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0152 BRISTOL AVENUE
IS.Zl3rrsrol Clve_ 7-0 2-0 - t t oFjHF ro Town.of Barpsstggle :387r906 01-08-2020 2:51 .•� Building DeparMNSTABLE LAND COURT REGISTRY Brian Florence,CBO • eAMSrAst.E MAU Building Commissioner �Ar 1639. a`�� 200 Main Street,Hyannis,MA 02601 fD µAy Office: 508-862-4038 Fax:'508-790-6230 AGREEMENT FOR FAMILY APARTMENT. I Marcia Gayle, the undersigned, being the owner of property situated at 152 Bristol Avenue, Hyannis, MA holding title under a deed recorded with the Barnstable County Land Court as Document No.C188654, being shown on Assessors' Map 291 as Parcel 097, hereby agree, certify, warrant and represent to the Town of - ',( . Barnstable that the accessary attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances)which would require ' compliance with the Family Apartment Rules and.Regulations. The family apartment unit must be occupied only by Q the property owner or a members)of the property owners family as accessory to an owner-occupied single-family �.. residence. Occupant of Main Residence: Marcia E.Gayle Relationship to Owner: : owner Resident of Family Apartment: Herbert Gayle Relationship to Owner: father U r This unit shrill not be.rented as an.apartment or as a single room,or in any fashion,which rentalwouldbe a - violation of the To%%n of Bamstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be M updated whenever a change occurs or every calendar year: This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of4a building permit and/or certificate of occupancy by the Town of Barnstable Building.Department. WITNESS our hands and seals this ay of 20� TOWN,OF BARNSTABLE: OWNER: � By, Marcia E.Gayle Brian Florence,CYO Building Commissioner , THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date�� 1 Then personally appeared the`above-named (owner), CO 4A. made oath as to the truth of the foregoing instrument,before Notary P�JILL KENNEY My Co es allotary rul-.11C gsample Comnror waelth or r>jWchusettS BARNSTABLE REGISTRY OF DEEDS -- my commission Expires August 28.2020 BARNSTABLE COUNTY John F. Meade, Register i REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE.RFGIQTER 1 . D i Town of BarUs,%gke Building Depar 3�7 r 906 01-08-2020 2:S 1 .� Brian Florence,CBO NSTASLE LAND COURT REGISTRY BARNgrABLL MAU. Building Commissioner Ado 3y� � 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT.. I Marcia Gayle, the undersigned,being the owner of property situated at 152 Bristol Avenue, Hyannis, MA holding title under a deed recorded with the Barnstable County Land Court as Document No.C188654, being shown on Assessors' Map 291 as Parcel 097, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family 1 apartment, for year-round occupancy. This unit shall be used for a"Family Apartment'(as defined In Zoning Ordinances)which would require compliance with the Family Apartment Rules and.Regulations. The family apartment unit must be occupied only by fl the property owner or a members) of the property owner's family'as accessory to an owner-occupied single-family i �.. residence. ~ Occupant of Main Residence: Marcia E.Gayle Relationship to Owner: owner C4— Resident of Family Apartment: Herbert Gayle V Relationship to Owner: father This unit shall not be rented as an.apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be M updated whenever a change occurs or every calendar year: -4— This Agreement.shall be duly. recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate'of occupancy by the Town of Barnstable Building Department. WITNESS our,hands and seals this_ 1 day of .fit r,✓l 20 W TOWN.OF BARNSTABLE: OWNER: By: t 2 Marcia E.Gayle Brian Florence,COO Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date I (-I -ja 0 Then personally appeared the above-named (owner), made oath as to the truth or the foregoing instrument,before - ---- Notary t. - JILL KENNEY My Co mission Expires- Notary Punic t ommurwaatre August o BARNSTABLE REGISTRY OF DEEDS - gsamplc ' My Commission Expires August.. BARNSTABLE COUNTY John F. Meade, Register i REGISTRY OF DEEDS A TRUE COPY,ATTEST a b(9 �Yl v� `f 9 , ,A Y Town, of Barnstable _ 'Building - ui in ? A Post.This Card So That�t is;Visiblefrom'the Street Approved PlansxlVlust LeSRetained on lob and this Card Must be pt KAS& Posted Until Final Inspection Has Been Made ' �6 � , Permit . Where a.CertificateofOccupancy is Required,such Building shall Not'be Occupied untila Final Inspection has been made. - Permit No. B-19-4217 Applicant Name: GAYLE, MARCIA E Approvals Date Issued: 01/13/2020 Current Use: Structure Permit Type: Building-Family Apartment with Construction Expiration Date: 07/13/2020 Foundation: Location: 152'BRISTOL AVENUE, HYANNIS Map/Lot: 291-097 Zoning District: RB Sheathing: Owner on Record: GAYLE,MARCIA E Contractor Names Framing: 1 Address: 152 BRISTOL AVENUE Contractor License: ,, 2 HYANNIS, MA 02601 Est. Project Cost: $500.00 Chimney: I e:• Description: family apartment-finish space in lower leveLin my house for my Permit Fe $ 110.00 -- Insulation: family my father will be in the room Herbert Gayle remove 2 ;. Fee Paid., $ 110.00 bedrooms in basement to be used as a storage = Date. 1/13/2020 Final O1Q /O zozo Project Review Req: ONE BEDROOM FAMILY APARTMENT IN LOWER LEVEL- p Plumbing/Gas Rough Plumbing: '\Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withirnsiix months afte�,issuance. 