HomeMy WebLinkAbout0091 ARROWHEAD DRIVE CUSDN
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Citizen Web Request Page 1 of 1
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Citizen Request Management
Request ID: 81239 Created: 10/26/2020 11:00:40 AM
`l status: Assigned To Staff Assigned To: Parziale,Jim
Health Department
Anonymous: No Category:
Chapter II : Housing
Substandard
E.C. Date: 11/9/2020
Created By: Soto, Kathryn Citations:
` Health Department
Time Worked: 0.00 Response Time: 0.00
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Request Location:
91 ARROWHEAD DRIVE
Hyannis, Ma 02601
Y
Parcel Number: Map: 271 Block: 057 Lot: 000
Request:
Tenant reports termites, cockroaches, mold, septic failing, leaking in basement, holes in
roof,front door and windows rotted. Has been living there eight years, unregistered rental
Request Work History:
https:Hitsgldb.town.barnstable.ma.us/CitizenRequcst/WRequestPrintPub.aspx?ID=81239 10/26/2020
1
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OCCUP4NCYPERMIT�° �
Bond u , `sJ
"N,o biffl'ding nor structure shall dbe erected, and o-land, building or structure shall be -
used for anew, different,-.ehanged, ors enlarged U e-Pwithout a Building Permit tlierefor= t
fist having been obtained from th_e BuilduigZIns'Oetor No budding shall'be'occupied=until a.. ,
certificate of occngancy has been is ns edby the Building
Inspector-
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Issued to PB Bail Address- = A Y
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_ Veit Am T8-sip_ T iaraz�i
Wiring sp Inector- inspection date
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_ Engineering Departmenti � Inspection datee 9 r6 -
f/AI�iD THE'BUII.DING SHALL NOT BEOCCIIPIED IINTII TMS PEBMIT m gF4OT BE VALID,
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SIGNED; BY .THE BUII DING INSPECTOR UPON SATISFACTUBY .COMPLIANCE WITH TOWN k
'REQUIREMENTS.
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" NE.W CONSTRUCTION ONLY ;a F; �" r; t . . �1 { . r�,
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nr 't n �t" s ra •1 e 1, J r Y
� TOP-,,,OF,, :FOUNDATION IS 3 FEET ;� a ` 3 .;' iN ; r � ;r,J t
` �®®COVE :OW.: POINT. OF,� ADJACENT #a . � °A J01111S ,�,�SL , 1.
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E CRE'®GE ENGINEERING I Co. !Af . t y
i,: _ _ _� _ _ _� /��c I CERTIFY THAT THE ' ` t
CLIENT:-:,.. y
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®1�1'ERED` IREOI,STERED SHOWN ON THIS PLAN tS C
ON THE G'RO�U'ND AS INDICAT"L4�
J O D N O.P�)('!l ,9�g
"f x - t. fb -- - Tar , X
ry kF't.`rCIVI'L, LAND . CONFORMS TO THE ZOAtRNO 1. t: 1 '.
1.IsrF ."I'll , r1guINEER SURVEYOR DR. BY 14 /9 l p° . ) 1� �6
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3� NO MAIN ST '71 MAIN �T .. V2�7 SFr t�')
SO°t YARPA0UT1i, MASS. FIYANNIS, MASS. SHEET_(__-OF I
- ,: .DATE . RE'C9. i.ANO ;so
:> t �:11r�; .may f
-1,.:',Z...E».id:....*a,,,, :',': :.�..;.. �f '•ri i,.a +r �r"rti ,4' :1_+-.<.�."`;�'
Apessor a map and lot number �� 1 �QyoFTHE.ro�o
Sewage Permit number . . .
i1M NI COM
House number .......... sTwtB,
M"k
....,.. .. ................................................ VOM TITLE 5 0 1639• 0�
ENVIRONMENTA CO®E A A'EO�5.4
TOWN OF BA�R.NSTABU9,
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. fLr... ?N6� ._ . .. ............ .......
TYPE OF CONSTRUCTION ...W?2.D:P „F`AN!I .............................................:...........................................
.......................... ......�...4........19-0 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned ''hereby applies for a permit according to �t(hhe�following information: (fin
Location .. ....1 5..............................�.!.Q���?-tt-�. ..1t�' �....... Gam!?.-:s.. .1. !.:`��• ....................
