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HomeMy WebLinkAbout81-83 QUAKER ROAD l .� ���� ��� �� �� �s f Town of Barnstable Regulatory.Services °p THE r°� �. ti Thomas F._Geiler,Director * Building Division BARNSTABLE; MASS. Tom Perry,Building Commissioner °reo to 200 Main Street, Hyannis, MA-02601 www.town:barnstable.nia.us Office: 508-862-4038 F 5 -790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Nauic: jlq- to� Phone Address:_ U►4'fct"G .A - Village:. Nanie.of BustResS:__. ----j -5--- V 'w7r_e Aid -- — -------------- ----------- r---------- --------- . Type of Business. (�✓`/ ��C9— Map/Lot 3 J Z3 l Z t INTENT: It is the'iiitent of this section to allow the residents of the Toivii of'Barnst�ible to operate a hoiiie occupation within single family dwellings,subject to the provisions of Section 4=1 A of the%onirig ordinance, proNrlded that the actikri(y shalhiot be.disceniihle froni outside the chwelling: there shall be no increase in noise or odor;no,6sual'alterition ta the, premises which would suggest anything other than a residential use;no increase ill traffic above normal residential volumes; . and no increase in air or groundwater pollution. After registration Math(lie Building Inspector,a customary honia occupation shall be perniitted as of right subject to the foltowiug conditions: The actiiaty is carried on_by the perirrauent resident of a-single f iitiily residential dwelling unit, located ivitliiii that dwelling unit. Such use occupies no niore than 400 squ�u�e feet of space. • There are no external Ate.rations to the dwelling wlricli are not custoriia(y in residential builclings,iiud there is no outside eNrideac.e of;such use. • No traffic mll be,generated in excess of iiornt�ll residential volumes: • `hhe,use doe not.involve the liroductioii of offensive noise,�ribratiou,suu>ke,dust or otlicr particular ruatter, odors;electnc it dishu-bance,heat,glare,huniidity.or other objectionable cflects. e These is iio Stor'<rge Or use Of toxic or hazardous uateriAs,or fbUnniable or explosive Materials, in excess of iiormal liouseliold"quantities.' • Any tieed for parking generated by such use shall be abet oil the.sattie'lot contai(ring(lie Custonary Home Occupation,uicl not mithin the required front yard: • 1'liere is iio exterior storage of display of niaterials Or equipment: •. "There are no comniercial vehicles related to Elie Customary Hoiue Occupation,other than one van or one - pick-up truck not to exceed one ton rapacity,and orie tMiler.not to exceed 20 feet in length and not to exceed it tires,parked on the,sanie lot containing the Custonary Honie OccuJ>atioii. No sigh slrall be displayed indicating the Customary Honie Occupation.. • If the.Custoni uy Home Occupation is listed or advertised as a business,the streetaddress sliall not be included. • No person shall be eriiployed iri the Customay E lonre Occutiatiou W110 is'uot a perinaucnt resident.of the rhvellurg unit.. 1, the undersigned, I ie read and agree`with the above'restrictions for nay hoine occupation I*ini`registeriiig. e APplicaiif; 4 , . Datr l G �rfl YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: — 1 �? l7 Fill in please: x e' APPLICANT'S YOUR NAME/S: �� BUSINESS YOUR HOME ADDRESS: ¢�Cc w Lf V TELEPHONE # Home Telephone Number Od' —6.3 NAME OF CORPORATION: NAME OF NEW BUSINESS 14fi1 vr5 N y?6(-V 7E IV 47-Vl TYPE OF BUSINESS IS THIS A HOME OCCUPATION? _YES NO ADDRESS OF BUSINESS ? _ MAP PARCEL NUMBER 0 - Z {Assessing), When starting a new business there are several thirg��01 si o in or e�tob co plian e with e rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the infation you may need.' You MUST GO TO 200 Main St. -(corner of Yarmouth Rd. & Main Street) to make sure you ha orm have- appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OF ICE This individu I h s n infie m an p rmit re uir ments at pertain to this type of business. IV ST COMPLY WITH HOME OCCUPATION hor� Signatur ** }i F,, AND REGULATIONS. FAILURE TO oMMEnIT � MAY RESULT IN FINES. 2. BOA OF HEALTH This individual s been orme Ot4e2e requirements that pertain to this type of business. Authorized Signature** MUSTCOM�.YWITHALL S MATERIALS REGULATIONq COMMENTS: HAZARDOU 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has.,b en infor of thp licensing requirements that pertain to this type of business. Au horized Signature* COMMENTS: �������� �� �10� �- �,�-� �` � .� , Page 2 of 3 REGAN, Andrew D., 33, 20 Whig St.,Dennis; admitted sufficient facts to OUI Aug. 25 in Yarmouth, continued without a finding for one year,45-day license loss, $1,847.22 costs and $50 fee; not responsible for another traffic violation; another traffic violation, dismissed. Y C ARRAIGNMENTS (The following pleaded not guilty.) BARBOZA, 011ie,18, 99 Oakview Terrace, Hyannis; larceny of a motor vehicle and possession of marijuana with intent to distribute Friday in Barnstable. Pretrial hearing Jan. 30. COOK, Jillian D., 26, 3 Apple Wood Court, Bourne; receiving a stolen motor vehicle Tuesday in Barnstable. Pretrial hearing Feb. 9. JENNEY, Robert J., 40, 164 Winter St., Hyannis; assault and battery of a police officer, assault and battery, intimidating a witness and threatening to commit a crime Tuesday in Barnstable. Pretrial hearing Feb. 2. MILNE, Brian, 38, 86 Midway Drive, Centerville; OUI and two other traffic violations Wednesday in Yarmouth. Pretrial hearing Feb. 10. In court Thursday: DISPOSITIONS ALBERTI, Justin, 25, 78 Higgins-Crowell Road, Yarmouth; shoplifting Dec. 12 in Barnstable, dismissed on payment of$100. BOYCE, Daniel L., 22, 15 Newton St., Hyannis; admitted,sufficient facts to a traffic violation and larceny of a value more than $250 Aug. 10 in Barnstable, continued without a finding for one year. DZIOBECKI, Robert M., 26, 319 Cotuit Road, Mashpee; guilty plea to two counts larceny of a value more than$250 and malicous destruction of property of a value more than $250 Oct. 23 and Dec. 9 in Barnstable, one year Barnstable County Correctional Facility with six months to serve (42 days pretrial credit) and the balance suspended, one year probation. FERREIRA,�Timothy J., 38, 82 Quaker Road, Hyannis; receiving stolen property of a value more than $250 Aug. 14, 2007, in Barnstable, dismissed. FOCKLER, Stephen M., 39, 42 Nauset Road, Yarmouth; guilty plea to two counts assault and battery Nov. 17 in Yarmouth,one year probation, $252 costs and$50 fee. GARRITY, Michael D., 28, 65 Birchill Road, Centerville; admitted sufficient facts to assault and battery Nov. 30 in Barnstable, continued without a finding for one year, $252 costs and $90 fee. GEOFFRION, Rebeca K., 34, 84 St. Francis Circle, Hyannis;'admitted sufficient facts to assault and battery with a dangerous weapon, two counts assault and battery and resisting arrest Dec. 27 in Barnstable, continued without a finding for one year, $780 costs and $90 fees. GLIDDEN, Craig, 19, 38 Chase St., Hyannis; admitted sufficient facts to operating a motor vehicle http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20090123/NEWS/901230314/-... 