2+. ,..4t.�ri�li�i.�L��a.1`r'k`.�'': � . . . Q tQ r •_ ..... M.....w«. >.. T G- aJ l...jd t•f t+l.v . Tr.�.� . .F:y',$ '�+. tf' . . Y�/d�lTia��il.'Q L'�. .4'� ia�:•!H� \I� ' . ♦-. Bt" ,•!`.1V`.1;tf7'i P3kG('�:�`i`2'3 ,ku S-\�'�3:;.!.� .:.: It ,: ri-+ as'iiy,ac ._v 3'ay,:' SJ ,"i Qtv\.. 11't x`8T!Ty�f 1'i #«.j-1• {iQ'•Trl,�}s�"S�1 a t"!'�. .JY 1�dim! ,•z.i ..d'.f. 3.U .itttT3"i" tl`� ? r Rb Rn +:. &EAAt Crete u,'ds n=' -6\.,f}.tcL���VL1L � 7��S.11VL'�,�i ry��c���! T;}eti�c9 n37�Rd� MPY0a44 Pir�NOea��a' �+A=lctmCt.ere G J'�1Han Fwad -'UT)c}lYP,X1 12N5w'1237- Phdae 866 563:2235•F=401.6n-6602 6 or 9—thesn.lNew E#g1md WhiJb%%�ti V bf a oc � ite, a]by An&mon of Soudka n Nan Eaglerd •C�P CUSTOM WINDOW A'ND J30OR REMODELING AGREEMENT ~ , 3TTen9?94—cMLtiti4ElgsG'nm1FiP':9dcfPa.'..►ao: �'_ '�fD 'Ind �'4r�� f6.��i r..MulAdB:1�tc�� i' NortaT.l:p'ia�asNum'�r,� ���V�aicTd.p?ane yuaF ����i'1!r Ilu}�er�;r heieltyr��:ntF}aa'Sd sesCrsLly agrees'ro Faieh;�ae chc yre'MI16GQs e�nil+'�sr,9P.tbCsB of Sc'scdter.n i�Te<w E ,,d Wiodcar�,,LLC d/tale Illeorw�t ?a3td Lrn c,f°you her[h 1'ow Er 'ntsd. Cortt,�etGr,'"j itl aecumclataGs wi.ilb c terms and:r urn%:rs dezcri>rcd.7a the=rat ate tc.cr.�r�e o ..s.a$iocraentarudot=a atr�el esl���/i39cat ri s4aeet`sl( C�Aeaanrt&} ths�' gsccen+�t'�: ©Historic 17 ConAa T21 H AST Tomllcs Am3urr' �-d'�:" Esona s'rinb o Meefivdf o P .CMI: Q Chock D Q:6 mend ;tt Rcoclied 03%}��-e ��� P CrldlECe!'d9arG.7.GLCpv2d fW,dCpCilk,atlllf—m3NI!'lvm 7I10f M8 joss 433RM i lau cart{�4wse Rc&9da C d P¢}r.i for.,.'ey �fi1s F 91mv at Start of siovsa�tzrrptoadc,P-A-49 gw-ma,st,gcu a-kfto 4ed ilnt the Bstenas et Start of job and tto M sae on SWll 1 'Err 6air<ce mn euthtear�ial Ccrel><clfon of h aenriot to nnaAts$p it6slk C�n►plea;:n of jch ON: :�and a�st be ocean by Ae�an@I clix hanK ehuedx,orrisk, Btiyer(s)agrees and midesstaads that ill Agretimnt oonataicates they entire u"ermesading Imewseu the.!,iniwties,and tfirt there are do vetrbal'ndcrasaasCil a-ii96 any,of the'verxasa of.tlaa ..,.a. 6ayer4s) ractc� ytdgca iBat I (s) I E)has'Ma tug Ageeenrm vndersiana�the t�eri6s of"itgraenaeot,wnd booseeeived a coaeplsted,si ' amd.de<wd copy oft ,greesi,.i,irielndin& atmoTsod'Npeieee+TP/wswsel7atio e,an.the date ft*written ab&vc'and M was*&all infsxmed of } r'a r t err cancel Odv Agr eemanc:DO NOT SIGN THIS CONTRACT IF TF ARL e.:X V BLmgX SP:1M& d a lefi7lyd Q "' l..`�9ntteG.tOI'Fey9rfe,1}Li4 OiYt• this Agrterrtjent if "id the£ CtB6'Atf'9/lkrl,�ftir'tlts ngrie=d ler®9- co the octant oftiheAavttilat f�4to l 'orclefit8;fi k.(2)YeaaxeentdtfadtaacootortkisAgreeniemat the timewu3to: it,iy31Yo®AT"actMay JR,1 7 t>irh'i>oti®@�3dI�alaamediesatt rtlaaAgree�eu?,,aad,u:odb gyoot�uy.beentiiedto receive a partial rell of the des And insrirmce€lxioe.(4)Tho selUr has no right to null eater your pra.uisr�' or tama►Yic any T'each,:of'ihe peace to reposse93 gores purchased under this Agreement.(s)You nay egt M this Agreeincnt if it b"not been signed at thi math.¢Alice or a brartdt offioa of the w9er,peorvided y&n siauty the Viler,at Ids or her inmio ofRceliteaiab afflcx�Alltie Aercaahee't by regfstm ed 4C setzi$ed mAlda which shall be go.tcd not lhwr t$aa anid�gl.t of the third eaktsdar day;afll1he 4s7 On-hick th*Il Will dhes Agxeeirvsst;emdudeag Sunday and stay her dx'y e+n WM4 regal mail deliveries are toot oracles.see the arc Mullanjiegnefidoe of caiicolla'riva His for an explamaal4ft of bogies aii . 1B Efs)Med wd the cdUCAiic it pna"pia,sided q ilu=Rhode I_slaasd.Canindoea Rzjis¢= tet4c. (i srs E¢f3tvdii Iiaaewal by An et1 rharitl tls�sv>�etgland Yr ..Rim �i, Qg B81at4'ISG lgroxore:' -- _ pti,at e irta F9itit'6isre, r Lei�1' -oe Print Gene .F, . YOIJ, THE)3l7YfiR($i> MAi. czars T1iAAISAC'1WN AT TIME PRIOR TO RQDIVJ;G OF THE THM, 8051 NESS nAY.AFn ER xenE DATE OF TMS TRANSACTION.SEE TIE I TMCMD.NC T]CE OFC_C NCBI.3.ATION I:oz� FOR AN EIGPIAItTATIO.N W iEtS RIC.sli'lt s NQiIQFOFCA1yCbLLaIl' - - - - Date.6fTkansac"oni f 16ui may cancel I Due ofTransaction ,You may tancel this transaetioN without any pethalty Or oulpilon,w1c1 In l this transactioen, sit"',attic laanalrf-or obliption,within three busineoa dcys fro'n die eboa+o lute.If yvu'tart'c�et,°'7. three hueirtast dw/s from the.