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HomeMy WebLinkAbout0030 PRINCESS PINE ROAD �1�1Y1C�� �irlet� h . s Cape Save Inc. 7-D Huntington AOF 9ARNSTABLE South Yarmouth, NU 0;2164 Tel: 508-398-0398 Fax: �-398-ba39�9 Q6 DIVATSiON 9-6-14 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 30 Princess Pine Road,Hyannis has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-38 cellulose in open ceilings -R-11 cellulose under deck in knee wall attics -R-19 cellulose in enclosed slopes -R-7 Thermax on open slope leading to upper attic. Walls: R13 dense pack cellulose in exterior walls—R-7 Thermax on knee walls. Basement: R-19 fiberglass in box sill area All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey -• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel Application'`-'`�' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee , 06 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address __ 30 P.r',a W,5 1 A C e a� I Village �qa TI S Owner a n nC D 4 Address Same Telephone S 0 a 4-g 5 ($ Permit Request PICW R- 30 and a lr w a1�s Lo 1'h 14 c (( . �- hil ex Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation 5 0 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old KingZHI ighway 3 Ye ❑ No „_. Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ` ; Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.fts) CIO Number of E�ths: Full: existing new Half: existing nw Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Q No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - -(BUILDER OR HOMEOWNER) --- - Name w�11►O�iANLIIAA. /Coo. -'1 ►.Telephone Number �d 398 0313 Address T' License # S-C t O a ��6 Home Improvement Contractor# l " l 3 0 Worker's Compensation # WC 3 0 8 5 6-33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �_Cul"A SIGNATURE DATE 8 /lq FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: OUNDATI�ON_A�1 •�: E ! - ;max: Try >-,, .`p FRAME :-_fINSULATIO�N:<t.r-,i;r._ . -/� .. it FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL e j GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i d P� r s i y1 ( 7 n, Housing ® Nest Main Street Hyannis, MA 02601-3698 A,ssistanc 'c}^ ` Tel: (508)771-5400 Fax(508)775-7434) Corporation TTY on all lines Cape Cad Free Weatherization '. Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. Program regulations permit us to spend around $2,500- $7,500 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows; insulate attics, sidewalls and floors. All work is professionally done by established ;private contractors. We will conduct a final inspection to make sure that all work is completed to specifications. If you request, you will be informed of the estimated measures before they are done i and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. I Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. If we do not receive the enclosed form within two weeks, we will do a basic energy audit of the home, but no weatherization work can be recommended or done. If you have any questions please call Suzanne Smith at 508-771-5400,ext. 123 or email her @ ssmith@haconca22cod.org I �! LAfdDLORD: ` I � 1 TENANT: P=Vo rot email email: phone: (home)_ phone:(home) A'p -I}3� 1 _ (cell) =23-7-0 (cell) 3_:a k- 73 7 o j 9 9 TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT 1. The Parties to this Agr ent are the following: ts'9 a_ (hereafter known as Tenant), (print your tenant's name) C, (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at(street, town) i 30�rti` � rt"r`hc, R)/,2_01r1 i S , unit# , and currently leased or rented to the Tenant: a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is g Y necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance with the Property Owner's consent as further specified below: *** INITIAL ONLY ONE OF THE FOLLOWING*** I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work. 4. The Property Owner understands and agrees that any and all work, including related repairs for which the Property may also be eligible, will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency,the Property Owner will be notified.by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency,time is of the essence in the performance of repairs by the Property Owner. 