HomeMy WebLinkAbout0083 BLACKBERRY LANE �3 � �. �"
Town of Barnstable
Post This Ca P ." pp, y i —, Shed
c
t Card' So That�t�s.Visible From the Street A roved Plans Must be Retained on Job and this Card Must be Kept
BwRtvs'teBl�.
Posted Unti[Final Inspection Has Been Made
Where a Certificate of Occupancy is Required,,such Building shall Not be Occupied until.a Final Inspection has been made , Registration
. ..,
Registration Number: B-20-1706 Applicant Name: Kyle Parr Approvals
Date Issued: 07/16/2020 Current Use: Structure
Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 01/16/2021 Foundation:
Location: 83 BLACKBERRY LANE, HYANNIS Map/Lot: 249-081 Zoning District: SPLIT Sheathing:
Owner on Record: FENNEY,TIMOTHY W Contractor.N me Framing: 1
Address: 83 BLACKBERRY LANE Contractor License: 2
HYANNIS, MA 02601 Est. Project Cost: $4,000.00 Chimney:
Description: Construct 10x16 shed Permit Fee: $35.00
Fee Paid: $35.00
Insulation:
Project Review Req: SHED REGISTRATION FOR 10'X 16'SHED
Date: 7/16/2020 Final:
L Plumbing/Gas
Rough'Plumbing:
Building Official
y; — Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within,six months aftenissuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which:this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any,building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection r Rough:
3.All Fireplaces must be inspected at the throat level before firest flue`lining is installed- "
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final'
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
s�—
,. Town of BarnstableBuilding
Po`st�This Card So That'it is V�sible,From theStreet,,:Approved Pl,ansMustbe Reta�ned'onJob and this Card Mustbe'Kept
BA AI51'F' aa., '`z :r� ut ;` ;�% sue.; t �' 3'^ x,y�. g? .4�*s-r ""3s� y;, " 2`'e „3'�f ( 't yf ::q •
3 ,` =` °ildm "�shall�Notbe Occu ied until arFnal Iris" ectio�n has.kieenma'de:..,, er It
Where a Certificate,of Occupancy is Requiretl,such Bu g p f � ,p -
�..�
Permit No. B-18-1684 Applicant Name: shane McGuire
Approvals
Date Issued: 06/01/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/01/2018 Foundation:
Location: 83 BLACKBERRY LANE, HYANNIS Map/Lot 249-081 Zoning District: SPLIT Sheathing:
f 1
Owner on Record: Timothy William Fenny Contractor Name SHAPE D MCGUIRE Framing:
Address: 83 blackberry Lane ContractorLicenSe: CSSL-106123 2
Hyannis, MA 02601 i �w Est Project Cost: - $8,275.00 Chimney:
Description: Removing existing asphalt shingles,and replacmgwith anew Permit Fee: $42.20
Insulation:
certainteed roofing system
m Fee Paid $42.20
Project Review Req:
6 Final:
Dates /1/2018
ve
e ay Plumbing/Gas
Rough Plumbing:
g' •� ""
Building Official
� Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by�this permit is commenced within sixmonths after issuance.
'All work authorized by this permit shall conform to the approved application and the approved construction documentsifor wF,ich this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and st uetures shall be in compliance with the local zoning by laws and codes.
d p cti
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicinspectioro for the entire duration of the Final Gas:
work until the completion of the same.
x Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'FiregOfficiamare,provided on this�permit.
Minimum of Five Call Inspections Required for All Construction Work a Service:
1.Foundation or Footing '
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
. Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Ow�x Final:
_ dl,
Anderson, Robin
From: Engelsen, Jennifer
Sent: Tuesday, July 28, 2009 3:23 PM
To: Roma, Paul; Anderson, Robin
Subject: Call
f
I received a call today from a woman (not sure her part in the picture) regarding 83 Blackberry Lane, Hyannis. She was
wanting to take over a permit for"extensive remodeling". Looking in Munis-only 1 permit to remove 1 1 bedroom and
create a cased opening. Expired 6/18/09, no inspections. I asked her if the bedroom was eliminated and if a cased
opening existed, she said no bedroom on first floor and a cased opening between 2 other rooms. I believe she indicated
new owners.
I told her that the building inspector would like to get in to see the work that was done. She said she was not going to
discuss that now????????? '
The property transferred on 6/25/09. Suggested that maybe the new owner pull a permit for the work that was done
(extensive remodeling) by the prior owner.
Just thought you should know in case you wanted to get in.
Jen
1
1
q
,_ --
k
i
a
1 — ;
i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION..
Map Parcel Z� :. ' . Application
`' el
Health Division Date Issued I Z. �1
Conservation Division Application Fee
Planning Dept. .. t Permit Fee �O
Date Definitive Plan Approved rby Planning Board L
Historic - OKH Preservation/Hyannis
Project Street Address _ �`���.� � ��._11 N e,
Village �_ Cat JQ 1 !