+abeeve date.If you east I,any pt'operty trued in,any paymoye9 made her 3reu under tEte l pt oP�t3► d i"s.�Y pg7i �►ts Posse i)y you under the ntr ct ar Sale,and,achy rt oti�lo histtuareeat executed I Contract or Wei Ltd My tie tiebte instrument execuued by you will bo t+ ned'with�+tan"busioeert days following 1 I?}+'you'wlil:i be returned withfh tear business dart toiivwlng recelet by tho Seller of yobs' cmCelll*n n(altica,and any I receipt hx d e Seller of your cancellation.notice,and any security interest. arising tut gf the transactlon ;veil be 1 securit7.nterest Arkin4 out of the'transactityrt� will be cancel'ed.lfyOu•CaflCeklrao"Umuatrnalae aVailable to dlo Sallbr canoeied:if'yn.lItAncei,you nrtuat males availo6le to the Seller at your residence hs stlbsta ritlally as good t onditiwi as w#ierh t at your rtrt Gate,frr 5Ubs Mt1Rlly as good condition as when rmeiv�etl.anY goads doliarared oo you under this Conti-at or I recall a w goads dkily to you lender this Contract cir s Sate:ar you coot,d(yntcr;wl66,�cent&wlelr tha trier tctlons of I gala oe you msy if ytiu wish,Ctmmi ly with the ins+*uetians of 'E#te,5eltnrt ntigaiding idFe'ctantt ghrprr�i,t of the goads a;NtFrt> thGSelferrr+gard)ngcttarotum Il 1prhieaht of'thc'good3 ricttie Seiler5r�exx��eertss veto riSla if you do retake is goods srs�ilabl'a Sellar4 ern+t and ris5c If you ds rnske t},d ava+lahte to the Salle# and the S•elier does not peck then" up within l 'to the,Sager and the Seller shoes WA pkk them kilo within twenty days of the dose of eanceiEatuttt,y9l!rr +MCt3itp or twenty da-ry!prof the date of caneellation,your may:refain or dispose of the good's vifltl,norh arvr further obll If you I dispose of t l 90046 wtthAyut My further obligatio�if y^ou fall to malice tiro goods arallal lO to the Selte,or If you all l W to make the goods avb Ule to the Seller.or ill agree to return the ads to th0 Seller and fail to do sat than you I to return the H.soda t»the Sallee`and fail to do to,the."you rerrhain,liable frr�pertvrnanca of all obligations under the. I reenain Itstbla for�erkrTnanta of aril a5l8�adon6 under the ContracuT,t cwtcef this tatrneactiont mail or deliver a signed Contract To can. this transaction,matt or deliver a signed and dated-copy of this e■ncella*zh hodee or any athef l and dated copy of this cancellation notice or any other we.preen nsltt'ao,or spend A telegramIll I byAndmen of I` Written notice,or send o s,+ttegrarn to Ra nuwal byAndersen of Southern New i land at U Albiori Road,U h.jU 021l I Southern New England at 26 Albion Read,Lincoln,Ri 02861 P40T LA-rER THAN MIDNIGHT OF . l NOT LATER THAN hfIbNICHT OF (Date) I (flare) IHEREBY-CAKCELT 4,tSTAANSAC77914. HEREBY CAI+fMTHISTRANSACill I &rr.rh.FRISK ti*_a+i ►drA Nil xasee aufaW s<bJsn;sae Ptirtc Name pate , RL/tCo Wfit9 6 Go 1(rtbh' ® ' 4,}tBtCeQy:'Pliilc �; Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safely Board of Building Regulations and Standards Construction Sapenisor license: CS4?F' 7 �4{1'1 BRLA N D DENNLQ_*N r' 7 LAMBS POND M - Chartton MA 81907 yl rtK t.t Expiration convnissioner I d/7L Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 -Home Improvement Contractor Registration Registration: 173245 Type: Suppitmmm Card E-vfttion: W1912016 SOUTHERN NEW ENGLAND WINDOWS LL __• _ DENNISON BRIAN 26 ALBION RD LINCOLN,RI 02865 Update Address and return card.Marie reason for ebaage Q Address [Renewal ElEmployment ❑LosiCard scn,a as.wsn, Ina of Coammer At4in&BnAum Retulsuon Lkense or registration valid for indhidul use onl7 OAPROVENENT CONIRACMR before the esp'vation date If found return to: Office of Consumer A fain and Busiarss Regulation on: 1=45 Type 10 Park Plana-Suitte 5170 Em*adon: 9119=16 Supplemerd.;ard Boston,MA 07.116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN r - 26 ALBION RD LINCOLN,RI tYMS itaderseerets+9 Not valid without signature The Commonwealth of Massachusetts Department of.Industrial Accidents z Office of Investigations _ y I Congress Street, Suite 100 t y Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name (Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln,RI 02865 Phone#:401-228-9800 Are youpn employer? Check the appropriate box: 76Ne oject(required): 1.0 I am'a employer with 20+ 4. I am a general contractor and I constructionemployees (full and/or part-time).