1/23/2009 Page 3 of 3 while under the influence of alcohol (OUI) Dec. 13 in Barnstable, continued without a finding for one year, 210-day license loss, $1,597.22 costs and$50 fee; not responsible for another traffic violation. GONDOLA, Andrew D., 27, Wareham; guilty of possession of marijuana Oct. 23 in Barnstable, filed; guilty plea to a traffic violation, $200 fine and $50 fee. HILARE, Yvens, 22, Brockton; assault and battery Oct. 20 in Yarmouth, dismissed. LEMAY, Tony a, 35, 40 Anchor Drive,Forestdale; assault and battery Nov. 30 in Yarmouth, dismissed. LHOMMEDIEU, Steven C., 47, 166 Setucket Road, Yarmouth; guilty plea to possession of marijuana as a subsequent offense Dec. 28 in Yarmouth, $200.fine and $50 fee. MINARIK, Joseph, 51, 132 Falling Leaf Lane, Osterville; guilty plea to assault and battery Sept. 26 in Barnstable, one year probation, $252 costs and$50 fee; intimidating a witness, filed. MIRANDA, Tracy, 28, 86 South Yarmouth Road, Dennis; admitted sufficient facts to passing a false prescription and obtaining a drug by fraud Nov. 18 in Yarmouth, continued without a finding for one year, $252 costs and $90 fee. ROBINSON, Katherine A., 26, 1851 Main St., West Barnstable; assault and battery Dec. 14 in Barnstable dismissed. ARRAIGNMENTS (The following pleaded not guilty.) DUNHAM, Christopher A., 25, 746 Great Island Road, Yarmouth; receiving stolen property of a value more than $250 and shoplifting Wednesday in Barnstable. Pretrial hearing Feb. 9. DUNHAM, Scott R., 24, 746 Great Island Road; Yarmouth; receiving stolen property of a value more than $250 and shoplifting Wednesday in Barnstable. Pretrial hearing Feb. 9. PRICE, Carl, 42, 27 Partridge Valley Road, Yarmouth; assault and battery Wednesday in Barnstable. Pretrial hearing Feb. 23. RAFUSE, Stephen M., Jr., 31, 881 Route 28, Yarmouth; assault and battery Wednesday in Yarmouth. Pretrial heaing Feb. 20. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20090123/NEWS/901230314/-... 1/23/2009 Pagel of 3 Barnstable District Court January 23, 2009 6:00 AM In court Wednesday: DISPOSITIONS AHEARN, Andrew G., 25, 61 Chase St., Hyannis; admitted sufficient facts to two counts larceny of a value less than $250 Dec. 23 and Jan. 17 in Barnstable, continued without a finding for one year, $352 costs and $100 fees; disorderly conduct, dismissed. COMBIES, Amanda, 28, 724 Main St., Hyannis; admitted sufficient facts to assault and battery Oct. 31 in Barnstable, continued without a finding for one year, $252 costs and $50 fee; assault and battery with a dangerous weapon, dismissed. CORR, Cathy A., 41, 26 Connemara Circle, Hyannis; admitted sufficient facts to violating a protective order July 24 in Barnstable, continued without a finding for one year; admitted sufficient facts to assault and battery, continued without a finding for 18 months, $378 costs and $50 fee; assault and battery with a dangerous weapon, dismissed. CROCKET, Joshua, 18, 33 Shorey Road, Hyannis; admitted sufficient facts to two counts possession of marijuana Nov. 17 in Barnstable, continued without a finding for six months, $326 costs and $200 fees. CRUICKSHANK, Scott E., 40, 1 John's Path, Yarmouth; guilty plea to larceny of a motor vehicle Dec. 23 in Barnstable, six months Barnstable County Correctional Facility. DeMELLO, Coby B., 29, 667 Main St., Hyannis; receiving-a stolen motor vehicle Jan. 20 in Barnstable, dismissed. FIGLER, Joseph C., 30, Brookline; not guilty of operating a motor vehicle while under the influence of alcohol (OUI) and negligent driving Aug. 31 in Sandwich; not responsible for another traffic violation. FLETCHER, Holly, 61, 33 Lowell St., Cotuit; improper use of a credit card of a value less than$250 and receiving stolen property of a value less than $250 May 14, 2007, in Barnstable, dismissed. GARCIA, Annie L., 26, 6 Arbutus-Path, Yarmouth; assault and battery Nov. 28 in Yarmouth, dismissed. KENNEDY, Christopher, 18, Plymouth; guilty plea to larceny of a motor vehicle Jan. 15, 2008, in Yarmouth, three years'probation, $2,340 costs and $90 fees. MARION,Sarah J., 23, 116 Camp St., Yarmouth; admitted sufficient facts to OUI Jan. 6 in Yarmouth, continued without a finding for one year, 45-day license loss, $1,847.22 costs and $50 fee; not responsible for another traffic violation. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20090123/NEWS/901230314/-... 