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0097 QUAKER ROAD
�it.e6L��ZC�/ AzL f i i i 1 i C�Rc7z) Ck, M&SINK. Plumbing Rough 7/21/2009 Pass EJEN: i �9 fixtures 656185 4886 4 of 4 2/19/2020=' Natalia Alves Nails-Book Appointments Online-Booksy A s 0, What are yo... Where? When? ° InUS FOR Sign Up BUSINESSES Ha r Salon Barbershop Nall Salon BeaUNI S,@1011 Eyebrows & Lashes Massage a Tattoo j � _ y Massage. Makeup Artist Te..:t:c�e Shops IVlarc.... r 8 ra r f t �v Y � + rails ' r Natalia Alves Na... 97 Quaker Road, Barnstable,02601 Y �^."_^: �s's,9A" "�*,°i�Y i.D.«n ysx,�.mr._9�', r .. � Y^..z � �N'2 '�'• � . /111/ h CONTACT NUMBER ' L lJtov (978) 648-8616 CALL Report > INVITE TO BOOKSY t I'M THE BUSINESS OWNER f Natalia Alves Nails 97 Quaker Road, Barnstable,02601 services https://booksycom/en-us/326438_natalia-alees-nails_nail-salon_114552yarmouth 1/3 2219/20?C'; , Natalia Apes Nails-Book Appoi ntments Online-Booksy Acrylic nails .$45.00 3h Manicure $ 20.00 1h Pedicure $ 20.00 1h Manicure / Pedicure $35.00 2h Manicure Gel $ 30.00 1h:20min .............._ _...._.. ... _._..__ ......... .... ... See Our Work No Photos Yet... This business has no portfolio photos yet. Reviews <i I-4C� Natalia Alves Nails 97 Quaker Road, Barnstable,02601 Share your. thoughts:Let's hear Its https://booIGycom/err us/326438_natal i a-alyes-nai ls_nai l-salon_114552yarmouth 213 f 2/19/2020, ,Z NataliaAl\es Nails.-Book Appointments Online-Bool6y B / Nail Salon / Nail Salons in Yarmouth,MA / Natalia Alves Nails Blog Careers About Us Contact Privacy Policy Terms of Service 0 T Switch to mobile view Y https://bool6ycom/errus/326438 natalia-al\es-nails nail-salon_114552yarmouth` 313 T Town of Barnstable Building Department Brian Florence, CBO Building Commissioner _ 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Y Date Map .� t 6 Parcel, �J ' Applicant Information Applicants Name N -tA l,i A O L i VC-5 NAS 't Applicants Address QI J d 6,A K.E ►`ZN RO A'7 E ail Address M ALU'4 U S`rAV 9 6 d_&I m A i U Telephone Number �t $G sted ❑ Unlisted ❑ Business nformation .. New Business? Yes X, No -------------- --------- -------------- Business is a registered corporation? _ p( " ---=------------. -Yes-. No • . . If yes Name of Corporation Does business operate under th registered corporate name? Yes No a Is the business a sole proprietorship o home occupation? __'______ Yes No'(- , If yes then a Home Occup tion Registration is required—See Building Division Staff t Name of Business i A_ i„i Business Address q n//ll i aL Type of Business t Building Commissioner Office Use Only Conditions , Building Commissioner Date -...-Clerk Office Use Only y: ,_ 0 Any individual, partnership or corporation doing business under a name, other than their own name or:incorporated :name, must file a.Business Certificate. Any individual,partnership or corporation doing business under a name, other than their own.name or incorporated name, must the a Business Certificate. The certificate fee is $40.00 and is valid for 4 years. The Business Certificate form is must be submitted to the :[3uilding Division for review and signoff by the Building Commissi.on.er. The form is then submitted to the Town.Clerk's Cf:fice f'or processing. Town Clerk Building Commissioner Barnstable Town Hall Town Offices 367 Main St, Hyannis 200 Main St, Hyann s 508.862.4044 508.862.4038 Udder the provisions of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of the Mass. General.'Laws, business certi.ficates shall be 1.11 effect for. four years froira.the date of issue and shall be renewed each.four years thereafter. A statement under oath inust be filed with the Town Cleric upon discontinuance or withdrawing from such business or partnership. Copies of such certificates shall be available at the address such business is conducted and shall.be furnished upon request-.during regular business hours to any person who has purchased goods or services from.such.business. VIol.ati.ons are subject to a fine of not more than three hundred dollars, ($300.00) for each month,during which such violation occurs. The issuance of a Business Certificate does not imply that all relevant licenses required to legally operate this business have been obtained or are current. This certificate only records that a business is being conducted Town of Barnstable Building))epartment �oFTKE Brian Florence,CBO °* Building Commissioner BARNSTABLE, � 200 Main Street,Hyannis,MA 02601 MASS. 9Q3 039. � www.town.barnstable.ma.us ArED MAi a - y , Office: 508-862-4038 Fax: 508 790-6230 Approved: Fee: Permit#: HOME OCCUPATION RLGISTR.ATIO Date: ,,� Name: hl A-t L.i d l nJF l,� jl� s ao N/Ajc:►r.Elshone#: Address: 91-� C UA&&-& iZO A 1) _Village: Name of Business: ^J A 1) !5 ' Type of Business: Na 11S M [Lot: INTENT: It is the intent of this section to allow the residents.of the T of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4- A of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there sh be no increase in noise or odor;no visual alteration to the premises which would suggest anything other th a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater poll on. After registration with the Building Inspector,a customary ho a occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent re ident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 squar feet of space. • There are no external alterations to the d elling which are not customary in residential buildings,and there is no outside evidence of such use: • No traffic will be generated in excess f normal residential volumes. • The use does not involve the produc on of offensive noise,vibration,smoke,dust oT other particular .matter,odors,electrical disturbanc 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 generate y such use shall be met on the same lot containing the Customary Home Occupation,and not within th required front yard. • There is no exterior storage display of materials or equipment • There are no commercial v 'cles related to the Customary Home Occupation,other than one.van or one pick-up truck not to exce one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked o the same lot containing the Customary Home Occupation. • No sign shall be displ ed 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 a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions formy home occupation I am registering. Applicant: � A�C.:-'A"'-'`�' Date: 0-Z. t 0► �,��0 Homeoc.doc Rev.10/17 c . w • Town of Barnstable Building Department �pfTHE ro Brian Florence,CBO o� Building Commissioner STAB 200 Main Street,Hyannis;MA 02601 BAMc+�►ss i639 www.town.barnstable.ma.us ��ED MA'1 A Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: o •40 a W. Name: M A2 c o S �:N`�o A/G.