Proposed Use �N � .... iA- .........................................................................................................
........ .... ............
ZoningDistrict ...(�.....&.......................................................Fire District .-r........................................................
D � •
Nameof Owner .................Address ........................................................... ..........................
ac
Name of Builder �('.� ................ "!:;�n.........Address .�.� �P��.�.�!.. � Qln!�.a...............
Name of Architect M,.0 2 ...... -tzM . .. .....................Address .1"`a � ...6.. fl 5:...
...:.. ......................................
Number of Rooms ...................I..............................................Foundation .J.. �Q...... ...:............ ...................................
�145c�,�hE iAQr Q�
ExleriorSsLrtcic .p .:`K. �4i: ..SL'?�`aGr....Rgofing 1��.G'.Q.: :....`' ��.��!R�. ..`''^ rn! ?
..........
..........
....
i I .
Floors !.. A�al�ed9c� 4 L,;a!-o ..'..:............... ......Interior- � ?4cu. o.,+r:A�. % :�"'y, �Qy..&3Yd �•
HeatingN ....L -t. 7. :,�.:.......................................Plumbing j I :1. ,,...................................
- --�
p Fire lace C........................................................................Approximate Cost
Definitive Plan Approved by Planning Board -------------------------------19____----- Area " .�.. dg.......................
Diagram of Lot and Building with Dimensions Fee Of& ®cJ
SUBJECT TO APPROVAL OF BOARD OF HEALTH (J,cJ,D.
In
A
y'
►al�
30`�
I hereby agree to conform to all the Rules and Regulations of the Town of B rnstable regarding thefa�G
construction.
Name .......... .................... .............. ............
Berube , Patricia
-No, .... Permit for ...S-ingle.................
..Family..Dwelling..............................
................. ...................
Location ..Lo:t...#.7.5...9.1...
.........................HY.WaAi.5....................................
Patricia Berube
Owner ..................................................................
Type-�-of Construction ...Frame.........................
.........................................................................
Plot ....................... Lot ................................
`Permit Granted ......Fe.b.rua.ry. ...2.8..,...19 80
.... .. ....... .....
bate of Inspection .......w, 9
Date Completed ......................................19
PERMIT REFUSED
............... 19
V�
X.*....................................................
...................................................
...................................................
�%pproi&a...... ....................................... 19
..........
/� c A0
. ......................... ............,7-,.. ..............................
Assessor's map and lot number .;n. .IZ ..' �!.,,... f
SINET
...........} y Sewage Permit numbe .... .....................................
Z SAUSTADLE, i
House number ..........�.,........://................. 900 ra39
............................
i6
11 a�9
TOWN . OF 'BARNSTABLE
Y
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO � . �Gc• t- rF� <.a E/
................ t. .�..+P^ . .
.... ...
TYPE OF CONSTRUCTION ... `- iW M ::....................................`.............................1......................
: ....� 1�t
fi
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location � r r��dl'i.x..,�.. V 1 •a �.1 ' r ` .............................i � i.................................S
................................................................................ ..................................
ProposedUse .................... ::...........................................................................................................
~` b......................................................' Fire District Zoning District ............. .... :..:..........................................................
Nameof Owner �................�<... .............. ............................Address ....................................................................................
Name of Builder
f II � ��.........Address � „1�.,.;i .. ............." ^
( 1 ........ >!.....................Address ,P.�': ��.i .....� ��'�
... Name of Architect .....�,:<., .�� �.>�.,�,. ..... .....................................................
7 � � i
Number of Rooms ...................i..............................................Foundation J.c '. .................................
G ,(
Exierior' us�lac� • �..`..��.x . :�.(;)�- ' , �: !��., �Y Roofing . :... .: ........ .. 5:, ?,�f: l...^.�...n.o, � ..................
.... ........... ................. . . ..
\s �•�T Cfk�,li�j
Floors 1•tl� �� �� ok-t�(n .C' �r��N?, ,,....... eriorL_R
.......ti t
Heating ..�... ....Plumbing .. .......... ... ._12 ............ ....................
Fireplace .. ;',l'........................................................................Approximate Cost ::�..............................................................r
. ,�5U
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .:..............