1/23/2009 Map Page 1 of 2 Town of Barnstable Geographic Information System New Search H- Parcel Viewer Custom Map Abutters Map Size ED IM Zoom Out fl fl fl fl fl fl fl In (+ ;K ry E m- 7PG Map: 310 Parcel: 298 F 310328 Location: 80 QUAKER ROAD I d p 137 Owner: FERREIRA, RENATA M 310312 31 P 81. '' 86399 Location Information Q1 f 310327 VT p 123 Map & Parcel 310298 �(If � Location 80,QUAKER ROAD t Acreage 0.26 acres J Current Owner :. ry Mailing Address FERREIRA, RENATA M 80 QUAKER ROAD 310311 n310298 310326 HYANNIS, MA 02601 q 75 � 115 .W Appraised Value (FY 2009) Extra Features $14,800 Out Buildings $600 Land $139,000 Buildings $127,700 Total Appraised $282,100 10384 63 310296 310022 xe4 a105 Assessed Value (FY 2009) Extra Features $14,800 �� F i3p 0 2t Out Buildings $600 Land $139,000 Buildings $127,700 Total Assessed $282,100 Set Scale 1" = 54 11 'Ae�iajll"Photos � MAP DISCLAIMER Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.3357 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=310298&mapparback= 3/12/2009 i Town of Barnstable Regulatory Services THE Tp� Thomas F. Geiler,Director Building Division 13wxrrs•resr.E. : M^S& Tom Perry,Building Commissioner i639 �� j°TEp Mp/ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:'508-790-6230 Approved: Fee: ,2 5- PermiM 4 60� 3Q3 HOME OCCUPATION REGISTRATION Date: 001 k V Nanie: �up� P� 0kV l 1--�) Phone#: Adcl"i-ess O �,y V Village: Name of Business: �- � 1 N tl V se P V 1 S Type of Business: �` N�� N C� Map/Lot: INTENT: It is the i itent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwelluigs,subject,to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the divell ng: .there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; mid no increase in air or groundwater pollution. . After registration Krith the Building Inspector,a customary home occupation shall be permitted as of right subject to the follolving conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located lNithin , that dwelling unit. • . Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated un 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,beat,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 arithin the'require.d 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 vain or one pick-up truck not to exceed one ton capacity,mid 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 sigh 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. I,the undersi ed,have read mid agree with the above restrictions for my home.occupation I mn registering. Applicant: Dater U Homeoc.doc Rev.01/3/0$ YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary .signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall)and get the Business Certifi ate that is required by law. f - Fill in please: Date: APPLICANT'S NAME: ) LC- ,CA „ A l YOUR HOME ADDRESS: S� ►� ' C—P — M 60 -�34a, _ BUSINESS TELEPHONE # HOME TELELPHONE #: NAME OF CORPORATION: II NAME OF NEW BUSINESS �. i F1'S G EA:V�Y i N CRV i TYPE OF BUSINESS G I (� Iy IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS $ : t�y i �'12 ,fin - �y A N (�1i:S - M ®afoO�MAP/PARCEL NUMBER 31 - � - (Assessing) When starting a new business there are several things you must do to be in compliance with the rules .and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING COMMISSIONER'S OFFICE This individual.has be formed�f any permit requirements that pertain to this type of business. Alithorized Sign ture** HOME OCCUPATION COMMENTS: J RULES AND REGULATIONS. FAILURE TO COMPLY MAY LT IN FINES. i 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. i Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual.has been.informed of the licensing requirements that pertain to this type of business. i Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. , Map Parcel 1A Application,' #aD _ . Health Division Date Issued 3 Conservation Division Application Fee Planning Dept. `` Permit Fee Date Definitive Plan.Approved by Planning Board Historic - OKH Preservation/Hyannis �1 Project Street Address QJ A-l<c�. 40 Village �/�►rfn''� S Owner PAA-A 1 A Address Telephone 'DY oZ Permit Request 3'R5 ► &V-T 6-t4'rle"C f- &x TC�,x , p q,0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed O Total new _D Zoning District Flood Plain Groundwater Overlay Project Valuation ����° Construction Type_frff) � Lot Size 0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family J Multi-Family (# units) Age of Existing Structure 3 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes No Basement Type: AFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �6 8 Number of Baths: Full: existing_ new Half: existing new C� Number of Bedrooms: 2� existing 0 new Total Room Count (not including baths): existing new �D First Floor Room Count 0 Heat Type and Fuel: . Gas ❑ Oil ❑ Electric ❑ Other Central Air: *Yes ❑ No Fireplaces: Existing 0 New _( Existing wood/coal stove:,❑Yes,4 No 1 Defached garage: existing ❑ new size Pool: ❑existing ❑ new size _ Barn: ❑ existing Wiew:size_, Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Z_ _ Y CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �' = Commercial ❑Yes ❑ No If yes, site plan review# all Current Use Proposed Use NO APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name Telephone Number Address Qj 0,1-k 6r-C AA License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� �� ' � � DATE , O S FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER -DATE OF INSPECTION: J FOUNDATION FRAME $ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION:PLAN NO. j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 i www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): L O Address: !a Q j qYh_&zti A! City/State/Zip: Phone cz V ' 4( 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 employees(full and/or part-tim.e).* have hired the sub-contractors 6. ❑New construction "proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.# required.] 5. We are a corporation and its 10.❑Electrical repairs or additions `3. I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12..0 Roof repairs insurance required.]t c. 152, §l(4), and we have no employees. [No workers' 13.0 Otherv�` 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. xContractors 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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration`page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 DU for insurance coverage verification. Ido hereby certify under the pains-andppeenalties oofperjury that the information provided above is true and correct: Signature: �� i �i�-���"`Z� Date _ Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building,Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's 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 -'' compliance with the insurance act or the performance of public work until acceptable evidence of co .ran enter into an contr f mP nt r y p p p requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial 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 pemut/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 C6mmonwealth of Massacttusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ? Boston, MA 02111 j Tel. # 617-72.7-4900 ext 406 or 1-977-NIASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: G �a � Site Address: Pri»r Town: S Applicant Phone: Applicant Signature: -!Fe,?04_1r_V Date of Application: 0(? NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab ff��11 Option 1: Basement. L1 p Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE HSPF SEER R-Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of 3 5 R-3 8 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: �. REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck-Web which can be accessed at http://www.energycodes.gov/rescheek/ ' 1 ADDITION&6R ALTERATTONS TO EXISTING,BUILDINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) SF . 