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0090 OAK NECK ROAD
_ . . _ � 3o7 - iao__ _ _ �— _ _ .� l� r Town of Barnstable *Permit# O Expires.6 months from issue date Regulatory Services Fee ems, — a s •' BARKgrii;m ♦ - M"S& Richard V.Scali,Director X. Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 T AU6 1 4 www.town.barnstable.ma.us O Office: 508-862-4038 N Q: 4iWY 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ABLE Not Valid without Red X-Press Imprint 4 Map/parcel Number d Property Address Q j C)a.y- tjex K 9_Qr_>_a — H 40UN,V% -, ® G1D �E Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#,(if applicable) f ❑Workman's Compensation Insurance Check,one: , am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance - Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. 4 Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to . ❑ !roof(hurricane nailed)(riot stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. '- *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. c A copy of the Hogie Improvement Contractors License&Construction Supervisors License is required. SIGNATURI�:_ - n ` G QAWPFILESTOR .S\�yilding/Iyt permit orms\EXPRESS.dod Revised 040215 .q r ..w \ '{� � t `��� i � � ���1r ���, lJ �t ( `. ♦-�• %, "�: J� y� t I� �U to� '�/ �:' „(� � /.r; !�, v. �� '� '�! 1�i �� 1 �� � '(. � Town of Barnstable Regulatory Services oFIHE tOiy� Richard V. Scali,Director Building Division BARNSPABM ' Tom Perry;Building Commissioner MASS. 9Q� 1659• � 200 Main Street, Hyannis,MA 02601 �'lED►r►a� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ` ` 5 -Please Print DATE: ` ,� ` f , - JOB LOCATION: _ V r �-c� t\(o(y�n S 01 - nu er street village ..HOMEOWNER: name home phone# work phone# . `CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow. homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. r The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr I cedures d require ents and t he/she will comply with said procedures and requirements. ?gnaftui of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 'of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILF-S\FORMS\building permit forms\EXPRESS.doe Revised 040215 oFTMe roys, MAM 1659. ,�� Town of Barnstable rE0 MAC� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable:ma.us Office: 508-862-4038 Fax: 5.08-790-6230 Property Owne� ust Complete,and Sin'This Section. If Us11 A Builder as Owne .of the subject property hereby authorize to act on my behalf, in all mattets relative to work authorized by this building permit applicatib�n for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\F0RMS%W1ding permit formsEXPRESS.doc Revised 040215 i i Information and Tastructiolis �4 Massachusetts General Laws chapter 152 requih'es an employers to provide wormers'compensation for their employees. pmMant.to this Statute,am.e np&yee is defined as"_.every Person in the service of another under any contract of hire, express or implied,oral or written✓" An mTT-oy v-:is defamed as"an individual,pmtoersbj�,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 ffim three aparfineats and who resides therein,or the occupant of the - dwelling horse of another who employs persons to do mainf c cc,construction e or repair work on such dwelling house or on the grounds or butZding appthereto shallnotbecause of such employmentbe deemed to be an employer." MGL chapter 152,§25C(S)also states that"every state or locat Iicen �agency shall wiElihold the issuance or renewal of a license or permit to operate a business or to constr-mct buiildings is 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 Ly bf its political subdivisions shall' enter into any contract for the perfounance ofpnblic work until acceptable evidence of compliance,V ib i the ins rran c0. regzm ements of this chapter have Been presented to the contacting ahoy " ; Applicaruts Please fill out the workers'compensation affidavit completely,by checking to boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s)along with their certificates)of ncr=ce. 