Owner Cfo'r0M DilloQ ChA4C 14-owk fir r&yGt, Address' {0?!go aoc nibey-o eAP-nn
Telephone <O, .2 %0 " 33 0 'icS�:.� Coo a Zt L-1
Permit Request y 00 4— _` C e A d pe g i n1c
Square feet: 1st floor: existing g proposed 2nd floor: existing 3 proposed 0 Total new
,. 9 p p � 9J��p p
Zoning District . Flood Plain Groundwater Overlay �7 _
o�
Project Valuation Construction Type veto
Lot Sized Grandfathered: ❑Yes 9Tl0 If yes, attach supporting documentation.
Dwelling Type: Single Family. Two Family ❑ Multi-Family(# units)
Age of Existing Structure MCA Historic House: ❑Yes O<lo On Old Kin 's,= i hwa :'�❑Yes lU'No
g oHig Y
Basement Type: mull ❑Crawl ❑Walkout ❑ Other "
Basement Finished�Area(sq.ft.) ;, Basement Unfinished Area(sq.ft) al -
Number of Baths: Full: existing e new Half: existing .Z— new
Number of Bedrooms: existing V/new
Total Room Count not including baths): existing _>new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ErElectric ❑ Other
Central Air: ❑Yes idNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 2'No
Detached garage: ❑ existing ❑ new. size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
_ T -�-�-- - �APP-LICANT-INFORMATION
# (BUILDER OR HOMEOWNER)
Name RX.C6I0 )�.c�L\(-C� Telephone Number
Address V10 t 6 Y 23 g,�A License# 8
�c5 �DQ P nx Home Improvement Contractor# ® OW�—
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
��YLuI� ��?�y '�l I � � u✓1-VtJ �/�(09"
SIGNATUR & DATE Z
i FOR OFFICIAL USE ONLY
{ APPLICATION#
DATE ISSUED ,
MAP/PARCEL N0.
ADDRESS VILLAGE
OWNER ,
r
DATE OF INSPECTION:
x
FOUNDATION
FRAME
ti
INSULATION
r
FIREPLACE
€ ELECTRICAL: ROUGH 'FINAL
PLUMBING: ROUGH FINAL
t .
GAS: ROUGH FINAL
F
FINAL BUILDING
1
DATE CLOSED OUT
� a
ASSOCIATION PLAN NO: '
�3 e>l c kbe7
b�gNo��s
s ) ,
y
75%Tc,r"—d —�c—laz),—,,—7
•
67Z-
V .
Via((
Cto s.�t f
r
r
,���' <.,
b�.�� ''�
"1"�
.. 450-1
f
.o�THEr, •Tov�n of Barnstable
o�
Regulatory Services
Q Mass �* Thomas F. Geiler, Directpr
paA 0.1p. � i
Building Divisio4
Tom Perry, Building CommiSkioner
200 Main Street, Hyannis, MA p2601
www.town.barnsta ble.ma�us
Office: 508-862-4038 Fax. 508-790-6230
j
I
Property Owner Must
Complete and Sign. Thisf-Section,
If Using A Build. r
1✓i f a�n1 G� � Gu5 Omer of the subject property
hereby authorize—K /1 s _ ( 0�c Dv c&o to act onr' o7 behalf,
in all matters relative to work authorized by this building pdrtuit application for:
(Address of Jo ) ( —
I
Signature of er D to
I .
{
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side. - j
f
The Comrnonwerdth of Massa huset-ts
Department of Industrial Ac l tdents
Office of InvestigatioIII;
600 ]Washcngton Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Informational n� 0 1 ° R«t Please Print Legibly
Name (Business/DrgmlizationJIndMdual): Cam ofts& 0R i
Address: D, j�OK 3(22! ZS Co mod j if -
City/State/Zip: ti Phone.#: _�-Zl" �J
A-re you an,employer? Check the appropriate.box:: ( Type of project(required):
1.❑ I am a employer with 4. I am a general contractor and I 6 ❑New construction
employees(full and/or part-time).
* have hired the m1b-contriac s
2 �am a sole proprietor or partner- listr-d-on the attached sheet 7. ❑ R modeling
ship and havc i o employees These sub-contractors have g, Demolition `
workingfor me in an ca aci employees and have workers
Y P ty t 9. ElBuilding addition .
[No workers' comp.-insurance comp=insurance.
rrquirc&] 5. EJ We are a corporation 9d its 10.❑Electrical repairs or additions
3.❑ !aim a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions
myself[No workers' comp, right of exemption per 1i�GL 12 ❑Roof rcpairs
insurance required.] t c. 152, §1(4), and we b�t no
employees. [No workers' 13.❑ Other
comp.insurance requir J.
'Any applicant that checks box#1 mad also fr11 out the rcetion below sbowing their wvrkcxx' omm psa2}on policy infarriution
t Hom ra eowos who rubm they it this af5davit indicating arc doing all work and than hire outside cantmetom must rubmit anew atbdavitindicating such.
Icantractors that check this box mast attaehcd an additional sbmt showing,the name of the sub}t tl Rcbls and state whether or not thosC cntitits have
rnrployecs. If the subcontractors have rirrployeca,they must providb their worlkcrr'comp.policy mm-nber.
