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0262 MITCHELL'S WAY
i e� i ers ?14 "� . r n �5,�`• S e Nt �n� I s PAL f.5 r ' le( - s,-�� V'i 5;T- IJo A�P t M jy i 1 a . ° Town of Barnstable Building Department - Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis,MA 0MUST COMPLY WITH HOME OCCUPATION, RE TOON www-towmbamstable.ma-us }MULES AND REGULATIONS. F COMPLY MAY RESULT IN FINES. Pre-application for Business Certificate Data MajqO Parcel Applicant Information' _.. Applicants NameIn CL C.t.Q Applicants Address. ' c)-. Email Address 1 m Telephone Number 15 /S I�5 Listed❑ Unlisted ❑ Business Information New Business? -------- --------------- -• Q No Business is a registered corporation? ----------------------- Yes If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? _________ ®e No If yes then a Home occupation Registration is required—See Building Division Staff Name of Business C � -rra)1)eQ AQQyv .w wtlsu Business Address Qba. mkwu-s6 I Type of Business r mldiDg Commissioner Office U Only Conditio I �j LX&C14d-. C1Y2- 6 - Building CommisSlo er ate Clerk Office Use Only Town of Barnstable Building Department . of THE r� o Brian Florence,CBQ Building Commissioner. . HAHNSTABLE. « 20.0 Main Street,;Hyannis,MA 02601' �b i639. www.town.barnstable.ma.us' prED MA'S A Office: 508-862-4038 Fax: 508-790-6230 Approved- Fee: _ l Permit#. HOME OCCUPATION REGISTRATIO Date: 11 Name: Phone#: ��J �S �� I S Address: A Jod Village: t iazh 0 Name of Business: f P �Ou/ ((,^� f�((� �. U Type of Business. / .' W�S V l:Map/ ot: INTENT: It is the intent of this section to allow the residents of the'Town'of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1:4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other,than a residential use;no increase in traffic above normal residential volumes;and no increase it air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square-feet of space. • There are no external alterations.to the dwelling which are not customary in residential buildings, and there ' is no outside evidence of such use. - • No traffic will be generated in excess of normal residential volumes: • The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular -matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall:be met on the same lot containing the Customary Home. Occupation,and not within the required front yard. • There is no exterior.storage or display of materials or equipment . • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed,indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not apermanent resident of the dwelling unit. I,the undersign e read and agree with the above restrictions for my home occupation I am registering.- Applicant: Dater liomeoc.doc Rev.10/17 MUST COMPLY WITH HOME OCCUPATION MU RULES AND REGULATIONS. FSILURE.TO COMPLY MAY RESULT IN FINES. . pn f r-)7- �-c,-eef T- s C- U � 4 � fl'�..�� �" rs Y'gx'�'^5' •+'d�^'�9Xs � +w'1��r« ,� fYW'���4k�'.. ` ,YAK �' s � "^ r* �..�.,., x w�" 1 - L •� Sys i.�t.;,. sa—..•�^'., — M P ' �y 1 �-wiY1y,! , - �- r n . c 1 ' r t t•: •s r Z Sr • .. ♦ S Y 4.�, a V L T.� ^�.� ��'LI'R �m gTyyy^� 'n§^: .sc, �•�' . .,, � ",.. ;*,q. . ,;., �,..» r^n...�.e'u�-ay,,, r!If#b 'h'#,,�� .f�L° a"�i ,�"�'"w'°�'��S;g< s,}�. ., ;, _ +� � � i� it`i: s'" • ,.�"s �Y i. �-,'� '?��� rtY� 1 s , v �;pa 9q` "u,a.��r t.� t � a �, 'a,✓��lP' lu�f�� i.� �a '.,gsf lug.�.:.:., � �, m,+u"� 'T"`., ,�� ..�., wui� � ,�u,�lu�. 1 R.Fdir;:�.::w a !'.W..� .-. �i�! �w�r:m, „� m w, a �,. �� s-"ae�l ,�� a^ � a 2 62 M it I I ' s Wad , Hyannis a-w N�� �Ew o vE� Spa P � o�2�e owMC2 ca4d� �- (6� rod � � c Drr1G-- P��� r r w '. . � f _ .`>!-.•ter�.- :. � M H r - ' ' _ •{ — .. ti f. y� i ll ^a Fp } ` - T�,. y. .. 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'Sv ,ud4'��;..P�-4T: yF;.. :� 'q?..a +�. w W .' ay. s'� '�'�c., �.his =•^•v J* ... +� dm , wYgf A....; "...,�.,+ � •.� �'`t �fT:. ,a 'rt�l 1 �'•� +� _ -h �r .:e . %r'ff '., _ +L ' M1. b y �d.eso "^'.'.•,rt.' � ia.I -*.. T. �, I•�.' .N tia �" }r _�c s ,.. —��5`- a ..� ;t •.°�. . '�c r,"R" - y, •� c ��•L'rY'r•_. • - .. 'may ra '�< - ^��''. .. •..*`r „ .�w�# �add"�.�. ��;,c a.c. 7� •..'R�' '[ r.� i tT'�1^1-'° T •a 1,' i Inv i • m, G x L m_ r : . .w s a a5d , 4 TOWN OF .BAR1vSTABLE ; DEPARTMENT OF HEALTH SAFETY AND 1 r ENVIRONMENTAL SERVICES:: 1 E D UILDING DIVISION s T .♦ _ t }��) THIS�STRUCTURE AND/OR PREMISES HAS BEEN J a r INSPECTT-`D AWN!I THEE FOILOW OF THE BUIL-DhNG'CODE AN' /Ir aRiZ w NhNG , a r ^ORDINANCE HAVE,BEET FOUND r -77 * /1-46 r 'YsO,U�A�REr�HE � ' C� , E;D, NOTSIFIjE�D NO A'DDITIO:NA :W OIRK' StHALL'B°E DERTAKEN_ r UPON HESE)PREMISE`S`,. R THRE PR'EM'IS'ES h R� r rf . i ti. �OCC�UPIED UNTILTHE,AB VE VIyO`LATIONS t, { u r ACORR�FCTED AN;Y�FERS0 REMOV�I-.NjG;THI -NOThGIUMM ITHOUT PROPaER AJTHORIZATI++ONs`SHAL ; B}ErLI�ABLE r '' F TO A IN O)F NO T_LESSaTNrHANF'IFTY;NrO1Ra r t K zr t MORE THAN4ONVHMbjRE`D DO '- t,t..� LJr { .cam.'.�• � ' r^y� :.� r , y .J Address ( Date o=� p a `y f � r mot= Put,ing C�urrr re `� X-PRESS PERMIT 'Town of Barnstable *Permit . LYpires 6 rnontlu from issue date AUG — 1 2006 Regulatory Services Fee Thomas F.Geiler,Director . TOVUiV�OF BARNSTABLE Building Division PP Tom Perry,CB0, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number - )l Property Address L L U—) pt [4 LZ Residential Value of Work41,,?.00-©0 Minimum fee of$25.00 for work under$6000.0000 Owner's Name&Address es dD 7- /A�q T S Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name C.� �- Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken A C ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission.. Home Imp vement Contractors License is required. SIGNATURE: ZVI .