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0667 MAIN STREET (HYANNIS)
� � � ��C�� ., !q. � t d, � i ,� i �� i 4 i. i G ,`�I I I� i 1f ;� J :�` � .' �. .�. — r e' a a � c. ' �„",,,,,�`� `'ram ,�1 }� =�ema� _ ,� � j TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager- k'N'Q' 4�- (jAddress of Offender t' kj, MV/MB Reg.# Village/State/Zip Business Name' -'} k, J i tip _am/.pm, onIA 20 Business Address i,—i I -I n Sigrfature;,of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts 14 This will serve- only as j'a, warning. At this time no legal action has been taken. It is the goal of Towd agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 46 Ordinance or Regulation WARNING NOTICE .ram Name of Offender/Manager _ oo (u. pi" �A Address of Offender .fY� 4T MV/MB Reg.# Village/State/Zip ` _ Business Name #: !� ipt ( >r � /pm, onL4` 1 201 Business Address (,�^1t��'� [ t R f� K �Q >» .� I7 '.. Signature oaf Enforcing Officer Vil t, g F la e/State/Zi Loc�ition of Offense ,; , �r { ri D,if/_" " 'nIfor1. g Dept/Division Offense � .. .'' Facts'{ This will serve" only as ('a warning. At this time no legal action has been taken. It is the goal of Towwn agencies to achieve voluntary compliance of Town . Ordi.nances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.' ACTUAL DESIGN FRONT DOORSAMNDOWS 3' I N M 10'4 [7z��= 5'8 � iv - i �-6'3 58 8, CV Z4 3or ff Stele �c --r cw- rrL �1 �000- 5w��2 71, r Appeal No. 7�� TOWN CC ` UAfPINSTAP?.F. t�,!P Date Received ......... /..�. . 7 B►HBSTAIM4 Z '77 JUL 14 AM11 28 , MAO& pp 1639. as . TOWN OF BAR NSTABLE VARIANCE PETITION FOR UNDER THE ZONING BY-LAW SPECIAL PERMIT To the Board of Appeals, ?//5/ Hyannis, Mass. Date ........ .......1.............. 19 The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter set forth, the application of the provisions of the zoning by-law to the following described premises. Applicant::��..�.....................................Z......... .....��...................................................... ........................................................................ Na (Winter Address) Owner .ri 1...................... ......... ...... :..... ................... ...r .......................................................i................................................................ ................. (Wnter Address) Tenant (if any) : ................. .G�..... ....................��........................................ ..................... ..... ... ...........:..._ .. ............ ......... . (Full Name) / (Winter Address) J01 1. Assessors map and lot umber ...... .1.... .... ........................................................................................................................... 2. Location of Premises .. ..,1 "f.... ......� _.......... .. Area ................................ . ..... ....................... (Name of Street) (What sec tio Town) 3. Dimensions of lot .::.. ..... ..........................e�.iz.!2..............................................................._...... (Frontage) (Depth) (Square Feet) 4. Zoning district in which premises are located ...y/ ..�.............................. ................................................................. .... ........... 5. How long has owner had title to the above premises ....... �.✓..�G .............. ............. .. �............. 6. How many buildings are now on the lot(? .,�yta. f. ..................._............................... .......... ......._................................. 7. Give size of existing buildings . ... �<i�� ................................................»............................_....._................................�................ Proposedbuildings ................1 ,X../'#................................................................................................................................................... - 8. State present use of premises 1 ....._.. . ...... ................... _..............._...................... 9. State proposed use of premises ....... .. .. ...._......... ........... .. .. . ........_......'................................_.................................._....... 10. Give extent of proposed-construction or alterations: ..... . .............. .......... ........ . 11. Number of living units for which building is to be arranged . .... ............... .....�.., ..................._.................. 12. Have you submitted plans for above to the Building Inspector$ ...::...1,. ....................................................................... 13. Has he refused a permit? ......16 .... ......................................... 14. What section of zoning by-law do you ask to be varied? . .. ... ... .... ......... .... ... ......,�......................................... ............................................................................................................................................................. ... ........................... . ............. _ . .. .... ... ... 15. State /reasons Lfo�r variance or special permit: . .........I.. . .......... .. ......... ... ........................ ...... .... y � _ ... .. .... ✓��. .c c .. ................... .. ..... t .. . . ... ......... .......6.......... .... + a� ... .XdA XI.�:... .....�<a.. . . .. +-..�....... �:......................._.............................................._................................................. ........... ........................... ......... ....... . ............... ... ........................................................................................................................ ................. .................................................� ...................... .............................................._........_. Respectfully ectfully submitted, r.. (Signature) ....... .. ... ........... ................... ....... .. ............. ................ Petition received by ...........:. (Address) .............................................................................................................. Hearing date set for ...........$..3............................... 19' 7.......... ` '* Filing fee of $25.00 re. aired with this petition. * This form may also be used for Appeals. (OVER) ` A r,. The following are the names and mailing addresses, of the abutting owners of property and the names and addresses of the owners of property abutting the abutting owners of property and the names and addresses of the owners across the street all with their corresponding map and lot num- bers according to the records in the Assessor's Office at the date of this application: Please type or print only. 8 l III S .t There must be submitted with the within application at the time of filing a plan of the land, in duplicate, (or two prints) showing: 1. The dimensions of the land. 2. The location of existing buildings on the land. 3. The exact location of the improvements sought to be placed on the land. r Applications filed without such plans will be returned without action by the Board of Appeals. �o. �' .�."' �- °fit` j<4 :;a u' >-...3t-.,nrr _•E- -'ter a r �i eYtT " slaa" � � Gy�� �r}"' �Y n v���� �n"`� sal•� --"+t"Y ,+K.'� '�'S"`"+��`�-" 'u' •.u��{r�" t°°"'�,��s � r^ir ray. s t. r r a R { .,. �x -',k � v. •e +� -.�' ,s.f # 4 .,k"'S. 5..._• fy `¢ s' .,�p' ,sE'Fy"i'' .'S .f4 � s, f'w1 :P.'3•� yy*� 4 a4 3"'� t ,, ',y_'E uu `",.i a x s r' ,s-r - p*�••, 'i4+ k v>w' €-aw r .},Vr '� to �,z ' L ...a `t`='� t 3+ vim. •.��IM .ss� ta` s;:i �+ 4 k ' ' „�"- y,.� t '-•ak F" i� sM''�"*; v . -Y.•"S'« '.3'" " i.mt;. `., 's•'''' y^re;.1c '$•'cr`• -�r,"�,�,,yw ",•`S Y `Yk..a.. ,•-v. .Y*wY'�"a . � '`'.• ��: v'L � � ty,..` s+"1. �y�'T � Sj�f�,-s �'.�'ayv�. aye ,`4as j. _ t w� �.,.�y,j,tL -.��t..r si�M-" �� s•:� � w""="-� -,,�•� 3... ,�,;.t�.y;:ti � �'�i` am t�rh�'`^" _.v-y-••- c Y�. .'F i� L a �eg '��y,�-r'fi 'x73' - i h' �je��.�C, aN �� m�"TF•'"`�.''�7. `s d =.+^ x`ll .s... ;,..Ey' x a ,'„t _ t �'- s8�" �zr '� y ♦f^'^,y' 'Y' - y,;. £' L r� WR 1..5 #�'C y3 C YfS Y_aX r N. =_Pae s, ••�. 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I , w 'T '4 x4'�{;`#'�'' .-+'.',Y{„a,F sx 6re7-3�,t,'}��}t.:6y w"-3aa.W w sp>'a4�.X."�.R..'*.'sr'".^r, we. sr--''-•.-i�t„a y.r-S...�*:..„• -1 _'y'3^*-.^"X."-'"�A^,y"i�_� a"Sr"t.<xtr.Ynr,',,, r..`.. ,4 3: .4._ Y y.Y,` °-`sc;s'•k_,:#a^.,s*`.."Pu�5;t s"-x".'sa.-�',`���'4'y K_m*n♦��rr�:�a°LL`F•yt.,,,+ti,�,-...E.,'. .,.."r,`:_c" ,A,"."MM" . tk 1�L §. � t�}45 '+•k.,r,,,a-tg`�,.a; ',7c&k.,a.'w.�.,+t ad y,^r,yn>"s,#e.'-'a tt.`F 4t`',9JF''^ r.e�."nl, l.eei yy,� Town, of Barnstable Regulatory Services (� ` R" Y- m E . Thomas F. Geiler, Director i679 $uU ing Division J ran►�. Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa;,: 508-790-6230 PLAN REVIEW Owner: 50 I j Map/Parcel: —7 Project Address & 7 f . S� Builder: The following items were noted on reviewing: Reviewed by: Date: Q:Forms:Plnrvw , . T"�Tati Towns of Barnstable Regulatory Services RARNBrABLE. MAE& g Thomas F.Geiler,Director '�EnrAa'�• 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 ABuilder I, .�V�//I C 1 \/G�j�50� , as Owner of the subject property hereby authorize /�C./l'bI�y-� �i/� C.S ��. to act on my behalf, in all matters relative to work authorized by this building permit application for: rn iq t pi 's-/ MY)o (Address of Job) Signature o4er Date �? Z Print Namd If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS.O WNERPERMISSION Town of Barnstable „�. o Regulatory Services BARNs.,BL-r, : Thomas F. Geiler,Director r�•tAss. Building Division �prED FM't A Tom Perry,Building Commissioner 200 MainSlreet,_Hyannis,MA 02601 www.to wn:b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': ~ name home phone# work phone# CURRENT MAILING ADDRESS: 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. DEFINMON 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 constrticts more than one home in a two-year period shall not be considered a bomeowner. 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.(Scction 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 homcownas who use this exemption are unaware that theyare 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 responnbilities,many communities require,as part of the permit application, that the homeowner certify that hdshe 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:forms:homeexempt t. Board OF Building- Rc�iil;+; and Still)d a rtic %Mm' COns±il,ction Supervisor i pe .,or License License: !;S 74759 Restricted to: 00 RICHARD T WHITESIDE 38 WAGON LANE _ £ HYANNIS, MA 01E''01 Expiration: 1/28/2011 '•'ram:: 9821 i i;: .' ✓lie'�oonmzn�,ueall>< �✓�aaaotucoek2;:,' I . hoard of Building Regulations and Standards':'':. HOME IMPROVEMENT CONTRACTOR Registrations,.135330 i Expiration 3%25/2010 Tr# 26340. Type DBA RTW-BUILDING`&REMODELING; RICHARD V1IHITE3IDE 38 WAGON LN i HYANNIS,MA 02601 Administrator 1 .......... f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 ;• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): � Address: WCA-Ctoh( Ltl}1�C,�' City/State/Zip: ALL}- CAA( (P0 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 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors .2 1 am a sole proprietor or partner-- listed on the attached sheet. 7..JV Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for mein any capacity. employees and have workers' 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 1 l.❑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. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 tip 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 p�anddnalties of perjury that the information provided above is true and correct. Si afore: Date: Phone#: 9-08 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 g gJ rP tee of an individual partnership,association or other legal entity,employing employees. However the receiver or furs ,p p, r; 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 thereto shall not because of such employment be deemed to be an employer." or on the grounds or building appurtenantth 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 wdth 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-contiactor(s)name(s),addresses)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 to obtain a workers' Industrial Accidents. Should you have any questions regarding the law or if you are required co ensation policy, lease call the Department at the number listed below. Self-insured companies should enter their compensation P P mP 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE - Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 15' Ill —2'9— a 10'8 °'= W o T p m o c) o z m o cn O G) z ao ao —T5 - 0 2'1- 3'11 I�1'11- w rn A 0 16'2 i i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:--, 1 0q2 Fill in please: 3 APPLICANT'S YOUR NAME/S: d n 1 A I U 1-1��e-- BUSINESS YOUR HOME ADDRESS: S Pi N IV+' Al G- r20� 0t�f 138 rnou F TEL PHONE # Home Telephone Number (7 ' NAME OF CORPORATION: -e.(,O Q �- NAME OF NEW BUSINESS r71 lA O C- TYPE OF BUSINESS (.tie, e IS THIS A HOME OCCUPATION? YES , NO //37 ADDRESS OF BUSINESS 6��m 19 S I 1 n n IS MAP/PARCEL NUMBER O� (Assessing) When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. .1. BUILDING COMMISSIONER'S OFFIC This individual hasbsreq informed 7oany permit requirements that pertain to this type of business. Authorized Signature** rr COMMENTS: ( T 2. BOARD OF HEALTH This individual h s bet e nforr a the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha�� n i�f fo d of then i uirements that pertain to this type of business. Authorized Signature** COMMENTS: Air,441nsfi — Q YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years): A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. x DATE: Fill in please: .p Y APPLICANT'S YOUR NAME/S: BUSINESS . YOUR HOME ADDRESS: S ! N nV N G- r20� C 13' rnou — TELEPHONE # Home Telephone Number 7 NAME OF CORPORATION: Uq2i,Ue 12 NAME OF NEW BUSINESS 154 ►'n if Tq5 O. TYPE OF BUSINESS cue- e IS THIS A HOME OCCUPATION? YES . NO ` ADDRESS OF BUSINESS �—M ig i S I ►n n i-5 MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. .1. BUILDING COMMISSIONER'S OFFIC YThis individual has formed o any permit requirements that pertain to this type of business. Authorized Signat(re* COMMENTS ' ha j�k 2. BOARD OF HEALTH This individual h s be nforr, ojthe permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual haft ` of th f`en i ' uirements that pertain to this type of business. Authorized Signature** COMMENTS: l t — YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 110 ) Iq Fill in please: � a t � APPLICANT'S YOUR NAME/S: (� CI M A R DJAP- e, �€!0�7r� ! USINESS YOUR HOME ADDRESS: r� P!4y til IU CY +ems � � TELEPHONE # Home Telephone Number Oa' q 00-98 NAME OF,CORPORATION NAME OF NEW BUSINESS TYPE OF BUSINESS:e r S7b Rem. IS THIS"A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS (11.1�i N Si +l.n'f 5r MAP/PARCEL NUMBER �D � 2- [Assessing):. ' When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISS10 ER'S 0 FICE rfo This individual ha rrir e�of a y p rmit requirements that pertain to this type of business. ' u oriz d Sign re**y COMMENTS: . i 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORIT��nrequirements This individual has n nforme of the lic that pertain to this type of business. Authorized Signature** s [ b p COMMENTS: I VL�(.A I`� "'`^" .g��TNEt � Town of Barnstable Building Department - 200 Main Street AB . *BARNST Hyannis, MA 02601 9 MASS. (508 1639' ) 862-4038 ArFD MA'S A Certificate of Occupancy Application Number: 200900778 CO Number: 20080272 Parcel ID: 308137 CO Issue Date: 03116/09 Location: 667 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: MIXED USE OFFICE & RES Village: HYANNIS Gen Contractor: WHITESIDE RICHARD T. Permit Type: CCOO CERTIFICATE OF OCCUPANCY COMM Comments: LUCY'S JEWELRY Building Department Signature Date Signed IKEr TOWN OF ARNSTABLE � �tld�ng Application Ref: 200900778 * BARNSTABLE, * Issue Date: 02/27/09 Perm�t 9 MASS i639• �� Applicant: WHITESIDE RICHARD T. Permit Number: B 200902.77 Proposed Use: MIXED USE OFFICE&RES Expiration Date: 08/27/09 Location 667 MAIN STREET (HYANNIS) Zoning District'HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308137 Permit Fee$ 50.00 Contractor WHITESIDE RICHARD T. Village HYANNIS App Fee$ 100.00 License Num. 074759 Est Construction Cost$ 500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND MOVE SIDE DOORS TO THE FRONT OF THE STORE.TO HAVE A ONE THIS CARD MUST BE KEPT POSTED UNTIL FINAL FRONT DOOR ONLY-TENANT FIT OUT FOR"LUCY'S JEWELRY" INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: IOHNSON, NANCY L TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 137 HARBOR BLUFF RD INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY,STREET,ALLY'ORSIDEWALK OR ANY PART THEREOF;EITHERfiEMPORAR[LY'ORIPERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALliY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLYGRADES AS WELL AS DEPTH:AND LOCATION OF PUBLIC SEWERS.MAY BE,OBTAINED FROM THE DEPARTMENT OF PUBLIC,WORKS::: THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS, MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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: PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION_ WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). IN 10 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 1 2 2 2 3 ,� ( � 1 Heating Inspection Approvals Engineering Dept 0 Fire Dept 2 Board of Health „_ RMIT.APPLICATIONS. TOWN B RN TABLE BUILDING PE,- MapVZJ: Parcel :Application #__�Lq�y 7 Health Division `�S� ' Date Issued1 Conservation Division Application Fee Planning Dept: Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Addres� s� m A 1 k/ (Villages N N iq N)k) 15 ► M4 OA O I c-Qwner /0, n h J O k/ Address P6 boY 53a Telephone Oc260 — PermitrRequest m Oy T r° OO 0 h� FR,0nT'. O F -Th e s OR e ' erne n-r do o� � a :”! r, � i 0t Square feet: 1 st floor: exiting proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay e_r_0jectTValuatio D _ 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: i _N C-: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -cz s co r-. Commercial ❑Yes ❑ No If yes, site plan review# ry -I; Current Use Proposed Use 23 APPLICANT INFORMATION — r- a,(BUI�OR HOMEOWNER) Telephone Number �gc) q Sj,;� Address S e) W Q 'eL� LN License # 0 S 7q_759 ff�tA441_+(s M L 1_ 0940 0 Home Improvement Contractor# 1353 3 D I Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2^�'� i©9 4 : FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 'FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH OUG FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. ffioe (1st floor): Q DY_ �y f1NEr ssessor's map.and lot number ............................................. Quo 4 ��0�♦ and of Health (3rd floor Sewage Permit numb . „�r�V 9/A S. t BAHasTsnte, . Engineering Departmerit (3rd floor): -.�S °o N0 9• e� House number .............................* ....... ... .............:........... �o VA*4 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR , l°1 APPLICATION FOR PERMIT TO ..............�/rl`? ='.. ?. ....... 0 ................................!.............. ' TYPE OF CONSTRUCTION /d/...N:..r.....� ��i 4'�L....,l/s !�` ...... i�0 �-.5✓D.4�... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......6.46. ....,.. /�.....t�....... ... .................................................................................... . .... ........ ........ ProposedUse ............./. 7 / ......... 7I.P ................................,.........,,.......................................................... .,13 5............................Fire District Zoning District ........... ...............,......� .............................................................................. Name of OwnerR-.1R....47... .'. ...... . ..... .........................Address Name of Builder ............. / ?. ................................Address Name of Architect ..... ' '......................................Address Number of Rooms ............9..................................................Foundation .......................... Exley for . ./,., ..F'!/�QQ.....03!e,4........ ............................Roofing �Y.1�2..../.�:....�...�!,!�!��.I�..S�........... Floors .Interior ..... _ 11 I Heating , .LG"G7i'/G'..................................... Plumbing l � g '/-4.5.................................................. Fireplace .........................4e...............................................Approximate Cost ......... iX�D�� .A,................................... Definitive Plan Approved by Planning Board _/_1'__-_______19_`��. Area �7� Diagram of Lot and Building with Dimensions Fee ............/..D.d........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..x .�.. ............... Construction Supervisor's License .................................... jAME ` &S P. 'T( 29993 Permit foi ....4LAR-E STORE RETAIL STORE y ......................................................................... Location ......667 Main Street . . . ......................................... Hyannis ............................................................................... Owner ......James P. Jordon ............................................................ Type of Construction .......ram......Fe ............................. ............................................................................... Plot ............................ Lot ................................ Permit Granted .....Ociober 1, 19 86 Date of Inspection ........ ..........................19 p Date. Completed ...... �,� ............19 0 7 .J �.. ^�!.'` , s^t.y� kir 't r'., .C>. pi�] srv ,€° :'"l •+ °r s _z•5, vr 'r""t',, ���/1 y t►.� .k S•.=.rq�a•�d.. .-�,•,r�{'.+�t r'�` �r€ F�,.6� t d£ �,�j�y �,__k,�r^, ';.M � f'� Y` x` s f s}'•-3'�°• ,t �Y�.;j�. •�,• W]l J Q',`�' .,,.ti• 'i t �?n� '} 1t .� l7' `4 y 1 p��t i6.3'u°'.�„Y fiSi'47i '. rsi swt'4� wti- ^`,# -rtys At .the cwiclusion f the LeanuO/ " ¢ Q n. the Board tool, said petit' under advisement A view of the locus was.had by the Board. 011 19 .., the Board of } Appeals found The Petitioner, Dorothy Scofield a from a decision of the Building Inspector ando the Board of Appeals variance to allow construction of addition . petitioned fora s ing building in non-compliance with frontlsting non-conform- i at 667 Main Street Yard Setback requirements • Hyannis in a Business Zoning District. 'Petitioner represented herself and seeks a variance. to enlarge ° f r ,L existing one-story antique shop along the same front setback line a r `` Y s existing one-story portion of building' extendi locus sideline. - ng .15.feet to Petitioner experiences a hardship in,.that,location4 of existing stairway to upstairs apartment prevents compliance with present front set back re quirements - ui r as it conforms with existi q ements and this will not be.detrimental : S Y - root.. ng.non conforming f setback .. The Boea'd `Pound that there was a^hardship as'defined` in Chapter.l+OA r f the Mass. Gen. haws Ter. ed. as amended, in .that the location of, the,of stairway which is 'the only access to an upstairs apartment is a air- r ' cumstance unique to locus and f ; yard setback requirements and relocationcofpthince with present,froatf ~ H r � xv economicall s stairway would be '7 `Y unfeasible. In addition, the Board found that:to allow } tiM construction along the same .setback line as exists for the present # s structure, as well as other-structures in the area, would not be ,ta;,�r detrimental to the Public good, nor the area involved nor would it be in derogation e ,by-law. of the spirit and intent of the ' the Board voted unanimously to Therefore' grant this variance from Section ore, Appendix L, Intensit Re April 2, 1 Y 8ulations, Business Districts BZBL as revised , ;# 975 for construction of proposed addition plan submitted and s as per specified as: "Proposed k One Story, - Shop Addition, 667 Hyannis Main Street D. $coffield, Mass ", . , received by Town of Barnstable Board of on 7 July 14, 1977. Appeal r 9 k f v 4: -. .. Y 1 h� Distribution: Board of Appeals } Town Clerk Town of Barnstable; ` • r ' Applicant t ; A i L`;. :.Y Cy'}' ti • . ®M� CL� 68235 THE COMMONWEALTH OF MASSACHUSETTS r TOWN OF BARNSTABLE BOARD OF APPEALS r ......................QrctQbm_19..................19 77 ' NOTICE OF VARIANCE Conditional or Limited Variance or Special Permit (General Laws Chapter 40A, Section 18 as amended)- Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted 3 >a Dorot Scofield To_..... --------------------------�-•-•••--••-•-•---...