# have hired the sub-contractorsodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet. These sub-contractors have 8. (]Demolition ship and have no employees employees and have workers' 9. ❑Building addition working for me in any capacity. insurance [No workers' comp. insurance comp. 5. [� We are a corporation and its 10.0 Electrical repairs or additions required officers have exercised their 11.[{Plumbing repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 12.0 Roof repairs myself. [No workers comp. Window Replacement insurance required.] t c. p loy employees. [ and or have no 13.0 Other p _ _ employees. [No workers' comp. insurance required.] 'Any applicant that checks box 41 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. tdontractors 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 all employer that isproviding workers'compensation insurance for my employees. Below is the policy acid job site information. Insurance Company Name:ARGONAUT INS. CO. Policy#or Self-ins.Lie. #: WC 928058352394 Expiration Date:8/21/2016 Job Site Address: �Q _ City/State/Zip: I . _ Attach a copy of the workers' compens tion policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A.of 1VIGL 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'nsurance coverage verification. I do hereby certi under the ' s and penalties of perjury that the information provided abo is t r a/and correct. Date: /7 6 Si ature: - Phone#: 4012289800 . Do not write in this area,to be completed by city or town official. 7�lcially. _ Permit/License# Issuing Authority(circle ane): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: SOUTNEW-01 SHETTYSHT DATE(MMMDNYYY) CERTIFICATE OF LIABILITY INSURANCE 8119/2015 ONFRS NO RIGHTS UPON THE CERTIFICATE HOR.THI�TIFICATE.IS ISSUED AS A MATTER OF INFORMATION NFATION ONND, EXTEND OR FALTER THE COVERAGE AFFORDED BY THE PO THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. TH{S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ItdSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). CONTACT Willis Certificate Center PRODUCER NAME- (88 ,Inc.y :( ) 8)467-2378 Willis of New Jersey, PHONE 877 945-7378 INC.No). A) No EM c/o 26 Century Blvd E-MAIL ss:certificates@willis.com P.O.Box 305191 NAIC# Nashville,TN 37230-5191 INSURERS AFFORDING COVERAGE INSURER A:Selective Insurance Company of Southeast 2-1970 INSURED INSURER B:OneBeacon Insurance Company 19801 Southern New England Windows LLC INSURER C:Argonaut Insurance Company DB/A Renewal by Andersen INSURER D: 26 Albion Road i` Lincoln,RI 02865 INSURER E: INSURER F CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES I _ OD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PH THIS ERT S OR CONDITION FrOL DESCRIBED DOCUMRESPECT TO ENT INDICATED. NOTWrrHSTANDING ANY REQUIREMENT,CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEURANCE AFFORDEDBYTHE POLICIES HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL AIMS uMrrs INSSR POLICY NUMBER MMiDD MMIDD/YYYY TYPE OF INSURANCE INS WVD LTREACH OCCURRENCE $ 1,000,000 A XCOMMERCIAL GENERAL LIABILITY 08110120i5 08/1012016 $ 100,000 S 2029459 PREMISES Ea occurrence CLAIMS-MADE T OCCUR 10,00 MED EXP(Any one person) S PERSONAL-8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES.PER: PRODUCTS-COMP/OP AGG S 3,000,000 POLICY®JECTT DOLOC S OTHER CO accdent MBINED SINGLE LIMIT S 1,000,000 AUTOMOBILE LIABILITY IEa ANY AUTO S 2029459 08/1012015 08/10/2016 BODILY INJURY(Per person) Is A FK BODILY INJURY(Per accident) S ALL OWN OW SCHED NON-OWNED accSCHEDULED PROPERTY DAMAGE $ AUTOS ident X HIRED AUTOS X AUTOS $ EACH OCCURRENCE $ 5,000,000 X UMBRELLA LIAB X OCCUR $ 5,000,000 EXCESS LIAB CLAIMS MADE S 2029459 08/1012015 08N 012016 AGGREGATE A $ DED RETENTIONS X STATUTE ER I WORKERS COMPENSATION 1.000,000 AND EMPLOYERS'LIABILITY Y 0000068028 