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 insmrmce- If an LLC or LLP does have employees,apolicy is required. Be advised that tEs affidayit may be submitted to the Department of Industrial Accidents for confirmation of instance 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 Inc _I nil Accidents. Should you have any questions regarding the law or if you are repaired to obtain a workers' compensation policy,please call the Department:at the number listed below. Self-insured companies should enter their s elf-i sTMan ce license number on the appropriate Hoe. City or Town Of dcials 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 is the event the Office of Investigations has to contact you regarding the applicant Please be sure to till in the pelmitllicrose number which will be used as a reference number. In addition,an applicant that must submit multiple pe>mWHcease applications in any given year,need only submit one affidavit indicating current p olicy inf i Drmation Cif necessary)and under"Job Site Address"the applicant should write"aIl locations in (c L 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- Anew affidavit must be tilled out each year.There a home owner or citizen is obtaining a license or permit not related to any business or commercial ventiue (ie_ a dog license or permit to bum leaves etc-)said person is NOT required to complete this affidavit The Office of Investigations would li ze.to thank you is advance for yotnr cooperation and should you have any questions, please do not hesitate to give us a call f The Department's address,telephone and fax number Tit Cam atth of Masmchuctts t ;Department of li i(lmtdal Acoidents Of of fnvesfigatio-� �Q4tan t o MA G2111 T( IL. '617 727--4-900 cxt 06 or I-9 -MA-S&FF, Fax 617-727=7749 Revised 4-24-07 ma , g�Wcia. . i ne Comrnorrlrealtih of-Massachusetts Departrrrent of Indu serial Accideras _- Offire of In1wsfigatlons 600 Washington Street Boston,M4 02111 ww masmgov1dia 'ttorkers' Campensatian Insurance Affidavit:B•uilderslContra.ctars/EIectricians/Plumbers Applicant InfGnnatian Please Print Legibly - `0 I`+ra�e(IIs>S�SS�rganizatioalFndividual}: �y n�Jlh� b�h��� a - Address: Jo Dak - N2GK ea Citylsta&Zip- Phone (5 D7, -1-4 k - (A a. Are yGu an employer?Checkthe appropriate box: Type of project(required): 1.❑ I am a employer uith. 4. ❑ I am a general contractor and I employees(fun andlor part-time)-* have hired.the sub-contractors 6. ❑New construction 2..❑ I am a sole propnetar or partner: listed on the attached sheet. 7- ❑Remgdeling slip and have no employees. These sob-contractors have 8. ❑Demolition wv Q for me in an capacity. employees amd have workers' a -�n: Y �tY- g- ❑Building addition a worloers'camp.insurance comp.msuranml d 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3- am.a bomeoumer doing all work officers have exercised their 11-❑Plumbing repairs or'additions. myself [No wuorkees'camp- right of exemption per MGL 12.❑Roofrgmirs insurance required.]c c.152, §1(4X and wve have no employees-[No workers' 13-❑Other comp-insurance required_) *Any Whcanteutcbecksbox P1 mast also falout the sectionbeIowsbov ing theirwoders'compensatio'n policy informadom Homeowners who submit this affidnrl in&rz ing they are doing all wat and then hie outside contractors amct submit a new affidavit indicating sznch. fCantractors that check This boa must attached am additional sheet shooting the name of the sub-cantnctm and state whether.or not those entities have employees.Ifthesah-a ttactomhaveempIog %theyronstpmuide'their warkers'Comp.policy number. lam an eueployvrr fJtatis prarfdirtg tuarkers'cnrrrpertsaiivrt ittsrirance for airy eurpl�pees Below is Y1te patiry turdiah site information. Insurance Company Name: Policy,45'or Self-ins.Lic4: Expiration Date: Job Site Address: City/State/zip. Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 1572 can lead to the imposition of criminal penalties of a fine up to,$1,50a-00 anVor one-sear imprisonments as well as civil penalties in the form of a STOP WORKORDER and s fine of up to$250-00 a day against the-violator. He ad,,ised that a copy of this statement maybe forwarded to the Office of Investigations.of the DIA for insurance-coverage verification- r do Hereby c under t pauls id perta ' s 4.pedwy, tthe irr,f bnuaffoa pmztfed abMw is fte artd carrect { Date:�" 0'9 1 VA Phone Official use only. Do not write in th&area,to be completed by city or torten official, City or Town.: Perndtll icense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.CftytTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:, -- -- --- --- -- -- - 6 N1y i=ile 'Edit Tcsals Help z .D:etall ��CatfQlU 1 , pi an EITYEl ,�+P Mom' w. t ^Si r. .Status ESR':ED > , ,, - �- flv..,rler.. -_ � u . y DE arts ent ' . :=BUILD1t~1G�DE:PARTt fNT4 " p of ... x Clase�'Dernp � '. �> , ._ >.. . a /Adiwt -,RES1D TIAL�.C'�IT t l LTEFt T1C� ,r_ ; . R .,. Crtractcar.,. n Glase enq the current application. W'a TE EGP.ESS "I:N':DC9S I '.B4.iE.;_IEtTfJftlF11GE#41JI ,. . > , . ..,.. ,- r' D.escrlphon 1 GALIZEG, ;ED'R00 1 K TIDE 1O .S1DECIF GU.PLE . Parking/h>sc g s. . ,Feesetttive 77 .,.. T777777377, ned`ttd .'. - r 46, Ia - - :::..r x ;. ,._�,., ,. , `x y:,.. .��. , -Wit_ ...- ^. ----•.:_ ,-,;. ,; - .;Ek ;3<#_,. _' B1�scne�s,M1ast� - pe s i nd , 6astm tine ,1 T FAMILY :. ..��:. �Locat : �.:, .. , : � , s ,... �. ,; ,1�.. �,,,� .ter g ,. �. eaGtlttatE �e , „ . 's K fit E�1{ QA r ;�. zonin fB``RE.SID;RB 1� ,J WSt FeES t, r Parcel, _ �13�}: - g _ - rnema w, . . a f - I I .. - unitx NYA�J hll S_ .Escrow v,k s _,. , _ ,_ q _ . y. ,.. IaCY[j zalle} SUt7dNJSlaT7 3 �' _ : .;,, .,_y ,,� .. a< <Pno asecl:=use'. 1 kk T'V 'fi FkMfff, '=LiatlScction/Phase e 9 ®�v� p r _,;. , .` Pa Hlsto ,_, Betreen,. Y „ . , ;zanln =RES.1D R.B# Ymt , 9' ... :. . ... ....�v,n. ..�..,_. t...,� _., a� and: _:.� � ?,enema ..t-'s. an.MrlctiA�w£=.�k....o� R<;y. 'a". z ns <. ,> g , Location desc at- LdT l r , : inm Pe ��' fil� �n u rt c>ot]za e ' � :.,.: , � .. ^' =a . :: .'h�.[ �3„.. App -�` rer quisites Hazed iestr- j [ Jarn�s " I [ Bonus ,Sub ddrs; �3 Toad, ,P' Reuiev Pemiiit,�Jerts, . i :.: Pnar.Hlsta In ectltans ' iafiatlaris . .5 .Re leas _, L3 en keens; >:! amin's �Firld:Rdiated"'. Edv , I r�> A ► T�. , 'JI il Clc�se/beriy the curirent application: z • '`-� „ '. . a lh.�('��_.. ��YL2U•t'/l.. - �C'^�l , %. [ ] [R307 130 . ] LOC10090 OLD NECK RO CTY107 TDS] 400 HY KEY] 218197 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 KOSKORIS, JAMES & MARYA MAP] AREA161AC JV1374525 MTG12012 SULLIVAN CCC/HHC 293RD BSB SP11 SP21 SP31 UNIT 29901 BOX 1 UT11 UT21 . 18 SQ FT] 2160 APO AE 09086 AYB11972 EYB11975 OBS] CONST] 0000 LAND 20700 IMP 85100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 105800 REA CLASSIFIED #LAND 1 20, 700 ASD LND 20700 ASD IMP 85100 ASD OTH #BLDG (S) -CARD-1 1 85, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 90 OAK NECK RD HY TAX EXEMPT #DL LOT 1 RESIDENT' L 105800 105800 105800 #RR 1118 0080 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE108/87 PRICE] 103000 ORB15868/031 AFD] I A LAST ACTIVITY] 04/15/93 PCR] Y Tr R307 130 . op P R A I S A L D A T A• KEY 218197 KOSKORIS, JAMES & MARYA LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 20, 700 85, 100 1 A-COST 105, 800 B-MKT 107, 500 BY 00/ BY ML 5/88 C-INCOME PCA=1041 PCS=00 SIZE= 2160 JUST-VAL 105, 800 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 1058001 74880 IMPROVED-MEAN +140 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100°61 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 [?] R307 130 . P E R M I T [PMT] ACTIOR] CARD [000] KEY 218197 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT lzs UPC smNo.SFIISA ° eASTe�eas,era RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET y.0 Oak Neck Road is LAND 6 7 3� 13p 8 BLDGS. 