--------.....•--•-....__......---._..._..---._.._...__......---•-----•-----••-•---•-. Owner or Petitioner Address.................. 661 Main Street - -----•-•--• ----------------------------------------------•--------------•---------------•-----••••----------- Cityor Town---- Hyannis----------------••----•-------. ---------......----------------•------------•-•----------.._...--------- Map 308 17 (Town of Barnstable Asses�or's3. Records) ----------------------------------- . Lot`-_-__3 . .................................. Identify Land Affected •r A - .___________ _____________________________________________•.__...._._ ___..._____ .............................................................. - by the Town of Barnstable. Board of Appeals affecting the rights of the owner with `. respect to the use of premises on........ M4 A.-Street,................:.HYs s............_________-- Street City or Town the record title standing in the name of ...............................Doso#ay_.3.a0neld........................................................................................ 66 Main Street annis ....................Mass.-----___... whose address is.. 7 ........ ..__'..::.... •` Street - City or Town State ' by a deed duly recorded in the.....As imatablei..............County Registry of Deeds in Book ikl 1436 Page.... ..........................•...Registry District of the Land Court € !§Certificate No ................Book .................Page................ te'decision of said Board-is on file with the papers in.Decision or Case No......1977.4 .... Ewe•of the Town Clerk of the Town of `Barnstable. 1 ` . tlj� ._79Uday of... 0et4hex. 1977 ta.--befo October Board of Appeals: als: .i �t� dsyf 199 ; Chairman x ~< Boars of Appeals tiXy Commission expires 12131182. ........... •-•-•..........................•--••-•-.......-•_•••..............Clerk fx. Board of Appease a �.F - 19........ at..::.v,.......o"Clock and................................minutes M. ............................................. g Received and entered with the Register of Deeds in the County of.......................................... Book........................ Page........................ ATTEST Y ........................ ...................---- Register of Deeds Notice to be recorded by Petitioner JANE F. DAVIS Attorney at Law January 31, 2000 Ralph Crossen Building Inspector Town of Barnstable 367 Main Street Hyannis MA 02601 Attn: Gloria RE:—RUY,TER. NEVES/INTERCONTINENTAL ENTERPRISES II �--° 66,7 TMA3NSTREEZ', "'HYANNIS Dear Gloria: To follow up on our telephone conversation of last week, the signs in question were not at my client' s 667 Main Street business. He has no signs and the offending sign was at 661 Main Street. Therefore, I assume there will be no fines or citations for my client. I have clearly advised my client that he must obtain approval of any sign at his location. Thank you for clarifying this and for your continued courtesy and assistance. oeo P.O. Box 1887 • 712 Main Street • Hyannis,Massachusetts 02601 • (508) 771-4551 • Fax: (508) 790-4050 TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANTS YOUR N4ME: .Ruyter Neves BUSINESS YOUR I:iOME ADDRESS: 2 Sheffield Road 778-6644 West Yarmouth, Massachusetts 02673 TELEPHONE Telephone Number (Home) 508-394-1719 NAME OF NEW BUSINESS Intercontinental Enterprises zz TYPE OF BUSINESS Retail IS THIS A HOME OCCUPATION? No ,- ADDRESS OF BUSINESS 667 Main street, Hyannis, Massachusetts 02601 MAP/PARCEL NUMBER 3081:37 A. When starting a new business there are several things you must do in order to be in compliance with the rules and-regulations of the Town of Barnstable. This form is'intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office list floor ,TM jr► Ha:, 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has bee forme y permit requirements that pertain to this type of business. ut rued Sign re COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual haq.Fn informed of th ermit requi7r7Rts that pertain to this type of business. Authorized Sign ature COMMENTS: 3. GO TO CONSU AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADM I ISTRATION BUILDING) This individual ha een in rmed of th�Ijg requirements that pertain to this type of business. AuthoUrer )COMMENTS: k s Office to obtain u business o the Town Clerk's n your Hess certificate 0 must return t fica (cost 20.0 si natures you m Y to c $ �fter obtaining the req g y for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you __.._.s..,.:.,., ♦r% ^m4mr-m+o - %inii mimt net that throuah completion of the processes from the various departments involved: Engineering Dept. (3rd floor) Map Parcel Permit# F f House# 426e Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) c Fee J1525.06 l Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) J6kZ b I C OVMM AS 'ROIA R CONNEanoii WOR TO ENGluvr"T IIIEERIN . 19 CONSTRU i BARNSTABLE, MASS TOWN OF BARNSTABLE 'E°"`'�'�� f Building Permit Application Proje eet Address Village h1 yS Ownei ,k1 t d J,7=AA14 / Address SAry Lam' Telephone 2 6 a- ®S^� Permit Request '40fJ&7-4 VC 7— �C2[�'SS 1 VA, n=C��� �Pr'S 66"IsT/�YG First Floor 1 2 square feet Second Floor ZJ Sd square feet -Construction Type �LLdrl F/2110`'lL`— �(�Obt1VG:NT�t?R�IZ ut'�� �j �@1Si Estimated Project Cost $ n Zoning District Flood Plain Water Protection Lot Size Grandfathered aKes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) _ Age of Existing Structure Historic House ❑Yes a-14o On Old King's Highway ❑Yes 01V0 Basement Type: mull a/C/rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �tJ 6 Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 7 New Total Room Count(not including baths): xectric ing� New First Floor Room Count Heat Type and Fuel: ❑Gas El oil ❑Other Central Air ❑Yes [/No Fireplaces: Existing New Existing wood/coal stove ❑Yes o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) done ❑Shed(size) ❑Other(size) Zoning Board of Anneals Authorization ❑ Appeal# Recorded❑ Vesr Commercial ❑No If yes, site plan review# Current Use y T66LC �G28Rj`►���P r Proposed se �,h-/'7�' r Builder Informationc _�- Name ^ Telephone Number Address incense# � dZ 49 i� ,p� Home Improvement Contractor# ! � 7 l r Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �1�4p�TDir1 �S SIGNATURE DATE BUILDIN RMIT DENIED FOR-THE FOLLOWING REASON(S) _ =L FOR OFFICIAL USE ONLY PERMIT NO. k DATE ISSUED < MAP/PARCE4 NO •' ,1 ADDRESS VILLAGE 1 OWNER 4 DATE OF INSPECTION: VLP_ FOUNDATION 1f Q I FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: � _��ROUGH FINAL y s i FINAL BUILDINGS �• rac, �� 2- DATE CLOS�EcIYOUT ASSOCIlA_@— PLAN NO. ` P Assessor's offioe (lstxfloor)- QQ » Assessor's map and lot number ...✓Q � .� uF THE To ca _ y�P w�A ♦� Board of Health (3rd floor): Ae Sewage Permit number / t-?!er Hasa9TsnLE, i Engineering Department (3rd.floor): ��f;f ` oo NAMIL ." House number ''iF0 yak a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN O,F , BARNSTABLE BUILDING INSPECTOR 1� APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION .................................... ................. J .............................. .............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ( .....i//.�i'1!.....`-'f'............... a .................................................................................... 4.. ProposedUse .............% �'.. y�!�!......... ` ..TG? ...........................................................:.......................................... Zoning District �... .... .........Fire District I /� S 7 �.1 T> /� .........Address ..............QS I�.�:7�� r 1 ��....../�,�'t��S/ 'ice Name of Owner Q...,9..................:............. ................. �f� ...... ........�........ t r f. Nameof Builder t ,>YI, .................................Address ...:................................................................................ i Nameof Architect ..........g'.... jy ......: ................................Address ..................................................................................... 2, y� Number of Rooms .......:.... ..................................................Foundation ........ Exterior z/ ...../3.s!D //�/ . .... ..................'....:.................................Roofing .....:.... /1 L e P ✓J �'�J 4 �a Floors 1:.. �� Interior .....:s'//.'� ie��G/�/��J , ) C. CS)67 I / Heating .........................Plumbing ......................V .�:................................................ �� �' .............................A proximate Cost i�.Dom',Fireplace ......................4.... .................... pp .................................................................... Definitive Plan Approved by Planning Board _____�� J .. - 19— Area ... ............... Diagram of`Lot and Building with Dimensions Fee t .........../.Q 0......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 4, } i - r i ! OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above} f construction. 4�. Name ..' .. . 4, . », Construction Supervisor's JORDON, JAMES P. A=308-137 29993 ENLARGE STORE No ................. Permit for .................................... . RETAIL STORE .......................................................................... Locution 667 Main Street ............................................................... IIyannis ............................................................................... Owner ...James P. Jordon .............................................................. Type of Construction ....__Frame ................................ ............................................................................... Plot ............................ Lot ............................... t Permit Granted .......October„1.............19 86 -)Date of Inspection ....................................19 t Date Completed ......................................19 i s i Assessor's Office(lss-t floorr) Map _30 Parcel /3 / Permit#; Date Issued l� — 3 6 ' . ..�-T Fee • O� gineering Dept. (3rd floor .HoDu�se# THE BARNSTABLE. - .� F MASS. 19 +esa �� TOWN OF BARNSTABLE Building Permit Application --Proj ct Stre Address ' Village r 'Owner r Address /telephone 5V �e t Request First Floor square feet / 770 S>e and Floor square feet t/ Estimated Project Cost $ Qd - d?� Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential �. Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths , No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Builder Information Other ✓ Tam �I°kp4pne Ni 1(e ���� 'I`o2 F- (� 00 / d&ess 5 l.l� cense# u l i� _ �\a� _,-Home Improvement Contractor ' � orker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��� �-/'� �_A�: � ,�� DATE BUILDING PERMITDENIED FOR T 'FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NaAl r t _ DATE ISSUI5D MAP/PARCEL NO. t . 1 R'• ' � �/ ADDRESS '` ' VILLAGE T OWNER r, . •/ DATE OF INSPECTION: FOUNDATION FRAME t ; INSULATION FIREPLACE ELECTRICAL: ROUGH f FINAL ` {' 1 PLUMBING: ROUGH FINAL GAS: t ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 4 ► � ASSOCIATION PLAN NO. i i X61 The Contnionwealth of 4fassachusetts :, ij _�---=�; r Department of Industrial Accidents . ' 0 - 1 office ollayes 92fisss ?M�'� :;�;•=.-:.�` 6I1O ff'ashingtun Street Boston,A1iws. 02111 Workers'.Compensation Insurance Affidavit A�nlicant tnformationi • - Please PRiNT�ledibly� = �'"` "'' ame: JG? M /2wn f loca . � 67 tion• I am a homeqKlner performing all work myself. i ..t�•-ter,.., .-.+c-t...-'sT-_•.. :... a - - -- - 71 '�' :.< _ *ti..�. I am an entplover providing workers' compensation for my employees working on this job. . cmm�an}'name! .-address: city: phone#• . insurance co. policy# rl I am a sole proprietor;general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: , comnan}•name: address, , cih•• phone#- insurance co. polio•# 1- _`f+ ,. ':T:�'• - �+cr[!:r;..e:..:nw-2�rr^.,•"T;!tt;"�fi'£ies4p�• .._ --- 'T7�:Eli!JrL�7�'•!ym�t�+url.�lr7??�r`�^�.'^."-;Y+.�•e4!ia'r^-"•"'�'�t climnanv name: address: city phone#: insurance co. nolic-# .Attach additional sheet if riec -: 7.