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HomeMy WebLinkAbout0229 BUCKWOOD DRIVE I N � - _ ��-- � � �\J V� ' ' �. l j �� � �IQ '" q 213I� 4 'EL v 05 14 10:40a Tupper Com 15087785010 p.1 ir r•., .; _ CONSTRUCTION CO. LLc 79B MID-TECH DRIVE,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WWVV.TUPPERCO.COM Date: C Town of Barnstable Thomas Perry CBQ 200 Main Street Hyannis, Ma 02601 (508) 790-6230 fax Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application - Issued on I; ] has been inspected by a certified l Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Permit#: j�� Q Address: �� ao Richard Tupper License # CS-69058- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 659 5 3 Map 6� Parcel .. p�i& # Health Division Date Issued 9-17'/CI Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH , _ Preservation / Hyannis Project Street .�Addresslg Village-- 4uo-nn I'S Owner IQ-'! '1660-rn Address,59`ftn Vt�Il ` -2) t),t!rinIs IYIA� Telephone,509 190' 1 q y q .Permit Request R-'% W)d6f- C-I ed -St>_.ke d U/0R-4 SI fit' ('a Y H Did/ C(010/7 A&I r /f),So OTAIW►'*0 yen © lu. yeif Ili n( C A, iC 96 na 4) fi mwlS2w a tIbb� foajlnC4 Noker dow Set-ap 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 0 No . If yes, attach supporting documentation. Dwelling Type: Single Family ®/ Two Family ❑ Multi'-Jily(# units) =' Xz Age of Existing Structure p5 Historic House: ❑Yes ❑ No On Old Kings Highway:'0 Yes%J No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other + ry Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing nevv x Number of Bedrooms: existing new 1 01 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 &had Tele hone Number 60 `7�Yj V~ Address id ( �� by. License # VS' D��®J O ICJ mid . WQ& *MA , rnA 00((0-*-)3 Home Improvement Contractor# Email t o,� 11 Worker's Compensation # i✓ e. w 5�r3f I � ALL CONSTR I EBRIS RESULTING ROM THIS PROJECT WILL BE TAKEN TO7�/ SIGNATU E DATE f r FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED r MAP/PARCEL NO. 1 , ADDRESS VILLAGE OWNER t t DATE OF INSPECTION: FOUNDATION FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 0 Housing Assistance Corporation Cape Cod HOME OWNER WEATHERIZATION WORK PERMIT&FUEL RELEASE: P E FILL OUT AND SIGN THIS FORM IF YOU ARE / THE APPLICANT HOME OWNER. I _ l� Alt hereby consent to and agree that Y g i weat erization work may be done by the Weatherization Program of Housing Assistance Corporation ( herein after referred as "Agency" ) on the property located at: Div" 4 Nt 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 & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home I agree to the following: i 1. I give permission to the "Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 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 as listed and freely give my consent. Home Owner(signature) Home Owner email: 1 Date: Agent: (signature) Date: HAC approved we Cher zation Company: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy Cape Cod Insulation Tupper Construction 1- SCR CERTIFICATE OF LIABILITY INSURANCE 12/0MtDDiYYYYj 2J03/2013 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE:CERTIF)CATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND Ott ALTER THE COVERAGE AFFORDED BY THE.POLICIES BELOW. THIS 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 palicy(les)must be endorsed If SUBROGATION IS WAIVED,sabject;to po the terms and conditions of the policy;certain licies refs}requira an and orseme»t A statement on this certificate floes riot;confer rights to the certificate holder''In lieu of such endorsement(s). PRODUCER _ co NTACT Lora ,LOltfe .. NAME.' a a Southeastern Insurance Agency, Inc. P o N E�l. (508)997-6061 Luc NO9(508)994-273E` 439 State Rd. AD"DRLss: P.O. SOX 79398 PRODUCER STOMER IO#: N. Dartmouth, KA 02147 INSURER(S)AF