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0021 MAPLE AVE
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'>f w* ..� $�..' � � .� ''_ �„'�,z,_,to � � k. ••, to. �,� "�. < s , 'fix �..: .�„y, 3;. '.. r•= .t ..: .,r-�zug�+�"..--''"�, s. g �:. -' •,} l§�. «�"= �.� :a"� T r 3 � z ; r - i_ ,w. y w • ai r x k x �Y • x z a r` 1 r , v a� r e. e. �e x v 3 r } ..... .... ... .S.a '.. --'• «fix,' � as ._t�1. s�4 + t y r , .a + §{ 3j r a M .aY .. i r F - a r a w t�°�*, ".c�fir.. ��, � a'L�.�,r�.l'' �� ey,'�,�,.' 9y., t't1 s=�� Nr�Q� '^�.'..��s� A l '� `f' y� ".*w •`` r = Ii loom 47 ,'',!P 7! _n r 2 tea,, . ••: ° � <a .a n% a r w t ,v 3 r T ` i' t a fi :f j. YX i� w 4 ti g" Fj{y CAPE COD INSULATION 11994 01"S 5P At(OAM 3.M-09O BAITS ♦•I/flix:+ INSULATION [IItIN05 1-80G-096-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: l �. Dear Building Inspector Please accept this Affidavit as documentanwi that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Cel�Nq Cosh- IJyuvtu�ti �l uv�w�le �. �y�� Insulation Installed: Fiberglass Cellulo�ic R-Value Restricted Unrestricted Ceilings ( ) O ( 3 T) ( ) (X) Slopes ( ) (X) Floors ( ( ) ( 3 a) Walls ( ) ( ) ( ) ( ) Sincerely C r►4.1. F is 0 - `y `-j w He y E Ca sidy r, President Ca e Cod sulation, Inc. , a-~ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel ✓ Application # o 6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic,- OKH Preservation/ Hyannis Project Stree Address I Mot Village 414A MMV�5'_ Owner 10V Address '� 1 `� !� Y Telephone �D 1`.'1-1 I.Nv Permit Request 0� � IOil �)Z Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new, Zoning District Flood Plain Groundwater Overlay ��° Construction Type 16��k :Project Valuation � yp Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a 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: VYesa No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nev siZ'e_ r C Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: i Zoning Board of Appeals Au horization ❑ Appeal # Recorded ❑ ` Commercial ❑Yes No If yes, site plan review# - , w Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name E�va� Telephone NumberU Address Ql:��� License# Id U� Home Improvement Contractor# Worker's Compensation # N6� y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT W L BE TAKEN TO SIGNATURE oe DATE FOR OFFICIAL USE ONLY APPLICATION# -DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER , DATE OF INSPECTION: ` FRAME - - - - -- i[NSULATION,t.k ,._r, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: _ __ROUGH FINAL , FINAL BUILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. .Y Massachusetts -Department of Public Safety I. Board of Building Regulations and Standards ' Construction Supervisor License: CS-100988 \\\1,. HENRY G CASSIO f� 8 SHED ROW WEST YARMOMH q2�7 �%•�.. . " "` Expiration Commissioner 11/11/2015 jL 6rc' �,r�rsrc.l�r.r�. r rcl�l rl ( 1i1ic:t' cal. Ci}[�titt It1GC Atlalfti ant:113t1sU1eSS Regl.] att��I>. 10 .Fark l'laz i - Suite 5170 Boston, WSS'LIC11LGSOUS 02116 I:;}nl e lrnpr�ovet'teill Contractor Registi-ahor>_ f\t•:(lisll LIGol'I: 153567 . .. Typi:: h'1"iV�.�fu Ct.nL)iu7afit.nl ExIiiiatioll: 12/15/201.1. 'tril JJUJI I l t (-)L.) 1NS1.JI A.-I..^10N, INC HI N10' MA 02664 ^ Uptl,ltc A(1(1rrss and i e(uru curd. I\11aI-k I castill (Ill dwilp.. A&Iress L I tttucwui 1,..1 h:nitlluytilunt I 1 Lu i I:erd . l• toil il:rrlrir4Yf!`(.il ry�{ // .j, �- � ... .. .. -��' 'I l •rlii iui•-r t;\Ilart'ti .1, tl u.�l ilt ti) 1�ll,Ula ll tllr ^ U(CIlw of rr istrilliwi Yallt) for Illdlyltllll wic ull)}' _ - t t'i,l 61t II'd PtWV1:-.Mh'N I t QN flhAl I OFF I)efurc the cepilafiun Talc, If Ibuatl ruturu'lu; Type: Olficcul('uusumcrAllairsantl Busiucss Itc6tllalion ����c t,; •I t,+ I')/ U'I I 1'rlvalt Gorhoruirii lU Park t'I,tc,t-Suilc5170 IitW4. IN", utlersrrrclllr) to ill III illu l f T'1te Com»:onweahh ofMassachusetts I. Departrrient of Industrial Accidents OJT"of Investigations 600 Washington Street Boston, MA 02111 www.mtass.gov/dia Workers' Cotl Pcnsatiou Insurance Affidavit: Builders/Co ntractors/]EIectriciaasiflumbets Al p ica nt Information Please p'ririt I e� Nanic (k3usmcss/Orbauizatioty/l.ndividu4l): city/state/zip: �r.� /,� c z Phone #: �� � �'� 2- /�. :U*e your auemployer? Check the appropriate box: p Type of project (requtired): 1. 1 utrt a C iployer with: �. ❑ I am a general contractor and I rtYiployees (hill an44oe part-time)-* have hired the sub-contractors 6. ❑ New construction i ❑ l am a sole proprietor or partner_ listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have $- ❑ Demolition working for me u' any capacity, employees and have workers' [No workers' comp. insurance comp. insurance,; 9• ❑ Building addition required:] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions ! 3.❑ I am a homeowner doing al work officers have exercised their ;sl 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 3a ❑ I tun it homeowner acting as a employees. [No workers' 13.TOtherzz S., " ?;lid general contractor(refer to #4) comp .insurance required.] Ally apphcAut that checks box*1 must alsa fill out the section below showing their workm'compctisatlodj)olicy inf07 non.I i t Huntcowucrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Cuuututon that check this box mast attached an additional sheet showing the name of the sub-couawon and state whether or not those entitica have cutployces. tY the sub-contr"tors have cmployecs,they must provide their wurkets'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. $elow is the policy and job site information,�! Insuraluc Company Yolicy or Self-ins. Lie- # Expiration Date, li ._v�, Job Sire Address: ��. �'� ' A� City/State/Zip- Attach a copy of the workers' Compeusation policy declaration page(showing the policy nurn er and expiration date). Failure to sccurc�covcrage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a4 Fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. BC advised that a copy of this statement may be forwarded to the Office of Lnvestigations of the DIA for insurance coverage verification. I do hereby certify rider the nd penaldev of perjury that the information provided bone is trrie rid correct Dat • Yh F A,irtl use only Do not write in tltis area, to be completed by city or town official City or Torwui Permit/LIcense# Issuing Authority. (circle ode):. 1•Board of Health 2. Building Department 3, i ty/Town Clerk 4.Electrical Inspector S. Plumbing.Ina ector 6.Other p g P Contact Penoa: Phone#: i CAPFCOD-27 MY_OUNG UA I h INIMIDPIYYYY) CERTIFICATE OF LIABILITY-INSURANCE 71012013 IJI:: t.LF:I(FICAl IS IS SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U1'�ON THE CERTIFICATE I-IOLDERATI13 CLRI'I1ICA'11= DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE: COVERAGE AFFORDED BY THE POLICIES ULLOW. I I IIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TI-IE ISSUING INSUI:GR(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE:CERTIFICATE HOLDER. N:IPOIiTAN r: If tttu COI`tifiCalte holder IS an ADDITIONAL INSURED,the policy(les)mustbB endursed. It SUt3ROGA1'ION'IS VVAIVI D,SuUjuc[tU T u,u turns and conclitiowS of thu policy,Curtain Policies may I—quiro an ondorsment. A statement all this certificate does not confer tights to thu uhc:ua trolticr in hUL1 nt such undt�rsurnt�rtt�s�. ;• vat LI.cn,4 M i'C-514062 CONTACT NAME• --Margaret Young --_ ftu 1 I tw i;la; Illouruncu Ac3cnt:y, Inc. PHONE- — _.._ dl i Kw 1'S1 AICN . (t AX ti1r,LII Unnn1:,,IVIA 02660 k-MAIL A' §s:nl oungLl-)rogersgra .coiti ' � INSURER S AFFOKOINIi C04kttAGL NNICu INSURER A;PEERLESS INSURANCE COMPANY INSURERB:COMMERCE INSURAIVCE COMPANY .. — _ --_ - ..... Capu God 1115UIatlort, Inc. � INSURERC_Evanstan_IIISLIfaITCF; C'0111�.1a11V/ Id Ruardon Circl4 - - INsuRERI).:ATLANTIC.CHARTER IIVSUI:.ANCE GROUP :South 1'arnrouth, IVIA 02664 INSURERE: .. .__........Fy,n_.......'.._.._._._..._._.__......___..__.-.._ m_....._ INSURERF: _.._....-..____ t ttt<'i:iI:AGL.S CkRTIFICATE NUMBER: REVISION NUIVIBER: ___..._.---_.. _....__.___..._..... __._...__._..._......... nl, Ci 10 i;l:.( I'IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVL FOR THE POLICY 1'1CRIUO Ir,u1CAn 1) NO IVVITIISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RL:A"fel IO WrIlem.m13 �.t:l<NI-IcAlk MAY GE.ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEQ',BY THE POLICIES DESCRIBED HEREIN IS�'SUOJECI'TOAI.L ftIETERMS, nt:LU51i.)N:1 AND CONt]ITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A'00c SUBft�"�—'—` POTICI'�C-F� POLICY EkP IYt k QF INSURANCE �- .�cL � POLICY NUn1EIER IMMILIDNVY1_ A M OOlYYYYi LIMIT c.r+c.IGtC.LLA}ILrt� - I ODU,000 t Al l I CX:CURIRI:NI k $ _ � X La.mlIvIt-k IAl_C FNGRAL LIAUILI I Y CBPB263063 41112013 411l201t$ 1hAMAGE'TO"RENT[U 100 U00 I I PREMISLS„f�uulilrtntoL b_. .._ (-1 nIIN`,MAUE X. QI.:C:Uk ME.p EXF'(Any unu.Ilotwnl $ 5(IOU _ . r ErsUNAL.x rrav INJUtiY $ I,000,000 i GENERAL AGGREGATE 2 000 00 r ;rlv l n \d Lt ll I r L IMl f AI°1 t IF ER Pfi000C11-COMPIQP AQG b _i� RU I Vrd UU Its 1.1 A M I LlIY -._ ___ __— _— --• __-- COMBINEL1511�G1C LIMIT ... ,�000_ _-,000 Ca atatWl�, 5 Li I uv Ault.i 13MMBCKVMK 41112013 41.1120'14 UQOILYINARY(PaipulaM(1) u1 t)VVIvL.0 QOD X ut SCI-IEDULED ILY INJURY(P ucddQ(IQ $ iuIIQS AU I lJS - - .. --- n Iul:1 i I AU L05 X- NON-QVVN130 � OpA�,C]L)N N • 1; uoi c:i«tCA LIAti X OCCUR - .VAC.II OCCURRENCE $ ...1----- r unM [Puma mHoc XONJ4535'12 41.112013 411)20.14 I UUU,000 ACGIiEGAI'G I Ilr:l' I.X J 1iN1LNIION ._...