� �`A �kA-119 Phone#: I T'N 3 g 7 y� V Address: Village: ) N O LL W W Z ����� O Z ii Name of Business: v 1 7� O Z Type of Business: A tl i P g 5 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation 3: :(:D) 1JJ within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the. - W tt activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual � Q alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal O Z<- residential volumes;and no increase in air or groundwater pollution. N 0- After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the =i U following conditions: g • 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 morethan 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up track 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 a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.. q Applicant: M At C.A/�N lr i O Date: t Homeoc.doc Rev.10/17 ' Town of Barnstable Building Department Brian Florence,CB 0 Building Commissioner 200 Main•Street,Hyannis, MA 02601 www.town bamitabla.m&ns Pre-application for Business Certificate Date Parcel J 13 Applicant Information licants Name M AA G o S /�• C M V E i0-6 _APp. _...--.. . .... , _. - Applicants Address. Email Address /VA A 2 L,9 S- �A G Telephone Number ��{ J(v yam_ Listed ❑ Unlisted ❑ Business Information New Business? ------------------------------ Ye No Business is a registered corporation? -_-----_ __ -_- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes l Is the business a sole.proprietorship or home occupation? --------- No If yes then a Home Occupation Registration is required—See Building Division Staff NameofBusiness GI.,oW- Business Address ✓A -�e�L Type of Business Bmlding Commissioner Office Use O Canditio 1 r 'n 0 cAl"d4- Building CommissioneX, CrL, Date 6 Id- Clerk Office Use Only I _ ` own of Barnstable *permit# 1,0 Erpire6months r issue date pie Regulatory services Fe * Thomas F..Geiler Director BARNSTA P ioY92 Building Bivisiori F 0S Tom Perry, CBO, Building Commissioner 200 Maim Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-�1038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red.l'-Press Imprint Map/parcel Number , Property Address U G ]� �RIV /' 62 ❑ Residential Value of Work �j�J�©Q Minimum fee of$25.00 for work under$6000.00 Owner's Name&AddressD(J y � Contractor's Namekl4XILIo�,�/U�P Telephone Number Home Improvement Contractor,License# (if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner , © Lhave Worker's Compensation`Insurance ; Insurance Company Name_ C',CG�� EWECIt i! 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 �`5, existing layers of roof)" ❑ Re-side Replacement Windows/doors/sliders:'U-Value -36-.069 4(maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *.'*Nate: Property Owner must sign.Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. 5 _ > S I GNAT'URE: ' QAWPFILESTORMMuilding permit for ns\EXPRESS.doc - a Revise.020108 '4 _ ,�•._ N'lassachusctts- Dell"'.. of,Public Sitfch dI Re«ulations and-Standurdt`,; Board of Buddiu� ervisor Spec+altyrL� e4se kn"stritctlon Supr as, 999 Li 07 � . cense:, CS SL n WDM S �wr,'a' ' Restricted to: RF, ,,. � � _ �,A# y. M g ADILSON SEGOLINI 117 MINTON LANE •�� WEST BARNSTABLE, MA 02668 v� Expiration: 10/14/2011 99907 - C:ummissiunei' Board of Building Regulahons.and Standards _ i License or registration valid for mdividul use only a _ HQMEI ACT it MpROVEMENT.CONTRO before the expiration date [f found'returnto x RegistraT4ion et 1595g7 Board of BuildingRegulations and Standards Expiration 5/15%2010 Tr# 268223 One Ashburtod Place RR171m : Type 'DBAj Boston,Ma.02108 j SEGOLINI CONSTRUCTION ADILSON SEGOLINI� t �f 11�MIN ES LANE,' INEST i3AF�NSTABLE, h A`02668 Administrator: Notvalid'ithout signature { DIME Town of Barnstable Regulatory Services rM s,& Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, av as Owner of the subject property hereby authorize— - `-o- -=�=' `�Yd t�C� to '- to act on my behalf, in all matters relative to work authorized by this building permit application for. (7 Z 4:�'V/l e-le 161, -4-.1',�-f' ao� 6 (Address of Job) Signature of er Date r 4. \) I(—t.VIZ A IT K0 67['e Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FOP MS:0WNERPERMISSION 1'. �,aKWEr Town of Barnstable . Regulatory Services sAtwRxRr F Thomas F.Geiler,Director �-- >Ftess. . 163¢ � Building Division PTfD A Tom Perry,Building Commissioner _... .. __.._. ._.._...... ...- _.._ __ .....-200 Main:-Strect;Hyannis,MA 02601 wwFv.town.b arnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 HOWOWNER LICENSE EXEMPTION Please Print DATE.- JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to'include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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. The undersigned."homeowner"certifies that.he/she understands the Town of Barpstable•Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signahin: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 I D9.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall ad 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 hims unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would ould 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 fonn/certifrcation for use in your community. Q:fomns:homccxempt a ACORD -TM CERTIFICATE OF LIABILITY INSURANCE 106/11/2009 UA YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 MAIN ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED _ INSURER A: ' Adilson Segolini D.B.A. Segolini Construction INSURERS. GRANITE STATE 117 Minton Lane wsuRERc: INSURER D: West Barnstable, MA 02668 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVIL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE. POLICY NUMBER DATE(MMIDD/YY) DATE(MM/DD/Y`/) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS ` (Per person) HIRED AUTOS " BODILY INJURY $ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-FA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ 7 T EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR ❑CLAIMS'MADE AGGREGATE $ DEDUCTIBLE $ ` RETENTION $ $ B WORKERS COMPENSATION AND WC 874-48-33 05/23/2009 05/23/2010 X I TW,,C MITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ADILSON SEGOLINI IS COVERED UNDER HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION NONE ON FILE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 21 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND O E INSU AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 The Commonwealth of 1{Massachusetfs Department of. ttdustrW Accidents Office of In'estigations 600 Washington Street Boston; AM 02111 1 �- www.mass.gov/dia Workers' Compensation 7nsiarance A-ffidavzt: Builders/Contractors/Electridans/Plumbers Applicant formation Please Print Legibly Name (Business/Organization/lndividuan: o City/State/Zip:1/t��s� �, S�i9��C ® Phone.