FORDING COVERAGE NA1C# .INSURED <,NsuRERA:,;. Arbel l a: Pirotection Insurance - Tupper Construction CO LLC INSuiRs AEIC .:INSURER C; CNA. Surety i.... 27 Roberta Drive INSURERD: 1 West Yarmouth, MA 02673 rNsuRERE: { :INSURER F y COVERAGES CERTIFICATE NUMBER: 2013/14/1 REVISION PLUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THEPOLICY PERIOD INDICATED. NOT THSTANDIPdG ANY REQUIREMENT,TERRA''OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH.THIS E. CERTIFICATE MAY BE iSSUED OR MAY PERTAIN,THE;INSURANCE AFFORDED BY THE`POLICIES DESCRIBED HEREMISSUBJECT tO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH.POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF.. - -ADOt UBR PO CY EFF POLICY-EXP INSURANCE LTR � ... INSR..WVp POLICY.NUMBER _ -MMfn MM100 UNITS. GENERAL LIABILITY 850000874 1110112013; 11.10112014 EAcsIOCCURREKCE s; 1.,000100 ... P EMIS Ea tiCturredcE `$� 100 vv X COFAMERCIALGENERALtIABIL(7Y ESI i j CLAIMSLMADE M OCCUR, MEDEXP(Any one person) t S 5,00 A. f PERSONALB.ADV INJURY. `S 1,000,00 GENERAL AGGREGATE S 2.,040,,00 GEN'L AGGREGATE:LIMIT APPLIES PER:.. PRODUCTS-COMPf0P AGG S. Z POLICY f:PE0. LOC AUMMOBILEIIABILITY- . . ,. 5666240000212/D112013, 1210112014 COMBINED SINGLE LIMIT. {S ANY AUTO (Ea accident) 1 i i'.0 j0:,4- BODILY INJURY-(Per persai). S^ ALL OWNED AUTOS BODILY INJURY jPer accident}: S A X SCHEDULED AUTOS PROPERTY DAMAGE 3 X HIREDAUTOS (Per:acddent) - X NON-OWNEDAUTOS y S UMBRELLA t(A@ X occuR 46000583E 1110112013 CC.1110112614'EA s 1,000 , A Q EXCESSLUIB. 1,CLAIMS-MADE AGGREGATE 5�. 000, : DEDUCTIBLE. S I RETENTION :S S _ .... WORKERS COMPENSATION WCC500559301200 '1010312013 10103/2414 X ORYT.A.T s 'X._eR �AND EMPLOYERTLin.uY YIN IANYPROPP..IETORIPARTNER/EXECUnVE RICNARD TUPPER I , ;; E,L_EACH ACCIDENT S :8,440;tD B I OFFICERIMEMBEREXGLUOE[» N I A (Mandatwy. I.N CLUDED FM.WC.COVERAGE, ELDISEASE-EA EMPLOYE S I,000, B DES pyI d JpTt esra be under E.L'DISEASE P011CY LIMIT S 1400 I OF OPERATIONS tietate I f j DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACOR0161;Addffi0-I RemaAea:SchedW.iim"apace fa required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE:CANCELLED SEFOR€ THE EXPIRATION DATE: THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE.POLICY PROVISIONS; '•For Information Pitirposes .Only" Tupper Canstruction Co LLC AUTHORIZED REPRESENTATIVE, 27 Roberta Drive W Yarmouth, ice,`02673 . . .. Lora LoWe. ©794872009 ACORD CORPORATION. Al)rights reserved:. ACORD.151206 9t09) The:ACORb.name and logo:are registered rrreriv of ACORD r ' Tfae C`om0000,eglth 6Pfa*S9CfiUseAS _Detsurtttteof Ittlrr�gril Aeins '��ce;ttf Investigons ';Congress$Zrp Su to d 00 B4900 a,MA"-M7 WW.Mass govld a Workeirs"Compgnsib On suratuceAffidgAt:Build ors ecta'icisus/Pllaulbers � p# eant.Lefc�rinatian Please Punt vbl}� Name tBusl ess/orai,l ;o„nd;��d,;� Tupper Construction Address:798 Mid Tech Dr City/Statelz p,West Yarmalith,MA 02673 phQ e 508 778-©1.3.1 Are you an employers Cheel:":tbe aptiropriatebog v L I am a employer.with 4. D 1 am a`�eneral contractor and I TYPE of`prolesi;{required} employees(full andlor part=dine); ` bave.11ued#he:sub-contractors 5; etiv construction ?`® I am s sole propn or orpartner- P►sted on theetta6hed.sheet:. 7. [ Remodeling ship and haveaao employees Whose sorb-contractors have g: D000hton woridng for me in any capacity; employees and have-workers' [No workers. comp,insurance comp.insurailce:; 9. ©;)3uilding.addition 'required.] 