-� w �i �-*� r+ :,_ �'r `^•^' '� •• '^'' Failure to secure coverage as required under Section 25A of h1GL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or unc •cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do herebt•certij larder the pains and penalties of pedwy that the information provided above is true and correct -nature fpatC 11, 310 , 9� Print name Z Phone# c/�� �Z- a Fc do not write in this area to be completed by city or town official permit/license# Building Department ❑Licensing Board diate response is required psclectmen's Otficc �licalth Department phone#; nUther ,r "",.d 1'9S PJA) �'�;, w✓/ze Toomvnza�uuP,¢� o�.����a�-�uaella `y E . OEPARTMENT.OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE , Number Expires; Restricted T. 88 4L ~ 1OHN W RODRIGUES 151`WHITE BIRCH WAY W BARNSTABLE, MA 92668 L. Ilk la r EPtOV_ MEMTUNIRACTOR �z�rat��trrt� 071�bf98 7 a dQN �&OORI�UES�� SONS , �Q)tlO�ri$ti83 �e,a � o�� �5i�Nhite irc6'W nac,Miw►Toa r:ns 851t 02668 ` !!' The Commonwealth of Massachusetts ,! • � ^ ) r,.,. :---.:�:_ Depurinunt of lrtdustrial.4ccidutts office of/HOW gaUons `_" �• r 600 H'ashitigton Street 46 Boson, A1uss. 02111 ' Workers' Compensation Insurance Affidavit Applicant information: "—" Please PRINTTe��`""" '�"'"""""'"�""'`"'""`�"R�'•' '� "`� "' p. name: fj 14S UJ 9 Mk 16 C/ location: /5/ &AJi R/7V kl P,0� W/1 y city LA.) S'Tr*(-tZZ7 phone# I am a homeowner performing all work myself. g-i`am a sole proprietor and have no one working in any capacity t .1 ?!a.'+'.n�l;' l'""^'JR^••,S!".:5':v&^.E$"'dQframVpre,�•' $. q?:7R^!RARV'sY J, " °'4'.Ta�u^ Rpy! +v +nsT'1�+..+ w:.. 1".'n»a•;, t..:.... .: e��3,.ya:.�.:�3.i,wo..a.nw.,ur�s�-ice:°=Sim..,-•:_-s...r�a:r�i`.�'�.«.�'�` ' .�ari:+i.c�'.A�`°r�t`s.. r:i'..T�C+ 1-' . _ ti.r..iw .�....�...a�. I am an employer providing workers' compensation for my employees working on this job. company name: 9 JV &W,0,k/&L/C'5_ 4 SVAJ address: / t.y Z:6_ R/2C// 1A Jd Y city: f.t/ !? `Z?Af S7`799Lo phone 12�; -a . insurance co, All m 120licy# 1,._....6._..,.a.isole� •. �L 'n. w'... :p .;+ra+!•�r.,,...¢wn� A<.y�pnJr'?�s°::;r�i.!SpM. n_.� wwr.r._.�_..,..�•...w I am a proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: •tdd ress city: phone#• insurance co. policy# •e• j!-, kR:f1�i. .•'pro• n .x '^c; �zr a n�f+� >••n :.:..w:..s«....�..+f3. +..�._._...•A^1�.��a.Liii'1Y'.- .-"T�CZ'•. $ .''� '•^�'~�r� FtYTM' '.;DcI::.. ...t t Ta^r�!-�i'.: �-aR.._a.,..•�--•R-: company name: Y address: city: _phone#• insurance co. policy# ""..mac'*`^"'�""'""'"" _.•r.;•F s. _S':"';^':... a,:,: , .. .7t-.^ .':v e.... _.... :Attach sddi_tional'shcef if necessary��:�, _���: , t ;»s»�•��� __�':`y,�r_;,�,;,��_e•;: • + .�."�' ,.,�.� .�� ,� ..__.. �µ ,z;,,qy��„N Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do 1Jereht certifj tinder the pains and penalties of perjury that the information provided above is true and correct. Sienature Date Print name -tV#AJ 10 iQ IJdQ IG CAL Phone# ?official use only do not write in this area to be completed by city or town official ' city or town: permit/license# nBuilding Department C]Licensing Board check if immediate response is required OSclectmen's Office plicalth Department contact person: phone#; nOthcr r (revised V95 PJA). Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the "law", an etnphome is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enrplt tver 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 ;rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even,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 -*%•ho-has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have" been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for tite 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. Cite or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ►^Tau,c-rw .,,,,,.. -,..•�,^vr;... ,---.�n..n�M•e-rw, .e-.s. .:Jo-: r-w.`+s+P-R"�'•rsov:ar v.'IFl�Tx�..`4 '"""���. sz•D�eavi�+�T9f'•1oa•+Ty.i-7iCT•- Tile Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 t co � r2�� 6�7 L � C� 14- r �N dZ ►L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION P Map 0 Parcel 1 Application# Health Division Conservation Division Permit# Tax Collector �11 �� � Date Issued O � � d Treasurer Application Fee P Planning Dept. Permit Fee 6 i I Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis U Project Street Address 4 G 7 LZ Village 77yr✓���S Owner Address Iola. Telephone 0 F 7 7/`1/1 a Permit Request r�,�, ��/c✓ �Sflrc� �v' �XK � 4 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation lL Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) cam' Age of Existing Structure Historic House: ❑ �Yes ®' On Old King's Highway: ❑Yes ❑No Basement Type: b 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: d Gas ❑ �Oil ectric ❑Other Central Air: ❑Yes 0 1 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Aftached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use 1 ,� BUILDER INFORMATION Name 0 el- �": Ide%� Telephone Number cS®�- a -7 - cS,9 Address �{�s .��/"ei����'��/l7��f /�r� License# Q!'i / �� Home Improvement Contractor# Worker's Compensation## M ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 �Iz7 -e//fir' Iry rC- a y ��^vir c �7 SIGNATURE 6A DATE y//- FOR OFFICIAL USE ONLY PERMIT,NO. - - DATE ISSUED MAP/PARCEL NO. n ADDRESS ° • VILLAGE = OWNER DATE OF INSPECTION: ® i r FOUNDATION FRAME OIL ( — 0`7 IL �C3e w/C I/L O Owl L y) INSULATIONS C 0 -7 / FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth ofMassachusetis Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.Mass.gov/dia, i Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumnbers Applicant Information Please Print Legibly Name(Business/organization&dividuP,- Address: �� City/State/Zip: �,, y�� Phone#: Are you an employer? Check the-appropriate box; Type of project'(regaired): 1,❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ construction �loyees(full and/or part-time).* have hired the sub-contractors 7. (( Remodelin 2.L! I am a sole proprietor or partner- fisted on 1he attached sheet l g ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ EluMing addition o workers'.Ce p•insurance 5• El We are a corporation and its required.] officers have exercised their 10.❑Plectrical repass or additions 3.❑ I am a hcIIieowner doing all work right of exemption per MGL 11.❑ mg repairs or additions myself.[No workers' comp. - c. 152,§1(4),and we have no 12. Roof repass insurance required.] t . employees.(No workers' 13.❑ � comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyi nfc=cdon: t Homeowners who submit this affidavit indicating they ern doing all work andiheu hire outside contmotors immst submit anew affidavit fndicati ng such lCon b aetcra that check this boa must attached am additional sheet showing the name of the aulnontma tors and their workers'comp.policy iafbrmadon. ram an employer that is providing workers'compensation Insurance for.my employees. Below Is the policy and job site Insurance Company L-t J tin 4 ?oficy#or Scd? .Lac.4: 1 al `"6 0 - gam: 2 p Job Site Address: a ol� City/5tate/4i: Attach a copy of the workers' compensation 4ucy declaration page(showing the policy number and expiration date). Fame to secure-coverage as required under Section 25A of MGL c. 152 nand lead to the imposition of criminal penalties of a fine up to$1,50QA0 and/or one-year iaagrisonmen�as well as civil penalties in the.fann oar 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 certiYunder the ins and pen hies of perjury that the information provided above is true and correct Si atuze: h�tDate: `0 Phone#; ��� / ! 9- 4 q V�Ziai µ56 off. 11•ra rid MV :this cma,fe be ca 'ezed b'c4 or t =id City or Town: 7erm#tlLitense# Issuing Authority(circle one). 1.Board of Health 2.BuUdingDepartment 3.Cityf—lown Clerk 4.Electrical Inspector 5.Plumbing Inspector 16. Other Cotrtact Person: ?hone#: Information and Instructions Massaqbusetts General Laws chapter 152 requires all employers to provide wbrkers' compensationfortteir 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,.aial or written." An employer is defined as."an individual,pgMenbip,association,corporation dr 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,6r the . receiver or trustee of an mdividiial,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartinents and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair worts m 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 it business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coYerage required" Additionally,MGL chapter 152, §25C(7)states'Neither 1he commonwealth nor any of its political subdivisions shall enter into nay contract for the performance ofpubHc work until acceptable evidence of com.pliance with the insurance requaemerds of this chapter have been presented to the contracting authority." Applicanta Please fill out the workers'compensation affidavit completely,by checlag the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),addresses)and phone number(a)along with their certificate(s) of insurance. Limited Liability Companies(LLQ or Limited Liability Partaers4s(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•aff'idavit should be returned to the city or.town that the applicalion for the p errnit or license is being requested;not the Deparftnent of Industdal Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please can the Department at the mmber listed.below. Self-insured companies d eu fiheir 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 sp ace at the bottom. of the afidayft for your to fill ou±in the event the Office of Inver Vic=tins to contact you-regarding the applicant - Please be sure to fill in the permitlficense number wbich wM be used as a reference number. In ad6 ion,an applicant that nmst submit multiple pmmitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"7oh 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 applicaatas proof that•a valid affidavit is on file for future permits or licenses. Anew affidavit mustbe filled out each year.Where a 1'ome owner or citizen is obtaining a license or permit natrelated to any business or commercial ventare (i.e. a dog licenie 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 h.esitate to give us a call. , The Department's address,telephone and fax samba: r The Commonweah. of-Muiadmsettt ' Department of Industrial Accidents Office of 1nYesdg&9M 600 Washington Street Boston, I1fiA 02111 Tel. #617-727-4900 e-nt 406 or 1 077 MASSAFE ' Fax.0 617-727-7749 Revised 5-26-05 wwVr.Mass.gov/dig v�-IKE royti Town of Barnstable Regulatory Services vMASS'' $` Thomas F.Geiler,Director Building]Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, ljl�?,17c✓ Z— VOo�,ro& ,as,Owner of the subject property hereby authorize Oho���T �i f c���/� to act on my behalf, in all matters relative to work authorized by this building permit application for: Gl, 7 07 (Address of Job) igna ' er Date Print Name Q:FORms:owNMFRMISSION COMMERCIAL.BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 AlterationsMenovations $100.00 . Building Permit Amendment $50,00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x S 140.00/sq:foot= x.0081= ALTERATIONS/RENOVATIONS OF EXISTING SPACE J� r.6 square feet X$96/sq.foot= �.3L ° y° X-.0081= cS�4 STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 r Commprojcost Rev:063004 5084201637 01/09 106 16:18 N0.773 01 ... � .:.:...., _..,..._..p� n«,x;Y"..... ..,:� .o.+<,. ..y...3...a.... �'......,d..».n......w.n�..•w+ w.,rwa.0 DATE WYtDOA'Y) PROD1ce" THIS CERTIFICATE IS ISSUED AS A(NATTER OF INFORMATION FTederims imusance A®rnay, Inc d ONLY AND CONFERS NO RIQ TS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. pow 427 ALTER THE COVERAME AFFORDED BY THE POLICIES BELOW. 1066 !Lain 8trmc OOMPANIES AFF6ROINO CQVE *F- ISSGnw1110 HA 0265S-0621 CX)MPOLW 15 BI 42e•BQOS t A pL.Pwul Travalsri: ui6UREp COARPANV Prof asional Oualdang & Remcditling h O Libercy mucu61 2AA Co r +32 Btrerbesty HS11 Ruud U - OOMPANY C rrnrerviILC MA 62692- COMPANY _ D ..y.Yw:•.n:•.ivw:n•:•.rw.Y.vwi+.wirww.wy.vm ira.avm -e. .......n. ..:iv',�:ii.'.'