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. _ E 8 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the.Building and Fire Officials are provided,on this permit. Minimum of Five Call Inspections Required for All Construction Work: ,,;' 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. Work shall not proceed until the Inspector has approved the various stages of construction. Health 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, Final: Application Number.....g......... BARNWABLE, Permit Fee....................I � I MASS. ..............Otlier Fee,........ .............. 039�- TotalFee Paid................................................................. ...... Permit Approval by.... ?/ TOWN OF BARNSTABLE .... ..... .........o....� .... ..... BUILDING PERMIT Map........................................Parcel............................................. APPLICATION Section 1 - Owner's Information and Project Location Project Address- 1 J2= Village NN owl n 15 Owners Name Alourcicl Le- Owners Legal Address 0 City 44,UR111,1s State. zip OZ6o Owners Cell#-H,.) LQ[: 5 9- E-mail Section 2 -Use of Structure Use Group_ F-1 Commercial Structure over 35,000 cubic feet Commercial Structure under 35,060 cubic feet ❑ Single Two Family Dwelling Section 3 - Typ' e of Permit ,❑ New Construction E] Move/Relocate El' Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement 21amily/Amnesty El Fire Alarm Rebuild ❑ Deck Apartment sp&M&e1rDs'1\11**' i-nr)E--PT . yste F-1 Addition ❑ Retaining wall E] Solar DEC P-0 2019 EI Renovation ❑ Pool 0 Insulation �A -A i 4CE- Other-Specify Section 4 - Work Description L\AI'4:- i�n t-'s -ed a, Pa-c-Q— CQ ouj�. L e-,v f- I m V A 01-, 4`�A\vrjwl �t u - t b I L-Lffi rx-)m I V1 p- "4"r -J no \e-- 2 QP�COLXLIS tin 8as Q in --E �J -A-J� bv 21Sed .1313 !�lLach2,,Q Last updated: 11/15/2018 1 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Y-5 p O e oe3 Square Footage of Project Age of Structure, Dig Safe Number # Of Bedrooms Existing ottal.#Of Bedrooms.(proposed)` -_L_ 110 MPH Wind Zone Compliance Method ❑-MA Checklist ❑ WFCM Checklist ❑ Design j 9 i i1 Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ` ❑ 'Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression R ❑ Heating System ❑ Masonry Chimney. # ❑Add/relocate bedroom 9 ❑Water Supply El Public Private_ j Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am usin a crane ❑ Yes ❑ No P g is Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? - r Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed j Rear Yard Required Proposed Side Yard Required Proposed t Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 U NOTES: -� J 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD _ 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER U) V 3.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE Q< 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS O (D STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 Q W Q V 5.) 110 MPH EXPOSURE B WIND ZONE CO F �r- 8,) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE �_ W N � DURING FRAMING CONSTRUCTION W d O cc=L0 0 <± SMOKE DETE TO REVIEWED sJE a EXIST. ARN T E B I DIN D DECK 0 F11 DEPARTM T DATE 80T;'SIGNATURFS ARE REQUIRED FOR PEPMI7ING EXI 0 BA EXIST. EXIST. BATH BEDROOM#1 FO EXIST. EXIST. DINING Barnstable Btd . Dept. KITCHEN CLOS. Q CLOS Approved by: < ®` p vi Permit#: ® b CLOS. EXIST: b Z ®HALL ON Z -}�� CLOS. I` w w ` EXIST. J Z BEDROOM#2 REMO® ® Q W STUDY EXIST. O z � (FORMER BEDROOM) ON. LIVING W Imo. m c: W W p ( t'� 0� c a � J m c.#J p W > N t0 Z � 46-a• Lam_ _ 0 C� SCALE UPPER LEVEL PLAN 1'4,.= 1,_- m DATE: AREA CALCULATIONS 12/19/2019 UPPER LEVEL 1104 S.F. LEGEND: ®SMOKE DETECTOR UPPER LEVEL 1104 S.F. LOWER LEVEL(FAMILY APARTMENT) 795 S.F. EXISTING WALLS ® CARBON MONOXIDE DETECTOR L__J CONSTRUCTION TO BE REMOVED M NEW CONSTRUCTION Al U J J 0 wpN o !I Uwo(0 it ��Q� m H 'It 34.-6. -0„ ' U)LU N ttM c Omw L---J I - i O O EXIST O op BATH EXIST. EXIST. y� KITCHEN BATH O ,/ 'EXIST. \� BEDROOM#3 Q CASED OPENING EXIST. \ O HALL sync {© fn u ------- r---- Z - o 7 } � I I L UP NEW J W STORAGE ;; -- EXIST. w Z)0 W Z -- LIVING OII - Z II II rr-- �/ W Lij CA w Z z ,..� m SCALE: 46,-0„ G 1/4"= T-0" DATE: LOWER LEVEL PLAN 12/19/2019 (FAMILY APARTMENT) A2 oF,HE ro Town of Barg gtggle Building Depar '387 s 906 01-08-2020 2:S1 .•� Brian Florence, NSTAPLE LAND COURT REGISTRY MASS.. g Building Commissioner 166 200 Main Street,Hyannis,MA 02601 fa Ma Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT.. I Marcia Gayle, the undersigned, being the owner of property situated at 152 Bristol Avenue, Hyannis, MA holding title under a deed recorded with the Barnstable County Land Court as Document No.C188654, being shown on Assessors' Map 291 as Parcel 097, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family 4► apartment,for year-round occupancy. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and.Regulations. The family apartment unit must be occupied only by Q the property owner or a members) of the property owner's family as accessory to an owner-occupied single-family �.. residence. Occupant of Main Residence: Marcia E.Gayle' Relationship to Owner: owner Resident of Family Apartment: Herbert Gayle U Relationship to Owner: father J This unit shall not be rented as an.apartment or as a single room,or in any fashion,which rental would be a c violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit;- affidavits reciting the names of occupants are to be recorded with the building department: This agreement shall be M updated whenever a change occurs or every calendar year: This Agreement.shall be'duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use' . of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building.Department. WITNESS our hands and seals this day of f-:CL✓1 20 W .TOWN.OF BARNSTABLE: OWNER: � By. � • GGtt. Marcia E.Gayle Brian Florence,CYO Building Commissioner THE COIAMONW1 ALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date I t'I • as Then personally appeared the above-named (owner), made oath as to the truth of the foregoing instrument,before Notary P t. 11LL KENNEY My Co mission Expires :� l ° Notary f ut-4c gsamplc QM�V °"'"'" "'''''or;v1<issa�nusetts BARNSTWE REGISTRY OF DEEDS - - my Commission Expires August 28.2020 BARNSTABLE COUNTY John F. Meade, Register i REGISTRY OF DEEDS A TRUE COPY,ATTEST TOWN OF BARNSTABLE ' PERMIT CHECKLIST Sip off hours for Health and Conservation a O-gs30 am. and 3:30-4:30 p.m. A cafiql1jo penWt apftadon includes flifing end 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x17"(plans may require a stamp by an architect or engineer). ❑ Residential- 5 Sets of floor plans no larger than 11"x 17"smoke/co detectors marked ❑ Worker's Comp. Affidavit and policy(if required) ; ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section I Plus: ❑Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. �� t Sao�S yy,g,� 9 • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizatiorVbdividual): Address: City/State/Zip: 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 * have hired the sub-contractors - 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- wed on the attached sheet. 7. ❑Remodeling ship,and have no employees 'these sub-contractors have g, ❑Demolition working for me in any capacity.acitY• employees and have workers' t 9. ❑Building addition ' [No workers'comp.insurance comp.insurance. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required] id 3.El officers have exercised their I am a homeowner doing all work 11.El Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 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 hue 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. : - . . . , lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: Ojft al use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 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 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(LLQ 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 lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"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 Departmenfs address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www;maw.gov/dia Application Number........................................... p cSect on 9-ConstructiontS uperviso Name Telephone Number Address City. State Zip License Number -License Type Expiration Date Contractors Email Cell # 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 constriction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date ��.10=Home Improvement Contractor----� Name Telephone Number Address City State Zip Registration Number - Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number �'�� .7 �'- Cell o Wo Number :calk2 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 SAP-PLICANT SIGNATURE Signature GLYC�ic _ Date Print Name Z r2 ge o 1 q G::a- a l&, Telephone Number E-mail permit to: �— Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval 1 i Section 13 — Owner's Authorization I, , 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 Nance s Last updated: 11/15/2018 • i • 1�d1,a�xn1 on � • ��--moo b-��d-dent-�- • • • 1 +U-W-- • ------off c,c�2 - — - - �'c _ 'or1 • . s F - Certified Mail#7015 1520 0000 1967 7665 Town of Barnstable Inspectional Services • • anxxsrast.e. MAW 163 ,0� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 20, 2019 Marcia Gayle 152 Bristol Avenue 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 152 Bristol Avenue, Hyannis, MA was inspected on November 20, 2019 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of complaint received from - Barnstable Police Department. The following violation(s) of the State Sanitary Code were observed: 105 CMR 410.300 and 310 CMR 15.00: Sanitary Drainage System There were a total of five. (5) bedrooms observed on this property; three (3) on the main floor and two (2) within the basement level of the home. The existing septic system (Permit# 82-450)was designed for three (3) bedrooms not five (5). 