08(2112015 08/2112016 EL EACH ACCIDENT S B ANY PROPRIETORfPARTNERIEXECUTIVE � NIA OFFICERNEMBER EXCLUDED? EL DISEASE-FA EMPLOYE S 1,000,00(Mandatory In NH) El DISEASE-POLICY LIMIT $ 1,000,00 If yes,describe under' DESCRIPTION OF OPERATIONS below C928058352394 - 0812112015 oSI2112016 See Attached C Workers Compensation DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ff more space is required) CANCELLATION CERTIFICATE HOLDER _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NonCE WILL BE •DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 6 ' �t�Toty Town.of Barnstable *Pe rmit1#V6 7! ~O Expires 6 months from issue date Regulatory Services Fee * snxxsrnac.E. 9� 1 Richard V.Scali,Director X®R PERMIT ATFD�,I A 1ff�- Building Division . Tom Perry,CBO,Building Commissioner JUN 10 2014 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 T®WN 0 J%E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY No�'d without Red X-Press Imprint Map/parcel Number Property Address �'� arl/ dvvjq Z'Residential Value of Work$P&rn21111- Minimum a of$35.00 for work under$6000.00 Owner's Name&Address--- 114V l r � Contractor's Name , o Telephone Number Home Improvement Contractor License#(if applicable)��%Q. Email: Construction Supervisor's License#(if applicable) 7 l02 /Y. ❑Workman's Compensation Insurance Check one: ' ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance Insurance Company Name IM A Workman's Comp.Policy# , V �j Copy of Insurance Compliance Certificate must accompany each permit. f Permit Request(check box) PRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to :`j ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty Owner must sign Property Owner Letter of Permission. A c p o the H e Improvement Contractors License&Construction Supervisors License is re ui SIGNAT Q:\WPFILES\FO b ding p it forrns\EXPRESS.doc Revised 06Y313 xY' Hie Carnwoymwalth of-MassacbusetO Departznmt o fltrdast ial Accidents Office-Of1mes6gafions 600 Mashiagton M-eel Bosfon,ALI 02M WKI YMSMgo ldia Workers' Compensation Insurance davit:Builders/Contra:ctorsl£AectricianslPlumllers Applicant Infarmation Please Print.Lef My Name(&rsmi'�lOrgan�an/Individnal): ..A��1Jb p C 1 ) � Address-. U l[ (e City/St:at&zip: Phhone g: Scab �4=, SAY tie yen aft employes?Ct .Ir t appropriate box: _ _ Type of paoect{remred) 1..El am a employer with 4. 0 1 aru a ge�al confracEar and I �6- ❑New ans#nrc#ion — M hav a hirers the sub-contractors. loyees(full agdtor part time)* Listed o�t 2:L/1 1 am a sale propFietar or partner- the attached sheep y- ❑Remodeling ship and have no employees Tl sub contractors have g- ❑Demolition w for me in an capacity employees and.have workers' . osktng y � t5 4_ ❑Building addition [No Workers'mmp_i MM[anre Comp.insurance-, regaire-&j �. [] We are a corporation and its 10- ]Electrical repairs cr additions officers have erasd their e 1 L.❑Plumbing airs or additions �.❑ 1 am a bameou�ner doing all wos� ffi h g� , myself.[Pic Workers,comp. right of eNmmption per MGL 1 .[i r�afrepaug insurance regIIlLt*d_1 1 c-152,§1(4),and-we have no employees_[Na wwkeai' 131-1 Other comp-insurance required.f *may aFpEcant that checks boa#1 most also fiU out the section below showing ihesatnalteis�rntxtpe�atioupolicy iufnttsa[io� T Ho-mmwnas vrho submit this 2tl5davit inciicat mE they sae doing an itoi$u d rhea hire such t�ctots thst chr�k this boot mast stta[he3 as additional sheet shooing the name of the sub caou r�irs and state uhetlie[oenot those mifties have ' Employees- If the sn6-connectors hwe employs,they mast provide Breit`workers'comp.policy numhez lam art HeLgw is the panty and,}ob site infor maliam 2 ^j Insurance CompauyName: Policy 9 or Self-ins-Lim�` � , )� Expiration Date. 5 � ' C j A^ ci <stata t - - Ioh Sites Address: �F- Attach a copy of the wGrkers'compensation policy declaration page(showing the policy rnumber a%nd expiration date). Failure to secure coverage as req►rired under Section 25A of MGL c. 152 can head to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year-imprisonment,as well as civil penalties in 1.e form of a STOP WORK ORDER-and a fine