__ry0A0QQ _.__.._—.___._.— V4C.SrAIII• f O`fII _ ^T 110 1tr( ..ONU tCN A(ION If ; .trvU I:nll't Ul Lr«'4AtlILI'I'Y - _•„_ ..r)�tdQ1LL?'.-L.__ �1:,I1. _.. D 1.,1,1 rnt,I rtlt Itatilr.ArtLNFrvE:xtCUrlvL Y N WCA00525904 613012013 6130120'14 'E,L,EACH ACCIDEN $ I OOU 000 n;at:rlt mlcMGt 1i EXCLUDEO't �I NIAI _— __._I (U80,000. �111andalulyblNFO _ � � - f'.L I:IISL.ASE-EALMI'LOYLF. $ '.......,!_...__..___ n w:dvx�luv unUgt .,' - l..L.UISIA$l�-{QLICY LIMIT nc ii:f:IPIIUN CIF OI'EkAlli)IV5 Uulow , i ur i�.;ur in.nv ia urcrtA I IONS 11_i.)CA[IONS!VEh11CL.ES (Attach ACORD lui,Adduiunat Rumarha Sch❑dulu,If nwro space Is rcyWrorl) 'Wwkoi CompLn::atian includos Officers or Proprietors. Auuuunnl InaurUd status is providud under thu General Liability when required by written contract or agreement with the Certificate iluldur.. Ci I(I1FICA I E: HOL_UI,h CA EL.LATION SHOULD ANY OF THE ABOVE OF-SC1:1060 POLICIES Qf_CANCGLLLD BEFORE 4a)W Cool It1SUl�tt'lun, IRE THE EXPIRATION DATk TI-11 REOr, .:NOTIu:I. VVILL UL UELIVEIi1:0.1N- I ACCORDANCE WITH THE POLICY PROVISIQNS. - � - � AUT110/IRI//GE0///RkPRC,SkNI'A'1'IYL'` _ 01988-2010 ACORD CORPORATION. All rights reserved. Ac:ul(u 25(2u 1 u/05)- The ACORD name and logo art:registered marks of ACORD 1, 2 oa qA I 460 West Main Street I-l�t� in; Hyannis, MA 02601-3698 Y _ - 77 - 400 Fax 508 775 7434 Tel: 508 1 5 { ) ) Assistance -. { oy� TTY on all lines Corporation Cape find r r� Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. Program regulations permit us to spend around $2,500- $7,500 in materials and labor per dwelling unit. Program regulations require us to.-weather-strip and .caulk doors andwindows; insulate attics, sidewalls and floors. All work is professionally done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications. If you request, you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you awn the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. If we do not receive the enclosed form within two weeks, we will do a basic energy audit of the home, but no weatherization work can be recommended or done. If.you,have`any.questions please call Suzanne Smith at 508-771-5400,ext. 123 or email here@ z` 36� n.''�„5�• t` t.,•,r-.,n'"?ci ' F'C� .. Y;;a,a "D� 4 =i e,.•"�i.�.s„F:ke.aN.n �8,riw a e LANDLORD: [C.-f;ru;0 1 l�Z�f TENANT: �'r C r ✓t�s`J ✓✓ �` �f�C% " 3, 1f email: kjAaa Is ' �Z � 7�11�'�l/ � ( ; email: PHONE, (home) PHONE: (home) 5 2-822 (cell) JZ -?�� /, 11�2 --- (cell) 1. TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT 1. The:P rties to this Agreement are the following: /-��`/ (hereafter known as Tenant), (print your tenant's nna e) l V (hereafter+known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). "in of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at(street,town) unit# and currently leased or rented to the Tenant: } a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency.and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections.- The Weatherization work will be performed in accordance with.the Property Owner's consent as further specified below: *** INITIAL ,ONLY ONE OF THE FOLLOWING*** I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A.- I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. . The Property Owner understands and agrees that any and all work, including related repairs for which the Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 2013. 5. If the Property Owner is;,required to make repairs to the property prior to the commencement of Weatherization work by the Agency,the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency, time is of the essence in the performance of repairs by the Property Owner. 6. `The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three years.. The information is to be used only to determine the cost effectiveness of the Weatherization improvements.' , 7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8. In consideration of the Weatherization work hereunder, the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through 2013/2014, approximately one year from the time the work is completed, a) The present rent $ /Z"® o per month will no be raised for any reason. (The rent amount must be filled in). Heat included in rent?Yes— No However,this Paragraph (8a)will be waived by the Agency in writing if, and only if,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises,.Property Owner shall comply with one of . the two requirements below; --The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement; or —The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than % per _for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10, The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the_ provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state -or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. 11. For breach of this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,.the Agency may.at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12: Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing-written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date ` l Phone: .? �� IZ y Address: e O z 32- s, Tenant Signature _ � - Date�� Agency Approved Weatherization Company CSL All Cape Energy / Adam T. lncorpor ed / Cape Cod Insul ape Save 1 Frontier Energy Solutions / Lohr& Sons Inc. / Resolution Energy Agency Signature Date a —I -7 -1 y l t Town-of Barnstable SINE Regulatory Services Thomas F.Geiler,Director i BAMsUME, * Building Division 1639• �� Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 17, 2012 Mr. Kevin'Naylor`: 59 Keene Street Bourne, MA 02532 RE: 21 Maple Ave, Hyannis Dear Mr. Naylor, In reviewing the documentation that you have provided, I still fail to see how this is a legal two-family. The withdrawal of the variance had nothing to do with the status of whether this was or was not a two-family home. The variance request was.for zoning relief from lot width and set backs. This is what the letter from Attorney Howes is referring to in his letter and was the reason for the withdrawal. Additional proof as to the creation of this house as a'two-family needs, to be provided. Sincerely, ; Thomas Perry, CBO Building Commissioner k , ' t TORN O lsll, 12/19/2011 ( 420 . ti . Thomas Perry Building Commissioner Town of Barnstable 200 Main St. x Hyannis Ma 02601 Mr. Perry: As a result of my applying for permits to make improvements at my property at 21 Maple Ave., Hyannis,Paul Roma in your office has determined that the premises is in violation of zoning. There is currently one apartment upstairs and one down. The neighborhood is zoned RB. When I went to the office of the Zoning Board of Appeals to apply for a variance,planner Elizabeth Jenkins suggested that I first appeal to you for a ruling or for any kind of assistance. I know from research that the property was converted to a two-family in the 1960s at the very latest. It has been assessed by the town as a two-family since the 1970s. I also have,and would gladly submit, a copy of a 1982 request for a variance from a previous owner who was having trouble selling the property because of a zoning issue. In a letter to the ZBA,his lawyer, William Howes,withdrew the variance request because after research"no zoning problem exists on this property,"and the sale went through. I would ask you to please, first,rule whether the past 50-year use of this property is in fact illegal and, second, and more importantly, allow my electrician to take out a wiring permit to make necessary repairs to the downstairs unit while the zoning issue is under consideration. Respectfully yours I Kevin INylor 59 Keene St: Bourne, MA 02532 508 776-1242 Kmna lY or9@hotmail.com Cc Meg Chaffee AREA CODE 617 TELS. 775-1575 775-1576 ti WILLIAM G. HOWES 111 ATTORNEY AND COUNSELLOR AT LAW 49 ELM STREET HYANNIS. MASS. 02601 June 22, 1982 pr r E Mr. Frank Congdon TQE��: GF GARNSTACIZ Clerk BOARD OF APPEFU Barnstable Board of Appeals Town Hall Main Street JUN Z 3JW Hyannis, Massachusetts 02601 . RE: James E. Lowthers Appeal # 1982 - 43 Dear Mr. Congdon: Please be advised that Mr: Lowthers wishes to withdraw his' Petition for a Variance for his property at 21 Maple Avenue, Hyannis, Massachusetts. A research of this record title reveals that in fact no zoning problem exists on .this property. Very.truly yqurs411 William G. Howes WGH:.jdm. . a . I Lr;; TOWN OF BARNSTABLE Mai '. Zoning Board.of Appeals d 2 C Deed duly recorded in the _. Property Owner County Registry of Deeds in Book _ __.J.aMeS...Y1.LQW.tI Ile Ea..______. __ _ _ Page _-.Registry Petitioner ' District of the Land Court Certificate No. Book __ Page Appeal No_ --Ju'3 Y2 19 82 FACTS and DECISION Petitioner ._ ._.Iames...E.._..Lntrt$hers....... filed petition on 19 82, requesting a variance-permit for premises at ._.Z.1...Map1e._Ayenue.____ in the village (street) of ............_iiya=i.s.. _........_.... _.. � :., adjoining premises of _ .__:. (see attached list) Locus under consideration: Barnstable Assessor's Map no. ._.-_..__3QZ _ lot no. , 81 Petition for Special Permit: Application for Variance: gJ made.under See. ._._.Il_._.24.0.....