3 OWNER TOTAL G D LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS:Lot 1 � BLDGS. .x• —1 24 6 TOTAL /��` LAND BLDGS. u )G c�CO �'� TOTAL LAND Sc tz, Michael &Shaw, Howard M. 10-29-79 3005 68 ( 32,000• BLDGS. roraL LAND 35o MA I" 5- R)ZGe LQAT R. Ma. o a o, BLDGS. TOTAL "Z — LAN D BLDGS. OI TOTAL LAND - BLDGS. m TOTAL LAND INTERIOR INSPECTED: 0, BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. - LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE -- TOTAL H OT D c7 9� LAND CLEARED FRONT - BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR rn BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL [BLDGS. ND DGS. q LOT COMPUTATIONS LAND FACTORS TAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER ND ROUGH TOWN WATER DGS. HIGH GRAVEL RD. TAL LOW DIRT RD. ND SWAMPY NO RD. ion FOUNDATION BSMT. & ATTIC PLUMBINGPRICING LAND COST c.Walls Fin. Bsmt.Area Bath Room — Base 7 f/7 BLDG. COST c.Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. .PURCH. DATEc. Slab Bsmt.Garage St. Shower Ext. WallsPURCH. PRICE.k Walls Attic Fl.&Stairs Toilet Room Roof RENT tone Wells Fin.Attic v Two Fixt. Bath Floors iers, INTERIOR FINISH Lavatory Extra ey > smt. 1' 2 3 Sink '!� flit Plaster Water Clo. Extra EXTERIOR WALLS Knotty Pine Water Only ouble Siding Plywood No Plumbing Bsmt. Fin. Ingle Siding Plasterboard Int. Fin. y� �. Shingles TILING onc.Blk. G F P Bath Fl. Heat ace Brk.On int. Layout Bath &Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl. &Walls Fireplace om.Brk.On HEATING Toilet Rm.Fl. Plumbing } /S/ olid Com.Brk. Hot Air Toilet Rm. &Wains. __. Tiling 701 Q Steam Toilet Rm.Fl.&Wa[is / lanket Ins. Hot Water St. Shower 7 oof.Ins. Air Cond. Tub Area Total ya 2,u? 0� Floor Furn. 10 ROOFING COMPUTATIONS Asph.Shingle Pipeless Furn. S.F. `3,�j / Wood Shingle No Heat ffo S.F. /,j 7 /2 Asbs.Shingle Oil Burner S.F. " Slate Coal Stoker S.F. Tile Gas Z S.F. OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 101 1121314151617 8 9 10 MEASURED Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0. H.Door LISTED FLO RS Fireplace Sgle.Sdg. Roll Roofing Cone. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st TOTAL - y 3 �' Brick Int.Finish P D Single 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. CO/N�D. REPL. VAL, Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DVVLG. 1 �n 2 3 e - _ t 4 5 _ 0 7 ^r B { 10 -sr° TOTAL .THE COMMONWEALTH OF-:MASSACHUSETTS Ar9ea Paul cenucci; Governor OFFICE OF CHILD CARE.SERVICES b William D.O'Leary;Secretary License to Provide Family'Child Care Services ID: 698315 License Number: 195121i In accordance with the:provisions of Chapter 28A of.the.General laws;and_regulations established.by the Office of Child Care Services,a license and.Approved Assistant certificatioh is.hereby granted,ao Facility: Michelle L Shine Address: lD Oak Neck Road Hyannis, -Massachusetts. `02.601 Licensed Capacity: 5 Floors/Rooms: FIRST FLOOR=LIVING ROOM, KITCHEN; SECOND ,FLOOR-2 BEDROOMS. i.. Issue Date: 04/13/2000 Expiration Date: 0 4 12/2 0 0 3 License painted;04/13/2000 5F029 Ardith A.Wieworka,Commissioner Please Post Conspicuously This License is Not Transferable V ADDRESS - S STATEPARCEL IDENTIFICATION NUMBER I ZONING IDISTRICT CODE .SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY NO. 0090 OLD NECK ROAD 07 '"FRB 400 07HY 07 9/9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMEI. y UNIT ADJ'D.UNIT Lana errDa,e s:e Dmenson P PRICE PRICE ACRES/UNITS VALUE K,n KOSKORIS• JAMES & MARYA. MAP- CD FF.De tMAcres LOC.TYR.SPEC.CL� D 1 2O.700 CARDS IN ACCOUNT 10 1BLOG.SIT 1 X.. .15 =101 11 ..,_ 34999.95 114799.9 -18 20100 G(S)-CARD-1 1 85.100 01 OF 01 90 OAK NECK RD NY COST 105800 BATHS 2.2 U x C= - 100 120OO.00 12000.00 1.00 12JOU J /DL LOT 1 MARKET 10750C #RR 1118 0030 INCOME USE APPRAISED VALUE 105.80C PARCEL SUMMARY AND 2070( i LOGS 8510C O-IMPS TOTAL 10580C CNST DEED REFERENCE T,- DATE PRIOR«w YEAR V A L L eoo Pape I"" Mo. y,.