Diagram of Lot and Building with Dimensions Fee �.-'.....®..................
f SUBJECT TO APPROVAL OF BOARD OF HEALTHQ'f� .
'All
T7`
� r
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... � .................................-c2 � .........
No
................... ---__y—_.____'-g......................
Location ..I^o± I5...9.1... Lxrowhsad'.J�r...
. .
....................... .........................
i
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.. .
`
Permit Granted .
,
~~.~ of Inspection. . /
�
^
~~'~ Completed/PERMIT REFUSED
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______---------- lQ
Approved
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' 7 I Parcel 6 s ermit#
Conservation Office(4th floor)(8:30- 9:30/1:00--2:00) �G Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) � Fee
Engineering Dept. (3rd floor) House# f1bTIC
PI INSTAO.LE IANCEE
n ng 19 bv��C ®rM AND
TOWN RE
TOWN OF BARNSTABLE
Building Permit Application
Project Stree re - l / 4 e Aa V/`f'9A d
Village / yAjwll S
Owner Address
Telephone !2 2
f
Permit Request _8EE1111 M JS// A6A1 S%//UZL 111Y81
First Floor square feet
Second Floor square feet
Estimated Project-Cost $ /1
Zoning District k A Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization n Recorded
Current Use 5 IF le I� %,�j//j L �l 7�/�C� Proposed Use
Construction Type j /pG�iO�i ✓���%
Commercial Residential
Dwelling Type: Single Family j/' Two Family Multi-Family
Age of Existing Structure y/0S. /4y?j)X, Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths J No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel j, M0 7" ,Ale Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name a)LL4zt9j2 2411.F� n�//�/lis Telephone Number � -0�-
Address
,�/// �5fL zj�zl - License# l)4
1-1,57 _ Home Improvement Contractor# IJ/ g1p0
S ld Tice &LZX (U 'Y:g . Worker's Compensation# WCJ -,-?is 30a Gin•
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
6 A)o IVS -
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SIGNATUIJ C� DATE % C
BUILDING P „R/MIT DENIED FOR THE FOLLOWING REASON(S)
i
FOR OFFICIAL USE ONLY
PEIMITNO.
t
DATE ISSUED • _ -
M /PARCEL NO. I ` — -
AD RESS. s VIL•LAGE '
OWNER � ' ' , +• r t • / • i � — � _ I •
DATE OF INSPECTION: f
FOUNDATION f t
FRAME
- i
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: y ROUGH, FINAL
GAS: :N-O�UGH FINAL
h FINAL BUILDING I 11;7; !
DATE CLOSED OUT + r
t � t 1 F ; f i i I — •
ASSOCIATION PLAN NO: f + s
f
J
The Town of Barnstable
ADepartment of Health Safety and Environmental Services
` Building Division
367 Main Street,Hyannis MA 02601
Ralph Crosses
Office: ,508-790-6227
BtnTdiag Commis
F= 1508-775-3344
k For office use only
Permit no.
Date
AFFIDAVIT
HOME mWROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICAIION
MGL c. 142A requires that the"reconstruction,alterations,=Ovation,repair,modernization,eonvemon+
ire rovement,.mno%_4 demolition. or construction of an addition to say pre-adsting owner occupied
! g which are adjacent
building containing at least one but not more than four dwelling waits or to
to such residence or building be done by registered eonaactom with certain=pdons,along with other
requirements-
Type of Work: Rr)L-1 9,Q,6 l.S N ,L�k 1 S%2 z&dj J/LV Est,.Cost
Address of Work:
O%mer.Name: z /� /l`/��,11/
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
_Job under SI,000
Building not owner-ooeupied
Owner pulling cam permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING 1NiISi7flItEGIS CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A
SIGNED UNDER PENALTIES OF PER,iURY
I hereby apply for a permit as the agent of the owner. ^
j � c
P Y ^C /0/ '
Dati Condz=rn=e Registration No.
OR '
Owner's name
z ✓fie Gorrvrrzryrzzue� rr�'„L��rr�orzc�rue!!<i �
Restricted
_ '. . cne•
To: 9
rip'. A :,r of �U:VIe ETY
aV IC01bTk'M'. i i
inmh j uFP1! s; �,;rthdate; lA i!asrarp onY 201-
J
_
11125/1?3? 1G 4 2 Fa?ily e5
lion
Failure to possess a current edition of the
4anachusetts State Euiilding Code .