..I.v`w.r�•..... „� „._•�M�..yw .. ... - . . �ypn ..w-�... �•�.. . .. THIS IS TO CERYWY THAT TNO POLIC•►E6 OF INSURANCE U&M BELOW HAVE 0615N ISSUED TO THE INZUREO NAMED A9oVC rOR THE POLICY PERIOD INDICATED,NOTWRHSTANDINO ANY REQUIREMENT,MM OR CONDITION OF ANY CONTRACT Oft OTMER DOCANFNT WnR RESPECT TO WMCH THIS GERTIFICATE MAY BE ISStIED OR MAY PERTAIN THE INSURAKE AFFORDED BY THE P'OUCIES DE3CRIBM HFRFIN IS SUBJECT TO ALL THE TERMS, EXCLVBION®AND CONDITION&OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM& Co I TYPE OF INSURANCE ( POLICY tiUM9ER POLICY Ei�YB I�CY"PIRAr1ON+ LTTt UMITS OATI(MM10DMy I DATE(MIND" A GENERALLIAHtUTY TE i2GODDVO _ X COMMOICIALGI:49M.LUABIUTY 6e0-eloY1700 D5/20/06 05/20/06 PFODNCTB•COdOWAGG 32V0000u CLIdAAIl MAM IT]OCCUR AM KRAV i%000000 _OWNERS&OONTRACTO"PAM PACHOCCURPFT,M o�aoa000 FUM DAMAGE WgmwAm) 940000v MEDW one eb0cu i►UTOMOetwe UAMUTY ' r ANY AUTO r f / 1 COMBlSh10Lf LDAl1 s 1 1 I ,ALL owNeoAtnos 9C>4EOLJ=AMOS BODILY p tM� I 6 MRED AUT09 NOW-CWWNL!D AV" is 1 PAOPERTYDAMAGE 's 41ARAOP LTAO1LRr w—, ALIT4ONLY•FA ACCOWS -�ANY Atrm t OTHER rhM AUM ONLY: -- - EACH ACOMW'f 1 AQLiREGATE i 0=9 LLABILTTY i UMBRELUI FOW AGQRE'OATE i OTHER THAN UMBRELLA FORM . If WOPAUM COMPENUTION AND IC. 9TATUTLIRY LW9T8 eVPLOV 'UABlun aaT3a�-OD THE PTiDPRlt TCR� i "1 04121le5 00'/21/bg F�IACCIDBNT $ ►'AN a NElOIlE1LEMMWE e11C1 1 DOEADE-POLICY I B11B1 R _ }OFFIC"M ARE; EXCL OTHER DISEASE•EACH FMPume g, 1 028CRIPMON OF OP@gATtvN><iILOCATIONIW81(iGL$BfipEC2aL11FYs eMMAI. CAILI'VfW, HOME DWROVIDSNT, SMALL ADUTTONS; LICK com" RCLA1.. WORK$RR COMIVOSAT:ON 19 WRTrW THROU01i KA NORXM C04P POOL AND CERTIPTGAT'E NSL6 COMDt pTRECi'LY FROl1 CDkPAMJY NTTHIN FLV3 DAYS. Fiom OIILD ANY OF"M ABOVE DESCRIBED POLMM 0E CANC6WiD 91PFORE THE Y Greater Harwich LbTgALtN4t10T1 Co DATE THEREOF.TKE WAMIO eow&w wILL nmuv"TO MAIL 1 Nc k &ha11sY ((�DAYS MIRITTFN MOTICe TQ TNB ClRTIR14A1E wOLOEA!tu►rW 1rDBox ass R PA&M TO MML sUcll NOTTCB sAU1Cl 111)bAE'NA oet{MATM OR UADiUtu b65•h R4at a 2& OF AN KIND UPON THA COMPANY. ITS AOEIm OR REPREoeAtrst►viF1R, Hbrvichport mA 02649 AUTN $IfTAT1Yf Ti'J.V1R .w'.w•�•r"''..,...°now.„.,�,;.�,.,n.„:.�w,�.`"'_,,.,'.'.,,.:....NiN�.�•r_.a.. .w�g°_,..,�Lriwy-n.�';�.,Y'.' ••...��' .'-�5.�..' I� £ J6�e{'a.�,w�zu�eQlt� did " . BOARD OF BUILDING REGULATIONS . License';CONSTRUCTION SUPERVISOR R Number CS 050051 ' � ; Expires 03/08/2008 Tr no 16219 y Restricted 00 r '. = ROBERT E (VIITCHELL 452 STRAWBERRY HILL RQ CENTERVItLE MA 02632 Commissioner "`�,yl"'k'` �r� F• �fry 7. �3s'�.,,yy �31 ,c i:• s �E.i'' .Sek -:.*f H'�„+` �' t�' �,;� •�+�, 2 TAWN DK kar�''i• '-'. iVi KF �1` SV t7 .7 •.tF...; �. .. 1 �'LEII J i ' lARNStABLE. MASS. TOWN OF BARNSTAME " '77; SEP 26 PN 3.00 Board of Appeals Ps �7 �-��'�� Doroth Scofield Petitioner a 19/ 1--*1 1 k" Appeal No 77 x -x;r r x ✓ n f '-FACTS and DECISION f a y�f; Petitioner afield— }. ors �s w ---- .._._. filed petition on I977 ' requtstmg a yariance-permit for premises at Street; in ;the,yilIage r of no p . adjoim remises of— (see.attaehed..list.m .ab -.•-' w...ww._w..:.-...,,.w:.:..www....w..w.w.ww.:.w..w.w,,;,,,...,,,_ wwwwwwwww•rwww•ww•ww•w•wwn .. - ...+..w«.w...w....w«•.rw.w•nww..wn..w rnwr.w w•wwr.www.ww.w.ww..www..' ., t't'• •: . : w.�wnww�.n.w-w..rr.«u. -:... . ..:- .. a.. ..... I - wrwwwwwwwww.....ww•w • - •• •t for the purpose of •• xtadd�. xx. .._ , vista �aq...canfo,,,,; � �,,,,�a; - w Locus is presently zoned in, .S ,.Zi? " " Notice of this hearing was given by mail, postage prepaid, to all t.: . o P P persons :deemed affected and Cape Cod News & by publishing in Barnstable Patriot newspaper published. in,Town..of Barnstable a;copy of which is.attached to the record of these proceedings Afiled, with Town 'Clerk r A public hearing by the Board of Appeals of the Towu of Barnstable was held at the Tows Office Building, Hyannis, Dlass., at 2 s 30 P.M. 1977' , upon said petition under zoning by-laws. Present .at the. hearing were the f ollowing,members. sw � xdw.i.ww Crixx�ss .wMaxyw_Ann�B.. Strayer w_w : Frank C: Acting Chairman '—" TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 308 137 EOBASE ID 22106 ADDRESS 667 MAIN STREET ( NNIS PHONE Hyannis ZIP - LOT - A LOCK LOT SIZE DBA , DEVELOPMENT DISTRICT HY PERMIT 11983 DE CRIPTION REPLACE 8 EXT.DRS.& 1 WINDOW/ADD 2ND EGRESS PERMIT TYPE BREMOD TI LE RESIDENTIAL ALT/CONY CONTRACTORS: RODRIGUES, J HN W. Department of Health, Safety ARCHITECTS: and Environmental Services BOND TOTAL FEES: 50:0000 �tME CONSTRUCTION COSTS $3,000. 0 y 434 RESID ADD/ALT/CONV 1 PRIVATE MA83. OWNER MIGRAHI , ERIC i639' A� ADDRESS 11 FOREST AVENUE BUILD I I I FRAMINGHAM MA BY DATE ISSUED 11/30/1995 , EXPIRATION DATE E R --'° TOWN OF BARNSTABLE r BUILDING PERMIT r:... PARCELtID 30ff: 137 ��xx OBASE ID 22106 ADDRESS ' 667l,MAIN{ STREET (HY#,NNIS PHONE Hyannis ZIP - LOT , A _ .._ CK LOT SIZE ,DBA' F " DEVELOPMENT DISTRICT HY PgRIMIT 11983 DE CRIPTION REPLACE '8 P-IXT.DRS.& 1 WINDOW/ADD 2ND EGRESS P�RMIT TYPE BREMOD TI LE RESIDENTIAL ALT/CONV r CONTRACTORS: RODRI GUES, J$HN W r Department of Health, Safety ARCHITECTS: - ,��''' and'Environmental Services TOTAL FEES; '$50.00 BOND '4$.00 THE CONSTRUCTION COSTS $3,000'.N00 i i 43J RESID ADD/ALT/CONV 1 PRIVATE P;: l:� * SARN3TABLF, +► MA83. OWNER "MIGRAHI ; ERIC ' ? f �i639. ADDRESS FD NIIK 11 FOREST AVENUE . BUILDINGfDIVISION FRAMINGHAM MA BY DATE ISSUED 11/30/1995 EXPIRATION DATE H [O�, �r f r TOWN OF BARNSTABLE WILDING PERMIT PARCEL 'ID 308" 137 G .bBASE TD 22106 ADDkESS 667 ,MAIN .STREET ZNIS PRONE �1:i ZIPLOT, A � � � � LOT S I?E DB , ` ' r DEVELOPMEI T--._ DISTRICT BY PERMIT: 11963 DE CRTPTION REPLACE 8 EXT.DRS.& 1 WINDOt4/ADD 2ND EGRESS PERMIT TYPE BREMOD TITLE RUSIDENTIAL ALT/C°ONV CONTRACTORS: RODRIGUES, J N W. .Department of Health, Safety ►E2C"IITECTS: and Environmental Services `OT.AL FEES; � ��f'�5+4?_C)n INE BgND w 00 CONSTRUCTION COSTS $3,0 . OQs 434 REBID ADD/ALT/C ONV PR VATE PH— t*;. 'STABLE, +' MAW OWNER MIGRAHI ,, ERIC; ADDRESS 11 FOIR ST AVENUE. BUILDING DIVIS qN i. FRAMINGFiAM" Wk, BY DATE ISSUED',: 4.1/30�/199.5 ,EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. / MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB ANDS- WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION:. PERMITS ARE REQUIRED FOR 2. PRIOR'.TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- h (READY TO.LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ANICAL3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.- INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY POST THIS , • IT IS, VISIBLE • STREET ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1• 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. do BUILDING PERMIT QUERY PERMITS: QUERY END QUERY PERMITS ENTAMATION----------------------------------------------------------- 11/12/98 PERMIT NUMBER 18790 PARCEL ID 308 137 667 MAIN STREET (HYANNI PERMIT TYPE BADDI BUILDING PERMIT ADDITION DESCRIPTION ADD EGRESS STAIRWAY FROM 2ND FLR. & DECK CONTRACTOR PERMIT FEE 50 .00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 APPLICATION 10/23/1996 EXPIRATION VALUATION 1800 . 00 DATE ISSUED 10/23/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT ,-ram 1 0l? z/7 a- A MATTER OF , o i . i :a __ - _ , i _ __. .__ __ ��- _ __ f } � ' L ( ! { L . I : 3 i , e , i •l ' (— f _.,_...... ...... __,_. r __...... : I { 4 i I, 14 3 1 -T , - , i i I --- -- The Commonwealth of Massachusetts ..... Department of Industrial Accidents eJlice of/alrest/gatians _ 600 Washington Street Boston Mass. 02111 Workers' Co m ensation Insu/rraarnnce Affidavit name: location: city nhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one working in any capacity am an employer providing workers' compensation for my employees working on this job. company name: ` p� y address: city: [�� ir� phone#: ��C7 �`�� (�C-) insurance ca. tl DOIICV# lif/'1W .v4229211 ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address- city phone#r insurance ca. olicv#.. h. company name: address: city :.... phone#c . - insurance co. olicv# .... . /G//�. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition otaimimai penalties of a tine up to s1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pe allies of perju that the information provided above is true and correct � 00, - Signature Date _ Print name Phone# ofIIdai use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required - ❑Selectmen's OtHce ❑Health Departnent contact person: phone#; ❑Other :..........:.: (revues 9/95 P1A1 Information and Instructions ` Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any coatr..0, 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 c: 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 section 25 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,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 incnrance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 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. City or Towns 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. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for.you 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 amce of Imlesugagons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 OCT- 1996 1�: 1= RED L C. H I ZRAH I 1 c081 D720 297 F.01 I PARCEL " All CJ oq SHED U.. Li O Q tr L- / a PARCEL o <®,. NO. 667 53,48 MA I N S T . NOTE: PLAN DOES NOT CLOSE MATHMATICALI,Y. INSTRUMENT SURVEY NEEDED TO LOCATE ERROR. SAGAMORE SURVEY ASSOCIATES SCALE: 1 1N.= 20 FT. � `";0FI P.O. BOX 28 DATE. NCVEt "K 23, 19g5 r��4 �..,, SAGAMORE BEACIFi, MA. 02562 "''� {. i � /��/ Ts,0f,,, 508) €88 8667 ,'l� i �� � � ��-�� � K'�' nc. I PON rORI.a,I CERTIFY TO 4i THAT THE LOCATION OF THE BUILDING SHOWN HEREON CC1`.FORr — TO 4 TO THE ZONING OF THE TOWN OF BARNSTABLE (HYANNIS) I CERTIFY THAT LOCUS DOES NOT LIE Wi HIN THE FLOOD HAZi-FAD ZONE AS DELINIATED ON MAP 0006C COMMUNITY NO. 250001 FLAN-REFERENCE, BARNSTABLE RLG S RY O DEEDS 7ffl-S-M OWN BOOK/PAGE: PLAN BOOK 076, WAGE 083 LOT NO.: PARCEL "A" , PLAN BY: BEARSE & KELLOGG BUYER: DATED: NOVEMBER 27, 1946 ION NOT PACT IANS {ENT T BE USED INSP [ FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. TOTAL F.01 i ' ✓�ie yr ammcaiuuea� o�./�aoaac�ualel�i DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nu�ber Expires: WRICted TY9` 00 MICA SANTOS HREL 4g30,RTC 2g -;,° eTIAr COTUIT, MA 02635 HOME IMPROVEMENT CONTRACTOR Registration 124127 Type - OBA Expiration 05/15/99 Apcon �m' hael A. Santos ADMINISTRATOR 4830 Route 28Cotuit MA 02635 i GROPE RTY ADDRESS I ZONING DISTRICT CODE SIP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0518 SOUTH STREET 07 B 400 07HY 12/18/93 0311 00 0007 R308 137. 221067 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT JORDAN, JAMES P TRS MAP- Land By/Dale Sz.Dmenson LOC./V R.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Descriplipn CD. FF-Dem/Apes E #LAND 1 41-900 - CARDS IN ACCOUNT — L 30 3SITE _ 1 106X .10 =10c 490 170999.9E 8.37899.9 .05 41900 #LAND 3 41P900 01 OF 01 A 10 1BLDG.SIT 1 X .1d =100 490 170999.9Z 837899.9 .05 41900 #BLDG(S)-CARD-1 1 159,300 Cost c-fjjUU N _ _ #PL 667 MAIN ST HYANNIS MARKET 202800 D ,COMM/RESID ' ,U X = 100 *165924.0 165924.0 1-00 165900 B #DL LOT A INCOME 202200 #RR 1511 0053 USE Al APPRAISED VALUE A 243olOO D J PARCEL SUMMARY A U LAND 83800 T S BLDGS 159300 A T 0-IMPS - M TOTAL 243100 I F E N CNST E N DEED REFERENCE Type DATE Rac.d d PRIOR YEAR VALUE A T Book Page InsL Mo. _Yr.D sales Pr c. LAND 83800 T S 51411315 L06/86 275000 BLDGS 159300 U I 3193/259 00/00 TOTAL 243100 R E BUILDING PERMIT - 5 /$O S Number Dal. Type Amopm 1/8 7 REPRICED-RE LAND LAND-ADJ INC ME SE SP-BLDS FEATURE BLD-ADJS UNITS MEASURED PICKED 83800 165900 B29991 10/86 AC 4000 UP ADDITION Tolal Year Buill Norm. Obsv. Class Unils Unils Base Rate Adj.Rate A I Age Depr. Conti. CND. I Loc. 4b R.G.T Rep).Cost New Adj.Repl.Value Stories I Height Rooms ea Rms Balhs •Fia. Partywall Fx. 36C 001 000 001 71 85 6 96 100 96 165900 159300 2.0 1 1 13.0 Descriplion Rat Square Feel Repl.Cosl MKT.INDEX: 1-00 IMP.BY/DATE: RW /86 SCALE:_1/20 00 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 .00 81 2 R S E P R . EN CNST GP. T E120 60 .00 812 N STYLE 3 CONV.DWELLING 0. R 2SF 150 .00 450 DESIGN A6iM 0 0. U 2SF 150 .00 442 +-----25-----+ EXrtER.T(ALLS 0911OOD FRAME 0. c F S F 90 .00 SO ! ! HEAT/AC TYPE 1 �►ALCTFLR BURN 0= ! ! I_ITER:T7NISx -0 DRYWALL-----------0: T ! ! INTEA-LAYOUT -12AVER.7N0RKA- 0.