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fueVutilities used at the above address in each of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization improvements. 7. The Properly Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. i i 8. In consideration of the Weatherization work hereunder,the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through approximately one year from the time the work is completed, a) The present rent$ ' .®0 per month will not be raised for any reason. (The rent amount must be filled in). Heat included in rent?Yes_ NO-A(— However,this Paragraph (8a)will be waived by the Agency In writing if,and only If,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of the two requirements below: --The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement;or --The Property Owner shall pay the Agency an amount equal to the cost,as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only H Tenant's heat is included in rental payment and blanks are filled in) At the end of the j period set forth in Paragraph 8 above, the rent shall not be raised more than °/a per for an additional period of one year, and the provisions of 8b and 8c above shall continue in effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between j the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the provisions of this Agreement shall govern. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger protections for the Tenant, such stronger protections shall apply. 11. For breach of this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises,as well as attorneys fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorneys fees and court costs. Without limiting the foregoing, the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government,as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. 1 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date 6 ,11 Phone: ' Address: _ `��1� �h Tenant Signature" - OC4 'Date 6'UC Imo1-J Agency Approved Weatherization Company Cr'� All Cape Energy / Adam T. I corporated / Alternative Weatherization / Building Performance Contracting Cape Cod Insulation / Cape Save Conservision / Frontier Energy Solutions / Lohr&Sons Inc. Resolution Energy Agency Signature Date The Commonwealth of Massachusetts Department oflndr,strial Accidents - - Office o Investigations Congress Street, Sti to 100 7 B.oston;MA 02114 2017 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/ContractorslElectrieians/Plumbers Applicant Information Please Print Legibi� Name(Business/Organization/individual): Cape Save Inc. Address: 7D Huntington Ave City/State/Zip: South Yarmouth. MA 02664 Phone`Me 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required);: 1_�✓ Y1 am a em lover with 4. 0 la m a general contractor and 1 p 6. Q:New construction employees(full and/or part-time):'` have hired the sub-contractors 2:0 1 am.a sole proprietor or partner- listed on the attached sheet.. 7. (�Remodeling ship and have no employees These sub-contractors have g, [,Demolition. workingfar me in an ca aci erttployees and have workers'. o Y P tY 9. [] Building addition [No workers' comp.insurance comp:insurance ured. 5. 0 We are a corporation and its 10.[]Electrical repairs or additions rei 9 � officers have exercised their 11. Plumbifi re airs.or additions 3.❑ 1 am a homeowner doing all.work- � g p myself. o workers'com right of exemption:per MGL y [N" p, 12.M Roof repairs I nsurance required.]t c. 152 §1(4).,and we have no employees. [No Nvorkers' 13.