✓l Q:Forms:expmtrg Revise071405 { - 1 ne t,Ommonweaan of lvlusyucnusetai Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Bul-Iders/Contractors/Electricians/Plulnbers Applicant Information Please Print Legibly Name (Business/orD nizationadividual): /2rJA N y 'nq(,p Address: _,2&2 rr ffF L 5 k),4�l City/State/Zip: �6 O 1 Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet # 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9. Building addition 5: ❑ g d1 on o workers comp. ❑ We are a corporation and its [N nTp rP 10.❑ Electrical repairs or additions officers have ave exercised their 3. I am a homeowner doing all work right of exemption per MGL 11.7 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t . employees. [No workers' 13.7 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 ZContractors that check this box must attached an additional sheet showingthe name of sub-contractors and their workers' policy information. c�PP Y lam an employer that is providing workers'compensation insurance far my"employees. Below is thepolicy andjob site information. Insmance Comp any Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c..152 can lead to the imposition of criminal penalties of a fine up to$1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the par andpenalties ofperjury that the information provided above is true and correct Signature: Date: 06- 01 _ o G Phone#: 508 — �L?l p �� Official use only. Do not write in this areas,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 e.Electrical inspector 5.Plumbna Inspea sor 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,parmership, association, corporation 6r other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidetns. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licens a applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or, 1-1077-MASSAFE Fax t 617-727-7749 Revised 5-26-05 vrww.mass.gov/ciia *Permit#o��0 Town of]Barnstable Expires 6 mo frue date X-PRESS PEP'M egulatory Services Fee JUN 2 O 2006 . Thomas F. Geiler,Director Building Division TOWN OF BARNSTA"erry,CBO, Building Commissioner 200 Main Street,Hyannis,Mk 02601 ®f www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint . Ap/parcel Number O ` :opertyAddress )' S IAJ Vk V1 S Residential Value of Work%o 0 Minimum fee of$25. 0 for work u er$6000.00 wner's Name&Address fj P tjo (rl l�► 6fr i UH cz L L s b)J 'ontractor's Name Telephone Number [ome Improvement Contractor License#(if applicable) :onstruction Supervisor's License#(if applicable) ]Worlanan's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation Insurance murance Company Name�, C H F 1, 5C yl-r C E rL Z N 5Q 9MC 00,1, Ct2s /J e Vorkman's Comp.Policy# :opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improveme Contractors License is required. 3IGNATURE; �Tonns:expmtrg Uvise071405 I he commonweawt of juassacnuseres Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,M4 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): ,V 0—r- ✓ �4r`�) Address: (rtf C 5 GcJ��l f City/State/Zip: - Phone#:_ O Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. El am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors$ 7. ❑ Remodeling 2.❑ I am a sole.proprietor or p artner- listed on the attached sheet ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp,insurance. g, ❑ Building addition o workers' comp.insurance 5 ❑ We are a corporation and its � 10.0 Electrical repairs or additions required.] officers have exercised their 3. I am.a.homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs ox additions ,myself.[No workers' comp. c. 152, §1(4),and we have no 12.7 Roof repairs insurance required.] t 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 thus affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q.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 under the pains an penalties of perjury that the information provided above is true and correct Si ature: / Date: Phone#• 5 vg ' 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 3.Building Department, 3.City/Town Clerk 4.Electrical inspector 5.Plumbing inspector � 6. Other Contact Person: Phone#: Information and Instructions s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees' Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the ' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Deparment has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant . Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to.the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel, #617-727-4900 ent 406 or 1-o77-MASSAFE Fax 1#617-727-7749 Revised 5-26-05 WWW,IIlaS5.D0V/CLla Y Town of Barnstable mot , Regulatory Services Thomas F.Geiler,Director Building Division * RAMSTABM i mass. g' Tom Perry,Building Commissioner s639. �0 iO�Ep Mpg° 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862 4038 Fax: 508-790-6230 Approved: Pee: cri Permit#: 9 9 260 HOME OCCUPATION REGISTRATION Date: 10 S W10 '7 Name: 14b a,,u 0 S d UZ/¢ Phone#: Address: 260 _& i rc N C L6- S WA Y Village: Name of Business:—A Q,( 'S C L e A d Type of Business: C C Q tiA) t ,V CC Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be k included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have re ee with the above restrictions for my home occupation I am registering. Applicant: Date: 000 q 4)V Homeoc.doc Rev.5/30/03 TO A WINESS OWNERS DATE ` Fill in please: YOUR NAME: e S�� / APPLICANT'S YOUR HOME ADD ES o? ` BUSINESS 'An I T. ' S ` . Tele hone umber Home TELEPHONE TYPE OF BUSINESS. NAME OF NEW BUSINESS IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division?