#: j d :�3 J�C��/ e Are you an employer? Check the appropriate.bo7c; Type of.project(required): 4. 1 am a general contractor and I 1.❑ I am a employer with 6. ❑New construction employees(full and/or* havc hired the shb-contractors 2.❑ I ant a sole proprietor or partner- ��on the attached sheet 7. ❑Remodeling ship and have no croployees 1 hese sul�-conhactors have g Demolition employees and have workers' working far me m any capacity. $ 9. ❑Building addition [No workers' camp.-i a n-ance comp.i EL aoance. 10 Electrical re airs or addition r�uired_j 5. � We arc a corporation and its � P 3.❑ I am a homeowner doing all work offi ers have exercised tbeir 11.Q Plumbing repairs or addition myscLE [No workers' camp. right of exemption per 1v1GL, 12 ❑Roof repairs inc[iranCe I t c. 152, §1(4), and we have no . dj employees. [No workers' 13.❑ Other comp,m urancc rcquircd-j ' *Any applicant that ebxlz box#1 must also fill out the section below showing fficirwork='cornptc=ficn policy infmmation- t Hon--%ma" s who submit this affidavit indicating 6cy m-e doingall work.and thm hire outside contmctors must submit anew affidavit indi�g such k"=b aetDrs that ebmlc this box must attached an additional sheet showing the name of the sub-ecmftach=and state whtthcr or not thosd tntitirs have anployecs. if the sub—contark)n have amploycrs,they mnut provid6 their workers'arrnp.policy ntunbcr. lam an einplayer that rs pravidixg workers'compensation ixsrirance for my employees $'craw is the policy and jab site infvrmatinrt, - . : Iann-ance.Company Namc:� Policy#or Sclf--ins.Lic.#: ExpirationDatc Job Site Address: City/Sta-tc7ip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and erpiratiou date). Failure to secure covcragc as required under Section 25A of MGL c. 152 can Ica:d to the imposition of criminal penalties of a n 5n tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fi of rip to$250.00 a day against the violator. Br,a.dviscd that a copy-of this statcmcut may be forwarded to the Office of Inyesti -a.tians of tho DIA for inctu=c coycragc verification. -- I do,hereby certify under the pains-and penalties of perjury thaf the informafion provided aboije is true and correcL 5i c: Dates: — . . Official use only. Do not write in this area, tb be compl&&ted by dty or town official City or Town: Permit/License# Issrung kuthority(circle one):- 1.Board of Health 2.Building Department 3. CitylTowu Clerk 4.Electrical lnspector S.Plumbing Inspector 6. Other r+ f vo Phone#: .,..i . ."L ;i 'fy 7^ L+t.`.fJ�!"! ....f+-•���+'x�, _'-tir'...'w..rys:v... -�'r+'sv�r,. � 1.i�,.:.r::.ram '4...!«,. �oF.ME,o,�ti Town .0f:B.amstable BARNSTABLE. • Regulatory Services 9 MASS. �► - _. _.•-. .._...t639.+ Building.Division 200 Main Street, Hyannis;MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection P Location Q -7 �� �CEA, Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: s t{M X`T' : 0 art U�t S o F'J2oP�f� E G dZ�5 Ft y (�r '(p`C F/x=!Y `f (g A71( 17-c#C1 L-ou v Rr=ovz F2- gip.. � X FOR- (-0 U S L ` C_ C -ro C.OD 0A 7W,.1 q-- ?D 0-o�Z -tz� ccabeS7 A TH G-A�04 6- G-- R- Please call: 508-862-4038 for re-inspection. ; Inspected by _ Date i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# bo��✓U Health Division Z� �(D` ^ L b 7s Permit# Tax Collector Date Issued O 6 Treasurer Application Fee 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ! 7 U Ak FKC Village P�6N'Nt 5 Owner C,4&T7D&) �-S t L•VA— Address T�4WL&! f)1^• Telephone 5 0 - 13 �— -2 y aj Permit Request -t-O ��04 -6 V L�, I<- t T- CC 14 E IA T-0 -to ke: �- s FA-P-f i z_y k67S t -cczw cam' Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District < Flood Plain Groundwater Overlay zf -Project Valuation '_-) © Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: -Single Family Two Family ❑ Multi-Family(#units) Age of.Existi`ng Structure-,, Historic House: ❑Yes e�6 On Old King's Highway: ❑Yes ;(No •=) L� Basement Type: )6ull}-' ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)) Number of Baths: 1 Full:existing new Half:existing oC new Number of Bedrooms:. existing new Total Room Count(not including baths):existing 0 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 ANo Detached r •etac ed garage:❑existing ❑new size Pool:❑existing ❑new size Barn: xisting ❑new size Attached garage:�*existing ❑new size Shed?,-existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes,site plan review# .. T.�_. ,-_ - P., s: — _ _-_ -proposed Use. Current-Use "�"I::Y..� ��" -- _ � � -- - - -- - - -- --. BUILDER INFORMATION Name L V Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBR ESULTING F M THIS PROJECT WILL BE TAKEN TO i SIGNATUR DATE k FOR OFFICIAL USE ONLY l PERMIT NO. 3 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER- . -- DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS- ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. T . fine tammonweacrn Department of Industrial Accidents W Office of Investigations W 600 Washington Street Boston,AM 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 9 7 kvLki} - / City/State/Zip: ' 6 a Phone #: Are you an employer? Check the appropriate box: Type of project,(require€i): 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 1 These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its equired.] officers have exercised their 10.0 Electrical repairs or additions 3. am a hoMeMN Lsr doing al?work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12,0 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other camp.insurance required.] Any applicant that checks box#P1 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 their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob 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$1,50QTeDO d/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 gainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of for insurance coverage verification. I do reby cent n er t ains,and penalties of perjury that the information provided above is true a correcz Si a /�����' ,� Date: 6 0 Phone#: Official use only. Do not write in this area,to be completed by city or town official e City or Town: PermWLicense# Issuing Authority (circle one): 1_Board of Health 2.Building