105 CMR 410.450—Means of Egress: Observed three (3) rooms within the basement being used for sleeping purposes and lacks adequate secondary egress. You are ordered to correct the 105 CMR 410.300 and 310 CMR 15.00 violations listed above within thirty (30) days of your receipt of this notice by pulling the required building permits. You are ordered to remove two bedrooms from the lower level of this dwelling by removing entrance door(s) and by opening the door- way entrance to a minimum opening of four feet. This will bring the total bedroom count down from five (5) to the appropriate three (3). You are ordered to cease and desist within (24) hours of your receipt of this letter the use of the rooms within basement as bedrooms due to lack of proper egress and insufficient septic capacity. \\toa\depts\HEALTH\0rder letters\Housing-Motel Violations\l52 bristol I 1-20-19.docx You may request a hearing before the Board of Health if written petition requesting same is received within ten (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. PER ORDER OF TH BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable j Cc: Barnstable Police Department. \\toa\depts\HEALTH\Order letters\Housing-Motel Violations\152 bristol 11-20-19.docx • t "r' .. �. f COMPLETE1N COMPLETETHIS SECTIONON DELIVERY ■ Complete.items 1 �,acid 3 El At rS nature ■ Print your name and atldress-"on the reverse• Agent so that we can returh� ,6qs�]fo you. ❑Addressee ■ Attach this card to the bgek.of,the mailpieee; b,' ived by(Prinfed.Name) C. Date of Delivery or on the front if space permits. (,'isYcr� C 1. Article AdWa§§p.d to: D. Is delivery address different from item 1 Yes t V l Ar/ Q �a n If YES,enter delivery address below: ❑No �VV C��) D (0 01 Z III'IIII III�.I'I I III I III I II I I I II III III I II II III 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted C e�Mal' Delivery 9590 9402 3630 7305 4658 80 `T�ce"rtifi-ail Restricted Delivery ❑Retum Receipt for A 'rolr¢dpdn Delivery � Merchandise 2. Article Number(Transfer from service label) ❑bollecf'on Delivery Restricted Delivery ❑Signature ConfirmationTM " 115utbo mail ❑Signature Confirmation 7017 100 0.' 0 o 0 0l 6<7 5 7 I2 6i 14 �i nsared'Mail Restricted Delivery Restricted Delivery _ dverb500 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt tl II USPS TRACKING# k First-Class Mall II Postage&Fees Paid , USPS Permit No.G-10 , 9590 9402 3630 7305 4658 80 i i United States °Sender:Please print your name,address,and ZIP+4®in this box* i Postal Service TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 II I _' f i)jiI a !F:••: Fii f.`•i ii f ?}• tI } •ir �iii�= �� III ru { LP) Certified Mail Fee ,r Extra Services&Fees(check box,add fee'es appropriate ) rN I= [I Return Receipt(hardcopy) $ l r• v�`a O ❑Return Receipt(electronic) $ 1 Postmark 0 ❑CertifiRjMail Restricted Delivery $ t A(�PIOre - r3 []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ O Postage � �? C3 � Total Postage and Fees IS Serff C3 --------- -- ---------------------------------------------- Stre ., �p -B x/Vo�/a N 1� / '•`J - ---------- - City,i5tale,ZIP+4® `C hr o7 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 receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. 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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 Cerbfied 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. r electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt,attach PS Form 3811 to your mailpiece; IMPORTANE Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 Town of Barnstable Building Department Services Brian Florence, CBO n�T Building Commissioner BARN STABLE 200 Main Street Hyannis, MA 02601 �MNSM1� 2014 iNPNN15 �] wusroxs"ws�osreavi�wFsrauwsneie � J � 1639-7014 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: Marcia E. Gayle and all persons having notice of this order: As property owner or tenant of the property located at 152 Bristol Avenue,Assessors Map 291 Parcel 097 and known as residential structure,you are hereby notified that you are in violation of the Zoning Ordinance of the Town of Barnstable Chapter 240 Section 11 (F)(1);780 CMR,the Massachusetts State Building Code Chapter(s) land 3 Section R105.1, Section R310.2.1, Section 314.3 and are ORDERED this date 11/21/2019 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 11/20/2019the Building Department observed violation(s)of the Zoning Ordinance of the Town of Barnstable Chapter 24 Section 11 (F)(1)and 780 CMR, the Massachusetts State Building Code Chapter(s) 1 and 3 Section R105.1, Section R310.2.1, Section 314.3 specifically,an apartment . 1•' created in the lower level including three bedrooms with improper emergency escape and smoke detectors not installed in required locations. 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 use of the lower level apartment; including the bedrooms, and obtain all required permits and subsequent inspections for that of an allowed use of the lower level. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the Building Code violation(s) 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. And, if aggrieved by this notice and order,you may file a Notice of Appeal within thirty days in accordance with Massachusetts General Law 40A Section 15. 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, e . Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us �'TH T z i r PC1CXfBQ OfT 111 {lJLO19 w r pla R p y ANY � om �n allIF a � � ;�� � ��a � �� ��152 BRI�ST�O�L��?►VENl1E� H ANN1� �, , Case#: C-19-845 Address: 152 BRISTOL AVENUE, Date: 11/20/2019 HYANNIS Owner Info: Property Info: GAYLE, MARCIA E MBL: 152 BRISTOL AVENUE 291-097 HYANNIS MA 02601 Owner Notified?.- Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code, Zoning, Illegal Dwelling High Priority Phone unit Complaint Summary: Report of overcrowding, locks on doors in rooms in house. Question of kitchen in garage. Report of illegal apartment in basement. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: lauzonj Filed by. sheas Comments: Comment Date Commenter Comment ••�r r r r of Ma's° t�$�E �� ps ���F ' Date 11/20/2019 �� Tawsf Barnstable A S 4-- L6rYTC IwA�S �C SG � , 77G lYJ�3 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 -t E 2/21/15kJn -� Town of Barnstable _ Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permit#201500560 TO: Building Inspector(s), This affidavit is to certify that all work completed for 152 Bristol Avenue,Hyannis has been inspected by a third party Certified Building Performance Institute (BPI) Inspector. Ceiling: R-19 cellulose Walls: Brick Veneer Walls: R-13 dense pack cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4 Parcel 9 ' ° '�P�STAgl.E Application # � Health Division Date Issued rid Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board I11T1 10N Historic - OKH _ Preservation/ Hyannis Project Street Address _ 15 d% 2 r'j S±b 1 Ave Village Owner arcik GOLU Address AM (° Telephone 5 U$ b L'I Permit Request P�1� �. - t 9 cello IOs�. -�-� -�-�.e � Inc . AJJ R-.i o p l Cr-�qq r -tt riscmc4 D84)C each -t-k nr_.nel 15 cP�� les� P C- �e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationt Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ® No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -Name + t c� a .e c Telephone Number Address - IACL Ar6 License # ZC Oa SOWI 1 tMd%A4 6&6tq Home Improvement Contractor# Email Worker's Compensation # UJ C 3 0 V,5 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO_1 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED c ' MAP/PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSQCIATION PLAN NO. The Commonwealth of Massachusetts Department of Indastrial'Accidents Office of Investigations I Congress street,scene 100 Boston .M.4 p2114 2017 , www:rnass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. Aaulicant Information Please PrintLelsibly Name:(Business/Organization/Individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip, South Yarmouth, MA 02664 _ Phone#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am-a employer with O 4. ❑ I am a general contractor and l 6. ❑;`New construction: employees(full and/or part-time) have hired the sub-contractors 2..0 1 am a sole proprietor or partner- listed on the attached sheet. 1. Q.Remodeling ship and have no employees These sub-contractors have .8. []Demolition - workingfot me in an capacity. employees and have-worker ' Y9. Building addition [No`workers'comp;insurance, comp.insurance+ required;] S. Q We area corporation and its 10.(�Electrical repairs or additions 3.❑ !am a homeowner doing all work, officers have exercised their 1 LE]Plumbing repairs or additions myself.[Nb.workers'comp:.. right of exemption per MGL 12.E] Roof repairs insurancerequired.]'t c. 152,§1(4),and we have no employees. [No workers' !3.Q✓ Otter Insulation " comp.insurance required.]:; "Any applicant that checks box#i must also Pill out the section below showing their.vorkers'compensation policy information. t Homeowners wha 'omit this atf davii indicating.they arc doing all work and then hire outside contractors must submit a new affidavit indicating'such. �Contractots that check this box must attached:tn additional sheet shoe=ne the name okhe sub-contractors and`.state whether dr trot those 6fities have employees. If the sub-contractors have emplovees,they must provide their workers'comp.policy number. 1 ain art a i~:ployer that is providing►porkers'compensation insurance for my employees. Below is the policy itnd job.site information. Insurance Company Name: Wesco Insorance.Company _. Po€icy#or Self ins.Lic. WWC3085633 4pir4on'Date: 04/09/2015 Job.Site Address: r 116,0 f, GitylState/Zip Attach a copy of the workers'compensation policy declaration page(showing the policy numbed and expiration,date).: Failure to secure coverage asxequiredl under.Section 25A of.MGL c. 152 can lead to the imposition of;criminA penalties o£a fine up to S 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$2:50.00 a;day against the violator, Be advised that a copy afthis,statement may be Forwarded to the Office of fnvestigallons of the DlA for insurance coverage verificatiOIl. t-do hereb o.certi under the uins and penalties of Ped!6that the in ortnutionprgt�ded uhove Is true and correct. Si nature:, _ . Dad. 3 Phone Offiria!irse only. Do not write in this area,to be cofitpleted by city or town>official. . City'orTovvrr=;. _ ._ Permit/License issuing Authority(circle one): I.Boar&of Health 2 Building Department;3.City/Town:Clerk. .4. lectrical Inspector 5.Plumbing nspector 6.Other Contact Person: Phone#:: a CERTIFICATE OF LIABILITY INSURANCE DAT('MA)D""") �.