-YES MAP/PARCEL NUMBER ADDRESS OF BUSINESS , 6 with the rules and When starting a new business there are several things you must do in tio. r to you may need.compliance you have obtained the required signatures, listed Barnstable. This form.is intended to assist you in obtaining the mforma y y -Town Hall]. You MUST go to the following office to make sure you below,you may apply for a business certificate at the Town Clerk's Office (Ist floor have all the required permits and licenses.. GO TO 200..Main St. - (cor r f Yarmouth . & Main Street) and you will find the following offices: 1' BUILDING O MI I ER'S This individual h s b e in rmed of it equirements that pertain to this type of business. ho zed Signature** - COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: n (which you do Bu siness certificates (cost$30.00.for 4 years). A bus iness certificate ONLY RE nl of the nfrom the vaE in the rious d partm nts involved M.G.L. -it does not give you permission to operate=you must get s that complete processes ** GN/F/ES APPROVAL FORA BUS/MESS CERT/F/GATE S/ TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION Map oL�1 D Parcel l Permit# 49 Health Division ff�� Date Issued �,(� ' ' Conservation Division s oh4&oo Fee• 0 Cis . QA Tax Collector 1�J 4EPTIC SYSTEM MUST BE TALLED IN COMPLIANCE Treasurer i. :LC, xat&t( /�/11�Z0� WITH TITLE 5 ENVIRONMENTAL CODE AND Planning Dept. TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village G _ Owner � 1 U t- ,l Address D L h Telephone ,�� GI C31- , s —� Permit Request - Square feet: 1st floor: existing 2 f roposed 1.29 �2nd floor: existing proposed Total new l�� Valuation �Ae //, 50,0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes 2-N-o If yes, attach supporting documentation. Dwelling Type: Single Family O' Two Family ❑ Multi-Family(#units) Age of Existing Structure '-e i,,o t cK Historic House: ❑Yes On Old King's Highway: ❑Yes C9 No Basement Type: WI ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft_) Sc >=% Number of Baths: Full: existing1 new Half: existing .new Number of Bedrooms: existing L{ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: urdas ❑Oil ❑ Electric ❑Other Central Air: 0 Yes Ul o Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: 0 existing ❑new size Shed:❑existing 0"new size dther: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current,Use Proposed Use BUILDER INFORMATION Name �r� ,E-. Telephone Number r Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO x SIGNATUR DATE 10 f Lo FOR OFFICIAL USE ONLY _. , . • PERMIT NO. - DATE ISSUED. `s MAP/PARCEL NO:" v �. .yam . ' - - • • • ".q ADDRESS .. - VILLAGE - OWNER _ DATE OF INSPECTION r FOUNDATION ' r FRAME " INSULATION FIREPLACE ELECTRICAL: ROUGH"- FINAL PLUMBING: ROUGH;! FINAL t M^ GAS: ROUGH_; FINAL = FINAL BUILDING • . DATE CLOSED OUT ASSOCIATION PLAN NO. ;r -51 m! (4D � / �_ 8 2 88 z7 �•I f r ` n t- o .J p it ' lit• wl8' � 14 11 .i•� l - #2� LO 211 M �4 JOHN L4uR b44I 134311 h �Ugvi10, •t f r � EIZF rl e}.�'�f F � F$.<,'.-C ' !'' �- � � F�.�t�at ra �-'`f�� Yi�''�''+�� �•�r�f t Pt�¥�i id„X�c:.1���ft��'t-�tf eMk �s,:�r,"`�-'.1. � . s �; r-r,4� n N -r I r-vrnlr;�'rfiHP� �. r Town of.Barnsdae Regulatory ServicesREAR& Fee 6 Richard V.Sea%Interim Director JAB 21201 -5 • Buu&ngDivuioVWN OF BAHNSTABLE.. Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,-MA 02601 www town barnstable mLus Office: 508-862-4038 Fax:508 790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 4/.ParcelNmnberZ70/1t Not Valid vitlwutRedX-Press Imprint Property Address ;L(P va6lks wW j XRcsi"al Value of Work$ �7 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L!?Q AAA y ftl t[46(?F- Aul S az40 Contractor's Name f 7) t[AT Telephone Number Rome Improvement Contract License#(if applicable) / (� �"Jr,3 Email- Construction Supervisor's License#(if applicable)`n:z_c)7 7 Worl man's Compensation Insurance :Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name CW W&4,8 ShQP�L Workman s Comp.-Policy# W � V 17-7 Copy /} a� of Insurance Compliance Certificate must accompany each permit r- Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping_ Going over existing layers of roof) ❑ Re-side 16. Replacement Windows/doors/sfiders,.UVahm s 3� (maximum 35)#of wind #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required. *Whmmqdrc& Dace of thispeM&does not exempt cn*uMcewith other town department=ga16em,i.e.Mw it,Conservation,ete. *Note Property err gn Property Owner Letter of Permission. A copy of H Improvement Contractors License&Construction Supervisors License is required SIGNATURE: TMMVIId D\Building Changess\iw s RmS dw Revised 061313 DOME PAMOtiM ENT CONTRACT 'PLEASE READ IRIS ' Sold,Furnished and Installed by: Branch Name:New Engtan,i .Date:bit-& THD At-dome Services Inc. Branch Number:31 d/d/a The Home Depot At-Homo Services 908 Boston Turnpike Unit 1,Shrewsbury,MA 01:545 Toll Free 877-903-3768 Federal 1D#75-2699460;ME Lie#C 02439;RI C L Lid#16427 CT Lies Hr# 1C.0565522;MA}Tome Improvement Contractor Iteg.#126893 lr failatloi diff -... ,k� `' �t GYL�� Lim a) cityf State.. .�$. Purchaser(s). Work Phone: Home Phone Cell Phone: Rom Address: (If different from Installation Address) City State Zip E-mail Address(to receive project comouinications and Home Depot updates): ❑i DO NOT wish to receive any markadog,emails from The Home,Depot P—mlect Information: Undersigned('C'WWher') the owners of the property located at the above installation address,agrees to buy, and THU At-Home Scxvim,Inc.C ne Hone DepoY')agrees to furnish,deliver and arrange for the installation("Installation')of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(eollectiv ly, Contract"): • deb#: Piroduct, 8DW Sheet F t► Pm eM Amennt .