- 0 ! ! ITITER:QUALTY -0 SAME-AS-EXTFR:---O: R 36 BASE 29 FL60R-_STR0CT -01 d106D-JOIST--------0: A W ! (812 SF) ! EFL10R-Z6VER-- -00 --- 0: L D Total Areas Au., Base= 1754 i APARTMENTS ! Ra6F-TYPE---- -01 ABCEASPA SH O. E BUILDING DIMENSIONS ! ! (FSF=50 SF) EL E CT RTCA C 0 0. T BAS ! ! + F-OUNDATI-ON--- -0 ---- --------------0. A + ! ! ------------- --- ---------------------- I + !FSF 18 -----C07MMERC1- L-A EA_ZCW7----------- L i +__+ LAND TOTAL MARKET 18 2SF 16 2FS ! PARCEL 83800 243100 STORE ! (442 SF)+ AREA 37188 ! (450 SF) + 15 VARIANCE +0 +554 + STANDARD 50 SX TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 SEPTIC ST FEATURE 1 PAVED * ST FEATURE 5 CURB & GUT * ST FEATURE 6 SIDEWALK * ST. COND. * TRAFFIC 2 MEDIUM DWELL LOC. * LOCATION * AMENITIES * AMENITIES * NUISANCES NUISANCES [PAR][R308.137. ] LOC]0518 SOUTH STREET CTY]07 TDS] 400 HY KEY] 221067 ----MAILING ADDRESS------- PCA10311 PCS]00 YR]00 PARENT] 0 JORDAN, JAMES P TRS MAP] AREA]HY08 JV] MTG]0000 NEWPORT REALTY TRUST SP1] SP21 SP31 49 OBSERVATORY WAY UT1] UT2] .10 SQ FT] 2566 MARSHFIELD MA 02050 AYB11871 EYB11985 OHS] CONST] 0000 LAND 58800 IMP 147200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 206000 REA CLASSIFIED #LAND 1 29,400 ASD LND 58800 ASD IMP 147200 ASD OTH #LAND 3 29,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG(S)-CARD-1 1 73,600 TAX EXEMPT #BLDG(S)-CARD-1 3 73,600 RESIDENT,L 103000 103000 103000 #PL 667 MAIN ST HYANNIS OPEN SPACE #DL LOT A COMMERCIAL 103000 103000 103000 #RR 1511 0053 INDUSTRIAL EXEMPTIONS SALE106/86 PRICE] 275000 ORB15141/315 AFD] I LAST ACTIVITY108/06/87 PCR]Y e...+ PARCEL CARD NO. TOWN CLASS UTING NO. STREET NAME MAP NUMBER SUFF. 010 O L OF 109 101 113 Z 20 °7 IAA i N S T h Y ANN' D U G.3 O 8 i j7.O O J LOT N0. DEED BK./CTF DEED PG. OATS PURCHASE PRICE RECORD OF OWNERSHIP AND MAILING ADDRESS A 02905 U 1!}7 c1., r— �a Ai-Z�F--- I J a tS d / ..._._.__.6 Y t MEMORANDUM ! I. J „ t �- _ - 4' - :_�. �. �c't , 1-, mot. �• _ �%.r.!2�r ' I L-7"•K t l .� /.::� "IA') �;.:y SD fZ7 �-- ZONING MULTI NC NEIGHBORHOOD ?�` G5i"' '' ~ S .CLASS CD. LIVING UNITS FIRE GIST. '1 f l �,( ACRES 102 103 v Ci 108 1�- 104 L J 105 v(T' • 1 i 0 L SALES DATA i ETE 300.330 LAND DATA&COMPUTATIONS ACTUAL EFFECTIVE EFFECTIVE ACTUAL UNIT PRICE DEPTH EFFECTIVE INFLUENCE FACTOR LAND VALUE MO YR TYPE AMOUNT SOURCE VALID D 0 NONE N FRONTAGE FRONTAGE DEPTH — FACTOR __UNIT PRICE_____ 200 D U -{ L -— —• - - - - - — -- — — -- - -- — - -' - 201 I REGULAR LOT L 2 MINUS LOT _ f .—__ _— 202 3 APARTMENT SITE L —•— --- -- - - -- it I ° 1 4 WATERFRONT -'--'-'-A�-,�---- --1 I_ TYPE CODES VALIDITY CODES i L —•— ..-_— —__— ._._—.___._.._.__. 1 Land 0 Valid a Add" dn'1 P talc ._—_ - _.._.._.._..______.___.. 1 Land&Building nvt v d FT. S —_I- - _I _- - - SO.FT. --.-•-- INFLUENCE FACTORS ------- ---- °1.-----' 3 Building 2 Not Open Market 1 Pq IMARV SITE ° 3 Changed After Sale 2 SECONDARY SITE I UNIMPROVED - -- °� SOURCE CODES 4 Related Individuals or Corp. 3 UNDEVELOPED i S SO.FT. .-- - -•_-— r �� 5 Liquidation/Foreclosure 4 RESIDUAL 2 EXCESSIVE FRONT — _- I Buyer 5 WATERFRONT S — — SO.FT. ---•-- ` - —°°I - 2 seller 6 Financing/Land Contract ---I- - 3 TOPOGRAPHY ( l o°il 3 Agent 7 Included Ex�enwe Pere Prop. .REAGE A -_ --_ -- — 4 Other or Other-See Memo -•- - ACRES — -I--- 4 SHAPE OR SIZE 1-- INFO CODES 1 PRIMARY SITE 5 ECONOMIC _ _ __ 106 ENTRANCE CODES r 2 SECONDARY SITE A _ _ _ _-,__•--_ -ACRES _- -—I---- MISIMPROVEMENT UNDEVELOPED - _ _-- ___ 0 NTRANCE&SIGNATURE GAINED 5 CURRENT UNOCCUPIED 1 OWNER 3 A - -ACRES -_ --I--- 6 RESTRICTIONS- - .i MARSHLAND - —•—— NONCONFORMING 1 ENTRANCE GAINED 6 ESL FOR MISC.MREASONS ; 4 — 0 1 2 TENANT I 5 WATERFRONT ACRES —i—— —-- L — (SEE MEM O) - Y + 2 NOT APPLICABLE,UNIMP PARCEL I A _- _ _ -•- - - - - ]CORNER/ALLE ( I ' INFO REFUSED 7 OCCUPANT NOT AT HOME J--°° 3 ENTR ANCE 8 9 DESIGNATED A -- __- -•- --ACRES _ _I- -- R VIEW(+) -- r 3 OTHER - FOREST LAND/ 4 ENTRANCE REFUSED,INFO AT DOOR i I OPEN SPACE A -- —_ —�— ._ —ACRES _-_ ——I——— - ---°° 1 �- —I——- -�� U ACRES SUMMARY OF VALUES .——_ —� SIGNATURE BY OWNER OR AGENT BELOW INDICATES DATA ON THIS FORM WAS 0 TOTAL A TOTAL VALUE LAND COLLECTED IN YOUR PRESENCE.IT DOES NOT MEAN THAT YOU HAVE VERIFIED FIEO BOSS G — —.—I_---- -.--- -----"----- THE INFORMATION HEREON, I IRREGULAR LOT f 2 SITE VALUE TOTAL VALUE BUILDINGS -- 1 3 RESIDUAL 4 HOMESITE TOTAL VALUE LAND&BLDGS. �- 9 MINUS R.O.W. ..�.. J I PROPERTY FACTORS 405 LOCATION 410 PARKING AVAILABILITY FOpOGRAPNY UTILITIES STREET OR ROAD CENTRAL BUS DIST t TYPE Z QUANTITY_L PROXI MITY NSPECTION WITNESSED BY: I ALL PUBLIC I PFAR f, AVED I �( PERM CEN BUS DIST 2 0 NONE 0 NONE NEAR PROCESSING DATA 1 OFF STREET 1 MINIMUM yypp ' 2 ON STREET 2 ADEQUATE 2 ADJACENT OEL ADD CHG F/D ( 'i� E STREET 2 PUBLIC WATER 2 SEMI IMPROVED 2 BUSINESS CLUSTER 3 3 ON&OFF STREET 3 ABUNDANT 3 ON SITE MO' DAY , 4 PARKING DECK 4 1 v / O"�" `� W STREET 3 PUBLIC SEWER 3 UNPAVED 3 MAJOR STRIP 4 1 2 4 GAS 4 PROPOSED 4 SECONDARY STRIP 5 BUILDING PERMIT RECORD I 2 ® 4 y LNG --- PURPOSE - 5 CURB& GUTTER 5 NEIGH or SPOT 6 DATE NUMBER PRICE _ t 2 3 4 -- -- P 5 WELL — — - - / _ 1 2 3 4 / - 6 SEPTIC 6 SIDEWALK 6 COMM/IND PARK 7 1 2 3 4 - MPY 7 NONE 7 ALLEY 7 INDUSTRI AL SITE 8 t 2 3 4 PR c-ors HEATING&COOLING I c MAIN BLDG.COMPUTATI NS 500 \ p \ V .. I I FlR FIN SCH OTHER VACANT S FLR RATE Y 818 .SYSTEM 819 HEATING TYPE 820 COOLING TYPE HGT TYPE NO i PRINCIPAL BLDG.DESC.. , S .i.:.... .._...._..... ,.,...,._. ^ ! _ ...,, _ BSMT -� - e 3 801 IMPR.TYPE (Cn -- FIRST Q i r, APARTMENTS — TEL L6 TEL _ UPPER �! -✓�. 827 Q I -- - -- - / •p�K�1.L_ AVG.UNIT SIZE 1 NONE 1 NONE 1 NONE 0... ' 1 828 -��•�L NO,UNIT , - -- -- - 803 1 O �J 804 2 UNIT HTRS 2 FHA 2 PKG UNITS .; .. [ .. /Q - � - - 3 CENTRAL HTG 3 GHA 3 EVAP ! -- -- :. ... .. 5.. i ] 829 4 CENT NTG&AC 0 FLR/WL FUR 4 REFRIG " rl-,.L1{7 ( - -- -- -- -- �" AGE 5 ELEC BS/CLG 5 HEAT PUMP - - -� ERECTED EXTEN�Dj D REMOD QED 6 STEAM/HOT W R 7 HEAT PUMP r of - 83 3 C S p 871 eo5 1 I eos 1 - _Q 1107 - PHYSICAL CONDITION FUNCTIONAL UTILITY I 834 SUB TOTAL — •�� FOUNDATION 4 " ,_. t... C -- -— 1 2 3 4 1 2 3 /T�vPE MATERIAL 821 G000 PODR UNSOUND 822 GOOD OOR ABANDONED i n t '� 835 LF SOFT X % 808 /1 / 2 /i� 2 3 4 5 REVIEWED ----_-- `/ v LISTED C.W. P. CONC. CB 8RK STN FR ^(� ,� /,� .�.. '81 -� oL •�-�_ BASEMENT 823 BY` f� DATE 824 BV DATE / Y l 1 836 ADJ BASE RATE 837 INTERIOR FIN - ADDITIONS 1 2 7 a 5 6 Be ' .:I 809 SLAB CRAWL 1/4 t!2 J!4 FULL © ( 838 LIGHTING T PE SIZE X /�A E AMOUNT - 839 HEATING /AIR COND810 EXTERIORWALLS - AND'PT.d- p �/ + j 01 OOD FRAME 09 REINFORCED CONC. 8586 SO •cg 0 / . _ 840R/CB 10 METAL O / D /LL 843 TOTAL MF&OF03 BR/FR 11 ENAMELED STEEL85904 BRIMS 12 GLASS 860O D p a 4 -- -- \ �//� OS 8"CB 13 STONE -....�'� C.__'�'✓1_� V�t�. ... ,. 1 8 4 SUB TOTAL RATE S R 4. _. a 06 17'C8 t4 STUCCO/FRAME 861 4 -- -�' 4 ( L. 845 XBASE AREA ---I 07 TILE 15 STUCCO/MS 864 5 4 846 SUB TOTAL 08 PRECAST CONC. 16 OPEN -- . ., /L I- A 1t FRAMING -- • 1 2 3 4 847 ADDITIONS 1+1 all 1 2 3 4 TOTAL ADDITIONS 866 1&E FORM LEFT PET REF EST -1---I-- 811 WD R FIRE RES. R.CONC. STL/REIN,CONC 848 SUBTOTAL -I� I LJI�/ fl 81$ ROOF ADDITION TYPE CODES MF&OF TYPE CODES MECHANICAL FEATURES&OTHER FEATURES L+ L.0 849 GRADE TYPE STRUC. COVER MAT, Ot CANOPY O1 PLBG FIXTURE IMPR O OF QUANTITY/SIZE RATE REPL COST LLL 02 DOCK 02 STORE FRONT TYPE IMPR 1 FLAT - 1 WD FR I BU COMP 850 REPLACEMENT COST S.P. 2 STL/B JOIST 2 COMP SH, 03 CPY/DOCK 03 SPRINKLER [868 -- -- -- -- - - I cT -I- 04OFP 04 MEZZANINE -I-I--- -I_--� p.p. 3 STEEL TRUSS 3 SLATE 857 PHYSICAL OEPR.I �5 I % 4 HIP 4 WD TRUSS 4 METAL 05 OMP OS PARTITIONS 5 ARCH 5 CONC. 5 TILE 06 FR ADOTN FIN 06 FLOORING _- -- -I--- -- -I- 853 OBSOLESCENCE - 6 SAW T. 6 COPPER 07 FR ADOTN-OF 07 DOORS -- % 7 MONITOR 7 WOOD 869 -- - - ___ OS MAS ADDTN-FIN 08 ENC FIN -- -- -I----- -I 1 2 3 4 8 MANSARD 854 9 GAMBREL 09 MAS ADDTN UNF 09 ENC UNFIN 870 NONE FUNC 0 F&E 10 WOOD DECK 10 CRANE -- -- --- --- -- - FLOORING 11 PENTHOUSE 11 PASS ELEVATOR 855 NET BLDG.VALUE' `p --I - - 871 - -I-- 813 STRUCTURE 814 COVERING MATERIAL 12 SHED 12 FREIGHT ELEVATOR —— —— —I_ ——— ——— —— — ——I—T—— 13 GARAGE 13 ESCALATOR • 856 NO.SIMILAR SLOGS. X _—— SSMT 99 MISCELLANEOUS 99 MISCELLANEOUS OF 872 FIRST MF&TOTAL Of — 857 TOT.NET BLDG.VALUE —I OTHER BUILDINGS&YARD B73 --I--- r -� 3 —I— —— — — OB d YCODES DEPRECIATION UPPER VALUE TYPE CONST SIZE AREA GRADE RATE YEAR COND REPL pNYS BSOL 1 WOOD I EARTH 6 CARPET NO 2 WO OKG/ 2 CONCRETE 7 TERRAZZO 01 GARAGE 14 CONC PAVING 82 WD FENCE 1 712 FMO 713 714 716 - -- STL JST 3 WOOD 8 CERAMIC TILE 02 CARPORT 15 SHOP 83 LIGHTING - -- --I-I-.-- -- -- J CONC/STL JST 4 ASPHALT 9 MARBLE 03 PATIO 16 OFP 84 CANOPY 722 FMO O 723 724 726 2 --I-,--- - -- -- -- - 4 CONCRETE 5 VINYL 04 SHED 17 OMP 85 R.R.SIDING - -- 733 734 736 05 POOL 18 11FRAME 86 DOCK 3 732 FMO - -- -- - -- -- INTERIOR FINISH 06 M08ILE HM 19 11MAS 87 TANK 4 742 F M O 743 744 746 -- -- 815 WALLS 816 CEILING 07 BATHHOUSE 381MPSHED 88 TANK ELEV - -- --,-I--- - -- • -- -- O 08 SHELTER 70 CABIN 89 TAN.K-UNG 6 752 F M O 753 754 - 756 -- --_ -I-I--- BSMT 09 STABLE 71 RES G'HSE 90 TANK-PROP _ __ _ - -- - -- 7� 762 F M O 763 FIRST J 10 SUMM ER KIT 72 COMM G'HSE 91 SCALE B I--- 766 -- UPPER �� �-- 11 CELLAR 75 TENNIS COURT 92 RET WALL - -- --I- 774 776 72 WELL HOUSE 80 BT/C PAVING 93 TOWER 7 772 F M O 773 01 UNFIN 05 WOOD PANEL 09 TINE 13 B.T.PAVING 81 W/W FENCE 95 - -- --I-I--- 02 PAINT 06 METAL 10 ACCOUS.TILE 00 MISC SLOGS g 782 F M O 783 -- -- -- 784 - 7B6 -- -- _ 03 DRYWALL 07 MARBLE 11 SUSP,ACCOUS. -'� 791 TOTAL OB IN 04 PLASTER 08 FIBRE BOARD 12 GLASS 800 TRUE VALUE ALL IMPROVEMENTS _-I�` 1I TOWN OF BARNSTABLE It'll awe BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date 775 .5. Rec'd Bv Assessor's No. - / 3 -7 Last Name 0� 6 4� First Name ORIGINATOR Street Villaae State Zip Telephone: Home 7 90 - G / Work Description: COMPLAINT y� s 7" INQUIRY Requestor's Signature COMPLAINT Street Address LOCATION A= OFFICE USE ONLY INSPECTOR'S Date Inspector _ ACTION/ COMMENTS FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) MISQ1 L R308 137. P E R M I T [PMT] ACTION[R] CARD[OOO] KEY 221067 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B29993] [10] [86] [AC] 4000] [ ] [00] [00] [000] [NEW ] [HY STORE ] [ ] [ ] [ ] [ ] ] [ l [ l [ ] [ l [ 1 [ ][7] i i i t i R308 137. A P P R A I S A L D A T A KEY 221067 JORDAN, JAMES P TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B 58,800 147,200 1 A-COST 206,000 B-MKT BY 00/ BY RW /86 C-INCOME 140,200 PCA=0311 PCS=00 SIZE= 2566 A JUST-VAL 206,000 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY08 -- --MAY NOT BE COMPARABLE-- COMMERCIAL NBHD IN HYANNIS HY08 PARCEL CONTROL AREA TREND STANDARD 30] 30 LAND-TYPE 58800) LAND-MEAN +0% 206000] IMPROVED-MEAN +08 50% 106] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 80%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ J XMT[?] i LAWRE CE READY MIXED CONCRETE CO. 888-8002 TOLL FREE 1-800-633-8889 E-1 14J s _ r 1 j � SERVING CAPE COD [` ]�[R308 137 . ] LOC]0518 SOUTH STREET CTY]07 TDS] 400 HY KEY] 221067 ---- ILING ADDRESS------- PCA]0311 PCS]00 YR]00 PARENT] 0 ORDAN, JAMES P TRS MAP] AREA]HY08 JV] MTG]0000 NEWPORT REALTY TRUST SP1] SP2] SP3] 49 OBSERVATORY WAY UT1] UT2] . 