�p s"^Pr1C` LAND 2070( i368/031: Ib8/87 A 103000 BLDGS 85101 5310/289� 1:09/86 131000 TOTAL 105801 3005/66 : ;00/00 BUILDING PERMIT INFO GIVEN AT NpmM, D— ryP. A,I-„nl- Y TENANT...... LAND LAND-ADJ INC ME SE SP-SLDS FEATURES BLD-ADJS UAITS 20700 12000 cpna, Tolal I vea,Bem m oos. Class Unns Unns Base Rale I a e A i 119 Age peyr ConE CND La oe R G epl Cost New of Repl value Stages nepm Rooms Rms Batns s F... P.ny-ell F.c. 02C 000 100 100 63.60 63.60 72 75 19 80 90 70 121551 85100 2.J 8 4 2.2 12.0 DescnononR11. Square Feel R;I Cos, MKT.INDEX. 1.00 IMP.BY/DATE. ML 5188 SCALE. 1/00.97 ELEMENTS CODE CONSTRUCTION DETAIL BAS 100 63.60 1040 6144 GROSS AREA 2160 TWO FAMILY DWELLING :NST 6 P:00 UFO 60 38.16 80 3053 *------------------40----------------* TYLE 17 UPLEX 0.0 - r- - ------------------- -- FFU 25 15.90 42 668 ! 820 ! E --SIuN ADJMT -00 0.0 820 o0 38.16 1040 39686 ! ! EXTER.WA_LL'a _ _10CLPBD/SHINGLE 0.0 ! EAT/AC TYPE 11SAS-WARM_ AIR_ 0.0 17 1 NT 4—FIN ISN 64DRYWALL 0.0 ! ! NitR.L.AYOUT 12 VIER ' 0.0 UA*--6--* NTER.9LTY _]2'AM_E AS EXTER.__O.OI 26 BASE 7 7 LOJR STRUCT 02 D JOIST/SEAM 0-4 c LbVR COVER J4 ARPET - 0.0 --------------- --- --------------- TaelA,eaa Au.. 42 Baae. 1040 ! *--6--* UOF iYPE__-_ U1 ABLE-AS_P_H__SH__-A BUILDING DIMENSIONS ! ! LECTRICAI 01 VERAGE 0.0 SAS W40 UFO S02 E40 NO2 W40 .. ! ! OUNOATION 01 OURED CON- 99.9 - -------- - ------- -- BAS N26 E40 S17 FFU E06 N07 WOb ! 9 - -------------------- - ---------------------- SO7 .. HAS S09 .. 820 N26 W40 ! ! VEIiHdORHOUD 61AC HYANNIS S26 EQ .. ! ! LAND TOTAL MARKET *------------------40---------------X PARCEL 20700 105800 *---------------UF00---------------* AREA 2848 VARIANCE +0 +3614 STANDARD 25 i I squo 126 tPri ' • . Now �sT�nos.�K I .s, 0 1 TOWN OF BARNSTABLE ° REPORT S U! I3�MDNTABY/CONTIIITIIATI � BPORTa 67 , NAME (LAST, FIRST, MIDDLE) � i` ( p DIVISION /Darr NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL /S ETC. ou 0 L SUBMITTED BY PAGE 1 �ZIY';�J4Yi•:Fii:.i}ii:•}' ........... . BiJILDIN RVI ............. ..........::::: .:::..:.:.:.::. ..................................,..............� v ::>:307130 ..................:.:.:.::.:.::... > : .:.:::::: . UILDING ....:...... ............. . . � ........ : .��::;:::;.::;:.;:<. )SKORISJ. ...... ............................ ECK RD. .x:. ::.......... .......•• __._ __ '����'��}} HYANNIS •`.•`:'t:�.`'.ti.+'. .,:::,:::iti::.`.•'..:j.'+;:`~••::y'� •'t•.••try� ` :: ti..:: :.`:::::;tit'.'...'':::.j:::<;:•`:t`yt; ?ti?ti :::`%::: }:;;`.::: NG will !��iii�3:�::'..<'�.::�� •`.•`.j•``..'"%.:?%:;;�i:`.:%'':'< %ii:y `::?.:2::::::.•:•.'<�'•%....tM1.�`:�:�::::::::•'. :¢�:�?:;`.j4M1+y' 'fi::``` 1 �� :: j:''}:: `y;`.:;`.;`.';';:':;:;:;'j:%i:%:%:%:%':r:%:::'::'���:�:{ ££ty` ':; ::':�:::'::: TMTM Q. :n:Y iiiii .•'..•bZi.'•'. . ........ .. ............... .:............................ x aaaaaaaSEARCH --Y L Z G 3 G vr� T S v W 9 3 v v s :. :.::. i �t 126 tlPC G802� • HASTINGS,MB 1 i A-F Certified Mail#7006 0810 0000 3525 2995 - ratio Town of Barnstable r Regulatory Services `!3A)�NS`TAgLE: s ,pass $ Thomas F. Geiler, Director prF1 J. 1� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 28, 2007 Synval P. Dalomba 98 Oak Neck Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170 and 59. The property owned by you located at 98 Oak Neck Road, Hyannis was inspected on August 27, 2007 by Timothy B. O'Connell,Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.450—Means of Egress. Observed a be within basement without proper second means of egress as required by 780 CMR 104.5; 105.1 and 805 of the Mass State.Building Cade. CHAPTER 59-3 (A)-COMPREHENSIVE OCCUPANCY. During inspection inspector witnessed four (4)beds within second floor bedroom when only two are allowed. 