__...,. Roofing Siding Windows Iosuladon $ - ❑Gutters/C:OW4% []Entry Doers ❑ Roofing USicling©Windows U Insulation DGutters/Covers ❑Entry Doors ❑ EiRoofing USiding UWs -Insulation ❑CuUm/Covcrs DEnoy Doors❑ $ Q�V Roofing USiding El Windows M lose=on y, DGutters/Covers []Entry Doors ❑ $ ✓y 3 ' Nru mum 25%Deposh of Canuud Amauntdue opm embalm eft contract. TOW Contract Amount Mam Putrlamn-Ay not deposit mom dm—4W oftbe CoutradAmouuL Customer agrees that,immcxliately upon completion of the woik for each Product,Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec:Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to he jointly and severally obligated and liable hereunder. The Homo:Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural Problem with the home,environmental hazards such'as moki,asbestos or lead paint,other safety concerns,pricing errors or because work required to complete the job was not included in the Contract Payment Sprnmary: '1•he Payment Summary#_-a 3 342-2 , included as part of this Contract, setts forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-iin copy of the Contract at the time you sign. Do not sipp a Completion CxrM"icptG(note: there is roe CattnpleticNo Certificate for each lusted Product as deaud by individual Spec Sheets)before work of that Product is complete. In the event of termination Of this Coitfact,t nstotw agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The lute D�ppt or Authorized Service Provider throughthe date of termination,pins any other amounts set forth in this Agreement m`'Mowed under applicable lave. THE HOMia:DFPOT MAY WI'1HHOLD AMOUr-M OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE., WITHOUT LIMITING THE DOME DEPOT'S OTHER REMEDIES IeOR RECOVERY OF SUCH AMOUNTS. Ac ce and Auth rlas Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot w th regard to the Products and installation services and supersedes all prior cdscussicms and agreements,either oral or written,relyting to said Products and installation.This Agreement cannot be assigned or amended except by a writing signed by Customer and''ic�e Horne Depot Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the terms of and has rducived a copy of this Agreement. A ptod y: Su fled by: Vic!; ature to Sales sultant's Signat Date 9 Telephone No. Customer's Signat Date Sales Consultant License No. CANCELLATION CUSTOMER MAY CANCEL THIS (as appkablo) AGREEMENT WrMOUT PENAi,TY,OR OBLIGATION BY DELIVERiiNG WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING 1110 AGREEMENT. THE " STATE SUPPi,EMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRiIBED BY LAW IN CUSTOMER'S STATE. NWICE.-ADDITIONAL TRAMS AND CONDT17ON9 ARE STATED ON TILE 1tEvARSI:SIDE AND ARE PART OF THIS CONTRACT a 0803-�5 White-Branch File Yellow-Customer Td Wd60:S ZTOZ bZ 'Inf TLZZESIMOS: 'ON XUA pe6uiet; llpyd ., Masse hvtsarts •f3afrarfnvnt of Public Soloty Board of 6uttdin9 R09ul4traans-SMO SIOndardS rrlM i u4Ikor► %upk'f"i"tf4.t rxx ,AIr !: `�; Aye 13 FALLST WARPIM"MA%n l"/ rxarEarf4�r�f/ ,! "Clruarrar:tt `: q(i'ire ANC"an��mcrAft�ti��:13ss�t� �kl�of�ik+fp t1O+11E IMPiROVEAiENfC6N"%AV* " `�, iteyistrotlon. 1323�Cp`_ � �'i * rExpiration. µis t{3t7;. : POWS J S i Remodeling Joseph cuarle 15 Fall St u .Varet4m,ma 0257t ts" • , Y �a i The Commonwealth of Massachusetts Department o Industrial Accidents a:r Office of Investigations -a 1 Congress Street, Suite 100 • I♦ � is Boston, MA 02114-2017 �iY• r-Y• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print]Letzibly Name (Business/Organization/Individual): Address:_ 1 U)/I-60 N GU/ City/State/Zip: ! kLofyo,r.# ,e8 W`d Phone#; 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 * have hired the sub-contractors 6. El New construction employees(full and/or part-time). . 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 worker's'` [No workers' comp. insurance comp. insurance.* 9. ❑ Building addition required.] 5: ❑ We area corporation and its 10.[:1 Electrical repairs or additions 3.❑ 1 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 13:❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. �(� � Policy#or Self-ins.Lic.4. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi y nder the Caips and en ies o er'ur that the in ormation provided above is true and correct Si ature:. Date. ..... .. .. ..... ... ....... Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other . Contact Person: Phone#: -The Commonwealth of Massachusetts _ Q Department of Industria[Aceidents I Congress Sheet,Suite 100 Boston,MA 02114-2017 www.mas&gov1dla Nfiorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMI1TtNG AUTHORITY. Anolicaut Information Please Print Legibly Name(BusineWOrganizationlindividual):THE HOME DEPOT AT-HOME SERVICES Address:908 BOSTON TPK CitylState/Zip:SHREWSBURY,MA 01545 Phone#:508-962-6942 Are'pou an employer?Check the appropriate box: Type of project(required): . 1.10 I am a employer with100+ employees(M and/or part-time).- 7. D New construction 2.0 I am a sole proprietor or partnership and have no employees worlong for me in 8. []Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required]t 9. ❑Demolition 10 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions S.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance 2 13:❑Roof repairs 6.0 We are a corporation and its officers have exercised then right of exemption per MGL c. 14.DOtherWINDOW 152,§1(4),and we have no employees.