__. ___.:_ of the Town of Barnstable Zoning by-laws and Sec. Chapter 40A., Mass. (den. Laws for the purpose of _Variance._to *n a i n t-a i n P.j S.Ung._huilding.s_.an_1 otyrith _.insiiffiriPnt-width...and_i nsuff.i'ciznt_.setbacks..._:_-_-- Locus is presently zoned Notice of this hearing was given by mail, postage prepaid; to all-persons deemed affected and by publishing in Barns table.Patriot newspaper published. in Town of Barnstable a copy of which is attached "to the record of these proceedings filed with Town Clerk.. A ,public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office: Building, Hyannis, Mass., at ........_8....0. .0._.___.X=, , P.M. _ _..JUne_.4___ ..__._.:—._ 1982 , upon said petition under'zoning by-laws. Present at the; hearing were the following members: Luke...P.. Y._ _...._._...__ _Fr• k P,�Congdo.>z.._�_.___ _._._..Helen_.[ilir.tanen..��_.... _ --- Chairman At the conclusion of the hearing, the. Board took said petition under advisement. A view of the locus was made by the Board. e ? Appeal No 1982-=43 Pa of 2__ _ g -- -- _ ,19 82, The Board of Appeals found On June 24 n A letter was received by the Board from Atty. William G. Howes, III, and read aloud by the ,Chairman. Mr. Howes asked that this petition be withdrawn without prejudice since a research of the record title revealed that no zoning violation or problem exists on the.petitioner's property at 21 Maple Avenue, Hyannis. No one spoke in favor of or in objection to the request to withdraw without prejudice and the Board took the matter under advisement. The Board voted unanimously to allow the petitoner to withdraw without prejudice. Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that. twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of, the Town Clerk. Signed and Sealed this _ _._._.._•• day of 19 _ under the pains and penalties of perjury. Distribution:— Property Owner Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector Public Information Bv --- 'D .a r A--.,Ice C airrdan PARCEL I IUPI:nTY ADDRESS I ( ZONING IDISTHICT CODE SP DISTS.I DATE PRINTED(CLASS I PCS I NBI-ID - KEY NO. UU21 MAPLE AVE 07 RB 400 07HY 12/_18/,.93 1041 00 61AC R307 083. - - IAIJI!(11U[.II II,AIUIIC l,l I,11'IIUN AUJII e1R411J7 inC IOIls Y UNIT ADJ'D. UNIT ACRESIUNITS VALUE oescr,Pen� ATKIN UL D 6 MAPS. 1 6 r' P PRICE PRICE - #LAND 1 23,900 r;n LOC./YR ;I rc CLASS ADJ. COND. CARDS IN ACCOUNT L 10 1BLDG.SIT 1 -. z .,-.1 =10 ---- 328 40499.9 132839.9 .18 23900 #BLDG(S)-CARD-1 1 64.500 01 OF 01 #OTHER FEATURE 1., 4,900 3U0- A N BATHS 2.0 U X C= 10U 6139.0 6139.0 -1.00 6100. 8 #PL 21 MAPLE AVE HYANNIS MARKET 84000 RG1 DETGAR S 20 X 20 196 C= 63 19.3 12.15 400 4900 F #RR 0963 0070 INCOME D USE APPRAISED VALUE A A 93.300 D D J = PARCEL SUMMARY A LAND 23900 T U BLDGS 64500 S 0-IMPS 4900 A T TOTAL 93300 M N CNST F E PRIOR YEAR VALUE DEED REFERENCE DATE R.caeW E N a P.Q. "'°� Mo. Yr.D S.I.,p- LAND 23900 A T 6375/241,TEI107/88 160000 BLDGS 69400 S 4645/05� . 1:07/85 105000 TOTAL 93300 3503/16d �06/83 R BUILDING PERMIT E NumDer Dale TyP. AA-ISLAND. LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS Z3900 490 6100_Y,.BuelNm Onsv. Atl ReVI Value ---- Consl. Tul Base H:u r• AAI Rale Ale CND. Loc. -e R.G. Hepl,Cost New I T T LI -- Vmis Vnns A j�T1! Depr. Cones 02C 000 100 100 69.55 69.55. 30 75 16 84 85 69 93523 64500 2.3 8 4 2.0 8.0 �y„a Feul Heol C. MKT.INDEX 1.00 IMP.BY/DATE: ML ..9/.88-_-✓SCALE=...1/00.69 ELEMENTS CODE CONSTRUCTION DETAIL oe,�,� ,n R„e - -C N S T G P S BAS 100 69.55 676 47016 ROSS�REA--T6 WO FAMILY DYELLiNG " STYLE 1 OLD STYLE 0. FOP 35 24.34 .88 2142 N = --------------------D. T F S F 90 62..60 48 3005 6FSF 6 DESfGN-X0JMT -0 _ *-8--* EXTER:uALLS- "11 OOD-SHINr.tES -- 0. R 623 75 52.16 676 35260 *--------26-- . U ! 823 ! HE-AT/AT--TYPE- 1 OfL=H-u=Z�NE6----0. ! ! INTER:FrNIS-H" -05 CA STrkv - -0. C ! INTER:T L7CYOUT -12AVER--NORMAL- 0. T ! INT•ER.11UALTY -02 -AME--AS-EXTER.- -0. FLOOR R 26 BASE -D2'4-6-J'OTST79-EAM----0- A W 26 EFLOOR-t"OVER"- "04CARPET-------- -_--D- L D 88 B..e_ 724 ! ! ROOF TYPE---- -02GABL�-t700D__SR_ --0. E Ta 1A-, - ! ELFCTRI"CAL- O1 AVERA"GE- - -- 0- BDILowGDB.lijsloNs FaU�16ATTOR- D CONCRETE 131=0Ck �F9. T BAS W11 FOP S08 E11 N08 W11 -- -""'- -- - A � � BAS W15 N26 E26 FSF N06 W08 S06 „----15--26*--11--X - NEI"GH9.OR OOD 61AC "HYANNIS E08 BAS S26 .. B23 N26 W26 L 8 8 LAND TOTAL,- NARK S26 E26 .. ! FOP PARCEL 23900 93300 *--11--* 848 AREA VARIANCE t0 t375 175 STANDARD 25 S * UTILITIES TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES * UTILITIES * ST FEATURE * ST. COND. * TRAFFIC 1 LIGHT ST FEATURE 1 PAVED * ST FEATURE * AMENITIES * NUISANCES DWELL LOC. Z MIDDLE * LOCATION *_ AMENITIES * * NUISANCES s Cone.Walls Fin. Bsmt.Area Bath Room - �/ Base 86 7LJ _BLDG. COST , Cone. Blk.Walls Bsmt. Rec. Room St. Shower Bath( ( t Bsmt. PURCH. DATE Conc. Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE •"r Brick Walls Attic FI. &Stairs / Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath Floors �-. ��� �'•'a , Piers INTERIOR FINISH Lavatory Extra N, Bsmt. (F J 1 2 3 Sink Attic, 1/41/t 1/4 Plaster Water Clo. Extra EXTERIOR WALLS Knotty Pine Water Only Bsmt.Fin. Double Siding Plywood No Plumbing --- -- �y Single Sidling Plasterboard Int. Fin. , —b � Shingles - — — TILING C o </ Conc. Blk. - G F P Bath FI. Heat //� J •1 /��� �.•1 ' Face Ork.On Int.Layout ✓ Bath &Wains. 7 1/ Auto Ht.Unit Veneer Int.Cond. t/ Bath Fl. &Walls Fireplace - Com. Brk.On H EATING Toilet Rm. FL Plumbing // 7 0 Solid Com. Brk. Hot Air i Toilet Rm.Fl. &Wans. ring ---- ----- _ Steam Toilet Rm. FL &Walls _ Hot Water ',�, / St. Shower g Blanket Ins. <' Total Air Cond.• Tub Area Roof Ins. t l) Floor Furn. R------------- OOFING --- -- COMPUTATIONS _ 5 Asph. Shingle ' Pipeless Furn. r/ 7�(, S. F. 5-70 ' Wood Shingle No Heat yL S.F. 0 U Asbs. Shingle Oil Burner S. F. - Slate Coal Stoker S.F. Tile Gas S F OUTBUILDINGS ROOF TYPE Electric S. F. 1 2 3 4 5 5 7 8 9 10 1 2 3 4 5 6 7 8 9 10 M EASU -- Gable Flat S F Floor e_ Pier Found. Hip Mansard FIREPLACES 0.H.Door Well Found. LISTF Gambrel Fireplace Stack , FLOORS, Fireplace Sgle.Sdg, Roll Roofing Cone. LIGHTING. Dble.Sdg. Shingle Roof DAT Earth No Elect. Shingle Wells Plumbing Pine _ Cement Blk. Electric Hardwood ROOMS ROOMS Brick Int.Finish PRICI Asph.Tile Bsmt. - 1st- TOTAL Single 2nd '7 % 3rd FACTOR �• l -� _ REPLACEMENT r.�'rig .+� �� - OCCUPANCY CONSTRUCTION SIZE AREA CLASS ,AGE REMOD.4COND. REPL. VAL. Phy.Dap. PHYS. VALUE Funct..Dep. ACTUAL VAL. 13 2 3 4 - 5 -- ' 6 --'- 10 ----'— ---. TOTAL SECTION 3 DISTRICT REGULATIONS 3-1 Residential Districts r 3-1. 1 RB RD-1 and RF-2 Residential Districts Principal �_ermitted Uses: The following uses are permitte ` 1) 1 and RF-2 Districts: the RB, RD- -family residential dwelling (detached) p,) Single Y .., ing uses are permitted as acces 2) Accessory Uses: The follow " uses in the RB, RD-band RF-2 Districts: of rooms for not more than three (3) non-famil A) Renting members bi the familyresiding in a single-family dwelling. B) ' Keeping, stabling and maintenance of horses subject to following: a) Horses are not kept for economic gain. of twenty-one thousand, seven hundred b) A minimum s ft. of lot area is provided, P th. (21'780) q• eight hundred ninety (10,1 additional ten thousand, 9 sq.ft. of lot area for each horse in 'excess of two shall be provided. c) All State and local health regulations are complie with. to cc d) Adequate fencing is installed and mexcePttthatdthe us ' the horses within the property, barbed wire is prohibited. s rings and fences e) All structures, including riding rercent (50%) of contain horses, conform to f ifty p setback requirements of, the district in which loci No temporary. buildings, tents, trailers .or :packin, ..-temp: Y r crates are used. 1, g) The area is landscaped to harmonize with the char \, of the neighborhood. 'l-' ✓ ' h) The land is -maintained so as not to create a nuts is used beyond thz i) No outside artificial lighting � normally used in resident _ ial districts. 6 ter. r t i INVALID FUNCTION KEY yi.77,;�_ R:;ia7 t'�=-��. CTY Ui TD5 4 )t_) HY i� LOC r.?[?:.i. MAPLE AVE F'CS 0- YR 00 PARENT cc^ -- PCA 1041 AREA. t_.1AC JV :�t/_':::�,j. MTG '201.2 ----MAILING ADDRESS----- MAF' SF, SP3 ATk::IN, F'AUL' Li °< r r_,F�t SG! FT 14�a�) ATK:IN7 JOHN W & HAINS, C UT:_ • 18 ` L1T]. CUt•!ST 197 JAMES ST AYS i'.r:_�? EYES 1975 ODS r-4=_,c)t� OTHER 490Ci CT i��,_50 -0000 LAND ;_,()0 IMF' CLAS51FFIED TRUE MKT ':� �:��?G F.EH q.�=rtia - 64500 ASD OTH ---LEGAL DESCRIPTION---- -:;��pi� ASD IMP w _ "fAXAL'1_F_ 1 23,900 ASD AND��LAND t_.4, �i;�� DESCFtIF'TIOfJ. 2390 TAX YR CURRENT E::ChiF'T #F'LDG(S) -CARD-1 1 '-00 TAX EXEMPT #•tOTF-ER FEATURE 1 RESID NT'l_. - #PL 21 .MAPL.E AYE HYANNT S OFsN- SPACE #RR 0963 0070 COMMERCIAL I NDUSI R I AL EXEMPTIONS } 6 . 41 AFD T TE c i i);"/ ;:=: _F'R]:CE i.�,c.)t:i�i) ORB _ �7�_./ SALE. - PCR Y LAST ACTIVITY 02, 2G/,-3 L SAL c ACT R KEY 00217760 c , H I 5 T 0 R Y PRICE Y R MO R30 7 i y;I:.-_o QUAL I NST 0/I F oOK 160000 82 07 C I:IF'ME TE I 6375/241 1t5iii 05 0' ATKIN, PAUL L 0 I 4645/053 83 06 PERRY. F E I TH L� 3503/1 t-,0 MURPHY, FFii' LACES �/jJ EAR XMT r�� 3 p •.v. i �Kw-TABLE, MASS. W MAY 25 PH17 23 TOWN. OF BARNSTABLE PETITION FOR. VARIANCE UNDER THE :ZONING BY-LAW To the Board of Appeals, Town Hall, Hyannis, MA 02601 Date __.._ Y�244 '_ 19 82 The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter 'set forth, the application of the pnovisio sQoft a zoning by-law.to tke following described premises. We ��, .. (C�`2a.