1§ 70-4—Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. You are directed to correct the violations listed above within fourteen (14) days; by pulling proper building permits and creating second means of egress in accordance with Mass'State Building Code; by removing extra mattresses in all bedrooms (only four people are allowed to occupy this apartment); by registering property with Town of Barnstable Health Division. QA0rder letters\Housing violations\Rcntal ordinance\98 oak neck hyannis.doc I *Note: Bedroom in basement is not to be used for sleeping until second means of egress (window) is installed. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. . Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. a BOARD OF HEALTH ., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector Q:\Order letters\Housing violations\Rental ordinance\98 oak neck hyannis.doc y' �. ."K' 4„y;'k• s .. w.�: - .In: .' +.�`'. �'.[M',m i 5. .. • y.:�y :,�..,r.c-•;.,.,.� !r�,..,,_ 4 �, -. • . .. Town of Barnstable CF tNE Tp� Regulatory Services Thomas F. Geiler, Director BAMSTABLE. MASS. g Building Division i639. �0 iOrF1639 ° Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: �r�� f � LOCATION: lOD A P UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLARBASEMENT AREA FOR SLEEPING PUR�POS-E-S. LOCAL INSPECTOR Q SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: t t)0 t DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA O PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE �oFt Town of]Barnstable *Permit# 1;-*b 7 6' a Expires 6 Months from issue date z NAM * Regulatory Services Fee �� C70 v� t639. ,0� Thomas F.Gellert Director Building Division Tom Perry, Building Commissioner Office: 508-862-4038 200 Main Street,.Hyannis,MA 02601 RESS PERMIT SFP • Fax. 508-790-6230 0 - 2005 VL EXPRESS PERMIT APPLICATION RESIDENT� n �^ARN -� �� B O—7 Not Yaltd wrthout Red X Press Imprint Map/parcel Number Property Address ❑Residential Vahie of Work , 3oC1�1�;pd Minimum fee of•$25.00 for work under$6000.00 Chmer's Name&Address 76 (n,,,,,rv�SS' ( i r� �P 1t Y1 Yt l 4 Contractor_s_Name . �ya, Telephone Number �Z Home Improvement Contractor License#(if applicable) r Construction Supervisor's License#(if applicable) ❑Workman'.s Compensation Insurance ° Check one: ❑ am a sole proprietor' lid I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 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 to ❑Re-roof(not stripping. Going over_existing layers of roof) dRe-sido' ❑ Replacement Windows. LT Value i (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 Improvem.=t Contractors License is required. Signature • --------------- Q:FM=:eXpmtrg Revise063004 The Commonwealth of Massachusetts Department of Industrial Accidents T Office.of Investigations ' ' 600 Washington Street Boston,MA 02111' .�' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelibl_y Name (Businessiorgaaizationllndividual): Address: .City/State/Zip: ::" Phone#: Are you an employer?Check the-appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full•and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or parkner- listed on the attached sheet. $ �• Remodeling , ship and have no employees These sub-contractors have S. ❑ Demolition working forme in any capacity. workers' comp.insurance. 9" 7 Building addition o workers' comp.insurance 5. O .W . [ are a corporation and its N lo.❑ Electrical repairs or.additions equned] officers have exercised their ri t of ex lion er MGL lx.❑ Plumbmg repairs or additions 3. I am a homeowner doing all work P . myself:[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurances aired. t employees.[ o worers' p required.] l N k . 13: Other comp.insurance required.] #Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information "N. ' 1 Homeowners who submit this affidavit indicating they an doing all work and then hire outside cofactors 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'camp:policy ionization. 