I am an employer that is providing workers' compensation insurance for rrry employees. BeLaw is the policy and jab site
information
Insurance Company Name:
Policy#or Self-ins. Lic. #: Expiration Datc:
Job Site Address: City/Statc/Zip:
I
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to sccurr coverage as required under Section 25A of MGL c. 152 can lead to the imposition of Grimirial penalties of a
fine iip to $1,500.00 and/or one-year imprisonment, as well as ci-vil penalties in the form of a STOP WORK ORDER.and a fine
of up to$250.00 a day against the violator. Be advised that a copy-of this statemci t maybe forwarded to the Office of
Investigations of the bLA for insurance coycragr.verification.
I do hereby ceritfy u r Ih pci' pe rlties ofperjury that the informmation provided above is true and correct•
Si afro Date:
Phone 0 0-2->
Official use only. Do not write in this area, to be completed by city or town offtclaL
City or Town: Permit/Lic�ense#
Issuing Authority(circle one)t e
I.Board of Health 2.Building Department 3, City/Town Clarke 4:1Dlectrical Lnspector 5.Plumbing Inspector.
6. Other
Contact Person: Fhone #:
f
i License or registration valid for individul use only
HOME IMPRjVEMENT CONTRACTOR '
• before the expiration date. If found return to:
Registration '1.38653 Board;of Building Regulations and Standards
Expiration 5/12009 Tr# 12'9940 O11eAshburtonplaceRm 1301
Type Pnvat'e`'Corporation Boston, Ma.02L08
f .
C60-PASS REALTY DEVELOPMENT CORP
MICHAE'L DEDECKQ
25 CARLETON DR.
MASHPEE, MA 02649
Administrator . ? Not'valid Without signature
- „•w..r.,G .sm-+id=.+,,�,.ec a .man+ 4 rr JJ.4,�
�,,,�.•«_,+-. .max« �,-r,es
wi 4 t, `iConstlr t t n,$�+pervirt r tJi ep e, rc1
4' 4{ s cli s ;'i SE '6frg91 Y N'1
44912009, # r9350
T���—
PO BQX
a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel ® Application .�
Health Division Date Issued
Conservation Division �,i Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street Address
Village � eV1sA=e s
Owner O Address
Telephone
Permit Request
Wero� c��'nvc-�� �� c�✓L "
f •r + i
--�r�c�� ®•� V�c.��-2 � cgv�ve.a.7�-f Sw�� c�� � a� ��
O•--7 L'i 4-\ b 5
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area^sq.ft.) Basement Unfinished Area:'(s%ft)
Number of Baths: Full: existing new Half: existing C'71} `view Q
Number of Bedrooms: existing _new
OTotal Room Count (not including baths): existing new First Floor oom Count
C� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
N rn
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
3 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name ��l e p y��. -�- Telephone Number Sd`97'z:;L`Cy
��j2✓ Cjca i� iv'a�.
Address License # (7-5 �0
5q- od
Home Improvement Contractor#
Worker's Compensation # W,
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO w�
SIGNATURE DATE -:2-L,,S
FOR OFFICIAL USE ONLY `
APPLICATION#
`DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL 71K
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
The ComrrtormuTlth of Massachusetts
_Depar merit ofludustria[Accidents
Office of I'rtvesdgations
600 FYashrneon Street
Boston, MA 02XXX
www. nass.gov/dia
Workers' Compensation Tnsnrance Affidavit: Builders/Contractors/F-Iectricians/plumber5
Applicant lnformatim> 7-Please Print LeEiblY.
Na r, (BusincsslOrganisation/Individual): s°te-y''^
Address:city/state/Zip: kk {f .���� , Z�a-�a Phone.#: C—�`jr---
Are you an employer? Check the appropriate box: Type of project(required):
1. I am a employer with ' 4• ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part_time),* have hired the shb-contractors
2,❑ 7 ain a sole proprietor or partner-
listed on the attached sheet 7. ❑Remodeling
These sub-contractors have g, DemoKon
ship and have no employees
employees and have workers'
working for me in any capacity. 9. ❑Building addition
[No workers'.comp.•mi suraucc We arp. ia.corporation
required.]
5. [� We are a corporation and its 10.❑•Electrical repairs or additions
3,❑ I am a homeowner doing all work otd7cers have exercised.fheir I1_[]Plumbing repairs or additions
myself, [No workers' comp. right , 1(4),and per 1v1GL 12.❑ Roofrq rs
insurance required.]t c, 152, §I(4), and we have no
employees. [No workers' I3:❑ Othex .
comp,insurance required_]
*Any applicant that checks box#1 must also fill out the mr-tion below showing thcir workcrs' compenaation policy information.
t Hommwncrk who submit this affidavit indicating trey are doing all work and then hiro outside contractors mWt submit a new affidavit indicating such.
Contractom that check this box must attathcd an additional sheet showing the nan-)c of the sub-contractors and state whether or not those entities have
t
employees, If the sub-contmctors have employees,they mutt pro-vidb their workers'comp.policy number,
----------------
Xam art employer that isprcv!ding workers'eompeitsation insurance for my empioyeM Belatp is the policy art djob site
information Q
Insurance Company Name: Lcl mot 4'
Policy# or Sol-f-ins. Lic.#: �- oZS T6 l xpiration Date: a /Z5
lob Sitc Address: �`j d �� e City/Statc/Zip: &gy_IPIi 5
Attach a copy of the)'Yorkers' compensation policy declaration page (shoving tha policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL G. 152 can lead to-the imposition of criminal pcnalEos of a
Eno up to 5.1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. Be advisrd that a copy of this statement may bo forwarded to the Office of
Investigations of the WA for insurance coverage verification.