3. We a yarporation and ats 10.04ectrical repairs fir.additions n0_wne :doi llwo sed thm;am a o r 1.1 .Plumbing:re rs'.oraddition3: xhyself. [N:a Worke%i$ oomp. right of txelttptton per I�GL; b ins' w ce;requireds]'.' c 1 a?, l( ,and we leave nt) l Q Roof repairs a ernplayees. [lo wrirkes' Ya. {Xher Weatherioaticin/ cam _insuranee.re ui"red n u a ion p q ) "Airy appiiftthat-vireo ho il must also tat(out ifie section belo�i shownne iheir.workers':,compensi tron policy iofot►nation t Nomwwnera tivho submit this al2idavit indicating they are 0i.g all i8brk road th n hire"ouuit 4 copV46tnrs musrsobmit tt ne�v at daYu zndi. such.Contrrtators chat checek thasbov midst attachtd an u"dd"ifianal shoe t Staovrin tho naive of the sub�ontrrictors and state�chetiizr or notthuse enLtses have; :mployees. if the sub-contractorshaveentiloyez�they mttsf_provide ifieir woikcrs'comp:pUlidv numEen I rarta lan employer that&proxsulira�►vsrkers'r�artpenxatrora arrsurorts°c arm t na"tuorees. t p Below es Ilse pol�ry rend jDh site ttisurance Company Moire AM: Policy#or'Self-iris.Lrc # WCC500569SO12007 ' Expiration'Date; Od3t14 tab Srta Acl"dress�Jr� � CxCX.�(.►G� . Ct1y15welZip Attach a copy of the_ifers'compensation pour y deslaratioa page(shveying the policy num r and',expiration date Failure to secure coverageas t�quirexi under ccuoi.?5A tit MGI�.r l32 can lead to the imposition, f criminal penalties of a Erne upio Y,500;00 and/ ear lirlOsortment as welVas cixlil:penaltres tn.the Fonn crF. 4:TOP VIatJRt�'ORJ�ER and a;iine of up"tb SU:00 a da= gaitt5t th iolattir Be advised tha>a copy ofthts,st�tementi-a ray bz:fortivarded to ti a dff cv:o¢ Itq'vestigatitin5 of lR;tor inset-.nCe e4verrg �rerliCatiit'n: }Cki lierehv.rerii' der.* a unadi7rrltaesf perjury that tY.ae cf<forfije_nuivted "Vets true atrl carrert. Ph one#: 50877801 offidal use oaaly. !)O* t wrote a flats area►to be completed by arty or town offacattl.. City+or:Town. 1Peranft/Lir erase#t. _. lssuirxt :Au#harity _..._ d::13oa"rd:a€H�atth 2:7f3ui1dingIDepar[rraent 3:City/rowai Cie rk" aec#ricad Inspector S.:Phami® Ins[sector 6'..:Other Goa itrach'Terson:. i'loae# t1U1 935lt U 110hWC RMANGIL INS 1`1`iU16,.INC #f77 Hafter Rid,SSuile 110 Board 0.3us'ding R gaiaiic�ns do I iarclarus Malfa,19Y 122620 �.. $77127a%12?4 x C trutir�un Suw r iss j Licen se: 6S-669058 RIC>tiARfl%5 Tt3PFER s; 79 B MU)-TECH DR A WEST YARINIOUM bik 02673 Richard Tupper .N F Bpi i$ff AE'dEM S1C FOP.llnw]SNAiSist$A4#D t�PI IQik{M�i � ^��a „7 t5a€t tE s 1 213 11201 4 sus• 1 Af�cru> >zt�.r`2,ec��fti f4'it�C Lrre�rr at( ,. tDffic�of C©asamerAifairs c€SusintssRebulats0n License or registration jalid 3`oc indivedul nsenaz3v 011VIE:SM PRQVEfitiEhiT CONTRACTOR bofore tt;e rpz dale. If found return to !� egistration: 178434 Type-, i)�ce of C Bars and$usi,itess It is4atio . S 1O.Par aza Su' 5170 . Expiration: 4116=116, LLC BID i*I:4 021 TUPPER CONST€2UCTION CO,4 LG: RICHARD T UPPER 7S 8 MID-TECH DR- _ W.YARMOUTH,MA 02673 t�adessecretarti� do 3 et$►13 t signatti€e SEND WjiET0;zSm0,vT, n peq WpistgPeopteBuMa5aferWCOMM asld"` WEMBER,: t Richard Tupper. s` Tuppelr Gonstruption Building Safety Professional t Member#:815811'9 �v-4/8012015 i gg 3 E y F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0277-1 Parcel If�— " Application #C24M O/a Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village Owner r L I ty e- Address B v_ W Telephone1 3 6,;- ' y 3 g 7ZCe Permit Request S. a _ 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 ❑ 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:S 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# .o Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ` Name aAv�_ L I ri Telephone Number Address '< License # e- �,ry e VL Home Improvement Contractor# J Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � DATE =f '� FOR OFFICIAL USE ONLY w + APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION . t FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED'OUT ASSOCIATION PLAN NO. 4 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ton Street 600 Washington- g Boston, MA 02111 °' bJ•�,� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual): : L f �• Address: v i c Ci /State/Zi LeA)-�f(�V 8 � 6 Phone.