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0140 ARROWHEAD DRIVE
lND �rroc �fiea�- fir. ` 7 Application number. ... BUILDING DEPT. Fee .............................. ... Building Inspectors Initials..G��1. ................ ..... ibs¢ MAR 0.4 .2020 �4 � MIDate Issued.... .:.....1..:.....................:....:.................. TOWN O F BARNSTABL ' Map/Parcel........................ ....................... TOWN OF BARNSTABLE SCANNED EXPEDITED.PERMIT APPLICATION: : MAR O 4 2020 ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET' - VILLAGE: Owner's Name: .,��il-� ,��. .` " Phone Number i Email Address: Cell Phone Number Project cost $ ' - Check one -Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property-I hereby authorize to make application for a building permit in accordance'with 780 CMR f Owner Signature: , ��--�- Date: 3IY TYPE OF WORK ding � Windows (no header change) # ❑ Doors(no header change)# Insulation/Weatherization Roof(not applying more than 1.layer of shingles) 0 Commercial Doors require an inspector's.review Construction Debris will be going to ta,c c 0 Certificate of occupancy,with no construction(complete below) Occupant/family`relationship or business name • or Existing amnesty apartment (attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name Make MMCar rn th3i Costructidn Home Improvement Contractors Registration•(if applicable)"# West Den pis, MA qa opy) u Cell (508) 250-6964 Construction Supervisor's License# CSL-51Rh cV-169393 Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS.OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIcAPPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER L .... *For Tents Only* ' `. Date Tent(s)will be erected 'Removed'orif '` number of tents total Does then �' `f tent have sides. Yes No I f es lease attach floor 1( yes p plan with exits marked) Dimensions of each Tent X ;; ": :, X-_-.f X ,,Additional tent dimensions can be attached on a separate piece of paper. " Purpose of Event M' Check:one: this event is a: for profit non-profit event Check one: Food 'served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No - if yes, a gas permit is required. Natural Gas Yes No if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3;30 pm-4:30pm. Commercial events may require Fire Department approval .,*WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 3 All permit applications are subject to a building official's approval prior to issuance. s2.y ► boy y0� THE Tad Town of Barnstable Building Department Services s DAMNS TABLE, g p p°o 16 9., �0 Brian Florence,CBO iOT�a M1 1- 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 1, Timothy Andrews , as Owner of the subject property hereby authorize ���,�I. (� a- to act on my behalf, in all matters relative to work authorized by this building permit application for: 140 Arrowhead Drive Hyannis (Address of Job) Signat e o er Signature of Applicant Prin ame . ` Print Name Date w w . The Commonwealth ofMassaehusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,,MA 02114--2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Llectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibiv Name{Business/Organization/Individual): Afiicisel Mg"t_.81thv. C� Address: P� Box 52 — -- City/State/Zip: --- - --------:.West�Ill MA ---_. Are you an employer?Check the appropriate box: Type of project(i'eguired); 1.Q I am a employer with 1r, employees(full and/or pert time).* 7. ❑New construction 3.a I am d sole proprietor of partnership and have no employees working forme in 8. Remodeling any capacity.[No workers'comp.insurance required.). , 3.[J I am a homeowner rain all work m self. 9. ❑Demolition g y [No workers'comp,insurance required)t 4.❑I am a homeowner and will be hiringcontractors to conduct all work on m 10 Building addition Y ProPerY• I will ensure that all contractors either have workers'compensation insurance or aro sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 50 I am.a general contractor and I have hired the sub-contractors listed on the attached sheet 13.❑Roof repairs These subcontractors have employees and have workers'comp.insurance.$ 6.Q We are a corporation and its officers have exercised their right of exemption per MOL C. 14.b ther Sr �•/+. IA If(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box d1 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. ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp,policy number. lam an employer that is providing workers'compensation Insurance for my employees Below Is the policy and fob site Information: Insurance Company Name:_ /V�'�t'on�I L.-J.;la,,,, k JS,f t Tr�L Policy#or Self-ins.Lic.#: �ti V WC v 3� �-a� Expiration Date:_ 11 1) aU 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 MOL c.152,§25A is a criminal violation punishablabya 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance . coverage verification. I do hereby certify and t e itr nalties ofperfury that the information provided above Is true and correct: S' ature• Data: 11-''f1qf Phone#: CS-0 XFu-GS6y Official use only. Do not-OrUe In thls area,to he completed by city or town offlelaC City or Town: Permit(License# Issuing Authority(circle one): , 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: N. Office.of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvemo#�tractor Registration Type: Individual MICHAEL MCCARTHY _ % Registration: 169393. P.O.BOX 52 Expiration: 06/15/2021 WEST DENNIS,MA 02670 ' Update Address and Return Card. SCA 1 13 20M-05117 _..... ..._... .......... .. ... . _..