ofup to$250_t}0 a.day against the violator_-Be advised that a copy of this statement maybe forwarded to the office of Im estigations of the DIA roue'6 coverage verification I do hereby erli the psi and nakies ofperlut}'fhatfhe in rrnafian prmzdRd abaue is hue and correct L . Simma Date: Phone#: l Qffuzal use only. Da not write in this area,to&e comp&,-d by cii}p or town officiaL Catty or Town: PermitUcen_se# Issuing Authority(circle one): 1.Board of Health 2.BuRding Deepar6nent 2.CityJ Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.dfler Contact Person:• Mane 0: 6 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 another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the corr monwe3lth for aay 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-contractors)name(s),address(es)and phone number(s)along with their cent ficate-(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 ai$davit TLe 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 obtaffi 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/licease number which will be used as a reference number. In addition,an applicant that must submit multiple pemitllicense 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 locatio- s 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 burn 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. 'fhc Commonwman of Massachusetts Department of Industrial Acc0een Office of kvestigatiam 600 Washingtan Sirf,�_t Bnsta a,IAA 02111 Tel.9-617-727-4900 W 06 or I-977 MASSAFE Revised 4-24-07 Faa 0 617 `27-7749 v+ wwzaassGIG ddia I • 5 + r of11 E t t • r�xxsr ELK « 1639. ,�� Town of Barnstable 'DIFn nw'�°r Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO 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 l property , hereby authorize C �C� Lc,� V C���=-cJ� l�� o act on my behalf, in all matters relative to work authorized by this building permit application for: (Addtess of Job) Signature of Owner Date 4 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. k QAWHILESTORMS\building permit forms\EXPRESS.doc Revised 061313 Town of Barnstable Regulatory Services �. Richard V.Scali,Director Building Division * rt * snnNSTAscs Tom Perry,Building Commissioner 9Q� $ 200 Main Street, Hyannis,MA 02601 pTFO � 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": name home phone# 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. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides.or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor. " (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may-care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r Unrestricted-Buildings of any use group which caniain less than 35,000 cubic feet(991m3):of enclosed space. Failure.to possess a current edition of the Massachusetts State Building Code-is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DP5 Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-071214 IN KENNETH P G09bw PO BOX 116 = s SAGAMORE BEACHs " 2 Expiration 11212812015 Commissioner ' - - T 'J License or registration.valid fog indivraui uSe oal� Oflire-� �e hy��z before the expiration date. If found return to. �onsu�e7 ° uea/�� Of ice,of Consumer Affairs and Bnsiness ME'.fMPRO`/ �ffarrs-`�C-$ttst�� Jac/zc�se 1:0 egist 'on: EMe , Hess Park Plaza-Suite 5170. Regulation 4�2z',_ co anon xp'►at ot12g59 ��TOR. Boston,lylA 0211� -KEN NE �2015 I _ II NETH..P GOOppVll�`` ImdwrdiYPe: j KE is NNETH Gppp f 38 WE W►jV QUAGUET -_ GBNTERVI� LANE t ' �E' Mq 02632' Not valid wrthou signature77 z Uoderse,r eta _ + i I : rf , 28 �f CAPE SAVE 1 � I S Weatherization 508-398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 ' RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201003773, Status A, Parcel 272002008 at 40 Anthony Drive, Hyannis,Permit type: RADD , and issued on 7/27/2010 has been inspected by a certified Building Performance Institute (BPI) Inspector R-10 Cellulose insulation was added to the attic. R-19 fiberglass batts added to open rafters,walls and kneewalls.All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map �� Parcel:,DD.