#: r SD 6 - 0 tY P Are you an employer? Check the appropriate box: Type of project(required): k 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 [ am a sole proprietor or partner listed on the attached sheet. 7:. ❑Remodeling —sliip and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY # 9. ❑Building addition [No workers'comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a 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 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 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. . _ Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self=ins.Lic. #: 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 inthe.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 maybe forwarded to the'Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p ins and penalties of perjury that the information provided above is true and correct - Si ature`�, Dater Phone#: Official 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.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 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 bean 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 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 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 to any business or commercial venture (i.e.a dog license or permit to bum 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 Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02.111 Tel.'#617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable • _., pFZHE Regulatory Services BARNSPABIA ; Thomas F.Geiler,Director MASS. 9Q,A 1639• ,�� Building Division TfD MA'I a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB!LOCATION: number str&@V village # Ka w\ L ( n I� u-e_ �- "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS`. � III 1nn city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State.Building Code and other applicable codes,bylaws,rules and regulations, The undersigned"homeowner certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. —Signature of Homeowner: Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of constriction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is'a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC oFTHe,�y, Town of Barnstable Regulatory Services R ■ 9 $MASS, " Thomas F. Geiler,Director Building Division Tom.Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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 Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM IS SION . r x 4 { X11- C) i J) .. � %. e .� _. .. - s .. t • - " it r , j��< ' F o .. - .. # � � F „ - .. - ; i -v /-" ,i � � �� � �� �u ." _; r v .' _ �. - � � r "e.P Y �� . c DATE: March 10, 2010 TO: Building File FROM: Robin Anderson, ZEO RE: 229 Buckwood Drive, Hyannis • Met with property owner, Zhi Wen Wu and Tim (BOH). • Discussed basement apartment. • An exit order is on file issued by Paul Roma in 2006.- • As of 2010 unit has primitive food prep area per Health Inspection. • Directed owner to obtain plumbing and building permits to restore to single- family use. o Plumbing permit to remove kitchen sink, cap lines off behind a finished wall o A building permit to open bedroom doorway to a 5' cased opening and create additional 5' opening in the common wall . • Provided owner with permit application to restore to SF. • Tim sketched floor plan for her to correspond to existing and proposed. • Discussion ensued regarding egress window: • Although Tim informed her that she could have an additional bedroom because she has a 2 bedroom home on a 3 bedroom septic I nixed the idea as she is a violator(documented back to at least 2002). • No egress window required because she is unable to rent space although owner has a history of utilizing space for habitation as a separate rental