�✓ 'Other InsUlafion. comp. in required.] *Any applicant that checks box#1 must also fill out die section below showingtheir.vorkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire ouiside contractors mustsubmit a new affidavit indicating such, aContractors that check this box must attached an additional sheet shoving the:naine otthe sub-eontiaetomand state whether or not lltiase'entiiies hive, ctnployces. If the sub-contractors-have employees,they must,provide their workers'comp.policy number: I am un employer that is providing workers'cols pensation insurance for my employees. Below is thepolicy and job site fnforination. Insurance Company Name: Wesco Insurance Company Policy#or.Self'ins Lic. -.. 'VVC3085633 Expiration Date: 04/09/2015 Job Site Address: 30 V1-nr-P-,,o tit 1�0 Q.CJ City/State/Zip;_ 0.t1 1� •5 e. Attach a copy of the workers'compensation policy declaration page(showing the policy number a d expiration date). Failure to secure coverage,as required tinder Section 25A of MGL c. 152 can lead to the.'imposition of.enminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forni.of a STOP WORK ORDER and afine- of up to$250.00'a day against the violator. Be advised that a copy of this statement maybe forwarde.d't6 the'Office:of Investigations of the DlA for insurance average veriticatiott: l do hereby eerti under the pains and penalfies of er' ,that the in orrnation provided above is true and;rorrect SiTnaturei _ . __ ate Phone 9: OfAcial ase.only Da:not write rn tlds area„to be completed 6y citji or town off ciot City or Town': Permit/License::# Issuing Authority(circle one): 1.Board of.Health Z.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector. 6.:Uther Contact Person: Phone#; '4c40RI:> CERTIFICATE OF LIABILITY INSURANCE °/14/2014'°°14 414/ THIS CERTIFICATE IS ISSUED AS A:MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE.DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF`INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE ORPRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A tatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER. .. . CONTACT NAME:': Colleen Crowley. Risk Strategies Conpaay PH01�ONE . (781)986-4400 a c No).f?ei>969-aazo 15 'Pacella Park DriveADDRESS.ecrowley@risk-strategses.com Suite 240 INSURERS AFFORDING:COVERAGE NAIC# Randolph MA 02368 INSURER A:Se lectiviB Ins. of America. INSURED INSURERB:Safety Insurance Ccupany 33618 Cape Save, Inc INSURERC:Weseo Insurance Company 7 D Huntington Ave INSURERD INSURER E: South. Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1441475243 REVISION NUMBER: THIS IS TO CERTIFY THAT THE:POLICIES OF`INSURANCE`LISTED`BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TEP.M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS-SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF`INSURANCE POLICY NUMBER. _MMIDD EYY MPMOI POLICY - - - .LIMITS GENERAL LIABILITY .EACH OCCURRENCE $ 1,066,000 X COMMERCIAL GENERAL LIABILITY DAIANGE TO RENTED PREMISES tEa occurrence) $ 100.060 A CLAIMS-MADE a OCCUR S1994490 0/16/20.13 0/16/2014 MED EXP(Any one person) $ 1-0,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $. 2,000,000 GENIAGGREGATEUMITAPP LIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY X PRO-JECIT X TLOC $ AUTOMOBILE LIABILITY _._. COMBINFD l L IMI ' 1000,000 l B ANYAUTO BODILY INJURY(Per;person) ALL OWNED. SCHEDULED 62082.00 11/6/2013 1/6./2014. 7SODILY INJURY Per:accident `$ AUTOS AUTOS HIRED.ALITOS ( ) NON-CWUNED P AUTOS ROPERTY DAMAGE Ix X P racadent X UMBRELLA UAB X _ OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CL'C'L ADE `AGGREGATE $: 1,000,000 0ED RETENTION$, Ni 1994480 0/16/2013 0/16/2014 �: C WORKERSCOMPENSATTON - - - - OfficersIncluded For thLSTATU -OTH -- ANDEMPLOYERS'GIABILITY YIN - X T RY _ ANY PROPRIETOR/PARTNER/EXECUTIVE Coverage OFFICERMEMBEREXCLUDED? N❑ NIA, E'L.EACHACOIDENT $ _ 500 000 (Mandatory in NH) 6VC3085633 _ /9/2014 /9/2015 E,L,DISEASE-EA EMPLOYEE $ .500 000 Mdescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION.OFOPERATIONS!LO¢ATIONS!VEHICLES(Attach ACOR0101,Additional RemarkB:SchedWe,ifmore apace Is required)- . Issued. as :evidence of insurance. Issued as evidence' of =Surance:. Thielsch Engineering, Inc.. is listed as additional insured as respects General Liability as ,required by written contract. CERTIFICATE HOLDER _ CANCELLATION msong@capelightcompact.org: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact Attn: Margaret Song PO BOX 427/SCH AUTHORIZEDREPRESENrAT1VE 3195 Main Street Barnstable, 1 : . 