� OCAS Application # 2fO (�j Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 40 A h+)fj^ja J 1) '.►& Village hi'l(a V1 V1 ► S Owner y(e- i r#- Address +beL vio o< Telephone 774-- S2 ) - +q+-n J Permit Request O O C 5 e Square feet: 1st floor: existing _proposed -- 2nd floor: existing Z+Kproposed -� Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio j;500 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family:V W"' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes I3 No On Old King's Highway: ❑Yes �lo Basement Type: m'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) fi3J6 Number of Baths: Full: existing new Half: existing "" new Number of Bedrooms: ,3 existing new Total Room Count (not including baths): existing K new First Floor Room Count 4- Heat Type and Fuel: X-Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes D No Fireplaces: Existing - New _ Existing wood/coal stove: ❑Yes 3 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing Unew�size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: =" Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ in Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Usk APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �i Name W;));,x i„ awe_ Telephone Number _568 898 10396 Address 1-6 J Rve-nO License# )6Z776, Me A QX a(4- Home Improvement Contractor# )4 -12;Z Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 7ZZ G / )0 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED Y MAP/PARCEL NO. 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 PLAN NO. FIKE rp� rown of Barnstable Rec ulatory Services r $BARNSTARM Thomas F. Geiler,Director v►,,��a`® Bul ld>inc, Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 0260I NNi",.towa.barnstable.ma.us Office: 508-862-4038 ` Fax: 508-790-6230 Property Cwze r Must Complete and Sign This Section If Usina A Builder � f as Owner of the Subject property LJ; r - herebyauthorize P e ,� to act on my behalf, in all matters relative to work authorised by tbas building permit application for: +C5_ -4' O i fs i 5 (Address of Job) l _ signature of Owner ate --�1foc ` . Pnnt Name - If.Prom Owner is applying for permit please complete the Homeowners License Exemption .Foin' i on the reverse side. Q:FORIS:OWNER'ERMISSION r I llar„arhu:,cic - Delr.rr•trnent of Ptrlrlic` 'irlti� f3rrarcl Of't3trildim, Re,gulrrtirrra:arrd Statrrdar'd,.4 Construction S rl ervisor Specialty License License; CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH,VA 02673 Expiration: 6/28/2013 e->rari�ai..ci,,>uer Tr#: 102776 a a� - a- s Office of Consumer Affai and Business Regulation - '10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 j Type: Supplement Card Expiration: 10/6/2011 CAPE SAVE t i W I LLIAM M U CCL U S LEY ------- -- ---__--------- 8201 S. H O U RD CT r --- -- ----- ------- CHAPELHILL, NC 27516 1 r Update Address and return card.Mark reason for change. V �_i Address Renewal !� Employment �, Lost Card • QPS-CAI is 50M-04/04-G101216 , . :J>ze '�o�Jr�J2o�rzurea� _o•/��ii�tcufiuvnl76 ' . Office of Consumer Affairs&Business Regulation License or registration Valid.for individul use only found return o• ._ expiration date. if 3 e era before the x b P TRACTOR _ IMPROVEMENT CON . HOME IMPROVE Office of Consumer Affairs and Business Regulation ' Registration 164432 Type'. 10 Park Plaza-Suite 5170 P_ -x Expiration 1�0/6L2011 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY.'. ...;` 7C HUNTING AVER S.YARMOUTH,MA 6226% ' Undersecretary — Notvalid•wit ou signature WAr _ t Win Office of Consumer Affairs andl3usiness Regulation 10'Park Plaza. - Suite 5170 �r �y Boston, Massachusetts 02116 Home Improvement Contractor Registration . Registration: 164432 Type: individual k Expiration: 10/6/2011 TO 289566 CAPE SAVE MICHAEL MCCLUSKEY 7C HUNTING AVE. ........... S. YARMOUTH, MA 02664 _.._..._._.._:..._.. .... ..:............_..._,.._............. Update Address and return card.Mark reason for ihange. Address Renewal Employment i Lost hard The commonwealth of Massachusetts Department of Industrial Accidents r 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 Legibly Name(Business/Organization/Individual): _ e aAddress:?