anyway. • Installing an egress window would cost more and encourage rental use; o Rooms without'privacy are not bedrooms; o Therefore no egress is required under Title 5 • I directed the owner to eliminate all privacy in the basement rooms and remove the kitchen in order to discourage the continued use as a rental or sleeping area. • I advised her to rent the house as a single family home to a single family without subletting by any party in the basement. • Clearly, this owner was well educated about the illegal and unsafe use of this basement area. • Because this owner refused to cooperate before and is not eligible for any relief as she does not actually reside here, I am compelled to require strict compliance. Gave owner until Monday 3115110 in order to submit permit application or otherwise incur daily citations of$100.00 �IMElph, Town of Barnstable Regulatory Services ► BARNSTABLE, 9� MASS. Thomas F. Geiler,Director z639. ♦0 prE1639. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 23,2006 Mr.Zhi Wen Wu 203 West Main St. Hyannis,MA 02601 Re:229 Buckwood Dr. EXIT ORDER Dear Mr.Wu: Under the provisions or 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. Your cooperation in this matter is appreciated. Sincerely, P Paul Roma Local Inspector i ��FTHE Tp�, Town of Barnstable Regulatory Services * BMWTABLE, v Mass. Thomas F.Geiler,Director 039. & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 March 28, 2007 Zhu Wen Wu 203 West Main Street Hyannis, MA 02601 RE: Illegal Apartments: 229 Buckwood Dr. Hyannis, MA 02632 Map : 271 Parcel : 112 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 You must contact this office by April 10, 2007 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, inda Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 �OFZNE r Town of Barnstable Regulatory Services 9 "MASS. g Thomas F.Geiler,Director ATE1 39. 0. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 March 28, 2007 Zhu Wen Wu 203 West Main Street Hyannis, MA 02601 RE: Illegal Apartments: 229 Buckwood Dr. Hyannis, MA 02632 Map : 271 Parcel : 112 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 You must contact this office by April 10, 2007 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, Linda Edson Amnesty Zoning Enforcement Officer Building Department l 5 t , Q:zoning5 Parcel Detail Pagel of 3 C� �iyqe CK{TAW L 3 ES �✓ / Logged In As: a rce I DetaI I Wednesday, h Parcel Lookup Parcellnfo ............... ....... . Parcel ID 271-112 Developer LOT 17 Lot Location .229 BUCKWOOD DRIVE Pri Frontage 100 _._. .,.._...__.. _..... ........._ _ .__._ _........... _..� Sec Sec Road ROUTE 28 Frontage 91 ........ Village,HYANNIS Fire District;HYANNIS ........ .......... ........ ................................ ........................................................... Sewer Acct Road Index 0193 Interactive Mapst Owner Info ......................................... Owner'WU, ZHI WEN & KUET, KAM LING Co-Owner! ............ ......... ............. Streeti 203 WEST MAIN ST Street2 City HYANNIS State;MA Zip 02601 Country US Land Info _... __._... _m.. .. __..... Acres=0.25 Use'Single Fam MDL-01 zoning ;RC1 Nghbd 0105 Topography; Road i .. Utilities I Location`. Construction Info Building Year... Roof Ext Built1970 Struct:Gable/Hip wall ;Wood Shingle Effect 1102 I Roof=Asph/F GIs/Cmp T AC Central Area Cover= ype Style Ranch wall Drywall Rooms 3 Bedrooms ::. .. Int Bath Model Resldentlal Floor i Rooms 2 Full 1... . Heat .,..... ., �.............., Total ,,,,,,...._.�....... _........ Grade{Average,,, Minu_..