�.� U JAES E. L0WTHERS 90 .,..... _._0 2_1_89Applicant: keyxouth. KA (Full Name) (Winter;Address) Owner: ___JAMES E. �LQWTHE$S __2.Q 4ue.en _Ann__II�ive.,.._�InlelllA.1� ,Z1A_.Q21�39 (Full Name) (Winter Address) Prior Owner of record _Armand Albert Bian Q.A.nd-A1b.eX.t-A1f -ed_Ri anco__.._._._. Tenant (if any) : -Erance New York (Full Name) (Winter Address) If Applicant other.than Owner of property - state nature of interest 1. Assessors map and lot number 3 0 7-8 3 ~� 21 Maple Ave. Village 2. Location of Premises _ P_. __....._..._..........._ __. (Name of Street) (What section of Town) 3. Dimensions of lot 70. 80 110. 5 0 7 , 8 2 0 + (Frontage) (Depth) (Square Feet) 4. Zoning district in which.premises are located .................. _ 5. How long has owner had.title to the above premises? ,..July _3 , 19 7 9 T 6. How many buildings are now on the lot house ,and garage_ 7. Give' size of existing buildings The foundation- Q � hat1a,e„• $6i•$.��� �F, None ___.__ __....__.._. garage 40 S.F. Proposed buildings 6. State present use of premises �DOZ9.._ faIl i 1y_..dwE11111i 9., State proposed use of premises 10. Give extent of proposed construction or alterations: _._.NQ_...pro.L1n.S.ed__cY1a]1ges..__._ 11. Number of living units for which building is to be arranged ^.^same ;as present _. 12. Have you submitted plans for above to the Building Inspector? ..:_ no _.-__ .__ 13. Has he refused a permit? 14. What section of zoning by-law do you ask to be varied? .._.Section Jr__Ap,Vend•}x .....__•,•,.,,_ T -Petitioner • o M 15. State reasons f or variance o• special permit: __..... tiner wishes t maintain_.. __....__...._..__._..._p?�?:aSt�B9 buildings on..A lqftjQ ,.�t...hT d-Lh d_insU ficien ..setbacksM_'Pptit Apex _.h ._an..agxeeuienf .tQ_sell_this_gnopext ing._zoning�roblem. _Petitioner did not createt TQg pp ,g oz aware of it,until just informed by Pro Buyer!s attorney_w� _.__...................... ....._.....___ Respectfully submitted, (Signature) JAMES E. LCXW-rL=— (Address) 90 een Anri I7ri e, We nb h MA • Please submit 3 copies of petition form. (Agent) _ is s • Alin fee o _ required with this 49 Elm Street Hyannis, MA 02601 °:s g q petition (Address) � .,.; (OVER) E STA V ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTEDI CLASS I PCS I NBMD KEY No. 0021 MAPLE AVE 07 RB 400 07HY OT 9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS UNIT ADJ'D.UNIT - IB,IDale SaeDmenePn LOC./VR.SPEC.CLASS ADJ. YP PRICE PRICE ACRES/UNITS VALUE rIATKIN, PAUL D B MAP- CD FF.pe m/Ades D 1 20.7,00 CARDS IN ACCOUNT 10 1BLDG.SIT 1 X .18 =10 328 34999.9 114799.9 .18 20700 _ ;-(S)-CARD-1 1 63.100 01 OF 01 g0'_'_'dR FEATURE 1 4.300 DST 88100 BATHS 2.0 U X C= 100 7000.0 7000.0 1.00 7000 3 #PL 21 MAPLE AVE HYANNIS ARKET 84000 RG1 DETGAR S 20 X 20 196 C= 56 19.3 10.8 400 4300 F #RR 0963 0070 INCOME SE PPRAISED VALUE ILDGS 88.10C ARCEL SUMMARY AND 2070C LDGS 6310C -IMPS 430C OTAL 8810C. CNST DEED REFERENC Tvw M DATE p.Poraa RIOR YEAR VALL SPPa P.BaI .. Dyr.;D SIT.PImoo AND 2070C 6375/2411TEI:07/88 160000 6740( 4645/053: 1;07/85 105000 TOTAL 88101 3503/160: 06/83 BUILDING PERMIT Numoer D.te Type Ama,m LAND LAND-ADJ I NCC ME SE SP-BLDS FEATURES BLD-ADDS UNITS 20700 1 4300 7000 Clas Unn I _as Base Rale PI.ale ar Buil'9- Age NormDaPr co OPavne CND lac N R G R.P.Lost New API RIP,VeIPe SId.. Hepm Room. Fks P.-.11 F.P. )) 02C 000 100 100 66.10 66.10 30 75 19 80 90 70 90092 6310J 2.3 8 4 2.0 8.0 OescriPrran SP....Feel ePl COsI MNT.INDEX. 1.00 IMP BV/DATE. ML 9188 SCALE 1/00.69 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 66.10 676 R44684 GROSS AREA 1400 TWO FAMILY DWELLING CNST SP:00 FOP 35 23.14 88 2036 N *-8-* STYLE 10 LD STYLE 0.0 - ----=---- --- ---------------------- FSF 90 59.49 48 2856 6FSF b ESIGN ADJMT 00 0.0 823 75 49.58 676 33516 +-------26--+-8--* XTER.WALLS 11 OOD SHINGLES 0.0 --------- --- ---------------------- ! 623 ! EAT/AC TYPE 10 IL-H W-_2_0N_E_0_ 0.0 ! ! NTER.FINISH JS LASTER 0.0 ------------ ! ! NTER.LAYOUT 12 VER./NORMAL 0.0 ! -------------- INTER._AUALTY_ UI AME AS EXTER.___0.0 26 BASE 26 LDJR STRUCT 02 D JOIST/BEAM C1.01 W -- - -- ---- ------::--A- A.. ! ! c L00R COVE_R___ J4 AR PET _ PlelArea. . 88 B.... 724 ! ! OOF TYPE _J2 Ai3LE-Y0_0_D___S_N____0.0 BUILDING DIMENSIONS ! ! `LEC TRICAL_ _ 01 VERAGE _ 0.0 SAS W11 FOP S08 E11 N08 Wit ,. ! ! OUNDATION it ONCRETE 9LOCK 99.9 SAS W15 N26 E26 FSF N06 W03 S06 ! ! ------------ E08 .. SAS S26 .. 923 N26 W26 +----15--26*--11--X NEI-H80RH00D 61AC HYANNIS S26 E26 8 LAND TOTAL MARKET FOP PARCEL 20700 88100 *--11--* AREA 2848 VARIANCE +0 +2993 STANDARD 25 [ - IAR307 083 . 0 ] • LOC] 0021 MAPLE AVE CTY] 07 TDS] 400 HY KEY] 217768 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 NAYLOR, KEVIN M MAP] AREA] 61AC JV] 362351 MTG] 0000 26 LAKEVIEW DR SP1] SP21 SP31 UT11 UT21 . 18 SQ FT] 1400 SO SANDWICH MA 02563 AYB11930 EYB11975 OBS] CONST] 0000 LAND 20700 IMP 63100 OTHER 4300 ----LEGAL DESCRIPTION---- TRUE MKT 88100 REA CLASSIFIED #LAND 1 20, 700 ASD LND 20700 ASD IMP 63100 ASD OTH 4300 #BLDG (S) -CARD-1 1 63 , 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 4, 300 TAX EXEMPT #PL 21 MAPLE AVE HYANNIS RESIDENT' L 88100 88100 88100 #RR 0963 0070 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE111/95 PRICE] 61000 ORB19950/296 AFD] I LAST ACTIVITY108/29/96 PCR] Y R307 083 . •P P R A I S A L D A T A* KEY 217768 NAYLOR, KEVIN M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 20, 700 4, 300 63 , 100 1 A-COST 88, 100 B-MKT 84, 000 BY 00/ BY ML 9/88 C-INCOME PCA=1041 PCS=00 SIZE= 1400 JUST-VAL 88, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 207001 LAND-MEAN +Oo 881001 74880 IMPROVED-MEAN -160 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1001 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- [0 0 0] DATA- [ ] XMT [?] R3,07 083 . • P E R M I T [PMT] ACTO[R] ' CARD [000] KEY 217768 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT i Application numb Fee ..� .. 1D ... ................ .......... ......................... s L ,� �01� Building Inspectors Initials..... Vn? f-� f1 Date Issued........1.l..Yl9i.f....................................... 0 UAHNS TABLE Map/Parcel....Z®.7: .. 9- .................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: pQ- = ER STREET VILLAGE Owner's Name: G i y� /%C��i �J�j Phone Number_ O Email Address: 11111-i9 Cep one Number Project cost$ Check one ResidentialCommercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date. TYPE OF WORK Siding0 Windows no header change)# Q Insulation/Wea( thenzahon -1 Doors(no header change) # Commercial Doors require an inspector's review t�'Roof(not applying more than 1 layer of shingles) -- Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERT Y IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. y I APPLICATION NUMBER rf ; *For Tents Only* Date Tent-(s)will be erected Removed on number of tents total { Does the tent have sides? Yes No (If yes please'attach floor plan with exits marked) Dimensions of each Tent X X S X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No___,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number 2S'o0,-?�`2 Cell or Work number --Seu� � I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of arnstable. Signature ,�`CG% Datel APPLICANT'S SIGNATURE Signature G Date IZZ/2 All permit applications are subject to a building official's approval prior to issuance. i :r 1 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 PIease Print Legibly yNarae(Business/OrganizatioTvhdividual): ( 6 ell�✓ �(� v Address: /u �L f^ l/ City/State/Zip: �ti� `s ,-1;y ® 6 hone#: 01$�V.2 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New constriction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' [No workers'comp.insurance comp.insurance. # 9. ❑Building addition 3.J required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. , I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy 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 up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify�undcr�Ipalu�;�dp;�allSiature: � Phone Z 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 ch ter 152 es all employers to provide workers' compensation for their employees. ap requires Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." + MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any, applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if f necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(I.LP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have t 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 ' -+U-1— Y;F-,-,.a-e rarnrirarl to n}tain?WIers' Industrial Pccld�Ts. 7noulayouhave auy qucs'uons_aga='-5 u -.F i . d compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant sure to fill in the ermit/license numb ex which will be used as a reference number. In addition, an applicant Please be p that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or ' town)."A.copy-of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a va lid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 Tndustdat Accidents ` Office of Investigations 600 Washington St=t Boston,MA 02111 Tel.