__._._............._........- .. ...... _._......... Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TY,IM_,IndMdual before the expiration date. If found return to: RReglst&tidn galraflon Office of Consumer Affairs and Business Regulation 1t�3---x 06/15/2021 1000 Washington Street -.Suite 710 MICHAEL MCC�W!31Y,' Boston,MA:0211fFr 1 / - MICHAEL F.MCCAk 6 RANGLEY LN SOUTH DENNIS,MA b2660 ,' Undersecretary h>` NOt V81 out Signature O onefilonvxeailt of Massachuto iirfsfon or pro E Board of Bulfd . enstfre W"Ikai Il ce" R wat OnS and Standard Consr - = $or Has t 00*69 "F"t �-tiSr8�3 r + ' °�ifl 21 H a M1CI! �;J . PO $21 ' WEST IWNNIS-IIA . . INllheyll�'Abitr• •� `' t��7:��,`s�`'!M• 1�. � NJ►TI�NAL son* •�..N fYDAOM116oaa� nwticwsr�w.!.r,...r Comm y .. Stoftier CN1�t11.10alVar.. Us,00111aftlent of tabor Oo V8ft*'88lety and Health AdmiiINtmtlon §< ; M.k-hael McCarthy t�+as !� axla1tf+anr' �ocmr�arecY'�fi� .,.sue ?�,.•;. Trm6iing.Qi Yt • y� t�y ,:. v' � Zfnle�8']�(,160rRlO:da{� 1. �.. ��:- _ �� P•'i. 4/z s1 Assessor's map:and .lot number -SEPTIC .. SY IX 7 �r INSTALLEDST � ��' °Lewage Permit number ` i.'�. .... WITH Isll - - " .. 5Pn ,'I TA�Y. `' E ' �QOFTHEToo c: TOWN-`j OF BARN ' �AuL ti 961 BUILD-ING ' IN.SPECTOR. J G; a rr7 J 7� �] APPLICATION; FOR PERMIT TO /�.R.[•�c iO...?C?.A.-E-1. �•• ••••� L� R /�I 1 •.`•0' �G c TYPE OF CONSTRUCTION ... /De�.��.. / <.�. 4�............. .1... .. 714� ...../(/ rJ c` TO THE INSPECTOR OF xBUILDINGS: I The undersigned hereby`applies for a permit according to the following information: Location ..... .®. r; ..�.~,�...........ACX?0-4�.Al .)...... //.c ....... . LI1../.../I�/1/r J..c Proposed Use ..... ..........*— ..........9��5.11,?61V.7.lel-./...........� .X��.�.�.V.....�. " ZoningDistrict ...... .. ..................................................Fire District .:.........................:...................................................�i3 i//.`�:i9/���?.../.I.�• ."h... . .�.(..fl,��• U(��:Address ..( ... Name of Owne .. Name of Builder ..Address .. .. ... ..... .. ..... .... .. .. ............ .... Name of Architect Address ...:.................... �,�:.... G/...........®....G . .. Number of Rooms ......................t,...........................................Foundation .. ••—may—•, .;.. .. .� A/ r Exterior , ..11l.. ... .�.0 1 g � '•'••�� C`.✓.. .............................. ......... fin Floors // '!7/.1./,..4.. . ... .............................. ...Interior ............................................................ Heating ......................Plumbing Ae d !�(1.•/�f..................... 1..... ...................................A Approximate Cost ...........� ........... Fireplace ........1�5 PP �•• �r�y Definitive Plan Approved by Planning Board _ ________ -----------19 Area Diagram of Lot and Building with Dimensions Fee .. SUBJECT TO APPROVAL OF BOARD OF HEALTH �^ A& ` '50 ASO a�G 1,2 V �7 s� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . Name ....�.. ... Franco Real Estate Development Co. , Inc � A 18100 1 1/2 story, + , No ..................Permit.for..................................... s - .- single Family dwelling ' ................... .................... .Arrowhead Drive Location ...................... Hyannis........................................ `' ,/.............. . Franco Real Estate Development Co. , Jnc. Owner ................................. .. T' a of Construction Frame' _ :.............................................................................. Po ... Lot ..........4k1.�............... t ...�,.:.......... ermit Granted ecember 10 19 75 Date of Inspection .. :.. .... .... ...... 19 .. +J y Date Completed1 f�Z�l... ... '.19 PERMIT,REFUSED / ?n ............... :19 L. _• �r - - - --- '' ................................................................................... %. � jr .. ✓r 41. ............................* ....... ................... ..... .... .!'�- , �t, w j. '.................... t ,. .. .. .. ��/' , J •/• !i i .... ....... ................................. 'y ...., ......... Approved :.................................. .......'.19 �- r ~• , ......... ................................................................. •� 4 / r '[✓'• ' • t M 1 - ..................... .................................. ....................: ' ;t Assessor's map and •lot number ... 1.......�........?.-:.. ' Swage Permit, number .S',7 'I yp%TH E t�� TOWN OF BARNSTABLE i 'BARNSTABLE, i "6 9 BUILDING IN.SPUTOR 17 APPLICATIONFOR PERMIT TO ....................................w�....: ........................................... ................................ IV T/ 4 YPE OF CONSTRUCTION ...............................................................................�r ..... 