[No.workers'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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp_policy number. I am an employer that is proWding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:NEW HAMPSHIRE INSURANCE COMPANY Policy#or Self-ins.Lie.#:WC 017731493 Expiration Date.3/1/2016 Job Site Address: zbZ (tLA 15 1.0AV City/State/Zip: /1L Attach a copy'of the workers'compensation policy decla tion page(showing the policy nn ber and a piration date). Failure to secure coverage as required under MGL c:152,_§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in4he,form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A 777 s statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under, ns and penalties perjury.that the informadonprovidedabole is iru and correct Si attire: Date: !� Phone#:401-714-639 Official use only. Do not write in this area,jo be completed by city or town official i City or Town: Permit/Ucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other ; Contact Person: Phone#: cue t! r C� C a6a���Lr�e . ;,_ dice o o�su-ner_�Fairsrand3usiness Regulation 0 Park Plaza Shire 5170 B ostor, M assachusers 02116 Home higprove nn'nt C'on:actor Registration - - Registration: 128893 Type: Supplement Card T HD AT HOME SERVECES, INC_ Expiration: 813/2016 ANDREW SWEET - 2690 CUMBERLAND PARKWAY SUf.T8=300.`.' ---- AT!ANTA, GA 30339 = Update Address and return card_hark reason for changse - 20»osni i.Address i_•� Renewal :'a Employment ;f'� Lost Card y J ���(+ 1'{.urriiC;//ic�nfrli f��'./!C/.0 Cii•�N.:r'%�: - �Office of Consumer Affairs&Business Regulation License or registration valid for individul use only � � kiOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:.126693 Type: 10 Park Plaza-Suite 5170 `J'' Expiration:;.0/3/2O16 Su lementCard pP Boston,MA 02116 THD AT HOME SERVICES,INC. THE HOME DEPOT AT HOME'SERVICES ANDREW SWEET 2690 CUMBERLAND PARKWAY S AM,GA 30339 L'ndersecresan Nov with of signature MPUIMMYYM • ��® CERTIFICATE 4F LJABILIT ( INSURANCE o, THIS CERTiRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i101 DER.THiS CERTIFICATE DOES NOT AFFIRMAiIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELaW_ T"iS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(res)must be endorsed. if SUBROGATION IS WANED,subject to the terms and conditns of the policy,certain pot-tcies may require an Endorsertttt>x(t A statement on this Certificate does not conger rights to the certificate holder in Geu of such endomement(s). PRODUCER MARSH USA.INC. PHONE TWO ALLIANCE CENTER Ro 3560 LENOX ROAD,SUrrE 2400 ATLANTA,GA 3=6 DRESS: , INSURER AFFORDING COVERAGE NARCS 100492-HomeD-GAO=15-16_ RMURFR A: Cmwq INSURED HDAT-HDME5t3tVtCES.INC. wSURENs:zftkw MIrM= C0 OBA THE HOME DEIWAT-HOME SERVICES INSURER C:NWHWPWM im CD i 26'J0„CUMBERIAND PARKWAY,SUfiE3W iNSUR[3tD:I�NdQWbls M0MCa(W7 T ATLAt,IA.GA 3= INSURERS- ' ' INSURER F COVERAGES CERTIFICATE NUMBER., ATL4M7466013 REVISION NUMISM8 THIS iS TO CERTIFY THAT THE hOLICiES-OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01VV THSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFiCA'E MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL IM TEI=- EXCLUSIONS AND COMMONS OF SUCH POLICIES-LIM11S SHOWN MAY HAVE BEEN REDUCED BY PAiD CLAiMS. INSR TYPE OFn1SUlRANCE FOUCYNIDIIAB[3iti ' POLJCYEFF POLICY �S LTR A X COMMERCIAL GENERAL LIABILITY �a4$87714 QS - 103f01=5 MIMMI6 EACH OCCURRENCE S 9=W CLAIM54AADE L._i OOCUR , , iSES r omm®tce S t�Q �UWM OF PD UCYXS 1 nnS2 E�'(MY�Pew) s EXCLUDED i 'OF SIR:S1M PEER OCC PERSONALB`AW INJURY S GEN'L AGGREGATE UMMAPPLIES PER: 1 j ,PENEtAIAGG<RlB,ATE S 9,000,000 X PR POLICY❑ Oar LOG PRODUCT'S-COUMPAGG S OnRaz i i S B AUTomB►LE iJAHt111Y a iBAP 23388Si 12 403i01i1D1$ 03Ni12416 S S 1,000.1tOD { i { atdd X ANYAUTO 1 ! 80D0.Y4lJURY(ParPmson) 4 mED SCHEDULED is SHINSUDAUTOPHYmr. ! aMMYMUURY(Peca�en$ SA AC PROP6YDAMAGE S.NON-OWNED HOREDAUTQS AUTOS S U0MR6LLA UAB t O(MUR { EACH occuracE S EXCESS UAB CWBlkS MADE AGGREMTE S DED RETENTIONS I S C WORKERS COMPENSATiON 7731493(AOS) NY 03M=5 121116- X Sr 09T AND EMPLOYERS LTAB1LR1f C A PROPRiETOMPn�E YIN WC017731495(AK.KY.NH.Nd.VMD MOMS 0310 16 EL CAC HACCMENT S 1,Mg00D D OFRCERRJEMBER EXCLUDED? Q N rAJ WC01M1494 03tD1l�D1$ 03fOiI2016 i.MDADD (MandstoryinNN) (R) Et_D1SElSE-EABIPTA S 1RmyeSck,daserm D>de under '. Ca M an AdMonal DESCRIP IONOFOAERATIONSbelow FIDISEASE-POLICYUMir S 1 DESCRIPTION OFOPERATO)NSI LOCATIONS I VOWA 5(ACORD 101,Adds caw Remarks SftW%d%.may be attasdsed It moss space sesryi� EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION THD AT-iiORAE 682VIC6S.iNC gHOULD ANY OF THEABOVE DESCMBW POD H6 CANCOAM 81910M OBA THE HONE D8 Of AT-HOME SERVICES THE EXPIRATION DATE TMWJIOF. tiop= VYRL BE D0AW-ID IN 2455 PACES FERRY ROAD ACCORDANCE Wff"TIME POLICY PROVISON& ATLAKA,GA 3MM AUTHOREMD RSRRSENTATIVE ofi rim USA Inc. ,,. MatRashiMutdllajee �AV.A7catsi. � 01988-n14 ACORD CORPORAnON. All Ngbts reserved. ACORD 25(ZM4M) The ACORD name and[ago are registered marks of ACORD Parcel Detail Page 1 of 3 J .. Jar T�-V - TAH MASS 1639. fe Logged In As: Parcel D eta i i Wednesday, Ju Parcel Lookup Parcel Info Parcel ID 290-119 I Develope LOT 1 Location 1262 MITCHELL'S WAY ( Pri Frontage 90 Sec Road I Sec Frontage Village JHYANNIS I Fire District JHYANNIS Sewer Acct I Road Index 1032 't mx Interactive rr vim` wk Map Owner Info owner MAIA, FERNANDO & I Co-Owner %BANK OF NY, TRS Streets C/O COUNTRYWIDE HL, INC I Street2 7105 CORPORATE DRIVE City I PLANO I State TX zip 75024 Country Land Info Acres 0.21 Ll Use Single Fam MDL-01 I. zoning RB� Nghbd 0105 Topography Level I Road Paved Utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 1972 I Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Effect 1547 I Roof Asph/F GIs/Cmp I AC None Area Cover Type style Cape Cod I wet Drywall ( Be Rooms 4 Bedrooms Model Residential I Int Bath Floor I.Rooms 2 Full Grade Average I Type Hot Water I Rooms 6 Rooms_ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22458 7/23/2008 Parcel Detail Page 2 of 3 Heat Found- Stories ation B stories 1 1/2 Stories I Gas Poured Conc. l f ;je' '. 