##617-727-4900 ext 406 or 1-977-MASSAFE Fax##617427-7749 Revised 4-24-07 wwwm=,gav/dia I S6 TOWN OF SABNSTA �D gnPO UPPLDMENTA&Y/CONTIBL SON REPORT NAME (LAST, FIRST, MIDDLE) .0 DIVISION iDarr L ML 14 NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. SUBMITTED BY PAGE 8 r :err) 'Y: .., Wit' r � ��.� T•� 1 Ice r ,,,, .� Mid^•1'� +��.r.r°'✓ M _ , MIR qriF ♦�!,` �� ~ _ ��It.: , jol tA a f 1 k �. v : s ... 4_ _ �s - fYs .._ - "F _— �1�11► d' r'-�,: d, .- • � 't � � y � ,f���� i� � �. � a 1�, v. �, ' _k ;rM►,���4' �- I y � � i' .xi..- ,�,i�} j r, �� � � � - ,� i '� _ � ;�, .�.� ~ � ' __ _ a :{ '-, «.E i -- - ', - �, �V E' ►. Town of Barnstable Regulatory Services i s Thomas F. Geiler,Director i639. , Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 December 7, 2011 Mr. Kevin Naylor 59 Keene St. Bourne, MA 02532 _ Re: 21 Maple Ave., Hyannis, MA 02601 Dear Mr. Naylor, This letter is in response to applications (one electric and one building) regarding the above referenced property. A review of our street file indicates an unresolved zoning issue.At some point prior to 1997 the assessing field card indicates"...one.family and one conversion."However, there is no supporting documentation in our file thakhe conversion from a one to a two family was done legally. The principal use in this RB(formally RA) zone is for a single family dwelling. Please be advised that no permits can be issued for this address until all zoning questions have been resolved by: 1) demonstrating that this is a legally created,two family dwelling, 2) restoring it to a single family dwelling, or 3) obtaining zoning relief from the ZBA. Feel free to contact this office if you have any questions. Sincerely, Paul Roma Local Inspector j t By: Coleman Electric Inc'; 50.8-428-7499; Jan-25-12 7:33AM; Page 1 TOWN OF BARNSTABLEot 2w Jaa 25 AN 7: 38 C oleman Electric Inc. Marston Mills, Mass 02648 Fully Licensed and Insured DIVISION { Office 508-428-7445 Fax 508428=7499 Cell 508-364-8456 Email eoelect@comcast.net . Leave message if no answer Insurance Certificate Avail Mass.Journeyman's License Mass. Master License E29607 A17221 Member of the Better Business Bureau Member of I.A.E.I.' Operating since 1986 www.coleman6ectricinccavecod.com Remember "The bitterness of poor quality remains long after low price is forgotten 1/25/12 Barnstable Town Hall Attention :Wiring inspector Re: 21 Maple Ave Hyannis Mass 02601 Hi Bill: On 8/24/2011 I was notified by.a customer that a tenant had called the fire department because of a so called electrical noise of some kind. He asked if I could get over there and check it out.Nothing was found but there were some issues in which the customer was made aware of I was asked to take care of the issues to get the building electrically safe. I started with issues with a.couple of receptacles. Then the kitchen needed rewiring due to a lot of issues. This was done.' In doing the kitchen in first floor 4partment I found BX that goes to second floor in which there are issues as well. This bx connection now has no,box because it was pulled from the wall to deal with once second floor was addressed. The new circuits run.from the kitchen on first floor were entered in the front of the panel and tied on to breakers to get back up and running. They were not tied in because the panels need changing as is the electrical service. On 8/25/1 l I went in to pull permit knowing now what I need to do for explaining on the permit. This permit was denied due to issues with this building. This has been on my desk since thinking it would be resolved and pulling permit and completing work could be accomplished for final inspection. Obviously my five days for pulling permit has expired and I need to find out how this should be handled. After the denied'.permit no further work was done: r„ k ( Sent By: Coleman Electric Inc; 508-428-7499; Jan-25-12 7:33AM; Page 2/2 To me this makes no sense for what ever the problems are to this building it's still a building with electrical needs and including my work it has numerous violations planning to on go the electrical work. I know that this denied permit is not your doing but if the town can't help me resolve this l will need to consult the board so any issues that may come up I will at least have notified someone of this situation. Thanks Bill. COlem ectric Inc David Coleman t C1n&Mnwea&o f MamacLsib Official Use Only cc��r� cc77 lug KI Permit No. 2.pal...f o/,tire Servicd Occupancy and Fee;Checked BOARD OF FIRE.PREVENTION REGULS [Rev.1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 vO0 (PLEASE PRINT IN INK OR TYPE ALL LVFORMATION) Date: City or Town of: .fit l &A" To the.Insp ctor f Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) a) // g pl.e:, ` CjJ_tX_ J Owner or Tenant ,/t y-e-c.1 /I)A V Le<c Telephone No. Owner's Address ke r+c< S'ia- ptSXA.1tr Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Bolid x Purpose of Building Utility Authorization No. Existing Service .600 Amps /;2D /,�yD Volts Overhead Undgrd.❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r l�-3'•e� �►p /j o a, tom/ Completion ofthefollowh table may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil: addle Sus .. No.of Total p � )Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig ng No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets No..of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Toil g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number.. Tons W _ o.of Self-Contained Totals: -� Detection/Alerting Devices No.of Dishwashers S p g ace/Area Heating KW Local❑ Municipal Connection ❑ Other, No.of Dryers Heating Appliances KW Security Systems:* r? No.of Devices or Equivalent No.of Water No..of' o.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of D vic s or Equivalent OTHER: F¢o Attach additional detail if desirec4 or as required by the Inspector of Wires. o Estimated Value of Electrical Work: (When required by municipal policy.) z = a Work to Start: �� / / Inspections to be requested in accordance with MEC Rule 10,and upon completion. Z LU INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless t= z the licensee provides proof-of liability insurance including"completed operation"coverage or its substantial equivalent. The oac undersigned certifies that such cover is in force,and has exhibited proof of same to the permit issuing office. B g CHECK ONE: INSURANCE 0 BOND ❑ OTHER El (Specify:) M Cs I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete. LLi? ¢. yLUFIRM NAME: ee .ALE,kr4 c—, iv LIC.NO.: /y/ Licensee: f C Signature LIC.NO.: �D W " ¢ �ARtJ.[ fJl�.t��.�� a licab a enter " e t"in t icense num r!in(If pp 1 , ez m I .- Bus:Tel.No.: „w Co LU W a Address: (d ,� �`+e lc�dea-1 i1%/ /W� Alt.Tel.No.:�o f-L13T 7`(V.S r o w *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.S c r^�(a f1r f-VJ_6 N o OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally o aLUrequired by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ • TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE / 7- / JOB, LOCATION 2 /qa /71719 Number Street address Section of town "HOMEOWNER" , Name �Home phone Work phone . PRESEICT MAILING ADDRESS 7 G 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(s)' who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsiblE for all such work performed under the buildinq permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, 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 sal procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL -------------- Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed 'persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home "owner- actir.as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. mar,communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. THE r 1 Town of Barnstable ' Regulatory Services .. s RARNSTASLE, i - v Thomas F. Geiler, Director °lEo ru,t" Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Building Permit Procedure for Residentia]Addition Or'Remodel Or Dock ❑ Determine map and parcel number and enter it on app]ticati'on ❑ Historic District Commission, 200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(n'orth`of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic'District(See map'for boundaries) • Historic-Preservation (if applicable) ❑ If ZBA relief(Special Permit or Variance,i's,required for Project); ❑Copy of ZBA decision ❑Documentation proving that decision was recorded.aIf the Registry of Deeds w/in one year of ZBA decision date ❑ 41; vals from the following departments are required and can be obtained at 200 Main St. 3? lth Department (8:00.—9:30 AM& 3:30—4:3 °a 0 PM {as of March 2 , 2005} 0riservationDepar1ment (8:00—9:30 AM &3:30—4:30 PM) ❑Tax Collector {can be obtained from Building Department) ❑Treasurer {can be obtained from Building Department} Permit must contain"complete owner information, full descri tion of ro'ect corrects u P P J square foota e of ro'ect valuati g on of ro e P J � p � ct, buildin detail for Assessor g s Office, complete builders information; including:signature and date of application, El 5 sets of reduced house plans measuring 11" x 17" scaled 114"= I' & fully dimensionalized are required. Plans must include a foundation, cross section, framing schedule, insulation detail & floor plan showing location of smoke detectors (located with a Red `S',) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL; ENGINEERING DATA MUST BE PROVIDED****** ot.plan*or mortgage survey required for any addition.. Workers-Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the e. . rmit subcontractors s hired must-supply tlu s.