Department 3.CitylTowa Clerk 4.Electrical Inspector 5.Plumbing Inspector 1 6. Other Contact Person: Phone#: i� 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 oflhire, 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies q—L.Q 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 permit/license 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel, L 617-727-4900 ext 406 or 1-877-MA SSAFE Fax 1 617-727-7749 Revised 5-26-05 WVV-w.ma s s.go-v/daa oFt"EjWy Town of Barnstable Regulatory Services * BARNSfABLE, v MASS. g Thomas F.Geiler,Director i639• �0 '°�Fc►9+" Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ww,w.town.barnstable.ma.us 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: T A66A Estimated Cost ©'0, CrD Address of Work: ( 7 eO Ui+66X Rd, — Owner's Name: L f ! -ro m �l `VA- Date of Application: �o c I hereby certify that: Registration is not required for the following reason(s): �❑ ork excluded by law b Under$1,000 ❑Building not owner-occupied ❑Owner 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 Si a e Registration No. Date Owners ig tare Q:wpfiles.forms:homeaffidav Rev: 060606 Fm 3 . I (0. 2 i � .-Y. I 'o Ac f Town of Barnstable OFTHE Tp� - . Regulatory Services II sAiwsiAsre. ; Thomas F.Geiler,Director 9 MASS. 16yg. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnst1ble.ma.us :fice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 7 6 Of4 JOB LOCATION: number street village "HOMEOWNER f OV`J r`L .name home phone# work phone# CURRENT MAHJNG ADDRESS: yley ®� 0 ci /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 Persons)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-familydwelling,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 co es, ylaws,.rules and regulations. The under geed"homeowner" ertifies that he/she understands the Town of Barnstable Building Department e lion proced d requirements and that he/she will comply with said procedures and Sign re of H 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 persons)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/ce cation for use in your community. Q:forms:homeexempt TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION, Map O Parcel ti, Application #�, X ,►U�� Health Division Date Issued 4 Conservation Division Application Fee - Planning Dept. Permit Fee '<</ Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis . Project Street Address Village All - . Owner Address Telephone �` ° J d,-7 Permit Request (� �✓[� /U �/�1/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ' Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Icza Age of Existing Structure Historic House: ❑Yes [;P4o On Old King's highway ❑Yes ❑ No Basement Type: XFull ❑ Crawl ❑Walkout ❑Other n cry cry Basement Finished Area(sq.ft.) Basement Unfinished Area(s ) = Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new C-n cc na /'rT Total Room Count (not including baths): existing new First Floor R om Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No - Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage4existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Y4go If yes, site plan review# - Current Use S/ �(oJyt Proposed Use -APPLICANT.INFORMATION (BUILDER OR HOMEOWNER) Name Ile Telephone Number �Z Address License# MIT Home Improvement Contractor# Worker's Compensation # �W� �/2 k/? ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE fro FOR OFFICIAL USE ONLY 1 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f OWNER :tr DATE OF INSPECTION: FOUNDATION x FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH i FINAL GAS: ROUGH FINAL FINAL BUILDING cq(� - a $ DATE CLOSED OUT ' ASSOCIATION:PLAN NO. ' The Corntnon wealth,ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): A4 Address112 ��' City/State/Zip: N6 Phone �W2 Are you an emp yer? Check the appropriate box: Type of project(required): I am a emP toY er with 4• ❑ 1 am a general contractor and I 6. ❑New construction employees (full and/or p -tim.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling sbip and have no employees These sub-contractors have gmmolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp, insurance comp. insurance. required.] 5. ❑ We are a corporation and its 1.0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance requited.] *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 thcn.hire outside contractors must submit anew affidavit indicating Stich. XContractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have ernployees. If the sub-contractors have employees,they must providt their workers'comp.policy number. X ant an employer that is providing lvorkers' compensation insurance for my employees. .Below is the policy and job site inform ation. Insurance Company Name: 17 Policy#or Self-ins. Lic. #: Y"l �r/Lo� l2 �3 ExpisationDate: Job Site Address: /Y//l/ J ' 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 certify der the pains and penalties of perjury that the information provided above is true and correct Si ature: Date: 44 -,?G Phone#' CS U 7?f' Official.use only. Do not write in this area, to be completed by city or town offfciaL City or Town: Peru-tUI icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Toy•m Clerk 4.EIectrical Inspector 5. Plumbing Inspector. 6. Other Contact Person: Phone#: 'NOV. 4. 2008 3:39PM RREMI E. ASS SER N0, 3737 P. 2/1 _HE Town of B� ru-stable a Regulatoiry Services MAUL Thomas F.Geller,Dlreetor $uildxngDivision Tom'Forry,.$uIlding:Commissioner 260 Main Stree,Hy ,MA 02601' wta+WJ0*n.b arnstable.nia.uq Office: 508-862-4039: Fax 50,8490-6.230 Property Owner Must Complete acid Sign Ibis Secdoii Ifusim—r ABuilder L Prebdere ssee service ,fls Owrie . :of the;subjea#mpdr.y herd 1Vauthorize: M..1 Nardone to'�4t on,ruybeh& h2 aU.matte" rydatj te;to.work at*hgn'Md.by~t:b9 buM g pemit-ppEcation for. 97 ga.ater Road; Ryannis. Mf 026:01. (Adafress Ojob) Sibnature.:Q 4t : -Date Piint.Namc �f o e - _ e is applying v `peTIMt please:complete tie , Homeowner.; Licerae Bxcmption.Fonn on the tevexse.Side, q:TMI?MS?OW1'Mu' C tSstoN f g1W -P Board of Building Regina ons and =and'ars One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 135887 r t _ Type: Ltd Liability Corpor Expiration: 5/16/2010 Tr# 266283 M J NARDONE CARPENTRY LLC t = y f Y MICHAEL NARDONE 947 RT 6A � YARMOUTH, MA 02675 - ` Update Address and return card.Mark reason for change. Address Ej Renewal Employment Lost Card DPS-CA1 is 5OM-07/07-PC8490 � Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License. CS: 81139 Restriction: 00 Birthdate: 9/16/1963 Expiration: 9/16/2009 Tr# 3828 MICHAEL J NARDONE 947 TR 6A YARMOUTHPORT, MA 02673 = Update Address and return card.Mark reason for change Ej Address Renewal Lost Card DPS-CA1 Co, 50M-OS/OEPC8490 - z z NOTICE - NOTICE TO ' TO EMPLOYEES EMPLOYEES 4 The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: NorGUARD Insurance Company NAME OF LNSITRANCE COMPANY P.O. Box A-H 16 South River Street Wilkes-Barre, PA 18703-0020 ADDRESS OF INSURANCE COMPANY MJWC912413 04/25/2008 04/25/2009 POLICY NUMBER EFFECTIVE DATES PAYCHEX AGENCY, INC. 150-Sawgrass Drive_. ..._ .._. _ ...._._. ...._ 877-266-6850 Rochester., NY 14620 NAME OF INSURANCE AGENT ADDRESS PHONE MJ Nardone Carpentry LLC 10 Barnboard Lane West Yarmouth, MA 02673 EMPLOYER ADDRESS 03/26/2008 EMPLOYER'S WORKERS COMPENSATION OFFICER (IF A::iT DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Rep.ort of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the LVAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER U. Wvi. 