5k 1 "a ex Permit History Issue Date Purpose Permit# Amount Insp Date Comm 10/13/2000 New Addition 49276 $11,300 4/2/2001 12:00:00 AM Visit History Date Who Purpose 4/23/2008 12:00:00 AM Denise Radley In Office Review 10/14/2005 12:00:00 AM Gary Brennan , Drive by inspection only 4/2/2001 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 2/13/2001 12:00:00 AM Paul Talbot Meas/Listed 11/15/1987 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale P 1 12/4/2006 MAIA, FERNANDO & 21578/268 2 3/14/2005 MAIA, FERNANDO ET AL 19611/039 3 3/14/2005 MAIA, FERNANDO 19611/018 ; 4 6/29/2001 ABREU, MARCO & LUCIANA 13995/002 5 6/15/1998 GUSCIORA, TIMOTHY D& ERIN M 11499/054 6 10/28/1996 GUSCIORA, TIMOTHY. 10456/262 7 4/15/1996 FASANO, DAVID M 10146171 8 5/15/1990 CURRIE, JAMES L 7167/310 9 CURRIE, JAMES L 3018/123 10 1/30/2008 BANK OF NY„TRS 22637/236 Assessment History Save# Year Building Value XF Value _ OB Value Land Value Total Parc( 1 2008 $142,200 $2,600 $0 $141,900 3 2007 $165,600 $2,600 $0 $141,900 4 2006 $144,900 $2,600 $0 $142,100 5 2005. $134,100 $2,600 $0 $126,800 ; http://issgl2/intranet/propdata/ParcelDetail.'aspx?ID=22458 7/23/2008 I Parcel Detail Page 3 of 3 6 2004 $107,000 $2,600 $0 $107,800 7 2003 $95,100 $2,600 $0 $28,100 8 2002 $95,100 $2,600 $0 $28,700 9 2001 $86,700 $2,700 $0 $28,700 10 2000 $61,200 $2,400 $0 $18,300 11 1999 $61,200 $2,400 $0 $18,300 12 1998 $61,200 $2,400 $0 $18,300 13 1997 $54,400 $0 $0 $18,300 14 1996 $54,400 $0 $0 $18,300 15 1995 $54,400 $0 $0 $18,300 16 1994 $55,500 $0 .' $0 $21,900 17 1993 $55,500 $0 $0 $21,900 18 1992 $63,300 $0 $0 $24,400 19 1991 $74,300 $0 $0 $39,600 20 1990 $74,300 $0 $0 $39,600 21 1989 $74,300 $0 $0 $39,600 22 1988 $58,600 $0 $0 $16,800 23 1987 $58,600 $0 $0 $16,800 24 1986 $58,600 $0 $0 $16,800 Photos } f http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22458 7/23/2008 ..;•«-sr,yr.'k• :-wnn''l.^'+^ ^f •G,,.,r-e.,,y,,,q,�,wi�.,..,JwN w�. .y�T+1,of .'^ !':wZ . ^cM $'.I,•r'f'b'r.-.=..'1,.;aF.,.' ^er.. vey. .� �n.' .Lr�• r" +a A °FSME The Town of Barnstable * BAxxsTn IX • � ' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: Ma /Parcel: � "— S C �► � p 9 � 9 Project Address: G.- Malyk0i., Builder: 1J r1C.-,1 ", The following items weref noted on reviewing: MAC Ld D l tad a r 7— -V L S h� 2 VV � �-w � 1,c.�•. ►� '� a�� � � r Please call 508 862-4038 for re-inspection. Jnspected by. �-- J e Date: --`_. ' fL 4 �'�.� .� (( l 4•�' q:building:fonns:review i pp THE?per P� 'b The Town of Barnstable aAR 6. MASS.ASS. 0a : Department of Health Safety and Environmental Services 7 1639• �0 prEDMP�p Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Insprec�ti�on Location /- �. �L�r��''`/ Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: > oTall D �� �`l l"1 ga t r, d Please call: 508-862-4038 for re-inspection. Inspected by , Date r f SIDE- O \ E \-,O YX /` ' AD D+V-V f�;NS�e til/b�`B fe-1,7L ! / vC L Soi=/v`�f/'�C 'sar1'F•`� dcn/, RfTr'c ��ti� Ce menT $ Loci �RLLS C .� rnen r dO�. e� Nct _ FLoc to R- �X'=1flT'rc To� e, �S E 'RS 2x"� woo Fob `hc�o` - twaLLS t F1.00R. 1w� Epf V/ v' 1 KX �,,cl ��~IWoor� XY coax, ezC�o t c @ Fvx %N'ac�e, T, of 'S Lon Cr• cess f O o 19. �b-Le / Jc SSoFFi4 14 ��� �O�� /�FlcLra2 (jvltS �S�r'F•' dc�✓� C e mea-r �> Loc �o r�DaT'�o� R- 11 - wALLs T p OTC mac` Nc� Looms X'� S'T�•� s` R- _ 3O � Ce�L.r.c� f flTrc qx woo Fo(z coo" - t W44I�S t F1.00R. /Z y The Town of -HarnstaDie Ft"e roy�o Department of Health Safety and Environmental Services Building Division '* t MWSrABIZ ' 367 Main Street,Hyannis MA 02601 MASS. 9 1639. �ATBt)MA't a Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION ' Please Print DATE: I c) JOB LOCATION: ' 1, number stre t village "HOMEOWNER": D name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provide d that the owner acts as supervisor. DEFINITION OF HOMEOWNER. Person(s)who owns a parcel'of land on which lie/slie resides or=intends to reside,on which there is,or/ 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: wo-year period shall not be considered a homeowner. Such'!homeowner"shall'submit-toahe-Boldmg:Official on a form acceptable to the -'Building Official,that he/she shall be responsible forallsuch-wo&performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility-fora cpmpliance_.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 procedurequirements. Signature of H er 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 to amend and rdopt such a form/certification for use in your community. Q:FOPMS:EXEMPTN Department of Industrial Accidents 600 Washington Street • - � yi Boston,Mass. 02111 =` Workers' Compensation Insurance davit r , .... •lar7 2 loci... 1 J�1 phone i am a no =timer performing all work mvseif. a sole croorietor and have no one working in any ca achy ,,,,,,,,,,,,,,,,,,,• i am an ---npiover providing workers' compensation for my empiovees working on this job. comnim• nnme: addr-,s,; ...... hone. .. cm•• insu 71 am a soie proprietor,.general contractor, or homeowner(circle one)and have hired the contractors listed beio5v hay.- the :oilomnz workers' compensation polices: comram•reamer addre�c: ># `ione city "oit cv n i n s rn n ce cn. .... camnanv name. add ..