� Copy of Insurance mpliance Certificate must be on file. Mass'Compliance Checklist Construction.Supervisors License &Home Improvement Contractor's License OR �H`omeowner I icense Exemption Form must be.submitted Thomeowner is acting as general ontractor or builder for the project. ❑ Properly owner must sign Property Owner Letter'bf Permission. '' ❑• A NON-REFUNDABLE Application Fee must be paid upon receipt of application number: ' All chec�ho'uld'be made out to the Town of Barnstable ❑. CHIMNEYS? eed Home Improvement License, no'pIY't plan required ❑ PIERS AND DOCKS-Need Construction Super License AND Home Improvement License, OWNER CANNOT PULL OWN PERMIT. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics p Commission Q:forms/bldgpermit/R_addalt 022208 i t gig i NSTAR Electric & Gas Corp/ :ocal.36.9,_ [JV AFLrUjo Grievance Fri All grievances handled by Steward, up through Department Managers (as`provided fof"In Article t, XXXVY, paragraphs a and b)for which a satisfactory ansv er is not received,should-be-ffeled at the ' Union offici. r. f 1 Date : Name of Steil ard(s)Involved: Name of Aggrieved Member(s): Department: - Job Title Grade: Location.- Date of Inception of Grievance: _ Article(s) of 6ntract Violated: Description df Grievance (use other side if necessary): ----- Supervisor's Answer under Article 36-a _ Supervisor's Signature&Date Company Representative's Answer under Article 36-b: ' Compi:,ny RepTesentative's Sie mra&Dar . . . f '� { Stewaid(s)Signature&Date /'/ 1 COO t � _ f � n1 _ 41 1 lv�t� Y` r 3 q o Fi 1� 3611 � Q � f { a �� � 4 t 1� •¢1 t4.1 1 ER'IT PAYMENT RECEIPT �.I�" .14 N OF BARNSTABLE )BU,ILDING DEPARTMENT '20$MAIN STREET JHYANNIS, MA 02601 DATE: 10/18/10 TIME: 16:04 i ti -- ----- --------�---------TOTALS-------- PERMIT PAID 100.00 JAM'T,.TENDERED: 100.00 AMTAPPLIED: 100.00 'CHANGE: 00 ;, 4 APPLICATION NUMBER: 201005566 r' PAYMENT METH: CHECK jPAYMENT REF: 5417 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �J Application # Health Division Date Issued Conservation Division �1�- Application FeeOCJ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 2 G C Village 14444 41 ! n Owner /1 Address Telephone S a 776 ,( Permit Reques i�C PA, /' / a d dCL10 // fa f-elp / 3 AAA - r G L e- Ae. �,,, d^ ran S S ` G C C'cM CA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation t U d D Construction Type Lot Size l $ G� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Multi-Family (# units) Age of Existing Structure 7 D r Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes M�No Basement Type: Q Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) G Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing -7 new First Floor Room Count Heat Type and Fuel: ❑ Gas 41 Oil ❑ Electric ❑ Other .. Central Air: ❑Yes 61 No Fireplaces: Existing d New Existing wood/coal stove: �D Yes 4B-No Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ �n:g?x�ti g ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: RECD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A-No If yes, site plan review# Current Use %�.. V Y�3 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lwN d! Telephone Number C Address 'S�1 �1��e J�• License # Home Improvement_ Contractor# • G Z S 3 Z Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `/ \ ^-'' �� DATE J X D i FOR OFFICIAL USE ONLY . y k APPLICATION# DATE ISSUED !ln. ,`I ` {� MAP/PARCEL-NO. _. , j . � ADDRESS VILLAGE . OWNER i f DATE OF INSPECTION: r .,FOUNDATION:' _ i FRAME = INSULATION. FIREPLACE ' ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL ' GAS: . a:-'S" ROUGH-Ri7M� FINAL t -,FIN,ALBUILDINGk7T. = v, r DATE CLOSED OUT ASSOCIATION PLAN NO. i I , s . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q�* 7 i }s e C e 1 tL Map Parcel > Application # Health Division Date Issued Conservation Division Application Fee 4 1'00• OrD Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village G Jo n /� / / v Owner /' / v G l Address Telephone G 7 Z Z Permit Request 1 X !'A a~ a s G ' r e jr l / J �v6�1 r ✓1 rr /Gc: h U i 1 �U c� M n��f(A, I G^ �r�n 5 r�s � h , �/%t�., ��M cn G, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l o c)6 Construction Type Lot Size g G W Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family 6 Multi-Family(# units) R `• _ .,. Age of Existing Structure 7 G �1r Historic House: ❑Yes ❑ No On Old King's Highway: ❑.Yes allo Basement Type: C-Q Full ❑Crawl ❑Walkout ❑ Other ` Basement Finished Area(sq.ft.) G Basement;Urifn shed Area (sq.ft) Number of Baths: Full: existing - new---.-? ('0 Half: existing new Number of Bedrooms: 3 existing ..new Total Room Count (not including baths): existing new First Floor Room Count t. Heat Type and Fuel: ❑ Gas ®Oil ❑ Electric ❑ Other Central Air: ❑Yes U-No Fireplaces: Existing G New Existing wood/coal stove: ❑Yes 4a.No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning^Board'of=Appea!s Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Q-No If yes, site plan•review-j# _ Current Use - %U � r- ` Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) e Y Nime /V G 1G.f " a Telephone Number �~ ° 77 L �Z �l Address 5 9`-_X Vie^ r 57 License# Home Improvement Contractor# c 3 Z - Worker's Compbnsation.# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / �` �� DATE FOR OFFICIAL USE ONLY " APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH : : FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I _ The. COrnrnotvveallh of Massadiusetts Deparhnerrt of Industrial Accidents° Offrce of lwestigafions 600 Washington.Street Boston,M4 02111 riovw.niass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractor-sJElectiicianslPlumbers Applicant Information Please Print Legibly Name(Bvsinessiorganiza6iontru&idsaal): Address: City/State/Zip: v nr 1"A GZ S 3s- phone 4: 5`0'P" 22 G — /Z y2 Are you an employer?,Check the appropriate box: Type of project(required): l.El am a employer with . ❑ I am a general contractor and I employees(M andlor part-time).* have hired the subcontractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑Remodeling ship and have no employees These sub-contractors have: g_ ❑Demolition workingfor me in an capacity. employees and have workers' Y aP �''- i 9. ❑Building addition (No workers'coup.insurance_ comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.® I am a homeouuer doing all urork officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per NGL 12.❑Roof repairs insurance required.]8 c. 152, §1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] •Arty appktcamt*at c1mcksbox#1 mast also fill out the section below sbowing their workers'compensation policy information. 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating suck :Contractors that check this box must attached an additional sheet showing the name of the sub-comttacmrs and state wbether or not those entities have employees. If the mb-contractors have employees,they mast provide their workers'comp.policy number. I am au erlrployer drat is prm idbig workers'coiigmtrsadort insriratie4 for ntv eivTloy e.es. Below is the pollfy and Job site. informatiord Insurance Company Name: Policy k or Self-ins.Lie.9: Expiration Date: Job Site Address: City/StatelZip: 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 MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.,500.00 andfor 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 forurarded to the Of}ice.of Investigations of the DIA for insurance coverage verification. I do hereby cerhjy arrder teprrins re/rtpenaltaes of pedlar that the ireformiation pm ided,aboire is to at it correct Si mature: Date: Phone#: o 7 > G — 2- yL Official rise only. Do not.write in this area,to be completed ky ciV,or town official. City or Town: PermitfLkense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r Town of Barnstable Regulatory Services ` B"R'''g'''mU&KAM ` Thomas F.Geiler,Director 9. 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 HOMEOWNER LICENSE EXEMPTION j Please Print DATE: / d o ,(� ll JOB LOCATION: 21 /1 C. [/ �V{ number street 7 village "HOMEOWNER": i " ✓," I V G+rl 10 —P7 7 6 - 42 y G name �^' T home phone#' , work phone# CURRENT MAILING ADDRESS: �avirl c AM aL 5-3 2— city/town state zip code The current exemption for"homeowners"was extended to include owner-occgRied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpermit. (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 Homeow Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 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By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1\ Location(Street&Number) 9 j Owner or Tenant �w�,Q f /���-it?e*c. r Telephone No. Owner's Address .e__ Is this permit in conjunction with a building permit? Yes'❑ No (Check Appropriate Box w tl� Ci,LL) Purpose of Building � W r� Pit L'o, , Utility Authorization No. t Existing Service 000 Amps /,2U /oAld Volts Overhead f��Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity (� Location and Nature of Proposed Electrical Work: _ �C t_f1� - Dr" 3 "� oZoO /� y Ste-✓� - Completion of the ollow' table may be waived by the Inspector of Wires. No.of Recessed Luminaires No,of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire.Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o:of etection and Initiating Devices. No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers eat Pump Number Tons _ K No.of Self-Contained Totals: ''" ""'" Detection/Alerting Devices' No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent o.of Water KW No.,of o.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Fa o Attach additional detail if desired, or as required by the Inspector of Wires. 5 c o ' Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. CL z INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless g T the licensee provides proof-of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover is in force,and has exhibited proof of same to the'permit issuing office.. W CHECK ONE: INSURANCE ®BOND LK OTHER ❑ (Specify:) 0 3 LL I certify,under the pains and penalties of perjury,that theme informalion on this application is true and complete. ' FIRM NAME: ` %�a~z�i•:,v cr .1 sv LIC,NO.: ,,Y%I- / C W S Licensee:,�i �; ;rf a �:cs-,, Signature. ; LIC.NO.: = 60. ® o m W (If applicable, err "exempt"tot license num r line Bus.Tel.No.: Address: /1 �t'e /�/toga-1 fr %j / 6�°i W W d Alt.Tel.No. Q OM " *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.S c 1' -?6 Y-TY--6 N OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally o a required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent PERMIT FEE:-$ Signature Telephone.No. VKF, (�j 1 a e ,:�t ..;. .cy ,.� � .:¢,. ��•�,. c � - ri�, °"�. ;.� „`�^,�,_"' „r@ .mot �l�. a . :,ms.. ... 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' - '� z , ., '_•, r .,-__.. �* '.._ +9 acw±.r:- .to , .. �;>. :.,,, ;a`-a 3 m - -: c ,;�, : . ,' .. a =�' :�: � .,§ ,.:. _rxa." _ '�' .dayy - ..,M,�i ,"&'�-"':, `.vs..... a` ,�, t• a.F a"��" �,.. .� ._ �. .,air' ' ir4 gar:" e-� o- -;,. - ��;.�,., . .�., .,. — � m..;. :... :�', • - a,', '-•. - . '�,+ :W x, '' r s.., .�w„M�:. '^e,.°�" e.. t By: -Coleman Electric Inc`; 508-428-7499; Jan-25-12 '7:33AM; Page 1 V � TOWN OF BA=RNSTABLE 2012 YiN 25 AN 7. 38 �5 Coleman Electric Inc. z Marstons'Mills, Mass 02648 Fully Licensed and Insured DIVISION Office 508-428-7445 Fax 508-428-7499 Cell 508-364-8456 Email coelect@comcasLnet Leave message if no answer Insurance Certificate Avail Mass.Journeyman's License Mass. Master License E29607 A17221 Member of the Better Business Bureau Member of I_A.E.I. Operating since 1986 www_colemanelectricinccanecod.com Aemember "The bitterness of pour quality remains long after low price.is forgotten 1/25/12 g Barnstable Town Hall Attention Wiring inspector Re: 21 Maple Ave Hyannis Mass 02601 Hi Bill: On 8/24/2011 I was notified by a customer that a tenant had called the fire department because of a so called electrical noise of some kind. He asked if I could get over there and check it out.Nothing was found but there were some issues in which the customer was made aware of. I was asked to take care of the issues to get the building electrically safe. I started with issues with a couple_ of receptacles. Then the kitchen needed rewiring due to a lot of.issues. This was done. In doing the kitchen in first floor apartment I found BX that goes to second floor in which there are issues as well. This bx connection now has no.box because it was pulled from the wall to deal with once second floor was addressed. The new circuits run from the kitchen on first floor were entered in the front of'the panel and tied on to breakers to get back up and running. They were not tied in because the panels need changing as is the electrical service. On 8/25/11 I went in to pull permit knowing now what I need to do for-explaining on the permit.IThis permit was denied due to issues with this building. This has been on my desk since thinking it would be resolved and pulling permit and completing work could be accomplished for final inspection. Obviously my five days for pulling permit has expired and I need to find out how this should be handled. After the denied permit no further work was done: ;1 - :ent By: Coleman Electric Inc; 508-428-7499; Jan-25-12 7:33AM; Page 2/2 To me this makes no sense for what ever the problems are to this building it's still a building with electrical needs and including my work it has numerous violations planning to on go the electrical work. I know that this denied permit is not your doing but if the town can't help me resolve this 1 will need to consult the board so any issues that may come up I will at least have notified someone of this situation. Thanks Bill. COlem ectric Inc David Coleman .. . . :.;... { S S fl > > e HDHVAS 6mmxt {eaeaeuecivon .... ••::.::;ttij'.'}:vTi:'?iti:'•::i .. ............................. O ..�. . SINNNXH .y.%tiff; �....J. ..... O 1r���1��.ASittt yr%•.' l!jj� .::::::::::.vvw:::::::.:::::.�:::::n�::::::.w::::.�::::nvvv.v..»•::::::::::.�.:w::::.....v:::::::::.v.�:;:.;..., ::::::::nv:::.,•.::�::::::::::.�:::nvvvv:.�:.w.y;;;:::::w.:�:::::mom::::.::•.�:. ........v v.....:,• w::nvvw.vvv.:�:::nv„ ..... vvivi4::4:4:4::•::�::::::ii:::.:�:::::iii}:•. .:.::.:,:.:::::::•::i:•i:•i:•i? : :::::::n:.:::::::::.,•n»vvvvw:::::nvr"' M•i: ({t�v I 'I { 880 LOE :::.. . a :::.. ..........:.::.: ::.:<: RESIDENTIAL PROPERTY � MAP NO. LOT NO. ,Hyannis FIRE DISTRICT SUMMARY STREET Zl Maple Ave. -- H -7 LAND 307 83 BLDGS. OWNER �J TOTAL f' P/ r / i LAND 90 Q RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Unnumb. BLDGS. Sd t 8 3v. TOTAL S O l8a LAND BLDGS. TOTAL LAND i ,����pp -�E. . �� - 1828-.-248 BLDGS. -- ---- --- f TOTAL F40 tom Loan Assn GapeLAND avid.._W; .& 6andida 6: _ 7-15=7.7.:, 2546 .1.78: $329(6 )-- BLDGS. TOTAL lbert & nit __i •3 o.__ f a -29- 2- 4 - LAND L_ owthers,_James E. _ 7-3-79 294 139 ($38, . , BLDGS. WEZ7`Sr - o 24,3 --- TOTAL LAND BLDGS. TOTAL LAND BLDGS. INTERIOR INSPECTED: 01 TOTAL DATE: r ^�� �}� LAND ACREAGE coqtutAp6Ns BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE /8 G 9ao LAND CLEARED'FRONT JBL FRDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR O BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND AV JLvu I c BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. - LAND 771 SWAMPY NO RD. O BLDGS. ..JSU Conc.81k.Walls 4Bsmt. ec.Room St. Shower Bath r Bsmt, v,LvBLDG. COST 'Cone. Slab ara a PURCH. DATE g St. Shower Ext.. WallsBrick Walls- &Stairs Toilet Room PURCH. PRICERoof RENT Stone.Walls c Two Fixt. BathPiers - ERIOR FINISH lavatory Extra Floors /'- /�O '• n Bsmt. F11 '1' 2 3 Sink 2 :� % r/t 'A Plaster Water Cie. Extra Attie � 0 EXTERIOR WALLS Knotty Pine Water Only Double SidingPI Plywood Bsmt.Fin. $ yN No Plumbing Single Siding Plasterboard Int.Fin. 1�C(shingles TILING C E !' G/ 0 Conc. Blk. G F P Bath FI. Heat i� 3 —` Face Brk.On Int.Layout Bath .&Wains. Auto Ht.Unit Ieo Veneer Int.Cond. t Bath FI. &Walls Fireplace Com. Brk.On HEATING Toilet Rm.FI. — Plumbing 4- 6 Solid Com.Brk. Hot Air _ Toilet Rm.FI. &Wains. Tiling .S 0 Steam Toilet Rm.FI.&Walls �h Blanket Ins. Hot Water St. Shower -` - • Roof Ins. Air Cond. Tub Area Total $/� Floor Furn. ROOFING 17 - Z D COMPUTATIONS Asph.Shingle Pipeless Furn. 7�f S.F, EIT _P�SSD Wood Shingle No Heat r�G S. F. Asbs.Shingle Oil Burner S. F. �� 9, Slate Coal Stoker S F • Tile Gas ROOF TYPE Electric S.F. OUTBUILDINGS Gable Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 213141516 7 819110 MEASURE! Hip Mansard FIREPLACES S.F. Pier Found. Floor C f, Gambrel Fireplace Stack Wall Found. 0.H. Door FLO RS Fireplace Sgle.Sd . LISTED Cone. g Roll Roofing LIGHTING Earth No Elect. Dble.Sdg. Shingle Roof DATE Pine Shingle Walls Plumbing _ Hardwood W ✓ ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st ? TOTAL -1- w 2 Brick Int.Finish P ICED Single 2nd 3rd FACTOR 13 3 REPLACEMENT ;5:,! OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. ' ��11 n� - - /t7 {i �� .-'t" .y4" ( •- der -2 2 3 4 5 - 6 7 to TOTAL ZAI Act 10 m »ay ,,q @ l CA V-1 M yA rLs lit No 0 No IMMEMEMOMME No mom MEMO MOMMEMMEMMEM ME 0 am mi W two= 9-- MENE ■ n MiM MEMO ■ii�iii� MENNEN ME 01110 ME i ME MOM i iiMiNo No Em No Ei MOMMMEMEMEMEMMEMEMEMEN � � ° ■■piiiiiiiiii==�iiil °=iii III no 0i i � i owl MMMMMM MENEM i i=i=iNii NONE nOMEN ■�uiiii■iiiiii ui i� �■nn■■u r r . ', Ml=MENEM mommomom ME No EMMEMEMEM 010 0 roMMEMEMMEM MEEMMEMMOMMMOOMMEMEMOM ■= iri�iiiiniiiii�■ii�iiiiMEM■�■= NEON EMEMEMMEEMEMENOMME ■� r .� ON iiiiiiiii■ OEM ■■ i�imMMM iMiiii=i=ii ie NEI ■i ■� ni■niii��iiiii ii ■■iii 1IMMEMMEMME Em MMMEMEMEN MMMMMMMMmMm%m MEN mommoommill No MENEM on I ME MMMMMM MENEM momomm mo, MOMMEMEM No M MENEM �r.m OMENMEi Miii M 0 MEN : 0000 , ONEEN 0 OEM No Emomi o i i M ni■ riiii �� _ � � _ � � � � ! ` �.. __ i _ • � �, s w ' The Commotmea1Nt of.41 clfusetts Department of Industrial idents IfficeaamFA ll9s offs ' 600 Mayltinglon Street i•,�= ``:` �� Buiton.A1ira�. OZlll �• Workers' Compensation Insurance Atiidavit A.Ri�i��.