100 x — _ % of glazing. (b) Glazing area equals, SF b a If glazing is <:40%o use.the:chart below. If.glazin is>40.%o proceed to "SUNROOM"section I 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM 1 Ceiling and Slab Perimeter Fenestration a Floor .Basement Wall Exposed floors R-Value U-factor R-Value R-Vahte R-value R-Value and Depth 3 9 R-37 a . R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation maybe used in place of R-37 if the insu a 'on achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). ❑ SLTNROOM_An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P) �oFtHE r Town of Barnstable Regulatory Services x BARNSTABLE, : Thomas F.Geiler,Director 9 MASS. �b i639• NO Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EfiEMPTION /J Please Print DATE: 3 (49 —C> " JOB LOCATION: 0 (� I� 1 r 34 �/aS number street village "HOMEOWNER": �`4'ti< I name home phone# work phone# CURRENT MAILING ADDRESS: ` T city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six uniis 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 Barnstable Building Department minimum inspection procedures and requirements'and that he/she will comply with said procedures and requir ments. gnature omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section`109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2 15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it would.with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that-the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:forrns:homeexempt r , °fzHE> ti Town of Barnstable Regulatory Services ! R R BARNSTABLE, Thomas F. Geiler,Director y MASS. �+ 4iArF0;9,. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 y• Property Owner Must Complete and Sign This Section If Using A Builder 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 If Property Owner is applying for permit please complete the ' r Homeowners License Exemption Form on the reverse side. Q:FORM&O WNERPERMISSTON i s� s bi i i � I f . � t i . I Y �1 CIO I bi - ------------ .F i 4 1 i. i I _r 3 {t. t l l { i 4 i - i t `00 _ E r ` � L } 3 } - i f - t l i t 4 A y .. E � E F ° P s . �z :• tii v G r Y .f f x " TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Ma p 3 1 Parcel A lication# 7 pp Health Division Date Issued Conservation Division Application F Tax Collector Permit Fee Treasurer tv 09 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 91)4 K e-rz_ Village r�v-04`>' Owner -I'Atit l A • CIAO e,+G-9' F__0 Address2loo•� �� / � � S Telephone S 10$ - 02 Permit Request R F Square feet: 1st floor:existing proposed 2nd floor:existing proposed ' r -Total new z Zoning District Flood Plain Groundwater Overlay G Project Valuation Op Construction Type <i C6 Lot Size V - IS Grandfathered: ❑Yes )'No If yes, attach supporting documentation. to Dwelling Type: Single Family ❑ Two Family Multi-Family(#units) C7; M Age of Existing Structure Historic House: ❑Yes 1�No On Old King's ighway: ❑Yes ANo Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) Number of Baths: Full:existing .L new Half:existing new Number of Bedrooms: existing�o _ new 0 Total Room Count(not including baths):existing new First Floor Room Count 3 Heat Type and Fuel: ; Gas ❑Oil ❑ Electric ❑Other Central Air: Oyes ❑No Fireplaces: Existing _New D Existing wood/coal stove: ❑Yes ANo Detached garage:4 existing ❑new size Q Pool:❑existing ❑new size a Barn:❑existing ❑new size t7 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 ""�-0 -P14-14i-T,o Telephone Number 117 ' Z 0— Address 33 4114 K_r Q K-0 License# Home Improvement Contractor# Worker's Compensation# V b ~V q�-6 L e 16 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DU SIGNATURE DATE FOR OFFICIAL USE ONLY f APPLICATION# t _ DATE ISSUED MAP/PARCEL NO. 2 r ADDRESS VILLAGE OWNER ti 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. i �z r, s f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street y c Boston,MA 02111 ww.mmass.gov/dia ' Workers'Compensation Insurance Affiddvit: Builders/Contractors/Eleetricians/Plumbers _Applicant Information Please Print LeLyibly q � Name(Business/organization/Individual): �t�•W 1�0 �- �-•� ' •Address City/State/Zip: S — :p 0601 Phone.#: -5-C6� 4f2._2 tf Are you an employer?Check the appropriate bog: :Type of project(required):, 1. I am a employer with 1 4. [] I am a general contractor and I • have hired the sub-contractors 6• El-Now construction . employees(full_and/or part time).* 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7.Remodeling ship and have no employees These sub-contractors have g, []Demolition employee's and have workers' 4vorking for me in any capacity.. 9• Building- addition [No workers' comp.insurance comp.insurance. 5 [] We are a corporation and its ME]Electrical repairs or additions . required.]'3.❑ I am a homeowner doing ell•work officers have exercised their 11.[]Plumbing repairs or additions ' . myself.[No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance.required.]t c• 152, §1(4),and we have no 13 ❑Other employees.