� 11/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TIIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcypes)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 endorsemen s. PRODUCER NAMEic`r Colleen Crowley Risk Strategies Commpany -PHONE (781)986-4400 FAXMGM bio- No):(7e1)964-4420 15 Pacella Park Drive ADDRESS :ccrowl @risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAIL t Randolph DIIs 02368 INSURERA:SeleCtiVe Ins. OF Affier3C8 IASURED INsuRERs Al]werica Financial Alliance 10212 Cape Save,, Inc INSUREkC.eSCQ Insurance company 7 D Huntington Ave INSURERD: INSURER E: South Yarmouth b9L .02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL14111085532 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -POLICY EFF POLICY.EXP L TYPE OF MSURANCE POLICY NUMBER MM/ LIMITS GENERAL LIABILITY EACH OCCUR 11 RENCE $ _ i,000,000 DAM RENTED. X COMMERCIAL GENERAL LIABILITY PREMIS S Ea occurrence $ 100,000 A, CLAIMS-MADE Q OCCUR S1994480 -0/16/2014 0/16/2015 MED'EXP(Any dne person $� 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000` 000 ' LOC $POLICY X- PRO- X " AUTOMOBILE LIABILITY Ea COMBINED +> 1 000`"00O ANYAUTO BODILY INJORY`(Per-person) $ B ALLOVvN ED SCHEDULED 6796600 1/6/2014 1/6/2015 AUTOS X AUTOS BODILY1NJURY(Per accident) $ 13� HIREOAUTOS X AUTOS PPeecdd t OY GE $ X""UMBRELLA IJAS X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS MADE AGGREGATE $ 1,000,000 DEDI I RETENTION B11 �19944180 0/16/2014 0/16/2015 $ C WORKERS COMPENSATION fficers included for X VIC5TATU OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/N Overage• E1.EACH ACCIDENT $ 5OO OOO OFFICER(MEMBERE)CLUDED? NIA 3085633 19/2014 /972015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 500' 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L::DISEASE-"POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Issued as evidence of insurance. Issued as evidence of insurance. ' Thielsch Engineering, Inc, is listed as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION msoag@capelightcompact,org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS,. Attn: Margaret_ SOng POBox 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main" Street Barnstable, MA 02630 Michael Christian/CLC ACORD 25(2010105) 01988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD HOME OWNER WEATHERIZATION WORK PERMIT; PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I f ,24 U C . �- e �' - hereby consent to and agree that weatherization work may be done by the' herization Program of Housing Assistance Corporation on the property located at: 2- ', Boa The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic &basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signaturs) W al c- ,/1 i_ i t2 f Home Owner email: Date:_ c ' Agent:(signature) k �° Date: Weatherization Contractors: Adam T Inc Cape Save All Cape Energy r nergy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction i, Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 W Boston, Massachusetts 02116 Home Improvement Cont actor Registration Registration: 171380 Type: Corporation '.4r - Expiration: 3/14/2016 Tr# 249649 r - CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE ----- __- SOUTH YARMOUTH, MA 02664 -- -- - - --- - Update Address and return card.Mark reason for change. sCA 1 0 20M-05111 Address Renewal Q Employment E7] Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: "'' Office of Consumer Affairs and Business Regulation egistration: 171380 Type: g U'V,` xpiratio n g 3%14/2016; Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC IM R WILLIAM MCCLUSKEY ` 0T °r 1 � *rz: 7-D HUNTINGTON AVENUE=w SOUTH YARMOUTH, MA 02664 Undersecreta- Not vali rthout signature t Massachusetts -Department of Pu:bl"ic Safety Board of Building Regulations and Standards Construction Supen-isor Specialty License: CSSL-102776 a WILLIAM J MC C-LUSKE7( ' 37 NAUSET ROAD �` f West Yarmouth NIA 0_67,0. '. 11 ro,, Expiration Commissioner 06/28/2015 I i -7 - Town of Barnstable �THE � Regulatory Services Thomas F.Geiler,Director ` H"R"„ M ' Building Division Tom Perry,Building Commissioner fp Mp A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT& � � FEE: SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less i s Location of shed(address) Village Property owner's name U Telephone number Sic Size of Shed Map/Parcel# -rM C.) co 61 s.3 C/ 6� l.L. 2-1 t Signature Date ' Hyannis Main Street Waterfront Historic District? — - - ` tJ rn Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:052813 Map Page 1 of 2 7'�t31A-m of 'rl1 WL-Gwg"ft,1 hfamma SlOi ftstremi Nevr rete, I Homee I He1o% Parcel Custom Map a Abutters R mp Zoom oU1. 11fl1Qtn eVieweir �:ram,cv"1 N RP®am,,. I statrrss ax5 . valor. zatosa -291 eaaa Ara ice' �2 1,4 .� t y9 4 l9 t Map: 291 Parcel: 097PhOlver"rsi�I1J Location: 152 BRISTOL AVENUE 10rfo> 4 = Owner: GAYLE,MARCIA E L`t�atlo»?2-isfnJYnationi y Map&Parcel 291097 +tr" i Location 152 BRISTOL AVENUE zvttc� Acreage 0.29 acres 22911104 gxt5 :arras te.t47 Citrrenv€�t31n€ysar- fgp,ys - s8.457 tl - Mailing Address GAYLE,MARCIA E r 152 BRISTOL AVENUE 111 ` HYANNIS,MA 02601 Set Scale' 1"1 55 41 r`AertalFVhotos ♦y_ I MXROXIMNAURM - GOPY.