�' v t r,,� �;-;,, a�t City/State/Zip:ySr Phone#: t Are you an employer?Check the appropriate box: Type of project(required): I• I afh a employer with �,� ❑4. 1 am a general contractor and I employees(full and/or part-time).` have hired the sub-contractors 6• ❑New construction 2_❑ 1 am a sole proprietor or partner- listed on the attached sheet. ?. ❑ Remodeling . ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' [No workers'conip, insurance comp.insurance.- y• ❑ Building addition required.] 5. ❑ We are a corporation and its I O.n Electrical repairs or additions m 3 ❑ 1 a a homeowner doing all work officers have exercised their i LCJ Plumbing repairs or additions thyself. [No workers'comp. right of exemption per MGL insurance required.]° c. 152,§1(4),and we have no 12.❑ Roof repair; ,. employees. [No workers' 13.❑Otltef_j:. l I,. �'t�,� comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. 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.'#: E4'S 7'-3 6 '7 Expiration Date: _)& ;Z Job Site Address: d � f h+�l r�en.l t t p City/State/Zip: i 11�Q ,601 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 fuze 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 Investijgations of the DIA for insurance coverage verification. I do hereby certi ender the ias p allies of ury that the information provided above is oe and correct Si atur : Date: 7_ .- Phone#: C) FOther use only. Do not write in this area,to he comaleted by ritE or town official.d wne Permit/License# Issuingthority(circle one); Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: t=ratn: 04106/2010 16:45 #39 P-Ml/0Lt4 V DAC WOFIKERSCOUPINSAMON AND EMPLOYERS UASHM POUCY NEW-W INSURER: HAR'PCRD UNDERWRITLrRS If6dRANCE CWANY 1• NCCI CO OM:Nwi t INSURED: PRODUCER: WAXAMEV. UICWL CBA RISK STRA120195 COW CAPE SAVE 15 1PACELLA PARR DR 7 C fiRWINGM AVE RANMPH tk 02368 SWTH YARWJTH MA OU44 l+*wd b API.ZNDIVIDUAt. Oth4P work*on arrd kf"it atlon numb=rare Shown In the schedu*s)attached. E. The P0110Y ie trap:_ 10--21-09 t, t C-21_-1 d ft"M kkk at the InstweWs nokv add : S. A. WORKERS COMMpENSAY MN lNli>d1R+o1l1SCE: Part One of the pol appik to the waftfs, - COapsns W n law d the fte(s)Mod here: i L EMPUNM UAsjUTY IMURANCL..Pmt TWO of the potty appitas.to umrk In each elate lured in kem SA The Writ of our May under pan Two era: 90*4ury by Awktt $ 900000 Each AcadderK B*dY l*ay by - a 500000 Polly Umft Sadly lrrjwy by Ole: * 500M Each Empb C. OTHN STATES L+ URANCE; Part Three d ttie poky&Win to ft etatf,p any,l Sled hare: CDVERAW REPLACED By 11M)UMENT WC 20 03 0" D. ThfB ply Indtift theme•ndoreemb and sodttlas: SEE LISTING C� EN=SEd ENrS - EXTENSION IW Iwo pAOE 4. The PMft0f0rtN9 Pd*wM be ddw"*W WOW Manuals d RUM Ck lffl stions, aW Apt Piave. Al NWbed Wwmtbn ld WNW tc vftMbn and oMnge by audit to to made ANWALLY. DATE OF ISM: 11.19-09 ME. � 5T ASSIGN: MA OFFICE: CKANDO CA WFV 094 ER.' RISK STRATEQ:ES COW T6RTI+ aF*wr TOWN OF BARNSTABLE Permit No. . 34 2 BUILDING DEPARTMENT ....n E T Cash ............. OWN OFFICE BUILDING ... •l�a6sY HYANNIS,MASS.02601 Bond ......X.......... CERTIFICATE OF USE AND OCCUPANCY Issued to Cape Community Housing Trust Address Lot #8, 40 Anthony Drive Hyannis, Mass. USE GROUP FIRE GRADINGOCCUPANCY 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.. ' .January 9, .. I9.. ............. Building Inspector f ��..� °•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department artment DATE: An Occupancy Permit has been bbeeen issued for the building authorized by Building-Permit"$k_� f„(l/ OC... 9.................... ». ......».......... » »».»...»».».... »»... ..»»». issued to ......�l_ �t lf .�LwC„ ..� GC�C v Please release the performance bond. TOWN Rm" IT OF BARNSTABLE, MASSACHUSETTS { A=272-2 149 '3463� � i DATE October: lr ,9 92 PERMIT NO. APPLICANT •Bayside Building Co. ADDRESS Centerville #005645 i t 2. .. 