[No workers' comp,insurance regiured.] *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 anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether or not those cntities have employees. if the sub-contractors have employees,theymust providb their workers'comp.policy number. I yn an employer that is providing workers'compensadon.insurance for my employees. Below is.the policy and job site' information. _ Insurance Company Name: Policy#or Self-ins.Lie.P IO -U-6—fo `q(o Lei '1 Expiration Date: Job Site Address• 23 C�If-A- Ke:2!L- 9A �, S )1-,, City/State/Zip: D 06,0 1 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 lip 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 IDIA for insurance coverage verification _ I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct ` ' J•Q� Si mature Phone# - G ✓a Official.use only. Do not write in ibis area, to be completed by,city or town offcciaL - City or Town: ' Termit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5•Plumbing Inspector 6. Other Phone#: �OtIKE,, Town of Barnstable Regulatory Services Thomas F.Geiler,Director fpM;�A`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 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: 1 �� Estimated Cost Address of Work: x (��} 1;5 a �S Owner's Name: A&A �P PC _ (mow �� (✓� �� 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 gowner 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 pewit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name i Town of Barnstable �ppIME Tp�� yP Regulatory Services * BARNSTABLE, Thomas F. Geiler,Director y MASS. ie39• Building Division rfo �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number �/,� street v Ly village "HOMEOWNER": ? ,/,O Cl�r7/�Gf�Yfl S,V —low name y home phone!# work phone# CURRENT MAILING ADDRESS: 72 tty/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 Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si ature of Ho owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will•be required.to comply with the State Building Code Section 127.0 Construction Control.' ' HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building_permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use.this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section.2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor, On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. °FTHET � Town of Barnstable Regulatory Services " BARNSTABLE. " Thomas F.Geiler,Director y Mass. � �p i639' �� ' rFo,4,p�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 Property Owner Must Complete and Sign This Sect' n If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized/this building permit application for: (A dress of Job) Signature of Owner Date Print Na ICI If Propegly Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. N DAC ti 4 7"RAVELERS Jlk - - WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 { A) POLICY NUMBER: (7PJUB-0746L81-6-07) NEW-07 INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1. NCCI CO CODE: 13579 , INSURED: PRODUCER: CROPALATO. PAULO DBA ATLAS BRIDGE INS ASSOCIATES MAINTENANCE PO BOX 600378 P.O. BOX 1674 NEWTONVILLE MA 02460 HYANNIS MA 02601 Insured is AN INDIVIDUAL Other work places and identification numbers are shown in the schedules) attached. 2. The policy period is from 07-17-07 to 47-17-Q6 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s)listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in Item 3.A. the limits of our liability under Pan Two are: v� Bodily Injury by Accident: $ 100000 Each Accident . Bodily Injury by Disease: $ 500000 Policy Limit ' °= Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any,listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy Includes these endorsements and schedules: , e SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Gasslfications, Rates and Rating �= Plans. All required Information Is subject to verlfloatlon and change by audit to be made ANNUALLY. DATE OF ISSUE: OS-30-07 RN ST ASSIGN: MA OFFICE: DIRECT ASSIGNMENT 701 PRODUCER: BRIDGE INS ASSOCIATES 72BBY 0=46 Z�T'd L622LS6 80S:01 888TV36LT9 33WdMNI 39GId8;w0JJ 9T:ST L002-ST-190 r y . TRAVELERS J WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (7PJUB-0746L81-6-07) INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 13579-MA INSURED'$ NAME: CROPALATO, PAU40 DBA ATLAS MAINTENANCE RATE BUREAU ID: 000411315 PREMIUM BASIS ' ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM LOCATION 001 01 FEIN 034806304 ENTITY CD 001 CROPALATO, PAULO DBA ATLAS MAINTENANCE 130 BRISTOL AVE HYANNIS, MA 02601 PAINTING OR PAPERHANGING NOC & 1576 SHOP OPERATIONS, DRIVERS 5474 23000 6.86 f u Q ---------- ------- _ --------------------------------------�-- ' MERIT RATING/EXPERIENCE MOD: NONE MODIFIED PREMIUM $ NONE ��. TOTAL ESTIMATED ANNUAL STANDARD PREMIUM -T 76 EXPENSE CONSTANT(0900) 284 0.0300 FOREIGN TERRORISM / TRIA (9740) $7 5.50% MA WC SPECIAL FUND AND TRUST FUND TOTAL ESTIMATED PREMIUM 1354 DEPOSIT AMOUNT DUE t954 DATE OF ISSUE: 08-30-07 RN $T ASSIGN: MA SCHEDULE NO: 1 OF LAST 002247 2/2"d L622LS6 80S:0i 888Tb96LT9 39NbbTISNI 39OI88:w0-Jd 9T,ST L002-ST-iOG 0 Op o ® o - 0 o ❑oaona dOggnn aoaonn� ooana aon 3 a 87 34 1/2 18 12 -6 12 ' 3 W a� w N ° ° OD (�1 ° ° ° W O o ° 0000000 . �. poapaoo 000aaoo0 ° o°°a o A � e 4'. n -Pppp 33 30 T_24 CM� T N f —I T— li 00 co r . O O N . •GO � r . o N � - r - M Ll . 33 9 � 9 36 ---� • � 17 , 721/2 _ 4.. RQ 9/7 ppppp" 108 93 15 � 24 �_ 12 � 27 1.5 30 36 27 15 30 2 Nco O O O M 3 a - N N M rnco CD 1 M m cn m ti w� s i + +i��'�'p •�°?.t$;�, i� i'U ���"��PA', r� '3.« �' �� �,f �'.:vc+�.+a �a.` �' ,i�s �`_. Ilk _ a a ;'°�4 �e�.� ...�, • ' tf�'? � �� � �#•9'���'�t 'C F�O�. "fin;�T��x'a�a m: '`. :>"�f"• 4*�� :,' �.- ,°«{`,� �°4" �Yry. 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L `:,.."..tip. -.. 7• a .y _ .rAy.a� �, � �.ra r �° m .'4 ,p_ &,�.•a Xy"f..� +t �L 4 'fit��ty �C{.7: F � ���� � _ +� 3 °. �''til�•r ; �..r�'� �"' ., .�� "F'j a�4 ',.'+�1''�dr'�°'_w,�^er,., e r�' s''� y�+,a 't t T.g �n '°...:�"w w �y � e � � •. r'�..x"m.....�,.4 �°"� . g�c'wP �Fa °' � �5,..'„.�$ 1+ w k� ��n, S'.�m fir»", . 4 dK4 •s �' -.`� "„ ��a;�kas�*=w�. ..-� �:aPw > ,. ��,/�u'�� `x�d+'��y, ��� '"a p. Y—e Aid 1911, y ...,ry �;nYtlix i 4�a: �Pa�n .�i 4AA'*,�4, A } A to pil my 1 ' .- ._ •° `� f „� �,. W n `« , _. 1 Nit, �� It 1* s oFt►,E, Town of Barnstable Regulatory Services * BARNSI'ABLE. v MASS. g Thomas F. Geiler,Director AlF039.