I do hereby certifyAlcr the pains•and penalties of perjury that the information provided above is true and correct:
Si afore: �� Date: (f
Phone #
Official use only.. Do not write in this area, to be completed by city or town official
City or Town: Permit/License#
Issuing Authori circle one);
1. Board of Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5, Plumbiog Inspector
6. Other
Contact Person: Phone
I
Infoicmation an
Massachusetts Gcneral Laws chapter 152 requires all employers to provide workers'ofanother
under o l
deer anycontract oofbirees;
pursuant to this statute an entpfoyee is defined as "...every person in the servrcc of
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
he
of the foregoing cngagcd in a joint cntrrprisc, and including the legal represcntativ of a dcemployees,
easzod emPlHowevcr, the
receiver or trustee of an individual,p�1ersh'P, association or other legal entity, employing mp Y
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, constructio;or ent be deemed to bcsucbL dan emp�oyelr"
or on the gzo,.wds or building appurtenant thereto shall not because of such empo ym
MGL chapter 152, §25C(� also states that"every state or local licensing agency shall tidthhold the issuance or
olive for any
renew2j, of a license or permit to operate a buslness or to construct buildings in the COMM
the insdiance Coverae required.
applicant who has notproduced•acceptable evldence of h commonweal
th th nor any of its political gsubdrviszons'shall
AddilionaIly,MGL ohaptcr 152, §25C(7) states 'Neither th
enter.into any contract for,the performance of public work until acceptable evidence of compliance with the'Dsurance
requirements of this chapter have been presented to the contracting authority.
Applicants
Please fall out the workers' compensation affidavit completely,by checking the boxes that 1apply to your situation
n y ecessa , supply sub-contractors)namc(s), addresses) and phone numbcr(s) along with their ccrtificate(s) of
insurance. Limited Liability Companics'(LLC) or Limited Liability partnerships (LLP)with no employees other than the
members or partners, arc not Tcgwcd to carry workers' compensation insurancc. if an LLC or LL2 does have
employees, a policy is required Be advised that this affidavit may bec submittcd to the nd date thelaffida�t.nt Of IndustW
'l'he affidavit
should
Accidents for confuznation of innSUEMCC coverage. Also be sure t stgn
be returned to the city or town that thc'applicatiozi for.the permit or liccr�se is o requested,xcdd to obtain.acwooAccrst of
Industrial Accidents. Should you have any questions regarding the law or if y �l
compensation policy,Tease call the Department at the nurAber listed below. Self-insured companie
s should enter their
self-insuramo license number on the apprOPTiatr,line.
Clty or Tow Ofticials
Please be sure that the affidavit is complete and printed legibly. The Department has provided
spae khcae bDttDM
Lirant.
of the,affidavit for you to fill out iu the event the Office Of Investigations has to contact ypP
Please be sure to fall in the pezmit/liccnsc numbcr which will be used as a rcfcrcnce number. In addition, an applicant
that must submit�multiPlc Pcrmit/Ecensc applications in any given year, nccd only submit onp affidavit indicating current
polidy information(if peccssary) and under"lob Site Address" the applicant should write"a111ocatiom in (city or
town)."A cbpy of the aff davit that has been officially stamped or marked by the city
wor town ma
b rooyided tofilled out each
applicant as Proof tbat a valid affidavit is on file fox future perinits or licenses. A
year.Whcro a horse owner or citizen is obtaining a keens c or pprzoit not related to any business or commercial venture
(Lc. a dog license or-permit to bum leaves etc.) said persoA is NOT required to cozr<Plctc this affidavit:
Tho Office of Investigations would blce 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, tcicphone-and fax number;
Tho Commonwe4th of Massarh=tts
D,-put=Dt of Iadustr O Accidents
0ffzce of 7aunstigatI.t?ns
600 Wa-S i gtan Street
$os�an, MA,02111
Tel, # 617--727-490.0 ext 406 w 1-$77-MASSAFE
Fax# 617=727-7749
Revised 11-22-06 ww-.ma .s..gov/dia
1, yG�t Z IyIle Z/Ya ��C.�L��1�� , as owner(s) of the
subject property at:
hereby authorize Steve White of Caliber Building And Remodeling, LLC (contractor) to
act on my behalf in all matters relative to the building permit application.
// 2z 6V
sign re of owner da e
signature owner date
✓/ze Vr oor�nreo�zuea�,� a�✓�aoa�c��lt4 ^
Board of Building Regulations aad Standards
Construction Supervisor License
License CS 95030 1
"71
'« Birthdate 2-29/19644 °
« E Kpiration 2/28/2010}�.• •.Tr# 95038.
Res#nction 00.'
STEVEN WHITE
147 RIDGEWOOD AVENUE ' - - �`_e
HYANNIS;MA 02601 Commissioner
---- --- f�ae 1°arnirreavuu� o�✓�aac�ivaeb`a` ,
Board of Building Regulation and Standards
HOME IMPROVEMENT CONTRACTOR
ug
r .