10 SQ FT] 2566 MARSHFIELD MA 0205 AYB] 1871 EYB] 1985 OBS] CONST] 0 LAND 58800 IMP 147200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 206000 REA CLASSIFIED #LAND 1 29,400 ASD LND 58800 ASD IMP 147200 ASD OTH #LAND 3 29,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG(S)-CARD-1 1 73,600 TAX EXEMPT #BLDG(S) -CARD-1 3 73,600 RESIDENT'L 103000 103000 103000 #PL 667 MAIN ST HYANNIS OPEN SPACE #DL LOT A COMMERCIAL 103000 103000 103000 #RR 1511 0053 INDUSTRIAL EXEMPTIONS SALE]06/86 PRICE] 275000 ORB]5141/315 AFD] I LAST ACTIVITY]08/06/87 PCR]Y R308 137. P E R M I T [PMT] ACTION[R] CARD[000] KEY 221067 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B29993] [ 10] [86] [AC] 4000] [ ] [00] [00] [000] [NEW ] [BY STORE ] ?] R308 137 . A P P R A I SAL DATA KEY 221067 JORDAN, JAMES P TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B 58,800 147,200 1 A-COST 206,000 B-MKT BY 00/ BY RW /86 C-INCOME 140,200 PCA=0311 PCS=00 SIZE= 2566 A JUST-VAL 206,000 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY08 -- --MAY NOT BE COMPARABLE-- COMMERCIAL NBHD IN HYANNIS HY08 PARCEL CONTROL AREA TREND STANDARD 30] 30 LAND-TYPE 58800] LAND-MEAN +0% 206000] IMPROVED-MEAN +0% 50% 106] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 80%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] : . . : The Town of Barnstable • I ARMAI= MAW � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 3, 1995 Mr. James Jordan 49 Observatory Way Marshfield,MA 02050 Dear Mr.Jordan: As my letter of July 20, 1995 stated,you must apply for a Building Permit to make the changes to �667 Main Street;Hyannis;A by August 10, 1995. We have not heard from you on this point. Please be advised that if I do not hear from you by August 10, 1995,I will be forced to issue an "exit order"against units 3&4,as they have only one means of egress. Sincerely, eRalphM. Crossen Building Commissioner RMC:lb g950803a I . 1 � . s .. .. ':y.nta.-. .... �n..� `ems July 22, 1993 Jim Jordan 49 Observatory Way Marshfield, MA NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH'S NUISANCE CONTROL REGULATION NUMBER ONE The property owned by you located at 667 Main Street, Hyannis (Apartment 5B) was inspected on July 22, 1993 by Thomas McKean, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code II were observed: 410.190: Hot water temperature too hot ( 141.4 degrees F) on July 22, 1993. Hot water temperature only 84.2 degrees F. on July 16, 1993. The temperature shall be maintained between 110 degrees F. and 130 degrees F. 410.280: Insufficient ventilation provided in Unit 5B. Only approximately four (4) square feet of screened area provided to the outdoors for a 260 square .feet apartment unit. You are directed to correct this violation within of twenty- four (24) hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. r March 10, 1995 James P. Jordan, Trustee Newport Realty Trust 44 Observatory Way Marshfield, MA 02050 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE H, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 667 Main Street. Apt. #3 was inspected on March 8, 1995 by Christina M. Kuchinski, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 were observed: 410.351: Exposed wires observed hanging out of electric baseboard heaterin child's bedroom#1. 410.500: Large hole in wall of closet in child's bedroom #1 partially covered by sheet of plywood that has not bee secured tightly to the wall. 410.351: No faucet control to fill tub up with water. Tub has to be filled by turning on water supply to shower head. 410.351: No globe provided on ceiling lights for living room and hallway to bedrooms. 410.190: Inadequate quantity of hot water possibly due to one hot water tank being utilized by 5 apartments 410.200: Electric baseboard heater in living room is not functioning and has no thermostat control knob. 410.600: 410.602: 410.550: Storage of garbage and rubbish in a wooden shed. Bags of garbage and rubbish are thrown into shed and are not stored in watertight receptacles with tight fitting covers. Several of the bags have been torn open and other bags have been left outside on the ground there by attracting skunks to the area. You are directed to correct the violation of 410.190 within twenty-four (24) hours of receipt of this notice by providing adequate facilities capable of heating hot water. You are also directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Larry Burgess July 10, 1995 James P. Jordon, Trs. Newport Realty Trust 44 Observatory Way Marshfield, MA 02050 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE U. MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE, ARTICLE 51 The property owned by you located at 667 Main Street, Hyannis was inspected on July 6, 1995 by Christina Kuchinski, Health Inspector for the Town of Barnstable because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 were observed: 410.600: Trash barrels in shed were overflowing with refuse. Bags of trash were stored on floor of shed. 410.602: Abandoned furniture on the ground in back of property(facing South Street). 410.551: No screens provided for windows on first and second floors. 410.351: Tub faucet was leaking into apartment#5. 410.351: Toilet tank was cracked and gasket around toilet tank was leaking water through to apartment below. 410.253 B : No light bulb fixture provided at the left side entrance to the second floor. 410.190: Only one operational 50 gallon hot water heater provided for 6 apartments. You are directed to correct the violation of 410.190 within twenty-four (24) hours of receipt of this notice. You are also directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Larry Burgess �� � � - ?' / �"%mil-Le- � �z� ���� G G � ��-°--•� �' `�� a: November 9, 1993 James Jordan Newport Realty Trust 49 Observatory Way Marshfield, MA 02050 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00 STATE SANITARY CODE II, MINIMUM STANDARDS FOR HUMAN HABITATION AND THE TOWN ' OF BARNSTABLE BOARD OF HEALTH'S NUISANCE CONTROL REGULATION NUMBER ONE The property owned by you located at 667 Main Street, Hyannis was inspected on November 5, 1993 by Jerome Dunning, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance { Control Regulation Number One Regulation and the Sanitary Code II were observed: 410.602: Garbage on the ground next to shed. You are directed to correct this violation within twenty- four (24) hours of receipt of this notice by removing the garbage and maintainingthe premises free from refuse. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day' s failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of $40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day' s failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of $40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health SENT BY: ; 7-11-95 ; 9:10AM ; 50877864484 1 508 790 62304 7 Comments for InCident: 3 000555 Exposure. Datc 6/13193 MR.ROWLAND(A TENANT)AT 667 MAIN STREET,COMMERIAUAPARTMENTS COMPLEX,CALLED TO REPORT A NATURAL GAS LEAK OUTSIDE THE BUILDING,METER AREA. INVESTIGATING ON SIDE THREE WE FOUND A GAS METER,WHICH HAD BEEN STRUCK BY A VEHICLE- SOMETIME DURING THE NIGHT. THE FACING ON THIS METER WAS CRACKED,RELEASING NATURAL GAS. WE WERE ABLE TO QUICKLY SHUT DOWN THIS METER AT THE GAS COCK,MITIGATING THE PROBLEM. INVESTIGATING FURTHER WE FOUND A SLIGHT SMELL OF NATURAL GAS IN THE CAPE COD BASEMENT ONLY. COLONIAL GAS COMPANY WAS NOTIFIED WITH AN E.T.A.OF ABOUT ONE HOUR. WE MADE CONTACT WITH COLONIAL GAS ON SCENE(TRUCK 40)AND DIRECTED HIM TO THE PROBLEM. COLONIAL GAS SERVICEMAN IS GOING TO MAKE NECESSARY CORRECTION AND RE-LITE THE PILOTS. OWNER: MR. JORDAN, JIM 617.837.8720 I SPOKE WITH MR.JORDAN ADVISED HIM OF THE PROBLEM AND ASSURED HIM THAT THE GAS COMPANY WILL CORRECT IT, FIRE PREVENTION:MR.JORDAN WAS ADVISED TO CLEAN OUT THE BASEMENT,OLD MATTRESSES,CUSHION,GENERAL JUNK. GAS HOT WATER HEATERS,WASHER AND CLOTHES DRYER ARE ALSO IN SERVICE IN SAME AREA. REPORTING PARTY AND TENANT:ROWLAND,DENIS,APARTMENT#2 "NO PHONE" WEATHER CONDITION:CLEAR, COOL WIND OUT OF THE SOUTHWEST ABOUT 2 MPH,T 69A F, FARRENOPF, C. CAPT. 06/13/93. J SFNT RY: 7-11—Ari : A:nRAM 9n877RRAA8I 1 9OR 7Afl RgRn:& 5 Comments for Incident; 94 001049 Exposure: 00 Date: 1015/94 RECEIVEp A CALL FROM LISA BEVERIDGE AT 667 MAIN ST.APARTMENT 2 REPORTING SMOKE IN THE BUILDING AND THEN STATED THERE WAS A MATTRESS FIRE.RESPONCE FIRST ALARM ASSIGNMENT WITH DEPUTY CHIEF RRUNELLE. UPON ARRIVAL FOUND THAT OPERATIONS WOULD BE ON SIDE 3 ON SOUTH STREET,AS THE BUILDING IS IN SHERMAN SQUARE.FOUND THE FIRE TO A MATTRESS FIRE OUTSIDE THE BUILDING.THERE WAS SEVERAL MATTRESSES LEANING UP AGAINST A RUBBISH BIN ON SIDE 2 AWAY FROM THE BUILDING BY APPROX.8 FEET. I HAD FIREFIGHTER STORIE AND SYLVESTER USE THE 150 FT, INCH AND THREE OUARTER HAND LINE OFF ENGINE 828 TO EXTINGUISH THE FIRE. MYSELF AND LIEUT.CADRIN OFF OF LADDER 829 CHECKED EACH APARTMENT TO BE SHURE THAT THE FIRE DID NOT START IN ONE OF THE APARTMENTS,AFTER FURTHER INVESTAGATION FOUND THE FIRE HAD BEEN AN OUTSIDE FIRE ONLY,PROBABLE CAUSE OF THE FIRE CARLESS DISPOSAL OF SMOKING MATERIALS. AT THIS TIME CALLED BACK TO FIREALARM TO HOLD THE REST OF THE ASSIGNMENT IN QTRS. t AS WE CHECKED THE APARTMENTS WE FOUND THAT THEY ALL HAD HARD WIRE SMOKE DETECTORS BUT NONE OF THEM WORKED WHEN THE TEST BUTTON WAS HELD DOWN,THERE WERE ALSO SOME CONCERNS AS TO STORAGE OF ITEMS IN THE BASEMENT, SOME OF THE APARTMENTS ARE RENTED THROUGH HOUSING ASSISTANCE THE DEPARTMENT OF WELFARE AT 460 WEST MAIN ST,FEMALE CASEWORKER BY THE FIRST NAME OF MARTY IS THE CASEWORKER FOR LISA BEVERIDGE THAT LIVES IN APARTMENT 2. WE ALSO SPOKE TO LINA PINHEIRO WHO LIVES IN AN APARTMENT AND ALSO RENTS A STORE FRONT BUSINESS CALLED LINKS HOUSE OF BEAUTY, THE OWNER INFORMATION ON THE BUILDING IS AS FOLLOWS:JAMES AND NOREEN JORDAN P.O.BOX 349 MARSHFIELD MA, 02050,THE TELEPHONE NUMBER IS 1.(817) • 837.8720, I HAVE NOT PUT IN ANY DOLLAR LOSS AS I BELIEVE THE MATTRESS THAT BURNED WAS JUST LEFT OUT TO BE PART OF THE TRASH, THE DEPUTY AND OR FIRE PREVENTION OFFICE WILL BE DOING SOME FOLLOW UP WORK ON THIS AS TO THE VIOLATIONS NOTED ABOVE IN THE NARRATIVE. ENGINE 828,LADDER 829,AND CAR 802 CLEARED THE CALL AND RETURNED TO QTRS.AT 0050 HRS. CAPTAIN JOSEPH P.CABRAL JR. 10/5/94. „ . ..............__...._..... .........._.........._............._.... . _.- SENT BY: ; 7-11-95 9:08AM ; 50877854484 1 508 790 62304 4 I 1 i f , F , s �6 i f � ��� -- � �� �� �----- - �.� J SENT BY: ; 7-11-95 9',05Ah1 5087785448-+ 1 508 790 8230;# 1 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 PAUL D.CHISHOLM,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT, ERIC HURLER Inspector Inspector TELECOPIER TRANSMISSION COVER LETTER f- SENT TO: _ __ ' �-� _ /43 U SENT FROM SUBJECT: NUMBER OF PAGES, INCLUDING COVER LETTER, BEING TRANSMITTED: -0a ` PLEASE CALL 775-1300 TO CONFIRM THIS TRANSMISSION [] YES [ ] NO This fax transmission may contain confidential information belonging to the sender which is legally privileged and which Is intended only for the use of the individual or entity named above. Any cofyin$,disclosure,distribution,or dissemination of this information or the taking of any action based on the content o this communication is strictly prohibited. if you have received this transmission in error,please notify us immediately by telephone and return the original transmission to us by mail or delivery at our address above,the cost of which shall be paid by us. Thanks,1 FIRE DEPT. 775-1300 I TOWN LINE 700.6328 EMERGENCY 77S-2323 I FAX 508-778-6448 ;. Crossen Ralph From: Weil Ruth To: Crossen Ralph Cc: Smith Robert Subject: RE: Overcrowded rentals Date: Wednesday, July 12, 1995 10:13AM As you know, in some zoning districts you can have up to three unrelated individuals plus the resident owner. Also, in certain instances you might have a pre-existing non-conforming use. In addition, as you point out, under the MCAD statute, you can not discriminate based on either sexual orientation or marital status. Finally,there has been a recent U.S. Supreme Court decision indicating that you can not impose restrictions on the number of people occupying a group home that you don't impose upon a single family residence. This is all by way of saying,that there is an ability under a zoning ordinance/bylaw to limit a zoning district to single "family" residences and to enforce this provision under Section 7. However, each situation obviously has to be analyzed on a case-by-case basis, keeping in mind the constraints indicated above. (Several years ago, a realtor was criminally charged with conspiracy to violate the zoning ordinance for knowingly renting to more than three unrelated individuals in a zoning district which did not so permit. That case seemed to curb that practice by realtors for a period of time.) From: Crossen Ralph To: Weil Ruth Subject: Overcrouded rentals Date: Wednesday, July 12, 1995 7:45AM Would you give me your opinion if a dwelling unit filled with unrelated individuals is a violation of zoning?We were involved yesterday with an apartment unit with 14 mattresses on the floor, all Irish kids paying individually by the week. I realize there is probably a Constitutional question, but can I use Bamstable Zoning Section 7? Page 1 4 March 10, 1995 James P. Jordan, Trustee Newport Realty Trust 44 Observatory Way Marshfield, MA 02050 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 667 Main Street, Apt. #4 was inspected on March 8, 1995 by Christina M. Kuchinski, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 were observed: 410.190: Inadequate quantity of hot water possibly due to one hot water tank being utilized byfive_apartments. 