�s Type£Hot Air Rooms 6 Rooms http://issgl/intranet/propdata/ParcelDetail.aspx?ID=20501 5/2/2007 Parcel Detail Page 2 of 3 py J Heat Found-` stories1 Story -Gas Poured Conc. Fuel = ation 33 fZME Permit History Issue Date Purpose I Permit# Amount Insp Date Comments Visit History Date Who Purpose 6/5/2002 12:00:00 AM Paul Talbot Meas/Listed 9/15/1989 12:00:00 AM ML - Sales History _._. . _ ....... ... . Line Sale Date Owner Book/Page Sale P 1 12/30/1999 WU, ZHI WEN & KUET, KAM LING C156112 2 12/10/1998 ARGIROS, SHIRLEY C151192 3 2/15/1985 LADD, ANNE C100062 4 BAKER, GARY H C75061 Assessment His tor _._. _..._------- Save# Year Building Value XF Value OB Value Land Value Total Para 1 2007 $106,200 $23,200 $0 $130,000 2 2006 $97,000 $23,200 $0 $128,700 3 2005 $93,000 $20,400 $0 $116,400 4 2004 $75,400 $20,400 $0 $116,400 5 2003 $62,700 $2,500 $0 $35,100 6 2002 $62,700 $2,500 ' $0 $35,100 7 2001 $62,700 $2,500 $0 $35,100 8 2000 $50,800 $2,300 $0 $22,600 9 1999 $50,800 $2,300 $0 $22,600 10 1998 $50,800 $2,300 $0 $22,600 11 1997 $39,900 $0 $0 $22,600 12 1996 $39,900 $0 $0 $22,600 13 1995 $39,900 $0 $0 $22,600 14 1994 $40,800 $0 $0 $25,400 http://issgl/intranet/propdata/ParceiDetail.aspx?ID=20501 5/2/2007 Parcel Detail Page 3 of 3 15 1993 $40,800 $0 $0 $25,400 16 1992 $46,400 $0 $0 $28,200 17 1991 $59,800 $0 $0 $43,900 18 1990 $59,800 $0 $0 $43,900 19 1989 $57,000 $0 $0 , $43,900 20 1988 $40,700 $0 $0 $18,200 21 1987 $40,700 $0 $0 $18,200 22 1979 $40,700 $0 $0 $18,200 Photos _. http://issql/Intranet/propdata/ParcelDetail.aspx?ID=20501 5/2/2007 ear'- .' °FTME Tpy, Town of Barnstable Regulatory Services 9'"i ASS. Thomas F.Geiler,Director �p s39.6gq. lEn Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 t June 7,2002 Zhu Wen Wu 229 Buckwood Dr. Hyannis,MA 02601 RE:Illegal Apartment Map:271 Parcel: 112 Dear Zhu Wen Wu: A review of our records,including the permitting history of 229 Buckwood Dr.,Hyannis,as well as Zoning Board of Appeals records indicate that the use of that address as anything other that a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single-family home. You are to accomplish this work and notify this office to inspect within fourteen(14)days or receipt of this letter. A building permit must be applied for to residing the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this.decision. If you so choose,we will be more that happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/aw Q:zoning5 f Town of Barnstable Regulatory Services i �y� * BARNSfAB1X 9 Mass, Thomas F.Geiler,Director �p i639• �0 a Building Division Building Commissioner 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 (date) RE: 22 A ,MA Map: 7 Parcel: /la- Dear Property Owner: A review of our records,including the permitting history of 9/-u� as well as Zoning Board of Appeals records indicate that the use of that address as anything other that a single family home is illegal.. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single-family home. You are to.accomplish this work and notify this office to inspect within fourteen(14)days or receipt of this letter. A building permit must be applied for to residing the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more that happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. . Very truly yours, Gloria M.Urenas . Zoning Enforcement Officer GMUI C Q:zoning5 Town of Barnstable °FT"E Regulatory Services ". Thomas F.Geiler,Director anRwsTnsLE, MAn 9 ,0� Building Division i639• Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINTANQUIRY REPORT Date: G Rec'd by: Complaint Name:,.