02630 ichael Christian/CLC - -� ACORD 25(2t110/05) 01988-2010 ACORD CORPORATION. Aff rights reserved. INS625(200051)_61 _ The:ACORC name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulat ion 10 Park Plaza _Suite 51-70 Boston, Massachusetts 0211 E >� Home"Improvement Contractor Registration Registration 171380 Id ,a Type :Corporation mT Expiration" 3/14/2016 Tr# 249649 PE SAVE INC. 'WILLIAM McCLUSKEY M 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 4 Update Address and return card.Mark reason for change: scn co zoM osn i "Address Renewal' Employment Lost Card eanza�zoncueall�aCumruseGLs ; Office of Consumer Affairs&Business Regulahou License-or re istration valid for Individul use onl ` g Y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 'j713g0 Type _ Office of Consumer Affairs and Business Regulation Expiration 3V1/2016; Corporation 10 Park Plaza-Suite 5170 ' Boston,MA 02116 j CAPE SAVE INC. 4 fir— y i WILLIAM MCCLUSKEYr._ ` 7-D'HUNTINGTON AVENUE ' SOUTH YARMOUTH,MA 02664 Undersecretary Not vali �thout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty ar License: CSSL-102776 W ILLIAM J MC C'Ir.US� zr 37 NAUSET ROA1) West Yarmouth NIA 0267�3 `.%.G...JJ� �rra�` Expiration 'S Commissioner O6/28/2015 Barnstable Police Log: May 20 - 22 - Barnstable-Hyannis, MA Patch Page 3 of 6 8:30 am-Larceny was reported at Cape Codder Resort,Hyannis,report taken. 8:45 am-A intoxicated person disturbance was reported at Shaw's Superman t on Route 132,serviced. i ^C� ✓ 10:26 am-Larceny was reported at ( ( 1 1:02 pm-Computer/email fraud was reported at 343 Nye Rd.,Centerville,report taken: 1:39 pm-Harassing threats were reported at Bailse Ford,advised. 2:10 pm-Shoplifting larceny was reported at Sears,arrest made.Police arrested Kristina Georgieva of Main Street,Apt.6,Chatham for shoplifting by concealing merchandise. 2:25 pm-An intoxicated person disturbance was reported at Lewis Bay Court,transported to hospital. 3:14 pm-A hit and run was reported at 153 Old Stage Rd.,Centerville,serviced. 2:50 pm-A disturbance was reported at 1965 Service Rd.,advised., 4:09 pm-An intoxicated person disturbance was reported at Town Hall,serviced: 4:34 pm-Shoplifting larceny was reported at Sears,report taken.Police arrested two 16-year-old juveniles for larceny of property more than$250 and larceny of property more than$250 single scheme. 4:41 pm-Police were called for a medical assist at 724 Main St.,Hyannis,serviced. 4:58 pm-An intoxicated person disturbance was reported at Cape Cod Hospital,protective custody.Police placed Paula Morse of I l Walker Woods Dr.,Harwich in protective custody. 5:03 pm-Larceny was reported at the Cape Codder Resort,report taken.' No Time Available- Larceny was reported at Bone Hill Road,Barnstable,report taken: 5:44 pm-Suspicious activity was reported at Veteran's Beach,serviced. 5:56 pm-A break-in was reported at 64 Harrison Rd.,Centerville,report taken. 6:32 pm-Unwanted harassment was reported at 170 Winter St.,Hyannis,arrest made.Police placed Roger Baker of 60 Louis St.,Apt. 1,Hyannis in protective custody. 7:00 pm-Suspicious activity was reported at 79 Haylard Way,Centerville,serviced. . 6:55 pm-Suspicious activity was reported at Grove Street and Louis Street,Hyannis,report taken. 7:52 pm-A suspicious motor vehicle was reported at Aegean Pizza,report taken. 8:25 pm-A medical overdose was reported at 979 Route 28,Apt.D 11,Hyannis,transported to hospital. 8:36 pm; A suspicious motor vehicle was reported at 34 Hi River Rd.,iviarstons Mills,serviced. 8:43 pm-Shoplifting larceny was reported at Sears,serviced. 8:51 pm-Police were called for a medical assist at Cape Cod Psych Center,serviced. 