�9t1Ei2a11F.t:?A7�ybwnwif8antstatile;MA'•AtE'ai8lttsresenred;�nd.Yt�83`[in7iS�I CYi 1tit�r�9o�iilSx$38,300 BamstableMA:v1i2?4748",[Production], mdtlBdldlings $2,400 Land - $67,200 Buildings $79,500 Total Appraised $187,400 Assessed=ValLel(FEY.2013)- Extra Features . $38,300 _ ,,Out Buildings $2,400 Land $67,200 Buildings $79,500 Total Assessed $187,400 - Construction Detail% Style Raised Ranch Model Residential i Grade Average Minus • Stories 1 Story Exterior Wall Brick Veneer Roof Structure Gable/Hip Roof Cover "Asph/F GIs/Cmp Interior Wall Drywall Interior Floor Hardwood Heat Fuel Oil ' Heat Type Hat Water AC Type None Number of 3 Bedrooms Bedrooms Number of 1 Full+1H Bathrooms k Total Rooms 6 Rooms Living Area 1196 Replacement Cost $96,918 - Year Built 1961 - Depreciation 18 Bui ldi ng�,Sketcbes; http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=291097&mapparback=291097 7/7/2013 FEB 212013 Town of Barnstable *Permit# OF BARNSTABLE Expires6m from' uedate Regulatory Services F + 3AENSTMI.E MASS. Thomas F.Geiler,Director 1639. ,��� ArFD AM't •, ., . Building Division Tom`Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maus Office: 508=862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 (T 7 Property.Address { 1 b r1 t1 i ❑Residential Value of work 5O©©7 C3 C) Minimum fee of$A00 for work under$6000.00 . Owner's Name&Address Sla llel Contractor's Name Telephone Number. Home Improvement Contractor License#(if applicable) f . Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ' El—am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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) [g'Re-side #of doors Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ions i.e.Historic Conservatio etc. # * it does not exempt compliance with other town department regulate n, - Wheie tequired: Issuance of this perm d p p � . ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. TUBE: '01 Qf C-g,0- q-"J�--- SIGNA 3 . The+Cirmmorms�eaUh o,f Maysadiuseffs lle,parhnent o,jludustrial Accidents Office of Invesfigafions - '� 690 Washington Street Boston,M4 #2111 . wmv.mas&gov1dia Work ' Compensation Insurance Affidavit Builders/Contractors/Electncnns/Ph mbers AApphcant Information Pleas'Print Lei bIv N��(B�e�/Org�t;Qntl�ividnal)_ ��r�a /�- Addresm: CitylS�tatt p_ Q Jj tj Phone##_ 50 $ s 3 DS Are you an employer?C ck the appmpriate�box: Type of project(required): 1.❑ I am a employer with 4- ❑ I annY a red the contractor and I 6. ❑New�consixuction employees full artdlor * have hired file sub-contractors ( Pam) listed on the attached sheet 7- ❑Remodeling 2_❑ I am a sole proprietor or partuer- ship.and have no employees 1�e ees a dhac#e have g- ❑Demolition w g for many employees aati.have menkeSs' BBualdin addition �� nY��• 9-� ❑ g [o.workers'comp.insurance C°e0p'n""��"�1 10. or additions required] 5. ❑ Tale are a eorporation.and its ❑Electrical�p� 3_ I am a homeowner doing all work officers have exercised dwir 11_❑Plumbing repairs or additions myself [No workm'camp right of a mtmption per 1b1GL 12❑Roof repairs insurance required.]T c. 152,§1(4),and we have no employees_[No workers' 13.El Other comp.insurance required.] 'Any apphcamt that checks box Al must also fill oat the sectian below showing their workers'compensation policy information I Homeowners who submit this affidavit m9artmg they are doing all Wan and then hire outside contractors mast submit a new affidavit indicst;ng such. FComrac fors that check this lawn beast attached am additinmf sheet showing the msme of the and state whether or not those entities have employees. Ifthe smb--contmat s have employees,they'nmst piuvide their*"kern'camp.policy number. lam an emploj�err tliatispnxr<�idng woritem'compensadvn z'7L=ranc-e for my evT1gees; Bs£ow is th8Po q'=d job sits information. Insurance Policy 9 cr Self runs.Le.-9: Expiration Bate: Job Site Address: Cibristatelzip. � i Ai tae h a copy of thte workers'compensation policy duration page(showing the policy munber and expiration date). j Failure to secure coverage as required udder Section 25A of MGL c- 152 can lead to the imposition of criminal pees of a fine up to$1,500-00 arldlor one-yeas imprisonment,as well as civil penalties in*e form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violabor. Be advised that a.copy of this statement may be forwarded to the Office of Im-estigatio ns of the DIA for kmxmce cenreaage mnifrcatim 3 dip hereby cortify rnrr&r thepains andponahles ofperfnrry that the inf ormidie n prm idad above a.bus and correct S' Dam: Phone#: ©,dal aw only. Do not write in t{tis area,to be completed by city or tmm official. City or Teresa: PermitfUcense# Issuing Authority(circle one). 1.Board of Health 2.Budding Department 3.City1rawsn Clerk d.Electrical hispectar 5.Plumbing Inspector':. 6.Other one ff-- r OF THE TOY ... Pv ti • BARNSfABM '""SS. i639• Town of Barnstable ��� ' ArEp��p Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,' Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230• ..� Property Owner Must Comp let acid Sign This Se t'on If :I A Builde g 1 as O r of the s .J�'ect property hereby authorize to act o y behalf, in all matters relative to work authorized by.this buildin permit application for: I (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,th.e reverse side. QAWPFILEST0RMSIbuilding permit forms\EXPRESS.doc .. i Town of Barnstable - �' Regulatory Services BARNSTABLE, ` Thomas F. Geiler,Director 1639. a��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print '-DATE: (_1�-• JOB LOCATIOTN': number str t village t "HOMEOWNER":�(1�®f C�S� qo5?) 