��s, 2, n&/t Map/Parcel' �71- l/ Location Address: -W Originator Name: Street: Village: State: Zip: Telephone: &P 5 7 Complaint Description: P FOR OFFICE USE ONLY Inspector's Action/Comments Date: . Inspector: Additional Info.Attached Q:forms:complaint Town of Barnstable �OFTFIE Tp�� yP o� Regulatory Services saxrasras Thomas F.Geiler,Director Mass. a 9q, 039. m Building Division ABED MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 4 Fax: 508-790-6230 July 23, 2002 Zhu Wen Wu 229 Buckwood Drive Hyannis, MA 02601 RE: Illegal Apartment, Map/Parcel 271/112 Dear Zhu Wen Wu: We are sorry you have chosen not to cooperate with this office in restoring your home to a single-family dwelling. Since you do not want to comply with the Zoning Ordinance, we are forced to seek a complaint in District Court. Sincerely, - Gloria M. Urenas Zoning Enforcement Officer GMU/lb q/forms/singlfam - Parcel Detail Page 1 of 3 Logged In As; I�C ,��I I Wednesday, Marc Parcel Lookup Parcellnfo ......... ......... ..... ......... _ ........... Developer'..._. Parcel ID271-112 Lot LOT 17 Location:229 BUCKWOOD DRIVE I Pri Frontage'.100 Sec Sec Road ROUTE 28 Frontage 91 ...... .............................................................. ......... .......... ......... ........... villageHYANNIS Fire Distr€ctHYANNIS .. ... ......... Sewer Acct Road Index 0193 Interactive p Owner Info owner:WU, ZHI WEN & KUET, KAM LING Co-Owner ........... ......... ......... _ _ ......... ..... ........ . ......... Streeti f203 WEST MAIN ST Street2 _.._.... .. ... ..........:......._. ... ... . ...., city€HYANNIS State MA zip 02601 Country US Land Info ..... ......... ......... ......... ...... ... ......... ......... ........ _......._ ....., Acres;0.25 use Single Fan MDL-01 I zoning E RC1 Nghbd 0105 Topography Road Utilities Location Construction Info Building Year... Roof; .......... Ext? 11970 iGabHip Wall;Wood Shingle Built= S le/ truct .. Effect 1102 I Roof=Asph/F GIs/Cmp AC'Central Area .-- Cover I Type i ..... ........ . Style Ranch Int'Drywall I Be( Bedrooms I -- Wall Rooms € Int .., , Bath f Model ,Residential Floor Rooms 12 Full __._.,, _....., Heat _ Total ..,.,,. Grade?Average Minus Type I Hot Air 16 Rooms Rooms I http://issql/intranet/propdata/ParcelDetail.aspx?ID=20501 3/28/2007 I � -Parcel Detail Page 2 of 3 `y3�3�3�'il$7� li��i1��313 3333�13� )3333131j� �1 1�,�,3d i y ...... ........ J 3 Heat; Found- a3��1 6A stones 1 Story Fuel 3 Gas atio :Poured Conc. ' y '13 I133 Permit History Issue Date Purpos I Permit# Amount Insp Date I Comments Visit History __...... __._...,.,,..._ Date Who Purpose 6/5/2002 12:00:00 AM Paul Talbot Meas/Listed 9/15/1989 12:00:00 AM ML Sales History. . ....... Line Sale Date Owner Book/Page Sale P 1 12/30/1999 WU, ZHI WEN & KUET, KAM LING C156112 2 12/10/1998 ARGIROS, SHIRLEY C151192 3 2/15/1985 LADD, ANNE C100062 4 BAKER, GARY H C75061 Assessment History .._.... ..... _.......... _... . Save# Year Building Value XF Value OB Value Land Value Total Parcc 1 2007 $106,200 $23,200 $0 $130,000 2 2006 $97,000 $23,200 $0 $128,700 3 2005 $93,000 $20,400 $0 $116,400 4 2004 $75,400 $20,400 $0 $116,400 5 2003 $62,700 $2,500 $0 $35,100 6 2002 $62,700 $2,500 $0 $35,100 7 2001 $62,700 $2,500 $0 $35,100 8 2000 $50,800 $2,300 $0 $22,600 9 1999 $50,800 $2,300 $0 $22,600 10 1998 $50,800 $2,300 $0 $22,600 11 1997 $39,900 $0 $0 $22,600 12 1996 $39,900 $0 $0 $22,600 13 1995 $39,900 $0 $0 $22,600 14 1994 $40,800 $0 $0 $25,400 http://issql/intranet/propdata/ParcelDetail.aspx?ID=20501 3/28/2007 Parcel Detail Page 3 of 3 i 15 1993 $40,800 $0 $0 $25,400 16 1992 $46,400 $0 $0 $28,200 17 1991 $59,800 $0 $0 $43,900 18 1990 $59,800 $0 $0 $43,900 19 1989 $57,000 $0 $0 $43,900 ; 20 1988 $40,700 $0 $0 $18,200 21 1987 $40,700 $0 $0 $18,200 22 1979 $40,700 $0 $0 $18,200 Photos http://lssgl/intranet/propdata/ParcelDetail.aspx?ID=20501 3/28/2007 Town of Barnstable F 111E l Regulatory Services . Thomas F.Geiler,Director # BARNSTABLE MASS. Building Division . 39 i6 �� AlFD 39 A Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT Date: ` - 7 G Rec'd by: ------ Complaint Name: Map/Parcel Location _ Address• Originator Name: ez � i Street: Village: State: Zip: Telephone: Complaint Description: FOR OFFICE USE ONLY Inspector's Action/Comments Date: 7 z Inspector: Additional Info.Attached Q:forms:complaint