�A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623 0 September 28,2006 Mr.Paulo Cropalato 81-83 Quaker Rd. Hyannis,MA 02601 Re: 81-83 Quaker Rd. Dear Mr. Cropalato, On June 6,2001 you were issued a building permit to construct a garage with storage only above. No inspections took place c this project until August30,2006 at which time it was noted that the existing garage was not built to the plans submitted for the issuance of the permit. We have no confirmation in our files that deviation from the submitted plan was authorized. You are hereby ordered to cease and desist any fiirther work on the garage and are ordered to restore the garage to comply wit the plans that were approved for this project If you have any questions,please do not hesitate to contact this office. Sincerely, Paul Roma Local Inspector • TOWN OF BARNSTABLE BUILDINO, '1 T APPLICATION Map '3 b ✓ Parcel � . NY 31 M�� # 8 Health Division ✓� / U/-'dam '"� a ®®J D Issued �40 a•��� u 1 Conservation Divisions �� � 0 �� ?`q,eFee ✓ Tax Collector �01 die S •_ • c Treasurer a�t1�w� dui'' C� EPTIC SYSTEM MUST BE l �� I STALLED IN COMPLIANCE Planning Dept. WITH TITLE S �h Date Definitive Plan Approved by Planning Board NVIRONMENTAL CODE AND,TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address tc-le, e D Village iq N S r Owner _ C 61W iA 1.14f An I Address V I Q ui* rc , 2 L-2 . Tele ho e s 0$ - �6 Z- 6 39 p Permit Request nt pt Cg 4N &0 to I mevc_ S !ram & - 0/t9l Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation asomw 16,7 5 Zoning District Flood Plain Groundwater Overlay y Construction Type W as°l - Lot Size 0. 3 5, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family (r Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes 14'No Basement Type: ,4 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: g 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 XNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �"� N Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. F DATE ISSUED Tr, ,f MAP/PARCEL NO. i' ADDRESS _ ;'VILLAGE OWNER ' DATE OF INSPECTION: ., 3 'T!1'�- c- `T�� ' FOUNDATION 5 �� FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ! ROUGH'+ .' 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T•.v:::...........fi.3'Vv'.;fi}:ti... ..................:::-...........-.............:...... .......,.;.;.,:•.�•-.:..:'�. ♦................................. ........F::.^0.J..vx...,fiW%f.F.X.n.; ..�"v. .....^::F:..... m::::........n:•.v:}}}:ti{::{......V`............-.........�.,.} ..........:::::.v:.v:S.:+n..:...........:'J+X+•�-.w.:x..v:.yr};?{.}x.. :�::::.v:}i:^:�:J::.v:::::::.L::�:l.\ .. ..:��................ insmaaceto.:. . ...............,,...:.....:. Psi2:ae to seems co+ezar—os stgt Seetdon 2SA ofMQ.15I aah ad to the tampowM—of esimiaal penaltks of a thta up to S1.S00.00 astd/o one yam'haptimtsmrttt as weR as drtl penaitirs in the form of a STOP WORK ORDER and a tine of SI00.00 a day apiast me. I madermnd thu s cuff of this statement may be forwarded to the OM=ofInvestigatim of the DTAfor Tertaatbn. I do hereby certify under the pains and p=alties ofp=lovy than the information provided above it trams nerd correct Date Pant Phase# ofncW use only do not write in this area to be completed by city or town oIDt:hi cb or town, peradweense 0 ❑$ adlng Depar=ew QIlcettsing Board ❑AeckiflmmedLte response is required ❑Selecanen's Office ❑Health Departmml contact person: phone fh. ❑Other sit 1 •. 1 1 - . :•. .. . a •tq• . • • bl..•. . . . . . - . . •sees • •.• • e me • 11.1• i• • • e .•I of 0 ••• •.t • •�'J•11 LIft tow#[@ ee k be.I -• I Y •It • •M• •1• •1 • _ • • • • • s• • • • •i••. •1 flMqjse sell • • •_« • r o wtN• • U wee • •_w•o_• • e e1 .••r1• • �/ 1 • 1 • t1/ 1 t e .1!!!U.V oil ki11 1 •• • I • / r I / r • J. 1 ee r• /t It • e I 1 • / • I I • 1 sob 16 • Y 1 • II • I / 1 1 I• , r 1 •1•rtlr•1• • ✓•: 1 s r el .11 • •1 1•. •• t•r+ \I ••e • \ •I• t I w•11�, 1111• .•• • Y•111• .., e•► •/ •ti ••e•.l1 • e 1 • • ••. •Y. • •w• scale's m.t• • I/e st It Ie•:•••. _• e1• w••w•I w4w.1 Ilk e•1 M•.I••M as, •_w• • w.�1.1 _• • s1 NeN 1 ••tee l /e s• ••Ie.•.•t� t••1.11•w• we• •1• .IIs • . 1 Y•Itt1• w1 • «•� .�/• s• see• e• • V•Ir••• .•• • 1Y.•t•_. • •• �.v, .•• • • • •I.1 tl••tt •w•. •Ills ' IIe Y..• •r•Y:•• •1 •• e• .ee l •e a Il It / • ••r•I/••_• to of •.ee•II •I•wtl •1 I,1.1•�\••Y. M •well. 1.1 V•It11•••t%•• •It •I It •I e:e• Y• •., •1 1 • /1 1 :Jo .II • e1 ee • •1 •• • ' 1 Vt • 1 • •I w••••t_• 1• /1 «1 ' •I e• •' 1 •• -t •• .1• 1 «;t• •1• /•1 It •ti••t11 �•t Ie • • • • • • I .•1 • • •_. a •It were nee • I• •1 •••• _• se • e stet• •,•.•wr. •••1••••w•/.`•:•• •It • • • v i •• wIG •••_H .• •• IItt1• •w •_• OHIO I r •' 1 • . .. .. .. It .. .. • 1 tr•,less w• ... . •1 •./._. _•, 1 �. . ... ... •1 e • . • .i1 . . .. .. ••• •/•e . ..•. • 1 •1 ••• • eel •N ee I• •wet et • i• Y •1 1 '-.v1 •rl• •It♦ • •• Y•,r1e^. M • •/ to • 1 /t oft.40J.4000of Yw• II•H1 •w tl e I • 1 v_• aM• • •trees•e• 1 ••• /•- elk I • •tl0 • •. • r wa • %H•le ••l • I• e• at • IeW.ff • .••Y s•1 •• 1 ••• sl•q .q• •• • • s •• • •• • 1 11 11 1 1 1 • 1 •, 1 • . •re / 1 1 1 e • • 1 1 1 1 1 1 1 I • 1 1 s 1 1 s 1 1 1 1 1 e • • — 1 ' l l t o 1 • e Ire , EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value `5 The Town of Barnstable DJlEttvs?kli.E. - Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: W acok icipt`E rn _ Estimated Cost 5 000, O Address of Work: F 3 Qv f4K%t- 40 Owner's Name: 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 ROwner 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. &,,OOP- CP I Date Owner's Name q:forms:Affidav _ , "seRrrs'reetr~ The Town of Barnstable . � Mess 9�b 1659. .e� . Regulatory Services Thomas F. Geller, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: . 