7 S IN0.) (STREET) (CONTR'S LICENSEI , ''#PP PERMIT TO Build Dwelling ( j� ) STORYSingle Family Dwelling DWELLLRINGOF UNITS 3 (TYPE OF IMPROVEMENT) NO. . (PROPOSED USE) Lot #8 40 Anthonyive 8<S annis ZONING DISTRICT AT (LOCATION) � jy � RC-1 y (NO.) (STREET) BETWEEN AND (CROSS STREET) _ (CROSS STREET) 7: LOT SUBDIVISION- LOT BLOCK SIZE j BUILDING IS TO BE FT.,WIDE BY FT, LONG BY, FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) - REMARKS: Viewer #3523 a Bond AREA OR t� VOLUME -816 sq. Lt.• 60,000.00 PERMIT 65.50 ESTIMATED COST 1000• FEE t (CUBIC/SQUARE FEET) .f CCHT OWNER j BUILDING DEPT. ADDRESS BOX, 603, Barnstable BY rj THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, 'ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR -'I PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- } .:PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES As .WELL AS DEPTH AND LOCATION OF.PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES.NOT RELEASE THE APPLICANT FROM THE CONDITIONS - OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE _ INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR Ij ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 9{, 1. FOUNDATIONS OR FOOTINGS: MADE. WHERE A .CERTIFICAT.E OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. ;. j1y 2. 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 INSPECT16N APPROVALS ELECTRICAL INSPECTION APPROVALS I( 2`�'� .fix k 3 I HEATING INSPECTION APPROVALS ENGIN ING DEEP�NT -al 2 BOARD IU Of HEALTH L�! OTHER - -- SITE PLAN REVIEW-APPROVAL. _ f , WORK SHALL NOT PROCEED UNTIL THE INSPEC PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. It r-: - , I- t . ; �, <., _fir►-�:oN.�;l j .: .! > . . - .. ;� .I — s 1- W D2Ai/�l iFSM7 , APO Tj , oi e ; it i > ;, � , .��I ;;• . . i t i'1 1 i i E''Y' t 6—All— -77 SAVV - -Qv -- - - - r wl f } La647-/Oti TA, 47 THE -av�1'D�47"iah G 0 SC14 L_ T IQ�I I U/ E/iIENTS_ Ait1- 1,e.AISTAB,L&•: ,q i 0 cA. ..1,riiT`y/mot/ Lo'ir g 7-X71L IVp j-8� A ,LIST 4/�t �i�� /C,�/�T ,. I - , i I�j ! t � ' i j 1 ! f !ni Tl> I ; � ; i ; ° j ; f ► � ! I ' ` I - ttt � t { e � I „».." n,,....,.:w•,+.�..w�..f„�..:.,..:.�-:rwe:-aT�nw�,..:!�.'i�:o:,_....�..r,..-rr»:,.,..•mm.-:mm�;ampucaef::»:�,'*a'�zt„�:�^.;c•��F.Sr�'.Cn^k7.+.A�,:d:tcx�grr•�f+•r':;�?i:.�"iT.' .{t;4' '��.k':. m ' • i � k D• c ro — S i , J.• q4 1,, �>.t r 1 ;,`:as Cz, t �,1� 1. ^'��'.:M c'_;.P -bi�� :+ .,,._ ,. �+t� u s r. J ''v. J... fr Ywi-''ter / k,:is r ,�, is•,� { ,. ..,:...-,. ., _. � -;;. -'..,-.: ... ::. v. ,. ar'✓a.,* Yd �4>�r. �3 }, ,�y .k�, ..i �jy .a�.� ( rs r.�.d. rr 'e• s,.....: {�: .1. '�{ .. ... 'c; Dc,,. f., 'C Stt,, �'l� '�'✓�,.,��g J.Li S,. 7�� t t1" :4�'•� _Va."Y+ _ .:i' y {;, d 1;Y f�...4 •�I• q� S. 'yam jD ��� / -:t, ..�d .. •c t�' :r, r V N TY+. r�- I:✓+ ':{TT*. k�+ ( t 1 P '.J:- .. �r ek v t ob t •r � y�r ; •}^ if 7 1 � JJ _ T + z• z 5 r' y °y�' ��i` ` �zr :�'t - t irk orb>. t. "w 4? :f t, t. T a 4� z rr .... .� r r. .. .. .. . .-Jr 1,00 _ 2l4 12'0 . tt' � j3^T t•4 Cm 2 16 i 2le, �r � 2/cam 21414(. i'''L v to. sr _�„_,_„_1................., Yn c1c_L._ Lil t � � .p o i l � / N OD Ilk o i . 41 f 1 I I � I r r I I j d- a N V_ Assessor's office(1st,Floor); !� Assessor's map and lot number0 L oz. Board of Health(3rd floor): Sewage'Permit number ; Engineering Department(3rd floor): �:; ra House number " BARNSTABLE 0 iu �-'��` °o t639• Definitive Plan'Approved by Planning Board — I Cl 19 9 �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1'.00-2:00 P.M.only r �yLl PR0 VSOWN OF BARNSTABLE Barns tabic` :,r.. -)rvation Cor;mis�e� ' L D ' H G INSPECTOR SAVVIICATION FOR PERMIV-TO3 I TYPE OF CONSTRUCTION G)ov-el � ' ` 19 Rf! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location dt-t- Proposed Use Zoning District / ��Gr , / 4,L J�0-t- 6/6 —/ Fire District �O Name of Owner Address Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors t;�z Interior HeatingZD Plumbing Fireplace 0 ME Approximate Cost Area SSG Diagram of Lot and Building with Dimensions Fee 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 l Construction Supervisor's License CCHT +ermit For, 1 ij Story .. . , Single Family Dwelling f Location Lot #8 ,. 40 santhony Drive Hyannis Owner. CCHT `• I Type of Construction Frame.*,,. Plot Lot Permit.Granted r _ October 11 , 19 91, .--� Date a ofoInpectd 9 io C Z�9 ° .t. i� :e t` i.