30 f .. . ........................................1 ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit&according to the following information: Location ...... . ................................................. ............................................................................. �.. / f ff / ProposedUse ......:................'.... .. ......`:.............,...........,...................................../`:......,....::............. . r Zoning District .......... .......Fire District r :•:::•..................... ^........ `1...................................71 � ��c o /1 F��,�. 5 /7/�u�...A�Gciclress r'"'' sltflName of Owner. .............. .......,........ ........... .� ............... .. ................... Nameof Builder .......................................................... .........Address .................................................................................... Nameof Architect ..................................................................Address ....................................................... I.r d a� �,1)P Numberof Rooms ..................................................................Foundation .............................................................................. Exterior .' �X !/� ./l /� /) Gt!/1`_! L �`��Roo`fing / �/�. ............... ....................................................... ............ ......... .... ................. ,. Floors ...............................Interior .................................................................................... ...................... Heating f' �/ii� C✓.� ..........................Plumbing Fireplace ...............Approximate Cost " © --;--.+f.................. Definitive Plan Approved by Planning Board _______19________. Area ....................................... Diagram of Lot and Building' with Dimensions - -j- - -v e t Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r ,\ �/fY 5-Q 30 ' I SZ) �l f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .......................... ... . ................................... i Franco Real Estate Development Cm.w Inc. =� 7e) ~~ l l/2 a�ory ' No ---l8lO0--.. Permit �v --------�—.v—.. ' . single family dwelling '------ -----------'�d�'�-- Location '-------- . o�aouiu DevelopmentFranco Re Estate Co. , Inc. ' . Type of [o � . ' - ------- ^ ' ' --Mi=euoez . Permit. Granted. Date of Inspection^ ' ^ � i ' Dp*, Completed ' ' ' . . ~ ^ PERMI/TREIFUSED � lV � � ) ^ � � ...........................................................------.. � . � ` � —.~-----..~ ----~.-----.—.--- ' ` ' . --.--.—.----:---.--------.---- . x ^ ~.-----.—,..-. ~~-----..— , ' Approved ,'----------.�---- 19 '. ' --------------------------. . ' . r --------------------~----... ^ ` - . ` . . . . . . - 0 4� �tNE r, Town of Barnstable Department of Health,Safety and Environmental Services B"R AS& Public Health Division '°rFo for 200 Main St.Hyannis,MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health January 14, 2004 Bradford H. Stephens 140 Arrowhead Drive Hyannis,MA 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger The property owned by you located at 140 Arrowhead Drive,Hyannis, was inspected on January 14'h 2004 by David Stanton,RS,Health Inspector for the Town of Barnstable, after receiving a call from Hyannis Fire and Rescue. Based on the results of that inspection,the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L c. 127B and 105 CMR 410.831 (D), the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. The following violations of 105 CMR 410.00,State Sanitary Code II: Minimum Standards Of Fitness For Human Habitation were observed: 105 CMR 410 750: Conditions Deemed to Endanger or Impair Health or Safety (1) "Failure to comply with any provisions of 105 CMR 410.600,410.601,or 410.602 which results in any accumulation of garbage,rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents,insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. There was a large accumulation of garbage, rubbish, filth and other causes of sickness present at the location, including human feces. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated,they may be forcibly removed by the local Board of Health(M.G.L. c. 127B),or by local police authorities at request of the Board of Health. Q:/health/order letters/housing violations/140 Arrowhead.doc r Furthermore, anyone who fails to comply with any order of the Board of Health may be subject to fines of not more than$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this dwelling may no a occupied without the written approval of.the Board of Health. Note: This is an important legal doc went. It may affect your rights. Signed Thomas A. McKean Director of Public Health CC: Hyannis Fire Department Barnstable Police Department TOB Building Department Cape Cod Hospital Q:/health/order letters/housing violations/140 Arrowhead.doc i I t tl 44 r ate. I p1 -H I2-4 f L_c�T l�3 SN OF A14S WILL1AC. M _ �p No. '19334 i- 4, r �f 4�6P ti I ce--jR:7r\r- Y T"f>-c T�\E a6,11 do SNt-)wQ ©N T41`) C�k-NQ C.ov-�1✓v245 To TNE' zotJIU6- TIQ,-( �-Awt- e�F Tt- e -rvw►,.� � - ���1� �`�('�t.._.�, A�?.�W NSA U 'I.7i'��/� �t?l,.►_�Cn � . �, �DES,/. co � we t AulD %5uQAAZy&v5 1:2 Cy"T" 4 Z- ct . `7 S-- `