508-790-62:0 HOMEOWNER LICENSE EX13EMON Please Print DATE: 2 JOB LOCATION: number // street / jj,, village .HOMEOWNER":— VCJ 6peflew '( O 658�� name home phone# work phone k CURRENT MAILING ADDRESS: S 4, /, chy/town state rip 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. DEFINUION 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 Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requ�i�menu. gnatmeowne ure&ffo 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 E7CE O TION The Code states that: "Ally homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case.our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN Statement To: Building commissioner Pursuant to my conversation with VMS Electrician, I was instructed to send you this letter stating my reasons for requesting a new electric service and meter for my garage locate at 81/83 Quaker Rd Hyannis MA Currently, both sides of my duplex are being leased and this precludes any electric connections that I could make to bring power to my garage, there to necessitate. This new service installation, the power on the garage is to store my vehicle and tools. An addition I will need lights and eventually a heating system to maintain dry storage. Please call me if you have any other concerns. Sincerely, August 28, 2006 /�j •l % �J Pau o 0 c� TOWN OF BAILNSTA 3LE REPORTS MTffZNTAB /CONTINIIATI REPORT NAME (LAST, YIRST, MIDDLE) < DIVISION /DfPT LI CO NOTE DETAILS L OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL /S ETC. �7 VA1 Soh Wig i PAGE ! SUBMITTED By IQ S IROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0081 QUAKER ROAD 07 RB 400 07HY 07I09/95 1041 00 b3AD R31G 312. 228685 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TV UNIT ADJ'D.UNIT Lantl By/Date size Den¢nsron ACRES/UNITS VALUE Description W R-I G H T, J O H N M T R S M A P— Co. FF�De IroAcres LOC./YR.SPEC.CLASS ADD. COND. P� - PRICE PRICE JtLA N D 1 20,4 O0 CARDS IN ACCOUNT — 10 1E3LDG.SIT 1 X .34 =10 194 29999.9 58199.9 .35- 20400 WSLDG(S)-CARD-1 1 66,500 L 01 OF 01 BOTHER FEATURE 1 1,4C0 —$S3ITII— l � BATHS 2.0 U X C= 100 7000.0 7000.0 1.00 7000 B #PL 81 QUAKER RD HYANNIS (MARKET 8130G S 6 X 10 C= 100 11.7 11.7 60 700 F 4RR 133730114 IUSECME A DI I - (APPRAISED VALUE J I A 88,.30C q IPARC£L SUMMARY r - AND 20400 a S I LDGS 6650C T O-IMPS 1400 E I i f TOTAL 88300 i IN CNST N DEED REFERENCE TYoe DATE I ae«„o.tl P R I O R YEAR VALUE T Boe. Page '"s' Mo. Y1.IDI S-lea Pric. IL A N D 2 C 4 C C r S I I C81309 ;00/00 LDGS 67900 ' J 1TOTAL 88300 h I I BUILDING PERMIT *PIGEON COOPS 4 I Amount L:I S T E D ' ' LAND LAND—A DJ INCOME �1SE SP-6LDS FEATURES 8LD—ADDS U�iITS Numb, Dale Type AS SHEDS. I �2o400 1 14001 7000 I________________ I Cas$ GOnst. Total Base R¢e Ad Rale B I A IVo,m. Obsv. Units Units I Ap !I I ge Dep, Contl. CND Lo< %R G Repl Cost New AOI Reel Velue Sto,iee Hergbt Rooma Rma B.— a Fi.. Party.all Fa 000 1UU 100 59..30 59.30 71 71 23 76 90 66p 100725 66.500 1.0 8 4 2.0 8.0 "lT cnpl wn Rale Square Feel RepL Cosl MILT.INDEX: 1'00 IMP.BYIDATE. ML 8/8 7 SCALE: 1/00.66 ELEMENTS CODE CONSTRJCTION DE4 AIL OAS 1U0 59.30 1536 91085 ., FMP 55 5.50 480 2640 *--------------48--------------* i r STYLE 17DUPLEX 0.0 10 FMP 10 DETrGN A-6JMT- -00 -------------------U.O ' EXT`ER_WALLS-- -T3 --T=11-------------U.0 *--------------48--------------* BEAT/AC'TTPE_ -03 EUECTR7C---------U-0 ' INT-ER:FINISH- -04 _RYWALt-----------U.O r ! ! INT-ER:LAYO0T- -1­2 VER:%NORMAL-----U.0 j O! ! INT-ER� 'U-AiCTY- -02 S A _S WE-A -EXTFR.--LT.-O 1 ! ! FL7-JR STWUCT- -02_Iti-J0IS`f/BEAM----U.0 a W ! ! EF LOU R"COVER- -04 C AT{PET-- - ---------- .O 0 480 1536 32 BASE 32 0OF`-TY?-E -- -01 WEI-LE=ASPH-SH---U.0 E Total Ar¢aa A . BaSe 1 T BUILDING DIMENSIONS F EL -CTRICACL- -U1 VERAGF----------�.0 BAS W46 N32 FMP N10 E48 S10 W48 ! ! OUNI 0AT-I-QN-"'- 01 -OURED--CONL-----19Y.-9 A .. BAS E48 S32 .. ' i -------------- -- ---------------------- ' -----QEIu`l+8OR OD -6—SAD-N"YANNTS------- L LAND TOTAL MARKET ! PARCEL 20400 88300 *--------------48--------------X AREA 3871 VARIANCE +0 +2181 STANDARD 25 ------- - ---- ----------------------------- THE THE SOUTHERN MA. y TELEPHONE CO. EASEMENT ------------------------------------------- NEW ENCLEND TELEPHONE & TELEGRAPH CO. EASEMENT -S88 45'00 T-- 165,59' NEW ENCLEND TELEPHONE & TELEGRAPH CO. EASEMENT j ----- -------------------- --I ----------- p THE SOUTHERN MA. --- TELEPHONE CO. EASEMENT O J _____ -_-_-_-__ w _- S`7�4940„ y . RES.. ZONE.- "RB" This MORTGAGE INSPECTION Bank 1Use°only FLOOD ZONE' "C" THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: _HYANLNLS------------- . REGISTRY OWNER: JEFFREY A. LYON& JE�VIVIFER S._LYON DEED REF: _CFRT�4SOS1--__-- BUYER: -P�LULQ YANRERLELLCQRPALATO----------- DATE: 9,/244/-00------------ PLAN REF: 21173-F_ __-SCALE:1"= 30---FT. I HEREBY CERTIFY TO -CHASE'HANM TAN 9-QBTG'A- E'_ tt1 OF YANKEE SURVEY CORPORATION ___________THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL CONSULTANTS SHOWN AND THAT ITS POSITION DOES __-- CONFORM A. 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE U MOMEW No. INDUSTRY ROAD TOWN OF ---BARNSTABLE -------------AND THAT IT DOES- NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD F ?F61 �E® MARSTONS MILLS, MA. 02646 AREA AS SHOWN ON THE H.U.D. MAP DATED ad9/85 _ b� �®9 TEL 428-0055 Co nit -Panel 250001-0005-C FAX 420-5553 64004 L A. MERITHEW PLR NOT TO BE USED FOR FENCES ___ ____________ THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY 29582 LM PA BUILDING PERMITS ETC. :r J % i tIr RESIDENTIAL PROPERTY ,.'MAP NO. `' LOT NO. _ p� FIRE DISTRICT SUMMARY STREET O Quaker Rd. 73 LAND f- o a 312 H BLDGS. Z pc OWNER TOTAL RECORD OF TRANSFER DATE erc PG I.R.S. REMARKS: o BLDGS. 0) -Laske i—Lawrence : i�—,&,-Eleanor R: 8 —6 68 ,l 44 � u77-�:r, i TOTAL < <Ia,"o d JS LAND BLDGS: TOTAL BlAlmm1 T. . F LAND 7.�:-1-74--m f,62�- 7?­3 �0,�9 BLDGS. TOTAL.. LAND ,Simpson,Edward F. & Wright,John M. ; Trs 5-23-80 Ctf. 8180 ($40 BLDGS. . :.;. TOTAL LAND 67 BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: %'`'.%-°-u %o•t� s�/L BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE ift 59�o 0 J' 0 o S9 0 LAND CLE;kREd4WNT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND `3Lr BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FROK DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER OI BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. O BLDGS. LAND COST Qanei`Wdlf" Fin. Bsmt.Area Bath Room Base ?, 3/ - t3LDG. COST Coebr`fBiki`Wells? '?_- Bsmt.Roc.Room St. Shower Bath Bsmt. ' PURCH. DATE �Cooe $b W b .ate fy Bsmt.Garage St. Shower Eat. Wells PURCH. PRICE. .. Bilok;Wdls y Attic FI.