'v" h.l f .il i? F Jf r 3 h _ z ryh�r- _ 'we Nk (� k u A _ N +b t uva�C� o� � `lu�aelta 1 �� �o,,,�noru License or registration valid for individul use only �x Board of Building.Regulations and Standards �Ffi before the expiration durations and Standards � , { Board of Building Reg HOME IMPROVEMENT CONTRACTOR One Ashburton,Place Rm 1301 �u p tdrr ;. lug Registration;135887 t`" R , Expi raton 51i f612010 Tr# 266283 Boston,Ma.02108 # e ,,Lability COrpor t t " _ CARPENTRY LLGj _ M J NARDONE — -- :x 3; { MICHAEL NARDONE L" valid without signature MA 02 75 Administrator ` { 947 RT 6A YARMOUTH, I r ' -. _tee+ �h`� 6� 0. 5,4 / r yard of$ od.---oouue2l `.., +,. xiµ ,� a � ` ui1 n t � r WiNm i onstructiod� gRegu/ations� �a ti n sV and St a�"" i ,o kt�}, 3 -: B'LIC@tIS@: C$rvisor Licetlse andards � °� " Ihdate g/:16/ 86339 r � *�� �`kt ' ;' Exptratton 4 1 u * = � a� +t'fi "" MI Rj`strcn 003 +r0g 12 T ° �? ' �. CHAEL J (i r r 3828 r 1 �4 1A 4 Rp 947 7R 6 Nq (q E =ar Y ter` s � YgRM A � f!:f s> ' r �, t r, ; �= Ol1THp + R tea i` .. ��r:��,r-a:'n7aT,'gF�S'v�•��19�� `R�IIA�r� • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �' l Map � I 0 Parcel � � 3 Application# �� ,�� ��L�4 Health Division Conservation Division Permit# ,eax Collector b (AI. Date Issued �h �� Treasurer Application Fee-<�b -oo Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis �✓T"— Project Street Address 9 1 Village Owner C I ay�'�o►. � �V Address vj y (- Telephone 5�,A 4 2° Permit Request Q 2.M.0'v_ 1 1�-� w re ,mak two s o ,nqs v v Square feet: 1 st floor:existing propose 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) / Age of Existing Structure co Historic House: ❑Yes ❑No On Old King's Highway: O Yes-.*,' ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name QLN4 41n. 42, Telephone Number S�c�' L l!' �7 9 2!J Address I S p►9e !SC7$ 71 o 3 6 oy Ar," N 1 S — IV\ A ° Q2(_,D 1 Home Improvement Contractor# Worker's Compensation# y ALL CONSTRUCTION D RI S RESULT( M THIS PROJECT WILL BE TAKEN TO SIGNATURAV-1144 s DATE 0, &4J- ` t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. i ADDRESS V ILLAG E OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k OF1HErpk, Town of Barnstable Regulatory Services * BAMSTABLE. MAM Thomas F. Geiler,Director �p 039. �0 rF�p„pr6. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: File DATE: 6/13/06 RE: 97 Quaker Road, Hyannis Paul Roma has approval from Tom Perry to issue permit 20061017 to remove 1 kitchen to restore the house to a single family with an apartment. Will remove the basement kitchen and make two 5' openings in basement(see floor plans). The new owner has 30 days to apply for a family apartment or must apply for a permit to remove the second extra kitchen. Property is limited to 3 bedrooms. r +Department oflndustrial Accidents r Office of Investigations 600 Washington Street Boston, MA 02111 ' wwt�masagov/din � ' Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LegibIy- Name (ausiness/Organizaton Tc&Yidual): ' Address: City/StatoZip: • .v`. A_N �/ - I1 6 P'Phone M r �� �`11-tw /- q 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 (M and/or part-time. have hoed the sub-contractors 2.LEI am a sole proprietor or partner- lasted on the attached sheet t & ❑ Remodeling ship and have no employees These sub-contractors have ❑ Demolition working for me in any capacity. workers' comp,hm=ce. 9. ❑ Building addition [No workers' Comp.insurance 5. ❑ We are a corporation sad its required.] officers have exercised their 10.0 Electrical repass or additions 3. I am a homeowner doing all work right of exemption p er MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insuzance required:]t . employees. [No workers' ME] Other comp.insurance required.] *Any applicant that checks box#1 most also fill out the section below showing their workers'ocmpensation potieyzafasmetioa: t Homeowners who submit Ibis affidavit indicating they are doing an work aadi'heu hire outside contractors must submit a new affidavit indicating mob. ;Con b actona that check this box mast attached an additional sheet showing the name of the sub-contra,ators and their wor3ters'camp,policy information. ram an employer that is providing workers'compensation insurance for.my employees: Below is the policy and jab site information. ' Insiuenc6 Comp any Name: .. Policy T•ar *.Lin.t E=fiatim Dirk: lob Site Address: City/5tste(Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to seearc•coverage as required undet Section 25A of MGL c. 152 can lead to the imposition of criminalpenalties of a fine lip to$1,50040 and/or one-year imprisonment,as well as civil penalties in the.form of a STOP WORK ORDER and a fine of up to$250.00 a day' zi3st the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. 1 do here c -� r the pains nalties of perjury that the information provided above is true and correct Si Date: Phone#; �L 13f Girl f . Do r& £-in M1 area,to be c feted CA),-OF offixid City or Torn: 11ermit/Licewe# L-suing Authority (circle one) 1.Board of Health 2.Building Department 3.City/TI own Cleric a.tlec&icai inspector 5.Flumbing laspeztor• 6.0ther Coeact Fersotil: Phone#: f ° THE rqy, Town of Barnstable Regulatory Services saxMASS. Thomas F.Geiler,Director 9, a 9�A i63 `e$' TFn 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 Permit no. Date AFF IDAVI T 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: I1,eml)ve K�e��� ' a e ci 114•Lirt✓1 B Estimated Cost Address of Work: (Quo,4—(z d Owner's Name: �.l0��'�i(1 ((J01— Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner 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 Signature Registration No. O Date O er's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 Town of Barnstable �FTME fps Regulatory Services $iA Thomas F.Geller,Director b 9 � Building Division pjFO�.t A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: O6- 0S -- 06 M r� JOB LOCATION: /;7 Uc ce n ber street village `HOMEOWNER' f 0� _� i S0$ 7-1 n 36 0 Y .name- 7 home phone1# work phone# CURRENT MAUNG 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-familydwelling,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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re ents. Signau4rof 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 persons)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:forms:homeexempt b n ' I r i a 8 n m ;I 3 CD i V - � o - � o Li 3 C CPm '_t co l � now Li asomm- S � I I f _ IHEr°w The Town of Barnstable RARE. 