9:48 pm An accident with property damage at 1610 Main St.,West Barnstable was reported.Police issued a summons to Sallie Thompson of 803 Route 6A,with OUI-liquor,operating to endanger and marked lanes. 10:07 pm-Police were called for a medical assist at 118 Pine St.,'Apt.3,Hyannis,transported to hospital. 10:32 pm-Domestic harassment was reported at 356 Pitcher'-Way,Hyannis,report taken.Police issued a summons to Ilidio Decastro of 12 Carleton Ln.,Centerville for assault by a dangerous weapon. 10:34 pm-A groups disturbance was reported at Old Phinney's Lane,Barnstable,serviced. Sunday,May 22 12:03 am-A disturbance was reported at 30 Princess Pine Rd.,Hyannis,arrest made.Police arrested Paul M.Butler of the same address for assault -' and battery domestic violence and assault and battery with a dangerous weapon. 12:18 am-Domestic threats were reported at 18 Debbie's Ln.,Marston-MIlls,advised. - 12:30 am-An accident with property damage was reported at Main Street and Bassett Lane,Hyannis,arrest made.Police arrested Hilary Hutchinson of 10 Lexington Ln.,Yarmouthport for OUI-liquor,operating to endanger and going the wrong way on a state highway. http://bamstable-hyannis.patch.com/articlesibamstable-police-log-may-20-22 5/24/2011, �oFt�E Kati Town of Barnstable Regulatory Services swxivsrnaLE. 9 Mass. Thomas F. Geiler,Director 1 A. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 3/2/07 Ryan A Graham 200 Palomino Drive. Barnstable, MA 02630 Re: 30 Princess Pine Rd., Hyannis Mr. Graham, Your request for a separate service for the garage at the above referenced property has been denied. A separate meter is not allowed for an accessory structure. You are allowed a separate sub panel. Please contact our offices if you have any questions. Sincerely Thomas Perry Building Commission -odnionaroaftly o`��/w��acyudette c� cc77 pp Official Use Only alJepa.tnmonf o��tiwv Jere Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. 1/07] eave blank) -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO All work to be performed in accordance with the Massachusetts Electrical Code(ME C1 527 CMR 12.00 RK (PLEASE PRINTININKORTPPE ALL INFORM IYOAj Date: 2 City or Town of r �ohig "o By this application the and .To theX_ Inspector of Wires: eisigned gives noti or her mtention to perform the electrical work described below. Location(Street&Number] ��-.���� ��� Owner or Tenant C 1� ash Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes No El (Check Appropriate Bog) Existing Service (0 6 Amps 7�, / �h'Authorization No.)_�7�z 7� P `2S�i,�Volts Overhead Und rd New Service g ❑ No.of Meters Amps _ ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _ t(7o Or p� Location and Nature of Proposed Electrical Work: } C Teti th J a a" { No.of Recessed of e ollowi r Luminaires ng table may be waived by die I ctor o Wi,es No,of Ceil.-Susp.(Paddle)Fans o.of .ta No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool rnodve ❑ - o.o mergency mg NotOTBER: of Receptacle Outlets d• ❑ Batte Units IIEI f Oil Burners F1RE ALARMS No.of Zones witches f Gas Burners o.of textion an IR anges InitiatingDevices f Air Cond. °mil Tons No.of Alerting Devices aste Disposers Pip um er Tons o. 101 Se f-Contained otals: tection/Ale ' Devices ishwashers /Area Heating KW ��❑ umcipa Dryers Connection ❑ fie' Y g Appliances un ater KW No. fDevi�ices or uivalent eaters KW o.of ata Wiring: ^ s Ballasts No.of Devices or E 'valent 'p� omassage Bathtubs Motors a ecommumcations Total HP No.of Devices or E uiv ent Estimated Value of Electrical Work: ftttach addltiortal detail ifdzsfieci`or as required by the Inspector of Wires, Work to Start: (%en required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and INSURANCE COVERAGE: Unless waived by the owner,no permit for the �°II completion the licensee provides proof of liabilityng performance of electrical work may issue unless undersigned certifies that such coverage n f ecand has wdiibiteedd proof of samee to the permit office operation"coverage or its substantial equivalent. The cl�cx ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofIled y,that the information on this FIRM NAME: aPPficad on is true and complete Licensee: � LIC NO.: l�fap�licable,ent�� �== Signature cK2_ exempt m the Ircenm monber lure.) Lie No.: ► y Address: Bus.TeL No.:7-7!j a3L_70 7y *Per M.G L.c. 147,s.57-6I,secuxrify work requires Department of Public Safe S License: Alt TeL No.:Sri_y t� -IA OWNER'S INSURANCE W t'K » Lie.No. AIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. BY my signature below,I hereby waive this k\ Owner/ nt- � requirement I am the(checM=g� ( � Downer's enf. Signature ,--G Telephone No-�$�17 'a• Assessor's office(1st Floor): Assessor's map and lot number �} t0 c�IrK / Board of Health(3rd floor): _ © Sewage Permit number ` �, °� ) J a Engineering Department(3rd floor): NV _ ~�� year ua ra House number Fla i 4 e-E c X 1 "fr"�a'`� �� ��, °o„�+bso• \��' Definitive Plan Approved by Planning Board < 1 t .i 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00:P.M.'only TOWN- OF" BAR\NS1TABLE BUILDING INSPE,CTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION \ r 19 4/0 TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the followinginformation: y� / � Location q ,h�c e Proposed Use ., Zoning District �✓ Fire District nn Name of Owner ��ta,r� � T ��, Address �/ `r,r�Uc tS Name of Builder IQ l2 > �� .w/ Address S o j oe C 27 e, (/<� Name of Architect f�` .V S 3i Address Number of Rooms " -- Foundation /nD174 r Z.. � >r Exterior '�� 1' ' �'�' Roofing Floors---- -r7s; �- Interior i�yl f i i r 4 Heating ' .:S Plumbing. Fireplace Approximate Cost C) / Area '"7 Diagram of Lot and Building with Dimensions Fee -' M i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ll/..,f/ eP.r.� - U Construction Supervisor's License ��Q� BRITO, MANUEL J. A=269-086 r No 33960 Permit For Build (2) Car Garage — Accessory, Location ory., to Dwelling `33 Princess Pine Road Hyannis Owner Manuel J. Brito Type of Construction Frame Plot Lot Permit Granted September 10 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED Assessor's office(1st Floor): // ®�iBE Assessor's map and lot number �• �0 _ _ SEA a��o SYS� '�';�' SINE to Board of Health(3rd floor): INSTALLED IN COMPLIANCE ��Q� Sewage Permit number p0 WITH TITLE 5 Engineering Depa�(m�t 3rd floor): ENVIRONMENTAL CODE AND Z Dsaa9rG�LL ss � rua House number ce ` f I TOWN REGULATIONS °° i639' Definitive Plan Approved by Planning Board 19 � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only F TOWN . OF • BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO t � ; TYPE OF CONSTRUCTION i 19� F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �(/��j nil tl�! t i�,l,->� � 11L-4 403, If �� Proposed Use Zoning District Fire District Name of Owner_2fo„ Address Name of Builder � Address Sead2t L t!j �T&r= K12 ) Name of Architect 51�� ���I/� � Address Number of Rooms w«- Foundation 41 Exterior " �i.�J.O!' Roofing Floors 61VX��L tf/ Interior &44!z Heating g A Plumbing Fireplace old Approximate Cost t Area S-7& Diagram of Lot and Binding with Dimensions , a �.: .J e � � y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License n/01,6/ 2IT0, MANUEL J. No 33960 Permit For Build (2) Car Garage ' Accessory to Dwelling }= 4 T LocatioK W Princess Pine Road Hyannis t, /J Owner 'Mariuel J. Brito ,'; Type of Construction Frame Plot Lot " Permit Granted' September' 1�0',19 90ly � r`-'• ,�.✓ �'""'�'�.. - — -.. Date of Inspection r�19 F ... - Date Completed 3b r`91 19 ,[ Ae- ^1 g - + a r i ; if 4 �! ..ate' � t f `•r f T. Town of Barnstable *Permit#c2QQ7Q17QQ Expires 6 months from issue date Regulatory Services Fee 0?5. 0 (f) Thomas F.Geiler,Director ]Building Division 1� Tom Perry,CBO, Building CommissionerX-PRESS 200 Main Street,Hyannis,MA 02601 PERMIT www.town.barnstable.ma.us MAR 2 .6 2007 Office: 508-862-4038 8-9�0��330 EXPRESS PERMIT APPLICATION .- RESIDENTIAL OA4W STABLE Not Valid withdut Red X Press Imprint :ap/parcel Number (j16d 00 ,Y(40 7operty Address 30 Residential Value of Work 5 000-o 0 Minimum fee of$25.00 for'work under$6000.00 wner's Name&Address ashyEJ� y� wee s ontractor's Name _To -Le. C.V�120.sy Telephone Number_; [ome Improvement Contractor License#(if applicable) �asfrtr-z'C�S�p rvisor's-Liuerise-#`(�applieab§ej - - .. . .... ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor aI am the Homeowner ❑ I have Worker's Compensation Insurance ssurance Company Name 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 ���t yi p S 7 e ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum,44)!;��--coca s' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Mote: Property Owner must sign Property.Owner.Letter of Permission, A copy of the Home Improvement Contractors License is required. ,IGNATURE: �- !:Fomis:expmtrg .evise061306 The Commonwealth of Massachusetts Department of Industrial Accidents = Office of Investigations a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): _"f C oS c� a Adclress: 311, City/State/Zip: rl,'�a, kAA Ctloo I Phone.#: .Ot- 73 7-a Are you an employer?Check the appropriate bog: Type of project(required):. L❑ I am a employer with 4. [] I am a general contractor and I 6 I]New construction . employees(full and/or part-time).* have hired the gub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ElRemodeling ship and have no employees These sub-contractors have g, []Demolition workingfor me in an capacity. employees and have workers' Y P tY• �. 9. ❑Building addition [No workers' comp.insurance comp,insurance. Kyself. quired] 5. We are a corporation and its 10.0 Electrical repairs or additions 3. m a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions ' [No workers' comp. right of exemption per MGL 12JK Roof repairs insurance required.]t c. 152,§1(4), and we have no e 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 far 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$1,500.00 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 pains and penalties of perjury that the information provided above is true and correct. Signature` Date: 3�01��a-7 _ Phone#• _5 D7'_7�7 605--K Official use only, Do not write in this area, to be completed by city or town offrciaL City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions n 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 rPGe73fPr nr is ,e-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 complianece with the insurance requirements of this chapter have been presentedto the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificates)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city:or town)."A copy of the affidavit that has been officially stamped or marked by the city or town 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 bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,_-- please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commouwealth of Massachusetts Department of IndvsWal Accidents Office of Investigat ow 604''ashingt6 Sired Boston,MA 02111 TO.# 617-727-4900.ext 406 or 1-M-NIASSAEE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia t Town of Barnstable Regulatory Services BARNSTABLE, ` Thomas F.Geiler,Director MAW. �g 16.39.�A, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 4. Property Owner Must Complete and Sign This Section If Using A Builder h ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) Signature of Owner `..;, Date Print Name QTORMS:OWNERPERMISSION M k , til 1- r, B8 LOT 87 Z 615 . U ' L. Dw� ��_iNc 0 10 0 J1� - 4 z't --�, R ti3Z.56 PIS I N G�SS PjNE ROAD PREPARE[ FOR /%\T7-.Y. THOMAS Src-tjCr=T'-?, CER T/F/ED PL 0 T PL A N. LOCATION- HYA► kl)S - MASS. SCAL E: DA TE REFERENCE: LOT_ Fj j P. B. P. L.'C. P. _�28, .5 PSN. 2- FLOOD ZONE �C� (PRor't Rrr is o'Lfrstor Sn0Y�AR FLc»r> LIm / HEREBY CERTIFY THA7 T 1',47,61,1ILDING, f• SHOWN ON THIS PLAN IS LOCATED ON THE •''. :" ` '"' '' GROUND AS SHOWN HEREON AND THAT IT ' CONFORM TO THE ZONING L�E'ETT N. BY-LAWS OF THE TOWN OF_ I-E: EY J WHEN COIN.TRUC rED ;. s 1787 o r;•.-, Lc.R ASSOCIATES 7Id MAIN STREET _ 44 r' YARMOUTH, MASS. 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