&Stairs Toilet Room Roof RENT Fin.Attic Two Fist.Bath Floors ' Piers INTERIOR FINISH lavatory Extra ,8smt.'x 1 2 3 Sink 'APlaster Water Clo. Extra Attic e "EXTERIOR WALLS Knotty Pine Water Only / S2 O 32 Double Siding; r s'r" Lelywood No Plumbing Bsmt.Fin. Single Siding f Plasterboard Int.Fin^ /b 3 Shingles TILING Cone.Blk.' G F P Bath Fl. Heat Fpce Brit.On Int.Layout. Beth FI.&Wains. Auto Ht.unit Veneer- Int.Cond. V Beth FI.&Walls Fireplace Com.Brk.On HEATING Toilet Rm.FI. plumbing 9�10 , Solid Com.Brk. Not Air Toilet Rm.FI.&Wains. Tiling. Steam Toilet Rm.FI.&Walls Blanket ins Ht Water St.Shower Roof Ins. Air Cond. Tub Area Total , Floor Furn. - ROOFING COMPUTATIONS ' Asph.Shingle Pipeless Furn. /S S.F. 2 7 Wood:Shingle No Heat S.F. Asbs.Shingle Oil Burner S.F. ' Slate Coal Stoker S.F. Tile Gas S.F. OUTBUILDINGS ROOF;TYPE Electric Gable Flat S.F. 1 2 3 4 5 1 6 1 7 1 8 9 10 1 2 3 4 $ 6 7 8 9 10 MEASUREI -- Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLO RS ; Fireplace Sgle.Sdg. Roll Roofing Cone. LIGHTING Dble.$dg. Shingle Roof Earth' No Elect. DATE Pine Shingle Wells Plumbing Hardwood ROOMS Cement Bik. Electric _. Asph.Tile- Bsmt. 1st TOTAL Z ljQ Brick Int.Finish -+H+ ICED Single 2nd 3rd FACTOR REPLACEMENT ,S 1p7• OC UPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL.. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG. 1 2 3 4 5 — 6 r —7 8 y g 10 _... TOTAL [ ] .[R310 312 . ] LOCI 0081 QUAKER ROA-0 CTY] 07 TDS] 400 KEY] 228685 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] -0 WRIGHT, JOHN M TRS MAP] AREA] 63AD JV] MTG] 0000 . P 0 BOX 579 SP1] SP21 SP31 UT11 UT21 . 35 SQ FT] 1536 W CHATHAM MA 02669 AYB] 1971 EYB] 1971 OBS] CONST] 0000 LAND 20400 IMP 66500 OTHER 1400 ----LEGAL DESCRIPTION---- TRUE MKT 88300 REA CLASSIFIED #LAND . 1 20, 400 ASD LND 20400 ASD IMP 66500 ASD OTH 1400 #BLDG(S) —CARD-1 1 66, 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1, 400 TAX EXEMPT #PL 81 QUAKER RD HYANNIS RESIDENT'L 88300 88300 88300 #DL LOT 36 OPEN SPACE #RR 1337 0114 COMMERCIAL a; INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C81809 AFD] LAST ACTIVITY] 08/03/92 PCR] Y 4 �i 4 Y� I�{{{ �JJ .h f: R310 312 . P P R A I S A L D A T KEY 228685 WRIGHT, JOHN M TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 20, 400 1, 400 66, 500 1 A-COST 88, 300 B-MKT 81, 300 BY 00/ BY ML 8/87 C-INCOME PCA=1041 PCS=00 SIZE= 1536 JUST-VAL 88, 300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63AD ----------------------------- NEIGHBORHOOD 63AD HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 204001 LAND-MEAN 883001 54197 IMPROVED-MEAN +230-o 2506 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10096] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES ` COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] ,i i 31. '14 d �r R310 312 . P E R M I T [PMT] ACT [R] CARD [000] KEY 228685 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT j (a e Town of Barnstable *Permit# '�(o Expires 6 months from issue date Regulatory Services Fee Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner AUG 2 6 2O05 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF B- Office: 508-862-4038 Fax: 508-7§ 3�0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Add less ��� �1 K �Rwl-y) Residential Value of Work cR i 900- 0*0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name 4DMe ow yc—,-Z_ Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: J I am a sole proprietor + I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 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 Leidbly Nagle (Business(Organization/Individual): 6wlfe"Y-n Address: K F—� City/State/Zip:Jk42± - ,-1 S k2fi n Coo(.Phone Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ I am a ith 4. El am a general contractor and I -employer w - � . 6.VOD ew 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. t 7• emodeling ship and have no employees These sub-contractors have 8. emolition working for mein any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑.We are a corporation and its officers have exercised their 10.❑ Electrical repairs or.additions required-] . . 3. I am a homeowner doing all work right of exemption per MGL lY.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 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. am an employer that is providing workers'compensation insurance for my employees'Below is the policy and job site. nformation. - :nsurance Company Name: ?olicy#or Self-ins.Lic.#: Expiration Date:- fob 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 Pena-lties 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 3f up to$250.00 a day against the violator. Be advised that a copy of this statemenf maybe forwarded to.the Office of . [nvestigations of the DIA for insurance coverage verification. i do hereby certify under the pains and penalties of perjury that the information provided ab ' true and correct Signature: Date: Phone#: ��� ✓ `� Official use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable �pFtltE'�O Regulatory Services Thomas F.Geiler,Director Mom' s63 Building Division 9. ,0� prED""p� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB IACAT10N; nuh6er street village IIHOMEOWNER7: 6�S' Arne home phone# work phone# CURRENT MAII3NG ADDRESSQ�JJ city/tovm 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 spReryisoI. DEMITION 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 resuonstHe for all such work performed under the building vermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. XL— Pirt,;iure of 4061cowner 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 perrnit 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 parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. rl•fnr.ne•hmmnavmm�t ' Fale' Edit Teal--s leap Action 77 4 _ Aj?plICGt7an � d ] ficariP J h V r a',�°.m ti�- " .a� - y; ate- Status ATI'V ;? $ S '"k "�+ r .* ,. 0 Yd r )r&F .. �Uk1 r �Collect _ �, = � Oikh&.� 9151L� yam--- U` .Department 630 ''BU1L'D1fG DEP. RThAEtJT� _ GR©Pfli`TO;P4ULU ! ClosedDernl — -^ a 3 PmjccilAr_nv"rt7f 3 FiES1DftITi, i AID!DITION/ALTERATIO , Caatrc#ar. 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