Registrat(on 154359. i
Expiratipn-2f28/2011 Tr# 280764l
(.
t1d L7ability Corporation
CALIBER BUILDING ANp RdDgLING,LLC.
STEVEN .WHITE t
147 RIDGEWOOD AVE
HYANNIS,MA 02601 Administrator
License or registration valid for mdrvidul use only I
before, expiration date. If found return to:
g. t Board of Building Regulations and Standards
One Ashburton Place Rm 1301
• Ir
p Boston,Ma.62169
y
'm Not valid without signatu"re i
• s `C��,d G ,a a r�.�k.°zt.�''r+^�?r3vtF s k ��.. <" :-
_
a:U4 nw
CORD CERTIFICATE 'OF LIABILITY INSURANCE DATE(MMID Pagl
D/Yy
,OUCER (508)945-0393 FAX (508)945-4048 04/14/20(
Eldredge & Lumpkin Ins. A enc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
9 y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
697 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Chatham, MA 02633 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE INSURED Caliber Building and Remodeling LLC, Steven :Whi INSURER A: National Grange Mutua NAIC#
l Ins Co 14788
147 Ridgewood Ave INSURER B: Commerce Group
INSURER c: CIG001
Hyannis, MA 02601 Granite State Ins, Co.-ARWC 13102
- INSURER D;
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINC
ANY R
MEQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
AY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
THE
INS R DD' - -
LTR NSR TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
GENERAL LIABILITY DATE MM1DD DgTE MN LIMITS
MP027360 09/15/2008 99/15/2009 EACH OCCURRENCE
�( COMMERCIAL GENERAL LIABILITY $ SOO,I
_ DAMAGE TO RENTED
CLAIMS MADE a OCCUR $ SOO,
A MED EXP(Any one person) $ 10,(
- - - PERSONAL.&ADV INJURY $ SOO,
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,(
POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,C
AUTOMOBILE LIABILITY BBNVCS 02/16/2009 02/16/2010.
ANY AUTO COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS (Ea accident)
B X SCHEDULED AUTOS BODILY INJURY
HIRED AUTOS (Per person) $
250,0
NON-OWNED AUTOS BODILY INJURY
- _ (Per accident) $
500,0(
PROPERTY DAMAGE
GARAGE LIABILITY
(Per accident) $ 100,0(
- -
ANY AUTO AUTO ONLY-EA ACCIDENT $
. OTHER THAN EA ACC $
AUTO ONLY:
EXCESS/UMBRELLA LIABILITY AGG $
OCCUR ❑CLAIMS MADE EACH OCCURRENCE $
AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC7425405 03./02/2009 03/02/2010
EMPLOYERS'LIABILITY WC STATU- OTH- -
C ANY PROPRIETOR/PARTNER/EXECUTIVE O Y I IMITS
OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 100,001
If yes,describe under - - - - DISEASE E.L.
EASE-EA EMPLOYE $
SPECIAL PROVISIONS below - 100,OOf
E.L.DISEASE-POLICY LIMIT $ 500,00(
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
Carpentry
CERTIFICATE HOLDER" -
CANCELLATION ,
TLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
_ ATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO.MAIL
DAYS WRITTENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,.
Town OF BarnStable AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
200 Main Street
Hyannis, MA 02601 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Alan R. Lon Preside ACORD 25(2001/08) nt
@ACORD CORPORATION 1988
s
LEF T SIDE VIEW
1 / 4m 11 11M m mill I
0
EXISTING
PRE-CAST
W/ RAILING
FRONT VIEW
1 / 4
PT RAILING SYSTEM
FRAMING AND ❑ ❑
BALLUSTERS WITH
COMPOSITE TOP RAIL
0
EXISTING
PRE-CAST
Ffl
4' X 4' PT BEAM TO POST
POST CONNECTOR
F❑❑TING
CONNECTOR
8' DIAMETER X 4' DEEP
CONCRETE PIER
16 O.C. 2' x 8' PT
2' X•8' J❑IST HANGERS
6' LAG 16 ❑C
DECK PLAN
TYP @ ALL J❑ISTS 1 / � _
� 1
2' X 8' BL❑CKING @ J 1 1
27 1/2' 1/2 _SPAN
PT DECKING
8,
i❑UBLE 2'X8' BEAM 11' 14'
EXTENDED LEDGER DOUBLE 2'X8' BEAM
PARALLEL JOIST
r
�s* v " ��;�� s'4�' rye,-�,`•..: v -
x
� � 1
'ye i
,!� I
AIR On
£ " .
Poll
kz
19,
mill
Aq
41,
vj
z �
I gg
D loom,
L � f
L g
a 2
Town of Barnstable C
Regulatory Services
, �" 'STABL:E
Thomas F.Geiler,Director ! VL ';''
�,xxsrnsts,
Building DivisionJUL,
Tom Perry Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
COMPLAINVINQUIRY REPORT
Date:.0 Rec'd by:
Complaint Name: (�l/��%�/� / a /L)(/�/,�iap/Parcel a-)
Location 2
Address:. 33 ZqZaa,d&Al2y Z1Qf
Originator Name: V/ x p/L1lx BSc e Ce��%C
Street: J3 b1ceckhe—i?.Py'Lc x-e
Village: # aAW/j State: A//4 Zip: 2�2Kd1
Telephone: `- '97`- ,:�(3 6
Complaint Description: �e /1/d/j e- /'O Q ���
AL `I DMZ
Yee. LG.'� `!/1�/' /✓1/vVt - J �D/' 'J O vG N ! (/ v 1.