> one#..::. city- ..;•. _ .. 08rv#:::;>::>;: insnrnncc cI. F lure to seenre coverage at required under Section 25A of MGL 152 can lead to the imposition of esfntinal penalties a a Sae up to understand an: one ti esn Imprisonment as well as civil penalties in the form of a STOP NORK ORDER and a tine of Sloo.00 a day against ma I undentand�h: copy n(this statement may be forwarded to the OMce of investigations of the DIA for coverage verffleation. I do ne 5r re it} under the pains and penalties of perjury that the information provided above is true and correct A CA Az C,e,�t Die r 1 l N x , Erin Y-rA- L) t 3l3 Pr:: :_ir^ =fin[tici_i[[se oni?' do not write in this area to be completed by city or town official permitNcense 0 ❑Building Depal-n-t :in•nr vnvn: Qj icensing Board i ❑Selectmen`s Oftice i —_ Lech if Lnmediaw response is required ❑Health Deparane-ot p #• - QOther hone iunwct ^ersnn: f Information and Instructions ncrai Laws chapter 152 section 25 requires all employers to proyidsy�orc-of anoth-r un"e�=nY c'= ""'v "law",pemployee is defined as every person to the. As quoted from the —.r a°s or impiied, oral or written. V• .aL r. .. r s d-fined as an individual pership, association, corporation or other legal entitS, or and t�o or mo cmn.ci e. : .�� :-•,. �csed in a joim enterprise, and including the legal representatives of a d,,..eased employer. or the _ association or other ieFl entity, employug employees. However the occn.Pr or a _ incividual, partnershrp, H " apartments and who resides therein., or the occupant or the dR e.un_ boos- c: e•.ise :laving not more than three ap rt , ntssrttuction or repair work on such dwelling house or on the grou=L ono-„er:;no e:npioys persons to do mamteuan to be deed to be an employer. buiiain appure:�ant thereto shall not because of such employment . ,e. ,�� also states that every state or local Iicensing agency shall withhold the isasuan�or no h iGL c:.ap... :-- section 25 in ;;;a iiccns- or permit to operate a business or to construct buiIinescoveragee quired�AdditionallyPn-tth- = not prcduc�d acceptable evidence of compliance with the incur any contract for the periom== or public work- ' -with nor any of its political subdivisions shall eater into -- rc . n ins==requirements of this chapter have b .n pre.meted to the cc acc-table -.•id-rce of compliance with the c orny. 7/ '/�/�'/ r n„ ------------ ppiic:fits on 777 :red the box that applies to vour situati ' compensation affidavit carepy, by checbung t �- • --T�,T•c- t n�orkers C ens Care or nA nP ,^��.•-L�•'y�yy .iJ 1..rt u." . °mP numbers with a certify ;,rph ing company names, address and P-- Orion of insurance coverage. also b= �" `;`- :-rid brnit*.pd to the Department of Industrial. or town that the appltcauon roe the p.r=Tt or lic�rse s .. to the ai :davit. The affidavit should be returned , ��u�v have any ouasrions regarding- `�� •• cr u . ste;i not the Department of industrial ` _i g_ lease call the-Depar=nt,at the a•.unber iis°� beio�•. cosarioa poiicY�P ` ; ui.Ted to obtain a workers' comp 711,__,/, V .vy�i / .•u / /// r,. / //�i,ii��/%��� �� ./G%i.ii ..... •err•• ///%i%/i%//�%/�/ r ty or Towns Department has provided a space at the bob..:= -,hat the aindavit is complete and printed legibly. The eP ;;m p i ws e the appuc cur- the Oi�of investigations has to contact you regarding , . =davk for:•ou to fill out in the event o number. The y be ;�•- -- t eimitlIicense number which will be used as a reference ce sure .0 iiil in the p -meats have been made. th Deparmmt by mad or FAX unless other an=g •�= yestigations would Idle to thank you in advance for you cooperation and should you have any a.0 o In _ do not hesitate to skive us a call. rown wn W's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0MCB al fnY8st1$utlOns 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eot. 406, .109 or 375 7=t31R AppodsJ . - Table.tS 2.2b Pmcriptfre PadcaM for One and Two-Family Raid=ZW Baiidlap isamad with Food FOWS MAXIMUM MaVIMI11Vl (baaiag f3laaag Ceili:mg WaU ' Floor ll l m= dEMdu, Amsa (A) U•vzkw: R vain R-vaiuo 1Gvalues Padraae g duO llrvaiuer $701 to 6500 Husing De wee Dada' Q 12%. 0.40 1 38 1 13 19 10 6 Nomaiai R 12V. 032 30 1 19 19 10 6 Normai S 1211. 0.50 3E 1 13 19 All . 6 U AFUE T 1 15% 036 3E 1 13 25 WA WA Noemmai U 15% 0.46 3E 19 19 10 6 Nmmsi v 13V. 0.44 3E 13 25 WA WA 83 AFUE W is%. 032 30 19 19 t0 6 ES AF1JE X 111% 032 3E 13 25 WA WA Normal Y 19% 142 3E 19 2S WA WA N� Z 18% 0.42 38 13 19 10 6 90AFVE AA 1E7. O30 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: �P 2 / %e Li c L L S / r Piu�AJ I 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: /D 2 y 3. SQUARE FOOTAGE OF ALL GLAZING: ° ey Fr se 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): 1C OTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE.'ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5Z.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and . basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall.For example,an R-19 requirement could be met..EITHER by R-19 cavity insulation OR R-13 cavity insulation pots R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must ws and sliding doors of conditioned w Windows. .meet the same R value requirement as above-grade ails. m g glass basements must be included with,the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2-for heated slabs. If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed.the efficiency required by the selected p4ckage. 