'MASS. Department of Health Safety and Environmental Services V $ 039• �0 plEOMP+� Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice 67 Type of Inspection Location � (� Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: Please call: 508-862--4038 for re-inspection. Inspected by '[ O'-J P-d -- Date 4- cFTHE 1ph, Town of Barnstable �O Regulatory Services * snitxWABLE, 9 MASS, g Thomas F. Geiler,Director �ArE019.�A Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Paul FROM: Lois DATE: 6/14/06 RE: 97 Quaker Road, Hyannis Clayton Silva came in, picked up building permit and paid $25. He may decide to remove the second kitchen rather than applying to Amnesty. If so, can he do so under this permit if he submits new floor plans? He'll be in touch with you. He may see a lawyer and see if he can get out of the deal all together. . . °: The Town of Barnstable • anxxsraei.E. • ; Department of Health Safety and Environmental Services 1639 '�Fo►�+°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner T i December 1, 1999 Mr4 Deanna Finlay 105 Seth Goodspeed Road Osterville MA 02655 RE: 97 Ouaker Road,Hyannis(Map#310/Parcel#313) ' Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring the above referenced property to a single-family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to file a complaint in District Court. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT.OFFICER /kl q:forms:zoning.I f °F IHE The Town of Barnstable 9� MAS& Department of Health Safety and Environmental Services 039. 'OlEDN10'�p Building Division 367 Main Street,Hyannis MA 02601. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 17, 1999 Ms.Deanna Finlay 105 Seth Goodspeed Road Osterville MA 02655 RE: 97 Quaker Road,Hyannis,Mass. r Dear Property Owner: Our records indicate that your house at the above referenced location is currently being used as a multi-family home which is contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: • apply for a building permit to restore the property to a single-family home. • apply to the Zoning Board of Appeals for a variance,or • prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER /kl q:gloria:991117a Engineering Dept. (3rd floor) Map 16 Parcel jz� ie/fk -Permit# .x o 5 05-- House# �f �,� � Date Issued A/JUdai /rd of Health(3rd floor)-(8:15 -9:30/1:00-4:30) '�O � Fee ^,D U V/Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) FINE sr BE Definitive Plan Approved by Planning Board 19 SEPTIC LIANCE 1N�'i�L W 6 TOWN OF BARNSTABLlbvIRONMODE AND Building Permit Application N RF'' Project Street Address Q U 6e�j't- Village 0-7-I AJ i C h Owner A !=I fl L A Address 97 Telephone -7 2,oi , Z �� Permit Request First Floor square feet Second Floor square feet Construction Type R 2 L.4, /7)&-e-1 Estimated Project Cost $ 4 Qp D. a-0 Zoning District Flood Plain Water Protection Lot Size 67 �. '? Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family W Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: f,1 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z New Half. Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: W Gas ❑Oil ❑Electric ❑Other Central Air aYes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Cnirage: ❑Detached(size)_ U )( 30 Other Detached Structures: p Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name �J-�,� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE . e� DATE - BUILDING PER T DENIED FOR THE F OWING REASON(S) : ' r FOR OFFICIAL USE ONLY PERMIT NO. . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION F _ FRAME y , INSULATION - FIREPLACE a ELECTRICAL: ROUGH FINAL ' PLUMBING: Rin611 FINALkr GAS: RoulGH `. FINAL FINAL BUILDING s r' DATE CLOSED OU,T ASSOCIATION PLAN NO. ' a✓pry � `"• ' r � � '►ems I . r , ram_ � � � � '� ,/ I►�. �._ � r�i i r Cyr"« � �� ; �'��� , + ,,��� , �• � I � Ate► : �f/ t. � �, ,. . . ( 1 • The Town of Barnstable RJURMAZZ 9 M �0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissionc t For office use only Permit no. I 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: 444,,�,► Weft rL Est.Cost 0-e5 Address of Work: G /1�-tom✓ V Am-ri Owner's Name -�>C--A4JA!1�: Z IL t Date of Permit Application:_T�r�� 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner 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. OR / 1 x ikA ci A 4 The Conttnonit•calth of:ltassachusctts • •hi ;— j•�:- Dc parlmcnt of Iudustrial.4ccitients z °1• ! office ofAW St/921/offs 6011 11 U1I11/1g-1(1/t S1rCct �s; �• Bostu/t•Alas. 02111 `-' workers' Compensation Insurance Afriidavit �linlicint inftirntatitin'• _.._ . ..._ Plc�se PRINT Ie; jY "`"��•~'—�� �!V --�-+ name, D Eli , A• T �1N C.�I.•� It ion. 7 tJ I' city' k f 4S-JVW t rC I am a homeowner performing all work myself. [j I am a sole proprietor and have no one working in any capacity r I am an employer providing workers' compensation for my employees working on this job. coinium, natne• 1tltlrccs• city • Phone it• incurincc cn nolic�•# ._.... ... .-r„ -,.,......ter--•-••---•-.•........... �..—..... �..�..-...�.- _. ..�..�. •— [I I am a sole proprietor, general contractor, or homeowner(circle ogre) and have hired the contractors listed below who h, the following workers compensation polices: comnitn• nitnc• 1t1(1reSi• Ciry- nhnne • nn11CS' incurincc rn _ =7 cmmnlnv nntnc• addresr. rite•• phone ft• insurince co noiic�• _ Attach additional sheet ifneeessarv T••'_ 4 -•_. --+:":";;L'._' ;=��.;" """'""" '.' :w•::=: Failure to secure coverage as required under Section:SA of AIGL 152 can lead to the imposition of criminal penaities of a tine up to 51.500.00 andiu unc cars' imprisonment as Weil:is ciVil PCn21tiCS in the form 0172 STOP WORK ORDER and a fine of S100.00 a dad•against me. 1 understand that cope of this statement Mai be furn•arded to the Orrice of Investigations of the DIA for coverage verification. 