VV
02, 7D AeveW Ik LOa-Ad' /
OR OFF ACE USE ONLY V
Inspector's Action/Comments Date: — I. Inspector:_
c ^
Additional Info.Attached.
Q:fornis:complaint
oFIKKE r Town of Barnstable *Permit# ` �Y3
Expires 6 months1fron s se date
Regulatory Services Fee
SAMSTABLB, ► Thomas F.Geiler,Director
�b 1639. .�� Building Division.
�TfD MA'16
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA.02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address 93 I J e rr j,, Ldt ti Vt_ffl' L
Residential Value of Work 3 i 6 D Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address /V01 h vGt t;P It �--
A S-tom- 6z,w,f P 1 Ll&I kcs 4 v a 6
Contractor's Name J V I / Telephone Number
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance
Check one:
El jam a sole proprietor S
1 am the Homeowner "PRES
PERMIT
A
❑ I have Worker's Compensation Insurance
_ FEB 18
Insurance Company Name T/aB�,E
TOW
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
°Replacement Windows/doors/sliders.U-Value_0. Ll`{ (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc..
***Note: Property Owner must sign Property Owner Letter of Permission.
A co f the Home Improvement Contractors License is required. O1.Sl�t;
CC :Z Wd 81 833 bOGl
SIGNATURE:
Q:\WPFILESTORMS\building permit fonns\EXPRESS.doc
Revise020108
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information ` Please Print Legibly
Name(Business/Organizati n/individ
Address:
City/State/Zip: C h S Phone.#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-timE).
* have hired the sub-contractors 6. ❑New construction
2:❑ I am a sole proprietor or partner- listed on the attached sheet. 7. .❑Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
workingfor me in an capacity, employees and have workers'
Y P h'• $ 9. ❑Building addition
Em
orkers'-comp.insurance comp. insurance.
�] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3. homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance re uired t c. 152,§1(4),and we have no
q ] employees. [No workers' 13.K-Other KCpGe�,.,� ✓a' a t�f
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.M Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA fo ce covers a verification:
I do hereby certify �. er a pain ties ofpedury that the information provided above is trueand correct.
Si tune: - Date:
Phone
Official use only. Do not write in this area,to be completed by city or town offlciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees.
Pursuant to this statute,an employee is defined as"...every person in,the service of 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 foregoingg-engag in a join -en rpnse inc1u3-m`g-the le gal-represen�a i of decxased mpieryerrorrthe-:---- _.__..
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall .
enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the 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 certificate(s)of
insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
.Please be sure that the affidavit is complete'and printed legibly..The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 fo 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:
The Commonwealth of Massachusetts
Department of lndustri,al Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
TO. #617-727-4900 ext 406 or 1-977-MASSAFE
Fax#617-727-770
Revised 11-22-06
www.mass_govfdia
aP
Town of Barnstable
,Regulatory Services
. Thomas F.Geiler,Director
cuss. I
Building Division
� . Tom Perry,Building Commissioner A
200 Mairi-Street,-Hyannis,MA 0260 1 -
Y www.town.barnstable.ma.us
s ,
Office: 508-962-403 8 Fax: 508-790-6230
HOA4EOwNER LICENSE EXEMPTION
f Please Print
DATE
JOB LOCATION:
number Y eet Mllage-
"HOMEOWNER": C.o'f'T- 1 f(4 . A—G y
name Q ,' / home phone# work phone#
CURRENT MAILING ADDR)SS: 0 / ( 4 vac iL
r ddGc� �
cityltown' state zip code -
The current exemption for"homeowners"was extended to include owner-occupied dwellinu 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.
DEFINTITON 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:undersigne eownee'certifies that.he/she understands the Town of Barnstable,Building Department '
minimum' c 'on pro and requirements and that he/she will comply with said procedures and
re ents:
S' a eowncr
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 12'7.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that "Any homeowner.performing work for which a building pcmrit 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 ad as supervisor."
Many homeowners who use this exemption arc 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 Insults 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 responnbilities,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 can t amend and adopt such a formIcertification.for use in your community.
Q:forrrts:homeexempt
sT � Town of Barn-stable
Regulatory Services
y MMAS& Thomas F.Geiler,Director
En.196 a Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder ,
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
Date: August 2, 2007
To: Building File
From: RCG
RE: 83 Blackberry Road
• Attempted to inspect with NM (BOH)
• Tenant(Wilson)would not admit us.
• Found 2 cars on site - one with US 47VE plate
• First floor room reported to be office and visible from outside—now has a
mattress on floor.
• Spoke to Ricardo (former owner) via cell phone.