15�T�DG O (4032 Z Z 1q-VG� name L, home phone# work phone# CURRENT MAILING ADDRESS: cityAown 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 dnderstands the Town of Barnstable Building Department minimum inspection procedures and requirements d that he/she will comply with said procedures and requirements. M 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. Barnstable District Court CapeCodOnline.com Page 1 of 2 Barnstable District Court May 20,2010 2:00 AM In court May 13: DISPOSITIONS CHIPMAN, Cody J., 19, 65 Woodland Ave., Hyannis; admitted sufficient facts to creating a school disturbance, June 17 in Barnstable, continued without a finding for 90 days, 30 hours of community service. " NARICKAS, Gary, 57,'Route 28, Falmouth; making obscene telephone calls and threatening to commit a crime, Nov. 30 in Yarmouth, dismissed. ARRAIGNMENTS (The following pleaded not guilty.) BARNABY, Demer A., 19, 119 Arrowhead Drive, Hyannis;forcible child rape and rape, Feb. 17 in Barnstable. Pretrial hearing June 17. BARNABY, Kemar,21, 119 Arrowhead Drive, Hyannis;forcible child rape, rape, contributing to the delinquency of a minor and providing alcohol to a minor, Feb. 17 in Barnstable. Pretrial hearing June 17: CAMERON, Mario A., 19, 168 Barnstable Road, Hyannis; rape and statutory child rape, Feb. 17 in Barnstable. Pretrial hearing June 17. CAMERON, Ralston N., 18, 168 Barnstable Road, Hyannis;two counts of forcible child rape and rape, Feb. 17 in Barnstable. Pretrial hearing June 17. l [HAR'HKA, Carene(Careeme), 17, 152 Bristol I Ave Hyannis;.two_co.unts of forcible child rape and rape, Feb. 17 in Barnstable.-P_retrial=hearing°June 17. MULLALY, Daniel R., 51,61 St.Joseph's St., Hyannis;assault and battery,May'12 in Barnstable. Pretrial hearing June 10. MULLINS, Richard M., 21,46 Oak Neck Road, Hyannis;larceny of more than $250,.March 8 in Barnstable. Pretrial hearing May 20. ROBERTSON,Tyler W., 19,635,Pitcher's Way, Hyannis;forcible child rape and rape, Feb. 17 in Barnstable.:. Pretrial hearing June 17. In court Friday: DISPOSITIONS BLACKBURN, Eric A., 21, 80 Woodbury Ave., Hyannis;three counts of assault and battery,intimidating a witness, and assault and battery with a dangerous weapon, Jan. 1 and Jan..7 in Barnstable,dismissed. FLYNN, Brian S., 2V4 Cranberry Knoll Court, Bourne; ad miffed'sufficient facts to possession of heroin, March 2 in Sandwich; continued without a finding for nine months, $585 costs and $50 fee; possession of Paxil, dismissed; not.responsible for two traffic violations. , GIBBS, Paul R., 39,45 Asa Meigs Road, Sandwich;guilty of assault and battery,April 18 in Sandwich, 18 months in Barnstable County Correctional Facility with six months to serve (25 days of pretrial credit) and the balance suspended,two-year probation, $1,170 costs and $50 fee. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/2010052O NEWS/5200334/-1/... 5/20/2010 Ba,p stable Assessing Search Results Page 1 of 2 Home:Departments Assessors Division:Property Assessment Search Results New Search a New Interactive Maps>> Owner: 2010 Assessed Values: . GAYLE,MARCIA E %GAYLE,MARCIA E 152 BRISTOL AVENUE 2010 Appraised Value 2010 Assessed Value Past Comparisons Map/Parcel/Parcel Extension Building Value: $113,300 $113,300 Year Total Assessed Value 291 /097/ Extra Features: $15,300 $15,300 2009-$296,000 Outbuildings: $0 $0 2008-$288,400 Mailing Address Land Value: $103,400 $103,400 2007-$287,700 GAYLE,MARCIA E 2006-$315,300' %GAYLE,MARCIA E 2010 Totals $232,000 $232,000 152 BRISTOL AVENUE HYANNIS,MA.02601 2010 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $54.08 Fire District Rates Town Residential , Barnstable FD-All Classes $2.43 $7.77 C.O.M.M.-All Classes $1.26 Town Commercial Hyannis FD Tax(Residential) $422.24 Cotuit FD-All Classes $1.56 $6.87 Hyannis-Residential $1.82 Town Tax(Residential) $1,802.64 Hyannis-Commercial $2.88 W Barnstable-All Classes $2.28 ' Community Preservation Act 3%of Town Tax Total:,$2,278.96 , Construction Details Building •:Property Sketch &ASBUILT Cards Building value $113,300 Interior Floors Hardwood Property Sketch Legend " Style Raised Ranch• Interior Walls Drywall Model Residential Heat Fuel Oil Grade Average Minus Heat Type Hot Water �pl: Stories 1 Story AC Type None Exterior Walls Brick Veneer Bedrooms 3 Bedrooms Roof Structure Gable/Hip Bathrooms 1 Full+1 H 8 Roof Cover Asph/F GIs/Cmp living area 1196 4 " Replacement Cost $136457 �- Year Built 1961 Depreciation 17 Total Rooms 6 Rooms Land CODE 1010 Lot Size(Acres),. 0.29 As Built Cards. 1 ~ http://www.town.barnstable.ma.us/assessing/2010/displayparcell0map.asp?mappar=291097 5/20/2010 k I_ , I Barnstable Assessing Search Results Page 2 of 2 Appraised Value $103,400 X , View Interactive Maps >> Assessed Value $103,400 Sales History: Owner: Sale Date y Book/Page: Sale Price: PEREGO,BARBARA EARLE R TRS May 29 2009 12:00AM #D1'114873 $0 GAYLE,MARCIA E May 29 2009 12:00AM C188654 .$189,900 PEREGO,BARBARA EARLE R TR Jan 15 1992 12:00AM C125612 $1 EARLE,CHARLES W&MARGARET Feb 15 1990 12:00AM C119861_ $1 EARLE,CHARLES W&MARGARET&PEREGO-EAR Oct 28 1981 12:00AM C87192 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $3,100 $3,100 FPO Ext FP Opening 1 $1,200 $1,200 BGAR Bsmt Garage 1 $2,200 $2,200 BLA Bsmt Liv-Aver 704 $8,800 $8,800 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished)' FHS Half Story(Finished) SFB Semi Finished Living Area WDIK " Wood Deck' FOP Open or Screened in Porch TQS Three Quarters Story(Finished) , a e t http://www.town.bamstable.ma.us/assessing/2010/displayparce110map.asp?mappar=291097 5/20/2010