410.500: Three cracked window panes observed in apartment entrance door. 410.500: Missing window pane in apt. #2 window that faces stairwell to apt. #3 & #4. 410.602: Abandoned brown automobile-Mercury Zephyr. 410.481: Building was not posted with name, address, and telephone number of the managing trustee. You are directed to correct the violation of 410.190 within twenty-four (24) hours of receipt of this notice by providing adequate facilities capable of heating hot water. You are also directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. r ,. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH v Thomas A. McKean Director of Public Health cc: Maria Luz, tenant i L _ R Cla� : .�. : The Town of Barnstable MASS• ,,,arar�ms, • �j Department of Health Safety and Environmental Services nua" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 20, 1995 Mr. James Jordan 49 Observatory Way Marshfield, MA 02050 Re: 667 Main Street, Hyannis, MA I On behalf of our inspection team, I would like to thank you for your cooperation and for giving permission to enter your property. The following code violations must be corrected within seven days of July 29, 1995. 1. second means of egress from second floor. 2. smoke detectors repaired where inoperable. 3. debris, including old Christmas tree, removed Also, all requirements of the Health and Fire Departments must be complied with. I remind you that some of these are serious code violations and require a building permit before changes may be made. Enclosed are the necessary applications. Sincerely, Ralph M. Crossen Building Commissioner RMC/km enclosures Q950720A I_ /VN � VIP Gf0 , 6 e'' '�. I July 10, 1995 James P. Jordan Newport Realty Trust 44 Observatory Way Marshfield, MA 02050 NOTICE TO ABATE_VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE H, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 667 Main Street, Hyannis was inspected on July 6, 1995 by Christina Kuchinski, R.S. Health Inspector for the Town of Barnstable because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 were observed: 410.351: Basboard heat cover was falling off of the heat source in kitchen area. 410.500: Master bedroom door did not close completely. 410.500: No door provided on closet of master bedroom. 410.351: Left rear burner on stove was inoperable. 410.351: No globes provided on light fixtures outside of apartments#4 and #5. 410.500: Severe dampness in the basement possibly due to past problem with leaking water heater. You are directed to correct the above listed violations. within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Michael McKeon I F �` r 'a' „ _� — � -_~_" :: �±(✓�'.C►mob �i ... _ ., . \.\�. � \ � F t f \. y 5 "� 4 1yr � � ..w.�.�....►,�.......+r-~..gyp..•-L - ., ..+........ 4�.-'^ ".. a ' Rl ..may. � i-•w • -.a» 'oaf e .�.- C, � -F• � t-' +- a 1 p ,d...M, k .0 Jrh.t. ��,4�1. `y _� i v 1 .a'' .rs �Z , .• y+^'. ^ • a , G ,C, 'Si. -ti, Ji•'•i-.'" 6 .o�'i'- .+ w .:•r.. $ =r' 1 4` k ::f ., r. .. '!. } ,"1 ! '�' .�4� ��.C/•K�'•f� L?k,�' _:$J. 4 `` /� �1g .� ���[y yew . a ■ � �� s., � � s � ter • :►tom: � ! �rr�r �� � �,: ._ ��. � � s�� r'� � � r{ . � 1 � S�� �1. ��?� 1. _ . ,�• .. .,� RA,,. .. r i i r { ♦r F�.��-gin+. a apy-+ �- _ - _ T• . l y y� 01 0 ��� ^ �`� � � •��� •��� ƒ� a \ �! f � . U L b it 4 0 8 T 0 5J 9 h'ULAK(IIj'� ? �1 -� .t ..o.:• —•.cam. .. _ - �c ^c-r++-. � - _'•.•ems.. �'a :r r � J I fJ i r ! 1 4 i f' �'�' /Y _�—'�� � /��-� ��� •!'• lam^ �� w. j ___� ! ��! � �� -- � �' �s 71T. Y �'�NYM�R� '�. -f t t• 1\ - . . ,li ` i 1 1 r 1 i/lr 1 i .` '�, \ �, /�. : .� ;� ,� ''! ... � � �� - -� � r. �. ,dux:, `,�� .� .. .^fit .�`t 5: ���`. �+ a .� ._ -:, i j. . � . ., � ., +' 1 z � � "F :� �,may... -� -r_ _...;`al 'ar��'u: r�{I F� SENT BY: 7-11-95 ; 9:07AM ; 5087786448i 1 508 790 62304 3 .... ......._... MASSACHUSIMS FM INCRDENT REPORT DEPARTMENT Rev se UA 10 FDID# Affik 922 =t= Hyannis Fire De artment Raport Farm loseFIXEND VWX I! Exate Alarm, rr va In ervF1re oo t o1s1�4 Day Wednesda 4 00:09 00:14 00;60 FOUND ACTION TAIXEN ® MUTUAL AID Structure Fire 1 2 Extin uishmentRTY USE (OCCUPANCY) i Seib,"i; IGNITION FACTOR a"iF•. C Apartments 3 ti Units „l Abandoned, Discard0d Heat 31 oCORRECT ADDRESS ZIP CODE CENSUS.TRACT D 667 MAIN ST. 02301 000040 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. 11 LISA BEVERIDGE 608 770-0922 2 F, 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE JIM& NORA JORDAN P.O.BOX 349 MARSHFIELD 51 T 837-6720. 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. - Q RESP. 2 4 1 ' . SHIFT HAZ MAT PRESENT? N TANK. RESP. 0 OTHER RESP. Q is Telephone (Direct) N0. AL&RMA SUBSTANCE 0 0 1': SPEC. EQUIP, USED? /°1 FIRE T 7 m �'� SERVYCE ?' r: Q',:is' o:Rikli `' ofiAER ii 5��3 MOBILE PROPERTY TYPE $ VEHICLE STOLNN? ESTIMATED TOTAL INSURANCE CO. Mobile Property N/A DOLLAR LOSS TOTAL INS, CLAIM PD • ,' 0 sF�its ® 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL, YEAR MAKE MODEL SERIAL N0. IN IGNITION . COMPLEX i AREA OFJV,�X%W EQUIP INVOLVED IN IGN. FM Apartment Com lex ORIGINTrash Area Co ';�> * No Equipment Involved 8 FORM OF HEAT IGNITION °��0�"� MATZRIAL FORM � ; , :0 TYPE Heat Smoking Mat Insuf ,.s:s:�:<: <.; IGNITED Mattress, Pillow # �, Wool Wool Mixture Fabric QMETHOD OF ; ;y LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT 6 '�'•�%$ "•��+''' z 1 3 ',7 Preconnect from Grade to 9 feet abc r!s�a 3 to 4 stories Protected Wood Frame EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op Material generating FORM TYPE ®moat Smoke AVENUE OF SMOKE TRAVEL FPEAThIEA CONDITIONS officer in Charge; Late o HAROLD 8 BRUNELLE DEPUTY CHIE 1 0/519 4 Comments for this incident have been printed on an additional comments peg . FIRE PREVENTION DIVISh',N HYANN 'EIRE DEP TMENT ;f- N MASSACHUSETTS FIRE INCIDENT REPORT 10 FDID# '`'.......... '"`'DEPARTMENT Revised Form 922 Hyannis Fire Department Report ; ':;' If Ex Date Alarm Arrival In Service id tti.*,�'.�..,.O.*.",*.�..�.�t.t..-�,�.-..� = 1�049 Fire 001 0/5/94 Day Wednesday 00 :09 00: 14 00:50 jj'S N FOUND ACTION TAKEN MUTUAL AID B Outside of Structure Fire 1 2 Extinguishment FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Apartments 3 - 6 Units '::4 2 2 Abandoned, Discarded Heat ..................... OCORRECT ADDRESS D ZIP CODE CENSUS TRACT 667 MAIN ST. 1 02601 . 000040 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. LISA BEVERIDGE 508 778-0922 2 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 JIM& NORA JORDAN P.O.BOX 349 MARSHFIELD 617 837-6720 13 METHOD OF ALARM CO. DIST. © PERSONNEL ENG RESP. AERIALS RESP, G 3 RESP. 2 4 �1 1 SHIFT HAZ MAT PRESENT? N TANK. RESP OTHER RESP. :........... D 0 1 Telephone (Direct) NO. ALA M SUBSTANCE 0 0 1 '. SPEC. EQUIP. USED? O 20 FIRE INJUR TF. T.TTTF. T F T TF SERVICE O > O > OTHER O? O O O MOBILE PROPERTY TYPE 0 $ VEIiICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. Mobile Property N/A DOLLAR LOSS rr TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. y IN IGNITION K COMPLEX ;4 2 AREA OF > EQUIP INVOLVED IN IGN. :. 4 6::> 9 8 Apartment Complex ORIGIN Trash Area, Co <::;;::;;;:; No Equipment Involved FORM OF HEAT IGNITION 3'0 .MATERIAL FORM TYPE © Heat SmokingMattress Mat Insuf IGNITED 3 1 7...3..: , Pillow Wool, Wool Mixture Fabric.........;METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT '':..5.... "- Preconnect from Grade to 9 feet ab( 3 to 4 stories Protected Wood Frame LLJ EXTENT OF DAMAGE Flame ... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE Lj0 Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date 9 D U IHAROLD S BRUNELLE 1EPUTY CHIE 1 0/ 5/9 4 111994 Comments for this incident have been printed on an additional comments pag FIRE PREVENTION DIVISION HYANNIS FIRE DEPARTMENI Commemts for Incident: 94 001049 Exposure: 00 Date: 10/5/94 Re EIVED A CALL FROM LISA BEVERIDGE AT 667 MAIN ST.APARTMENT 2 REPORTING SMOKE IN THE BUILDING AND THEN STATED THERE WAS A MATTRESS FIRE.RESPONCE FIRST ALARM ASSIGNMENT WITH DEPUTY CHIEF BRUNELLE. UPON ARRIVAL FOUND THAT OPERATIONS WOULD BE ON SIDE 3 ON SOUTH STREET,AS THE BUILDING IS IN SHERMAN SQUARE.FOUND THE FIRE TO A MATTRESS FIRE OUTSIDE THE BUILDING.THERE WAS SEVERAL MATTRESSES LEANING UP AGAINST A RUBBISH BIN ON SIDE 2 AWAY FROM THE BUILDING BY APPROX. 8 FEET. I HAD FIREFIGHTER STORIE AND SYLVESTER USE THE 150 FT. INCH AND THREE QUARTER HAND LINE OFF ENGINE 826 TO EXTINGUISH THE FIRE. MYSELF AND LIEUT.CADRIN OFF OF LADDER 829 CHECKED EACH APARTMENT TO BE SHURE THAT THE FIRE DID NOT START IN ONE OF THE APARTMENTS.AFTER FURTHER INVESTAGATION FOUND THE FIRE HAD BEEN AN OUTSIDE FIRE ONLY.PROBABLE CAUSE OF THE FIRE CARLESS DISPOSAL OF SMOKING MATERIALS. AT THIS TIME CALLED BACK TO FIREALARM TO HOLD THE REST OF THE ASSIGNMENT IN QTRS. §Fg,` AS WE CHECKED THE APARTMENTS\VE'FOOI THAT THEY ALL HAD HARD WIRE SMOKE DETECTORS BUT NONE OF THEM WORKED WHEN THE-TEST BUTTON WAS HELD DOWN.THERE WERE ALSO SOME CONCERNS AS TO STORAdE-Ur,ITEMS IN,.-, ,rTHE BASEMENT. �" SOME OF THE APARTMENTS ARE RENTED THROUGH HOUSING ASSISTANCE THE DEPARTMENT OF WELFARE AT 460 WEST MAIN ST. FEMALE CASEWORKER BY THE FIRST NAME OF MARTY IS THE CASEWORKER FOR LISA BEVERIDGE THAT LIVES IN APARTMENT 2. WE ALSO SPOKE TO LINA PINHEIRO WHO LIVES IN AN APARTMENT AND ALSO RENTS A STORE FRONT BUSINESS CALLED LINA'S HOUSE OF BEAUTY. THE OWNER INFORMATION ON THE BUILDING IS AS FOLLOWS:JAMES AND NOREEN JORDAN P.O.BOX 349 MARSHFIELD MA. 02050.THE TELEPHONE NUMBER IS 1-(617) - 837-6720. 1 HAVE NOT PUT IN ANY DOLLAR LOSS AS I BELIEVE THE MATTRESS THAT BURNED WAS JUST LEFT OUT TO BE PART OF THE TRASH. T�EDND OR FIRE PREVENTION OFFICEWILL'BE DOING SOME FOLLOW UP WORK ON THIS AS TO THE VIOLATIONS N �BOEIN THE NARRATIVE. ENGINE 826,LADDER 829,AND CAR 802 CLEARED THE CALL AND RETURNED TO QTRS.AT 0050 HRS. CAPTAIN JOSEPH P.CABRAL JR. 10/5/94. SENT BY: ; 7-11-95 ; 9:09AM 5087786446-0 1 508 790 6230; 6 3 Mt..�JSM$ FM DICMENT RT ® „DEPARTMENT Revised I 01922 ti annis Fire Department Report Form If Ex Date Alar Arrival n Service c dent # 0005SS Fire 006113199 Day SUnda 1 ICS:'544 105:47 1011:07 SITUATION FOUND ACTION TAKEN MUTUAL AID $ S NI, leak w! No I n 4 Remove Hazard 4 ' FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR I A artments�3m6Uni1s' ► 4?a CORRECT ADDRESS ZIP CODE CENSUS TRACT b 667 MAIN STREET 02801 so OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. 11 ROWLAND DENIS — ::1 0/9 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE 12 JORDAN JIM OFF CAPE 617 837,0720 Cb 1 3 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. 80 RESP. 3 ®1 0 1 SHIFT HAZ MAT PRESENT? TANK, RESP, OTHER RESP. iA � 0 Telephone (Direct) NO. AL SUBSTANCE 0 0 1 I I SPEC. EQUIP. USED? f1 FIRE T t:J201 SERVICa 0; 0 '' OTIMR � . 0' 0 0 ® MOBILE PROPERTY TYPE '11 vExicrx sTaz"? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0€ 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# O IF EQUIP INVOL. YEAR MARE MODEL SERIAL NO. IN IGNITION COMPLE7f AREA OF EQUIP INVOLVED IN IGN, ICA: LIiJ ORIGIN © FORM OF HEAT IGNITION 1LORMA MATERIAL FORM TYPE ( IGNITED METHOD OF g LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT a. z: I&XTENT OE DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE p Material generating FORM TYPE most smoke AVENUE OF SMOKE TRAVEL WEATHER CONDITIONS f Officer in Cberg;. Date FARRENKOPR C, CAPTAIN a 11 3!9 3 Comntants for this incident have been printed on an additional comments page, ,, a .., '� •-�- : �. EXISTING ELEVATED WALKWAY ; PROPOSED 4X4 POST W/STA/RS TO GROUND ' EXISTING ELEVA TED WALKWAY W/STAIRS TO GROUND ROOF 7 74" EXIST. PROPOSED STAIR_�'7' jo PROPOSED METAL HANGERS 7'74" EXIST. 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