• New owner is LEANDRO DE JESUS PAIZAO 508-292-5579
• Called and left message on his'cell phone to contact me.
c
Town of Barnstable .`QW4 OF ElAtiW5TA ALE
Regulatory Services
Thomas F.Geiler,Director 2005 9EC -9 PM 3: 51
� s
` B" 'MASS. ` Building Division
y MASS' �C'
'O�Eny s Tom Perry Building Commissioned,..`_
200 Main Street, Hyannis,MA 02601 D 3 V 1 S 14 N
Office: 508-862-4038 Fax. 508-790-6230
COMPLAINVINQUIRY REPORT
Date: i a U Rec'd by: S5'-,1u/\- 9A-Q-6-
0
V6K A-
Complaint Name: . .- tL F 1Int 0 Map/Parcel
Location -
Address: �� , V, N, S
Originator Name: C, SV
Street: c4 , �U �
Village: State: Zip:
Telephone: 11
(; J��
\�
Complaint Description: 1 1 V-Uq
,Y-\
F �LL J C"c
C
FOR OFFICE USE ONLY
Inspector's Action/Comments Date: -2 "05 Inspector:
��►.rf'i� r �, ►mac 1� -�M'�� �V� f/roL�-��o►.�
Additional Info.Attached
Q:forms:complaint
f
Town of Barnstable
Regulatory Services
9BA STABM
ASS.Muss. I Thomas F. Geiler,Director
H
rEDN1A'�61 Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
Building Department Checklist
Date: 14— O -7
Location: o G
Year built:
Zoning district:
ceiling height(7' basement; 7'3" house) after 1973 only
sleeping room (70 sq. ft.)
smokes
egress
carbon monoxide detectors d L
# sleeping rooms
# sleeping rooms allowed
septic or town sewer
#kitchens
? apartment
exit order
car count and licens plate #
fire separation if needed
mechanicals:
make up air
proper work clearances
otherJA
<
building permit needed
electrical permit needed
plumbing permit needed
f ' i
Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
• IARNSfABLE,
MASS. Building Division
i639
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXIT ORDER
DATE: 6 ' 14-6 —7
LOCATION:
UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE,
SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY
DISCONTINUE THE USE OF.THE CELLAR/BASEMENT AREA FOR SLEEPING
PURPOSES.
Val-1-4
LOCAL INSPECTOR
IGNATURE OF IENT
ODEM DE SAIDA
DATA:
LOCALIDADE:
DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO
ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE
USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0
PROPOSITO DE DORMIR.
INSPECTOR LOCAL
ASSINATURA DO RECIPIENTE
Town of Barnstable
Regulatory Services T OV3 of t�'>'STABLE
Thomas F.Geiler,Director '
MASEL Building Division RaE
ArEp �' Tom Perry Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us F_
Office: 508-862-4038 Fax: 508-790-6230
COMPLAINVINOUIRY REPORT
Date: Rec'd by:
Complaint Name: VZ,46P/1t1k r a eL g/�/,�iap/Parcel
Location 2
Address: 33 VzaC_, de,_12y
Originator Name: VLX,0/L1/x `Sce
Street: gJ bjCeC khe ?PZy Zoe-x e
Village: # 0_P1111 j State: /'1/4 Zip: d 2 6"di
Telephone: 9
Complaint Description: �e Itlo/je /'off 7 Iie Q
VV
70 e,,t-au 9
OR OFF ACE USE ONLY V V
Inspector's Action/Comments Date: Inspector:
Additional Info.Attached
Q:forms:complaint
Town of Barnstable
�1HE Regulatory Services TOWN G �F ,W S
• r Thomas F.Geiler,Director �
+ BARNSPABLE, +r
MASS. Building Division �;
039
prFD 19
Tom Perry Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
COMPLAINT/INQUIRY REPORT
Date: Rec'd by:
Complaint Name: VZz46P/1Y1 k 2736c J/6,W/(yAtap/Parcel ,Ry os(
Location
Address: 33 VZac-46ewy Labe
Originator Name: VI X ORIX 7 SC,-- 414
Street: b1C C khe P-2y Za-x e
Village: # a.*VA/l1 State:- A/A Zip:
Telephone: f L �3 6
Complaint Description: �e- / 0/je-
q Jell-V1 ele 46401fl 6�eA;& 'k,&0 h 11A
.gyp 7o e,
VV
OR OFF CE USE ONLY V V
Inspector's Action/Comments Date: Inspector:
Additional Info.Attached
Q:forms:complaint
^ r - � - -r
�.v v� f.
���� .. ��
- "mil/V�
I
-- 9s'� �
� � �
� +�
l�r-,,ems i
t
�� - � _
a�,�
4
`� cf'`
U �
�.1
� �
r 17 08 11 : 57a Barnstable Housing Author 15087789312 p. l
ZONING VERIFICATION
TO: Linda Edson
FROM: Kim M. Gomez -Leased Housing Coordinator
RE: Legal Rental Unit Verification
Date: -G
Address:
Village:
Unit Type: Bedroom Size:
Map & Parcel No.
The owner of the above listed property is entering into a contract with us for the
.rental of the property- as listed above.
Please verify by signing below that the unit is legal and meets all zoning
requirements for a rental in the town of Barnstable. If it does not, please list reason
here:
Thank you for your assistance in this matter.
Signature Print name
Date
VLA FAX:, 790-6230 MRVP Section 8
Rev. 8!06
/
0_6.?oo ;t . LEGEND �ti;• `
kit =both den.