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 ariminalpenalties 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 .p to$250.00 a day against the violator. Be advised.that a copy of this statementmaybe forwarded to.the Office of . Investigations of the DIA for insurance coverage verifiation. I do hereby certify under the pains an enalties of erjury that the information provided above is true and correct. ' Date:. Si ature: ✓� 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/Towa Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: formation 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 bire, express or implied,dral or written." ` « d ,association,porporation or other legal entity,or any two or more An employer is defined aS:_aadivi,u�,.:PP . .lo er,or the of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emp y association or other legal entity, employing employees. However. e receiver or trustee of an individual,partnership, ho resides therein,or.the occupant of the owner of a dwelling house having not more than t meets e,construction o repair wofkv such dwelling house dwelling house of another who employs pet o 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 Tenewal of a license or pew to operate a bnsit►ess or to construct buildings in thet:ommonwealth for any applicant who has not produced acceptable evidencevf compliance with the insurance coverage required." . w. ter 152, 25C states"Neither the commonwealth nor any of its'political subdivisions shall`r ` Additionally,MGL chap .. § (� �t�into any contract for the Performance of public work until acceptable'evidence of compliance with the insurance enter into a s of this chapter have been presented to the contracting authority. iepiremApplicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to Your situation and,if e s address es and phone number(s) along with their certificates)of _ acto s earn , address(es) . . supply sub contr r( ) ( ) other than.the necessary, pP X yri�no employees o Partners s LPP b>7i ) or Limited Lia ty . hip (L . Li Companies(LLC) insurance. Limited L ability insurance. If an LLC or LLP does have co ensatidn members or p artaers; are not required to carry workers mP . employees, a policy is required. Be advised that this affidavit may be submitted t4 the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sip and datte the affidestedavn t the Department of should The affidavit be returned to the city or town that the application for ar permit the law or if you are required to obtain.a workers' Industrial Accidents. Should you have any q g dmg at the number listed below.. Self-insured companies should enter their compensation policy,please call the Department 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 botm of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicanttion, an applicant' Please be sure'to fill in.the penmit/license number which wdl b a it affier. In davit indicating current that must submit multiple permitIcense applications in any giveny�'need only, ubm on policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or )."A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided to the townapplicant as proof that-a valid affidavit is•on.filo for;future permits.or'licens es..A new affidavitmu�st be filled out each year.Where a home owner or citizen is obtaining a license or permit not r ane e�ess�davit al venture (ie. a dog license or permit to burn leaves etc.)said person is NOT required comp The Office of Investigations wfluld h`!ce 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 Investiga�ons 600-Washington,Street, . `r•. `1; Boston,MA 02.111. ' Tel. #617-727-4900 ext 406 or'1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia . F J / >s i z r x« r v, ale r � fin. 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