'For Heating Degree Day requirements of the closest city or town see Table J52.1a NOTES: t, a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may.be excluded from this requirement(i.e.,may have a U-value greater than 035). c) If a ceiling,wall,floor, basement wall,slab-edge,or crawl space wall component includes-two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Value LIVING SPACE (high end construction) square feet S115/sq. foot= (above average construction)` square feet X S96/sq. foot= (average construction) square feet,X$57/sq. foot= GARAGE (UNFINISHED) square feet X S25/sq. foot= PORCH square feet X S20/sq. foot= DECK square feet X S15/sq. foot= OTHER square feet X S??/sq. foot= Total Estimated Project Cost L 000 For Office use Only /nc/usionarY Affordable Housing Fee rl Residential Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq.Ft. Fee S MFORM 113100 CF THE tp� - - The Town of Barn. BARNSTABIZ stable �q,A MASS.t639. �0 Regulatory Services rEn Mai. Thomas F. Geiler, Director Building Division Ralph Crossen,Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following.reason(s): ❑Work excluded by law [3Job Under$1,000 ❑Building not owner-occupied Bowner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE 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 owner: Date Contractor Name Registration No. U oll Date Owner' q:forms:A ffidav MLS Page 1 of 3 Listing Summ Listing#20805171 262 Mitchells Way, Hyannis, MA 02601 ` Active (05/20/08) DOM/CDOM:62/62 $243,900 (LP) Beds: 4 Baths: 2 (2 0) (FH) Sq Ft: 1542* Lot Sz: 9147sgft* Town: Barn Yr: 1972* Remarks ' Lots of room in this large Cape with eat in }Picture kitchen and finished basement and fenced in back yard. Bank owned property and priced to sell! Pre approval from Countrywide required with all offers. RK Additional Pictures o-VK* Pictures(5). See Map Agent Jean Dur-in (ID:U1302)Primary:508-888-2121 x35 Office CENTURY 21 Cape Sails, Inc.(ID:C21D)Phone:508-888-2121,FAX:508-888-6543 Property Type Single Family Property Subtype(s) Single Family Status Active(05/20/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.25% 2.25% No Facilitator Comm 0% Listing Type Excl. Right to Sell Owner Name Bank Of New York County Barnstable Tax ID 290-119-0-0-BARN Beds 4 Baths (FH) 2(2 0) Approx Square Feet 1542* Sq Ft Source Assessors Records Lot Sq Ft(approx) 9147* Lot Acres(approx) 0.210 Lot Size Source (Assessors Records) Year Built 1972" Publish To Internet Yes Listing Date 05/20/08 All Office Remarks Call MAPASS 508-389-1780 for lock box code and PDF file of require addendums with offer. Directions to Property Pitchers Way to Mitchells Way Listing Page Commission-Other no Showing Instructions Lockbox,MAPASS General Page ; Zoning RB Year Built Desc. Approximate Total Rooms 6 1P • , http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 7/21/2008 r MLS Page 2 of 3 Total Levels 1.5 Basement Baths 0.0 Level 1 Baths 1.0 Level 2 Baths 1.0 Level 3 Baths 0.0 Basement Yes Basement Description Bulkhead Access,Finished, Full,Interior Access Foundation Concrete Foundation Width 26 Foundation Depth 32 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Cleared,Fenced/Enclosed,Level, Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Parking Description Improved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Golf Course,House of Worship, In Town Location,Major Highway,Marina;Medical Facility,School, Shopping Miles to Beach 1 to 2 Water Access Beach,Sound i Beach Description Ocean Beach Ownership Public Street Description Paved, Public Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level:Second Floor Bedroom#2 OxO Level: First Floor Bedroom#4 OxO Level:Second Floor Laundry Room OxO Level:Basement Living Room OxO Level:First Floor Kitchen OxO Level:First Floor Floors Wall to Wall Carpet Exterior Style Cape Pool No Dock No Exterior Features Patio, Fenced Yard Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling Natural Gas Water/Sewer/Utility Private Sewerage,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax $1886 Tax Year 2008 Land Assessments $141900 Improvement Asmt $142200 http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME= 7/21/2008 MLS Page 3 of 3 Other Assessments $0 Total Assessments $284100 _ Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 22637 Title Reference-Page 236 Land Court Cart# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Asbestos Unknown r Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2008 Rapattoni Corporation.All rights reserved. Generated:7/21/08 2:17pm P[YWEitELY'B'S( Rapstten . s r http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 7/21/2008 Town of Barnstable Regulatory Services MAS9Bnitty SBLE, Thomas F.Geiler,Director 1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 p Office: 508-862-4038 Fax: 508-790-6230 July 23, 2008 Ms. Jean Durgin Century 21 Cape Sales Real Estate Sandwich, Ma 02655 Re: 262 Mitchells Way Hyannis, MA 02601 Dear Realtor: A review of our records, including the permitting history and the Zoning Board of Appeals database, indicates that the present use of the property located at 262 Mitchells Way Hyannis, MA., is limited to 4 (four) bedrooms. Your property listing clearly indicates that there are bedrooms in the basement that do not have proper egress windows. Work performed in order io create this living space has been done without the benefit of permits and municipal inspections. The resulting liability issues are serious and should be of great concern to you as the listing agent and to the new property owner. This should be disclosed to any prospective buyer. Staff is always available to discuss any of these options with you should you require additional clarification. Sincerely in dson Amnesty Apartment Enforcement Officer