-�"�• ----_' _.._—. .. Please I'RIN'i'',�,bly• ,s��� �� .. . .. location- •t 1 Anne it ❑ 1 am a homeowner performing all work myself. ❑ lama sole proprietor and have no one working in any capacity 11,77 m an emplover providing workers' compensation for my employees working on this job. Camp fist arras J �vl city: N sur�n `' Li va-� l Z 3 ❑ 1 am a sole proprietor o ct -#omeowner(circle one)and have hired the contractors listed below who the following wori:ers' compensation po ices: companyn address: - ciih phonefh inaurnncc cn policy 0 -� .: --- Khan saw�'n+e�'►'r�TrresFa ,.a.._ - nm am•name, iddress- CitV, phone#t __-g-rnnee co. policy a 'Attach additioiial'shcR irne!MELL, Fuilure to secure coverage as required under Section 25A of AIGL 152 an lad to the imposition of criminal penalties of s fine up to SIS00 an( one.ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a dap sgaian me- I nadtastaad tbr- copY of this statement mad•be forwarded to the OMCC of Investigations of the DU for coverage veriltatioo. 1 do herehr certify under the pains and penalties of perjury that the information ptmzded above is tine mid cosh Signature ate Print name one# ofrtcial use oniv do not write in this area to be completed by city or tmm ofUcW city or town• permitAlcenu# ritltdlding Department Cucensiug Board ❑cheek if immediate response is required aseleetmen's Office 1311aith Department contact person: phone#; nOtber•_•__ Information and Instr0ions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employees. As quoted from the "law", an emplityee is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An amplurcr is defined as an individual. partnership, association. corporation or other legal entity. or any two or n the fore�_oing 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 owner of a dweilinL 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 d ellin, or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an empic MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rencival 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 contu•aGt for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chaps: been presented to the contracting authority. Applicants Please "I in the workers' compensation affidavit completely, by checking the box that applies to your situation an 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. Tile 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 requi, to obtain a workers' compensation policy, please call the Department at the number listed below. City or'Towns Please be sure that tine affidavit is complete and printed legibly. The Department has provided a space at the botton- the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. F be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returne the Department by mail or FAX unless other arran`ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any quest f please do not hesitate to ;,Live us a coil. i The Department's address. telephone and fax number. The Commonwealth Of Massachusetts .. Department of Industrial Accidents Office of investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 nhnnr -1�- (61.7) 727-1900 ext. 406. 409 or 375 dry . Town of Ba table MW& #he Environmental Servicestee$ Department of Health Safety and Building Division 367 Main Strut,Hyannis MA 02601 Ralph Crossen Office: 508 790-6=7 Building Commissioner F= 508 775-3344 For office use only Permit no. Date AFFIDAVrr HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,c0try ton, improvement,.rerno%al, demolition, or construction of an addition to any pig owner occupied which are adjacent . building containing at least one but not more than four dwellingunits or to structures to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. P 'd Type WO ►►ti Est.Cost T o o of rk: 1 5 Address of Work: O%mer.Name• �v lye, Date of Permit APP lication: / 17 A 61I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Building under S1,000 not owner-oocuPied Owner pulling own permit Notice is hereby gh-cn that: CONTRACTORS OWNERS.PULLING THEIR O�IIv1PPROVEI�NT WORKERMjT ORG DO NOTHA�LESS WITR TO THE FOR APPLICABLE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the Wrta. Date Contractor name Registration No. OR yX Q Date er's name r The Commonwealth of Afassachusetts +;,i --=�;_ • De�partniew of Industrial Aecide Oflice0 HFOSV921OHS ` l,F�•_J; ' 600 Ei ashittgton Street Boston.A1ass UZIll Workers' Compensation Insurance AMdayit r ,, ev�� location 2 / ,Ah.B Ar AICIA P t 3 nhonc# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity PE 0 lam an employer providing workers' compensation for my employees working on this job. Company 1 rc • City: phone M - insurance co policy 0 r ,.� .. .,.*.,�....•...Jy.�.+�..4R"PPe"` .. ..:... .._._,._..____,�:etc _�_:.•e.aw.r�! •'+• 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comijany no addressa coty, phone M cu policy!! ��:. .. T'. � 4CftA7:�T'Tt���••'Bret•eree'ntLeCii�"•"�T•��tl!�'s4W•���LT•�V��'��'�:�M�x •� •�� company name: address: city: phone#• j cur nolicy# :Attach additional'sheef it'necessa =, Failure to secure coverage as required under Section 25A of LNGL 152 can lead to the imposition of criminal penalties of a fine up to SiS00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 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 hereAr certify under the7aidpe7naies of perjuJ;r that the information provided above is true and correctSignature — L Date !y—2 Print name v 0 Phone# 5"0,7 V Z F — 3 7,eVa r olfocial use only do not write in this area to be completed by city or town official city or town: permitAicense# Building Department Licensing Board • Q check if immediate response is required OSeleetmeu's Office Health Department contact person• phone#• -Others_ 4 _ �pia w�•!T!.ww'►.!'•''.' I lmTised 3'95 PJAJ oFt Town of Barnstable Regulatory Services * BARNMBLE, MASS. Thomas F. Geiler, Director ' 1639. nio Building Division + Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs , Office: 508-862-4038 Fax: 508-790-6230 October 14,;2010 rz Mr. Kevin Naylor 59 Keene St. Bourne, MA 02532 Re: 21 Maple Ave. Hyannis,-MA 02601 Dear Mr.. Naylor, In response to a complaint regarding the above referenced address, a site visit was made today. It was observed that the rear upper egress deck had no guard rail. This creates an unsafe situation which`according to 780`CMR 5121 must be rectified immediately. Please be advised that a building permit must be obtained and the work completed in a timely fashion. It was also observed that the front stairs are deteriorating and that a handrail which had been there is missing. Correcting these conditions is strongly suggested. If you have any questions; please do not hesitate to contact,this office: Sincerely, Paul Roma : 4 Local Inspector Assessor's / Paicel 0" 3fi`Pe 1# ��� Conservation Office(4th floor)(8 �0 9:30/1:00 2:00) a _ -Date Issued oard of Health(3rd floor)(8:15 -9:30%1:00-4:45)almagf / / �6 Fee Engineering Dept.(3rd floor) House# c;,G/ � 1ME rq Al 00 BARNSTABLE. 19 M , 6bAB&9. ' rE0 MAi� } TOWN OF BARNSTABLE COIN �' 'rM?as ENG -Ammon+Ip Building Permit Application Coxes Prol treet Address 7 /'�,�^`m 'C Village Li q A A 1 3 Owner Q v,r (,t ®r Address Telephone 1 3 , O LL } Permit Request >4 6 ✓►l ;:First Floor (7y square feet Second Floor 6q G square feet Estimated Project Cost $ �� 000 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �,O�ii�/nC� Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure SO rs rA fdJC Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths �G�o No.of Bedrooms )Gd 0 / Total Room Count(not including baths) P V C All First Floor Heat Type and Fuel Gt 4, LLAIC,- Central Air Fireplaces Q C Garage: Detached Other Detached Structures: Pool Attached Barn None (// Sheds Other Builder Information Name dGv n / Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES OMTHE LOT. ALL CONSTRUCTION DEBRISIRESULTING FROM THIS PROJECT WILL BE TAKEN TO^ n SIGNATURE — DATE /Z BUILDING PERmItbEAIIED -my,FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADVRESS a VILLAGEER _ , s DATE OF INSPECTION: F ` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i BING: ROUGH FINAL T _ - i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ? ; ASSOCIATION PLAN NO. t ac F r) Map 4RO 7 Parcel 9R3 Pet# 3 Conservation Office(4th floor)(8.30- 9:30/1:00-2:00) Date Issued 3 -o2 b (3rd floor)(8:15 -9:30/1:00-4:45) a a `? F J�, Fee ;av xEngineering Dept..(3rd floor) House# / e,14 BARNSTABLE. MASS 19 , �^_ VStreress Y �TOWN OF A STABLEBuilding Permit Application Proje ( wiaN A,- g- Village j-I.L9 4-VL i't o S ;Owner �ey old C< v Y- Address Telephone 2 y Permit Request c��. ' f ' t First Floor square feet Second Floor square feet Estimated Project Cost $ 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 Ageof.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 a Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name _ 0 YKQJBYO S Telephone Number :Z `j ^r)w2 '�Address °-� L- Jt 4 J 1�- License# lM 4 U 26' 1 Home Improvement Contractor# 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(IFROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE BUILDINJPE MIT DENND FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY _ y P MIT NO. D ISSUED M P/PARCEL NO. IJ ` ADDRESS ' VILLAGE iWNER DATE OF INSPECTION: + 4 i FOUNDATION I r FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL t �i UMBING: ROUGH FINAL — I GAS: # ROUGH 'FINAL + r FINAL BUILDING + s DATE CLOSED OUT ASSOCIATION PLAN NO. ' + + uii ------ten, y r 1 � � (t� ■ .. \ ; rem on RI- Pau . " i ry �r Gv Nw ^i ri '�. ''�'rr,�� Cam. .n � � � �� �\ �� ���\ Y _ � ��l f � .. � ,._. ,. .,� f �i w �� .�✓ i L%�'�G' � 'i �J f G �^ :r`