1 do herehv cerrifiv Cr the pains and penalties of perjurt•that the information provided above is true and correct. Si_natur Print name �e' —J 4 1`" t N (At Phone �ofiiciai use univ do not write in this area to be completed by tiny or town GM621 `+ 3uirdin:Departpermittlicense ment tin ortmcn• ❑Licensing Huard C3 ►_ check if immediate response is required ❑�eleetmen's Orrice ,< ❑11eafth Department phone sty rnUther contact person: _ • n ormation and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the -law**- an enrpluree is defined as every person in the service of another under anv contract or express or implied. oral or written. An rnrplt rer is defined as an individual. partnership, association. corporation or other legal entity, or an two or more . the fore�_oim: cnuaged in a joint enterprise, and including the le al representatives of a dec=cd 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 dwellina house of another who employs persons to do maintenance , construction or repair wort: on such dwelling_ hour or oil the --rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. v1GL clutptcr 152 section 25 also states that ever%• state or local licensing agency shall tvitlihold the issuance or -enewa►l of a license or permit to operate a business or to construct buildings in the commnvealth for an• ippiicant who has not produced acceptable evidence of compliance ivith the in coverage required �dditionall neither the commonwealth nor any of its political subdivisions shall enter into any contract for the �crformznee of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha Teen presented to the contracting authority. .plilicants :ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and ipplyin`_ company names. address and phone numbers as all affidavits may be submitted to the Department of :dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidnvit. The Yidovit should be returned to the city or town that the application for the permit or license is being requested. it tite Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required obtain a workers' compensation; poiicy. please call the Department at the number listed below. :ty or Towns ::se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of _ affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. Office of Investi=ations mould like to thank you in.advance for you cooperation and should you have any questions. :ase do not hesitate to uive,us a call. e Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations - 600 «'ashinbton Street Boston,Ma 02111 fax #: (617) 727-7749 phone -r"r: (617) 7274900 cxt. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ease print. DATE 7. 97 /�/OB LOCATION v SIC Number Street address Section of town "HOMEOWNER" A r 9/s Name Home phone Work phone - ity town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officia on a form acceptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will compl with said procedures and requirements. HOMEOWNER'S SIGNATURE ,�•� kol APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section log. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a persons) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Ater responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the lazt page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. THE T TOWN OF BARNSTABLE ,639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ZE-Al/V/S r1'1 " TYPE OF CONSTRUCTION v ,Q� S` �'e � '� •:•�•............. ..... ............................................................. .............. .....l ..19... TO THE INSPECTOR OF BUILDINGS: The undersignnGe��d hereby applies for a permit according to the following information: Location .......1... ....... ... ..:... .1..................... ProposedUse .........� .. ...................................... ............1............................................................. ZoningDistrict ........................................................................Fire District ... .... ... . . .... . .. ............................... ... ............. bole'Name of Owner ...............................................................Address Nameof Builder ..........................`........................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .. ........................................................... Exterior .......... .........................../.................. .........:............ Roofing ........... ....................................................................... Floors .......................................................................................Interior ./! -.................................................. Heating ........ ....................................................Plumbing ....... .......................................................... d-9 Fireplace .......... `:...... ................................................Approximate Cost .................................................................... Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions /� / 02 71 -73 ._y. t r Ltl I o I hereby agree to conform to all the Rules and Regulations of the Town of Ba nstable regarding the above construction. Nam ..... ............................�f ........................... � Carey, Dennis M.. ���� � � ���� ��°� � � o�x � l�l0� _�_-. garage No ................. Permit for .................................... ` ----.—...,—.--.---..—...—.—~—,—.—.' | � 97 Qaaker Road. Locohon ---..----- .—....-----'' Hannis � 1 ^—`---^—'.....y...........—^-~----------- � . Dauz��a �� Owner ~—'—`'----`^''--`~^—^--~'—^— frame Type ofConstruction .......................................... _ | ----'—^'—'^'--'--'—^--------'--- ' Plot ............................ Lot ................................ ` . Permit Granted ....... .} lg 7I \ '' ----- ----- \ � Date of Inspection —. ........ Q ' -- ~ Date Como�»ha6 ��������—.�.�--]9 � ^p , � y - � u PERMIT REFUSED .--.—..'-.—..-------------.. lR \� � \J ^.—.—..--~..,..--,—...—......----.—.. / ^ l ~''—`'~^^^~^'~^^'~^^~^'-^'`'^^^^^'—~—~~'—' [~�^ . ° `~-^'--~--`-----'--'^--^^^^—^^'—'— ' _ _'-----.,----._.....--..,~~.~^~.— � ^ ' ' ` Approved ............................................... 19 ^ -------'—'----------^^----'-- -----------^---^--^---'~—^'^^^ � � ~ L�� . f oF"E The Town of Barnstable • snxxseABM • � Department of Health Safety and Environmental Services ArFO .�► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Irate RE: Dear Property Owner: Our records indicate that your house at the above referenced location is currently being used as a -family home which is contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: • apply for a building permit to restore the property to a _-family home. • apply to the Zoning Board of Appeals for a variance,or • prove that this is a legakZA j G -family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER /kl q:fonns:zoning.2 '� S f . � Y C� �'V RESIDENTIAL PROPERTY MAP NO. LOT NO. STREET r?Lzaker Rd. H FIRE yannis LAND �-/ o 0 DISTRICT H SUMMARY 3 310 3i3 OWNER a) BLDGS. 07 y 7 So TOTAL -3 1 3 s 0 LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: /a i'3.�z BLDGS. 8 .29. 69...... 79. 1e.as � d s TOTAL �:I�t-y- —Cerald...t:. .... ....._. ............... _.. �........ ............_. ...._..... coP moo• "c r 1 LAND ..6 -22,..70-_ . Ctf. .48815,1. o � BLDGS. �S oo... TOTAL q-7 f 000 LAND { / QILA?-E& Rd, ►4NNI•y BLDGS. TOTAL LAND BLDGS. O) TOTAL LAND O1 BLDGS. TOTAL LAND BLDGS. m �" TOTAL LAND INTERIOR INSPECTED: l i BLDGS. TOTAL DATE:✓� /. ?js` - i ,� ✓✓///ll(((", .4 C, «'ii ' 3 r LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT �, �'' y /. ,`> % ,a ` 0 0 LAND CLEARED FRONT O BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND .� 0 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. at HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. one.Walls Fin.Bsmt.Area Bath Room Base /7/ JO L T BAANG.ND COST T one.Blk.Walls Bsmt.Rec..Room St. Shower Bath Bsmt. ,a •';� me.Slab B PURCH. DATEsmt.Garage __ St. Shower Ext. Walls PURCH. PRICE. •ick Walls Attic If&Stairs Toilet Room 0 T r^ /° lV u one Walls Fin.Attic Two Fixt.Bath Roof RENT:)00 /m Floors ors INTERIOR FINISH Lavatory Extra mt. f T23 Sink ' w> 4- <// ,.Ire..;. �p 1/21/4Plaster Water Clo. Extra Attic / R'J /' EXTERIOR WALLS Knotty Pine Water Only uble Siding t/ Plywood No Plumbing Bsmt.Fin. igle Siding Plasterboard Int.Fin. )CO Shingles 31j4 TILINGCeR u.Blk. G P Bath Fl. Heat 4- 1. ce Brk.On Int.Layout V, Bath &Wains. Auto Ht.Unit 4- Veneer Int.Cond. Bath Fl.&Walls Fireplace {- m.Brk:On HEATING Toilet Rm. Fl. Plumbing id Com.Brk. Hot Air W Toilet Rm.Fl.&Wains. Tiling _ Steam Toilet Rm.Fl.&Walls rnket Ins. V Hot Water St.Shower )f Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS rh.Shingle Pipeless Furn. /o s- S.F. . od Shingle No Heat y S.F. / 70 >s.Shingle Oil Burner to Coal Stoker S.F. PIR r Gas S.F. OUTBUILDINGS 'ROOF TYPE Electric ale Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 21314 51617 8 9 10 MEASURED � Mansard FIREPLACES S.F. Pier Found. FloorG i mbral Fireplace Stack Wall Found. 0.H.Door / LISTED FLOORS Fireplace Sgla.Sdg. Roll Roofing ` Ic• _ LIGHTING Oble.Sdg. Shingle Roof /' `{ ` th No Elect. DATE Is Shingle Walls /' Plumbing :�.?/ rdwood(U ROOMS Cement Blk. Electric / W A.Tile Bsmt. 1st TOTAL �� Brick Int.Finish - PRICED Igle 2nd 3rd FACTOR - 0 �/ (✓� "3 REPLACEMENT a 3 U j OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. VLG. .�171 �- • . 6 0 . a o s 3 .�a 3 7a a 3 sa �3 77- A �s as aGav 2 3 4 6 6 7 9 9 O TOTAL a �/y S-0 Property Location: 97 QUAVER RD MAP ID: 310/313/ Vision ID: 25847 Other ID: Bldg 1 Card 1 of I Print Date:1111611999 MITZ, 7 111_77 TJ�A, "i L'1V-T-"' k INLAY,VLAININA J Ve-scription Code Appraised value Assessed Value 24,8U( 801' 105 SETH GOODSPEED RD RESIDNTL 1010 70,70( 70,70( OSTERVILLE,MA 02655 RFSIDNTL 1010 7,20( 7,20( E DA TA-Barnjstable, I I It 228 4 Flan KCT. -r ax Dist. 400 Land Ct# Per.Prop. #SR Life Estate #DL I LOT 34 Notes: VISION #DL 2 LC 21173 GIS ID: I otal 102,7U lffrj� F -,,0�UTA-W,Lq �NALILIPA�,"GIL V.'.(*"� �' ""k "�"" 5-a-&5-am�qv "'10 SA ME ",fUK N,� 'A W AMP q��" IA Yr. Codej VINLAY,IMAININA J U14J4UJ U11L111yy' U I Assessed value Yr. Code Assessed Value Yr. Code Assessea value FINLAY,BROOKS T&DEANNA C116515 01/15/198� Q 1 115,501 -1999 1010 24,9W 1"' 1010 24,801 NESTOR,THOMAS J&KATHLEEN C109121 12/15/198( Q 1 109,001 19991010 70,70(19W 1010' 70,70( FUSCHMANN,ROBERT L TRS C104106 11/15/198! Q 1 88,001 1999 1010 5,80(19W 1010 5,80( STUART,ROBERT D&MARION C67630 Q Total. -M,30( ToWil 10i'm -----Y-auata(,a or ip�ature acknowTedges a visit y Year lypelDescriplion Code Description Number Amount Gomm.Int. Appraised Bldg.Value(Card) 54,600 Appraised XF(B)Value(Bldg) 16,100 Appraised OB(L)Value(Bldg) .7,200 Appraised Land Value(Bldg) 24,800 Aw`4r'-?"'TV' "T"T 'N & Ak� Special L d Value U MU&1"' A an Total Appraised Card Value 102,70( Total Appraised Parcel Value 102,70( Valuation Method: Cost/Market Valuatior NetTotal Appraised Parcel Value 102,70( -K XX �'�E MR 'I lijrj�� V", t, i r 7'ermit,'D Issue Date lype DescFt—ption Amount Insp.Date 76 Comp. Liate Comp. Comments Dale ID Cd. Purpose/Result SIIJL198 LK 8/15/87 ML v 114"`1 A, 'T f w 1 H# Use Code Description zone D Trontage Depth nits unit Price 1.Pactor S.I. C.Pdctor Nbhd. Adj. Notes-Adj7Sp-eci I Pricing Adj. Unit Price Land Value -ZTAU--V-7-SPLLT.4TUTU)Notes: 10 IBLUG----W0-,550-.W tam RIJ 4 0.41 AC 73,U00.01 -1.0c 5 T-UC Total Lana unill UA�Aq I otal Lana Valu Property Location: 97 QUAKER RD MAP ID: 310/313/ Vision ID:25847 Other ID: Bldg#: 1 Card 1 of 1 Print Date:11/16/1999 7 . Element Description CommercialDa a emen s Style/ ype 8 Rai!e anc Element Cd. Ch. Description odel 1 Residential Heat ade C C Frame Type Stories 1 1 Story Baths/Plumbing ccupancy 0Ceiling/Wall ooms/Prtns 10 10 Exterior Wall 1 14 Wood Shingle /o Common Wall 2 11 Clapboard Wall Height 14 Roof Structure 03 able/Hip Roof Cover 03 sph/F GIs/Cmp BM Interior Wall 1 05 Drywall 2 ki-'ment Code Description lactor Interior Floor 1 14 Carpet Complex 2 Floor Adj Unit Location eating Fuel 3 Gas Heating Type 4 Hot Air Number of Units 4 2 C Type 1 None Number of Levels /o Ownership Bedrooms 4 Bedrooms Bathrooms 2 2 Bathrooms , 0 Full .:QM— � - � ,. -. na j. ase a e Total Rooms 7 7 Rooms ize Adj.Factor 1.16509 Grade(Q)Index 1.01 ath Type Adj.Base Rate 56.48 44 Kitchen Style Bldg.Value New 74,836 Year Built 1970 ff.Year Built 1970 rml Physel Dep 27 uncnl Obslnc con Obslnc 7' pecl.Cond.Code , .. „ pee l Cond% Code escri tion Percentage verall%Cond. 3 mge amJLUV eprec.Bldg Value 4,600 Code Description LIB Units Unit Price Yr. Dp Rt "loUnd Apr. Value rrep ace , FPO Ext FP Opening B 1 800.0 1970 1 100 60 FGR2Garage-Avg L 396 25.0 1970 1 100 7,20 BLA Bsmt Liv-Aver B 728 25.0 1970 1 100 13,30 Code Description Living-Area Ciross Area Eff.Area Unit Cost Undeprec. .Value HAS k first Floor59,643 FUS Upper Story,Finished 44 44 44 56.41 2,48 UBM Basement,Unfinished 0 1,056 211 11.2 11991 WDK Wood Deck 0 140 14 5.6 79 M. Groks LivlLease Area 1,10 2,291 1,321 Bldg Val: ,