*. NO TE .18 / PROPOSED'-CONTOUR fatmo*!m .
�a
se ..
` > PROPOSED SPOT GRADE. Y.
kyz1! - l.,Riff
din. liv.; / 9 < _ 98.E— EXISTING CONTOUR.
room room EXISTING _
+ 96 52 SP T GRADE <..
W EXISTING `WATER SERVICE,
FIRST FL00R / �7 �% !`30.. ®. TEST PIT
'
TE
bed. . both. +. bed
� a
room room o �.
/ a
/
-
, L
s
w
/
bed.
� LOCUS 'MAP N T S.,
bed /
I ,
room room �.
w ,
-I 1
GENERAL NOTES:
ALL CHANGES TO THIS PLAN MUST-BE APPROVED BY'THE LOCAL
;.: BOARD OF.HEALTH AND THE.DESIGN ENGINEER.
I
SECOND FLOOR
- ,.. • . '1.. - � '. ' .. t\�.� .. 2. ALL WORK- AND'MATERIALS SHALL CONFORM TO THE.REQUIREMENTS
OF-THE STATE ENVIRONMENTAL CODE, TITLE.V, AND ANY APPLICABLE
1 '
! - aA:, LOCAL RULES AND REGULATIONS; EXCEPT.AS REQUESTED BELOW:
5
1
J
310 CMR 15.405
" • \ - \ 1 UP TO A 0.75 FT. VARIANCE FROM 310 CMR .15.211 TO ALLOW
f F' ,
NT PROVIDED
)LEACHING TO BE UP TO 3.75 FT BELOW GRADE VS ;REQ'D'3 FT. (H20fVE
,
w
3. THE.SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
S2 / \� DESIGN ENGINEER.
{ — ,� _
- 1 4: ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION,DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN k`
"'. ;.' 4 •. / ZO .: �', F / •ENGINEER BEFORE CONSTRUCTION CONTINUES,. -
: 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
} ASS
6. THE DESIGN ENGINEER IS NOT RESPON.S18LE FOR THE FAILURE OF
LOCAL BOARD,OF
.jC•S �/ HEALTH FOR PROPERINSPECTIONS DURING CONSTRUCTION.
/
�i / 7: WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
RESTORED-,
8:ALL AREAS DISTURBED:DURING CONSTRUCTION SHALL BE -
P _
. . ,. ,. / � - .--- :; ��. - �'• Q AGREED UPON ,BETWEEN OWNER AND CONTRACTOR. ,
----------
/ 9. TO SHALL BE RESPONSIBILITY OF THE 'CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
*:
� . . /. CONSTRUCTION., _
�� � \ f 10. EXISTING'PITS CESSPOOLS TO. BE PUMPED REMOVED & FILLED`WITH CLEAN MED. SAND.
11. 48'HOUR;NO CE'FOR ENGINEER. CERTIFICATION
/ AP OX: LOCATION Of �� > / O �.
PR � / _ /! // . 96 2. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSESA ONLY
:<- \ �. - IS NOT TO BE CONSIDERED,:A PROPERTY:LINE SURVEY
EXIST..CESS.POOLS�IL:EACN PIT5 u: �'� . . , r P P
' '- •. • , ��� - �- ! "• ," _ " '�S 13. NO PRIVATE WELLS WITHIN 150. FT. OF PROPOSED LEACHING
(SEE NOT& O)
-M
��. / \� 14:-ALL-PIPING TO BE.4" 'SCH' 40 ® 1/8"/FT (UNLESS SPECIFIED'OTHERWISE)
�✓ 10', 15."`THE DESIGN OF THIS SYSTEM DOES NOT. ALLOW FOR THE' USE OF A
TP =\ GARBAGE GRINDER'
16.-NO WETLANDS`WITHIN .100 Fr. OF,PROPOSED LEACHING
* \ 17 ALL 'INTERIOR PLUMBING=TO BE VERIFIED FOR PROPER DISCHARGE
i
TO PROP SEPTIC TANK: •
18 WALL TO , G.
O
e ;
DEN ' BE.MODIFIED WITH- 5 FOOT°OPENIN
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
1g:p4--It
VENT IN5PECTION PORTS
•
D EN 83 BLACKBERRY LANE, HYANNIS, MA
C�I-I ��P I � o., 1140 d for: Mike Dedecko
MAP.,249. T• SPOT IN DR! 'EWAY Q 9 9 Y Prepared SCALE DRAWN JOB. N0.
vSURVEY REFERENCE:. LOT.`081 PAI�d �'FG/ En ,REN b Surveying
E LE VATIOPI 4 c 8� $tE \A� DARRENM.MEYER,R.B. $co-Tech Environmental 1"=2O' DMM
PLAN OF LAND BY CHARLES N. SAVERY, PLS DEED BOOK: NI TAR POBox981
T.UTA F�1S:TSANOWICH,MA02537 { ) 3 0894 DATE: CHECKED SHEET N0.
508 64
DEED BOOK 048
DATED: JUN€ 18, 1964 . BAP(ISTAB'LE CIS ,C'�; ��� t`��5 508-36.2-2922 12/08/08 DMM 1 of:2