�CSEf!' C FOI:aR�J is cause for revocation of this license.
3'?1 F4LSQU9'H RD POEY, 451 �
!ARSI'0!S NIGbS, KP, 41.64E
HOW IMPROVEMENT CONTRACTOR
Registration 10196 .'
U
~TYpe PRIVATE CORPORATION
Expiration 06/30/96'
License or registration valid for individual
use only before expiration date. if found Polcaro Construction CO ,'Inc.
return'.io:One Ashburton Place Km'1301 Joseph C. Polearo
Boston Ma.02108 7f Zgr_tRD Box 457, 3111 Falmouth Rd.
1 \ ADMiNisTRaroa Marston Mills MA 02648
The Cuninionwealth q fMassachusett
t+71: :... =..f•�r Department of Industrial Accidents
• � =�� • OlI/ceollo�i*st/gatloas •
;i.'�
600 !1'ushi igton Street
w
Boston.Afa s. 02111
Workers' Compensation Insurance Allfdavit
� _ ..__. .
�nnlieant nformation� Please PRiIVT le ly �
name: POLCARO HR ES, INC.
location. 3111 Falmouth Road P. 0. Box 457
cin, Marstons Mills MA 02648 phone 0 420-1232
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
- .i _•.-Tr-. .
�--•!�'.. ..:--. - - - ,.,.,tea.
1 am an employer providing workers' compensation for my employees working on this job.
camanm•nnme: POLCARO HOMES. INC_
address: Same as above
phone#: .
insurancec_n__ LIBERTY M=AL poiiev# WC2-31S-302083-016
1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comnam•n•tme•
address:
city: phone#:
Insurance co neiicy#
L'r.� _r"--►::�.. - ':. rc+r7;.,4:..•.�{•s�-?-�'+��•;�.ns;^s�"�;+rr• _ "77VF 'a��t:�:l�Ra�►�"'•T'•_• ..9�143_*�`'�-� i
c�mpam name• -
address:
city nhone#:
Gnsur ince co- nniiey# _
:Attach additidnai'sheetifrieeenaryr;�•�7 . '� '�-�+ `` • :" " a �. :':rs`,a.
failure to secure coverage as required under Section 25A of AIGL 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 S100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification
I do hereht•certify under lire pains and penalties of perjure that the infornwtion pm ded above is true and correct
Signature C naie April 11, 1996
-Print name Jose h C. Polcaro one# (50N; 420-1232
of Icial use only do not write is this area to be completed by city or town official
city or town: permiMicense q riBuilding Department
plrcensing Board '
0 check if immediate response is required QSeleetmea's Office
(311ealth Department
contact person- phone#; nOther
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 emplgt►ee is defined as every person in the service of another under any
contract ofiiire; express or implied, oral or,%tiTitten.
An entplitrer is defined as an individual, partnership.association. corporation or other ;-,:gal entity, or am-two or more of
the formgoing 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 tiie
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of tite
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 i'52 section 25 also states that every state or local licensing agent}/shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commomvealth for any
applicant who has not produced acceptable evidence of compliance with the in 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.
.7'fl . .
Applicants
Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and
supplying company names, address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. ?'lie
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.
-�*.w�. a0rAr1!+4wrn ww r.o•�•�! -•y,"»�°'.«lii "•�`�.. .r..." '�Sr '"�a`•..:.. .r `d s^ .w�.';n.'.,.sa•�y>• `� ,. ....
.rY: .• a.i..:t:.r-1`."�iT.-:+.'r_.v`2+_ ..ii�.yi.•>.r"�Sfl{gR TT'.T.�iLi,l�! �!+.•.:..•Y�!R!•t ..
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
:he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
)e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
:he Department by mail or FAX unless other arrangements have been made.
?lie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
:)iease do not hesitate to give us a call.
....., .. ::.. r`•"':. .:•sra%.:acir•«1'i j.epi. �".Crn,+ •t r'..::••w+ ..Z?R•. .n:���:
T'he Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
.. 600 Washinaton Street
-- Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 ext. 406, 409 or 375